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HomeMy WebLinkAbout2008 Oct 16 - Sign Off Transmittal Sheet, Plans - New Foundation� .�,�. —�—�.., ; � - °��Y'9j4� TOWN OF YARMOUTH o} y HEALTH DEPARTMENT H riwTrw n cs 'r ��""°°�'� PERMTl'APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicarrt: Building Site Location: '��Y�G�2 �3'v GLr� ,�Y Map No.:B� � Lot No.:�G Proposed Improvement: NFw 1"'c�M�� �f a� Applicant: ��Ce u i c� { ��G'/h � Tel. No.:Sa� 36� 977 1 Address: �4(dh/�;, c'� Y�1 f���'� /�s'f � Date Filed: �c 6 G c� *'Ifyou would like e-mar!notrfication ofsign off,please pravide e-mail address: Owner Name: I /Ga M i e r r! G cc�P�� OwnerAddress:aS�v�i�ln��on/�L /��Gy�„�/'� ( �� OwnerTel. No.:E'GG -rcE�j<-94� _........._................_........_......._..........._.........._..........._......._....................._..._....._...__.................................._....._....._...._.......____..........._......__............................._..........._._......__.._....__......___......._._..__........ 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 snbmit 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 (all existing and proposed)- Note:FToar plans not required for decks, sheds, windows, roofing� (3.) If necessary, Title 5 application signed by licensed installer with fee. - ...... _.... _ -- _.... _..... -..._ -._...................._................................... REVIEWED BY: DATE: ��( ���0� PLEASE NOTE r COMIviENTS/CONDTTIONS: — ---- _ ______ _ I � � � —0 ` � . � m i 00 'Jv. �, \ � _ ' N' - � ��.�' � j l ._ � � .. _ -_ - "� � W � "'_"�� " ` _, `n m � m `` al I �:� „k ._•._.,� � �.'�; 0.' � � f , � '.� W 7 m 7 � � `- �. - � �.'—'�' `, � Z � �"^ 0"` • ,' - �� �. � n ' , � c7 Z W . � �.! �. -� Z Z - W -� � '` ._ -�.. :• � • • Q � �'.; /�'' _ ,(� ' _ _ : ,.,� Q W �n �n . -,., _ �% % �- � � m � /r V � �G � � � 1A � � � �,, '�d�j _ z � � z Z A _ �i �� a � w �. � ��_. m �.i W ca - ,�/. � o � o � •- - � � Y �� a .. � , a�' e� �, _ \���' � __ 3 � I i �a`/ _ < � � � r �} \, !16 � N , Lwl o w � - / ���d _ C^3 = �� ��� d,.,� �; . ..r � N.�ij ��3 � : e•� � � �": �v�oy p �—Q ( p ' � ���� \ em� Q- :'�� v, �� � r. _ 3��- - � � o . �`. � � o o� ti � • ' •,-'„{ ~ ' • � _� � � . . .� , e � ,, ' _ �� � • r ; � / -�_ � _ _ - - _ _ .- .. � � . :�_�. o e � _ -._ _. . _ : � .� � . - - : � - _. _ __ , . �� . - � - . _. c� v'> �� - i ^ � '/ ' " 0 ' - �'� /' ° � .. � ; _ .. i � -.- ' - _ _ - � `� �' - . . �, -- _ �� �-; .-� � . -�i r -� N +,� - ' oa � � ' o -�. � � ".� � °� � � � � � '� N • `, , � � �-—� p.00� �,�p�'-L a.6'io.m V ` \` �� �tn � V � a o � w � ry o , � � � � � �� Pa'1S a � W !.� � v `�� �` �� � � � � � � � I � �� W , � �1 � � � _ � � � � �' � � � v4 , h e� � � � _ � , ��•� � � 6� � i � r_ — _i I '!� r � -� � /^�f .���� � `l i\ i �� ; � � I � � \ � � IV a o` .. 2 � s t,�/ �7 i(y�1 �y` � N � �,/ ��-� � �` ` � g � �, � � ; � � � �� - M � ' � �a w� �- x � � � 1� a � Wac � i � s " g � a � � � � �, � � � � J c��SETi$ _b,d ,�H � ,` � g.�� N ��N�O �(') ^�� � 9 c� � b �, � � � J 1 \ O � ; Z � � O i � ` ��� � P�v��y'�' � X � I Q ���hW09 QP � �1>dradsf�J �n y 3� d�� ' Doqald W. Moncevlcz, P.E. -- • Civil Engineer � ' 40 Pond Street � ' West Dennis, MA 02670 � ll� � I � � , !S S/ �f ��'T� � _ `� � � � � r � - �--- �-�3 t � � � � Q _. _ _ I �� �. . �'� � � _ o � �1 _ _� _ � � _ o �.i � � _ 0 = _ � � � � �O � Z Y � , � � � _ _ � - h V �� �[ �� _ e � � _ � Q --, ` o :g � � - o � � �, �. _ � �► - _ � �i _ � . � � - � Q � 8 � -. �1 ;� � � k ._ w g �i _ hv � -. 2.4.03 � � � -_ � 'v > � � �� _ GG 0�.�'Y" �r � � _ s-rae�r� � 4 a�frH _ � , z _ , M _ .B�.b.e«�n-r_ o. - /� �/o� _ Fieo�vr _ Donald W. Moncevicz, P.E. - , Civil Engineer jK�7..CH - 40 Pond SUeet _ West Dennis, MA 02670 _ FLc.t�R .Ls�YovT— ��/ST/NG . sSGc9NA jL�/e - }�" 7 G/L'�. �t� fG.4G.�E �r�` f`O--- �R/s�ot/�N, /�� �s�T.'� �,Ef'7'.t�/+�S.F/� ZGY,�9 - �