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HomeMy WebLinkAboutBOH Sign off 012324 Ok*Y11ki. TOWN OF YARMOUTH HEALTH DEPARTMENT g''"" 1717.i) 4",A PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: '� Building Site Location: 2 c 7 S~�--� ✓�: .Ya rr`�+'x,1-12' , S o,..,il. Ll'c,r,44..0,4,-, , im4 62 66y Proposed I ti..,.,.it: P e X c oNlra- 141ed c cA a f (-I' ( bRA : S of 4,0- -0)Foa i;rr,LS i PLL Applicant: levl%A` CPX .jE d 4 ‘Li- Tel. No.: ((6) H 5 _ 7S I (�.Q. Q0) 3gy rV1a' o► 2 Address: � � /1 0231' Date Filed: ©t� 3,2-1 **If you would like e-mail notification of sign off,please provide e-mail address: Di)C ,)42-flAy b B MA.' . C V l� Owner Name: ( CL.y S-4-i L eDl v.e o -_p C Cc. C.b c� Z-L E-(-- ( 1,3.c7,_1e-n'i c /1( r'a+, S) Owner Address: 5-4 cv-hi 0 rr Alit n v e- Owner Tel. No.: CS D g ),39 V- 01•} 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, RECEIVE c, and septic system location; JAN 2 3 20�q�.) Floor plan labeling ALL rooms within building (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: C✓A,j.,�.-1., DATE: /� a �� / PLEASE NOTE COMMENTS/CONDITIONS: AmG REALT y ovel COMMERCIAL REAL ESTATE`` i� Foyer 1 8'3"'x6' First floor .- -- ---J( - ► L 0 0 Office 8'8"x11'2" Exam Room Waiting Room ,asp_�" 9'x11,2", Exam Room ---" Exam Roo Bath m 8'11"x8'1" E Bath 9r3"x8'1" 13"4""x15'6" �y"fi"�- Exam Roo 14.ia<xa�� 0 , 12'x8' IL 1 ii Exam Room Exam Room Office r Admin Area Admin Exam Room Qii g"Sr+ r2" gr5" r2n Y 11`1"x20'6" 8'8"x11'2" 9'x11'2" 4 i 4�, ._e..., C✓ I_' t i [ , Second floor `41II 1 Employee X Lounge t ,. TAXe Co. . li'Vx21.7,. Offic 15'x16'4" f` '� c-f- Of ice r 7x13r9" c 11111 -,a Measurements are approximate. Not to scale 257 Station Avenue, South Yarmouth Listed exclusively by AMG Realty -Ali Maloney Bus:(508)362-3323 "' aamaloney@comcast.net "' Cell:(774)836-0347 ^' www.AMGRealty.net 5 .... . . . , . 1 , 1 1 . _ .. .. • I• , i! I I , . , . , . . , . . 1:.i'' •, , , • SU -ri I ' . e,i. "• I: II !‘• . ; . -,. •I I I r ; I , . , 1 1...1. • • , • I--)!,.,.:s- 1 . • 1.‘ it-- „ V...-. 7) 1 I li 43 .1.i . 1 I 4- ,-,. -7. 1,... . . , • • e-ni ,,- el- , • , • 11,i P • i I ; i --. I • . . - I I , V - - 1 . • E . . ii ,..,: • ....:: 1 ,.I - 11. I :_. I. 1:. . ______._.„. .;• .- 1i .; co I I I. - i ._ •-"si . I 1.1 _ , e • . 1 I 1 • I ,•., e 1.1-7 , _ 1 ...... "-' 11. ' .t• • ;';; ---- li 1 . ... - '• Tre7""'1:--'7're77.,.1-7.7-.....1,'Ps 1 • T IA-: \ !: k•I'''I:• 4::. 0 , I __11,__''777' - — i1.L._ • ., 1/-g-1,-13.1 ,, a:.•.§ , ,., , ,,, __, i ,,---"--- N i 'I-el . Yi•:, i, i , .; 1 . i • ,' 7.-: ,, :. I i •: I ;, I r -.,If A , . i 1 i., • x i i I i • i I' 1• k I I t. I ;.• i ; _a 1! t I•Z xiir :•.1...h,:!/, :,,p. i -...; s'l '• I , , "" 1 :Y.:::::47,!...,,....."-ra."73...,!/".",c:4.- F.`1",-:Z.I.T,7.!7, '7,,?a.'! ••'..".1M. ... ..,1•;,reee,- •. •,......- 1,,ti-...,.;.7-.V.,4,..•V....r...?..-Cr.777.1 ".^,41,.:177."...7%.7=-1117'rr,- ' "..,' . .; .•• i I r '' -,. ;i:114'.-iiiii: i j I.- i (;'":Z`s,,, -9i1 s n I 1 T- -- 1 1 _----- iLI 1� 1 In i _ Ij II - ffr 1, f ,!-0,3 . . , , i _- $ --1 1 ‘7 L______________13i , ,.. A. crir I Ju; jijL" ' 1 D2 ' L10 ! +nR I <it P 9- $ n p • 1. §,-r l i ,z {` A r t I - i ixounoxwnAsrncsa sumri+oi' vu ,' _ f r ,d - i' A r \y + (, ' s.ri ® ' } t 1..i r f 1 ' i r• �. say � r i 11 l 4 III R 1 I j---,:is] lV i� ; IO c1_°N O I , E t asp -�' " � 1 :h a G y It I, !, ;00 :I ii„, ir a y Y, % as d 4 9a ,, • • • Wig i i ii :I F9''' i ,� i c 4go .Ai R 0g g; li � 1 - 1 v_P; HP¢e I C ,Y i [)A ! e 1 E &iF \40\ (i) v € 5 4 i N $ 1ii& ' 1i ql3 i 8 4 'J • ``` oo. -n q L ./4 sl" ' i i •:. is I 1 ! i 4,410;59,'N/-> _, ,,<P ',,, ft • -:- t #,,;`, '-ode: .,-\ „ t!I , -,./ \.,. . '''‘, \ , y' 7�1 jrs �� gg8i c 'y A .� \✓,("J C �$ • ;p'``` ,.`(_ .xe ���r/1• df. dS�,..¢ Q�_ f{ £ ` ;K l ,P .yr 1 h�' ak i d�`f9Rd Fr�eSl z \id T \,. ,Yr IG '}g6 li aga=19 �.' R 6tltl5 -s iln ©Oo 6, P l'x _,. eti0` @ -g ..i;Se ea aii g 3� g ice 30.31111 gi v 9y rj 6fic5pS ) obx 2 a B a{ : 8 ?',.k [ ' 1 e• a ak Leo e 4 d^d a ' , ' - : � M a611® x \ I III pga� , z — r.) v C CI o a ara- N C 11 o !, s r� Riff'{ 9 rz_b ' Nv+ H O _ Fey f d 3• com lei'284'; zV z Z z i5g3 ik zi ' " $ it ` o S, o . l, a Q Q � c € � 0 V 6 °4 �1 i