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HomeMy WebLinkAbout2014 Dec 03 - Sign Off Transmittal Sheet, Plans - Garage, Family Room, Bathroom, Den _ _ T.. �, _ _-- _ __ _ ____ -�-�...,,�-,- �roF�aR,yc TOWN OF YARMO�JTH HEALTH DEPARTMENT �'�'^��'� ? PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Appdicant. Building Site Location: G O�6 Proposed Improvement: ' �oc c � c i,,, �oa w. �� �-�-j3 ��' � CQS Fo APPlicant: L'P/C� � i 7 �/� ��l G(`o�_Tel.No.:� ��/ 3 �\J (D�)^o2 Address: �Sj �.�J h i `tf� �� � �"P � �t'^✓��1S Date Filed: (� 3 / "Ifyou would like e-marl notificatron ofsign off,please provide e-mail address: Owner Name:����,E�.i �/i I�J f Owner Address: / �C U L, �o c! � L Li Owner Tel.No.:��%�� y� .............._.....__.........._.........._......................._._....................:.................................................................................................................................................................................................................._.................._..........._......... RESIDENTIAL AND/OR COMNIERCIAL BUILDING HE.P.LTH 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 ezisting and proposed) — ' Note:F[oor plans not required for decks,sheds, windows, roofing; '�� (3.) If necessary, Title 5 application signed by licensed installer with fee. '"1 ............................._.............................................. . .. REVIEWED BY: DATE: � �` � ' PLEASE NOTE COMMENTS/CO DITIONS• �� '�p 'C IMoC.r ti 3 /�� 1 V'o w..� � I� ✓a'„� d�` y�'� �tn� rcr,µ,� /ZtJ� C o� +�17�_ �� NEWCplSNLTIXI EMISTNCbJI{qNC �gty��� � _O �R� .F�O . ca�c��od�� ������� . .. .. . . e�g . ... . �I�€Effi§�� - .._.. � DtC 03 1014 �E o�2°4 A A nnv F6 ______ Af. s*eins ---- HEILLTH DEPT. � d ---- '' � ------ m '---'- EXIST. -- - � ______ DECK . - �-�- � z�� � � i NEW GARAGE i � � O a 0"LONC.$UB EMISi. EXISi. E%ISt. fXI3i � � V� TN 3�N0 � a ��� �� MWE R11E0%• J��B. I 19'Y'G0. —J L—, � LAYr [].] �O Q CW.6MRD W�LLS/0.CN. 0. I I � .�. � (� [�i�(n ; �P II � � � �� � OBSa'3 i � Or � O KITCHEN O e BE�ROOMB2 a d , enTM a� _ so'"� �� DINING AREA � � 0 � O �x N r �._� Q I EXISi. � I tAXqNE � �� I � � O � � � a� � �� .d new ta�c o. � '-fdLSEi--- m ° __!___- ' x Q ��� 'd' ; � Q ��- . . .NEW�Q100X.OD, _ O I O E45i, g — �O o - NEW DEN � Q � ,��, , 0 ---- W �a � O SL45EI i BEDROOMtl3 � W A - - � � z¢ � ° ' ¢ �o �� . u+o. nuo. �i sncnorv T��e�ia rx znio GENERAL NOTES: �) ca�muran rs*o�2nin'wisnHo cp�omoxs uo autxsiws �ze��o iwie�io w W� ix TMc nm wian ro int srnat a wuxx x.) ca�m�cm�+o ncuo�e rnmrva wws.oows nxo rnHoows c.c.�s NEWIPEO FCq NEW CONSIPVCTON, ].j �LL NEW CR151RIICTCN 10 MRitll EXISlIN6 CWS1flUC�W O '� IX N�IER�L UEi4L.PXO FINISX. �'0' B'-0"2 Z � �) MIWI MEXIHG XEPp HfiQrli Cf WH�aW5.1i fpSTXL BNUNXG EXISTHG BULLVH6 ' � \ � ^ a O Fl"'*R��'�"'_,��"'�`�=ueF�' NEW FIRST FLOOR PLAN \ s.) .w ww+x swqu cpirwu m mc u�ssnawsstrs ac� p � 6iAlE BIIIIqHG LOOE�H��LL�T1@�VPUCIBLE ���s c�isr.�.i nnon uHxc se rr izio SCALE: NEW WPqOE 50 R. 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