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Home My WebLink About2015 May 04 - Sign Off Transmittal Sheet, Floor Plans � •i oF Y'�R .,�. TOWN OF YARMOUTH o= � `=�y HEALTH DEPARTMENT a � '^�_••`� � PERMIT APPLICATIOHI SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 3(} �j,�, .e��<<�n. L ��.e . ('ou t�, y(x.r� A�,l,f.�J PmposedImprovement:� e10�4Pr. .f��,��C� {�� h�Cr� l�orY�� 1 tC�P.Y �d.d—<—=Cd�i ti Llc�(�_ Applicant: (�fn,_Y�� a.v�.r , TdLC Tel. No.:�diQ�39�-Q�3„7 Address ,�3 N�v+l� Ma�u . ,�rt,. ,J'. Yar 11f,�. ��A�c�c � DateFiled: S� G "— **Ifyou would/ike e-mail notification ofsign ofj;please prwide e-mail address: ' Owner Name: �r,t�� M� {�(1'�Y� � f P.111 ll�C�n�Q.(r�l Owner Address: ,�n w � Owner Tel. No.: j"j(� ;�(B�-�{�/�f ......._..............._...................................................._......................................................_.............._................................................................................................................................................................................................. RESIDENTIAL AND/OR COMMERCIAL BUILDING �., HEALTH 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 existing and proposed) – '� Note:Floor plans not required for decks,sheds, windows, roofing; � - (3.) If necessary, Title 5 application signed by licensed installer with fee. ....._.............�............__......_................. ............ ........_............. .............................................................................:.............................................................................................................._............................................... REVIEWED BY: DATE: S /7 � PLEASE NOTE COMMENTS/CONDITIONS: r 0 } m 0 a FIX z V !n W O O Z 'FIE ❑❑ x ❑❑ w Front Elevation Rear Elevation Right Elevation AS:� 28 5 DECK a �V f — — — — — 25' - z cofl O V (� �Y 1 I I I ( a In L/ • I I n BEDROOM BEDROOM e a GL©5ET j O 8 4L �\I E4y CAE I':� I' -, m Ll� w a KITCHEN ue CJ \ ry ( LAUNDRY BATH attic GL05ET I I'I I " I I I UTILITY I �D, \_I , ry w alk ut I" O L w Oo N to BATH I access E B I ( I acce s w/ retair ing o DATE: UP H I, : L — — — — — — walls 3 1st 25 Floor stairs rown UNMOVED �s \ ` 28'114 1SCALE: I 2nd Floor Foundation as noted SHEET; — _ MAY Q 4 2815 LIYIN6 AREA I 59i sq ft — HEALTH DEPT. A-1 1/8" = 1'