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Home My WebLink About2015 Apr 10 - Sign Off Transmittal Sheet, Floor Plans - Repairs in Partially Finished Basement __�._ __�s____ � j : � ,_ _ ___ _.:_ . � fG�., �. 1 "�. _ - ;� � > 2of�R,yo TOWN OF YARMOUTH o ��y HEALTH DEPARTMENT ��'��•`�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicp�t:� � , i� 'a � ' Building Site Location��7 � �Y'OwS �uf Gh4St. �i r .!� � � Proposed Improvement: ;rs r �i � F 1 e �u c li� Fro,•h o- r c)a" 6ti1t a Lec +�.'c a s o. ( .•o�s � � 5 rna. p �� sF t�c.� .. rr I ✓ Y`� Applicant: 2 -!'CP' ',�.o��' O�� Tel.No.: SD S- 7 7l-3l/D Address: c�I 7 �'tOin�✓� �� a nri�s Mq 0�6U I Date Filed: N'/�'�5 , c **IJyou would like e-mail notrfrcation ofsign ofJ,'please pravide e-mail address: „`. Owner Name: �a wu.S .J- 90 e ' oa�v3 OwnerAddress: y0 SkeHarl 5 "� So»�erv� ILe cMA OwnerTel. No.:�o�7 y`/a-�/766' RESIDENTIAL AND/OR COA�IMERCIAL BUILDING HEALTH DEPARTMENT: Determiires 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 includes (1.�. Site Plan showing existing buildings, water line location, and septic system location; (2.) -�'aoor_�lan labeling ALL rooms within building (all existing and proposed) — Note:Floor plaxs not required for decks,sheds, windows, roofang•, (3.) If necessary, Title 5 application signed by licensed installer wit6 fee. _................_............_........................_...._ ....................................................:.............................................................................................................................................................................._.............. .. .............. _. J�''- __ L/- / U- ( REVIEWED BY: ��/J - DATE: / PLEASE NOTE COMMENTS/CONDITIONS: i - , - I � I � , , i , I , �i � : � , , i — �, � ' i ,, , � — , , , , � „ , „ , � �-� � , , � i � , , � — :I — — -- i .� c3 � � � , , �--'— � �i :i � �.-�— ----r--j,— . .. , �. . ; �, �,. �� . �, . .. �a--;, � ,. ��, �.- ' - ' . , ' � ' r - i �. -I�i ' ' �' . �. , , , � �, �� , � ,, i � � , i i � , �,. T`— � , �,, . , . , . ,. . . — �,, " , , . , ., , i ,i '� ', . �, . � � . � � . . , . . � I � . - . , 1 , ., ' , I � ,. — , '� ''.. � '�., ', �I �II I I. u'i . ,� ��.,�� . �. , . � �,— .... �., ... . ,.� ,,� , , , , . . . �. i , . � , � . � � �. . . �, ��r . �� . �. �'�. I � , . , ., �., . . .� , , . � , , . . , . . . —F-, . � . , . ; I � i , - . ' �,. I , i ��, '. .� �.. i �, ,, .. i . . , i �. ,,, •�--`i — . ,: I —,. , ,I. . , i '. . � , � �. � �. � . � . . ��— . . , � , � , � . ,.. , � . � . . . . � ^_�_�_�.__. . . , . i . ., ,, ., ,. , � �_ _ . , . — ' . � � . � . � i . , �, . . . . . . . . . ��,� . � � '. . '�� '. � ', �,, . , ,.- , �� , , �... . �,, .. —_ ,, ",.. '�,, I ', .�I ,. '� :_ n .. , . �. . o .. , �. . . ,. . . � y . �, . �.. ,. '. ' , �� ',� '� .I . .� .. i �.. ' . . . , � � . �.O ,. . '. ,, � . '�� . � . .- . . , •� '. ,' ', . ',. �- . ' � � ,, . j---6, - .. _ -__ ... .. �,.�- .. �, -- ��. �--c-l--�-..,�---- , .- ��.. � �.- - �. . �- . �. �. ,. . � , -�- .- ., �' .. .' _ T:.�� - � -- .,. -- -- - 4L' - -_ k-,_'�___�- " -- - -- - ---+-- - - - -�-- - - -- ,- - --- - i - - !- ty� .- - - , - - -- � - , - -�-'-`- -- -- - - � •� - -� _ - -- ---__---, ' , - - -- -_ -- -- ; --- - _ - �T _' -� _ - -- -- -- - - - `3--- - -� -- -- - -- - ,- - -- - - -- - , - -- - - �- -- - -- - _ �_. _._ __.�-_��_ _ , -' - - - - - _ `,�_ . I -�- -- -_ _ r_-- ,_ _ --- - -- -- - - - I -` - � - -� - __ � -_ - , =:: � - -- -+d- . - - - - - - - , �_ - ^_ - Q-- -- - -- - - - - - �; � � _ _ �__ -- _- - - --� - � i �_ � t � --, -- --- i, �,�., , - � - - - - _�'�- _ :�-� ` -. - - - - -- - , _ J ' � -� � � - �-- -- -- -. - - - i -�- - - - ¢ -� =- =� =_ '-_ -_ - = '- __ = � --c�- ; _ � - ;- - _ --- - - � - -