HomeMy WebLinkAbout2004 May 25 - Building Permit Sign OffTOWN OF YARMOUTH
BUILDING DEPARTMENT OtV �"M41*
o.
HATTAC FI SL
BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
Building Site Location: _MapNo: 3 s.�� Lot No: �
Proposed Improvement:
Applicant: �R s 7 r v ' — - r � ,t s:, r'4 £
Address: ` " Tel.No.: z KA. j- Date Filed:
The Building Department will be responsible for assisting the applicant by dispatching your plans and or application to the following
applicable departments,
RESIDENTIAL AND/OR COMMERCIAL BUILDING
WATER DEPARTMENT:
Determines Compliance of Water Availability and or existing location.
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.
REVIEWED BY:
1. WATER DEPARTMENT:
DATE: N/A:
2. ENGINEERING DEPARTMENT:
DATE: N/A:
CONSERVATION:
DATE: N/A:4.
Dn
HEALTH DEPARTMENT:
DATE: S - Z r /A:
INDUSTRIAL AND/OR 2OMMERCIAL PERMITS
5. WIRING INSPECTOR:
DATE: N/A:
b. PLUMBING INSPECTOR:
DATE: N/A:
7. FIRE DEPARTMENT:
DATE: N/A:
COMMENTS:
RECEIPT OF COPY:
PLEASE NOTE
SIGNATURE OF APPLICANT:
DATE:
White copy - Building Dept. - Pink copy - Water Dept. - Yellow Copy - Haft Dept. - Pink Copy - Engineering Dept. - Goldenrod - Fire Dept Conmwvation
� -F 6
ProposEo / lP �—�
O
------------