HomeMy WebLinkAbout2015 Jul 10 - Sign Off Transmittal, Plans - New 3 Bedroom HouseSpring Valley Est. —
Keryns' Way _—
Foxboro, MA 02035
Spring Valley Homes L.L.C.
P.O. Box 357
Harwichport, MA 02646
PHILIP A. MOORE Builders / Developers
Licensed Builders Office (b98}siB9 8
MA, RI, NJ V.Mail / Car (508) 280-8070
TOWN OF YARMOUTH
HEALTH DEPARTMENT
'LIGATION SIGN OFF TRANSMITTAL SHEET
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Building Site Location:?
Proposed Improvement: New 171(_�l
Applicant: 7- I OAU5 a Tel. No.: _� Q' " 7
Address: U ij /i%/� Date Filed: 6 Q /jam
**Ifyou would like e-mail notification of sign off, please provide e-mail address: 77d -f! 1 S"PC i/!/` a�IIP4 &
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Owner Name: -77,
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Owner Address: gi /-3 I --o &J Kd (<d Owner Tel. No.: 6o P,771 - Ci d
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.
REVIEWED BY:
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.
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