HomeMy WebLinkAbout2012 Feb 28 - Sign Off Transmittal Sheet, Floor Plans - Use and Occupancy IMPORTANT MESSAGE
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Message
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=oF��,�e,�p TOWN OF YARMOUTH
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�'�'��`'� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant.-
Building Site Location: �-�� 7 /��(.�p aA , �/Jyt�^ �A�'�Ul�� ��'" v��
Proposed Improvement: ��I'��'/�GfL�' P� (X�ufh'/M(�f , i�l�GV C��//�,PJ'Q f?JY
/Q �'2itf tv?/n �/olt�U��v -90 .
Applicant: ! G�'/�1� Lo�U Tel. No.: �DO ��7 7�7
Address: �-3�3 �/il�t' � , �DIr�Gi � ���<�l'/D�fv� DateFiled: a�/7 /2
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*"Ifyou would like e-mail notification of sign oJj;p/ease provide e-mail address:
OwnerName: '- /3/3 i//�1/1'7 /�'Gt/T(' �/'G1�
Owner Address: ���3 /'OLf�f � �',ff�f �Yf�Ol�+"L� Owner Tel. No.: �F 3�7 7�J
RESIDENTIAL AND/OR COMMERCIAL BUILDING
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HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements ,
For Septage�i�spvs�l�and ohher'P'ublic Health Activities. �
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Please submit three (3) copies of plans, to include: z
(1.) Site Plan showing existing buildings,�ivater line location, i
and septic system location; �
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) — ,
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Note:F[oor plans not required for decks,sheds, windows, roo tn �
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(3.) If necessary, Title 5 application signed by licensed installer �
with fee.
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REVIEWED BY: DATE: a..l�,"i� �.
PLEASE NOTE
COMMENTS/CONDITIONS:
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Floor Plan
A- 3 bay sink (wash, rinse, sanitize)
B- Freezer and refridgerator
C- Taylor soft serve frozen yogurt machines
D- Refridgerated stainless steel cold topping bar
E- Dry topping bar
F- Small round table
G- Chairs
H- Stool window seating
I- Ceramic tile flooring - ��/ � '"`-'�