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ov.Yq TOWN OF YARMOUTH Building Department BUILDING
Z %I,� (508) 398-2231 ext. 1261
0 'I PERMIT NO PERMIT
ISSUE DATE BLDC-23-54 JOB WEATHER CARD
1l., , September 19,2023
APPLICANT Angela Mallowes
PERMIT TO
IAT(LOCATION) 411 ROUTE 6A,YARMOUTH PORT MA 2675 ZONING DISTRICT R-40 Bldg.Type
SUBDIVISION MAP BLOCK LOT 123.134 BUILDING IS TO BE: CONST TYPE USE GROUP I
Business
REMARKS Use&Occupancy-Mental Health Office 508-221-1224
AREA(SQ FT) ESTIMATED COST$ PERMIT FEE$$60.00
OWNER 411 MAIN LLC C TQ
LICENSE#BUILDING DEPT.BY PHONE# SEP 2 7 Z023
ADDRESS 73 GLOVER DR
STOUGHTON MA 2072 Brad Inkley —
BUILDING DEPARTMENT
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
I SPECTIOF OON AS BEEN MADE.WHERE ELECTRICAL, PLUMBING/GAS, FIRE
REFER TO DETAILED INSPECTION SCHEDULE A
Y IS PROTECTION AND ,
FOR REQUIRED INSPECTIONS REQUIRED,SUCH BUILDING SHALL NOT BE SHEET METAL INSTALLATIONS.MECHANICAL
OCCUPIED UNTIL FINAL INSPECTION HAS
BEEN MADE.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS
I
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9,24 ii,
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WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF THE INSPECTION HAS APPROVED INSPECTIONS INDICATED ON THIS
THE VARIOUS OAGES OF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
CONSTRUCTION. MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED PHONE 508-398-2231 ext. 1261, 1260
ABOVE.
RECEIVED
Town of Yar � _...T__�...�.
rr�,o ith Bujl ing Department
rSEP 08 2023
1146 Route 28, South Yar o'� ° �"�`" `��- �q
! 1 4 tel. 508-398-2231. x jz6a4RTMENT
f
By
Use and Ok7410 „
`\ P,,
In accordance with the provisions of th ''
,� ,�I��saC�Gt�ts State Building Code, section 105.1
Application for a certificate 'use and occupancy permit
Name of Business j 6yC n.-- -ma y Phone # 6-05 2 2- j 12-2_,
l
Type of Business //V/ J —i - tit*/ T74 Y'146v1-41 Vr Email ICI fi":5 Q 0 P5* j
Property Address ( ML�j ' e.'6 5' ki
y e-MOVI1-IPD/zT- Unit # A -D 4-0'4
*Square Footage to be occupied S? *attach
floor plan 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 I
X Fire Department— Fire Prevention, 96 Old Main Street, 508-398-2212
Other 1/ 7
"4')4
C . c
r
Ai e e ( S. KALE-s, i,,-
Building owners Signature Applicant Signature_
Please note: this permit is for�use and occupancyonly. Alq � ��u�w �
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 6yo Proposed Use Change of Use: Yes N o(2(
Allowed Use: Yes,2cNo APD Waiver: Yes No N/A
uild' g Officials Signature Date
Updated 3/21
DocuSign Envelope ID:8AD138CB-EC3B-4E5D-970B-5895A7C53937
Exhibit A
Building 2, Second Floor
romommit roman
25
13.6„ x9, 13'6"x9'
12'4"x 5'9"
15'6"x 5'8"
3 917"x9'
Floor Ptan
Not to Scale—Measurements are Approxima-e
Second floor, Building 2, 411 Main Street, Yarmouth Part