HomeMy WebLinkAbout2022 Sign off Transmittal - Demo ceiling and instal new sheet rock 0s. Yak„,. TOWN OF YARMOUTH
.:::441. e. HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: ( ' %S Rd y q riii00-4-j, 71--7 s s s
Proposed Improvement: 1)e 0 , „ t �,6 (,,,S 41:lec r, k I tOi e(C/
Jine-4- rot LQt 1 t S
Applicant: Div -k % 00-r 1^ctc) y Tel. No.: 7? '-340'0253'3
Address:2 2 e/.2,z r-els ,0,-1 y Dr-I've Date Filed: �/`06•2)--
**If you would like e-mail notification of ofsign off please provide e-mail address:
Owner Name: 6 rg, of r�'
cri-
Owner Address: / 2 i.e. w i ,S A Ya V (/ho3 Owner Tel. No.:72 y;i?}/-l��'zi
0....1 T 3
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=1:-.17
_ _ (1.) Site Plan showing existing buildings, water line location,
E = - 2 D and septic system location;
MAY 1 8 2022 (2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
HEALTH DEPT. Note: Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: i
olio DATE: S a — �.)”'
F
PLEASE NOTE
COMMENTS/CONDITIONS:
12L L (A)IS 7Wiit fornotii P-60-12. PIAV
cs> ,grng).26 Delecrok,
Storage
U
a
1111111=111111apaaarmaas
4r-\
41X1516'xii' Family
Room
Bedroom;
MAY I d 2022
HEALTH DEPT.
-Ll J2,4_ ? r
•
' .PY>,,--e-. , ,
f
q° i
•
‘ Den ( Sun
tt " " _ _
( 14 X12M___�. . Room
j ---" i If it( 16'X12'
C 1 A■■: `"---
t
Kitchen Master
11 �- °--- '1
12'xlo' "'dY '---- - Bedroom
JO 1
L:Livi,ng
1
12X1 � D�`- ----. epi --. ,---�� .>
la° ....... '41
1/9 ) ....__
v .,-..... • : ,Room I , Bedre►om
19rX13r 56 tt , 12"X10' '( (i
MAY 1 d'2022
HEALTH DEPT.