HomeMy WebLinkAbout2003 Dec 09 - Sign Off Transmittal, Floor Plans - Convert Garage to 2BR,Bath; Convert Mudroom to Dining Room .Y TOWN OF YARMOUTH
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' BUILDING DEPARTMENT
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BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
Building Site Location: /O Z t 4n 41.1.5)1_, /...d Map No: dA Lot No: O
Proposed Improvem ' 1 . r 4,"
Applicant: r-i44,1444'� -
6
Address: /1 i-G4 " G` -flL Tel.No.: 787 ?1/3 Date Filed: "4
/ ( 73'74
The Building Department will be responsible for assisting by dis atching 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:
VI. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. CONSERVATION: DATE: N/A:
1,4• HEALTH DEPARTMEN // •ir DATE:—,N/A:
/IND _— /O I I_s PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
COMMENTS:
cc�J�— 5 /„p 1)00 2— -f- CrsS e .10 C-c nq
RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE:
White copy-Building Dept. - Pink copy-Water Dept. - Yellow Copy-Health Dept. - Pink Copy-Engineering Dept - Goldenrod-Fire Dept/Conservation
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