HomeMy WebLinkAboutUnit N, Building 4 - 2022 Sign off Transmittal - Occupational Therapy i t
I,
of Y +R TOWN OF YARMOUTH
c HEALTH DEPARTMENT
4,r4cotiv, PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Proposed Improvement: Melissa Alves Pediatric Occupational Therapy moving from unit S to unit N in same building 4
Applicant:_No.: Melissa Alves office space 508 221-6873
i `5 . Sunflower Market Place 923 Route 6A Yarmouth Port MA 02675 August 25,2022
**If you would like e-mail notification of sign off,please provide e-mail address: jbasler@comcast.net
Owner Name: Chapter Two LLC James N Basler Manager
Owner Address: Box 206 Yarmouth Port MA 02675 Owner Tel.No.: 508 423-9311
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.
, •
REVIEWED BY: DATE:
PLEASE NOTE
COMMENTS/CONDITIONS:
\ /
C
71
K
/
O II
CO
CA
o Z
m
. /co L
(S1 u
ta ta -6 \ \ i/ - x it
iS \� M
Z -� 0
11
vX , M ] >IN (E
1
M
u
it
II 0
D x0
N
Z cs
N
N x O 0 o C I
m o c
`) C11
a 3 K u gp fn r f�)
a
o cG xi co N
isi. CD
II Z m ra i c
H
Q° Y
O r 0 \1
a
* >
' m \
NU
oZo f1
(Ti