HomeMy WebLinkAbout2008 Jul 10 - Sign Off Transmittal Sheet, Plan - Basement Renovation , ..� . . �. _. ..., . .,_ . . . . . . . . .. . . . . .. _ . . ,r _"".���'fii•ar-;t'�",e R--. r-^�AS`-e� :F.w..l
u _r
°f�Y�''4� TOWN OF YARMOUTH
0� y
HEALTH DEPARTMENT
l"����N�,�+Z"
�' PERMTl'APPLICATION SIGN OFF TRANSMITTAL SHEET
To be eompleted byAppliamt:
Building Site Location: { W�N C N�S �C � � V w� ���? �uUM p No.: L.ot No.:
�GSP �'eLt? (PI� UVG.TIGN a¢�f'
Pro sed Improvement: r �✓Q�� r
�u �� aU2 ��
Applicant: � �NOF S /?C 1//eV s G� � S TeL No.: � 9`�/, z� 7- � 7� �
Address: �/�/ °� W//1/S L J l,✓ 6,+�/IY /Q /�. S, �����YUu ��ate Filed: 7 ,� ����
•*lfyou would like e-mail notifecafion ofsign o,J�;please pravide e-mail address:
OwnerName: ��,• scr k � S�P�n � e :n C /�a r� � a ,�
Owner Address: � � �F� s c< C� �' 'h �G �+ r � Owner Tel. No.:( ''�j�� 4 2.0-3 9 /�V
l�G �� ,� , G� , ;�IY ia s � � �
__._._ __._.. ___ _.... .......__.. ...__.. .._._......._..... ........ .....__ __ _ _ _. . ._......._.... ......... ..._.............. ......._._.........._.............._....._ ............. .................___..............__
RESIDENTIAL ANDlOR COMMERCIAL BUILDING �
HEALTH DEPARTMENT: Deternvnes 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 ;
(ap existing and proposed)—
Note:Floor plans not required for decks, skeds, windows, soofing�
(3.) If necessary, Title 5 application signed by licensed installer ,
with fee. !
-_. _....... _...
-- - __ ._ G -__.._..____
REVIEWEDBY: DATE: �/ l �� I �
PLEA E NOTE ��_
COMIvIENTS/CONDITIONS:
N� � ��,� � �� � �, AKs�� �� (
I?� Y 4 S a Z I
I
r
r a
dW `H1f10W�ld �l 1S�M 6ui�apowa.� o s�
'/� 'd ��1S�H�NIM Z
��N�QIS ��I NOl�ld �� �ua�asng � � o ; � Q
C +' \ d �
U dl� L d
� Ao qpq
o „6,EZ
� � O O i
d _ _
d
� � � � O
O O �
� U 4- L � � 3
3 T
� +' � i-' � U1 d O a
+' U .
�1 � � U�i � £ i U £
" W L lf) � �.
x o � a� o0
�'`� U � d st N c� ++ �
4 X i-' d �
3N � � 3 S
� N � i UI +�
O Z O +' ... � 3
�d �r,�adc+ �
,i�
� � �(auwiy�
� I ���
X � • � N ! ,I � 1.� z
� d � O � > Q
O� �- ; � �"' O � J_ J
� a �, � a �
� �^ c � f :: ��, d
N E � v
W d 3 LL' �
d 0� �
� `� ;, " Z O - - a
�, i N o
u°ii a -a „�,9 °�' L.�
� i � ,£T Z
LQ 4� d � O �
?� s � , Z
� A� '� � °° W
s � � � �
o u >,� � W
"� a.Y a oi, � m �
� � � �' 'o +� � � W
ca �' o £ � — 01 Q a
Y U d d � .-.
O
sY +' � 4" O T U 3 � .�
X 3 N }> � T �
N N N d
Ul 3 £ � +' X
3 +' 6 3 � � W
N d N i N +' i�'
z ; s � � 3 �