HomeMy WebLinkAboutbld-22-000894 TOWN OF YARMOUTH Building Department CERTIFICATE OF
(508) 398-2231 ext.1261 OCCUPANCY
PERMIT NO BLD-22-000894
QQ Therapeatic Hypnosis
ADDRESS:657 Route 28 West Yarmouth, Ma 02673 ZONING DISTRICT Bldg. Type: Commercial
SUBDIVISION MAP BLOCK 032.123
REMARKS Use & Occupancy-QQ Therapeutic Hypnosis
'CERTIFICATE OF INSPECTI N
DATE: /� � 4'I BUILDING OFFICIA .
Mitrokostas Nafsika
P.O. Box 260
S.Yarmouth, Ma 02664 PHONE
1IS 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: O K Q-A PT. `)
DATE: I 0 - 13 1' /Z--- `� OTHER
DATE:
ELECTRICAL BOARD OF HEALTH
DATE: /Dl/c1) ./ DATE: / 0% l
INSPECTOR: KC/le/VI- INSPECTOR: C 'l
PLUMBING/GAS FINAL BUILDING
DATE: A'�iz/z/ DATE: L 27
INSPECTOR: /11 INSPECTOR:
COMMUNITY DEVELOPMENT: DATE NAME
;' i THE COMMONWEALTH OF MASSACHUS �TTS,. . a
, E $ TOWN OF YARMOUTH
,..\ qYA, r BUSINESS CERTIFICATE LCCCNC
SEP 15 123
Date Filed: June 16,2021 f�
Certificate Type: New ( rN D EFT
Expiration Date: June 15,2025i!: _
Certificate Fee: $30.00
Certificate Number: 2021-082
Original Filing Date: 6/16/21121--:
In conformity with the provisions of Chapter One Hundred Ten(110),Sect' e t $
Laws,as amended,the undersigned hereby declare(s)that a business is conducted under the title a of:c (Is J tts General
Business Title: QQ Therapeutic Hypnosis
Business Address: 657 Route 28,Room A3
West Yarmouth,MA 02673
Business Type: Hypnosis Thrapy ,
Business Owner(s): :
Hai Juan Boeyinga Owner(s)Address:
657 Route 28,A3,West Yarmouth,N"A.(2673
SS/Tax ID#: 586-45-8426
Signature(s): a
In Accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110,Section 5,of M is i I;eneral
Laws,business certificates shall be in effect for four(4)years from the date of issue and shall be renew ec a ich four(4)
years thereafter. A statement under oath must be filed with the town clerk upon discontinuing,retirin g, of
withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business is conducted and she If b( furnished
on request during regular business hours to any person who has purchased goods or services from suet 6 u:iness.
Violations are subject to a fine of not more than three hundred($300.00)and no/100 dollars for each m)1.tl during
which such violation continues.
•
On June 16,2021 the above named person(s) •,u
p O personally appeared before m and mado an __
oath that the foregoing statement is true. o---r
:1 JU
Ste anie J. pi li r
tart'Public
• Clerk: Stephanie Cappello Commission /
Expiration Date: November 12,2021
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.of•YRi TOWN OF YARMOUTH Building Department BUILDING
r a
' - (508) 398-2231 ext.1261--
e-. 1! 1 PERMIT NO BLD-22-000894 PERMIT
iranarsae®.asw mr•sr.as..rsi;
�� ISSUE DATE ;10/05/2021 JOB WEATHER CARD
APPLICANT :QC)Therapeatic Hypnosis PERMIT TO
AT(LOCATION) 657 ROUTE 28,WEST YARMOUTH, MA 02673 ZONING DISTRICT Bldg.Type: Commercial
SUBDIVISION MAP BLOCK LOT 032.123 i; BUILDING IS TO BE: CONST TYPE USE GROUP 1
REMARKS Use&Occupancy-QQ Therapeutic Hypnosis (508-280-3650) CONTRACTOR
LICENSE
F.---
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_ .
\REA(SQ FT) 4,079 568,24 EST COST($) 0.00 PERMIT FEE($) 60.00 s I
JAN03Zg?3 7
OWNER MITROKOSTAS NAFSIKA E TR BUILDING DEPT BY , ---
ADDRESS S&N REALTY TRUST, PO BOX 260 r-! AR i r,
SOUTH YARMOUTH MA 02664Lan / PHONE
PHIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDE R OR ANY PART THEREOF, EITHER TEMPORARILY OF
'ERMANENTLY. 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
)BTAINED 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
3UILDING INSPECTIONS APPROVALS
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VORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INPSECTIONS INDICATED ON THIS CARD
JNTIL 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 ARCIVF
The,rl -1-1c -�-
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 Oa L k4'aPetittC 9 to s Phone # 'flSS— 3`6,37)
—j
Type of Business p D�1 ,S ( ,�3 Email avinctzl► . IZ4(;91400. .
Property Address 6 r7 wAf yani , . /•(r' &z 6 73 Unit # A
*Square Footage to be occupied RID *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
AUG 16 2021
X Fire Department — Fire Prevention, 96 Old Main Street, 508-398-2212 _
BUI I ARTMENT
By
Other
BL a -bmtc 9q
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 \ Proposed Use Change of Use: Yes No_
Allowed Use: Yesx No APD Waiver: Yes NoX N/A
it ng Officials Signature gO' Date
Updated 3/21
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MGL AND FIRE
���������{pppp TOWN OF YARMOUTH
�. REVIEWED FOR CODE COMPLIANCE
ERRORS OR OMMISSIONS DO NOT RELIEVE
44" THE APPLICANT FROM THE RESPONSIBILITY
OF'AS BUILT"COMPLIANCE.
DATE: 9 11
INSP C
YARMOUTH FIRE PREVENTION
New Business Transmittal
Project Name: QQ Therapeutic Hypnosis Address: 657 Route 28 A3 West
Yarmouth MA 02673
Contact Name: Hanjuan Boeyinja Phone: 508-280-3650
Y 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:
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: 9-1-2021
Copy for Applicant CD Copy to Building Department Copy to Fire Prevention
Entered in Firehouse n Final Inspection
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Jt Yak TOWN OF YARMOUTH
;-*AHEALTH DEPARTMENT SEP G 2021
�. ., -;'"��;VDPP
PERMIT APPLICATION SIGN OFF TRANSMITT. ITT
ECEIVED
To he completed by Applicant:
OCT 012021
Building Site Location: (4-7 /t4citih cS } -G `g W 'ymina- &
BUILDING DEPARTMENT
Proposed Improvement: Lb ( /tut . ( _ s
Applicant: ttanl v iz Tel. No.: f'i[) 3I
Address: 6E7 / 1 rke Z( 3 jam--j/arr ,ta64 Date Fi led:ty46 411
**If you would like e- ail notification of sign off please rovide e-mail address:
%‘, er Name:
Owner dress: �� ,�� �� G Owner Tel. No.:
9S ` 111\0-'\
RES DENTIAL 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: /d /l
/42\-
PLEASE NOTE
COMMENTS/CONDITIONS: f
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