HomeMy WebLinkAbout2023 Sign off Tranmittal -Garage Conversion • C eG\eveci
(-17517
of---- TOWN OF YARMOUTH MAY, OS 2023
HEALTH DEPARTMENT
o .24r. y HEALTH DEPT.
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
in Site Location: 1�S'X7ot 7 7c/ . 14///0�� i
49
Building _
Proposed Improvement: 7tze7p;(7 47L"7. 4p �.���°'� ,° "442-017
ZJ '� ���� /,/,74„v.,}Tel. No.6r,711/1C 2'OApplicant: �� �i✓Q -'
Address: r
i/�6 aLL - ✓ i;,'/. ,r/Oh /l )ate Filed: 04- ld
**If you would like e-mail no!ificalion'of sign off please provide e-mail address: -5M k/ZLS��(9
1141de
Owner Name: /,o✓G'Gt;T. /70i9G72,C:
Owner Address: d F :er? s 5Y A ,c4 I J/ Owner Tel. No fr ))331-( -0(40
if OZ/30
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.
^�v Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
APR 4 2023 . and septic system location;
HEALTH DEPT. (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: DATE: C -1 5
PLEASE NOTE
COMMENTS/CONDITIONS:
8OOl3 M3N d3O-/+.01.-.£1118
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