HomeMy WebLinkAboutBLD-22-005557 COO UNIT 3 TOWN OF YARMOUTH Building Department CERTIFICATE OF
(508) 398-2231 ext.1261 OCCUPANCY
PERMIT NO BLD-22-005557
ADDRESS :86 Willow St Yarmouthport, Ma 02675 ZONING DISTRICT Bldg. Type: Commercial
SUBDIVISION MAP BLOCK 031.45
USE & OCCUPANCY-Cape Abilities Unit 3 --
CERTIFICATE OF INSPECT!
DATE: -//7/ZL BUILDING OFFICIAL: G
Eighty-Six Willow St LLC
866 Willow St Unit 6
Yarmouthport, Ma 02675 PHONE
• THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE
APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS.
CERTIFICATE OF OCCUPANCY
BUILDING INSPECTIONS APPROVALS
FIRE: L-1
DATE: S S Z Z i OTHER
DATE:
ELECTRICAL BOARD OF HEALTH
DATE: DATE:
INSPECTOR: INSPECTOR:
PLUMBING/GAS FINAL BUILDING
DATE: 5/`7 7 Z Z DATE:
INSPECTOR: INSPECTOR:
COMMUNITY DEVELOPMENT: DATE NAME
Town of Yarmouth Building Department [4-10A203
PARTMENT
1146 Route 28, South Yarmouth,-MA 02664 tel. 508-398-22 13eX : i` _--
_. BY --� 0
Use and Occupancy Permit Application
In accordance with the provisions of the Massachusetts State Building Code, section 105.1
Application for acertificlate of use and occupancy permit
n
Name of Business ( d:, 2 ( b: l i fc.' ny
Property Address Ob I <1()W Unit# / -20
Type of Business f)cvvv`r\ oS`) (.2e S
*Square Footage to be occupied *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—508-398-2233. ext. 1241
X Fire Department—Fire Prevention, 96 Old Main Street, 508-398-2212
Other
• 1
Building owners Signature Applicant Signature
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.
**Office use only**
Zoning District 3 Proposed Use Change of Use:Yes_ No�
Allowed Use:Yes No_ APD Waiver:Yes N N/A
B di Officials Signatu e Date
NOTICE 111 alwar NOTICE
TO
TO
EMPLOYEES ��' EMPLOYEES t
dr
•
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
LAFAYETTE CITY CENTER,2 AVENUE DE LAFAYETTE, BOSTON, MA02111
(617) 727-4900 - www.mass.govldia
As required by Massachusetts General Law, Chapter 152, Sections 21, 22 &30,this will give you notice that
I (we) have provided for payment to our injured employees under the above mentioned chapter by
insuring with:
THE TRAVELERS INSURANCE COMPANIES
NAME OF INSURANCE COMPANY
P.O. BOX 4614
BUFFALO, NY 14240-4614
ADDRESS OF INSURANCE COMPANY
(7PJUB-0138M47-4-21) 08-04-21 TO 08-04-22
POLICY NUMBER EFFECTIVE DATES
. ROGERS & GRAY CO 434 ROUTE 134 F1
Jill
SOUTH DENNIS MA 02660
NAME OF INSURANCE AGENT ADDRESS PHONE#
.EN CAPE ABILITIES INC COCHRAN CENTER
425 MASSASOIT ROAD
EASTHAM
MA 02642
.'U EMPLOYER ADDRESS
. I _ , n / (
EMPLOYER'S WORKERS COMPENSATION � � Q �Q1�
OFFICER (IF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of
employment to furnish adequate and reasonable hospital and medical services in accordance with the
provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the
injured employee. The employee may select his or her own physician. The reasonable cost of the services
provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably
connected to the work related injury. In cases requiring hospital attention, employees are hereby notified
that the insurer has arranged for such attention at the
Crlod 4r/911,---e G.27 dgj
AM E`O HOSPITAL
ADDRESS OC lr,io
018866 W20P1G15 TO BE POSTED BY EMPLOYER
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BATHROOMS EGRESS STAIRS
t.)N- � TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: 6 �(�/�Gc.�/ S��—�-e Sv l Le- 3
Proposed Improvement: - a 0 w GrF
Applicant: C. 4/5/i/4 ! S Tel. No.: Tt& 7 78 rc4o
Address: /'"'` y i2. PciQ`4 4i S Date Filed: 3—3c'2 2
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: SCR.- Cc Q- 1
Owner Address: Owner Tel. No.: 6 / 7--„2b'3-- ` 6 G
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.
AY"
REVIEWED BY: i/ DATE: 3 /3,4)-2—
PLEASE NOTE
COMMENTS/CONDITIONS:
MGL AND FIRE
.10400-41
TOWN OF YARMOUTH
REVIEWED FOR CODE COMPLIANCE.
O 2022 ERRORS OR OMMISSIONS DO NOT RELIEVE
MAR 3 '"��l , THE APPLICANT FROM THE RESPONSIBILITY
\ ice/r OF AS BUILT" COMPLIANCE.
BUILDING vENgRTMENT DATE: 3 30" Z
BY C h-?1 . Ilueic 4.
INSPECTOR
YARMOUTH FIRE PREVENTION
New Business Transmittal
Project Name: Capabilities Admin. Office Address: 86 Willow St. #3
Contact Name: David Santos Phone: 774-487-4527
Y N NA Subject Regulation
ES 0
X Building Numbers MGL Chapter 148;sec 59
X Fire Lanes 527 CMR 1; 18.2.1
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;60.1,20.15.4
X Emergency Plan Required 527CMR1 10.8.1
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 10.10.2,20.1.5.2.4
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 11.1.5.6,
X substitute to permanent wiring
X Limit storage heights to 24 inches below 527CMR1 10.18.3
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; 10.18.1,4.4.3.1.1,19.1.2,34.1.1
X The right to inspect MGL Chapter 148 Sec.4
X *Upholstery 527 CMR 1;20.1.2
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: Change of Ownership of Inn,
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.
All existing fire protection systems to inspected and upgraded as needed. Monitored CO
detectors, Smoke detectors/fire alarms.
* YFD permit required-depending on occupancy and submittal
Plan Reviewed By: Captain Huck Date: March 30, 2022
Copy for Applicant 0 Copy to Building Department II Copy to Fire Prevention
Entered in Firehouse I—I Final Inspection