HomeMy WebLinkAbout2023 Sign off Tranmittal - Contruct 2nd Floor TOWN OF YARMOUTH
HEALTH DEPARTMENT
''�• PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant: `f
Building Site Location: 1/ % -l L iel/s/L LA , 50, 4t 4N 6 2-664
Proposed Improvement: C� A-1= G �t;'12�—d15Nj 4/�ii ✓c
i f i .h a 2 E x e c G TE f4L '.' 7' OG'X %'us \,!<« 1164
Applicant: "�vL 1 A Tel. No.: v.? y'e)Z
Address: 1/I / e rAf 44, . Date Filed: a - d
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: a�. z .f 1,/AuP,tt .I. LAN 74
Owner Address: 4/ A-ez..-61-4"-'(" Lit-, 50. yci ,4f2 771 Owner Tel. No.: 5-0S;
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.
GS�dCD P ease submit three (3) copies of plans, to include:
(l.) Site Plan showing existing buildings, water line location,
'i 0 2023 and septic system location;
HEALTH DEPT. (` .) 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:
PLEASE NOTE
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Landry Residence
41 Peregrine Lane
South Yarmouth, MA
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