HomeMy WebLinkAbout2023 Sign off Transmittal - Basement Remodel oc ,,_ TOWN OF YARMOUTH
SE,,,,;' ° HEALTH DEPARTMENT
.``'. t PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 40 B'2 y t OfrJ— RP S% 7i9.2rnOvr$ / ,n q O,'i 6 '
Proposed Improvement: &,ris ri#Ja- privr 5 1.A5p B r-- x.,neL_
Applicant: .1056 /ni, DA Tel. No.: (506)365 �y 76 8
Address: 4 26 w Esr y",2rr oura+ w, "l o✓n{/ 0/4 006 73 Date Filed: 04//2/2 3
1 **If you would like e-mail notification of sign off,please provide e-mail address: Jrrmi rn 797 7& Gynmg'. ,G,pm
r Owner Name: To D 0 ?
Owner Address: /0 c 4-mucc PA,2x Z,2j /;rC,o-/miti -ice// 0Y70Z Owner Tel. No.: (617) (191 6`l 741,
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:
IP Site Plan showing existing buildings, water line location,
RECEIVE) and septic system location;
APR 1 3 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;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: pn�o �� DATE: 6— r vim g 3
PLEASE NOTE
COMMENTS/C _ ITIONS:
_____________________________________________________________________________- I
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34'-0
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Foundation
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DATE:
SCALE:
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APR 13 2023
NEALTH pEPr SHEET:
A-2
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ON 1'-2 15/16"
5 b'-q 5/161,
------------------------------
121-13/411-1---
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121-511 X 141-211 L
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BEDROOM
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41-41
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BATH
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410,21-q 1/211
AREA 1 I_611 � 21 2'-S
1 st Floor
RECEivao
APR 13 2023
HEALTH DEPT.
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DATE:
SCALE:
1/2" to 1'
SHEET:
A-3