HomeMy WebLinkAboutBLD-19-1696 C/ / 9/z di i'
'. sof•YgR BUILDING PERMIT APPLICATION
• , teCa' '40 APPLICATION TO CONSTRUCT,REPAIR, RENOVATE, CHANGE THE USE,OCCUPANCY OF,
I C OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING.
FS Town of Yarmouth Building Department
g 1146 Route 28 • Yarmouth, MA 0266.4-1492
Tel: 508-398-2231 ext. 1261 Fax 508-398-0836 _
Office Use Only Gj� Planning Board Information Assessors Department Information:
Permit Noa30— 0/9/ Ie Plan Type , Map Lor j
Permit Fee $ 1085 Endorsement Date 5o/ /l1
Recording Date New
Deposit Rec'd. $ ate_ Plan No. 1.4 Property Dimensions:
Net Due $ 105 0 • Other Lot Area(sf) Frontage(ft) Lot coverage
This Section for Office Use Only .
Building Permit Number Date Issued
Signature: -ti.
� 4 -AC- 17 Certificate of Occupancy
Building 6 Mai Date is Is not required
Section 1 - Site Information
1.1 Property Address. 1.2 Zoning Information:
/12/ Rf 27 S.a-7 J mnt l',/14 0,7(6/ 13iisioeSs
Zoning District Proposed Use
1.3 Building Setbacks(ft) '
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.4 Water Supply(M.Q.L c.40.554) 1S Rood Zone infaradon: Comments
Public Private Zone: BEE •
Section 2- Property Ownership/Authorized Agent
2.1 Owner of Recor�ddj. � .,✓ p
�a is ?/��i% 1- t)--N... 30 ,Jticke,1 Mee Kb PL,vn m MA
�. Name(p• t) Mailing Address:
/7 ACC4aZ'
J> �!e Telephone Telephone R b. C tinhf 1�.
l'Acidrela: .
2.2 Authorized Agent
for (S«� N OCT - lois
7.,,,,..,„,„ Mailing Address: BUIL ri
e:ft ‘/7-31f-5333 e" •
ture Telephone Fax
Email Address:
Section 3 - Construction Services
3.1 Licensed Construction Supervisor. Not Applicable ❑
foe Ciwunimti
�^ /• /J �.� License Number
7� A//d0dresfs /ems, 1 5&40fr< HI r-/'.X Z2e/ (�.S- /0795,2 _
g� 44L yt3f tom•j_i3 j .+--[-�ete2 u,/�/�/da /,,,,G Expiration Date
'cincture Telephone " Fail Act r4s: %���0� 42/2.4/ez/9 . _
a .
3.2 Registered Home Improvement Contractor. .
Company Name Not Applicable ❑ +
Registration Number
Address
Expiration Date
Signature Telephone
Section 4-Workers'Compensation Insurance Affidavit(M.G.L c.152 S 25C(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure
to provide this affidavit will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes No
Section 5-Professional Design and Construction Services-for Buildings and Structures Subject
to Construction Control Pursuant to 780 CMR 116(containing more than 35,000 c.f.of enclosed space)
Section 5.1 Registered Architect
Not Applicable ❑
Hams (Registrant): Registration Number
Address
Expiration Date
Signature Telephone
Section 5.2 Registered Professional Engineer(s)
Hams Area of Responsibility
Address Registration Hunter
Signature Telephone Expiration Date
Area 01 Responslbllity
Noma
Address • Registration Number
Signature Telephone Expiration Date
Hams • Area at Responsibility .
Address Registration Number
Signature Telephone Expiration Date
Area of Responsibility
Noma
Address --_ --_ -- -__-— - Registration Number _--
Signature Telephone Expiration Date
Section 5.3 General Contractor
Not Applicable CICompany Hams
Person Responsible for Construction
Address
Signature Telephone
~• I
Section 6 - Description of Proposed Work(check all applicable)
New Construction/ ❑ (for multiple family only) No.of Bedrooms (for multiple family only) No.of Bathrooms
Existing Bldg. LJ Repair(s) ❑ Alterations ISY Addition ❑
Accessory Bldg. 0 Type Demolition Other Specify:
Brief Description of Proposed Work:
.it ftrM,e r`k Q me. sa414 chit lit' Ii5intus
(inc v., VQflk., TrV
Section 7- Use Group and Construction Type
Building Use Group(Check as appricapabie) Construction Type
• A ASSEMBLY 0 A-1 ❑ A-2 ❑ A-3 ❑ IA ❑
A-4 ❑ A-S ❑ 1B ❑
B BUSINESS 24 ❑
E EDUCATIONAL ❑ 28 ❑
F FACTORY ❑ F-1 ❑ . F-2 ❑ 2C ❑
H HIGH HAZARD ❑ 3A ❑
I INSTITUTIONAL ❑ Ft ❑ 1-2 ❑ 1-3 ❑ 3B 0
M MERCHANTILE ❑ - 4 ❑
R RESIDENTIAL ❑ R_I ❑ R-2 ❑ R-3 ❑ SA ❑
S STORAGE ❑ S-1 ❑ S-2 ❑ 5B ❑
U UTILITY ❑
SPECIFY:
M MIXED USE ❑
SPECIFW
S SPECIAL USE ❑
SPECIFY:
Complete this section if existing building undergoing renovations;additions and/or change Iri use.
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34 Proposed Hazard Index 780 CMR 34
Section 8 Building Height and Area •
Building Area Existing(if applicable) Proposed
Number of floors or stories
include basement levels
Floor Area per Floor(st)
Total Area All Floors (sf)
Total Height(ft)
Section 9 -STRUCTURAL PEER REVIEW(780CMR 110 11)
Independent Structural Engineering Structural Peer Review Required Yes- No.._
SECTION 1 0a OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I. f - -soda e61, f f' Lon , -s Owner of the subject property,
herebyauthorize Joe (JflGAIMPI/ to act on
✓ my behalf, in all matte r.live to work authorized by this building permit application.
orae" Date
o .ae ....�..
• •a .
SECTION 10b OWNER/AUTHORIZED AGENT DECLARATION
I, C,••1( ��I�"'�p� , as Owner/Authorized Agent •
here y declare that the statements and information on the forgoing application are true and acurate, to
the best of my knowledge and belief.
Signed under the pains and penalties of perjury.
Clue (Ai.r.111AN
Print Name /n"n,(///��/. 3//
¢ •
itt
Signal[ire of Owner/Agent Date
Section 11 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be
completed by permit applicant
1.Bottling p
15 coo
2.Electrical
J 10/oon - - -
3.Plumbing/Gas f/ /�i nni
4.Mechanical(HVAC) ill)/4
J 5.Fire Protection /5
/zooJ^
6.Total-(1+2.3+4.5) /, !// ma
7.Total Square FL Marne.mows 4.ddrooml :560
Check Below
❑ Conservation-Commission Filing
(if applicable)
❑ Old Kings Highway&Historical ••
Commission approval
(if applicable) •
• • .
• t • The Commonwealth of Massachusetts
--— Department of Ind
. " • v=._cr ep usirial Accidents
, • , _i. _=ul•=`t Office of Investigations
ari- 600 Washington Street •
--r't_ `Y
Boston,MA 02111
•www.mass.gov/iia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information PIease Print Legibly
Name(Business/Organization/Individual): Cts/0 / fref ?lir&S
dip
Address: TO Pr y f Rr4,eti, ;MA (y
City/State/Zip: �J Phone# col- /9 9
- 304
Are you an employer?Check the appropriate box:
1.Ef I am a employer with 3 4. 0 I am a general contactor and I Type of project(required):
have hired the sub contractors . 6• ❑New construction
employees(fall and/or part-time).;
2.0 I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling
ship and have no employees These sub-contractors have g, 0 Demolition
working for me in any capacity, employees and have workers'
[No workers' comp. insurance comp.instn-ance S 9. ❑Building addition
required:] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions •
3.0 I am a homeowner doing all work officers have exercised their . 11.0 Plumbing repairs or additions
myself[No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152, §1(4),and we have no _
3a.D I am a homeowner acting as a employees.[No workers' 13.0 Other •
general contractor(refer to#4) comp.insurance ].
.Any applicant that checks box el most also fiR out the section below showing their workers'oompensarion`policy infomadon.
•
Homeowners who submit this affidavit indicating they aro doing all work and then hue outside contractors most submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-conhactot and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'camp.policy number=
lam an employer that is providing worker'compensation insurance for my employees Below is the policy and job site
information
Insurance Company Name: itenzd
I// Policy#or Self-ins.Lia#: /56,04/74.256,04/74.2 • Expiration Date: .2/////
Job Site Address: H a I Pf ey 4 ✓.,p - is !A4. City/State/T.Ip: S Y4emviath Alta4649
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
ofup to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pain and penalties of perjury that the information provided above is tare and correct
•
I/ Signature: Y�ta Date: r/Lyr •
Phone#: ‘/Z 311 ,s-,n? -
O
Official use only. Do not write in this area,to be completed by city or town official
City or Town: • Permit/License#
Issuing Authority(circle one): •
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions : �
Massachusetts General Laws chapter 152 requireLan employers to provide workers'compensation for Their employees. .
Pursuant to this statute, employeedefined as"_.every person in the service of another under'any contract of hire,
an is
express or implied,oral or written"
co on or other legal entity,or any two a more
An spine is defined as as iodividstsl,partnership,association, �h a duxessed employes,or ttit
of the foregoing named in a joint enterprise,and including the legal repcesenativa of
However
tho
receiver or trustee of an individual,psrmaassociationship, ociation or other legal entity,employing emp
loyees.owner of a dwelling hoose having not more than three apartments and who resides therein,or the occupant of the
dwelling house of anther who employs pawns to do maintenance,construction or repair work on such dwelling house
or on the grounds or building spputesmet thereto shall not because of such employment be deemed to be an empbyet"
MGL chapter 152, §25C(6)also states that"every state or local Seeming scrag shall withhold the brunet or
renewal of a license or permit to operate a busman or to contract bsldisg,It the eommonrciltk for nay
s mp
who has not produced acceptable evidence of coliance with the Waren ammo req "
Aptdt t lly,MGL chapter 152,§25C(7)stake"Neither the commonwealth arra any of its political subdivisions shall .
enter into any contract fog,the perform:me of public work until acceptable evidence of complatea with dee insuruce
requirements of this chapter have bent presented to the cg authority."
- --
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation sad,if
necessary,supply sub-contractor(s)name(:),sddreaa(ea)and photos number(:)along with thea certificate(s)of
insurance. Luted f tabIlity Compuu in(LLC)or Linsited Liability Putoecships(LLP)with m employees other than the
members or parks,are not required to carry workers'compensation insurance. If an LLC or LLP does have
•employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
• • Accidents for conformation of esuasmce coverage. Also be rare to alga and data the affidavit •i'he affidavit should
be returned sotto city or town that the application the the permit at license is being requested,net the Dep:rfinet of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a waken'
compensation policy,please call the Department at the mamba listed below. Self-inured codes should enter their
self-insoaa.e license number on the appropriate lira.
City or Taws Officials •
Please be sure that the affidavit is complete and printed legibly. The Department has provided i space at the bottom
of the affidavit for you to f11 out in the event the Office of Investigations ha to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference member. In addition.an applrazt
that must submit n iltipk pazmtllieeneo applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and oaks lob Silo Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant se proof that a valid affidavit is on file for future permits or licenser A new affidavit must be filled at each
year Where a bones owner a citizen is obtaining a license a permit not related to any business or commercial venfae
(Le.a dog license or permit to bora leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation sal should you lave any questions,
please do not hesitate to give us a call.
the Department's address,telephone and fax=bee
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
• 600 Washington Street
Boston,MA 02111
Tel. 11617-727-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 11-2246 www.rnass.govldia
y TOWN OF YARMOUTH
• },:• ,. o BUILDING DEPARTMENT
o � '' y 1146 Route 28,South Yarmouth,MA 02664
�
" c5;nC„.,;. 508-398-2231 ext. 1261 Fax 508-398-0836
BUILDING DEPARTMENT
DEMOLITION DEBRIS DISPOSAL AFFIDAVIT
Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 1113,
I hereby certify that the debris resulting from the proposed work/demolition to be
conducted at /1c?/ 'MO ftr2r }/e0'$,.
Work Address
Is to be disposed of at the following location: &Olt? SeLmbed
Said disposal site shall be a licensed solid waste facility as defined by M.G.L.
Chapter 111, Section 150A.
Vf//i//f
ignature of Application Date
Permit No.
YARMOUTH WATER DIVISION ,
99 BUCK ISLAND ROAD •
WEST YARMOUTH, MA 02673
•
PH.: 508.771.7921 .
FAX: 508-771-7998
BUILDING PERMIT APPLICATION
DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET •
Bldg. Site Location 5, Yser0044, 112? f 5 Map #: Lot #:
Proposed Improvement: in{�;ar ri+- 0tH- 4 enchne crlf , ,
Applicant: atf,y
Address 3_0_,F7tavisathni Tel. #: .4a5/02:53:33_ Date Filed: �'�j3/�e
02-13
a 7"`
RESIDENTIAL AND / OR COMMERCIAL BUILDING '
Water Department Determnes 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,Health Department: DeterminesPonds,
Compliance to Staters dRegulations,Town s, Ocean, Bogs, Bays, ae., Requirements
for Septage Disposal and other Public Health Activities
Fire Department: Determines Compliance to State and Town Requirements for Personal,
S'afety, Property Protection;, I e Smokec_
Det?ctorc Spr lite- Systems Et-" c_
,4—
. g-latit.oaa
Data
PLEASE NOTE: •
COMMENTS:
•
:sttp61 •
R sewed y a{eFbi Sion cr,/,5 ' U
Date
20�Mkt_ TOWN OF YARMOUTH
• �:. :•, c0 HEALTH DEPARTMENT
1-9
ki*. .' ,..t PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: p C
Building Site Location: //2/ gt 7$' 5 )'r,coy th
Proposed Improvement: R&nithon +0 /n-ri0ie 10 a<Br+netb the1121 Gob
apt/ en-cia e drive 4GjrQ
Applicant::2 T - 1/
eittn ✓ Tel.No.: 411 3q. 5333
Address: 3() giy Iv' / ,Dvzbun/ /t14 0.).13,2 Date Filed: g/81/Ff
••Ifyou would like e-mail notification of sign off please provide e-mail address:
l/j Meanil l¢ 0 Q lido . cam
Owner Name: Ka L4- Pf}(A7,J v
Owner Address: ,0 luyt-htl P Owner Tel.No.:
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed)-
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: •
DATE: 7/l i .
PLEASE NOTE
COMMENTS/CONDITIONS:
C7Ft'`tt (JSP c�/Wn�� c&, c1,'Ac- ,'/UW _
/
NthA
G CW. C wiS /I e dr-C4 0->,-) tin or"cc?Ct c t,t
& t %rte s v Sy /i ° .b 044.c.- >utt,.v C kagc . 0
a'l l`Ir (-4.3 �C6cxcJ p.tw.C( CL' w M"'/ 7h�/l�'�,`t
7l
MGL AND FIRE
• i
TOWN OF YARMOUTH
REVIEWED FOR CODE COMPLIANCE.
Ca" / ERRORS OR OMMISSIONS DO NOT RELIEVE
THE APPLICANT FROM THE RESPONSIBILITY
dtVb,, OF"ASUILT COMPLIANCE.
DATE: iff Is
c h 7 t4 u CK l�
YARMOUTH FIRE PREVENTION INSPECTOR
Commercial Construction Building Transmittal
Project Name: Palma Dental Address: 1121 Rt.28
Contact Name: Joe Callahan Phone: 617-347-5333
Y NO NA Subject Regulation
E
S
X Access for Fire Apparatus 527 CMR I; 18.2.4.1
X Building Numbers MGL Chapter 148;sec 59
X *Flammable gas/liquid storage 527 CMR I;42.2.2.1
X Fire Lanes 527 CMR I;22.3
X *Service Stations 527 CMR 1 ;16.2.3,16.2.3.1,30.3.2
X *Hazardous Materials Storage 527 CMR I;60.1
X *Kitchen Exhaust Systems* 780 CMR,527 I;50.1
X Extinguishers 527 CMR l; 13.6,Chapter 148;sec 28
X Fire Alarm Systems/CO detection* 780 CMR,Chapter 148;,527 CMR 1; 13.7
X *LPG Storage Chapter 148;sec 9,10,28&527 CMR I;69.1
X Use and Occupancy(FH Building Class) 780 CMR;302.1
X Sprinkler Systems* 780 CMR&Chapter 148 sec 26 A-I
X Storage inside/outside Buildings 527 CMR I; 10.19.4,4.4.3.1.1,19.1.2,34.1.1
X *Upholstery 527 CMR 1;20.6.2.5
X *Trash Containers _ 527 CMR l; 19.1.1, 1.12
X Any Hazard to the Public Chapter 148;sec 28
X *Curtains,Draperies,Blinds 527 CMR 1; 12.6.2
* YFD permit required-depending on occupancy and submittal
*Per 527 CMR 1 13.1.8, a permit is required from the Fire Department to shut down any
fire protection system.
Description of planned project/other requirements:
The YFD supports the applications, subject to applicable submissions, permits and
inspections.
Plan Reviewed By: Captain/Inspector.7fenin Muth. Date: 08-13-2018
Copy for Applicant Copy to Building Department I I Copy to Fire Prevention
Entered in Firehouse C Final Inspection
�, ,r x•y Bk 31395 P9169 033401
07-11-2018 0 10e37a
oF:y�k YnRMQUTH DTA CLERK
TOWN OF YARMO ECEIVED
0 ,; , -3 BOARD OF APPS S
a� ,e ` -4 _' DECISION SP 13 2018
'1.2S 729m2:54 R C
BUILDING DEPARTMEN'!
8,:
FILED WITH TOWN CLERK: September 29,2017
PETITION NO: 4707
HEARING DATE: September 28,2017
PETITIONER: Shoestring Properties Ltd. Partnership and Bobby Palma,MRL
Realty,LLC
PROPERTY: 1t21 Route 28,South Yarmouth,MA
Map &Lot#: 50/108; Zoning District:
DOC#:692,979; CTF#:144241
MEMBERS PRESENT AND VOTING: Steven DeYoung, Chairman, Sean Igoe, Dick
Martin,Tom Nickinello, Gerald S. Garnick and Tom Baron,Alternate.
Notice of the hearing has been given by sending notice thereof to the Petitioner and all those
owners of property as required by law, and to the public by posting notice of the hearing and
publishing in The Register,the hearing opened and held on the date stated above.
The Petitioners are Shoestring Properties Ltd. Partnership and Bobby Palma, MRL Realty, LLC
who seek relief in connection with property located at 1221 Route 28, South Yarmouth, MA,
property in a B-2, R-40 and Village Center Overlay Zoning Districts. Specifically,the applicants
seek a Variance under Zoning By-law 102.2 to allow the manufacture of teeth in the building
constructed in 1987 by Boston Five Savings Bank.
The Petitioners appeared and were represented by Attorney Michael Stusse. No one spoke in
opposition to the Petition.
II.PROJECT DESCRIPTION
The proposed use is the manufacture of teeth which is accomplished by use of a three-dimensional
printer. The teeth can be made of either porcelain or gold,both inert and harmless materials.The
business employs three people in addition to the owner, is open during normal business hours,
A
,•,, \ .
Monday through Friday from 8 a.m. to 5 p.m. Approximately thirty-five (35%) percent of the
patrons will visit the site to either order or pick up the finished product. Retail sales account for
approximately thirty-five(35%)percent of the applicant's business.
The remaining 65% of the users are doctors who send in orders over the internet with size, shape
and dimensions for the tooth to be manufactured.
Therefore,the use,while technically manufacturing, is extremely low impact with minimal noise,
emissions,traffic or other noticeable characteristics.
The building has more than adequate parking under Table 301.5 which requires-one space per two
occupants as there will be a maximum of four occupants with occasional visitors and there are 12
adjoining spaces including a marked handicapped parking area.
III. ZONING CRITERIA SATISFIED
After hearing,the evidence,Board of Appeals made the following findings:
First,the parcel of land is an irregular shape as distinguished from other lots in the zoning district.
The lot has access both onto a commercial highway and a residential side street(Wood Road).
Secondly, and most importantly, there is a hardship as the parcel contains a relatively new and
attractive building that was specifically built as a bank has been unused and become derelict over
the past several years.
Third, there is no detriment to the public, the Town or the neighborhood in that there are no
environmental impacts associated with the proposed use and the environmental impacts of the use
are substantially less than that of uses that are allowed in the B-2 Business District.
Upon motion made and seconded,it was VOTED:
To grant the requested relief upon condition that all landscaping shown on the plan"Site Plan of
Land, 1221 Route 28, South Yarmouth, MA for Shoestring Properties, LLC dated August 25,
2017"and on file with the petition be installed and maintained by the Petitioner.
Motion was made by Mr.Igoe and seconded by Mr.Martin,the Board voted unanimously in favor
and the Variance was,therefore, granted.
No permit shall issue until 20 days from the filing of this decision with the Town Clerk. Appeals
from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20
days after filing of this notice/decision with the Town Clerk. Unless otherwise provided herein,a
Variance shall lapse if the rights authorized herein are not excised within 12 months. (See MGL
c40A §10)
cixxli
Steven eD Young,Chan
+. , \)
Y_.
.cG
w ---VI�i; THE COMMONWEALTH OF MASSACHUSETTS
IN 4 9`
TOWN OF YARMOUTH
BOARD OF APPEALS
Appeal#4707 Date: October 20,2017
Certificate of Granting of Variance
(General Laws Chapter 40A,Section 11)
The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a
Variance has been granted to:
PETITIONER: Shoestring Properties Ltd., Partnership, 297 North Street, Hyannis, MA
and MRL Realty,LLC, 37 Industrial Park Rd.,Kingston,MA 02364
OWNER: Shoestring Properties Ltd.,Partnership,297 North Street,Hyannis,MA
Affecting the rights of the owner with respect to land or buildings at: 1121 Route 28,
South Yarmouth, MA; Zoning District: 11-2; Map & Lott!: 0050.108; Doc#: 692,979;
Ctf#: 144241 and the said Board of Appeals further certifies that the decision attached
hereto is a true and correct copy of its decision granting said Special Permit and
Variance, and that copies of said decision, and of all plans referred to in the decision,
have been filed.
The Board of Appeals also calls to the attention of the owner or applicant that General
Laws, Chapter 40A, Section 11 (last paragraph) provides that no Variance, or any
extension, modification or renewal thereof, shall take effect until a copy of the decision
bearing the certification of the Town Clerk that twenty days (20) have elapsed after the
decision has been filed in the office of the Town Clerk and no appeal has been filed or
that, if such appeal has been filed,that it has been dismissed or denied, is recorded in the
Registry of Deeds for the county and district in which the land is located and indexed in
the grantor index under the name of the owner of record or is recorded and noted on the
owner's certificate of title. The fee for such recording or registering shall be paid by the
owner or applicant.
.,fel�
Steven DeYoung,C'1Th man
J
r+ e l
i, ,
44-111P:4;- TOWN OF YARMOUTH Town
I'? L. �� � 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-4451 Clerk
rne�e Telephone(508)398-2231 Ext. 1285, Fax(508)398-0836
CERTIFICATION OF TOWN CLERK
I, Philip B. Gaudet, III, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have
elapsed since the filing with me of the above Board of Appeals Decision #4707 that no notice of
appeal of said decision has been filed with me, or, if such appeal has been filed it has been
dismissed or denied. All appeals have been exhausted.
^', s fl
Y, •,.. " ' ,. .;iii, ►r
'.� IM
t
t H .�
.'•i. t7;Philip$: Gaudet,III
Town Clerk
BARNSTABLE REGISTRY OF DEEDS
John F. Meade, Register
1
/ T
Building Code Narrative/ Scope of Work
For Palma Dental:
1121 Route 28 South Yarmout, MA 02664
7/30/2018
Prepared by:
Mark Schryver Architect
370 Goss Lane
Lancaster,MA 01523
Te1.978-844-4708
Email: mschryver@yahoo.com
Building Description: The existing building located at 1121 Route 28 is approximately 3,195 existing square feet
and is TYPE V-B--Unprotected Combustible (Also known as "ordinary wood frame" construction) No fire
resistance for structural frame, floors, ceilings, or roof is existing or required. The building has served continuously
as: 780 CMR 304.1 Business GROUP B per the Mass state building code and intended occupancy shall
also be Group B use. The total above grade building footprint area is approximately 3,195 square feet. There is an
additional approximate area of 752 square feet beneath an existing drive thru roof that is proposed to be finished
and useable as additional business area for a total finished square footage of 3,947 square feet. The building is
currently not occupied and generally in serviceable condition,interior finishes shall be updated per the Permit plans.
Building Elements and Description;
Site and accessibility: the building has an accessible route from parking to the front door with a ramp. All
elements of site to building are in serviceable condition.
Exterior envelope:
Exterior is constructed of wood frame with wood clapboard siding,windows are dual pane windows. The wood is
in good serviceable condition with no deterioration or apparent conditions in need of repair.
Roof: Sloped Asphalt roof and skylights appears to be in serviceable condition with no visible or active leaks.
Interior Conditions:
The majority of interior partitions shall remain, a handful of partitions are removed and some new partitions added
per Architectural plans.
Handicap code:
Existing handicap access to main floor meets the first requirement of Massachusetts accessibility code. Existing
bathrooms are currently accessible.
Emergency exits and egress:
Overall number of exits and locations comply with current code. There are two existing exits which will remain,
one is required by code per the square footage and occupancy count.
Life Safety: The building is equipped through with a detection and alarm system complete with a main alarm
panel, manual pull stations and notifications system at all building exits. building is not equipped with an automatic
sprinkler, the building doen not exceed the 7,500 s.f. threshold for requiring a system under the current building
code.
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Interior Finishes:
The building is slab on grade concrete with vinyl and carpet finishes, new vinyl and carpet shall be installed.
Mechanical, Electrical and Plumbing:
Exisitng electrical service, Plumbing and water as well as Mechanical heating and cooling systems shall remain and
be extended to accommodate the additional 752 square feet of finished area.
The following is an outline of the Chapter 34 Massachusetts state building code which will have to be
followed to make any renovations or modifications. The 2015 IEBC code shall be used to determine the
level of alterations and the associated impact. If building finishes, windows, HVAC systems are modified
or replaced and no significant alteration to the interior environment will occur, Level 2 alterations section
shall apply.
Section 34 Building Code Provisions: MGL 780 CMR Chapter 34 Repair Alteration Addition & Change
of Use of Existing Buildings will be the tool used to assess and quantify proposed work with the building
department as use plans are finalized for the building. Applicable portions of the referenced Chapter 34 have been
reviewed and found to be compliant with respect to number and capacity of exits; Exit signs and lights; Means of
egress lighting; Height and area limitations; fire notification systems;Accessibility for persons with disabilities.
Scope of Renovation Work: Two existing offices are being combined into one office. Work stations are being
installed in open area of plan. A new break room is being carved out of the large front room facing Route 28. The
remaining front room shall have work counters installed. The area beneath the existing drive thru roof is being
enclosed and will have two work rooms entering the main open area of the building. These work rooms shall have
work stations and be outfitted with fire detection and notification devices.
Occupancy Loading: Based on the B use for the building,occupancy is at 15 people.
Egress Components: Egress components currently support the occupant capacity of the building.
Existing egress paths unaffected by proposed work and shall remain in place. The proposed Occupancy
Loads is 15 occupants with two existing exits to remain.
Exit Signs & Lights: EXIT signs and emergency are existing,additional emergency lighting as required.
Interior Environment: The provisions of Comm. of Mass 780 CMR Chapter 12 will be reviewed and compliance
determined.
Fire Notification System: Existing building system in place,contractor to make sure it is in full compliance.
Fire Protection Laws & Regulations: MGL Chapter 148 Fire Protection Laws and Chapter 527 CMR Fire
Prevention Regulations Currently the building is not equipped with a sprinkler system and is below the square
fottage triggering sprinklers.
Plumbing Code Compliance; Overall the building shall be compliant with the requirements of the Comm. of
Mass 248 CMR Fuel& Gas Plumbing Code based on the fixtures provided.
Site Accessibility Compliance: The existing site was visited and reviewed for parking compliance and fire vehicle
access. There is a fire lane around the building providing access to the building perimeter. The parking layout shall
be made compliant with handicapped accessible spaces.
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Building Accessibility Compliance: The existing space shall be made to meet the requirements of the Comm. of
Mass 521 CMR Architectural Access Board Code based on this review. Lever handles shall be provided on all
doors. Accessible entrances and egresses are available in sufficient quantity. Accessible toilets are included in the
renovation.
Energy Code Compliance: Any new HVAC gas heat, electric air conditioning, HVAC shall meet or exceed
Energy Code SEER ratings.
New Wall Construction: New walls shall be 2x4 interior wood studs and 2x6 exterior stud at 16" centers. No fire
rating shall be required, fire blocking shall be installed at the top of all walls.
Interior Finish Flammability Compliance: New interior wall fmshes are painted gypsum board; vinyl base and
carpeted or vinyl composition tile floors. New gypsum ceilings shall be installed in the renovated area.All shall meet
or exceed required flame spread and smoke contributed ratings.
Conclusions: This review finds that the proposed renovations to the existing facility are consistent with the
existing building conditions and with a minimal amount of building upgrades as noted herein is an excellent
adaptive use that enhances the existing facility.
) 461(474-N-1/4-
Mark Schryver Architect
Initial Construction Control Document
1 *Ili if To be submitted with the building permit application by a
Registered Design Professional
for work per the 9th edition of the
irimi•ek: 4 i
Massachusetts State Building Code, 780 CMR, Section 107
Project Title: Building Renovation: Palma Dental Laboratory Building Modifications Date:July 26,2018
Property Address: Palma Dental Laboratory 1121 route 28 South Yarmouth, MA 02664
Project: Check(x)one or both as applicable: X New construction Existing Construction
Project description:New one story 752 square foot addition and interior mofications.
I Mark Schryver MA Registration Number:31155 Expiration date: 8/31/18 ,am a registered design professional, and I have
prepared or directly supervised the preparation of all design plans,computations and specifications concerning':
X Architectural Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications
meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the
proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on
the construction site on a regular and periodic basis to:
1. Review, for conformance to this code and the design concept,shop drawings, samples and other submittals by the contractor
in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of
the work and to determine if the work is being performed in a manner consistent with the approved construction documents
and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form
acceptable to the building official.
Upon completion of the work, I shall submit to the building official a`Final Construction Control Document'.
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Enter in the space to the right a"wet"or electronic signature and seal:
Phone number: 978 844-4708 Email: mschryver@yahoo.com
Building Official Use Only
. Building Official Name: Permit No.: Date:
Version 06_11_2013