HomeMy WebLinkAboutBld-21-007103 Fallon, Rosa
RECEIVED
From: Cynthia Alexander <alexandercc100@gmail.com>
Sent: Sunday, January 1, 2023 10:48 AM JAN 04 2023
To: Fallon, Rosa BUILDING DEPARTMENT
Subject: Re: 923 RTE 6A By:
Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are
sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.
Otherwise delete this email.
Hello Rosa,
Please withdraw the Use & Occupancy permit, BID-21-007103. I vacated this space several
months ago.
Happy New Year!
Cynthia Alexander
On Fri, Dec 30, 2022 at 9:54 AM Fallon, Rosa<rfallon@yarmouth.ma.us>wrote:
Hello Cynthia
I will need an email asking to have the Use&Occupancy permit to be withdrawn, Bld-21-007103. Thank you and happy
new year.
Rosa M. Fallon
Principal Office Assistant
Building Department
''4, THE COMMONWEALTH OF MASSACHUSETTS
Atiti,s, TOWN OF YARMOUTH
BUSINESS CERTIFICATE
Date Filed: July 1,2019 Certificate Type: New
Expiration Date: June 30,2023 Certificate Fee: $30.00
Certificate Number: 2019-126 Original Filing Date: 7/1/2019
In conformity with the provisions of Chapter One Hundred Ten(110),Section Five(5)of the Massachusetts General
Laws,as amended,the undersigned hereby declare(s)that a business is conducted under the title of:
Business Title: Lisa J. Perkins Psychotherapy
Business Address: 411 Route 6A,Building 5,Upper Floor,Unit C
Yarmouth Port,MA 02675
Business Type: Counseling
Business Owner(s): Owner(s)Address:
Lisa 1 Perkins 5 Greeneedle Lane,Dennis Port,MA 02639
SS/Tax ID#: 032-62- 80
Signatures / �.G[-
In Accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110,Section 5,of Mass General
Laws,business certificates shall be in effect for four(4)years from the date of issue and shall be renewed each four(4)
years thereafter. A statement under oath must be filed with the town clerk upon discontinuing,retiring,or
withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished
on request during regular business hours to any person who has purchased goods or services from such business.
Violations are subject to a fine of not more than three hundred($300.00)and no/100 dollars for each month during
which such violation continues.
On July 1,2019 the above named person(s)personally appeared before me and made an
oath that the foregoing statement is true.
Stephanie a pello
Notary Public
Clerk: Marcia Witherell Commission
Expiration Date: November 12,2021
f �� ,,\ BUILDING DEPARTMENT
/fi›... °F 1146 Route_8,South Yarmouth,MA 02664 JUN 2019
EOl '.. � c 5.Siese-;9$'-223 4 ell:. i.2..6 i Fax SO -98-08;6
mil\+.-...crst-A::� __:i1,4c i.,i-i-i{i iO E.iJ i }
_ ZONING DETERM NATIO ti FOR BUSINESS CERTIFICATE APPLICATION .
_ The purpose of this form is to determine whether your business complies with the Town of ti'armouth
Zoning Bylaw. The applicant shall complete the top section of this form and file it with the Building
Dtpa-rtmA!"'c/z`�loacCi Gl-Heal: .:_ ..._ __.___.._ • ______. _ • . ._._____. _____ :..______.___ .__.....
Once the Builditi2 Department/Board of Health has made a cletermiriatina,it will be forwarded to the
Town n Clerk.
The Building Department will render a determination based on the following factors:(a)The ar;,r.'nesa b.s'c,
4 - bi ilea. Allowed uses are based i Zoning a h.
l2fi�l.7 6:�(b)The zoning.��_Scr: t'1 which the business is to be ;1C -� ,,•�
Table 2;72.5 and(r)`rEvioas or new zoning reli j ro i the Zoning. Board v/f. +penis
Date ,1/n/�3.Oj _Applicant's contact number 7/I/-.34,9--5-7/5---
Rashness A ddress 41 i 714.0 IA . Cale gi4> a Qrro &-z v/-� ,uu 4
bi f i [lin 4— Orr-fir,y,..,., viii-i
Name of Applicant J I SA P.�1Gi
DB A r
M2ilin g Address
D•escnpi.ori of Business Activity £ 'A 5e 1 d
fLed/4.. i�DRe .ss Lisa;f P,r4ivl_S 5- 11 i J eZUrt___........_.._
The applicant acknowledges that a det? _ilination will be made by the Milding Department based on the
information provided on this date and any changes in the business use and/or acti'rir• `. ill require
additional approval. Failure to do so may result in the revocation of the Business Certificate author
appropriate Zoning Enforcement,should it be d�,;.-,-wined that the chanves are non-compliant.
i____e____?,"---
/' �GfitS-/.i Date 4:i/Db/e/
ti€.T;D 'CfdE .LTB. DEPARTMENT DETERMINATION
(office use o ly)
Approved /
Comments z.'�ci2 c j ,'t! -
a(if i2 S c4 '1` o cc../i cy e/4/,T__
Disapproved
Reason for Disapproval
Building 's h // ,/F
O iicial
signature _Date /
AND FIRE
TOWN OF YARMOUTH
204 REVIEWED FOR CODE COMPLIANCE.
,;..: 1kt)
ERRORS OR OMMISSIONS DO NOT RELIEVE
41011 THE APPLICANT FROM THE RESPONSIBIL+TY
OF"AS BUILT"QOMPLIANCE.
DATE:.a___(.: ! -.....
C 14 K. , K. __C__. _.._ .
YARMOUTH FIRE PREVENTION INSPECTOR
New Business Transmittal
Project Name: Lisa J.Perkins Psychotherapy Address: 411 Route 6 A
Contact Name: Lisa Perkins Phone: 774-212-5715
IY N NA Subject Regulation
ES 0
Building Numbers MGL Chapter 148;sec 59
Fire es 527 CMR I;22.3
ExtinguishersLan 527 CMR 1; 13.6,Chapter 148;sec 28
IMaintence of any equipment,system relating to 527CMR1 1.1.4
Fire Protection.
*Hazardous Materials Storage 527 CMR 1;60.1
Emergency Plan Required 527CMRl 10.9.1
Commercial cooking,Hood systems 527CMR1 50.2.1.1
Commercial Cooking Hood Systems Cleaning 527CMRl 50.5.4
*Commercial Cooking Extinguishment System 527CMRl 50.4.3
xX
*Candles,open flames,and portable cooking 527CMRl 17.3.2,20.1.1.1
Blocking electrical panel 527CMR1 10.19.5.1
Blocking exits 527CMR1 14.4.1
Extension cords shall not be used as a 527CMR1 11.1.7.6, 11.1.7.1
substitute to permanent wiring
Limit storage heights to 24 inches below 527CMRl
ceiling without sprinklers 18 inches with
Maintain Aisle width of 36 Inch's(3 Feet) 780CMR 1101.1
Storage inside/outside Buildings 527 CMR 1; 10.19.4,4.4.3.1.1,19.1.2,34.1.1
U.
The right to inspect MGL Chapter 148 Sec.4
*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:
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: 07-01-2019
Copy for Applicant I 1 Copy to Building Department I 1 Copy to Fire Prevention I 1
Entered in Firehouse I I Final Inspection I I
•t "._- 7/ //
0.1.•YR TOWN OF YARMOUTH Building Department BUILDING
ilr.0 (508)398-2231 ext.1261
` PERMIT
PERMIT NO BLD-20-000189
N - -"'t ' JOB WEATHER CARD
16."t `" ISSUE DATE 07/18/2019
APPLICANT Lisa Perkins PERMIT TO
AT(LOCATION) 411 ROUTE 6A,YARMOUTH PORT,MA 02675 ZONING DISTRICT Bldg.Type Commercial
SUBDIVISION MAP BLOCK LOT 123.134 BUILDING IS TO BE CONST TYPE USE GROUP
REMARKS Use&Occupancy-Unit C upper floor-Psychotherapy-occupancy subject CONTRACTOR
to all final inspections(774-212-5715) LICENSE
AREA(SQ FT) 2,751,336.72 EST COST($) 0.00 PERMIT FEE($) 60.00
OWNER FOUR ELEVEN MAIN LLC
BUILDING DEPT BY
ADDRESS ,632 HIGH ST
DEDHAM MA 02026 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. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM
THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS,
MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE
CONSTRUCTION WORK: 1)FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL SEPARATE PERMITS ARE
FOOTINGS.2)PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE. REQUIRED FOR ELECTRICAL
MEMBERS(READY FOR LATH OR FINISH WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBING/GAS AND
COVERING)3)FINAL INSPECTION BEFORE REQUIRED,SUCH BUILDING SHALL NOT BE MECHANICAL INSTALLATIONS
OCCUPANCY 4)REFER TO DETAILED INSPECTION D UNTIL FINAL INSPECTION HAS
BEEN MA
SCHEDULE BEEN MADE.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTIONS APPROVALS
:z i 4,, v y�zz j/,�,. ' f 4',L a/c/4
- 'r..c7' /c7-
OTHER:
WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD
UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WITHIN CAN BE ARRANGED FOR BY TELEPHONE
APPROVED THE VARIOUS SIX MONTHS OF DATE THE PERMIT IS ISSUED AS OR WRITTEN NOTIFICATION.
STAGES OF CONSTRUCTION NOTED ABOVE.
.,,,,. ill
C>r-C> y'. '
jz ^
y. _ te.r _„y C.t
}� 70m C(.... N(a)vl •• J
' CC 1 C) rj
�..Zr v,u O
g to ua f9
c 9 6 t;_
fin-- - L c_r t�'I= I i
....)tip �
J \ 'a
o.,_ ,
^ c. .. fY V�i.)
7-- __,\._. ..,—c,,,r,...,,..?
P 'i!1 UJ LI'
cti a.C3 'i'
C..J'
(..) ,--...)
v
.p
Lt mow r/
sn ,t
( ‹ — a ► ` 4
t
TOWN OF YARMOUTH Building Department CERTIFICATE OF
(508) 398-2231 ext.1261 OCCUPANCY
PERMIT NO BLD-21-007103
Cynthia L. Alexander
ADDRESS: 923 RTE 6A Yarmouthport, Ma 02675 ZONING DISTRICT R-40 Bldg. Type: Commercial
SUBDIVISION MAP BLOCK LOT 128.16.1 e)
1
REMARKS USE & OCUPANCY-Solution-Based Counseling Services ��
V
CERTIFICATE OF INSPECTION 6*)BUILDING OFFICIAL: (;)
-\}\Vv\ \ \
Chapter Two LLC
C/O Ivana Liebert
P.O. Box 206 _ 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
FIRE:
DATE: OTHER
DATE:
ELECTRICAL BOARD OF HEALTH
DATE: DATE: 6-
INSPECTOR: INSPECTOR: 1.7's- ""t
PLUMBING/GAS FINAL BUILDING
DATE: DATE:
INSPECTOR: INSPECTOR:
COMMUNITY DEVELOPMENT: DATE NAME
PT*,> L!< rLutGI
Town of Yarmouth Building Department
1146 Route 28, South Yarmouth, MA 02664 tel. 508-398-2231 ext.1261
Use and Occupancy Permit Application
In accordance with the provisions of the Massachusetts State Building Code, section 105.1
Application for a certificate of use and occupancy permit
Name of Business,3OJLA n- eri �jr)Seh V'a hone # 737 -
Type of Business Co L'r)SCiI I)rGGi7 GlcXonder-cc Joy
nCJ j � Email cJrvto,-/• ton(
Property Addressg013 Ir1( Iln Sf Rk/fl /GrmoVJpbkt 14A Unit # /UflifIWr'
6)4,75
*Square Footage to be occupied *attach floor plan Fee: $60
L3U -21--0:57(0,3
The applicant is required to obtain approval sign-offs from the following departments as
checked off below: R Fr7, F1VFD
X Health Department —508-398-2231 ext. 1241 r SUN 03 2g21
icic X Fire Department— Fire Prevention, 96 Old Main Street, 508-398 22'12
Other
( 9r -w o L L
G GatOidc
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 <l Proposed Use Change of Use: Yes No
Allowed Use: Yes APD Waiver: Yes No,' N/A
"/".
uil ng Officials Signatu Date
Updated 3/21
0 CC lope,
_ MGL AND FIRE
• yRMOUTt TOWN OF YARMOUTH
REVIEWED FOR CODE COMPLIANCE.
ERRORS OR OMMISSIONS DO NOT RELIEVE
THE APPLICANT FROM THE RESPONSIBILITY
OF "AS BUILT" COMPLIANCE.
b DATE: o-1-Zt
INSPECTOR
YARMOUTH FIRE PREVENTION
New Business Transmittal
Project Name: Solution Based Counseling Services Address: 923 RT. 6A
Contact Name: Cynthia Alexander Phone: 508-737-1145
IY 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: Office for Counseling Services
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.
Fire Extinguishers inspected and tagged. Exit plans for rooms.
* YFD permit required-depending on occupancy and submittal
Plan Reviewed By: Captain Kevin Huck Date: 06-03-2021
Copy for Applicant 0 Copy to Building Department Copy to Fire Prevention
Entered in Firehouse (—I Final Inspection
office
office r office
u
13 \\,/ 10 office 1 office II
u
storage7 c 3 \ 3 \ N, \--
u 2 II
\4
V ./
11 C ,
AN +. \ .. office
16 g
ac
5 3 II
office foyer
office office
office office
L_____c_
U n it "AA"
❑ ❑ ❑ ❑
/
923 Rt 6A • Yarmouth Port • MA
Asbuilt Plan Building 5 Unit AA"
March 23, 2010 scale 1/8"=1' drawn by: jnb
r
M
M
TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
Orcrt A A
To he completed by Applicant:
A
Building Site Location:W Noin r to nriuo
Proposed Improvement:0V oryi eccupancy — dainsefing
proc747'e_f___
Applicafinyho A-ex andeA--- Tel. No. 41S—
(OS &ND c)
Address. / anac GI) 1 )brincuY--1-) , Date Filed.64/03)c;PA
**lfyou would like e-mail notification of sign off please provide e-mail address:aleNnjerrC 00C Dal I,
Owner Name:0 IVPer U..1.) elt I VCM Liei
Gorki
Owner Address: 130( 40(p yarn/1004-A Po Owner Tel. No.:
frig 6:2607.3
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:
PLEASE NOTE
COMMENTS/CONDITIONS:
RECEIVED
JUN Ol 2021
BUILDING DEPARTMENT
By