HomeMy WebLinkAbout2022 Sign off Transmittal - Convert existing garage into a family room Firefox about:blank
°t it TOWN OF YARMOLTTH
2`r ° HEALTH DEPARTMENT
o
■''` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 35 (9l ivixtkg&CAP titi,Jc
Proposed Improvement: &AVU 7O jCot/ FAni toi (tow
Applicant: (.1—L� iZM"ij Tel.No.: fl9 -3S344-4.
Address: 611,1✓ Sf -&AT Date Filed: (1/44-4
**If you would like e-mail notification of sign offplease provide e-mail address:J e fiF t�(Apthal '_(t, ik I
) (.401,
Owner Name:SU.3 Ma 0I1,1_
Owner Address: .3C 61(hkeekDrtuo atifC Owner Tel.No.:SO -(.4 a -`} Ut
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:
REC E IV (1.) Site Plan showing existing buildings,water line location,
and septic system location;
NOV 2 8 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.) 1f necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: 1 /2-Z
P EASE NOTE
COMMENTS/CONDITIONS:
C4C)CIDC- tZ) r
1 of 1 11/23/2022,3:17 PM
RECE ED
NOV 2 6 2022
HEALTH DEPT.
Sunroom Deck
Step I
L i
Hallway
Dining Living
Kitchen
Closet
Garage Bedroom 1
'PRO PoseD
FAtt'm0
Room Front Porch
Bath 1�
znziBedroom 2
Bedroom 3
35 Gingerbread Lane