HomeMy WebLinkAbout2022 Sign off Transmittal - New sheet rock and flooring due to water damage. A....oN-,1".4.,, TOWN OF YARMOUTH
. , HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: 11 q Bo sf;w .tel ,0,S1 Ma
Proposed Improvement: S\R. c'CA )- ( k <I`l ,_ , /a' \ 1
c';4"rC/j j Q, CO C i L-o••\ . -- rS w\ s,cA, N1-0.< ,N.s :► `J
Applicant: (l\O V i -c---'eC�c,Sa Tel. No.:53-6'$63. 59 co
Address: \\\ 9,,.c Otti 13,0c�j Y A 031'15 Date Filed: Vf Jai
**/fyou would like e-mail notification of sign off,please provide e-mail address: (Y10,)- oC12.(oe'l-
Owner Name: '1Wx.C3so,c 'r .,-.Ya 4e' b
Owner Address: V\ki 61‘l AA4 'a ic. pnovit jrna,, Owner Tel. No.:5° `1 /O 30
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:
__y0WED (1.) Site Plan showing existing buildings, water line location,
and septic system location;
JUN U 3 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.
q
REVIEWED BY: DATE: 7-8 )..1
PLEASE NOTE
COMMENTS/CONDI 'IONS:
ii0,5-�— I r . t 1 itn► - , i3 eSv Oc'v- 5- oce beck
:LF- R e tqfi -- f3--�Q Vv( $ M za e- e f – (-k. ..fr k t Lcicc(---5
cwt (t'— 1.4-et 7 t- ' .J ec. ,,etG-je .
D/AI vt'l c//‘(,-(- rrc '''‘ 1-1 0 0 ci'
of Fla 57- t10c/✓L
Replacement Cost Building Photo
Less Depreciation: $240,200
Building Attributes I -
Field I— Description
,Style: �Conventional
ilill
Model I Residential I /
Grade: `Average
Stories: ` 1.5
Occupancy
Exterior Wall 1 brood S,iirgie
Exterior Wall 2 ,
Roof Structure: Gable/Hip ,;;s :.vasi.com/ohc :.':/`! r ir- r.otos/n,L,3?\bc\4C pg)
Roof Cover -cphiF G! JCmp
Interior Wall 1 I:rywail/Sheet
Interior Wall 2 ---- --- WOK cJ
Interior Fir 1 carpet
12
1 k \
Interior Fir 2
Heat Fuel Gas 7 28.
__-- _ BAS BAS WDK
Heat Type: rli.. Vvate TQS fv.11 BAS
AC Type: V (�g
U
Total Bedrooms: 5 led ocrna
Total Bthrms: 2
Total Half Baths: C 31 31
Total Xtra Fixtrs: C-,irnt►°ll
ail 41 41
Total Rooms: J q Ce`1V 6ZO,Or., LN�N,�
Bath Style: ✓esag;, "Ji
Kitchen Style: .vio,:lern Kosoivl
7 0
Groh,
Nuri Park Krkilefl
Fireplaces ,
17 12
Fndtn Cndtn
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I Basemen
------ — Building ;r: Areas tsci ft) Legend
i
Gross Living
Coe..- 1 Descr ,- i r,
r..;ea Area
I BHS ! First Floor 1,408; 1,406
TOS 1 Three Quarter S:-,y 697' Y
WDK Deck,Wood 732 0
I ��gD 2,835 1,929',
,Uri 0 3 2022
Extra Features
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xtra Features Leec,Iii 01 I
phot°
Replacement Cow: '
Less Depreciatior.: .
1
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I Grade: ,
Stories:
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!I 5.xteriy:'Nall 1 . - ' , '-' -%44' 4...4.;•,,,,,,,,Ai.
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Exte:1.:z Wall 2 '-- ','-•.,,‘,,,,-(4pq:: .
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Wall 1
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:Wall 2 e. WDK
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1 . 28 1 ,
;es, -:' ----- • - I EtA,4‘ BAS • WOK" -
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