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HomeMy WebLinkAbout2023 Sign off Transmittal - Finish Attic Space 0t•ir,'k TOWN OF YARMOUTH t--401,,-44A HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: ,f ,� /J ,S. 1 Building Site Location: '3 fdr cam'' G . �/ al nt4 Ot)c Proposed Improvement: f� 5 CA Z 5e a C,e_, wt_ c_ (Do trap r A ( o r Lrtz,k c r . Applicant: Pa z 51.co SOS Tel. No.: 711f'353-6433a- Address: P,O. 60g 3Ky Yarwt0�J`1l - ee4- MO-- Cafo 7� Date Filed: /7.o/w 3 *If you would like e-mail notification of sign off,please provide e-mail address: Owner Name: 3-a�c,(L Mo ir\i li\-a.n Owner Address: (0 3 6(a.rd K.S. Si 11q.eYi/ Owner Tel. No.: (o(`l- 908 - 5--OVI _ - 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, CF, Ls Vt= and septic system location; (2.) Floor plan labeling ALL rooms within building APR 2 0 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 BYi--/"_,, v,-,:- A � DATE: /J' 3 PLEASE NOTE COMMENTS/CONDITIONS: My WebLink More LASERFICHE Yarmouth Street Index E ELDRIDGE RD 0063 ELDF .�,IL—��,.,.... ,., (Fit width :�2 /4 Metadata A 1 Entry Properties a = ; f Modified 8/3( ni4 -2 _ Created 8/7/ _. I Path War 11.....i. r ,... Inds 3 I. i I 033 As-E Car( F 1 I a T irigii. e 4NI I 0 Yarmo Street li I o © 4 I I 1 M Fields Map-Block 033 I Numberilliii G° Cc LUVIO Street 006 Number AP'R 2 0 2023 HEALTH DEPT. Street ELD Name Document Sepi Category / cS /,� Department Hea 9 i 18 ' 3 ) 30 ' Parcel ID 305; 68 5 Block 344. m STAMP: INDICATES NEW WALL CONSTRUCTION CARBON MONOXIDE DETECTOR FLOOR PLAN SCALE:1 /4'=1'-0" m FLOOR PLAN SCALE: 1 /4"=1'-0' 30'-0" 26'-0" Bon APR 4 2023 HEALTH DEPT. 0 0 N 1 0 cD r- I 00 O Lo a O r Q0 (� N O W U Q U) > -j ry W W r, V zU) �z Q z o� xo 0 m� mcn -3i0 a� W U Q W 0 � Q O = W n, I— Z n,*,, WO �� O CD o z o � r < -ry o = ry Q Q >- O W Z (-O � W O Z V) TI TLE: FLOOR PLAN DATE ISSUED: 04/i1/2022 REVISIONS: DRAWN BY: PROJECT #: DRAWING NO.: O y 0 0 0 0 t N O N a � y a 'n U a� - o %' c N E N y w _Z o` O m N o N a N y T � L ��