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HomeMy WebLinkAbout2015 May 18 - Sign Off Transmittal, Floor Plans - New Construction _ �� ___ ___.__ �. �.._- �_�r.TM _ _ �� _�,...� �--�- � , ,�,: �,oF��,,� TOWN OF �YARMOUTH � �,_ - - ,a HEALTH DEPARTMENT o,.� � ' :�_)� x � ''�-��`'� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET ! To be completed by Applicant: � Building Site Location: � V �l'l5 �CS �/Q/l/�r Proposed Improvement: /�/ �� � c'N S�� � C--� G�J. � l��... � CJc��+ � ' Tel. No.: � '' � .�7 Q.� ... Applicant: � � ��� . � --� ` , �A� �� Address: �c(�/� 17� 1� � �,�t /J� v"C�� �z"'r��� G%'2���ate Filed: /Y /`,� � **Ifyou would dike e-maid notiftcation ofsign o,fJ;please provide e-mail address: � Owner Name: V�;' � �� � ��v`.c �.�Ptc 'C s�..J .� 3 2 Ic �-, ' �- /� � 5`�3� � ���s� Oumer Address: �� � ti 1� C� � � Owner Tel.No.: C>ZG�� ...........................................................................................................................................................................................................................................................................................................................................:...................... RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determir�es Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Heaith Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing egisting buildings,water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all egisting and proposed)— Note:Floor plans not required for decks,sheds, windows, roofing; (3.) 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