HomeMy WebLinkAbout2017 Jun 02 - Sign Off Transmittal, Floor Plans - Finishing Basement _ _ _ _ _
.����.�o TOWN OF YARMOUTH
�� �°-:;� HEALTH DEPARTMENT
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���'' `'`�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
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To be completed by Applicant: '
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Building Site Location: �yf �� � r�%.����� "v��� ����, O�l�i? �„�� �
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Proposed Improvement: %�',`��'��^ �'��' r.� � � �'� �•� .` �' ��� �� �`�s� ��.,� ��., ,�' !
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PP �,�'' ' ��;�,�, � Tel. No.: _ � �' . -�,�,, �
A licant: � a ..5�c.�as'' -.�-- �-' �,. � '
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Address: � � ��%� �/ �G � � � � , .�G"'� �.�, °%����t;/f Date Filed: G� t� � � r.:/"-;7 �
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**If you would like e-mail notiftcation of sign off,please provide e-mail address: ��'f�v�E'��N ����,, ,f/` �� �� dZ�t�? ; ,<�
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Owner Name: ,�y� � �� r c�y Q �►
Owner Address: �`'.� 1.�� G �� . �.. �o✓ ,� %�W..� c..,j�, ner Tel. No.: �c�� .3 C`�; _�? ���, � ,
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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 i
(all existing a�d proposed) — ;
Note:Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by ticensed installer i
with fee.
............................................................................................................................................................................................................................................................................................................................................................... ;
REVIEWED BY: G" � DATE: G 7 '
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