HomeMy WebLinkAbout2022 Sign off Transmittal - Bath in garage 0N-.Y44. TOWN OF YARMOUTH
4r°-11
HEALTH DEPARTMENT
'�• `' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: '5 d_ ro 2Ct lc-Nt
t•.-✓
Proposed Improvement: (.,►t ( C
Applicant: cA. I Tel. No.�1 Cl OS 3 s
Address: 5--) Pr Al e Y` 'v c`' -y Date Filed: /lb /
*"*If you would like e-mail notification of sign off, please provide e-mail address:
Owner Name: >cA v---A •
Owner Address: Owner Tel. No.:
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: 8 1z
4
1
PLEASE NOTE
COMMENTS/CONDITIONS:
Paul Cruz
52 Prince Rd NOTE: all walls and ceiling will be spray foam insullation with
West Yarmouth,MA sheetrock covering the insullation
Existing side room
Existing 2 stall gargage
Changing Room
NOTE: all walls and ceiling will be spray foam insullation with
sheetrock covering the insullation
NOTE:Addition of bathroom
new wall
5i'
<23-, 2 4 Sink J�
new wall L'
It
Toilet
Ceiling Vault=to 30% new wall
door door
i6 if
Garage Door I)
G
`max icbly //e&v Vc /T f
•
6(r
(). � ifc�wlf
RECEIVED
DEC 0 8 2022
HEALTH DEPT.