HomeMy WebLinkAbout2019 Jul 19 - REVOKED Sign Off Transmittal, Plans Op/ RECEIVED
ov YAkTOWN OF YARMOUTH
.-7:',140 JUN 06019
�! ' HEALTH DEPARTMENT
..� ,
--v `sirgHEALTH DEPT.
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: O C667:-
!` big coiv RA,
Pro.s sed Im rovement: I L.1 ' ILL.' • • _` ' 'n b00(2-5 kli, Ili%
Pr_e _ at ' !a 1• vimIL ." w ,4P 1Al \\a\u! Y '
Applicant: t'�ii(�,CJl�C7 �1� cia.l��-e�` 41/0 — oe=
Tel. No.:W$ .RcX C:*-)C
Address: O (Air. 030 1
Date Filed: , _\�
"If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: LOWV)O1 (;ecç
Owner Address: 40 (PT `4AGot3 Owner Tel. No.:
A
1•P")\ OSIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH D P NT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
SN
Q./ \Ck Please submit three
( ) copies of plans, to include:
(1.) Site Plan showing3 existing buildings, water line location,
and septic system location;
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(2.) Floor plan labeling ALL rooms within building
1..
,t (all existing and proposed) —
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�2._W -r Note:Floor plans not required for decks,sheds, windows, roofing;
c ` (3.) If necessary, Title 5 application by signed licensed
Se_ Greg' with fee.
g installer
REVIEWED BY: • c//°//DATE: F
/11
PLEASE NOTE
COMMENTS/CONDITIONS, _
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/05/2019 Services 2,000.00
Item#3,Phase
#2: RECEIVED
After final
wisp rc ioon e e L 1 62019
previous HEALTH DEPT.
installed 48"
cased openings
and install
three 48"
double doorsiseA‘o e, 74-7N SCA_ t( cw P C.`
and re-install
trim to match
original. 1 C S c�
(includes cc, rec�.-
doors/
materials) `^ t c1 S-� ," h
05/05/2019 Services 500.00
Item#4,Phase
#2:
Paint doors and
new trim work.
(includes
materials) _a
05/05/2019 Dumpster 250.00
Remove all
related debris.
05/05/2019 Services 0.00
***THERE
WILL BE AN
EXTRA
CHARGE
ABOVE
ORIGINAL
SCOPE IF
ANY EXTRA
WORK IS
NECESSARY
DUE TO
ELECTRICAL
OR
PLUMBING.
***
Pierre Project
40 Capt.Bacon Rd.
S.Yarmouth MA
fin" `- - a A
depicel Building Systems Company,Inc-
8 Jan Sebastian Drive Site 9
Sandwich,MA 02563 US "`
ebsystems@live.com
ADDRESS ;Xi i 111 Attlikec4
Louisinor Pierre r :,
40 Captain Bacon.Road
South Yarmouth,MA 02664
A.5T fir'. :. «z 3 �Ga m s .: .. . 4:/: Y��'^a r % 4 �4 . '�-} s'
11
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&r;;rte ` <' ,� s;, ,.S
05/05/2019 Services � p# 3 s * ^2
NA, 100.00
Item#1,Phase
#1
Apply for
permit.
05/05/2019 Services 150.00
Item#2,Phase
#1:
Remove three
existing doors.
05/05/2019 Services 1,000.00
Item#3,
Phase#1: RECEIVED
Open three
existing door JUL 1 6'2019
openings width
to a 48" cased
openings and HEALTH DEPT
install trim to
match original. A `5e i�..
(including �' �
materials)
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