HomeMy WebLinkAbout2001 Aug 15 - Building Sign Off, Plan°fYAR TOWN OF YARMOUTH
T BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION SIGN OFF
MOLL
Applicant:RF-SfAURANTZ PUB _ Building Permit No.:
565 FiOUrE 28 a c/.,7
Address: 5 e6 Tel. No.:'�071779' Date Filed: "0 1
Bldg. Site Location: �'�''' 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) Historical Districts (C) Flood Zones. The Building Department
will be responsible for assisting the applicant through the following departments:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain)
ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage.
CONSERVATION COMMISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type
of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc.
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
for Septage Disposal and other Public Health Activities.
FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal
Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc.
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
The following Departments must sign off, in the respective order, prior to building inspector issuing the required
building permit:
REVIEWED BY:
1. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3".. CONSERVATION: DATE: N/A:
1tr: HEALTH DEPARTMENT: Y DATE: 1 N/A:
INDUSTRIAL AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR:
6. PLUMBING INSPECTOR:
1,7!FIRE DEPARTMENT: _
PLEASE NOTE
All stumps and/or brush must be disposed of at an
� .
COMMENTS: 15W G' t XV1 C4- " 0.5 ty c;!- -
DATE:
DATE:
N/A:
N/A:
DATE:
N/A:
site.
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4e_6z_d< w t (-1 Ft re (1) 1- SCE- 4
Co4ry
8/99 Applicant Signature-���Date Q Z�A Q
\uCtion
(for multiple family only) No. of Bedrooms
(for multiple family only) No. of Bathrooms
\dg..
Repair(s) ❑
Alterations ❑
Addition ❑
YI�ry Bldg.
❑ Type
Demolition
Other Specify:
escription
f roposed Work:
!
4
%.. 1
r
Building Use Group (Check as applicapable)
Construction Type
A
ASSEMBLY
A-1
A-4
❑
❑
A-2
A-5
❑
❑
A-3 ❑
1A
1 B
❑
❑
B
BUSINESS
❑
2A
2B
2C
❑
❑
❑
E EDUCATIONAL
❑
F FACTORY
❑ F-1 ❑ F-2 ❑
H
HIGH HAZARD
❑
3A
3B
❑
❑
I INSTITUTIONAL
❑ 1-1 ❑ 1-2 ❑ 1-3 ❑
M
MERCHANTILE
❑
4
❑
R
RESIDENTIAL
❑
R-1
❑
R-2
❑
R-3 (J
5A
5B
S STORAGE
❑ S-1 ❑ S-2 ❑
U
UTILITY
❑
SPECIFY:
M
MIXED USE
❑
SPECIFY:
S
SPECIAL USE
❑
SPECIFY:
Existing Use Group:
Existing Hazard Index 780 CMR 34
Building Area
Number of floors or stories
include basement levels
Floor Area per Floor isf)
Total Area All Floors (sf)
Total Heiqht (ft)
Proposed Use Group:
Proposed Hazard Index 780 CMR 34
Independent Structural Engineering Structural Peer Review Required Yes .......... No ..........
I, a as Owner of the subject property,
hereby authorize Cz- to act on
my behalf, in all matters relative to work authorized by this building permit application.
(d 1
Signature of Owner Date
1
9- 15-99
3of4
OVER
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OR pEMOLIS,I own of Yarn1Ou 61 utF 508) NO-3gg'2�'65
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Address
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9.15-99
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GRAPHIC SCALE
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L. C. PLAN REF.'
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120
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