HomeMy WebLinkAboutBLDC-23-52- RECE1VFD
Town of Yar •,,:. 11 Department AUG 2 4 2013
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1146 Route 28, South Yar;,'* • .", ; . c ;t4 tel. 508-39 a e q.ENT
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In accordance with the provisions o a, i� s State Building Code, section 105.1
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Application for a certifica use and occupancy permit 3_6 it. q'02-3ta-/
Name of Business 0/k9/a?1 J Phone # J' -526-9/D/
Type of Business /QQK/Y1f c2/ r)id. Email sewerserGtiokw/7mhtkrr�•Gw.
Property Address 9a3 /4tvie 64 Unit # Al)
*Square Footage to be occupied 1 $ 0 *attach floor plan V7 Fee: $60
The applicant is required to obtain approval sign-offs from the following departments as
checked off below: \��
X Health Department- 508-398-2231 ext. 1241 Ct\
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X Fire Department- Fire Prevention, 96 Old Main Street, 508-398-2212
Other
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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: Yes No APD Waiver: Yes No N/A
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B d' g Officials Signature Date
Updated 3/21
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TOWN OF YARMOUTH Building Department BUILDING
$ (508) 398-2231 ext. 1261
�.�. PERMIT
O i PERMIT NO BLDC-23-52 JOB WEATHER CARD
e ISSUE DATE September 7, 2023
APPLICANT Susanna Powers PERMIT TO
AT(LOCATION) 923 ROUTE 6A UNIT DD,YARMOUTH PORT MA 2675 ZONING DISTRICT R-40 Bldg.Type
SUBDIVISION MAP BLOCK LOT 143.111CDD BUILDING IS TO BE: CONST TYPE USE GROUP Business
REMARKS Use&Occupancy-Revolution Hearing Clinic
AREA(SQ FT) ESTIMATED COST$ PERMIT FEE$$60.00
CONTRACTOR
OWNER CHAPTER TWO LLC C/O IVANA LIEBERT
LICENSE#
BUILDING DEPT.BY PHONE#
ADDRESS P 0 BOX 206
YARMOUTH PORT MA 2675 Tim Sears
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.
PER SECTION R110 INSPECTIONS ARE APPROVED PLANS MUST BE RETAINED ON WHERE APPLICABLE SEPARATE
REQUIRED FOR ALL CONSTRUCTION WORK JOB AND THIS CARD KEPT POSTED UNTIL PERMITS ARE REQUIRED FOR
FINAL INSPECTION HAS BEEN MADE.WHERE ELECTRICAL, PLUMBING/GAS, FIRE
REFER TO DETAILED INSPECTION SCHEDULE A CERTIFICATE OF OCCUPANCY IS PROTECTION AND MECHANICAL,
FOR REQUIRED INSPECTIONS REQUIRED,SUCH BUILDING SHALL NOT BE SHEET METAL INSTALLATIONS.
OCCUPIED UNTIL FINAL INSPECTION HAS
BEEN MADE.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS
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16;),(9),
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WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF INSPECTIONS INDICATED ON THIS
THE INSPECTION HAS APPROVED CONSTRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
THE VARIOUS STAGES OF MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED PHONE 508-398-2231 ext. 1261, 1260
CONSTRUCTION. ABOVE.