HomeMy WebLinkAbout2003 Sep 16 - Sign Off Transmittal, Floor Plans olYq. TOWN OF YARMOUTH
1• e o ' BUILDING DEPARTMENT
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BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
Building Site;Location;_: �-•' at -.e.,e�G , C.f.4LC.1 ttt Map No: /Vi Lot No: g
Proposed Improvement: /l . ,,,.,4 p er ,/; 7r ,
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-Applicant:
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Address: •"7c.�'. Tel.No.: 3 050 Date Filed: 2r/07,-54
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:, .: Deter 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 Lots)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:
3. CONSERVATION: / DATE: N/A:
4. HEALTH DEPAR 1 , ,._ 'i® DATE: ,3 N/A.
t t USTRIAL AND/OR COMMERCIAL PERMITS
5. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
COMMENTS:
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RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE:
White copy-Building Dept - Pink copy -Water Dept. - Yellow Copy-Health Dept. - Pink Copy-Engineering Dept. - Goldenrod-Fre Dept/Conservation