HomeMy WebLinkAbout2023 Sign off Transmittal - Interior Renovations `. :YA, t� TOWN OF YARMOUTH i-
`/ ' ii� �c HEALTH DEPARTMENT
• -'`,,, ,,o," PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: ON I1141-1 N t / . 5 fiRt'lOU/I ff
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Proposed Improvement: ( 'i1 ,I �l l'e ` \/3(,fitLd L it Ii r /
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Applicant: COP-1 rot ThQO3u 7J Tel. No.: -7-z (3027- o Op
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Address: U JV CL e oes 1J(ii I yw J b i f m ac2(oQI Date Filed: 03.02}a2 j
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**If you would like e-mail notification of sign off,please provide e-mail address.
Owner Name: 3 U 00 M 1\"%I C 0-1—
Owner Address: Owner Tel. No.: 60893467 4'5
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
MAR 2 f 2023 (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: ��,,,,„-ac3 DATE: /(7 //- dl 3
PLEASE NOTE
COMMENTS/CONDITIONS:
9 N Main St South Yarmouth
Main Main
21 entrance entrance
Waiting
area
Main Store
Main Store
28 28 28
FW.001.M
Do. •
3
9 Room 01
6
10
2 8 6 "�� 5 '�. 5
4 2
11
Room 01 Room 2 Hau
22 10
Ems, _ [\
MAR 21 2023 11 5
HEALTH DEPT. Room :+
6 44
10
Kitchen 8 8
v. '." . 5
4 Room 2 4 18
6 44 6 13
e+im.o.rr 18 aa�- Room 4 Hap
5 s 10
4 4
4 4 4 4
7 16 7 16
Before Proposed