HomeMy WebLinkAbout2009 Building Sign off Transmittal - Stairway and railing TOWN OF YARMOUTH
HEALTH DEPARTMENT
MATTA
°"' ""°`� �' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: / / /0'1/c�2 k A Xi E'- Map No.: 1 LI Lot No.: &7
Proposed Improvement: CQNSQvcl 'Veit/ .�,4i2w, , it iCty,I4ce 6411,n p'
Applicant: % Ire.h`A►/1.4) (4! CR 4IG -i n- Tel. No.: 5 Fd 3 .3/, 2—
Address: ') 't 42aiiw )1/4-4 Date Filed: 3 ,1 i/o9
**If you would like e-mail notification of sign off,please provide e-mail address: /
Owner Name: CA it C p24 Z.z o
Owner Address: !o CLe ck o.6c, y k Owner Tel. No.: 7 / c ' 5'01'7
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 four (4) 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: /1- /
DATE: cI/07
PLEASE NOTE
COMMENTS/CONDITIONS:
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