HomeMy WebLinkAbout2022 Sign Off Transmittal - Additional Storage Space `�N.+Y aka, TOWN OF YARMOUTH
'64111:4 HEALTH DEPARTMENT
'�• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant: L
Building Site Location: `I ,r e �v& 3-f fee 7
Proposed Improvement: ,£ }`� 5 p4_<- e-
Applicant: j"`'( i Al's Qu.-1 FIcrlri vt1 Tel. No.: q7 77- ?C 7- '-/qc*
Address: 67 ''1e/✓r< ;re-e 4 J?c, Year 040 J'tl Date Filed: i 7/ 2U2 2-
**/fyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: ',A rt l v v e t,✓ E{4 o v1 C (
Owner Address: 14
{- a, ---/c1 I1 - 7 2 -4/(107l��(Lie., j2- 4 ��r^.- �c a +'vii�,,"`��10wner Tel. No.:
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;
K ` i0�'ICDD (2.) Floor plan labeling ALL rooms within building
MAR 07 ?O22 (all existing and proposed) -
Note: Floor plans not required for decks, sheds, windows, roofing;
HEALTH DEPT. (3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: 91('' .----
DATE: 2-
PLEASE NOTE
COMMENTS/CONDITIONS:
I
EXISTING BEDROOM EXISTING BEDROOM
�^ EXISTIN FAMILY STUDIO
\. / IM A� �II
0 NEW 40 SF CLOSET 11
PC
(VINYL FLOOR)
CAMILLA FLANNERY A
Q NJ LIC #21410174370
(°)o O [1 0
EXISTING LIVINGROOM O
EXISTING KITCHEN I EXISTING DINING
ROOM
r
/MI C=L\Sr
2 Proposed Plan REV DATE NOTI
A1.07 SCALE: 1/4"= 1-0"
EI-1:=2.0`&2D
MAR n 7 2022 FLANNERY RE
HEALTH DEPT. 4 MELVA STREET
SOUTH YARMOUTH, M
s I I
— I _ CAMILLA AND MATHEW
J (917) 647-1667
EXISTING BEDROOM EXISTING BEDROOM
EXIS NGFAMILY CONSTRUCTION
1 DDM DOCUMENTS
o — L I
=-- -I— , REVISION:
Q --,—.
rExisting and
00 0 0
EXISTING LIVINGROOM 00 Proposed Plan
F—c_
EXISTING KITCHEN I EXISTING DINING
ROOM DATE: March 5, 2022
r
�- 1=NT--1 1 1
L J SCALE: 1/8" = 11-0"
1 Existing Plan DO NOT SCALE FROM PLANS
A1.07 SCALE: 1/4"= 1-0" SHEET:
Al .
14
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ok
� NEW 40 SF
STORAGE
i p A1W, i.7110
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