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HomeMy WebLinkAboutBLD-22-004817 COO 3/11/2Z, TOWN OF YARMOUTH Building Department CERTIFICATE O (508) 398-2231 ext.1261 OCCUPANCY PERMIT NO BLD-22-004817 ADDRESS: 477 Route 6A Yarmouthport ZONING DISTRICT Bldg. Type: Commerical SUBDIVISION MAP BLOCK 19.20.1 Use & Occupancy-Professional Service-Medical Office CERTIFICATE OF INSPEC ION DATE: 3//) 22 BUILDING OFFICIAL. Neal Hannon 28020 Cavedish CT 5204 Bonita Springs, FL 34135 PHONE -IIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR ERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JRISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF JBLIC WORKS. CERTIFICATE OF OCCUPANCY BUILDING INSPECTIONS APPROVALS L / ' 3" ' Se FIRE: DATE: -3 - LCS - 12- OTHER DATE: ELECTRICAL BOARD OF HEALTH DATE: ( 7/5/ DATE: j //0 INSPECTOR: INSPECTOR: PLUMBING/GAS FINAL BUILDING DATE: f id l 'zZ DATE: iJ —/C 2 2 / INSPECTOR.. INSPECTOR: •, /" z COMMUNITY DEVELOPMENT: DATE NAME DocuSign Envelope ID:05CC191E-D552-4F0B-AF15-562D5414E8E5 R E G I v E D F 2 8 �022 I Town of Yar . 9 ' *Sty it.. Department 1146 Route 28, South Yar;.' . 4'* , -}� : itAtel. 508-398-2 - - _� Use and g`�� = "t M' 1 t t�• pplication 1...C4 " HATTAC ESE ', In accordance with the provisions on-/k :e p' s State Building Code, section 105.1 Application for a certifica''="+"use and occupancy permit 50 5aW-9 ----1?) Name of Business SOUTHSHORE TMS,LLC Phone # 508-264-9871 Type of Business PROFESSIONAL SERVICES: MEDICAL OFFICE Email JHSCHWARTZMD@GMAIL.COM Property Address 477 MAIN ST.,YARMOUTHPORT,MA02675 Unit# 3A *Square Footage to be occupied 810 SQ.FT *attach floor plan Fee: $60 The applicant is required to obtain approval sign-offs from the following departments as checked off below: X Health Department — 508-398-2231 ext. 1241 X Fire Department— Fire Prevention, 96 Old Main Street, 508-398-2212 Other c DocuSigned by: X \ 2lnnAF Q2F A75 1P qj Building owners Signature t/ /V/1'Applica Sign e Please note: this permit is for use and occupancy only. Any work requiring a building permit will require a licensed contractor to submit an additional application with all the required information based on the scope of the project. **Off ice use only** Zoning District ( / Proposed Use Change of Use: Yes K. No__ Allowed Use: Yes) No APD Waiver: Yes No-,C N/A ii --/--zz Buildin Officials Signature Date Updated 3/21 EXHIBIT A I US-5 FUS 23 2 6 BAS FUS 14 46 UBM BAS FBM 16 16 14 38 14 34 20 18 60 23 UNION STREET ENTRANCE .S -'' oty TOWN OF YARMOUTH ,! , HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant. Building Site Location: I r !Y`jot‘In e5 j/1 i 4- 3/1 WO(411.1 ��v'J- C9 2rto Proposed Improvement: US> ©Cc__ dlh le✓/Jf T• M•3 • ,5 0Uf kif hare. T.M "1VI •5 c T`kty� �- -}`ilr t-Iwo Q vess , v� �. �� . 401v ref{SSI ov l ' 4iiA I _sCvVIc45 Applicant: TO Mit+kaj i V AV tZ- Tel. No.'OK'a ri Address: co iJ. yvA` ' J Jr,tAf 136.04-Fd v L 1 Date Filed: .19 J e p **If you would like e-mail notification of sign off please provide e-mail address: Owner Name: fail lj15 1.1, o f'C • Owner Address: S Amt.- 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. (kr . REVIEWED BY: DATE: / &/ �• PLEASE NOTE COMMENTS/CONDITIONS: I t MGL AND FIRE ya ►flUiy TOWN OF YARMOUTH REVIEWED FOR CODE COMPLIANCE. ,. i ERRORS OR OMMISSIONS DO NOT RELIEVE "t\ iigb THE APPLICANT FROM THE RESPONSIBILITY OF"AS BUILT" COMPLIANCE. DATE: _`L-. •zz INSPECTOR YARMOUTH FIRE PREVENTION New Business Transmittal Project Name: Southshore TMS,LLC Address: 477 Rt. 6A Contact Name: Sally Goodman Phone: 508-264-9870 Y N NA Subject Regulation ES 0 X Building Numbers MGL Chapter 148;sec 59 X Fire Lanes 527 CMR 1;22.3 X Extinguishers 527 CMR 1; 13.6,Chapter 148;sec 28 X Maintence of any equipment,system relating to 527CMR1 1.1.4 Fire Protection. X *Hazardous Materials Storage 527 CMR 1;60.1 X Emergency Plan Required 527CMR1 10.9.1 X Commercial cooking,Hood systems 527CMR1 50.2.1.1 X Commercial Cooking Hood Systems Cleaning 527CMR1 50.5.4 X *Commercial Cooking Extinguishment System 527CMR1 50.4.3 X *Candles,open flames,and portable cooking 527CMR1 17.3.2,20.1.1.1 X Blocking electrical panel 527CMR1 10.19.5.1 X Blocking exits 527CMR1 14.4.1 Extension cords shall not be used as a 527CMR1 11.1.7.6, 11.1.7.1 X substitute to permanent wiring X Limit storage heights to 24 inches below 527CMR1 ceiling without sprinklers 18 inches with X Maintain Aisle width of 36 Inch's(3 Feet) 780CMR 1101.1 X Storage inside/outside Buildings 527 CMR 1; 10.19.4,4.4.3.1.1,19.1.2,34.1.1 X The right to inspect MGL Chapter 148 Sec.4 X *Upholstery 527 CMR 1;20.6.2.5 X *Trash Containers 527 CMR 1; 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 Description of planned project/other requirements: Small medical office. The YFD support the application, subject to applicable submissions,permits and inspections. A Permit from YFD is required any time a fire protection system is shut down. * YFD permit required-depending on occupancy and submittal Plan Reviewed By: Captain Kevin Huck Date: 02/28/2022 Copy for Applicant 0 Copy to Building Department Copy to Fire Prevention Entered in Firehouse n Final Inspection EXHIBIT A USZ1 FUS 23 2 6 BAS FUS 14 46 UBM BAS FBM 16 16 14 38 2 14 41- 34 20 18 60 23 1 UNION STREET Li 7 7 ENTRANCE in,T 3 4. FEB 2 8 2022 HEALTH DEPT.