HomeMy WebLinkAbout2019 Nov 15 - Sign Of Transmittal, Floor Plans - Finish Basement, Family Room 0�:.Y�+ TOWN OF YARMOUTH
�,- ° HEALTH DEPARTMENT
�,
r` ' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 02) Of'di11�J1t Ln- Ltlesi7i,r,lctiHl C2Z 4-3
Proposed Improvement: t'i 1.1,s Ek r k c/v (,t 1,4 : 1.2,:;C;i -
Sic/TxP t g 4 t,0-/ 4-6• Lt /-�°'4rc;o)1'1 .
Applicant: Joae 6. �At'I1t'€4L`t, Tel. No.: 50 6291 13208
Address: LI C1rehithe Zn 14f.5 7/ /win°c'u'/17. e;'.'- -:3i-/1`-d2af
Date Filed: / `
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: 1 `"E-'
Owner Address: Owner Tel. No.: SO 62 i i 8 Loi
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.
REVIEWED BY: 12) \'` /`'7DATE; l I �
PLEASE NOTE
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Building Sketch
Borrower Jose Sarmiento&Dolores Mendez-Sarmiento
Property Address 21 Cardinal Ln
City West Yarmouth County Barnstable State MA Zip Code 02673
Client Cape Cod Cooperative
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24'
iv Patio
Garage 12' 36' 30'
b Foyer Bath
Kitchen Bedroom
Bedroom
24' ia
12' N Bedroom
C C
Living Room aBedroom ra Storage
Eve Storage
36'
NOV 15 2019
HEALTH DEPT,
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