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HomeMy WebLinkAbout2016 Mar 29 - Sign Off Transmittal, Plans - Finish Basement �.o�"_.—�,,'�a�,,� TOWN OF YARMOUTH o� � -�.w���� HEALTH DEPARTMENT � � +'r��`'� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant.• Building Site Location: /F�s'� ,�/v�. �oc��. �� �/Sr��F�oc�., Proposed Improvement: i h ' � t -T� �"'.,�/ C�s -�H�� ' � !�'��� .S�O/4 L. dY�l �" c S. I�c' /' d � !AO✓�-'�4 S pCr «��. ,s►7ttG� /�t i�h. [v [�4.Suss�e1'7�— Applicant: T�'��� C'�rc, ��r ( eAaa. ticl l CGkS'�iv�`���•� Tel. No.: s��- 73?' 7?c:� � Address: �� /�'s����1� ��'''� So`�l ���M's /L7�, DateFiled: - �y /� **If you would like e-mail notiftcation of sign off,please provide e-mail address: OwnerName: S'fz�� `�v(� �' � Owner Address: 3� 1�Ke.o��-- � /�fr�G'a�P" /�/c , Owner Tel. No.: 7�'/-3�'"53�� ..................................................................................................................................................................................................:............................................................................................................................................................... RESIDENTIAL AND/OR COMIVIERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septa.ge Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (l.) Site Plan showing existing buildings,water line lqcation, and septic system location; (2.) Floor plan labeling ALL rooms within building (all ezisting 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: � ��'-I� PLEASE NOTE COMMENTS/CONDIT ONS: D �C `�'j l�.Z ✓►�cc t�l.l 4 �` � � s� ��Cvl2, v � v�v c.�.d � � �S 3 ��w�.S � c� �'-c- c-� t,� ---- 0 623 IVCAV s I -C 9-Lr's ei ix t PA N N&I -W. LOX'4 1 . cp .:♦� w.•.�...-�...-� .� .,-__.?'f: �G :. o� ' MAR 2 42t qz, ea . ;.; - A .1 W;=AITW nmo slo m ' a Atto A FORV % I - F . . . ! `� '? - t' �.�/' 14 ,rrr y'b 1i tlif��:'y `. ill! ''"'Yall . r• • r 'TA , , . r..,MJ.... :',ri. •y' q^'^^•^•_+•.••'•-^ .:.._,.....•.......,. . ...'.. +, r.� . 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