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HomeMy WebLinkAboutBld-19-004690 c+ -'�`�k . TOWN OF YARMOUTH Building Department CERTIFICATE OF • ,� _ •. ' (508) 398-2231 ext.1261 OCCUPANCY •0, . ,. + ' �1y PERMIT NO BLD-19-004690 '.y,�l ..Ti [C tCWS �, o Fa.../Ili!% f Doug Langtry ADDRESS: 1200 Route 28, South Yarmouth, MA 02664 ZONING DISTRICT Bldg. Type: Commercial SUBDIVISION MAP BLOCK LOT 60.5 BUILDING IS TO BE Const. Type REMARKS Use & Occupancy— Plumbing/Heating Office—Occupancy subject to all final inspections. DATE: /2/30/ CERTIFICBUILATEDING OF OFFICIALINSPECTI. N LAMONICA DEBORA A TR BUILDING DEPT BY Lamonica Realty Tr Centerville, MA PHONE iuS PERMIT CONVEYS NO RIGHT TO OCCUPOY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR ERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIF CALLY 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: OTHER DATE: /3// i DATE: INSPECTOR: SC - Si7 INSPECTOR: ELECTRICAL BOARD OF HEALTH DATE: 7i*3 1 7 DATE: i l 3 (I7 INSPECTOR: I .'1G- INSPECTOR: V Cr'l PLUMBING/GAS i FINAL BUILDING DATE: / 7 DATE: INSPECTOR: /_A l4" INSPECTOR: /�� COMMUNITY DEVELOPMENT: DATE NAME K +' p__.� ga il,2'S`l .Y' ,tt TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.1261 I . .. ., d PERMIT q , y PERMIT NO BLD-19-004690 R`TTu'air�s ,-°�l ISSUE DATE 02/25/2019 JOB WEATHER CARD - APPLICANT Doug Langtry PERMIT TO AT(LOCATION) 1200 ROUTE 28, SOUTH YARMOUTH, MA 02664 ZONING DISTRICT B2 Bldg. Type: Commercial SUBDIVISION MAP BLOCK LOT 060.5 BUILDING IS TO BE: CONST TYPE USE GROUP REMARKS Use&Occupancy-Plumbing/Heating Office-occupancy subject to all final CONTRACTOR inspections(774-470-1350) LICENSE AREA(SQ FT) 721,048,680. EST COST($) 0.00 PERMIT FEE($) 60.00 OWNER LAMONICA DEBORA A TR BUILDING DEPT BY ADDRESS LAMONICA REALTY TRUST, 76 REGATTA DR CENTERVILLE MA 02632 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 MINIMUM INSPECTIONS REQUIRED FOR ALL APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE CONSTRUCTION WORK: 1)FOUNDATIONS OR JOB AND THIS CARD KEPT POSTED UNTIL PERMITS ARE REQUIRED FOR FOOTINGS. 2) PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE.WHERE ELECTRICAL PLUMBING/GAS MEMBERS (READY FOR LATH OR FINISH COVERING) A CERTIFICATE OF OCCUPANCY IS AND MECHANICAL 3)FINAL INSPECTION BEFORE OCCUPANCY 4) REQUIRED,SUCH BUILDING SHALL NOT BE INSTALLATIONS. REFER TO DETAILED INSPECTION SCHEDULE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTIONS APPROVALS x2t dad,., CIC jflk / 14:1 AL",/ F v 1,7/ " 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 SIX CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION. STAGES OF CONSTRUCTION ARMVF • • of•Y. 1 BUILDING PERMIT APPLICATION 2� O APPUCATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE,OCCUPANCY OF. ,i,�, r OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING. �. '" ~Ty Town of Yarmouth Building Department .v.TT.C., t•..• 'ap' 1146 Route 28 • Yarmouth, MA 0266-1--1492 Tel: 508-398-2231 ext. 1261 Fax 508-398-0836 Office Use Only ml y Planning Board Information Assessors Department Informatio r Permit ND,R0,U 9- ( Plan Type /Map Lot Permit Fee $ /,,D Endorsement Date k) /— S V Recording On New Deposit Rec'd. $/_ 0 Date plan No 1.4 Property Dimensions 1 Net Due $C7� Other lot Area(sf) Frontage(ft) Lot Coverage . - This Section for Office Use On . Building Permit Number: Date issued: Signature: • /9y , . Certificate of Occupancy Official Data is Is not required Section 1 -Site nforrnation_ 1.1 Property Address: 1.2 Zoning Information: / lZOO 1'out- Z 8" - ✓ ICJ-p4 Y4'e 4 Ott / i14 Off%' Zoning District Proposed Use 1.3 Building setbacks(ft) ' Front Yard Side Yards Rear Yard Required Provided Required Provided • Required Provided 1.4 Stator Supply(1A.G.R..c.40.S 54) 1.5 Rood Zone Informaftotx Commoner Public Private Zorn BFE: Section 2-Property Ownership/Authorized Agent . 2.1 Owner of Record: A c_ ICA- /Name t) Mailing Address: _ Sign tuts = Telephone Telephone - Email Add SS: ' 2.2 Authorized Agent • .UoUU LAoL71 _ Zg .\ ram° ✓ N rant) 74 4// Mating Address: Signature Telephone Fax _ Email Address: j . Section 3-Construction Services -774— 470-i 3S 3.1 Ucensed Construction Supsrvlson Not Applicable 04RECEIVED , . License Number Addressi Ir. FEB 1 3 2019 �, :6 4V _ Expiration Date . Signature 11 Email Address: i — 3.2 Registered Home Improvement Contractor. `* Company Name Not App*cabie 0 ,,. Registration Number Address Expiration Date Signature Telephone Section 4-Workers'Compensation insurance Affidavit(M.G.L c.152 S 25C(5) Workers Compensation insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit win 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 ❑ Name(Registrant): Registration Number Address Expiration Data Signature telephone Section 5.2 Re istered Professional En ineer(s1] Name Area of Responsibility Address Registration Number • Signature Telephone Expiration Date Name Area of Responsibility. Address Registration Number Signature Telephone Expiration Date Name • Area of ResponsibitM . Address Registration Number Signature Telephone - Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Section 5.3 General Contractor 1 Not Applicable ❑ Company Name • Person Responsible for Construction i Address Signature Telephone ' • : Section 6 - Description of Proposed Work(check all applicable) New Construction ❑ (tor multiple family only) No.of Bedrooms (for multiple family only) No.of Bathrooms Existing Bldg. C] Repair(s) 0 Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: ( OCCoPcic.V) • 1../-- (,Uh1gc/t.6 77/NL L Section 7- Use Group and Construction Type1 ,- Building Use Group(Check as applicapable) Construction Type • A ASSEMBLY ❑ ' A-1 -❑ - A-2 ❑ A-3 ❑ .IA ❑ / A-4 ❑ A-S ❑ la ❑ B BUSINESS 2A ❑ E EDUCATIONAL ❑ 2s ❑ F FACTORY ❑ F.1 ❑ . F-2 ❑ 2C ❑ H HIGH HAZARD ❑ 3A ❑ I .INSTITUTIONAL ❑ I.1 ❑ 1-2 ❑ 1.3 ❑ 38 ❑ M MERCHANTILE ❑ 4 ❑ R RESIDENTIAL ❑ R-1 ❑ R-2 ❑ R-3 ❑ SA ❑ S STORAGE ❑ _ 5.1 ❑ 5-2 ❑ - 53 0 U UTILITY ❑ SPECIFY: _ • M MIXED USE [] _ SPECIFY: _ S SPECIAL USE ❑ SPECIFY _ Complete this section if existing building undergoing renovations:additions and/or change hi 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 I Existing(if applicable) Proposed . Number of floors or stories include basement levels Floor Area per Floor(sr) 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 10a OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, i)E O -A (-A- A ON I C A ,as Owner of the subject property, / hereby authorize ssb''II)(— I�AN6-11 (ftCo4 S1 U)CA S) to act on Y my half, in all matters relative to work authorized by this building permit application. tiMAJA4271,40 _ Ignature of Owner Date ..r A n.mn t ` • t . . SECTION 1 Ob OWNER/AUTHORIZED AGENT DECLARATION I, d�I16- '1—A14 ,as Owner/Authorized Agent hereby 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. t 4J6 e • Print Name /5/9 Signature of en ent7 Date Section 11 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be completed try permit applicant 1.Bottling Z(Electrical 3.Plumbing!Gas • 4.Mechanical(HVAC) 5.Fire Protection 6.TotaJ.(1+2+3+4+5) 7.Total Square Fl.Par aim ssumns i.ateo,w Check Below Q Conservation-Commission Filing (if applicable) El Old Kings Highway&Historical Commission approval (if applicable) . • • • • • • i • • • ••••••\:.• •.• . •4,`:." .4.•••0•••::..7„:4V.,,•'7.,;P....4,5.,;:7••.4.•4.4.;•• f.P7,17.• ,•31:•••.•:?•••• ••,,•„7.• 0,47.7.,• •••::• ••••••• ••• ;. .• ; •• • : .41 '•-•• • •-•••.• ••.1.4 • •-• • ••• •••• • -•,•-•..••: • • ,!. '5/.7' Vt• '7,• 7•,••: %A' s.•• • ;3.••..--. • .."•:.;;;•• •1 ••• ••;1 • .:..•••••••••• • .• , . • . :••i•;::.gq••• ' ' '••••"' "-: ' " • •• .51,•;:•,.:• 3.2 Registered Home improvement„contractor:I Company N.M. sm..• :-• • •.., , N Ac,pIcab. 0 •• • ,-; •••„:4.• ' • 4 4 • •• •11•'• kee. AddreS. ••:•, .: •'. '• 7'•`.` •4• `-,•••• .4, ••';;. • • gopfraionDete •"..• ••• • •• • • • . .'"•1? - . •-•;‘' ; Section 4-Woriceisi.Compensation insurance Af5davit e..152 S 25C(6) . , "-WOrkeriContensatian'InsUrinCe affidaH1.mUit be completed and submitted this on Failure - to provide this affidavit will result in the denial of the issuance of the building • • Ji•:•• • ... •,,•• • . • • •••.....••••••tf.4, •: .• • signed Affidavit Attached Yes • • •• ' • . • • Section 5-Professional Design and ConsITuction Services'.for Buildings and Strictures Subiect - ' • - to Construction Control Pursuant to 780 CMR 1116(containing mare than 35.000 mt.of enclosed space) • •. ••••••• Section 5,1 Registered Architect : : •• •.-5 4.1 f4. .. . NotAapecaee Nars(Registran 4 4 . A.• ., .1 • • • Fiegis!rapo7 Minter - -Addreas1,..f.• •.". • . • . •• Iglainekre Cita • f •;4 •••••••'. Signature •'? 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'.:•":::';,•5:o..::•.•••••.?•••:-.- the best of my Knowledge and belief_-.•::::..1-::::',...4..:::.•::".!.;-%: '.'....:;,i'... .......,i:::::::..:%:., . .:: .:::.i..,: ......,..:.,.;.- -..,.. .:,...,....,;• ..-...:.,..,-,i,:,:..:.;::.:4 !....,..„:,...,.1,,.::,,'•,...., '''',..,„•,......'„::•:;;••:..:•,:,)..'w.,:: Signed under the and penalties Peiliii#:,:":4*(:7,:.,.1';.-4".4:i... 1•:',1?..1.-.:.;' 4.'•:.• :••••A1 . f:;;Kto.::::.,..i,..-4,... . -:,....-... ..,..:„ •-.•:.:..--• . -,:.:,....-... •.., •<::::,::::.,. •--. .-•?..-; - ...:,,.‘,,..-. ..........,,,,it,. ...•,...,‘4...,•!:....,,....7(... 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The Commonwealth of Massachusetts o Department of Industrial Accidents t Office of Investigations a':111 a 600 Washington Street • 1. • Boston,MA 02111 '�"�:•��'` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly • Name(Business/Organization/Individual): AQUA SERVICES PLUMBING& HEATING LLC. Address: 1268 ROUTE 28 City/State/Zip: SOUTH YARMOUTH, MA 02664 Phone#: 774-470-1350 Are you an employer? Check the appropriate box: Type of project(required): 1.® I am a employer with 4 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, employees and have workers' [No workers' comp.insurance comp.insurance.: 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 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 y t P c. 152, 1and we have no 12.0 Roof repairs insurance required.] § (4), employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM MUTUAL INSURANCE COMPANY Policy#or Self-ins.Lic.#: WC0186368-01 _ Expiration Date: 3/19/19 Job Site Address: 1200 ROUTE 28 City/State/Zip:S.YARMOUTH,MA 02664 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 of up 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 certi under the pans nd penalties of perjury that the information provided above is true and correct. j 1/8/2019 Signature: 1 Date: Phone#: 774-470-135 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AQUAS-1 OP ID:PS A`� CERTIFICATE OF LIABILITY INSURANCE DATE/23/201I8r17 04/23l2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER i 508-385-2454 rciONT CT E.J.McGrath Insurance Agency Edward J.McGrath Insurance PHONE 508-385-2454 1 FAx 508-385-5991 P.O.Box 1003 (AWC,No,Eat): (A/C,Net: Dennis,MA 02638 IDoss: E.J.McGrath Insurance Agency INSURERIS)AFFORDING COVERAGE I NNcs INsuRERAAssociated Employers Ins Co esuarD Aqua Services msuRER a:Safety Insurance Company Plumbing&Heating LLC 1268 Route 28 - INSURER C: South Yarmouth,MA 02664 INSURER D: _INSURER E _INSURER F: COVERAGES CERTIFICATE NUMjR; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. INSR N POLICY NUMBER POLICY EFF POUCY EXP LTR TYPE OF INSURANCE WitUBR IMMLIDNYYYl IMNJDD1YYYYI SITS B COMMERCIAL GENERAL LIAB1.fTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I I OCCUR BMA0017282 0511012018 05/10/2019 DAMAGETO aEoNccTEEDenoel $ 100,000 X Business Owners MED EXP(Any one person, f 10,000 PERSONAL A ADV INJURY f GEN'L AGGREGATE PJECT UNITRR AP ES PER: GENERAL AGGREGATE I 2,000,000 - POLICY I ` 1 LOC PRODUCTS-COMP/DP AGO f . �, ,_OTHER' f AUTOMOBILE UABILITY COMBINED SINGLE UNIT LEe accident) $ _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY T _BODILY INJURY(Per ad dent} $ Ai pRodenGEU0.S ONLY _ AryOOp f f , UMBRELLA UAB OCCUR .EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE -f - DED i RETENTION f f A WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE FR ANY PROPRETOR/PARTNER/EXECUTIVE IYI I WC0186388-01 03/19/2018 03/19/2019 100,000 iszczRIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory ei NM) E.L.DISEASE-EA EMPLOYEE f 100,000 n yes,desenba under __-DESCRIPTION OF OPERATIONS below - E.L DISEASE-POLICY LIMIT f 500,000 PROPERTY 12,650 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Plumbing&Heating Contractor CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i E.J.McGrath Insurance Agency ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • • D FIRE TOWN g1YARMOUTH COMPLIANCE. rr- ' MORS OR OARP/I1SSlONS DO NAT RELIEVE AP !CANT FROM THE RESPONSf61llTY OF"AS BUILT" �M,-LIANCE. DATE: Z-/.3' YARMOUTH FIRE PREVENTION INSPECTOR New Business Transmittal Project Name: Aqua Service Address: 1200 Route 28 Contact Name: Doug Langtry Phone: 774-470-1350 Y N NA Subject Regulation ES 0 X Building Numbers ' MGL Chapter 148;sec 59 X Fire Lanes 527 CMR 1;22.3 X 1 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 110I.1 X Storage inside/outside Buildings 527 CMR 1; 10.19.4,4.4.3.1.1,19.12,34.1.1 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: 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: 02-13-2019 4 Copy for Applicant rri Copy to Building Department Copy to Fire Prevention L Entered in Firehouse n Final Inspection I 1 Jt 10,. TOWN OF YARMOUTH c HEALTH DEPARTMENT 1: PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: /2 W 1'MN ST .CT Proposed Improvement: O5 - io e C V Pr4>,1 c- ?C.v►•+z&&kr d ll-iZNG Oc ic,k, s -FF CIO �Ta • OF � �r m S• Applicant: I4Qv4 Ser4✓IC.ees PLc)n73trIG el 1-16441 r LLC Tel. No.: 771i- -17O-l3S'1) Address: /leo r Ram& U' 1 6. Yri-e.44'001H- Date Filed: 213�2O1 **If you would like e-mail notification of sign off please provide e-mail address: .) V&•`A Qu A Co m CAST. JET Owner Name: bf.ed ! Lao ino&I ie 4- Owner Address: R.C1,,A/o-TW / �'!t 1� Owner Tel. No.: Cow 737-0/0X 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. ---jeREVIEWED BY: DATE: R. i f '• P E SE NOTE COMMENTS/CONDITIONS: O C� W .....t JI'1F_ 1 . 0wm V F.-O ' / z0 Q H knco v) U o W QC' a N C] . ZI o QoV � `n}. l W k. Qr.:i Lu �' 6 CC30 1- o X `� s � mom o 'trcno CO • ` - — Cw 1 Oz 150 • O t t c t J 1 a + N. , • ...._. k. • ‘1,o .....1\.\\ •