HomeMy WebLinkAboutSign off Transmittal - Laudry Shed ca
o� , - �. TOWN OF YARMOUTH
HEALTH DEPARTMENT
zi
.,," "`�•` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 100 (A�L T k C<, r
(U.
Proposed Improvement: (.-r UtnglNLi �, /
Appliant: M C C\4 r.�� ,,
Tel. No.: G\Z-7 a\ - IS(o ck
Address:
`^ Date Filed: i a h I
**If you would like e-mail notification of sign off please provide e-mail address: \ \ f
��G�n-e� � �!'a��T'��r,v`S�t-au c�,i,v,c,5<oL tg1-c S
Owner Name: to,,,o l a ' '
Owner Address: /60
�� o!" ��Q'r Owner Tel. No.:
Cf 7_g9u a363
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY:
DATE:
COMMENTS/CONDITIONS: PLEASE NOTE
I
1
Building
BRADLEY - NOLEN
LAUNDRY SHED
100 White Cedar Point Road,
West Yardmouth, MA 02673
ARCHITECTS
Rough Sketch LLC
70 Phillips Street
Watertown, MA. 02472
tel. (617.923.6010)
fax (617.923.2659)
x
Professional Seal
Arch. Proj. #: 22322
Drawn By: TD
Issue Date: December 1, 2023
Scale:
AOm
SITE PLAN
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1 PLAN
Building
BRADLEY - NOLEN
LAUNDRY SHED
100 White Cedar Point Road,
West Yardmouth, MA 02673
ARCHITECTS
Rough Sketch LLC
70 Phillips Street
Watertown, MA. 02472
tel. (617.923.6010)
fax (617.923.2659)
x
Professional Seal
Rev # Date Reference
Arch. Proj. #: 22322
Drawn By: TD
Issue Date: December 1, 2023
Scale:
FLOOR PLAN