HomeMy WebLinkAbout2003 May 29 - Sign Off Transmittal Sheet, Plans - Addition , �,� ��,;qR�� TOWN OF YARMOUTH
� „,,,,,,�„� •? BUILDING DEPARTMENT
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BUILDING PERMIT APPLICATION SIGN OFF
Applicant: �RlJ9/� � ��'°'i�C�-�+ Building Permit No.: '
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�'8 /y?e�¢�v y' .o.e v� .,
Address: /��_J Tel. No.: '" � Date F.iled: r�,
Bldg. Site Location: s�L/r Map No.: Lot No.:
The following information outlines the procedural steps required to obtain a'permit:to build,alter,or add
to a structure within the Town of Yarmouth. The Building Department will;determine compliance to the
following: (A) Zoning Requirements (B) Historzcal Districts (C) Flood�on.es. The Building Department
will be responsible for assisting the applicant fihrough the following de�a�tments:;: ,
RESIDENTIAL AND/OR COMMERCIAL ��UILDING_,
WATER DEPARTMENT: Determines Compliance of Water Availability. (appl�cant to obtain)
ENGINEERING DEPARTMENT: Determines Compliance for Parking ax�ct�irainage. < ..Y; •
CONSERVATION COMNIISSION: Deternunes C�Yr�p�iance to Wetlands Ac�ts,°i.,�.., If Lot(s)Bord�x any Type
of Wetlands,Streams,Ponds,Rivers, Oceans,Bogs,Bays,Marsliland,Etc.
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulatians;i.e.,Req}urements '
' for Septage Disposal and other Public Health Activities. . :��>: ,
FIRE'DEPARTMENT: Deternunes Ca�nplfance to`State and Town Requirernents for Pe�rsonal
... Safety,Property.Protection;i.e., Smoke Detectoxs,S�xi�kler Sys�ems, Etc. . .
The follozuing De�iartments'must sigrt o.,�; in the res�iective order,1irior to,building ins�bec�rp-;issuing t�r�quired: ; , ., ,
builaiireg permit: ,:. �., , . :..
REVIEWED BYs _ a. , , .
1. WATER DEPARTMENT: � ; . ` 'DATE:, _ __ __ N�A;; . ,
2. ENGINEERING DEPARTMENT: DATE: N/A:.—,_
3.. CONSERVATION: . . , .DATE:_ ._ _N/A:;�� ,, ,_,
4. HEALTH DEPARTMENT: DATE:� N/A:. `
INDUSTRIAL AND/OR COMMERCIAL=FEI�MITS - °
5. WIRING INSPECTOR: I?ATE: _ _. N/A:�
6. PLUMBING INSPECTOR: - ; " DATE: N/A:;���
7. FIItE DEPARTMENT: , : :, , . . DATE: N/A:, ,, ;
PLEASE NOTE
Add stum1is and/or brush must be dis1bosed of at an Q�.roved:si�. ,: : ,-
COMMENTS: , � ,.,.
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8/99 Applicant Signature Date ' '~�
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LOT NO. : ��_ADDRES S:_ M�G J�il��• �""�
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OIJNERS NA1�fE: C� "C� �r.,
� _ SEWAGE PERMIT N . :�� NEW: REFAIR:�
12 t�
; : ; DAT� I�SSUEll: , �ATE INSTALLED: 1Z- • . �
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_ INSTE�.LATIOrt OF: (C� 1 �'I.rlw �I�GrJS�d�d�S . ' ,
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, ° WA��R==�'AT#LE:�� • `�'INAL INS�'ECTION BY: �� ' - "
f ;, D12AWING OF INSTAL.LATIQN ON e REI�ERSE SItTE i ` ' ,"
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