HomeMy WebLinkAboutBuilding Sign Off - New Garage with septic tie-in TOWN OF YARMOUTH
BUILDING DEPARTMENT
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MATTA ,�,�, BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTIAL SHEET
Building Site Location: it S 1/4*. Map No: ` ' Lot No: 7
Proposed Improvement: ' , ,. `"� �' tom' 'J }
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Applicant: , , y r ))4
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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:
3. CONSERVATION: / _DATE: N/A:
4. HEALTH DEPARTMENT: I DATE:1 d 12 N/A:
INDUS 1 AND/OR COMMERCIAL PERMITS
5.` WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
COMMEN : _ /
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RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE:
White copy-Building Dept. - Yellow Copy-Health Dept. - Pink Copy-Engineering Dept. - Goldenrod-Fire Dept/Conservation
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/AJFoRMAT/oN , /. AJo1. /LOGE- /9S eU/LT PLOT PLAAl
Fi ND B E L/E F THE .FX/Sr/n4 /// A)0• A44 PA) . .7;J ,SO, y.9Tr/fa,
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SHOWN ON TH/S PLAN HAS PREPARED FO :
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