HomeMy WebLinkAboutHealth sign off 9/13/22 '117114ttA TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 453 Station Ave South Yarmouth,MA 02664
Proposed Improvement: Interior alteration to the existing CVS Pharmacy. No change in use or occupancy.
Modigfictions of the existing pharmacy,retail and checkout areas. New finishes.Minor modification to electrical
system.
Applicant: Adam Kerian(State Permits Inc) Tel. No.: 608-407-9084
Address: 319 Elaines Ct Dodgeville,WI 53533 Date Filed: 9/13/2022
**If you would like e-mail notification of sign off please provide e-mail address: adam@permit.com
Owner Name: SCP 2009 do Lawrence Kadish Real Estate
Owner Address: 135 Jericho Turnpike Old Westbury,NY 11568 Owner Tel. No.: 516-334-9730
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: 9/ 3
PLEASE NOTE
COMMENTS/CONDITIONS:
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