HomeMy WebLinkAbout2022 Sign off Transmittal - Finishing Basement with Bathof
'°.
oN-Y14Y TOWN OF YARMOUTH
sic HEALTH DEPARTMENT
''�• `` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: CZ e,L( St
Proposed Improvement: Fs.h i S h.i►~- ern-e ir
L ba.S- k , c -cldi `'‘--3y-
-3 a- 6ectil- 00
h3 tad/ e r a
Applicant: /t-IS ) C.c a h ) ' R.h4-0 delft/ Tel. No.: 77L/ g36-665t/
Address: 3Z B ICCkWppot DY. /yat�.v��iS Mai' 0260 / Date Filed: /0-Zo 2-7_
**If you would like e-mail notification of sign off please provide e-mail address: Y 1 C CLV C @! n s b LA-I/d/hl•(-.Ohl_
Owner Name: T 0 m cu ado Pt__
Owner Address: 2 /3ai'ICI?y St. S. yQyk2400-c.4'.— Owner Tel. No.: 6l7-8Z-7-676 '
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:
G3RCTLED1_ (1.) Site Plan showing existing buildings, water line location,
and septic system location;
OCT 2 0 2022 (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: l o/41)-
PLEASE NOTE
COMMENTS/CONDITIONS:
Lsioti5e te> Mck.c -
FLOOR PLAN (1st Floor)
Tom Barton
2 Barkley St.
South Yarmouth, MA 02664
I I I I I I I I I I I I I I I I I I I,
I L 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1
1 1 1 1 I 1 l l I 1 1 1 I I 1 I I 1 I
1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1
1 1 1 1 1 l 1 1 1 1 1 1 1 1 1 1 1 1 1
1 l._ I I I I I l l l l l t I 1 I i l
1 1 1 1 1 I I I 1 1 1 1 1 1 1 1 I I I
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
I I 1 1 I 1 1 1 1 1 l 1 1 I 1 1 1 1 1
I I 1 1 I 1 I I I 1 I 1 1 I I I 1 I
I 1 1 I I 11 I 1 I I I 1 1 I 1 1 1 1 Garage
1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 22'23/4'•1763/4'
1 1 1 1 1 1 1 1 1 1 I 1 1 1 t l 1 1 1
I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ,
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1,
-_ 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1
--- 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
I I 1 1 I I 1 1 I I I 1 1 1 1
•
124B1i2d•12"11' r!j� 0 0
O O Ha II
A xacnen
bump Roan 1. •,u 4,:7
22'9 3/4•16'6 3/4'
I
Den
il• ,)
l
- 23'63/4'•13'4'
i
Hai:( C------.)di
N31,
D:nrg Room
16'9'•14 4 1/2'
1 1 ii
1I1)1 I.
Bedroom 111111
124'•10'3'
•
r 1 1
OCT 2 0 2022
HEALTH DEPT.