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HomeMy WebLinkAboutTransmittal Sign off Sheet U&O 2023 k TOWN OF YARMOUTH o c HEALTH DEPARTMENT ` • PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 7 y 3 gTZ_ d S . 1/ 'moo J-� , /4'2 . Proposed Improvement: CInCiA/1 n-P hUSI/ledS 4 (/ `" , /90 .do11c f j P +� Applicant: UcLñj LnAiis S-xUXUre ,Gf ibi lSlIaoItt Rel No.:-.00- 377 -c)Y7/7 ---Ta✓vvY1 OCIar0 �J Address: ''gp fQ i o(R RG/. WcC� Y I1), J4 / Odd� � Date Filed: ,2 ' ""If you would like e-mail notification of sign off,please providee-mail address:, karCf, 2CCC/SOt_1fcJUor c C%f`17t+/(JU1 Owner Name: Cucce l\ Cine( or ►CZCOro' EC L.00 ` _ Owner Address: Owner Tel. No.: RESIDENTIAL AND/OR COMMERCIAL. BUILDINC HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements __ For Septage Disposal and other Public Health Activities. ��u MAR 2,8'2O23 Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, HEALTH DEPT. 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. BY: DATE: 3 ' d. 3 REVIEWED PLEASE NOTE COMMENTS/CONDITIONS: yoo c 1 40iANArq-\o . /I` y .? ci,z -----------Tc,:sTv, , -1,f 0-----Y. aniksi 0), , )- oo) 0,\\C ({' V'''j 1 9 Lninrr :it ,'.. I f '1 t.',. --ce �. co ise* D N` ► ilk , / � plo,-"' 01c1' ) 1 P ( 41 , ,_ , c, Q, 3/28/23,2:14 PM Mail-Slack,Christine-Outlook 743 Rte 28. South Yarmouth Danny Lewis <shadedspacesoutdoors@gmail.com> Tue 3/28/2023 1:57 PM To:Slack, Christine <CSlack@yarmouth.ma.us> B 2 attachments(963 KB) BOH form Yarmouth .pdf;743 rte 28 sketch.pdf; Attention!: This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Hi Christine Thank you for your help with this. This is going to be our showroom for the Pergolas that we sell for StruXure. Our full company name is "StruXure by Shaded Spaces". There will not be any hazardous materials on-site. We will only be utilizing office space, show-rooming a couple pergolas for display and storing the aluminum posts, beams, louvers and pieces. Let us know if you need anything else. Respectfully G`iL iE0�'IC--s© Tammy & Danny MAR 2 8 2023 HEALTH DEPT. CEO/Dealer - Daniel Lewis 508-509-7713 Business Manager - Tammy Todaro 508-277-2977 https://www.shaded-spaces.com/ https://outlook.office365.com/mail/inbox/id/AAQkADVjZmNIMDImLTUONDYtNDkOZC1 iOGVjLTIxZTIkMjhkNDZIMAAQAEXwE6dwg41 NjB0gKvZOXEO%... 1/1