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Home My WebLink About2023 Sign off Transmittal - Remove wall add bath � ,� TOWN OF YARMOUTH c HEALTH DEPARTMENT '�• '` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: l I a.-4.1sn Proposed Improvement: mov� 1 o r l �/ox a � // J a c it c ad:q/ L ,,cc, h__ci %. X. Applicant: �f1 Q Kin '6t 4 7 Tel. No.: 7 7 t/_ a/2- 0/1/ Address: 71 57 /'Ion Date Filed: **/fyou would like e-mail notification of sign off please provide e-mail address: Owner Name: v h L a'f Owner Address: l( /yl e 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, JAN 1 8 2023 and septic system location; HEALTH DEPT. (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: i i PLEASE NOTE COMMENTS/CONDITIONS: Frop061- d -) 9 S,,t( 0r\ 1 , i 1 ' 1 :{ • ..: e.v room s . -:• wing Room f • I tair .._:._. it .� : L1 Bedroom t Kitchen .Bath Area r_ lift i ib8(f 1 — —r - -- i 3 f ! —. . s i i 1 •I t j , , 1111 -- 1-ti# .. JAN 18 2023 HEALTH DEPT. 1 EK15-4kilf 71 -/-,,, ,5 0 fi-tz e 6- Yot( /V1 0'is'ti1 ri- 1-- -1. .1. 1.--jAaiii -, . ..... ... • -1-4--+- I•-•:, i --.°- -t•••• 41•1,4-; :-""' • r-4. )--4 4 • -:-.-1.4 ;- i: !::: '• i:: • : 3 3. ' : '; i 3-,. _„._3i : • ' -3. 1..3]._ i L I. !..31._j_! : ..: I i !.. _.:._.:3. '3 , 3 . • -, i '. ...i.. ':. • i •-ir Li....-11;min.;..;.-Liiimi' ; 1 3 ' : ! '3 ; .33, •1___i•-•--7 ..., . ......_.... .__.4. ..__________• b ' ' ' ' ' ' i ' T i 1 1 1 ' ' ' ' 1 '. 0 -- *'• 3 • : . ; . 3 - : '3, : . . : . . . . . 1 ; : ,-• - : ,, • -J. :I, :, ", 3 3 3 I . „. . . . 3 ',- - 33 3 :: ; • , ; ; : - 3 . .. , . . .. . • ; :• i : ; , • , , - „ • , - . . , • ' ' .. I - , .. • , ; • , Bedroom . . ,, , : . - : , , • -,.. . :- .. , : .. ... • • •: , , -- ----- Living-Room:- : : - -, • : - , , , . , . . . . : : : • . , : e• , ,•• , : , .• ••• . . , I : : • . • . • • t--; , e• ., : : : . , • : ; t 4 , 'C: 1' ' r. ; • ' 14.3 ' - • E ; .; -; E 7.•."', • • . : ; . 1 . _. . 77-71 : . ... . . . 7 . .111111..4 tk i ' r--.•.-t- Hall**, Bedroom . . ,. . _t .t. s••••••••avein• • . i • 1•111,41111111.0•1011.1•1 , '. . ' ; . -.›. . . .. fill ..., 110.4.. • - : • , ,, _ • Kitchen ; ' ; • . . • - ; : ; .- . ; : .• : t - : • , Dining , Bath • . • , : . - 16ft . . . . . • • ,. _... . . • i ; .• 1 .. Area , • r . , . . , 4. : • : : -, : • , . . . - . 1 -'i. , . • - i..! ' .. _.i..__.i._ ,..._.. •.. :. 1-1.n - . • ±.1 i ' . ,./kir. 1 1 ' ! . i :19-6fir 't ' : ; • • :, , .• . . . • WI,I : . ' i ; E . i : : i • . ,... . ; I r:-... '. ' . : .......-...;........-.. ...- -,.. ..,...4..' ...i._,_., . : . .: . : f , ,--4----.---,-- - • i .,.... - ' ..:-.-‘—i--4-. i _:...4.__,. i '., , ••-;---; 1; ;,--I: • ' i t.±..;'. ' ' i - : . . , ;.• ' t--,- ;----1-- ! ' . :': ; . . : : , . ; • ; , : t • i : '. . ' i , , 4-- t i ' i i • • ' ' • -, : : : t ; i ', , '7.7: --r—r- + ' r l• 771 7 i 7- : . .; : : 'i----1----i : 1 ' . F Wrt. ., ., : : .• • - - -t -I ! 1. .-.--i : • , . 3 : : . '. 7 ; , , ! 1 • , i . : i ' . i 4,--.4-'.t tt Ow , , i • 7- .; ' : 1 ir ; L.-I-• : . . : • ' i 7 7 • , • .. , • ; • ' ' ' i # , ; 7 '. • .• i ' -.-•---,,----.7i:_ L7 :1-,- _ 1 i 1 ; JAN 1 8 2023 HEALTH DEPT.H -------------1'