HomeMy WebLinkAbout2002 Oct 25 - Sign Off Transmittal Sheet - Dining Room/Family Room Addition,
i
�
' �-6 y TOWN OF YARMOUTH
- D3 BUILDING DEPARTMENT
•��,
�
�_' BUII,DING PERMIT APPLICATION DEPARTMENTAL SIGN O�F
I � TRANSMITITAL SHEET
Site Location: � v,r$//�/�OA,,�d/x D �� Map No: 3„�j Lot No: ZZ 3
v / �� .
posed Improvement:_�'�2��a�7t_ ri ' ld�/YJtr�i.Y� ��i �� � ..
A�li�m: ��7x�y� n�p;�' / �3�0�/3 73G 0
� Addresss: �Tj ����/� �(,�( SC� Te1No.: ��93 Date Filed: �Q 2 3 p Z
'i'he Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following
applicable departmerns.
; - ,. RESIDENT7AL AND/OR COMMERCIAL BUILDING
WATER DEPARTIv�IT: Determines Compliance of Water Availability and or existing location.
INGdNEERING DEPARTMENT: Determines Compliance for Parking and Drainage.
CONSERVAT'ION COMI��IISSION: Deteimines Compliance to Wetiands Acts;i.e.,If Lot(s)Border any Type of
Wetlands, Streams,Ponds,Rivers,Oceans,Bo&4,Bays,MarsMand,Etc
HEALTH DEPARTMIIdT: Determines Compliance to State and Town Regulations;i.e.,Requireme�s
- -_ ' For Septage Disposal and other Public Health Activities.
FIltE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal
s
Safety,Ptoperry Protection; i.e.,Smoke Detec[ors,Sprinkler Systems,Etc.
--------------------------------------------------------------------------------------------------------------•----------------------------------
REVIER'ED BY:
1. WATER DEPARTMENT: DATE: N/A
2. ENGINEERING DEPARTMENT: � DATE: N/A:
3. CONSERVATION: DATE: N/A:
4. HEALTH DEPARTMENT: DATE: /d tiL N/A:
US /OR COMMERCIAL PERMITS
5. WIl2ING INSPECTOR: DATE: N/A �
6. PLUMBINGINSPECTOR: DATE: N/A
�. FIltE DEPARTMENT: DATE: N/A
PLEASE NOTE
COMMENTS: 1+ 1 Q//�/
�iC Ca��M �l.�r � OV1 Sd�'0.. .�'f/�<] � 0- l('�'C✓� � .
RECEIPT OF COPY: SIGNATURE OF APPLICANT: r DATE:
�i� � �
WhrtecoPy—Bwld'mgDp�t. - YellowCopy—Heslt6DepE ' RdcCopy—En@uarmBD�[. ' Crold�od-FireDep�Conservation