HomeMy WebLinkAbout2014 Dec 24 - Sign Off Transmittal Sheet, Plans - Porch Room e �T � �,�
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�2oF��c� � �' TOWN OF YARMOUTH
p HEALTH DEPARTMENT
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�' _•. ' '� pEI2MIT APPLICATION 3IGN OFF TRANSMITTAL S�IEET
To be completed 8y App/icant:
BuildingSiteLocarion: ��i �i_. )� f �r� �/�- v Y�'�n�� �.hnr-.-�.,,---F—, _
Proposallmprovement:�."'COY4��t� � ��� �X ��� f�OYC�t.. �b��r�� dtJtr
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Applicant:� DYOG �QV'._.l�_TA.0 Te1.No.:S�-���y -0 ���
Adclress:,,� al.l nva-� �n, u . � �' � y Y�,0 tt'�'� Date Filed: I rL / �
! **If you wouId like e-mail nou;ficatian ofsign o�j;ptease provide e-maii address: j
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� C)wner Name: � l.�.�1�_��C��11.Q.,( �
Owner Address: ��o ��l.lt G fi �C.�.(�. Y(l YYIt 0 i f�_�._K)OY.�Owner Tel.No.:,��t�('o�.'(a�.3 y
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RESIDEN'17AL AND/0R COMMERCIAL BUII.DIIVG
` HEALTEI DBPARTMEN'1": Determines Campliance to State and Town 12egulations; i.e., Reqnirements
For Septage Disposal and ather Public Health Aativities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan shawing egisting buildings, water line locatian,
and septic system lo,catian;
(2.} Floor pian labeiiag ALL rooms within building
(al! existing and proposed)-
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 appiication signed by licensed installer _
with fee.
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REVIEWELt BY: � DA'fE: / ��� ��,�
PLEASE NOTE
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RECEIVED,
DEC 2 4 2014
HEALTH DEPT.
DESIGN I BUILD � RENOVATE
Eileen MacDonald 33 North Main Street
88 Nhite Rock Road South Yarmouth, MA 02664
(508) 394-0832
12/23/2014 South Yarmouth, MA 02664 George DavisInc.com
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existing sunroom to be rebuilt,
existing roof structure to remain.
26'+/- from back lot line.
U��-'&U~� 93.5
R�c��ad�o
DLC 2 4 2014
HEALTH DEPT.
12/23/2014
40 W VWYL
MIT OF
NERD
Eileen MacDonald
88 Nh ite Rock Road
South Yarmouth, MA 02664
DESIGN • BUILD � RENOVATE
33 North Main Street
South Yarmouth, MA 02664
(508) 394-0832
GeorgeDavisInc.com