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HomeMy WebLinkAboutBuilding Sign Off - Dormer and Stairs on Garage TOWN OF YARMOUTH r HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: I I flit Map No.770 Lot No.:o3 7 Proposed Improvement: c4 cl c d��onA P r `� o L K 15'� b , - rate ► k (.{ ps` ;vs ~ r Applicant: -- ,� I (cc Y C e- Tel. No.: .,$--c --3V--36 y r Address: I( f / .), ; .t S'� . S . u`I"4 /41,4 Date Filed: **Ifyou would like e-mail notification of sign off,please provide e-mail address: Owner Name: I , Owner Address: ,Set� �-- Owner Tel. No.:,SC -39T- 3e 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 four (4) 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: .5 1.1-`lbG PLEASE NOTE . COMMENTS/CONDITIONS: jj LA-1 t L ( R—e c/l��i c�r /e Q c 3 3.e. S efi7t C C /4" Ci ! 4/c',z, DC © IIMfD MAY t 4 2006 HEALTH DEPT. BRr� mwtctsf , SrMd1vtiA t/ 66 (f \PO •w S7ki(®G o I G9 L 6.9 ;PropaAtti ot.thicie g'teps(L i'de I- , ti ‘•„ ' . * � 5�0 > 1. �AA �P\ ► n 12 (/ EX]. 7 . -/'77C 31 . y'S. o I � I N 1 "� IJ / 1 ( IN N 0) i4 1 CTI o t\ I w�► 0.; 2Cl Jr, O M Ou ' v-!5f/^',/ zwr rti� c_,, I ,e_ei.,,,4c6 , .-t --------/ .� are@ROWED ( a MAY I ` 2006 � 4 ci HEALTH DEPT. 0 p ,L oT S I r ZC,00cD- _3 7 I , 1/4.j._____ /o o. oo (--�NoFs oAN cs. A. N PEAKMAN A• No,39402 y 7/ r iL00D2v,%—& G 4//77e"Co `... u•' /C'L 0 o iJ 49,d EL# 'Z5Z '/S 000 YC ,DEco ,0 . 6KZ S z Py, //S /C}-S7S. Air4/0 2 o Ptzc-L, a? TO THE BEST OP" MY %% /NFoR.MAT/o/V , KNOWLEDGE AS BU/LT �� PLOT PLAN A ND B E L/E F THE FX/.5r4i /// ,V 4. /49 PA) g?';J SO. .x f / 377)12V GtJOO.O A7?,1,'767-2tS, DATE /z/2/C7( SCALE. /.; OD SHOWN ON TH/S PLAN/ HAS PJ2EPARED FOR: BEEN LOCATED ON THE ��`�1L /OBE?G'� GROUND AS INDICATED.,---- DAN A. SPEAK/'MAAI OAJSTR UCT/OA1 zezzi/ c-,?)6.... - • LAND SUi2VEY/NG C F T/TLE Y EA/GiRG. DIVISION /5 SPEAl< GVAY, No. HARW/CH, MA. 02645' Di EG. AN YOR TELE. S0e/432-5565 A-t A ri Rr m, A �.• �, / / /.. Gam•" %?� �/ly �faG ,.w.,,_ 1 1: , 41• .�i,/ � Y 1� i,� i ... rwo op 4A os i .7t P4 Al IN A-4 �i �r i' '' it li I t: i� I i, i' �' ii !i � f��....r� ��l i•'1�/i ./, j:.•�;- i -TO i`� �%�fr �(� i ��' � .... ' ,.:�•i.....! � � - . ►,..:, ter: ___:.- 1 .-, _. __.__._.____.__..__--..-......_.._._.....__._.^i _.:-......._._._ ,; ''-' t f `• t -_.._. ' � 'fit a' r �� � • 10 El ^ �.:✓l`C 1./ I ( "-[ _rt �. .1•�,'��. // I 4k _ cam^.• ♦ r•� _� ; r ' 1 I M �/,�'t' !YG"j w .4• ,''� \ i �\ ��\'. % _•-�••.'1 f• . l�-� '1'�Di,� "'✓ . "•1 f t`� \ I ''` i •� ' .� �• . I i � 1 i -' 1 • �'~ .. ' - IZ vlli i lo . Ea , ' 1 t ,.,, •.. . ( ... _.l . [,,,� � C./L.i 7�••- ?L-`f (� +`.- j ' . _.__ `� ._ � � ' + �:� - r V�I � ` :,, - •---_ ..._ .. :.... -.. _._. _.... ._ a ... _ .. _ _ ._ ... _._ .� . ..... _. _ .. ..... " .._ _. _.. _ _ `. _ _ ..-. y.,}!_._ . '��,�......................__.w r� . ... _.. ......_ �� .--r`GL... '. �_- _ _....... __.,..�'�.�' 1 t � •� iL' � :ti. »1: 1 -•�'t— ; r`. �1— ' M ,1�l�US ,I r" '_"_ .._..:..._:. — _. w.,.�.,�,�:.�.?�• ' ' " I 1 ( - f•]•.'L: i`'I (,/ i;' ' ' '+ \ a. \, TS.'i'(,17.;'ovNY , it •., � . ...1- \j ' , 1 � t + •.,,,,. � ,. ' =�� �`� � � � 14 (� .. 'mot'' Ct� (..{� .f`��,..+ ::.� ^) r•-'/\ (O ( 1 �=-+� M. �. _ _! �'•i::... '� :' �` . �-.._ -�;; l .., t - C. r:: ; 't._.' , - ... �� , � ...-.., _. .�... � - '--..-_.. ._ I i ! � � 'fir �i'*, � a ,; �:... � y } �„ f "''*' ; - Z D _':.._._..�-1---�•. MAY `L 4 2006 HEALTH DEPT. , 1 T-IC•.:_r�^ i 1' 1 `4D.C. 1� + J•'�'t�.. _,�� y. } �C APPROVED BY: 1 +'-•�� 70�,...- SCALE:ii DRAWN BY 1 - DATE: 1. :� +•^•� REVISED DRAWING NUMBER 1