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BLD-20-006372
of•rAft TOWN OF YARMOUTH Building Department CERTIFICATE OF o (508) 398-2231 ext.1261 OCCUPANCY per'.,. y PERMIT NO BLD-20-006372 OCEAN SHORE CORP ADDRESS: 484 H STATION AVE, SOUTH YARMOUTH, MA 02664 ZONING DISTRICT Bldg. Type: COMMERCIAL SUBDIVISION MAP BLOCK LOT 097.22 REMARKS Use&Occupancy—(Unit H) Liquor Store—occupancy :.-ct to all inspections. CERTIFICATE OF INSPE' TION DATE: 0,0 ? BUILDING OFFICIAL. Linear Retail Yarmouth# 1 LLC 5 BURLINGTON WOODS BUILDING DEPT BY DR BURLINGTON, MA 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: OTHER: DATE: //yv2 3 DATE: INSPECTOR: 2-1, 114(3 —10" INSPECTOR: ELECTRICAL BOARD OF HEALTH DATE: f /1 ' DATE: / l/ a INSPECTOR: INSPECTOR: PLUMBING/GAS// /'3 FINAL BUILDING DATE: / DATE: INSPECTOR: INSPECTOR: /„,•• 12-2-'n--- COMMUNITY DEVELOPMENT: DATE NAME TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.1261 ', Iti� PERMIT NO BLD-20-006372 PERMIT • N..TT.:CM[[S "r JOB WEATHER CARD • t�....� ��'., ISSUE DATE 06/25/2020 • APPLICANT Ocean Shores Corp PERMIT TO AT(LOCATION) 484 STATION AVE, SOUTH YARMOUTH, MA C26 ZONING DISTRICT B1 Bldg. Type: Commercial SUBDIVISION MAP BLOCK LOT 097.22 BUILDING IS TO BE: CONST TYPE USE GROUP REMARKS Use&Occupancy-(Unit H) Liquor Store-occupancy subject to all final CONTRACTOR inspections(508-737-1449) LICENSE AREA(SQ FT) 18,139,865,0 EST COST($) 0.00 PERMIT FEE($) 60.00 OWNER LINEAR RETAIL YARMOUTH#1 LLC BUILDING DEPT BY ADDRESS , 5 BURLINGTON WOODS DR BURLINGTON MA 01803 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 REQU RED,SUCH BUILDING SHALL NOT BE MECHANICAL INSTALLATIONS. OCCUPANCY 4)REFER TO DETAILED INSPECTION BEEN MAD UNTIL FINAL INSPECTION HAS BEEN MADE. SCHEDULE POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTIONS APPROVALS aa �^ (35 2/_ /vim zi OD l�O7-� le, / 13fr2e ciibvi /6///acd.0 B S_ I-3/v 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. isc aD Town of Yarmautli auuding Department r_ 1146 Route 28,South Van u ty f0::926664tei.508-398-2231 ext.1261 Use and Oc pan•iCjj;ty; ltAppiication in accordance with the provisions of thiaMass#chusetts State Building Code,section 105.1 Application for a certificate ofvse and occupancy permit Name of Business Ova tl 5V'iofe5 Cory Alb/4 'a(110uFt' ayte, t- Spr'11' 5 Property Address S ahL h Ave 'S.\pa/A LL f-VI Unit# Type of Business 1-t 6t1.OV 2W{E' 'Square Footage to be occupied 1(GO. 'attach floor plan Fee:$60 The applicant is required to obtain approval sign-offs from the following departments as checked off below: RECEIVED X Health Department-508-398-2231 ext.1241 22 X Fire Department—Fire Prevention,96 Old Main Street,508-398-2212 SUN DE 2RT Other BUILDING DEPARTMENT tn.----«.�_... , Building owners Signature Applicant�«,�. Li►E.4r f`C�.1 ��Oc't�r{ Signature L.v Mt cc( -z:r1 Pease note:this permit Is for use and occupancy Qnly.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, 2 "Office use only** Zoning District b Proposed Use C(/ Change of Use:Yes Na Allowed Use:Yes vNo APD Waiver.Yes No,k N/A ildi Offidals Signature Date • Workers Compensation and Employers Liability Insurance Policy EMPLOYER MAILING AND PHYSICAL ADDRESS CHANGE Prepared by: Ann Jackson Insurer(Carrier Code: 34355) MA Retail Merchants WC Group Inc. Carrier Policy#: Policy_Period PO Box 859222-9222 014000501151120 06/26/2020 to 01/012021 Braintree,MA 02185-0000 Named Insured and Address Agency Information Ocean Shores Corporation Cotuit Liquors Cove Risk Services,LLC 3858 Falmouth Road PO Box 859222-9222 Marstons Mills,MA 02648 Braintree, MA 02185 Federal ID 43308589 File#: 014000501151120 Endorsement Effective Date 06262020 Endorsement Prepared Date 06/23/2020 Intent of Endorsement: EMPLOYER MAILING AND PHYSICAL ADDRESS CHANGE BEFORE AFTER Physical Address 484H Station Avenue 474H Station Avenue South Yarmouth, MA 02664-0000 South Yarmouth,MA 02664-0000 484H Station Avenue Mailing Address South Yarmouth, MA 02664-0000 474H Station Avenue South Yarmouth, MA 02664-0000 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 89 06 00 B (Ed.07/01) Policy Information Page Endorsement ❑ Insured's Name(WC 89 06 01) 0 Item 3.B. Limits(WC 89 06 12) ❑ Policy Number(WC 89 06 02) 0 Item 3.C.States(WC 89 06 13) ❑ Effective Date(WC 89 06 03) 0 Item 3.D.Endorsement Numbers(WC 89 06 14) ❑ Expiration Date(WC 89 06 04) 0 Item 4.*Class,Rate, Other(WC 89 06 15) ❑ Insured's Mailing Address(WC 89 06 05) 0 Interim Adjustment of Premium(WC 89 06 16) ❑ Experience Modification(WC 89 04 06) 0 Carrier Servicing Office(WC 89 06 17) ❑ Producer's Name(WC 89 06 07) 0 Interstate/Intrastate Risk ID Number(WC 89 06 18) M Change in Workplace of Insured(WC 89 06 08) 0 Carrier Number(WC 89 06 19) ❑ Insured's Legal Status(WC 89 06 10) ❑ Issuing Agency/Producer Office Address(WC 89 06 25) ❑ Item 3.A. States(WC 89 06 11) is changed to read: 484H Station Avenue South Yarmouth, MA 02664 •Item 4 Changed To: Classifications Code# Premium Basis Rate Per$100 of Estimated Annual Total Estimated Remuneration Premium Annual Remuneration See Schedule of Classifications on Following Page(s) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy) Endorsement Effective:06/26/20 File No.:014000501151120 Carrier Policy No.: Premium:$4,919.00 Insured: Yarmouth Wine&Spirits Insurance Company: MA Retail Merchants WC Group Inc. Carrier No.:34355 Endorsement: WC 89 06 00 B Edition: 07/01 Countersigned by: Agency:Cove Risk Services,LLC/9999 ©Copyright 2001 National Council on Compensation Insurance • Page 1of1 atk.� TOWN OF YARMOUTH a c HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 41+ CA-01 C11 kve 5•lettierlokliA Proposed Improvement: V't/k CAIVIVIG iY1 vWYLEVvati . Applicant ocec 1 $lrloiec col? AR,101 lafrnoull -Sp1r TeLNo.: 50S-731 t1-14i Address: Ll Sfiti hve Sou. \frov1oaf f1 4v14- Date Filed: ••!fyou would like e-mail notification of signoff please pnwide e-mail address:11 Ia1rgo( eo1-1414 -(600115.C(3)V1 Owner Name: aY -D Oft ev1 • i8� i5evl* VJ V fir'. COhWLii- Nl /,A�Q 13 —I Owner Address. Owner TeL No.:�V o Our 3� itESIDENTIAL 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,Tide 5 application signed by licensed installer with fee. REVIEWED BY: DATE: kLEASE NOTE COMMENNTS/CONDTTIONS: dAGi AND FINE •yt,R►?pll/;f;• TOWN OF YARMOUTH REVIEWED FOR CODE COMPLIANCE. I, ERRORS CR OMMISSIONS DO NOT RELIEVE ` t lll THE APPLICANT FROM THE RESPONSIBILITY ©©© OF'AS B LT'COMPLIANCE. \lf GATE. -I(�-ate INSP R YARMOUTH FIRE PREVENTION New Business Transmittal Project Name: Yarmouth Wine and Spirits Address:484 H Station Ave South Yarmouth MA 02664 Contact Name:Margo Obrien Phone:508-737-1449 Y IY NA Subject Regulation !PIES O X Building Numbers MOL 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 S27CMRI 1.I A Fire Protection. X •Heardcus Materials Storaaje 527 CMR 1;60.1 X Emergency Plan Required 527CMRI 10.9,1 X Commercial cooking,Hood systems 527CMR1 50.2.1.1 X Commercial Cooking Hood Systems Cleaning S27CMRI 50.5.4 X _ *Commercial Cooking Extinguishment System 527CMR1 50.4.3 ^X *Candles,open flames,and portable cooking S27CMRI 173.2,20.1.1.1 X Blocking electrical panel 527CMRI 10.19.5.1 X Blocking exits 527CMRI 14.4.1 Extension cords shall not be used as a 527CMRI 11.1.7.6,11.1.7.1 X substitute topermancn'wiring X Limit storage heights to 24 inches below 527CMRI ceiling without sprinklers 18 inches with X Maintain Aisle width of 36 lnch's(3 Feu) 780CMR 1101.1 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 MOL Chapter 148 Sec.4 X 'Upholstery 527 CMR 1;20.6.2.5 X 'Trash Containers 527 CM':1911,1.12 X Any Hazard to the Public Chapter 144;sec 28 X *Curtains,Draperies,Blinds 527 CMR l;12.62 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. Plan Reviewed By:Lieutenant Jason Moriarty Date:06-16-2020 Copy for Applicant CI Copy to Building Department CJ Copy to Fire Prevention t■mm Entered in Firehouse p Final Inspection mom . r ---...m..---- I i c� , ill'hig i E § i I I W I W I 1 i IOC d' i 14. eat i SD 9 BREAK A EXIT 1 ELECTRICAL V ROOM m z SERVICE ca ,A9 / / ri 11 I_ N 41 • ire I. I 1 • I • I m 1 r r� • 1 r co .-t 1 r . of J gi os o Ic' Q� b /R L z IteeD un h O Existing Floor Plan YARMOUTH WINE &SPIRITS D Min K DRAWN BY: 80 YARMOUTH SHOPPING CENTER "1' : VERSION 1 W.Maud IV r SCALE: 474 STATION AVE.,SOUTH YARMOUTH, MA I OATS-02.D4,D9 vu r o- '• I- __ _ • Jr eao G 1 BREAK •I OD; EXIT ELECTRICAL 4 ROO*.I •_ SERviCE 1 C i ie'-z1• q 4 (� j u r 'y COOLER JCwJR 4 WALK-IN COOLER 44 4T-0• ` w •G d 4'-0' 4'$ 4'-0•, -i V'#r,r.,4'4 T-r 4.o, .r s'-0' . • I Z i N S D c • 11 ,..Iss 04.1•',-r1,415 ^+—•SNAiltS AND± p.i, A OifICE Layout Plan YARMOUTH WINE&SPIRITS7 ,.. D — DRAWN BY: 80 YARMOUTH SHOPPING CENTER tvMON W. 474 STATION AVE.,SOUTH YARMOUTH,MA • OATS:oz.o4.oe x3r•rrr ; '" L '.. • fJ 1 in HIT I maxi m L -Ili/, '4m F I a _ ii I i. O sr fi Y coi 1 I I I ' —,.ei PIP - 7 i /, , II y � 2 DETAILS YARMOUTH WINE&SPIRITS DRAWN B �xf Y: 80 YARMOUTH SHOPPING CENTER I ate:02.2400 474 STATION AVE.,SOUTH YARMOUTH,MA ill '. . • Elliott, Ken Subject: Use &Occupancy Yarmouth Wine & Spirit Location: 484H Station Ave Start: Thu 1/19/2023 9:00 AM End: Thu 1/19/2023 3:00 PM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Fallon, Rosa Required Attendees: Inkley, Brad; Elliott, Ken; DiBenedetto, Mark; Bearse, Matt; Riker, Adam; Renaud, Philip; Murphy, Bruce The Building Department is scheduled to conduct a final for occupancy inspection on January 19, 2023,at 484H Station Ave—Margo 508-737-1449 is the contract person. We would like for you to attend. Please notify me regarding your inspection results. NOTE-The Use &Occupa.nc • 6 22/2020 due to covid inspections were never done. (S) C\) ( // 2;3