No preview available
HomeMy WebLinkAboutApplicaiton Sign Off 5/18/23 0N 'Y'Ai:e TOWN OF YARMOUTH .1t-',' * -tell HEALTH DEPARTMENT ,"' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: q j W A5 4 i E1fl f i . W. y-r•ri-t.E` *h . r'-k A Proposed Improvement: P d d yq. 15(S 77� 311• 60 64f Applicant: D .r-t-a'& 12- t 5 C.: .OD Tel.No.:S.Q2. Address: 9 5 LL., As tf,t N ti n y Date Filed: 9- / (1 z 3 "If you would like e-mail notification of sign off,please provide e-mail address: , Owner Name: 1 I v-- P.-..A IA 7 I P c u. 0 Owner Address: ./ZO Co bb L€Sk.Olv F Rd Owner Tel.No.:7 7C 5 3 Lt"(6 C 6 y 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: � � - DATE: S r t - PLEASE NOTE COMMENTS/CONDITIONS: 6 cr C-, NJ _ .'s,,,,,„..._,i,.:,. .:„., „., 1,,,,, ,..,....,.1„...„.. : , .. I , i 1 , 1,---2 N rn c.. — 1 CN A, -- O (c _ O 3 Q c) ); 0 4 i -1 W 1----____-1 I DECK b 12'4" x 11'5" . 1 1 ICI .-Al _1 k+ -- _-- KITCHEN 18'0" x 11'2" "0 © n / r'- d ¢ x BEDROOM DINING ROOM ° °o " 12'0" x 11'2" MIME - I HALL ... a 7'8„ x3'1„ Imum �/J ,� LIVING ROOM PRIMARY BEDROOM 18'2" x 116 16'7" x 116 „ s , le I I . mayi I j .11 . II =no PO-CH , •'4„ x 2,.,,