HomeMy WebLinkAboutBuilding sign off TOWN OF YARMOUTH
° 1 BUILDING DEPARTMENT
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BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF
TRANSMITTAL SHEET
Building Site Location: ,5-e• f� �( L��j�'�'�u Q�u ��2�-'E� v� Map No: /3 5 Lot No: /mac
Proposed Improvement: _„/1 . 144 y
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Address: GL (7 Tel.No.: b(3e.5 Date Filed: 3/3/
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:
I. WATER DEPARTMENT: DATE: N/A:
2. ENGINEERING DEPARTMENT: DATE: N/A:
3. : CONSERVATION: DATE: N/A:
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4. HEALTH DEPARTMENT: DATE: f IA/N/A:
MAY 0 5 2004
HEALTH DEPT.
S. WIRING INSPECTOR: DATE: N/A:
6. PLUMBING INSPECTOR: DATE: N/A:
7. FIRE DEPARTMENT: DATE: N/A:
PLEASE NOTE
COMMENTS:
RECEIPT OF COPY: SIGNATURE OF APPLICANT:_ DATE:
White copy-Budding Dept. - Pick copy -Water Dept. - Ymoo4 Copy-Halm Dept. - Prot Copy-Egg Dept. - Goldenrod-Fitt Dept/Conser iatioo