HomeMy WebLinkAbout2023 Sign off Transmittal - Garage conversion •
TOWN OF YARMOUTH
HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 4'0 mi., & U f VI,r . 3 f
Proposed Improvement: C kykqeA t �00� � S` ; (43 c: 1
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Applicant: vVvzZ �����
Tel. No.: 50$"-2-8-0
Address: (fib i Oe 0 I L3-1011 k-00{kb�
Mil c>� Date Filed:
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: �I St(
Owner Address: VR ' k-0,1 n�- WA Oer Tel. No.S(3F'2250 2 4)0
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;
.- (2.) Floor plan labeling ALL rooms within building
SEp 15 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:
DATE: / _ ,5� d3
COMMENTS/CONDITIONS: PLEASE NOTE
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