The URL can be used to link to this page

Home My WebLink About2022 Sign off Tranmittal - Finish Basement TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: r3 C) Jc. c e'M 544-f , S' Varr+Navt'n Pr posed Improvement: n:-51,. hc.- Q out S. c.I ✓oQM, t9 - do ✓Lr. 11 etA Applicant: -1.<_S4-1-e_ + LVV... r`So,rTel. No.: Cb& - 737-Y a6 �-- Address: 83 Q.6-- Date Filed: 3/2-472-2— **If you would like e-mail notification of sign off, please provide e-mail address: ,e.0;,L) 81 1 LeM c v.s 1. (LC /- Owner Name: aer. -,-c,.i + LsS.c. Uut �Sc►•� Owner Address: 9? Cev Owner Tel. No -? 7-yt ?-- 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. 4111 REVIEWED BY: DATE: S 9 g PLEASE NOTE COMMENTS/CONDITIONS: / I A.€_ `� LJ U cAM c 2sT /L / efr►-eve 8' 3 q,,,,,,,,,„0„--,e, --F___0, MAY .e 4 2022 HEALTH DEPT, g. _____ 1 Ig "'N` I 13 es-3200/1 e cl. p)-€A-c..6.-.-- i-LIFIZ---------__ -N-ii 'LN\) 1 r`c-1 Ze,C) 'PYG-NZoOM t._______________1 I S+ FLO ox_- W. ! _"_ ali C_Dizoory , ,A) , 1 ,........_______________. R C ,0O © STo cz A 4G , ,,,,,,,,,,..,_-. '-. p...-):4,-..:',,, . ' '.i'::.:..';::::,,tt.HX,:f..:!..;i;:;.:.;''',0",,,L*'?..iz)I,'''''''!s:tfi\*:#::'l'::'34.,5it:r.',i.er.:„.::,,:t:,,c.11;11:::17,,,W,,:;4,,.44'..J I.,,,,.'13'7:1';,;:::::'.' '''t'''':::, .,',:,;.4:7',1:,1,.:'''''''' ' .''.,'' . .1> O t �d h ', ' ' ' ',2 1''''''S. ; :''''''''''''''''''::: ''' .7;'It 7'IH'''','.::!:::::'1'''..:1,:::, ,S;1, ' '‘'..,.1'if'',':',,:ttli,V,' ,., ,.., ' '.. ,,i,,.',',.':'',''''' -', ' ' , n: ::1:':::'...3:'':' i '' "' '1;.'' ' ' in ' 4 &l i Yi \r _ 0 ,, ‘ A (11 SF ,''',','N',,,4 C �f .''''.-4:"f;"1'., C O „„,,,,,., . , , . .:4...,,,,,„, i ,, CQ (7‘3, Ay��@IS * �'� � u-) V �� S s t . I k �� S S 4. V/�t p 4';§.',4,,,(40;„t:',.. ��' ` .-'14,.`fl s$, . kF y ,` • Tr.,. TSA �a ,A ,T� — rel 7.' V(it \JV 11 4 -- --, -r) f 5 . : . . . .,.....„:„„,„.„,... ,..,„,..,,,,,,,,,...„„ , —4 yfy a �r 3 t f IIrb E 4Sa' $Nsir� / �� fy IA \ `I (.V�,'.�11( 1II/!-�1'110 t .g,Olf:a'-447,:',40%7P0-:c,,., s'. Y'`�� ' `i , -.__-1. _ '1 ) 1 , - ) � 2� 1l...,,,_ t 5 *;*, , �-,�----- 1 j � A F 'K tSiPF Ze _ T) M 0 u33','.: .:-,„.'c''',.,,,,...'''''‘,4', , ,y 3. oIn i 'v v tw In JJ M r V Q0..) to �` } .,N��,�4 ..,,,!!:.:,,,„:,„,,,4,„,,,,,...„,,,.t `�� .. . `fie. 4 An# 3A4YYi.rYY4p '5� is S y� « fit, S axE fi s ^tp `fit `� te" r, Ws - °o S 1 r� x 0 C ,c ,S dlar�.,.i 3 , 4 (---1 1� 'mak ll ,fit j>. �� 0,., .,N„.,..,.,,,,,,,.,,.,'.'.,-_.'„.`..,.,,„.„„...', ..-..., t , ..,-...- IMI , k 3 il t . 5 :ill 1 1.., 1 .1) k.;-.. + f . -1 0 1.) w Li i I i i _ _____. N Lo 0 CI-) M .) 3 s '7C1) ki) @ I- illp i 1 trl i t_ 2 1. r I-_.J cV J r 'J F rfIW 3v,U t �� as y .: rte'-. 'may}.4 -_ °SF i ;';.,..,::r'. .. ...,,, `r K 5 k y 3 y kP fy 4 yl h .r...,,i,,,,,ri‘....,...,,,,,....,,r,,.., .,...,:,',.,, 1\-- s 2.¢° �' ,1 � 5 NI ,4: ` � 'y � 2 3 .,....„,..,..,:,..,..,.,,„...,.i.,,,. s � ri ,2 n , , , _ 4, ., ....,.. .,_ I liMi(1 0 3 l�" u 5g f —I 1 °.1) J . � I � I in D vir I w VI u z 1 1 u � , 3 , s 7c)) ' k 9 @ ii-u i. pi z in ' 1/1 C � 2 --4.—.) , , i 1 r J il • J a - 41'