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HomeMy WebLinkAbout2018 Mar 15 - Sign Off Transmittal, Plans - New 4 Bedroom Home 011:-Y-AteTOWN OF YARMOUTH =. �/ '°r 1M HEALTH DEPARTMENT g k`�lx. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: ?ouP., SA501 j I Proposed Improvement: a 0N51 pe.,t,i.) Fe)v - b tO A 4 6 Applicant They1/4)F e LAI N-6 Cgs i-C fj4,$7 Tel. No.: Address: Z0 /4(54 )4(,„) Date Filed: 3—/5"--A"? **If you would like e-mail notification of sign off,please provide e-mail address:RW c l 1 A-,(-S Q- (ate%3504f.0 tj/"frMi,re: .(On Owner Name:bAk)e-,AroceJ 0�`cJ►�C� (. t-I J y �'""�/' .�i�r' Vie'///G�4�jC! Owner Address:7,0 i* 3i5.Il N Owner Tel. No.: ., g3.—.. 67—Civ.Z.1 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 (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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