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HomeMy WebLinkAbout2004 Jan 16 - Sign Off Transmittal, Floor Plans - Addition .01•Y )6 TOWN OF YARMOUTH 1,1'- BUILDING DEPARTMENT ? „� o ,`y� BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF ,. TRANSMITTAL SHEET rr r Building Site Location: to/ ft /47 Map No: V t Lot No: 223 Proposed Improvement: ,;` , / 1 ✓ / / --/ kit age'''. . ?An- 144.1er,e4-' 0,,, • a/ .14/2,,, . Al -' it-zedt....--- Address: idattiitA, _ TelNo.:77.S 6SS 5/ Date Filed: 1 -2 C/ 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 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: VI. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPARTMENT: DATE: N/A: CONSERVATION: 411111 / DATE: N/A: 1V4. HEALTH DEPARTMENT: el. S DATE: 6 N/A: IVDU-- . /' 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: ill S c, u•...e-ci a-c r Gyi 1/- t/ ce.Jo V - F/WR. 06444,1 or: t w 44 i) . vwt-- tz t:-7 M e(pt,. RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: White copy-Budding Dept. - Pink copy -Water Dept. - Yellow Copy-Health Dept. - Pink Copy-Engineering Dept. - Goldenrod-Fire Dept/Conservation 01/20/2004 08:56 5083947578 CAPE COD MECHANICAL PAGE 01 NI) i( 42111111 j "rJ�yJ'11��I G W cooll4W• • Fax Cover Sheet • Date20 CV x�nof Pages Nrber 3ctuomi 6 Fax Number oe O°P Sam k) ' r From �,/©I AJ , Notes: • NI 2 : x ( THDAF • . 8 ,=ru ,_un VU.sty � South Y-,rmo02664 L1 1 AVIA 608-394-750'1 W 9- ,. �."_--'•�— d00-3:3J •) 3 I..3 � Far: 508-3941,7578 P ice. Or j' cL ki Z k , czi 0...)-o.7.41-F6 a' V rt t 171: 0' Li4 i Q O a ;_ cs CC C 3 H,____,,,,,,,,,!:LI .z �, s. v w :J l a C141. pc N .. kIII j ii i 1 1 i g II N W V.". -I4 $ J VI 1-' ? 0 0 � � w N a o a ir a 2. N to Y r _ •V Z0 39dd 1VDINVH03W Q00 3dV3 8L9L176E805 9S:80 b00ZIoZ,T0 W 3 ,,-., . . _ ,...„, , :-... ,... _., 0, F.-- ) (-- i , ..... „% a V.,1' CI- 4 t , r 02 b ISTI:arj b% Lti a r. ke . • _.• ... . . ..„ ,., 2i. _ "3—'3.34- v.iaViu,tH C N...) 0 „.y) CDI 1 ot L O <L J 0 -i q 14 Q r g L1 Q' w, k' tl—L1 N r, ..).,.0.,)„,, 4..O n W F- IPAS a s. N . Q O 11.1 W ,41 fl a ; DD eq '40 De CZ ye N 2 . t411) 60 39Vd 1VDIN17H03W Q00 3dV0 8LGLb66805 95:80 b00Z/0Z/I0