HomeMy WebLinkAbout2023 Sign off Transmittal - Bathroom and Deck renovations ,0N-. Y.:14„(47TOWN OF YARMOUTH
c HEALTH DEPARTMENT
'�• ` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: ,,Z8 ,- S ��AICW1o�h /'�►0 . 73
Proposed Improvement: Re,"(mt.-tie—e__- SOSYti N4-- ,'tlA ca wl J 1 -t)1,l)lZy Rift
Applicant: - ��`'�- Tel. No.: 'TV 892 Z.13 6Z
Address: 6 c S Sew P✓e. , CL)k,\YOJTl1 OZ473 Date Filed: 3-3
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: cam',y`,4 /.r' Z 4
Owner Address: ,2_ O. 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,
RECEIVED and septic system location;
APR 003 (2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
HEALTH DEPT. Note: Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: (j DATE: Zr: �� —2 3
PLEASE NOTE
COMMENTS/CONDITIONS:
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N
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0
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I I
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I I
I I
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27' - 5"
24' - 0"
PROPOSED FINISHED BASEMENT
1/4 -1-0
48' - 0"
48' - 0"
jD5
S-3
3' - 0"
UP- - -
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0
II
II
II
14' - 0"
------ LPL AT9' t
0,
20' - 7"
24' - 0"
0
N
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2 EXISTING 1ST FLOOR
1 /4 - 1 -0
Act A-o
EXIST. BEARING WALL: -
EXIST. NON-BRG. WALL:
1
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