HomeMy WebLinkAbout2023 Sign off Transmittal - Deck TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: L(Cc 14-Ct
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Proposed Improvement: C`I J"_'
Applicant: Tel. No.:77/1"Wb --/ a —
Address: 9-1 .(6 ff‘ Ct t t-1 \Q_`-`Ac- Date Filed: )2,—
"If you would like e-mail notification of sign off please provide e-mail address: l
Owner Name: -{*t✓G ?cV , tc '
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Owner Address: CaS— Owner Tel. No.: 7�-p2f2 /77
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
(all existing and proposed) —
Note: Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: V DATE:
PLEASE NOTE
COMMENTS/CONDITIONS:
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