HomeMy WebLinkAbout2002 May 10 - Sign Off Transmittal Sheet - Front Additions �oF�Y�,� �„�,. �� �� ,� TQWN (JF YARMOUTH
° f BUILDING DEPARTMENT
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F �w � � ���� BUII.,DING PERMIT APPLICATION DEPARTMENTAL SIGN OFF.
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132ANSMTTTIAL SHEET
Building Site Lacation: � � Map No: 11� Lot No:�
Proposed Improvement: "�,� . ,
�ARplicant: ��a�s+� ��j
Address: Te1No.:� � ��'" Date Filed:_���
The Building Department will be responsi le for assisting the appl� �dispatching yo�pla�azd or application to the following
aPPlicable departments.
RESIDENTIAL AND/OR COhIMERCIAL BUILDING
WA1'ER DEPARTbIEI�IT: Detennines Coinplianc,e of Water Availability and a acisting location.
ENGdNEERItdG DEPARTME.NC: Detetmines Compliance for Parking and Drainage.
CONSBRVATION COMIvIISSION: Determines Compliance to Wetlands Acts; i.e.,If Lot(s)Bordet any Type of
Wetlands, Streams,Ponds,Riveas,Oceans;Bo&s,BaYs>Marshland,Etc
FI�AL1'H DEPARTMENT: I�t�nines Compliance to State and Town Regulatiotvs;i.e.,Requir�e�s
.� For Septage Dicptuual and other Public Health Activities.
FiRE DEPARTIv1II�T: Determines Compliance to State and Town Requirements for Personal
- ° Safety,PropertY Protection;i.e., Smoke Detedots,Sprinkler Syst�ns,Etc.
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REV�WED BY:
� t. WATER DEPARTMENT: � DATE: N!A
2: � ENGiNEER1NG DEPr1RTMENT: � DATE: N/A: �
3. CONSEftVATION: DATE; N/A:
4. HEALTH DEPARTMENT: DATE: N/A
INDUSTRIAL AND/OR COMMERCIAL PER1►R1TS
5. �WIRAlGIIVSPECTOR: DATE: N/A:
6. � PLUMBING INSPECTOR: DATE: N/A
7. FIRE DEPARTMENT: DATE:T/.fJ/a L N/A:
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PI.EASE NOTE
COMMENTS:
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RECEIPTAFCOPY: SIGNA7VREOFAPPLICANT; pp�;
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