HomeMy WebLinkAbout2009 - Sign Off Transmittal, Floor Plans, Info',qzz M ATAZ--z
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TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant. -
Building Site Location:�J'� V % :p Map No.: Lot No.:
Proposgd Improvement: C� 6 t t , < 4 , -0
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Applicant:
Address: / 2. L.
Tel. No.: G- r-I `/— C- C !
**Ifyou would like e-mail notification of sign off, please provide e-mail address:
Owner Name:
Owner Address: / t
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
Date Filed: k 0 C�
Tel. No.: (' 4 "y"-"* '
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit four (4) copies of plans, to include:
(l.) Site Plan showing existing buildings, water line location,
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.
REVIEWED BY:
CONRvIENTS/CONDITIONS:
DATE: C'>'-. / ) v Q 7
PLEASE NOTE
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•YAR;�, TON
OF �':�R,�IOUTH
{' o BUILDING DEPARTINIEN"r
1146 Route 28, South �•:�ru>touth, ,MA 02664
508-398-2231 ext. 261 Fax �08-398-0836
ZONING DETERMINATION FOR BUSINESS CERTIFICATE APPLICATION
The purpose of this form is to determine whether your business complies with the Town of Yarmouth Zoning
Bylaw. The applicant shall complete the top section of this form and file it with the Building Department.
Once the Building Department has made a determination, it will be forwarded to the Town Clerk.
The Building Department will render a determination based on the following factors: (a) The business/use,
activih•, (b) The zoning district in which the business is to be located. ,411owed uses are based on Zoning 1T-hrw
Tuble 202.5 and (c) Previous nr new zoning relief fi '-•-;Hp Bourd of.4ppeuls
Date
Business Address
Name ofapplicant
DBA
Mailing Address
Description of Business Activity
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The applicant acknowledges that a determination will be made by the Building Department based on the
information provided on this date and any changes in the business use and/or activity will require additional
approval. Failure to do so may result in the revocation of the Business Certificate and/or appropriate Zoning
Enforcement, should it be determined that the changes are non -compliant.
icant's Signature ���a z71+ �' ,� Z_ / /j u b/ Date
BUILDING DEPARTMENT DETERMINATION
(office use only)
Approved
Comments
Disapproved
Reason for Disapproval
Building Official's Signature
Rr1 [kc 111 2007
Date
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YARMOUTH FIRE & RESCUE
Commercial Building Permit Sign Off
Project Name Razz Matazz Address 1247 Rt 28
Contact Name Razzak Al-Najar Phone 508-694-
6616
Y NO NA Subject Regulation
E
S
x
Access for Fire Apparatus
527 CMR 25.02
x
Building Numbers
MGL Chapter 148 sec 59
x
*Flammable gas/liquid storage
527 CMR 14.03
x
Fire Lanes
527 CMR 10.03(10)
x
*Service Stations
527 CMR 5 & 9
x
*Hazardous Materials Storage
527 CMR 25.08
x
*Kitchen Exhaust Systems
780 CMR, 527 CMR 10.03(8)
x
Extinguishers
527 CMR 10.02, Chapter 148 sec 28
x
*Fire Alarm Systems/CO detection
780 CMR, Chapter 148, 527 CMR 24,CMR 31
x
*LPG Storage
Chapter 148 sec 9,10,28 & 527 CMR 6
x
Pesticide Storage
527 CMR 37
x
*Sprinkler Systems
780 CMR & Chapter 148 sec 26 A -I
x
Storage inside/outside Buildings
527 CMR 10.03(5)
x
*Upholstery
527 CMR 29
x
*Trash Containers
527 CMR 10.04 & 34
x
Any Hazard to the Public
Chapter 148 sec 28
x
*Curtains, Draperies, Blinds
527 CMR 21
Description of planned project/other requirements: Retail Store
* YFD permit required -de y en on occupancy and submittal
Plan Reviewed By: L Date: 2 lI 1_/(f,17
Copy for Applicant 0 Copy to Building Department = Copy to Fire Prevention 0
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