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HomeMy WebLinkAbout2023 Sign off Transmittal - Basement Remodel f o,-'Y TOWN OF YARMOUTH ;�b 4&. w c.7 • 71W. i.tt HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: G / LiLo and 00Y yavvyAL 1(01 ' Proposed mprov ent: it(.641-4 ' 1 A licant:�J C Bah p+� 6 7 Lf4 Q ' 17 ' pp p� 1b Tel. No.: � Address: 76" t , 4 , °vvv.) Date Filed: Y /r/zz3 **If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: Pali( lt,e i Owner Address: 1 j k 1-�l vv Owner Tel. No.:6 17 2 /O £21 V 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: ike (1.) Site Plan showing existing buildings, water line location, i /fFO and septic system location; xii-�' %� (2.) Floor plan labeling ALL rooms within building At4 20?3 (all existing and proposed) — Oepr Note: Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: 4Aaao DATE: �" �'dL3 ` PLEASE NOTE COMMENTS/CONDITIONS: Room Sketcher . 1 ( Lily pond main floor layout 1 . Floor I r _ Garage Sunroom Kitchen Livingroorn RECEIVED APR 18 2023 Dirang HEALTH DEPT. Fr Master bath _ cwwt tam I ! [7 r --- y" Master bed Laundry Guest bed a / Room Sketcher® 6 1 Lily pond basement walls 1 . Floor 'E.,--)(t.SA---L 0 Sr;)\-- -Qiv\cu\-A- L3 178 sq ft Z Q \ _\ Game room 1 f,. 7t,0 .oed ,„ Boiler room 1 RECEIVED Storage-- 8x9 APR 1 d 20Z3 4 HEALTH DEPT. carrying Il/posts ' • 7-8' .c. Exercise room Drain pipes Bath .--3'6"—r - f 1 1.._ Storage Water i 22'2 Pauls Office 16'9" 12'7 11'9" ' ' Room IlL Sketcher ( Lily pond main floor layout 1 . Floor mol i , , „ \yr•rr___ . z>.: : tr_ !!1 ! ,_ Garage Lnroom Kitchen IIIMMIIIIMIllij _ RECEIVED APR 10 2023 Dining HEALTH DEPT. .`.\ r - MasterbatlY o -, r, i . .,.. Master bed Laundry Guest bed N u ii • ' Room IL Sketcher 6 i Lily pond basement walls 1 . Floor Li,_.....6_,._,A...„ 0 Ssz ,_ _Q,,,,QA.A— e(.5, 178 sq ft �`--- Game room ' . 1 -.S (.,S : 71_d o d i Boiler room i RECEIVED Storage- - i ``, i \ \ 8x9 APR 1 ti 2023 HEALTH DEPT carrying wall/posts ,I 7-8' .c. Exercise room i Drain pipes Bath 4--3'6" Storage Water 4 22'2 Pauls Office 16'9" 12'7 11'9"