HomeMy WebLinkAbout2023 Sign off Transmittal -Garage conversion into 1 bedroom do ,yo
TOWN OF YARMOUTH
,k, -
c HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
72 CAPTAIN CHASE ROAD, SOUTH YARMOUTH
Building Site Location:
Proposed Inl rovement. ATPIECE THEBATHROOM REAR OF THE HOUSE ADDITION(12.6'X 8')TO CONVERT THE EXISTING GARAGE INTO A BEDROOM WITH 3
p P
WITH STORAGE AREA.
Applicant: CAPIZZI HOME IMPROVEMENT INC Tel. No.:508-648-0269
Address: 1645 NEWTOWN ROAD COTUIT MA 02635 Date Filed: 04/25/2023
•*lfyou would like e-mail notification of sign off,please provide e-mail address: PFRMITF,CAPI771HnMF COM
Owner Name: MARTHA&CATHERINE SALMON TRS
Owner Address: 72 CAPT CHASE ROAD SOUTH YARMOUTH MA 02664 Owner Tel. No.: 781-534-3158 CATHY
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:
RECEIVE® (1.) Site Plan showing existing buildings, water line location,
and septic system location;
APR Z 1 2023 ✓ (2.) Floor plan labeling ALL rooms within building
(all existing and proposed)—
HEALTH DEPT. Note:Floor plans not required for decks,sheds, windows, roofing;
ditt (3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: „�.-� � �__ DATE: �- oZ 3 -� 3PLEASE NOTE
COMMENTS/CONDITIONS:
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LOCUS
I FIE EXISTING DWELLING 5t10WN riEALrh.
WAS LOGATEP i3Y AN INSTRUMENT
SURVEY ON OZ/20/2023 AND ASSESSORS MAP 78 PARCEL (bO
EX1575 ON THE GROUND AS
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No. 35031
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PROFESSIONAL LAND SURVEYOR
PLOT PLAN
HOWINO EXI5TINO GONPITIONS
72 GAPTA I N CHASE
YARMOLFFH, MA66A6111,16ETT6
CANAL LAND 5UZVEYIN6 and PERMITTINO INC.
land surveyors — engineers
9O6 Old Plymouth Road, 5agamore beach, MA OZW
Ph: ") 566-6955 Final I: canalsurvey®verizon.net
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