HomeMy WebLinkAbout2022 Sign off Transmittal - Home Renovations ,0N-Y%�,� TOWN OF YARMOUTH
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: 2t) VV -1cC.A�W10,0 › ROA iS
Proposed Improvement: Cites S .. - P‘M-E W 'Z\CD r') Ville) 2-c),OR•1
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Applicant: c,w�vwcc o -)to c,, ack.Ncara, ah;to.: -ri IA.'?-2.2J0
Address: V,'0 ,tk (AO_4 S. eaku.« ‘ qc. b ) Date Filed: ( 1--).? " ).011
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: :- "i
Owner Address: 2-7-) V\1-V V.9cC. ) \I-k- OO 4 tik-- Owner Tel. No.:114.2.a2T12S0-1
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;
NOV 2 3 2022 (2.) Floor plan labeling ALL rooms within building
HEATH D` T (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: / a. /SI aZ,
LEASE NOTE
COMMENTS/CONDITIONS:
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1 Basement Level
Existing Basement Level
First Floor Level _
First Floor Level
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J<v
No.
Description
Date
Vargov Residence
28 Witchwood Road
Existing Basement and
First Floor Plan
Project number 09/01/2022
Date 09/15/2022
Drawn by JPS
Checked by
A102
Scale 1/4" = 1'-0"
1 Basement Level
!Ten
Existing Basement Level
n First Floor Level
Existing First Floor Level
Vargov Residence
28 Witchwood Road
Existing Basement and
First Floor Plan
Project number 09/01/2022
Date 09/15/2022
Drawn by JPS
Checked by
Al 02
Scale 1/4"