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HomeMy WebLinkAboutBLD-23-001090 , pet gisi )a ,_: . , F1 E• C E �j i BUILDING PERMIT APPLICATION . APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE,OCCUPANCY OF, t., ii �' OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING. AUG `` -'m4`11 Town of Yarmouth Building Department 1 146 Route 2i - Yarmouth, MA 02664-4492 a V 71 Tel: 508-398-2231 ext. 1261 Fax 508-398-0836 - e Use Only ODLC9O Planning Beard Information Assessors Department Information: hT�3 .$ Plan T Map Lot Pe t o. ate Type Permit Fee $ Z Endorsement,]ate / Recording Dale New Deposit 1Rec'd. $ /00 D ateV Plan Nn. 1.4 Property Dimensions: Net Due $ ^ .\.5 Other Lot Area(st) Frontage(ft) Lot Coverage This Section for Office Use Onty Building Permit Number: Date issued: Signature: \CI-aN)— Certificate of Occupancy uil g Official Oats is is not required Section 1 - Site information 1.1 Property Address: 1.2 Zoning Information: `�4,LA �t d tda) i2 " SAIDU N.t Aft,. SiHK Stithe.sov466 Zoning District Proposed Use 1.3 Building Setbacks(ft) • Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.4 Water Supply(M.G.L c.40.S 54) 1.5 Flood Zone infonnation: Commentx ublic Private Zone: Mb BFE: . Section 2- Property Ownership/Authorized Agent 2.1 Owner of Record: / sov ij1414 Nsr�L P-a• hex llD40114.4biar-e&Oq Na 14, (pri i 0 Mailing Address: _ "�►- / , _%: 17 `f/ .i red" ir Telephone Telephone / Email Address: 2. Authorized Agent: 301AN ,A Ivtr �. k a. it_ _ 140 I�O)La RILL Si* 4 Mf/ Na (p , `_ Mailing Address: __ e ) &if41-1-1ail 6mcyywrica.rillizt6sitiol•Cal•t*, ex igna r Telephone cn7ddress: action - Construction Services ..,,.,- 3.1 Llcansed C n strk ction Supervisor. Not Applicable i Lice umber nse N 4o IdILr I44U1 si 4N+J ftM �A 6Z043 S_ :. 3 Art e•0� t 314 _ -gn.. g941 Ai /'► OOf ivy" i Expiration Date Sig- Telephone • ai ddress: I ^d `�L r' , 3.2 Registered Home improvement Contractorl ,Company Nam• Not Applicable 0 • _, 4 fiiiAddress A Registration Number ,•;oiration Date Signature Telephone Section 4-Workers'Compensation Insurance Affidavit(M.G.L c.152 S 25C(6) 1 Workers Compensation Insurance affidavit mus': 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 V 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 4 • ,.. 0 re A if e b. ..ii ili Not ApptiCable C3 Na -. + : L. , RegistrNa A r s le. GrOTIS) Sri A S lit IlL,. ._____L___440.144Croyeiration Date Signature grir) Telephone Secti 5. istere fessional Engineer(s51 tt‘ilelitilitv g#41fLJeftVili___ MilA1111014,1iftste) Nag- v, # sg A714 04 - ti 45r : ki I Hu of , 04 Adcir-mot . sar-ie,g-tho . Registration Number .411L.....' .`-_____- -4&. • ...a iiip: 4. III Telephone Expiration Data eicot d Om Atorpiii - Murtfitql itetaue44 i Area ot Responsibility " %11 .ut 174Urf • et)Cetilloti; MA OZVZI '747 iii -. Registration Number Addr 'WV ._ (aArvr) 70 l''1111'M-61 -ignatu . 1 Telephone Expiration Date Hama Area of Responsibility Address Registration Number Signature Telephone Expiration Date Area of Responsibility Mame Registration Number Address Signature Telephone Expiration Date Section 5.3 General Contractor 1 OldSeX) 0.44(16ntaavil 5 Not Applicable El C 037;4 Zi r II toi a I I i 4 I— . Per o Respo Ve t sactor. A opfr.3 . Addres tila41?-4541 S' nature Telephone . S Section 6 - Description of Proposed Work(check all applicable) ' New Construction ❑ (tor multiple family only) No.of Bedrooms I (for multiple family only) No.of Bathrooms Existing Bldg. lit ( Repair(s) El Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: i Brief Description of Proposed Work: M1No2 1 5 fX IS1l e✓e '6 offices ToAcccar Fi v* �:/ �i/liNyE'`A e, a�e�-A Tv,c Y.�. ND c Es-rL g f7A D c vi ces, a 9), ime t am he-Ads) Nes 'Ce,t• F�oott Pki OM/ b4 i l livoi612, Abb .dGr1K i/ giNeeksphisUc6 a ASS.h. /,e, 51cie5 / /ug. Section 7- Use Group and Construction Type Building Use Group(Check as applicapable) Construction Type A ASSEMBLY (❑ A-1 ❑ A-2 ❑ A-3 ❑ to ❑ AA ❑ A-5 ❑ 1B rilgt B BUSINESS 2A ❑ E EDUCATIONAL ❑ 2B ( ' F FACTORY (❑ F-1 ❑ F-2 ❑ 2C ❑ H HIGH HAZARD ❑ 3A (D I INSTITUTIONAL ❑ I-1 ❑ 1-2 ❑ 1.3 ❑ 3B 0 M MERCHANTILE ❑ 4 ❑ R RESIDENTIAL ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 0 S STORAGE ❑ S-1 D S-a ❑ 5s, ❑ U UTILITY ❑ SPECIFY: M MIXED USE ❑ SPECIFY: S SPECIAL USE I 0SPECIFY: Complete this.section if existing building undergoing renovations;additions and/or change iri use. Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34 Proposed Hazard index 780 CMR 34 Z Section 8 Building Height and Area • Building Area Existing(f applicable) Proposed Number floors or stories include basement levels Floor Area per Floor(sf) /G, £/(1t9 Total Area All Floors(sf) /4 f L f t/i) Total Height(ft) 4 0'- a N Section 9 - STRUCTURAL PEER REVIEW (7130CMR 110 11) Independent Structural Engineering Structural Peer Review Required Yes No ... SECTIO 10a OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNE ' AGENT OA' CON/TRR CT APPL, FOR BUILDING PERMIT I, J?' " i'4rTr� o'�eCe as Owner of the property, 0.46011 r J. /i.� .— subjectP P dX hereby - thorize . Jtt"' v' ' i0,..fm' to act on my be :I , in all matters ative to work authorized by this building permit application. __ 404,4„., f 8 iZy Z. Sign- re o . ner Date SECTION 10b OWNER/AUTHORIZED AGENT DECLARATION • Itioem dL , as Owner/Authorized Agent hereby declare that the statements d information on the forgoing application are true and acurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjunr. J. Hoi, . ht. Print Name , • Si ature of Own: Agent Date Sectio - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be completed by permit applicant 1.Building ( )600�. a Electrical A al . 3.Plumbing/Gas P1 4.Mechanical(KVAC) I Gbb 5.Fire Protection i i 60 6.Total=(1+2+3+4+5) - 7.Total Square Ft Writes&Swu es a&Wifiau) Check Below 0 Conservation-Commission Filing (if applicable) Old Kings Highway&Historical Commission approval (if applicable) • Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construtt$11SOpervisor • CS-078588 spires: 10/09/2022 JOHN J MO ►RTY JR 140 FORT HILL ST ' • HINGHAM MA 02043 Commissioner dj/ ak , • • The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street, Suite 100 �r , Boston, MA 02114-2017 5Y'v www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information p�p Please Print Legibly Name (Business/Organization/Individual): OL�/v c ,cY1$T& rlOy'• sel - 10-6-S Address: Z. I le M I NC,- eQ*l=. City/State/Zip: ' I rt) £ r ♦ Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. lam a employer with yam/ employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity, [No workers'comp. insurance required.] 3.�I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 LI Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.D Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13• Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ p 14.D Other 6.0 We are a corporation and its officers have exercised their right of exemption per IvIGL c. - 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 wor!c 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. NA.= 64 Insurance Company Name: C.NAft OIck ci Scie CO 254/ Policy#or Self-ins.Lic.#: (J ..g,, S'9 ZeO -'l Z' 24' 'er Expiration Date: 0/ '.J/"'µZ3 Job Site Address:_ 4/q' �! Gto a) Sr City/State/Zip: tt�e�ov!n'n , 104 Attach a copy of the workers' compensation policydeclaration page(showing the policyumber and expiration date). P P g P ) Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifica la I do hereby certij nd•0 ai and penalti:• .-dray that the information provided above is true and correct Signature: 4� Date: ��/Z/ZZ Phone#: 11. 0. 0 ''� 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 Phone#: Contact Person: OLSECON-CL AGAGNON . .----- E 0 CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 1/28/2022 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). CONTACT Amanda Gagnon PRODUCER NAME:Smith Brothers Insurance,LLC. PHONE 430-3371 FAX 68 National Drive (A/C,No,Ext):(960) (NC,No): Glastonbury,CT 06033 ADD RIEss:agagnon@smithbrothersusa.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Indemnity Co of Amer 25666 INSURED INSURER B:Travelers Property Casualty Co of Amer 25674 Olsen Construction Services LLC INSURER c:Charter Oak Fire Insurance Co 25615 21 Deming Road INSURER D:Travelers Casualty And Surety Co America 31194 Berlin,CT 06037 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DD/YYYY) IMM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DT-CO-9045L008-TIA-22 ' 1/31/2022 1/31/2023 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 i PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JERCOT X J LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY (Ea accident X ANY AUTO 810-3L220234-22-26-G 1/31/2022 1/31/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE CUP-0J325884-22-26 1/31/2022 1/31/2023 AGGREGATE $ 10,000,000 1 DED X RETENTION$ 10,000 $ C WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N UB-9J509260-22-26-G 1/31/2022 1/31/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D Crime-Employee Theft 105883482 1/31/2022 1/31/2025 Limit 500,000 D Crime-Employee Theft 105883482 1/31/2022 1/31/2025 Ded. 15,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD _rLKI.)ttev UO,I.J STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION This is your Major Contractor registration certificate for your records. Such registration shall be shown to any properly interested person on request. Do not attempt to make any changes or alter this certificate in any way. This registration is not transferable. Questions regarding this registration can be emailed to the Occupational & Professional Licensing Division at dcp.occupationalprofessional@ct.gov. In an effort to be more efficient and Go Green, the department asks that you keep your email information with our office current to receive correspondence. You can update your email address or print a duplicate certificate by logging into your account with your User ID and Password at www.elicense.ct.gov. Mailing address: Email on file to be used for receiving all notices from this office: OLSEN CONSTRUCTION SERVICES LLC jtaglialavore@olsencs.com 21 DEMING RD BERLIN, CT 06037-7278 '.,.$� t '?. t�4 t; ,r x'�w,y y ...a,�y u,, ;CL'+r�7� ?y,y a fi• t'd,.,1+ ,, a'. •r j4 '�+ .c ,7'4 ' .. 'l ," t : 1 :° r s rt . .ff# ij{� ,r,c� c s, .� ;� 1 ff� �i ,��4 6 ;r� :�• i'$ i t as 1► 1e _ 4 1 - ' 881644 , STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION I :I,:i:., . Be it known that7 7 I OLSEN CONSTRUCTION SERVICES LLC 1 .-,,,fir+ r , 21 DEMING RD i E i. ` BERLIN, CT 06037-1512 { ': ,' W V has satisfied the qualifications required by law and is hereby registered as a E,!i,_ Y ti MAJOR CONTRACTOR j , k,,, ,,,,,.: , r. Registration #: MC0.0902042 Effective Date: 07/01/2022 r,-.1.,,,,,,, ia,,, �' � ,,,,. , ,, 1 ,, Expiration Date: 06/30/2023 Michelle Seagull,Commissioner j $ 1 verifionline at www elicense.ct ov _ __ _.--- ..i ,„A _ l► —4_". ;- ,?r`► �It' - ,-." — —'-Nre• 4 ' 4. ' 4' g. 4 ' 5 /4 §TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissio er 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 suiting from the proposed work/demolition to be conducted at le ,/l&R) gr Retr Work Address Is to be disposed of oat the following location: Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Ch. 1 1, 50_ 0 le Av 46//3fr ig � re o PAp 4:141r Date Permit No. Initial Construction Control Document tei114lr To be submitted with the building permit application by a AEI Registered Design Professional rr for work per the ninth edition of the f , t Massachusetts State Building Code, 780 CMR, Section 107 NW Project Title: Eversource—Visiting VP Office Renovation Date: 8/1/22 Property Address: 484 Willow Street,Yarmouth,MA 02673 Project: Check(x)one or both as applicable: New construction ✓ Existing Construction Project description: Reconfigure existing office space(1180 SF)to accommodate four private offices. The scope includes installing new walls, new finishes, and MEP upgrades. I John Murphy,Jr., MA Registration Number: 46498 Expiration date: 6/30/24, 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 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 buildingofficial P P °� sts'.. a`Final Construction Control Document'. JoHN Enter in the space to the right a"wet" or E'-EcTRIcq electronic signature and seal: • /s t E 1V111110i1110'i+/. v o L8C5-QHBC Eversource Yarmouth-VP Office Renovation Phone number: 781-792-0059 Email:jmurphyelectric@aol.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. Version 01 01 2018 Initial Construction Control Document 1dl To be submitted with the building permit application by a Registered Design Professional �� for work per the ninth edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Eversource VP Office Renovations Date:August 1, 2022 Property Address: 484 Willow Street, Yarmouth 02673 Project: Check(x) one or both as applicable: New Construction X Existing Construction Project Description: Reconfigure existing office space (1180 SF) to accommodate four private offices. The scope includes installing new walls, new finishes, and MEP upgrades I Kevin R. Seaman MA Registration Number: 38130 Expiration date: 6-30-2024, 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 X Fire Protection Electrical 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 provision 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: T a , r KEVIN R. t SEAMAN r� 1, i ::_s: MECHAN CAL ;. No.39130 ` t 9e F� Fey , Phone number: 508-865-1400 Email: kevin@seamanengineers.com Building Official Use Only Building Official Name: Permit No.: Date: Initial Construction Control Document Asivi fl To be submitted with the building permit application by a Mil WI Registered Design Professional 0 f Vfor workper the ninth edition ofthe � -,�see-'� Massachusetts State Building Code, 780 CMR,Section 107 Project Title: Eversource—Visiting VP Office Renovation Date: 8/1/22 Property Address: 484 Willow Street,Yarmouth,MA 02673 Project: Check(x)one or both as applicable: New construction ✓Existing Construction Project description: Reconfigure existing office space(1180 SF)to accommodate four private offices. The scope includes installing new walls,new finishes, and MEP upgrades. I Gregory Yanchenko, MA Registration Number: 7480 Expiration date: 8/31/22, 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 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. r�1. .0ED AR4444 Tv Upon completion of the work, I shall submit to the building official -7���Q �'�� a `Final Construction Control Document'. :�., v,i 1 a rs No. 7480 v ►— r 4 GROTON, '+Ct,► Enter in the space to the right a"wet"or 5. MASS,,_ �� electronic signature and seal: 1, s.s-A -a II r 14 I ',;art'. '4 ro � ti a o I I m 0 NIQH-WHHB Phone number: 968-449-0470 Email: hka@npv.com Eversource Yurrnouth Visiting VP Office Renovation 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. Version 01 01 2018 FIRE ALARM SYSTEMS NARRATIVE REPORTS 780 CMR—901.7.1.1 Eversource VP Office Renovation Yarmouth, Massachusetts 02673 August 1, 2022 Prepared By: Fire Alarm System Designer John Murphy Jr. Electrical Construction and Engineering 379 Liberty Street Rockland, MA 02370 Phone: (781) 792-0059 Fax: (781) 792-0061 Prepared For: Prepared For: Yarmouth Fire Department 96 Old Main Street South Yarmouth, MA 02664 RPM}•JR r" 7-1- I..' 464.96 G,�. is SC" L8C5-QHBC Eversource Yarmouth-VP Office Renovation TIER 1- FIRE PROTECTION CONSTRUCTION DOCUMENTS In accordance with Massachusetts State Building Code, 9th Edition, section 901.2.1 (Tier 1) amendments. The following information is presented: 1. 901.2.1.1.a.1- BASIS (METHODOLOGY) OF DESIGN SECTION 1 - BUILDING DESCRIPTION a) The building is an existing 17,310 square feet office space. The building is a single story office building. We are planning on renovating 1,110 square feet. The building "USE" Group is Type "B" business. b) The building height is approximately about 14 feet. c) The building has a total of one (1) floor above grade. d) The building has no floors below grade. e) The type of construction is 1113 t) There will be no hazardous materials used and stored on the site that we are aware of. g) The building will not include high piled storage. 2. 901.2.1(1.aii) SEQUENCE OF OPERATION a) The existing Notifier AFP-200 addressable fire alarm will activate if individual fire alarms devices shall operate manually and automatically to sound all interior space horn/strobes alarms and flash all alarm strobes manually from double action pull stations, or automatically, smoke, heat, or water flow devices. Upon initiation of any manual or automatic alarm device, the fire department shall be notified via Honeywell HWF2V-Com Commercial Communicator LTE cellular technology 3. 901.2.1(1.aiii) TESTING CRITERIA SECTION 1 -Personnel Eversource VP Office Renovation August 1, 2022 Yarmouth, MA Page 2 of 6 a) Professional in charge and the fire alarm contractor for setting up, as well as the General Contractor for coordinating all testing. b) Method of verification of testing shall be performed in accordance with current fire alarm standards. c) Method of coordination shall be performed in accordance with general contract. SECTION 2 - Equipment and tools a) Identification of equipment and procedures to be used to verify system performance will include, but shall not be limited to: 1. Manufacturer's instructions 2. Sound meters 3. Gauges 4. Voltage meters 5. Communication Radios 6. Fire department equipment 7. Notification announcements 8. Magnets 9. Smoke machines SECTION 3 —Testing Criteria as listed in 780 CMR 901.5, 9th edition. a) Method of approval required from code officials shall be in the form of final Certificate of Occupancy at project completion. b) Remedial action required shall be performed by the fire alarm contractor and the coordinated by the general contractor. c) Verifying documentation to be submitted to code officials at completion shall include all testing reports, final as built drawings, calculations, and all others as per NFPA-72. d) Acceptance as listed in 780 CMR, Section 901.5 amendments, no exceptions, including: 1. Yarmouth Fire Department and engineer will witness a satisfactory functional test of all fire protection systems. 2. All fire protection systems shall be tested per 780 CMR, International Building Code,NFPA-1, and NFPA-72. Eversource VP Office Renovation August 1, 2022 Yarmouth, MA Page 3 of 6 3. Final punch list by the engineer and sign off the system upon completion. 4. As built drawings submitted by Fire Alarm System Contractor. 5. Material, test, performance, and completion certificates, properly executed by the installing Contractor, as per NFPA-72. 4. 901.2.1(1.i) Fire Protective Signaling Systems a) Refer to permit fire alarm drawings attached to this narrative. b) Fire protective signaling systems is placed thru out the buildings. 1. All audio/visual devices will sound/flash. 2. Audio/strobes are at each egress door. 3. Strobes are placed in all public restrooms, as well as, the main electric room will flash. 4. Audio/strobes are placed, so that there is no spacing greater than 30 feet between devices. 5. There is an exterior beacon for the fire department to see the building that is in alarm condition. 5. 901.2.1(1.j) FIRE PROTECTIVE SIGNALING SYSTEM(S) CONTROL EQUIPMENT AND REMOTE ANNUNICATORS a) Refer to permit fire alarm drawings attached to this narrative. b) There will be have (1)annunciator on the project. A new remote annunciator will be installed at the main vestibule. Currently, the fire panel is located in the back hallway, closest to back of the building. It would require that the fire department would have to enter the back of the building to see where the alarm is. We felt this should be corrected. 6. 901.2.1(1.m) LIFE SAFETY SYSTEM (AUXILLARY FUNCTIONS) FEATURES a) N/A 7. 901.2.1(1.r) SUPERVISORY SIGNAL TRANSMISSIONS AND LOCATIONS a) Trouble Conditions 1. Failure of normal power, opens, or short circuits on the indicating circuits, disarrangements in system wiring, low battery,tamper switches, when a device has been removed, or ground faults will initiate a trouble condition at the fire alarm panel and annunciator. Eversource VP Office Renovation August 1, 2022 Yarmouth, MA Page 4 of 6 2. A trouble silence switch shall silence the sonalert while the trouble LED remains lit until the system is restored to normal, at which time the sona-alert shall resound to remind service personnel to return the silencing switch to the normal position("ring back" feature). 3. 8. 901.2.1(1.t) ANY OTHER EMERGENCY SYSTEMS a) N/A 9. 901.2.1(1.v) CARBON MONOXIDE PROTECTION a) The building will have NO gas within the building. 10. Applicable Laws,Regulations and Standards a) 780 CMR codes section 7 "Fire and Smoke Protection Devices" and section 9 "Fire Protection Systems," 9th Edition. b) NFPA Standards used for the design of fire protection systems: 1. NFPA 1 National Fire Alarm Code "Fire Safety Code", 2012 Edition 2. NFPA 72 National Fire Alarm Code "Fire Alarm Systems.", 2013 Edition 3. NFPA 101 "Life Safety Code". c) All applicable Sections of MGL 148 those are relevant. d) Applicable Sections of 527 CMR"Fire Prevention Regulations" include: 1. 12:00 National Electrical Code (Amendments). e) Special Codes applicable to this project include: 1. 521 CMR, "Architectural Access Board." g) Federal Law applicability includes the "Occupational Safety and Hazards Administration,"and "The Americans with Disabilities Act." h) All applicable sections of MGL 51. i) International Building Code (IBC), 2015 Edition, Chapter 9, section 907 "Fire Alarm and Detection System" j) 527 CMR 12.0 "2020 Massachusetts Electrical Code Amendments" k) International Fire Code (IFC), 2015 Edition Eversource VP Office Renovation August 1, 2022 Yarmouth, MA Page 5 of 6 1) International Mechanical Code (IMC), 2015 Edition SECTION 3 - Design Professional in Responsible Charge for fire protection systems (IBC 107.3.4) a) The Professional Engineer(P.E.)provides a partial design and specifies the design criteria to be used by the installing contractor who finalizes the system layout and provides calculations to confirm the design criteria. The PE reviews and approves the installing contractor's final layout and calculations. The P.E. is considered the engineer of record and certifies the system installation for code compliance at completion. b) Engineer of record is John Murphy, Jr. MA Registration Number 46498 John Murphy Jr. Electrical Construction& Engineering, Inc. 379 Liberty Street Suite 204 Rockland, MA 02370 (781) 792-0059 End of Report Eversource VP Office Renovation August 1, 2022 Yarmouth, MA Page 6 of 6 0 y . *x x / . - IT1 2 z X Two (0101/ 71 :. 1 m o m w 73< 41) • z D� m o n m y Z 111) m • GA p m 31 y eGA e Z� n�i= V J co e" C K "6 mm s r>T�YPP r ee n eke#�=$ _ s a's'sx_»= e �n= a -1 VJ 0 os U'UU A i IRMA m T '" ram£ €€a § s ggIp p z o a°igy A 7 a, 0 za ti -n a a � Sa § s �€ z=c €€ sr.0 oy ws 1.1 w_ N= 9 �s H F 6 o 1 'fin?i ENS^ a , '^'A'n I T . , m $ o "�' ^ C o o FT' vs,� gr p � 6 a 7J sn rl m 5 5 i 11.1 ii: i s i -° j I I i Z i V i F ,,.. r - ::,. , ..„ 1 ■ i _,„., i , , i i j I j j -_---,------r.-,----. -_--�---------t--- ----- - - 1 I I 1 i — 5:1 i hi p0 jj " £ L i i Li , mr I I •- rT= i Ju m It I p9qq CI 2 ----Pip h il .T za —-- m4 — a I � _ 2 o n a aw I I j „m L I I z m= i ! -w� I I I 4 I 3 t- - — --4— -+ {---i— `T joy S o sa 0 a a v Is s CD 9S 2 0 7 o99b m A.m 89 sox 4; = 4 55, R aD y .. xi i i �� A IIhi -3 1 az L - 1 j j T jIi'Ij --� raistra . 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N El/ Iit' r 134 i lti El� 1 si �� <I`�®i; H \ _ RI ...•,-, ...!`1111111.. *1/4 N\ \ I I TT 3g' o 5r 0 D Elm + = -1 T ° Q a - 1� i =3 ' p ; S4 111 1iZ 3. Ee E �o o s i .-- - -- -- d v ni _ ° t, o E o _ -.118 , r- z 9 70 a 1 3 8 m A gT� N 'O OM-ow gF„ra goW 3 `i„i 3 4 9 '131 €q m , Amy iC g n— °o sa rr i- 6 m 484 WILLOW ST Location 484 WILLOW ST Mblu 73/10.1.1/// Acct# 10358 Owner NSTAR Assessment $3,726,300 PID 10358 Building Count 3 Current Value Assessment Valuation Year Improvements Land Total 2022 $1,387,600 $2,338,700 $3,726,300 Owner of Record Owner NSTAR Sale Price $0 Care Of Certificate Address P 0 BOX 270 Book&Page D189282/0 HARTFORD,CT 06104 Sale Date 08/27/1974 Instrument Qualified Ownership History Ownership History Owner Sale Price Certificate Book&Page Instrument Sale Date NSTAR $0 D189282/0 08/27/1974 j COMMONWEALTH ELECTRIC $0 /0 Building Information Building 1 :Section 1 Year Built: 1955 Living Area: 16,440 Replacement Cost: $1,160,281 Building Percent Good: 46 Replacement Cost Less Depreciation: $533,700 Building Attributes Field Description Style: E Office Bldg Building Photo p Model Comm/Ind Grade Average Stories: 1 Occupancy 1.00 .4 ° Exterior Wall 1 Stucco/Masonry , u Exterior Wall 2 it Roof Structure Flat Roof Cover T+G/Rubber a � � ,�Wxc ' - �.�. t ate°'` Interior Wall 1 Drywall/Sheet '�"' ° - Interior Wall 2 Minim/Masonry (https://images.vgsi.com/photos2/YarmouthMAPhotos/A00\02\12\64.j pg) Interior Floor 1 Carpet Interior Floor 2 Vinyl/Asphalt Building Layout F Heating Fuel Electric 180 Heating Type Forced Air-Duc AC Type (Heat Pump Struct Class 98 BAS 98 Bldg Use OFFICE BLD M94 20 40 Total Rooms FFJ 10 20 Total Bedrms 00 20 60 60 Total Baths 0 i —I (ParcelSketch.ashx?pid=10358&bid=10816) 1st Floor Use: 3400 Building Sub-Areas(sq ft) Legend Heat/AC HEAT/AC PKGS Gross Living Frame Type MASONRY I Code Description Area Area Baths/Plumbing AVERAGE BAS First Floor 16,440 16,440 Ceiling/Wall SUS CEIL&WL FEP Porch,Enclosed,Finished 200 0 i Rooms/Prtns AVERAGE i 16,6401 16,440` Wall Height 14.00 I %Comn Wall (0.00 Building 2:Section 1 Year Built: 1955 Living Area: 32,344 Replacement Cost: $1,346,214 Building Percent Good: 41 Replacement Cost Less Depreciation: $551,900 Building Attributes:Bldg 2 of 3 Field Description Style: Warehouse Model !Ind/Comm Grade Average Stones: 1 Building Photo Occupancy 0.00 Exterior Wall 1 Stucco/Masonry Exterior Wall 2 � Roof Structure Flat Roof Cover T+G/Rubber I * Interior Wall 1 Minim/Masonry f 4 i Interior Wall 2 _ t Interior Floor 1 Concr-Finished Interior Floor 2 tit i Heating Fuel Gas 7a=+ , '•n, Heating Type Hot Air-no Duc (https://images.vg• si.com/photos2/YarmouthMAPhotos//\00\02\12\65.jpg) AC Type None Building Layout 60 60 Struct Class urP clP Bldg Use COMM BLDG M96 Total Rooms 01 20 _. _... 121 ! 6a Total Bedrms 00 181 I Total Baths 0 1st Floor Use: 322Z ....--...____.-____....-_- 162 BAS Heat/AC NONE 142 Frame Type MASONRY li Baths/Plumbing AVERAGE j Ceiling/Wall SUS CEIL/MN WL 222 __ Rooms/Prtns ABOVE AVERAGE Wall Height 18.00 Comn Wall 0.00 (ParcelSketch.ashx?pid=10358&bid=10817) Building Sub-Areas(sq ft) Legen i. Code Description Gross Living i Area Area BAS First Floor ( 32,344 32,344 CLP Loading Platform End 3,600 0 ULP Loading Platform Open 7,260 0 w i 43,204 32,344 Building 3: Section 1 Year Built: 1955 Living Area: 7,672 Replacement Cost: $342,478 Building Percent Good: 41 Replacement Cost Less Depreciation: $140,400 Building Attributes: Bldg 3 of 3 Field Description Building Photo Style: Repair Shop i Model Ind/Comm Grade Average 1 Stories: Occupancy 0.00 Exterior Wall 1 Stucco/Masonry t. ill ', Exterior Wall 2 f sA Roof Structure Irregular �sr Roof Cover T+G/Rubber q �e L sty+ sy ax''2`# v. Interior Wall 1 Minim/Masonry1, y a Interior Wall 2 (https://images.vgsi.com/photos2/YarmouthMAPhotos/A00\02\12\66.jpg) Interior Floor 1 Coshed Building Layout Interior Floor 2 BAS 146 Heating Fuel Gas j 28 Heating Type Hot Air-no Duc s6 18 12 FOP 12 AC Type None o 16 UST 16 16 Struct Class j 128 18 Bldg Use COMM BLDG M96 f (ParcelSketch.ashx?pid=10358&bid=10818) 1 Total Rooms Building Sub-Areas(sq ft) Legend' Total Bedrms 00 i Gross Living Code Description Total Baths 0 Area Area 1 st Floor Use: 322Z BAS First Floor 7,672 1 7,672 I Heat/AC MASONRY NONE FOP Porch,Open,Finished 216 0 Frame Type UST Utility,Storage,Unfinished 288' 0 Baths/Plumbing AVERAGE i 8,176 7,672 �_...__. i J Ceiling/Wall CEILING ONLY Rooms/Prtns AVERAGE Wall Height 14.00 %Comn Wall 0.00 i Extra Features Extra Features Legend Code Description Size Value Bldg# SPR1 SPRINKLERS-WET € 8072.00 S.F. $2,600 3 LFT2 LIFT-HEAVY 1.00 UNITS i $1,400 3 SPR1 SPRINKLERS-WET 26641.00 S.F. $8,700 2 SPR2 I WET/CONCEALED 16440.00 S.F. $8,300 1 SPR2 WET/CONCEALED 9703.00 S.F. $4,400 2 A/C 3 AIR CONDITION 9700.00 UNITS $9,900 2 LDL1 LOAD LEVELERS 1.00 UNITS $1,200 2 Land Land Use Land Line Valuation Use Code 3400 Size(Acres) 31.55 Description OFFICE BLD M94 Frontage 0 Zone Depth 0 Neighborhood I Assessed Value $2,338,700 Alt Land Appr No Category Outbuildings Outbuildings Legend Code Description ( Sub Code Sub Description Size Value 1 Bldg# CAB2 W/PLUMBING ETC 225.00 S.F. $3,200 3 TNK1 TANK-UNDERGRND 20000.00 GALS $20,000 1 PAV1 PAVING-ASPHALT 4 100000.00 S.F. $67,500 1 FN3 FENCE-6'CHAIN 1000.00 L.F. $4,500 1 1 LT1 LIGHTS-IN W/PL I j 3.00 UNITS $1,000 1 SGN2 DOUBLE SIDED f 14.00 S.F.&HGT $200 1 FCP CARPORT j 4200.00 S.F. $16,800 1 FCP CARPORT i 2976.00 S.F. $11,900 1 Valuation History 1 Assessment Valuation Year Improvements Land Total t � 2022 $1,387,600 $2,338,700 $3,726,300 2021 $1,387,600 $2,338,700 $3,726,300 2020 $1,447,500 $2,088,700 $3,536,200 (c)2022 Vision Government Solutions, Inc.All rights reserved. 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Sears, Tim From: Sears, Tim Sent: Monday, August 22' 2O222:41PM To: John Moriarty Cc: Huck' Kevin; Baarse' Matt; Slack, Christine Subject: 484VViUow John, I have reviewed your application for renovations and there are some items needed. -~� Fire Department sign off 2. Health Department sign off Please submit these items for review Timothy Sears [8O Deputy Building Commissioner Town ofYarmouth 5O8'398'2231 Ext. 1259 mai|to:tsears(cDyarmouth.nna.us YARMOUTH FIRE PREVENTION Commercial Construction Building Transmittal Project Name: Eversource Address: 484 Willow St Contact Name: John "Jack" Moriarty Phone: 617-877-4541 Description of planned project: create 3 offices in existing building Y N NA Subject Regulation X Access for Fire Apparatus 527 CMR 1; 18.2.4.1 X Building Numbers MGL C 148; sec 59 X *Flammable gas/liquid storage 527 CMR 1;42.2.2.1 X Fire Lanes 527 CMR 1; 22.3 X *Service Stations 527 CMR 1 ;16.2.3,16.2.3.1,30.3.2 X *Hazardous Materials Storage 527 CMR 1; 60.1 X *Kitchen Exhaust Systems* 780 CMR, 527 1; 50.1 _ X Extinguishers 527 CMR 1; 13.6, MGL C 148; sec 28 X Fire Alarm Systems/CO detection* 780 CMR, MGL C 148;, 527 CMR 1; 13.7 _ X *LPG Storage Chapter 148; sec 9,10,28&527 CMR 1;69.1 _ X Use and Occupancy(FH Building Class) 780 CMR;302.1 X Sprinkler Systems* 780 CMR&Chapter 148 sec 26 A-I X Storage inside/outside Buildings 527 CMR 1; 10.19.4,4.4.3.1.1,19.1.2,34.1.1 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 MGL Chapter 148; sec 28 _ X *Curtains,Draperies,Blinds 527 CMR 1; 12.6.2 X Safeguarding Construction NFPA 241, 527 CMR 1 Ch 16, 16.3.1,2; 16.3.4.1 X Hot Works Permit,where required 527 CMR 41.1.5.3 * YFD permit required-depending on occupancy and submittal Compliance with the following: 527 CMR 1 Chapter 16 "Safeguarding Construction, Alteration, and Demolition Operations." 780 CMR Chapter 33 *Permit is required for temporary shutdown, alterations or proposed removal of fire protection systems. Relocating existing sprinkler heads and adding 1 head to accommodate new offices, Add smoke detectors to each office. Yarmouth Fire Department supports the application, subject to applicable submissions, permits and inspections. Plan Reviewed By: Lieutenant Matthew Bearse Date: August 24, 2022 Copy for Applicant Copy to Building Department Copy to Fire Prevention Entered in Firehouse ET Final Inspection av::44, ,�,� TOWN OF YARMOUTH ",7.--V. r HEALTH DEPARTMENT \\% ,..zarj PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET ' To he completed by Applicant. Building Site Location: `.__1. " A ‘+!-- ` ( VC, , Proposed Improvement: 1C t.n►a. v r� G` `>r,�,-r`j,Nc, ,ti y .t L 6_ �- ' C- -it/ 1:=4,k✓u1 3 -�•t2 t v, - rt ':(4.-' c� . VCvZSO v t i.l, //J. ‘) Cc - Ali) r/-ate 7 S /V G I=1t 4AA 6,%t,.G" Applicant: di-4/ J• I / et i Ait - , Tel. No.:(.o/ 7-??9 . `-/S7// y ,r� Address: J /i 3 2 7- /l 1 41 f(_ / Pi) 6c)CA/:`Date Filed: -1 s-"`.�^2, j **Ifyou would like e-mail notification of sign off please provide e-mail addres. ie v\Mel\i l C L r� ' / C/lvVt. Owner Name: ✓ V,-u /•,e(' tV t -1 y Owner Address: ?2G - c—t I S i?.►A S I- t 45 ru { /v,I Owner Tel. No.: 1 1 -7 _g "e-i S y J 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 Iabeling 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. 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