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HomeMy WebLinkAbout2023 Sign off Transmittal - Demo 2brm home / New 3 brm home 0N.•Y',k TOWN OF YARMOUTH �A• c HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant. Building Site Location: .1 Jeh t91 Soo A) ,A) le-, CO 1 j, / Proposed Improvement: Re tt-f�L..4_,,k_, /---:-,/ it cy o t l- )00, 2 \oC-rr 3 vrc-- Applicant: ff-e Al,cue "5� i t a`eki5, /vu, L - Tel. No.:va�f-& .- //J Date Filed:l�4 /�,y� lie v X-e- (ifs', /i - 7,,7�, 1.- Address: �� �� ' **If you would like e-mail notification of sign off please provide e-mail address: • Y'r Owner Name: /v� }- ( j.,C; A )1 Owner Address:(��� J,t C �i AA, i 3 /. /e`'v kfr')' Owner Tel. No.:6/7 E-r-P-6 y 7 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: 7 ": ' (1.) Site Plan showing existing buildings, water line location, and septic system location; .? `5 ?O22 (2.) Floor plan labeling ALL rooms within building HEALTH DEPT. (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: -�'- DATE: 3 "� �� `� 3 PLEASE NOTE COMMENTS/CONDITIONS: S -t- 4 1. . T U-1 4 U�4 -0 it FEB'O 872023 HEALTH DEPT r-- -�- t'r I -T� ALD L M"EYER Professional Building Designer P.O. Box 532 So. Yarmouth, MA 02664 (508) 394-5296 DATES REVISED N o N 14 cam'_ '0„ z 0 s� FEB p 8 Z023 HEALTH DEPT. l � ` r:Ar _-h���? _ AaiZNtti2r — . . Y--- s •CFi-G._-Sw�a�nl.�c� ,�' k �'Zli61L N —� _ - oo v .cza ° = _ 77 �� � ---. - �y -- ---1� j4 x . ! t ?!2� L. ,v •L . _ --�,. _ —.._ - - ---�.� - _ _ ..a.,z f4-x: _ .i t 1`s __ .L.,u. _ ____ - - , rA b� y �1�'_: Pisa- ('kev _J V Mr�u��oU�l N DATE: ALD "'EYER Nm REViSEO ?. Professional Building Designer RO. Box 532 90. Yarmouth, MA 0256 TM NUMBER Yarmouth, d i_ (508) 394-5296 4 w z 't —fdllt�tr-�2h CNEUYFl2� F to 42 ' C I FEB 0 8 2023 NFALTH DEPT. 27(o`-- ©' oil �`� .._. �. -- �.�c.ro 4� .: __t2 � _. duo -T A�� rL -_ �_���--��_►.:.-� tom.. o���� f I t{- tl � r T 7nr! 1 o v 15�_ -pil SN i 1 _QC'. TTE I t _ Q Ida lzj r -- - 1 ii_r 1` I r ,iI " t DONALU .. MEYER REVISED 1 3: h, ProfessionaI Building Designer P.O. Box 532 d So. Yarmouth, MA 02664 — (50$) 394-5296