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HomeMy WebLinkAboutBLD-23-003055 r« 3 2 Rem erectHairie Improvement Contractor. Company Haim« L NotAppecable Q Apex New England Construction Add 414 main Street`MelroselVIA 0217 Rei 51.1rer 81-665 2570 s n Si, to Telephone 1 ll'cV S flan 4^Workers'Compensation Insurance Affidavit(Mat-c.152 S 250(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 ...a...... 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 51 Registered Architect: Thoiias Chiudina�,AIA` Not App Is Q AddressNain‘ItNE ,'tt u o ArltectS.',90S ".:.Main St Bldg, B Mansf eld, MA Regtsumiwn Number 96{19. 781-331=8541 ,.r _ ./ r .�` Expiratbn Date Signature Telephone 08/31/23 Scotian 5.2 Registered'Pro esss of al Engineers) Niki Fox, PE L.EED AP Mechanical Area ot R ib11Ny Name S�rska Hennessy Group, 10 Phi:Square,'Boston,MA . Address 54408 ~� ^ � 617-577-9900 Registration Number 6/30/2024 Signature Telephone Expiration Data Niki Fox,.PE LEER AP Plumbing .Syska Hennessy Group, 10 PO Square, Boston,T MA : . Areae Rasporaity 54403 Address r*""" ` . ^'""" -*�"" Regiermeen Number -^"'""^sn : 6i hone-9900 8/80/2024 ' Signature Telephokta- ttan> Alexander•Ryezanov, PE Electrical Ham. nn«�wnf^ Area ci Responsibility el.,. Llaaa r �/' na�.. -en ►-.c..A.nM� MABoston, 427588 dress Registration Number 6/30/2024 617-577-9900 signature Telephone Ex ratbn Data :**g Hama Area of Responsibility Address Registration Number signature Telephone Expiration Date Section 53 General Contractor Apex'New England'Construction NotApplicable p c "roster Person Responsible tor Construction Address fpgi .. 781-665-2570 Signature Telephone f r .:. :1NNEW •-ri iAe."1' 'OE Q % : 4 • ... /, :"Yd.1, ''' '"'"'""" . j. y > i1ry ,,'" i�Y r ,as�r/Att i�1 A9e ^ hereby declare tt,et the statements eiist'IMv4matikiii onlir torgoing application are tnre and aaurate,to .4, the best of my kgt eckpe and beret. Signed uncle,the ins arid penalties sat penury. j�'„• /VI th� ,' .• r�{+ Print N.rr l rcr of©wnettAgant " Date •7 • Seeder?11-ESTIMATED CO STRt,UCT1ON COSTS cgindoiwut6119311' ""-'^i.` nom• 'A. • $134 .4);-:. ••Aw-. �,�y • .► :< $33,700 • 0. stit •v.• IlMACMIIIIIIILak, raallirj 1.4t Q • • • { ryx t 4.: Q Old?Raga Htghwey a H'enseiesi ' ta7' • • • w• • • • :,• • The Commonwealth. ofMassaeliusetts Department oflndustrialAccidents =ej 1 Congress Street,Suite 100 Boston,MA 02114-2017 .If7 www mass gov/iia • Workers'Compensation Insurance Affidavit:Builders/Contractors/Eleetricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Apex New England Construction Address: 414 Main Street City/State/Zip: Melrose, MA 02176 Phone#: 781-665-2570 Are you an employer?Check the appropriate box: Type of project(required): LIN I am a employer with 4_ employees(full and/or part-time).* 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working fix me in 8. lam,Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. z ural 10 [�Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance? 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 other 152,§1(4),and we have no employees.[No workers'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. tContractors 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: Selective Insurance Co of America Policy#or Self-ins.Lie.#: WC9097998 Expiration Date: 1/16/2023 Job Site Address: 1029 MA-28 city/state/zip:S. Yarmouth, MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to 81,500.00 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. • 1'do hereby certif u er the ains and penalties of perjury that the information provided above is true and correct. Signature: Date: 11/1/2022 Phone#:.78 65-2570 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#: §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-22311 ext.-1261 Fax 508-398-0836 Office of the Building Commissioner G BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to.M.G.L. Ch. 40, §54 and 780 CMR- Section 105.3.1. #4. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 1029 MA- 28 South Yarmouth, MA Work Address Is to be disposed of oat the following location: Wl S 4 J Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 111, §150A. 11/1/2022 Si ature of Application Date Permit No. o IN F .; me = c 0 of f. IUI to £ fl ' iIi a U e 12/9/22,2:57 PM Mail-Sears,Tim-Outlook 1029 Route 28 Sears, Tim <tsears@yarmouth.ma.us> Fri 12/9/2022 2:56 PM - To:jfoster@apexnec.com <jfoster@apexnec.com> John, I am reviewing you application and you are going to need to submit 2 sets of larger drawings. Thank you Timothy Sears CBO Deputy Building Commissioner Town of Yarmouth 508-398-2231 Ext. 1259 mailto:tsearsfyarmouth.ma.us https://outlook.office.com/mail/sentitems/id/AAQkADE3MDQ5NWZmLTkOYzItNDIwNi1 iMDQxLWNkMGQyNmE4NzE5NAAQABftUMMjg71 PvLiy9MxTt... 1/1 Initial Construction Control Document gi To be submitted with the building permit application by a /ll 4 Registered Design Professional for work per the 9th edition of the .'4,11•1Massachusetts State Building Code, 780 CMR, Section 107.6 Project Title: Santander Bank Date: 11-02-2022 Property Address: 1029 MA-28,So.Yarmouth,MA Project: Check(x)one or both as applicable:New construction X-Existing Construction Project description: Minor Interior Renovation I,Thomas Chiudina,MA Registration Number: 9609,Expiration date: 08/31/22,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'. Enter in the space to the right a"wet"or `StiREO ` 7/4 electronic signature and seal: ,/� * OF Phone number: 781-331-8541 Email: tchiudina@nes-grouparchitects.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Initial Construction Control Document To be submitted with the building g permit application by a MR4 4 Registered Design Professional • T I ,0 for work per the 9th edition of the •=4.,,n Massachusetts State Building Code, 780 CMR, Section 107.6 Project Title: Santander Bank Date: 11-02-2022 Property Address: 1029 MA-28.So.Yarmouth,MA Project: Check(x)one or both as applicable:New construction X-Existing Construction Project description:Minor Interior Renovation I,Niki Fox,MA Registration Number 54403,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural Mechanical Fire Protection Electrical X Other: Plumbing 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'. Enter in the space to the right a"wet"or electronic signature and seal: s ' N' t Fox 11P NO 54403 1' `SIOt AL Phone number: 212-921-2300 Email:nfox@syska.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 9th edition of the Massachusetts State Building Code, 780 CMR, Section 107.6 Project Title: Santander Bank Date: 11-02-2022 Property Address: 1029 MA-2S,So. Yarmouth,MA Project: Check(x)one or both as applicable:New construction X-Existing Construction Project description: Minor Interior Renovation I,Niki Fox,MA Registration Number 54403,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural X 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'. Enter in the space to the right a"wet"or electronic signature and seal: s7! �i NtKt L FOX t'A�� N0.54403 sOISTeW r Q NoNA4 Phone number: 212-921-2300 Email:nfox@syska.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Initial Construction Control Document ail To be submitted with the building permit application by a I ail Registered Design Professional t for work per the 9th edition of the 1.0 Massachusetts State Building Code, 780 CMR, Section 107.6 Project Title: Santander Bank Date: 11-02-2022 Property Address: 1029 MA-28.So.Yarmouth,MA Project: Check(x)one or both as applicable:New construction X-Existing Construction Project description:Minor Interior Renovation I,Alexander Ryazanov,MA Registration Number 42758, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural Mechanical Fire Protection X 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'. Enter in the space to the right a"wet"or N �` electronic signature and seal: �EX DER L. RYAZAN� ELEGA; % v, 1 N.-0ONAI EM Phone number: 617-577-9900 Email:aryazanov@syska.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. ACORCP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYYY) 10/14/2022 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 CONTACT Eastern Insurance Group, LLC. NAME: Anita Ahearn 33 West Central Street _INCo.Ext):508-620-3302 E-MAIL FAX _ c,Not;781-598-8492 Natick MA 01760 ADDRESS: AAheam@easteminsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Co of America 12572 INSURED 273295 INSURER a:Selective Insurance Co of SC 19259 Apex New England Construction Inc 414 Main Street INSURER C:Travelers Casualty Insurance Company of America 19046 Melrose MA 02176 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1123013187 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 PAID CLAIMS. IN R TYPE OF INSURANCE ADD'SUBR POUCY EFF POUCY EXP MD WVD POUCY NUMBER IMMIDD/YYYYI (MWDD/YYYY) UMITS A X COMMERCIAL GENERAL LIABILITY Y Y S 2444829 6/21/2022 6/21/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $100,000 MED EXP(Any one person) _ $15,000 PERSONAL&ADV INJURY $1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JE a LOC — PRODUCTS-COMP/OP AGG $2,000,000 OTHER: B AUTOMOBILE UABIUTY V Y A 9108765 6/21/2022 621/2023 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) _ BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ - $ A UMBRELLA LIAR X OCCUR Y Y S 2444829 6/21/2022 6/21/2023 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE — AGGREGATE $5,000,000 DED X RETENTION$infirm $ B WORKERS COMPENSATION Y WC 9097998 1/16/2022 1/16/2023 X PER OTH- AND EMPLOYERS'LIABIUTY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I NIA E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) If es,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A LEASED/RENTED EQUIP S 2444829 6/21/2022 6/21/2023 LIMIT 100,000 C CRIME 0107153781 10/30/2021 10/30/2022 LIMIT 1,000,000 RETENTION 10,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Additional insured coverage is provided on a primary and non-contributory basis on general liability,automobile liability and umbrella liability where required by written contract.Waiver of subrogation applies to general liability,automobile liability,umbrella liability and workers'compensation where required by written contract. Seaport B/C,Boston,MA eaport B/C Title Holder LLC,Seaport B/C Retail Owner LLC,and WS Asset Management,Inc.are included as additional insureds on a primary& non-contributory basis.A waiver of subrogation applies in favor of the additional insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Seaport B/C Title Holder LLC ACCORDANCE WITH THE POLICY PROVISIONS. c/a WS Asset Management, Inc. 33 Boylston Street,Suite 3000 AUTHORIZED REPRESENTATIVE Chestnut Hill MA 02467 IcarifFzpekwrZ2 ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD TOWN OF YARMOUTH HEALTH DEPARTMENT *`` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant.; Building Site Location: l 9 \Niko% — Zg d ,. `e, ` c.J +,"1.-A A L- 0ti1 Proposed Improvement: c D n F r(Ai 0w" — uc 4v r U u3o f k Applicant: U)r\ r I 4xv{ CorS4ic4v � (1 Tel. No. -TV) t06S— X570 Address Li 11 v41 / 54- . \' e 1 roSR 01c.1 • U r.)- `7(O Date Filed: Z(I 1 ) �l 1G.� **Ifyyou would like e-mail notification of sign off please provide e-mail address: ( t Owner Name: ct n er o k Owner Address: Owner Tel. No.(1$ ) 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: /t)" 1 �--' PLEASE NOTE COMMENTS/CONDITIONS: # - 'i xu ' 4' J J. aa \iv .,,,it)/ f is 4-? 2. YARMOUTH FIRE PREVENTION Commercial Construction Building Transmittal Project Name: Santander Bank Address: 1029 Route 28 Contact Name: Erik Durkin Phone:978-854-2415 Description of planned project: structural work in Basement N I tom rillismins. • Subiete, Restlgtlan 1 X Access for Fire Apparatus 527 CMR 1:18,2,4.1 i Building Numbers MC31 C, 148;sec 59 X *flammable as/liquedstorage 527 CMR 1 42 2,2.1 ( X Fire Lanes 527 CMR 1:22 .3 X *Service Stations 527 CMR t 16.2.3.16"73,1.30.3.2 X 3 *Hazardous,ifiaterials Storage 527 CMR I,601.1 X *Kitchen Exhaust Systems * + ` _ ..... _1 .._. .._ "� 780 CMR,527 t�50.1 X Extinguishers 527 CMR 1: 1;.6 MGL C 148 sec 78 Fire Alarm SS stems/CO detection � .. X r j 1'' a._ .780 CMR,MCrI�C 118„527 CMR 1: 13,'� X *LPG Storage Chapter 148;sec 9,111.28& 527 CMR 1:691 Use and Occupancy(FH Building Class) 780 CMR:302.1 X Aprankler Systems 780 CMR&Chapter 148 sec 26 A-1 X Stora;e inside outside Buildings 5� rv _ 7C1R 1 1C319,4,4.4,3J,1.1cL1.2. 4.1.1 X an *C'tholstery m 527 CMR 1 20.6.2.5 X *Trash Containers 527 CMR 119.1.1. 1,12 X Any Hazard to the Public MC,I Chapter 148:sec 28 X *Curtains,Draperies,Blinds 52i 7 CMR 1 1 .{i,2 X Safeguarding Construction v1-PA 241 527 CMR 1 Ch 16, 11.3 1.2;X16 1 4,1 X Hot Works Permit,'where required 527 CMR 411.5,3 *YFD permit required-depending on occupancy and submittal 3 Compliance with the following: 527 CMR I Chapter 16``Safeguarding Construction, Alteration,and Demolition Operations."780 CMR Chapter 33 'Permit i`� required for teriporar�a hY itds i_Aeration-,1tit n-,tir ;+s i ;" F '013,.., dist A a, 0, ,i r, Additional fire protection may be needed for added rooms,and space Yarmouth Fire Department supports the application,subject to applicable submissions, permits and inspections. Plan Reviewed By: Lieutenant Matthew Bearse Date: December 6,2022 Copy for Applicant = Copy to Building Department I 1 Copy to Fire Prevention i 1 Entered in Firehouse n Final Inspection l 1