HomeMy WebLinkAboutHealth sign off 01.. 4k TOWN OF YARMOUTH
� ~ c HEALTH DEPARTMENT
PERMIT APPLICATION � TT 2 6 2023
To be completed by Applicant; BUILDING DEPARTMENT
Building Site Location
Proposed Improvement: Remove 1 bedroom from an existina 3 bedroom house,Construct a int17 few**,*Mh porch,.Canelmet
barn with finished space on 2nd floor.New 4 bedroom septic to be installed par Title V regulations,Finished spew on 2nd far of new barn
to contain 2 bedrooms,and workshop/stucco space,
Applicant:Trevor Meyer, Meyer and Sons Builders Tel,No,:5087766027
Address:852 Main St West Dennis, MA 02670 Date File&l l/16 2
**Jf you would like small notification of sign off,please provkls e-mail address.imfiVitiemoseirandsons,com
owner Name: James and Mors Modlsetts
owner Address:219 Pleasant St South Vanrtouth,Ma 02664 Owner Tel.No;
RESIDENTIAL AND/OR COMMEMAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town
i.e.,Requirements
For Septage Disposal and other Public Health Activities.
Please subunit three(3)copies of plans,to include:
(1.) site Plan showing existing buildings,water line location,
NOV 17 2022 and septic system location;
(2.) Floor labeling ALL rooms within building G. (all existing and proposed)..
Note:Floor plans not requiredfor decks,sheds,windows,roofing;
(3.) If necessary,Title 3 applicationsigned by licensed installer
with�ee.'�s�tl�r n,)} d ° 1%4'1 11
REVIEWED BY:
COATS/CONDYI'IOHS: SASE NOTE
GU rr rrr
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HEALTH DEPT.
Master
Bathroom
Master Bedroom
In
Washer/Dryer
Kitchen
Bedroom
ag
Bathroom J y
Living/Dining
Space
Bedroom
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