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Home My WebLink AboutBuilding PermitsPERMIT 223 V—� 4/28/97 4/28/97 LOT S-2 Wilkey, Richard 6 New Hampshire Avenue West Yarmouth, MA 02673 Strip & re -roof $6,000.00 SHEET 12 pl/�x -e,9,�e TOWN OF YARMOUTH Building Department (508) 398-2231 ext.1261 PERMIT NO . ........ ISSUE DATE ; _ 1112812011. ; PROPOSED USE . _ _ _ _ APPLICANT ____________________________ BUILDING PERMIT JOB WEATHER CARD PERMIT TO ' ' New Construction ' AT (LOCATION) 10006NEW HAMPSHIRE AVE ZONING DISTRICTR-25 Bldg. Type: Residential I SUBDIVISION MAP LOT BLOCK 1016.54 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-2 LOT SIZE new construction (4 unit townhouse) - as per BOA petition # 4359 and as per plans dated 11/OaH 1. REMARKS np AREA (SO FT) EST COST ($ $t,i OWNER IRed Rose Inn & Tavern, LLC ADDRESS 500 Victory Road North Quincy ma 02171 Certificate Issue Date &-Z6 -/2-. FEE t BY CONTRACTOR LICENSE 49990 Abreu, David 47 Cedar Oaks Drive Plymouth MA 02360 6178289294 PHONE 16178729933 CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number AmDroved By Remarks BUILDING ,f/;,i6-112 PLUMBING/GAS ELECTRICAL ENGINEERING HEALTH 7i FIRE �/ �Y WATER OLD KINGS HWY To be filled In by each division Indicated hereon upon completion of Its final Inspection. 9d Page 1 of 1 GiPro, Linda From: Sawyer, John Sent: Wednesday, November 14, 2012 4:31 PM To: Cipro, Linda Subject: 6 New Hampshire Condo's Hi Linda, We are all set with this property; I signed the card on site. Thanks, Jon Jonathan E Sawyer Captain Inspector Yarmouth Fire Department 508-398-2212 X- 220 11/14/2012 a r TOWN UP YARMUUTH Building Department BUILDING _ _ _ . _ . _ . _ . (608) 388-2231 ext.1261 w PERMIT NO •. �. PERMIT ISSUE DATE ��/�/$011_ . PROPOSED USE APPLICANT :Da�Alci�r:u _ _ _ JOB WEATHER CARD PERMITTO ;NewCorlstructlon ; AT (LOCATION) j0006NEW HAMPSHIRE AVE ZONING DISTRICT R-25 Bldg. Type: Residantlal� SUBDIVISION MAP LOT BLOCK. 016.54 LOT SIZE BUILDING IS TO BE: CONST TYPE 5-B USE GROUP REMARKS new construction (4 unit townhouse) - as par BOA petition 0 4359 and as per plans dated 11/08111. I i AREA (80 FT) EST COST ($ $1,000,000.D0 PERMIT FEE ($) .i4.358.00 OWNER Red Rose Inn LL Tavem. LLC BUILDING DEPT BY ADDRESS 500 Victory Road CONTRACTOR LICENSE ! 49M Abreu, David 47 Cader Oaks Drive Plymouth MA OZ 5178289294 North Quincy ma 02171 _ PHONE 8178729M THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. iNCROACHMENTS 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 PUBWC WORKS. rHE 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 REQUIRED FOR ELECTRICAL. FOOTINGS. Y)PRIORTOCOVERINGSTRUCTURAL FINAL INSPECTION HAS BEEN MADE WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBINGIGAS AND MEMBERS (READY FOR LATH OR FINISH REQUIRED, SUCH BUILDING SHALL NOT BE MECHANICAL INSTALLATIONS. COVERING) 3) FINAL INSPECTION BEFORE OCCUPIED UNTIL FINAL INSPECTION HAS OCCUPANCY 4) REFER TO DETAILED INSPECTION BEEN MADE. SCHEDULE POST THIS CARD SO IT IS VISIBLE FROM STREET APPROVALS WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INSPECTIONS INDICATED ON THIS CARD UNTIL THE INSPECTOR HAS CONSTRUCTION WORK IS NOT STARTED WRHIN SIX CAN BE ARRANGED FOR BY TELEPHONE APPROVED THE VARIOUS STAGES OF CONSTRUCTION MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED OR WRITTEN NOTIFICATION. ABOVE r 4; f TOWN OF YARMOUTH Building Department BUILDING If.r (508) 398-2231 ext.1261 .. _ _ .. _ _ , PERMIT NO FB-12.722- =--=--:- - PERMIT ISSUE DATE ; ,11/28/2017. ; PROPOSED USE : : APPLICANT David .... ""---"""-' ""' JOB WEATHER CARD PERMIT TO ; New Construction AT (LOCATION) 10006NEW HAMPSHIRE AVE ZONING DISTRICT R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK LOT SIZE BUILDING IS TO BE: CONST TYPEI 6-8 1 USE new construction (4 unit townhouse) - as per BOA petition # 4359 and as per plans dated 11/08/11. REMARKS AREA (SO FT) EST COST ($ I$1,000,000.00 PERMIT FEE ($) $4,358.00 OWNER IRed Rose Inn & Tavern, LLC BUILDING DEPT BY ADDRESS 1500 Victory Road North Quincy 102171 INSPECTION RECORD CONTRACTOR LICENSE 49990 Abreu, David 47 Cedar Oaks Drive • -:. Plymouth !MA 02360 6178289294 PHONE 16178729933 FIELD COPY - - - - - - - - No -to Progress -Corrections and Remarks Vounclation-Location Approved MI. . II ' /L GJ A Flood Elevationprior to Is required p tsse- of the Certificate of occupancy TOWN OF YARMOUTH Bullding Department BUILDING (508) 398-2231 ext.1261 PERMIT NO F8-12-659_ , PERMIT ISSUE DATE ; • 11110/2011- ; PROPOSED USE APPLICANT'Davldibrou---------------------- JOB WEATHER CARD •------------------------ PERMIT TO UISCJroundatl0n onh AT (LOCATION) 10006NEW HAMPSHIRE AVE ZONING DISTRICT R-25 Bldg. Type: Resldential SUBDIVISION MAP LOT BLOCK 1016.54 1 BUILDING IS TO BE: CONST TYPE" USE GROUP R-1 LOT SIZE Foundation Only - as per BOA petition # 4359. REMARKS AREA (SO FT) EST COST ($ $40,000.00 PERMIT FEE ($) $75.00 OWNER lRed Rose Inn & Tavern, LLC BUILDING DEPT BY ADDRESS 1500 Victory Road 'North Oulncy MA 102171 INSPECTION RECORD Date Note Progress - Corrections and Remarks 4- Foundation Location Approved A Flood Elevation Certificate Is required prior to issuance of the Certificate of Occupancy. CONTRACTOR LICENSE 49990 reu, David 47 Cedar Oaks Drive Plymouth Me 02360. 6178289294 PHONE 16178729933 FIELD COPY MiTek MiTek Industries, Inc. 14515 North Outer Forty Drive Suite 300 Chesterfield, MO 630175746 314-434-1200 Re: 33084R 33084R-1110231 J&B Construction The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc. under my direct supervision based on the parameters provided by Reliable Truss & Compnts.Inc. Pages or sheets covered by this seal: 118653120 thru I18653120 My license renewal date for the state of Massachusetts is June 30, 2012. Lumber design values are in accordance with ANSLWI 1 section 63 These truss designs rely on lumber values established by others. XUEGANG uu STRUCTURAL NO.43263 J V ' v 1 February 2,2612 Liu, Xuegang The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSI/TPI 1. <i: Job Truss Thus Type Ory Ply i30M(Lt1t023t J60 Consurrdon 33054R 601 COMMON TRUSS 2UNITS YF 116633120 tOF2 � l rt;irwsc , rtwa w, rrcn oryranu eve utrea, , rlau a ray 771pf 1 MI ee nausiMA ne, r nu reo W fu:W:h h zghz Fogel ID:6yM3UboBnKYLw_CkiDkSiyPxde-W LOFORale80sGpOgas_6ewlgAcKKUH47ri4YczpCKl 6 -PO 3-0-7-5- 1 3 47 D-" 2 9-0 2-00 5-5-9 37 347 5-5-0 2-0-0 REMOVE 7 SECTION OF BOTTOM CHORD FROM THE CENTER OF THE TRUSS ea10 11 Too 12 ea = 30- x 49' Sale. 1A5.4 CUT ONE TRUSS ONLY AND HEADER TO ADJACENT TRUSSES 37 x 48- HEADER AND WINGER (BY OTHERS) TO CARRY REACTIONS SHOWN BELOW FOR JOINTS 8, 9. SEE SHEET 2 OF 2 FOR ADJACENT TRUSS DESIGN. 5 13 10 7x7 7x7 7 2x4 // 9 \ 9 2x4 \\ HEADER AND HANGER (BY OTHERS) ad = lot ATTACH 10 PLYWOOD OR OSB GUSSET (1513r APA RATED SHEATHING 32/16 EXP 1 TO EACH FACE OF TRUSS WITH 10d (3- X.131-) NAILS DRIVEN THROUGH BOTH SHEETS ADD 2 X 4 SPF NO.2 OF PLYWOOD AND CLINCHED PER THE FOLLOWING NAIL SCHEDULE CUT TO FT TIGHT WS 2xVSANDLARGER-3ROWS: SPACED�p 2Nq LS TO BE Ds-1 ROW.RIVEN FROM BOW1 FACES STAGGER SPAC WG FROM PRONTO TO BACK FACE FOR A NET 0-2-0 O.C. SPACING IN THE MAIN MEMBER USE A MIN. 0J4 MEMBER END DISTANCE r-0-0 1 7-59 1 100.0 1 12-0-0 I 14b7 20�0 1 22-0-0 t _ _ Plate Offsets (X,Y): ]b0 (2:0-3-8.Edge]. (4:04-8 0-3-0] 5-5 9 ]A_ 7 2-M8 ]A7 5.5.9 16:0.3-e Edge] LOADING (psi TCLL 35.0 SPACING 24)-0 CS! DEFL b poc) Udell Lid PLATES GRIP (Rod Snow=35.0) Plates Increase 1.15 TC 0.38 Vert(LL) -0.12 6.7 "SO 240 MT20 1971144 TCDL 10.0 Lumber Increase 1.15 BC 0.36 Vert(TL) -0.12 6-7 >999 180 BOLL 0.0 • Rep Stress [nor YES WB 0.57 Hors(TL) 0.13 6 Na lVa errn con Code IBC20091TP12007 (Matrix) Weight 116Ill FT-20% LUMBER BRACING TOP CHORD 2 X 6 SPF 165OF 1.5E TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc pudins. (PSA] BOT CHORD 2 X 6 SPF 165OF 1.5E BOT CHORD Rigid ceiling directly applied or 10.0.0 of: bracing. WEBS 2 X 4 SPF Not JOINTS 1 Brace at J(s): 11. 12 WEDGE MTek recommends that Stabilizers and required cross bracing Left: 2 X 4 SPF Not, Right 2 X 4 SPF No.2 be installed during truss erection, In accordance with Stabilizer Installation crulde, REACTIONS pb/size) 2=62110.5-9 (min. 0.1-8), 9=583l1ilednanical, 8=690'Mact anical, 6=518/0-5-8 (min. D-1-8) Max Horz 2-193(LC 9) _-- _ -- --- ----- Max Uplift2-332(LC 10). 9-237(LC 9), B-154(LC 6), 6-271(LC 10)------- - -- -- - -- _Max Grav2=621(LC 1), 9=1017(LC 2), 8�1130(LC 3), 6=518(LC 1) FORCES Qb)- Maximum CompressiciWaximumTension TOP CHORD 1-2.0/28, 2-3-650/507, 3-4-W2/5al, 4-5-83I630, 6-13=-250/473, 6-13-523/471 BOT CHORD 2-10=-201282, 9.10=-2111. 7-8-3/12, 6.7=-1831269 WEBS 4.11=-944/190, 7-11=-271/452, 10-12=-311/480, 4.12=8141375, 9-12=-1147/241, 8-11=-12561358, 3-12=-661282, 5.11-71GGM NOTES 1) Wind: ASCE 7-05; 120mph; TCOL-6.Opst BCDL-6.0pst; h=2511; B=48R; L-24ft; eave4ft; CaL 11; Exp B; partially; MWFRS (all heights) and C-C Extedor(2) zone; cantilever left and right exposed ;C-C for members and forces d MWFRS for reactions shown; Lumber DOL=1.60 plate grip DOL-1.60 2) TCLL: ASCE 7-05: Pf=35.0 psf (fiat roof snow); Category II; Exp B; Partially Exp.; Ct-1.1 3) Unbalanced snow loads have been considered for this design. 4) This truss has been designed for greater of min rod Ova load of 17.0 psf or 2.00 times flat root load of 35.0 psf on overhangs non -concurrent with other live loads. 5) This truss has been designed for a 10.0 pill bottom chord Ova load nonconcurrent with any other live loads. 6) a This truss has been designed for a Ova bad of 20.0psf on the bottom chord in all areas where a rectangle 3.6-0 fall by 2-0.0 wide will fit between the bottom chord and any other members. 7) Refer to girder(s) for truss to loos connections. B) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 332 lb uplift at joint 2, 237 lb uplift at joint 9, 154 lb uplift at joint B and 271111 uplift at joint 6. 9) Fixity of members 3 - 4,4 - 5 have been changed. 10) This truss is designed In acmMano@ with the 2009 International Building Code section 2306.1 and referenced standard ANSVTPI I. 11) "Seni-rigid pitdhbreaks including heels" Member end fx ty model was used in the analysis and design of this truss. LOAD CASES) Standard QI February 2,2012 Q WARWM1 • VaV'y deign pmmneters o=dREAD M IW ON TWSAND MMEIDE7 ==R1iFERBM3TPAGB i U-747J BSFORB USB. Design wild for ore orJy wIM ANTek coaiettom This design Is bpsM aNy upon paaroten 1 ]not ir/4r an kdvidrpl WYdno component. Applrnb9ly design derporarropper lers ord aarcornorotiorr of component isreaporuibaty�Wv6y q daf,�lr• rot hw Wer si9n.6mcFq flown Isfor 10f6rd wppod of hdMdud web mem bers only. Additional ar tenpory broctrq to 1 won r4"g consbmlion Is to responsibility of the erector. Add liond permanent bochg of are overall structure Is M msporm" of the Wadino L Aibner. For 17eneral guidenca regarding WOW fabrication. dually conlroL storage. delvoy. weelon and brachp. con A 'ANS1rte1h Ouoay Crlle44 D$Wif and ICU Building Componerd 14313 N. OWr Forty, suue SM Sally Wrlorrrralars ovoie heul oble Worn Ines Plotste. 781 N. Ln Street. Su6e 312. Alexandria. VA 22314. CheMadeM, MO 63017 If Southem Poe SP or Slip) lumber Is specified, the design v6lues are those effective 06a1012 by ALSC or proposed by Split.. j Job j Truss Truss Type Ory Ply 330e1R-11ID231 .ere construction s" 33014R sofa CoramanThis& �';i 30 1 2pF2ness3uo Job Reference (00tionan • I Muss W , rut W aGJFUM MA. U143,. 72W a May 11 2011 MRak Indusbles, Inc. Thu Fob 0211:19As 2012 Page 1 ' ID.6yM3UbeBnKYjLw CidDkS9yPade-0dyrGDMgsdSBeZI GafDOyvtV2AlImZvxa5s_UL2pBl9 4 1so-o -ao ao 4-0-0 7-0-0 7-00 4 00 axlo II ADD LOADS FROM HEADERS 4 ATTACH 2X6 SPF NO.2 TO ONE FACE OF TRUSS WITH A CLUSTER OF (5) 10d (3• X 0.131') NAILS IN EACH END. 7.00 FF 1e 17 3 s e 2 / _ 13 xxZ 12 11 14 10 1OF 75 If B 7X7 7 BxB 2x4 // 4x6 = \ 214 \\ axe = HEADER AND HUNGER (BY OTHERS) Scale s 1:45.7 ATTACH 12- PLYWOOD OR OSS GUSSET (1513r APA RATED SHEATHING 32116 EXP 1) TO EACH FACE OF TRUSS WITH 10d X .131� NAILS DRIVEN THROUGH BOTH SHEETS APPLY 2X8XS SPF No.2 SCAB S) TO EACH FACE OF TRUSS CENTERED ON PANEL &12 OF PLYWOOD AND CLINCHED PER THHEEFOLLOWING NAIL SCHEDULE ATTACH WITH 100 (3• %0.131; NAILS PER THE FOLLOWING NAIL SCHEDULE 2 x Ts -1 ROW, 2 airs - 2 ROWS, 2 x Sb AND LARGER .3 ROWS: SPACED 0 0r-0 O.C. 3 ROWS: SPACED 0 0-" O.C. NAILS TO BE DRIVEN FROM BOTH FACES, STAGGER SPACING FROM FRONT TO BACK FACE FOR A STAGGER NAIL SPACING FROM FRONT FACE AND 13ACK FACE FOP. A NET 0 2 0 O.0 NET 0-2-0 O.C. SPACING W THE MAIN MEMBER. USE A MIN. 03-0 MEMBER END DISTANCE SPACING IN THE MAIN MEMBER USE A MIN. 03-0 MEMBER END DISTANCE LOADING (pst3 TCLL 35.0 (Rod Snow=35.0) 0.0 0.0 • BCDBCDL 10.0 SPACING 2-40 Pallas Increase 1.15 Lumbar increase 1.15 Rep Stress Ina NO Code IBC2D09/rP12007 CSI TC OAS BC 0.98 WB 0.43 (Matrix) DEFL In Doc) Ildefl Ud Val(LL) -0.17 B-12 >999 240 VertCrL) -0.B-1> 180TCDL Forz(rL) 0.05 6 Ins NaBCLL PLATES GRIP MT20 19711" Weight: 119lb FTe20% LUMBER BRACING TOP CHORD 2 X 6 SPF 1650F 1.5E TOP CHORD Structural wood sheathing d'Iredly applied or 4-9-11 or puffins. BOT CHORD 2 X 6 SPF 1650F 1.5E BOT CHORD Rigid ceiling directly applied or 9.10.12 oc bracing. WEBS 2 X 4 SPF No.2 MiTek recommends that Stabilizers and required=dng OTHERS 2 X 8 SPF No.2 be Installed during truss erection, in accordance LBR SCAB 9.11 2 X 6 SPF No.2 one side WEDGE Left: 2 X 4 SPF No.2, Right 2 X 4 SPF No.2 REACT!ONS ((N.r,e) 2=18wxV-5-e (rnin. 03-0), 6=1812/0.5.8 (con. 0-2-13) Max Hors 2-193(LC 9) _ max Uplitt2=547(LC 10), 6=500(LC 10)----------- ---- - ---- -------------------- -- FORCES Ob) - Maximum Comp rs"ontMaximum Tension TOP CHORD 1-2s026.2-3= ^e'C.":• Z. 3 1C- : • - - -.. - BOT CHORD 2-13=-699/23DO, 12-13s6992300, 11.112-495/1743, 11-14=-49511743, 10.14=-495/1743, 10-18- 49511743, 15-15-495/1743, 9.15--495/1743, 8-9=-495/1743, 7.8-7102321, 6-7z7102321 WEBS 4-8--447/131B, 4.12-425/1268, 3.13•-402/375, 5.7•-409/377 NOTES 1) Attached 5-0-0 scab 9 to 11. front faces) 2 X 6 SPF No.2 with 2 row(s) of 1 Od (0.131-x3") nails spaced 3" o.c.. 2) Wind: ASCE 7-05; 120mph; TCDL-6.Opst BCDLe6.Opst; h=25ft; B--488; Le2411; save-4t , CaL la; Exp 8; partially; M WFRS (all heights) and C-C Exterior(2) zone; cantilever left and fight exposed ;GC for members end forces 8 MWFRS W reactions shown; Lumber DOLs1.60 plate grip DOLe1.60 3) TCLL• ASCE 7-05; Pf=-35.0 psf (flat roof snow); Category 11; Exp 8; Partially Exp.; Ct=1.1 1H OF M4.S 4) Unbalanced snow bads have been considered for this design. aE�' Cq 5) This thus has been designed for greater of min roof live load of 17.0 psf or 2.00 times flat rod load of 35.0 psf on overhangs noriwncurrendwith other live loads. XUEGANG " 6) This truss has been designed for a 10.0 paf bottom chord live bad nonconcurrent with any other live loads. u UU v 7) a This truss has been designed for a live bad of 20.Opsf on the bottom chord In all areas where a rectangle 3lr0 tall by 2-0-0 wide will STRUCTURAL fit between the bottom chord and any other members, with BCOL in 10.Opst. NO.43283 8) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 547 lb uplift at Joint 2 and 500 lb uplift at .d Q joint a. "pof AFBr5TE1'EO\H�`' FSSI 9) This truss is designed In accordance with the 2009 International Building Code section 2306.1 and referenced standard ANSI/TPI 1. OJust ENG 10) 'Seff"gid pitchbreaks including heels" Member end fully model was used In the analysis and design of this truss. 11) Hanger(s) or other connection device(s) shall be provided sufficient to support concentrated load(s) 565 Ib down and 226 lb up at 10", and 565 to down and 226 lb up at 12-0-0 on bottom chord. The desigNselection of such connection device(s) Is the responsibility of others. 12) In the LOAD CASE(S) section, bads applied to the face of the truss are tutted%.;z as front (F) or back - Febluary 2.2012 Continued on we 2 QWdRIyfM} • Ver(jy deeiglb parmxders owdRSAD N07SS ON TUISAND IHCLIIDIEs'` ►=LKREFMMWB PAGE AWf-7473 BUOR6 US& Design cold for else only vAth MaraiscanMlataf. This design is baled anty upon Pvarnetan gown) a�M Is So an IndviArol building cmponent picof �• Apnblity design paraetand Incorporation of component p It reons9rSN of buk*V designer -hot sun designer. arocing shown la for Herd support of Individual nab mertbers a*. Additional fernporay boring to nave stability dieWig cerskmtkxn Is the mporwbiYlry o1 No .nectar. Additional pemnanent bracing of the overall structure Is be IesPorabRty of the biding designer. For general guidance regarding MiTek' lobkotbn qualty, conka doroge, deWery, ersclkrn and brockXL conx,x ANSM11 gusty Crledq 03H1 and afil sanding Componea! 14313 R Outer Forty, Subs It300 N S�outherrnn P en SPP or SPp lumber Is Plate e nned, the des values are those end � D&VI r2Ot12 AL SC or sect SMB. Da°p°dela' MD awf7 10/.08/2003 03:14 ■, jT 0572212012 14: 01 5087755724 7743532142 MARTY REILLY NCKENZIE ENGR3 CONS PAGE 02 PAGE 01/0i AAcK NziE ENGINEERING Mr. Ken Elliott Wiring Inspector Town of Yarmouth 1146 Route 28 S. Yarmouth, MA 02664 May 19, 2012 RE: Electrical Boxes in Eire Selwations, 6 New i•Iampshire Ave, Yar..moutl: Dear Mr. Elliott, McKen7'e En;ineering Consultants Inc was retained by Thomas Mocrc Design to complete structural and fur separation review for the proposed commercial residential project (R-2) located at 6 New Hampshire Ave. Per the code, there are cite hour fire separations bctwccn units. Electrical and AN boxes were imt..tlled back to back in these fire separations. The building coda requires that if this occurs, Cite proof electrcal boxes or putty pads bo used to prevent pousible burn through at these locations, The contractor has indicated he will have tits electrical. contractor replace all electrical or A-V boxes or install the putty pads that are In these fire separations that are instal led back to back. If there are any questiotu, fcel free to contact me. roWX A. ,.;,.. Z&rk A. cc. Marcy Riley, Developar Mark Gryhs, Bullding Cotrimissioncr 127Y MAWone Rued Brewster, W 02631 r 77,033.2144 f 774.3S3,2142 www.mekenginean,cum NFng Consultants, Inc. Thomas ettse Brands Products Markets Solutions Resources Home, I Support Gmpa, Catalog Caplan" PRINT Blue PVC Outl'.t Boxes TAB Catalog Number.. B121ADJ UPC Number. I C3445114929 Status: Active Description: I PVC on"-9 wall box i th adjustable bracket, 21 c in Page 1 of 2 My TNB Stuff Catabp Add To My The Stull SUBMITTAL PACKAGE When To Buy Futuna EntsrZlp Code: a Patented design albvs for adjustment from 0' to 1a14'afterkWallauon Enter Quantity: • Ideal for new work OrnboN (old work) applications. GO .... • Bscldnw s l voltage bracket and poor box designs available. a Ideal for various drywall Wcknesses and wall finishes. Application • Canon® rwrfmetallic boxes feature PVC construction tar easier Installation, greater padomunp and fewer Installation cost, I a Designed and listed or use with non-mNyhd sheathed cable in accordance with Anita 314 or me National Electrical Code®. e All PVC boxes an perm saibls for use With goo C connectors. General Material Non-Menllic Color Blue Wining System NOrvmetallm sheathed cable Volume (cu.nJ t 21 Work New work or retrofit upgrade applications. Mounting Method , Adjustable Bracket Number of Gangs One Dimension Informabon Length Qnches) I 3 314 Width (Inches) 3 715 Depth (caches) 33!5 i 3 Adjustabday (Inches) 1-14 Packaging .�. Order Multiple 24 oularpaclugs 24 PSCU90 Wight 9 Package Length 13.75 —_.— Package Width—\,-__- TSB Sold in UOM Each " TSB Weight Par UOM 4 0A210s. Each Application Support Lh TAB Sales orewnpa ors 9184 I� Pndud Overview-Carlon Blue PVC Boxes Irok.Uare Notes 'N01s UL damped for 2 how the wag and or M calling. Certifications ' �t File Nbr. E 11451 HOME LOGIN RESOURCES S�1PPOn?x'. COMPANY Global Site Tag Access (Dim only) Caubg pOFa Contact Us About Ua 6 i62 i". A Soon Corywago, Rslwrt issue Supplhre End User Toolke Global L daps Cersen No suit" keen to can mar be coped, MyTNB d'subuw aYi am we,'rrM rnexM as Solution Set Broehum product du ppan Empbyeas exprnaed pbrpwmnxn of tnona,6 Vedkal Makin 9rochum Tool Eankes News Ydwn To auy Tarawa 1 FWbwl 2304 E_ Fauar_ http://www.tnb.co /ps/fulitilVindex.cgi?part=B121ADJ 5/29/2012 .+ 1 r. U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 Federal Erpergency Management Agency Expires March 31. 2012 NAtional Flood Insurance Program Important Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company_ Use: Al. Building Owner's Name 6 New Hampshire LLC Policy Number Apt, Unit, Suite, and/or City West Yarmouth State MA ZIP Code 02673 or P.O. Route and Box No. Company Ha. t-roperry uescnpuon (Lot ana block Numbers, Tax Parcel Number, Legal Description, etc.) Assessors Map 16, Parcel 54 AKA Lots 31 & 32 Plan Book 25, pg. 49 & best shown as A Stevens parcel on LC Plan No. 18145A A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, eta) Residential-4 Condominuim Units A5. Latitude/Longitude: Let 41-38-26.8 N Long. 70-14-49.4 W Horizontal Datum: ❑ NAD 1927 © NAD 1983 AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 3000 s.f. sq ft a) Square footage of attached garage 0Ld sq ft b) No. of permanent flood openings in the crawlspaoe or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade IlLa c) Total net area of flood openings In A8.b Z519 sq In c) Total net area of flood openings in A9.b nLit sq in d) Engineered flood openings? ❑ Yes ❑X No d) Engineered flood openings? ❑ Yes © No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number 132. County Name B3. State Yarmouth 250015 1 Barnstable I MA B4. Map/Panel Number B5. Suffix B6. FIRM Index 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 250015 0005 D Date Effective/Revised Date Zone(s) AO, use base flood depth) May 2, 1977 July 2, 1992 Al2 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) n n n n ri B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 0QQr1II B12. Is the building located in a Coastal Barrier Resources System �BRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date LJ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/AI-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized Yarmouth Mon. 28Vertical Datum NGVD29 - Conversion/Comments - - - - - -- - a) Top of bottom floor (including basement, crawlspace, or enclosure floor) Z.2 b) Top of the next higher floor 12-5 c) Bottom of the lowest horizontal structural member (V Zones only) [a. d) Attached garage (top of slab) 199. e) Lowest elevation of machinery or equipment servicing the building J_Q.Z (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 64 g) Highest adjacent (finished) grade next to building (HAG) 19.1 h) Lowest adjacent grade at lowest elevation of deck or stairs, including Q.Z Structural SUDDOrt Check the measurement used.L feet ❑ meters (Puerto Rico only)feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) feet ❑meters (Puerto Rico only)feet ❑ meters (Puerto Rico only)feet ❑ meters (Puerto Rico only) ®feet ❑ meters (Puerto Rico only) ❑X feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available.I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100 (.❑Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifiefs Name Ronald J. Cadillac, PLS Title President P.O. Box 35779 ZIP Code 1�k OF RONALD JAMES zi CAD,LLA, u 035779 y IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: and/or Bldg. No.) or P.O. Route and Box No. 6 New Hampshire Ave. West YarnouthState MA ZIP Code Company SECTION D -SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Bottom of septic control panel located under Utility room stairs=10.7 Rainbird control panel bottom=9.9 (sprinkler system Not serving building). AC platfomn=12.6. Gas water heaters on finished floom13.5 k J ❑X Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate Is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Et-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6.9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is : _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the hest of my knowledge. Property Owner's or Owners Authorized Representative's Name Address City State ' ZIP Code Signature Date Telephone Comments JGVIIVI`IV-%.U1V1YU1M1 I r imminmKi KJW(Vr11UNALl------_--- _ -- The local official who Is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Rem(s) and sign below. Check the measurement used in Items G8 and G9. Gt. ❑ The information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following Information (Items G4-G9) is provided for community floodplain management purposes. ' CA. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building:: _ ❑ feet ❑ meters (PR) Datum _ G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum_ G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum _ Official's Name Title Name Telephone Signature Date Comments Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 6 New Hampshire Ave. City west Yarmouth State MA ZIP Code 02673 company NAJC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; 'Front View' and 'Rear View'; and, if required, 'Right Side View' and 'Left Side View.' If submitting more photographs than will fit on this page, use the Continuation Page, following. I • y 3 �t3�t�lt • It rl tare• • a 1 1 i l LT r 1: • t r ea t j � I I 99 r L`1kF, M1 �YvN� R EA %Z Building Photographs See Instructions for Item A6. ror insurance L:ompany Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 6 New Hampshire Ave. City west Yarmouth State NIA ZIP Code 02673 ColrparlyNAJCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; 'Front View' and 'Rear View'; and, if required, 'Right Side View' and 'Left Side View.' If submitting more photographs than will fit on this page, use the Continuation Page, following. ................ L ik 1i.. I kit, t u S firma_ L l �•` f] i(�^t?�Lw, s 1 1 IL.�• F— L&J, In IT n . . hall L" f.,t r .:.•s M...AS.,:- ''"" y.i.�° ........'M ......14 ��°kYAr��C1'. In 2,60T 11/14/2012 13:27 Project Title: Project Location: Scope of Project: 7743532142 MCKENZIE ENGRG CONS PAGE 02/02 TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28. South Yarmouth, IVIA 02664 508-398-2231 ext. 1261 CONSTRUCTION CONTROL DOCUMENT Date: tl�t5jta Cora ' fj-c O Pcstdt,.yaa CA..( C04�` . NOV 16 2012 In accordance with Section 107.6-107.65 of the 8W edition of the Massachusetts State Building Code: 1, A ee-A•/nCxt"zrs. Mass. Registration Number 3?065 being a registered professional Engineer / Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: ( ) Entire Project () Architectural ( 0-9ttructural ( ) Mechanical ( ) 'Fire Protection () Electrical (vMther (specify) fire Se _ for the above named project and that to the best of my knowledge such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the Building Permit and shall be responsible for the following as specified in Section 116.2.2: 1. _Review of shop drawings, sample and other submittals of the contractor as required by the construction contract documents as submitted for the building permit and approval for the conformance to -the design concept. 2. Review and approval of the quality control procedures for all code required controlled materials. 3. Be present at intervals appropriate to die stage of construction to become generally familiar with the progress and quality of the work and to determine in general if the work is being performed in a manner consistent with the construction documents. I shall submit periodically, in a forat acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for :2�occupancy. ,sional: me this it day of W 200 Zo/L 3mmission expires on RE -INSPECTIONS 'STRE-INSPECTION 2 ND RE -INSPECTION 3 OR MORE DUPLICATE WEATHER CARD DATE: if `5 ADDRESS: ISSUED TO: REASON FOR RE-INSPECTIOND 0__ BUILDING DEPT.: ELECTRICAL: FIRE DEPARTMENT: GAS: OCCUPANCY PERMIT: PLUMBING PERMIT: OTHER: JAN 08 2Q113 A? v S80.00 S80.00 S80.00 S50.00 1 �► ..- TYPE OR OCCUPANCY TYPE: COMMERCIAL [3 PRuff EDUCATIONAL RESIDENTIALM CILLARLY ►� . •REPLACEMENT. PLANS M YES 0 NO SEE .. ��It�1��71� .. . C ��MEN . �. 1!lllilE�l� MEN 1M INEM 1*10W SEE MEN ' SEE ' MINE I MINE INE MINE EN! SEE INEENIMMINE WINE M MINE &Wbfimrarics policy or ♦ 1.star": 1 If you • 1 please1 Y• type1 coverap by checking 1the appropriateboxbelow. POLICYi LIABILITY INSURANCE I OTHER li BOND t� OWNERI INSURANCE WAIVER. I am awarg that the • does not " ft • of the s :.1♦ General Laws. 1that my •. I 1 1 1porn* 1• 1 SIGNATURE OF OWNER OR ZENT CHECK ONEONLY. , • • t hereby cer y that all of to detak and Information I haw submitted (or entered) MXding this ipdon am he and to b the best of my Krwwledye and Mat ON Plwbkp work and butallabom performed under the permit laved fa tha will be in ce with all Per*wd provlslon of the Massactxrsetb Slate Pkftkp Code and Chapter 142 of the General Laws PLUMBER NAME ) LICENSE t � SIGNATURE COMPANY NAME t ADDRESS: CITY: STATE: `jZ FAX 1 r TEL CELL - EMAIL m Cr MASTEfT JOURNEYMAN 0 CORPORATION ❑ 0 = PARTNERSHIP ❑ # LLC 0 1 '-r- WMIA VII Im■ FEE. $_. PERW f "'N 2 1 W4 71" 1 EITJ ;o VA A -_ —Falllit • , is IT 1AWW mm r COMMERCIAL■ EDUCATIONAL, ■ RESIDENTIALq S • • ■ REPLACEMENT. ■ PLMSSUSMITTED YES 0 NO[] rrrrrrr�r�r�rr� ■:�M:�L1120m • • 1 rrrrrrrrrlrltllllll•��■r�r 1 1 e • 1 rrrrrrrrMINIM mRlE��rir 1 • 1 - 7 rrrrrrrrrImIlL 3:�i • 7 rrrrrrrrrimimmromim . • 1 7 r�mrmrrr■rrrr��ir • �i�r_rr_rr_r_r_L_Q••.—._J_r e .1 if 1 • r�rr�rrrrrrr�rr�r�rrr��rrr • • • - ' • rrrrrrrrrrrrrrr '•'' • • - • • rrrrrrrrrrrrrrr rt�rrrMINIM rrrr • rrrrrrrrrrrrrrr • . 1 rrrrrrrrrrrrrrr ' rrrrrrrrrrrrrrr ' ' • r■r�ririrr�rr�rr�rr�rrr�r��r ' NINE&11111 rrrrrrrr rirr��rrrrr�rr■ir�r�rrrr • rr rrrrrrrrrrrr�rr■rr�rr�r��r�r m MINIMr r . rrrrrrrrrrrrrrr rrrrrrrr MINIM rrrrr rrrNINE rrrrrr rrrrrrrrrrrrrrr NINE r INSURANCE • If you have :.1 1 1 hxflmts the1 1 .1 1, :. 1 the apprpilia boxbelow. POLICYLlAB1LrlY INSURANCE E OTHER TYPE INDEMNITY■ BOND ■ • s \:.0 ,kW Chapter 1 i � . . 14 11' _ 1 •F 11'fft requiremer, SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY. • ■ AGENT ■ I hereby certiy that al of the detals and tnfornadon I haw submtted (or entered) reguft this application are true and awmate to the hest of my Knowledge and that all plumbkV work and butallations performed under the permit Issued for will be In cs wilh all Pertinent PviW n of the Mauachusetts State PNmbing Code and Chapter 142 of the General Laws, PLUMBER NAME 1 777 F, t LICENSE # I SI' TLI^ COMPANY NAME ADDRESS: CITY: UN QTTZ-7—STATE FAX: TEL CELL —( t]wa: NNS MASTER JOURNEYMAN ❑ CORPORATION PARTNERSHIP ❑ # I--j LI.0 ❑ # (-- FEE: $ PERMIT 10 ;1 MINE TYPEOR OCCUPANCY TYPE: COMMERCIAL 0 EDUCATIONAL CILLARLY NM. ►` • • REPLACEMENT.[3 PLANS• . NO 1 ,' MIN�I�3:1P�!111�1�� MINrWIN • 1 - 1 - IIIIIII■IIIIIIIIII1IIIIIIIII1II-IIIIII■I_IIIIIIIII, WE WIN RaKe:c/ m MEN • mnlWIN ®®®o® .. 1 ��I�M��INN M�0��M 1NN 111111111"BE ME gHmm ! WE MEN MUM mum MIN COVERAGEmm INSURANCE cumu&W'Xkwancsrr Or . r. y :e If you :. r PIGM lixilcater of warap by :.. . rthe approprWbox below. i LIABILITY INSURANCE •1 r OTHER TYPE INDEliffiff. BOND OWNEWS INSURANCE WAIVER. I am aware tW the •�tChapter 142 r .s:.1. r MA FITY rmbn on . r:.it rr�.� . .F1Gr i . -r SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY.OWNER I hereby certhV that d of the detak and Information I have subrnkW (or entered) reganft NO spoication are true and agmts to the best of my KncvAWge and that ail plumbing work and Iratallafts perftxmed under the pmm bum for this will be a with all Pmthwd provision of the Massaclwsetts State Plumbkg Cade and Chapter 142 of the General laws• PLUMBER NAME: \ /• LICENSE # SIGNATURE COMPANY NAME: ADDRESS: CITY: e ' e STATE '® ZP. I TS 5,1% KIX FAX TEL CELL ' -O EMAIL r MASTER ❑ JOURNEYMAN ❑ CORPORATION ❑ S = PARTNERSHIP ❑ t: LLC ❑ 0 0 BELOWZEUR 1 1 ICA FEE. $ PERWT t , PLAN REVIEW NOTES , 164 . mow_ • MIT • • • � • I I W JiMLFAX P . E • • •I • 1 • , 1 U CLZARLY NW. Li. • • ■ PLANS SUBMITTElk. YES NO 0 • =�=Sli • 1 1 �. i♦i♦i♦i♦i♦i♦__i♦-�I./.ri'AI�JIiI��i ' �ium��t mm mm mm mm • mm �n� im�� Ammm mm mm • lhaveaINSURANCE • •• 1l\. 11 1 l 1. tar" "Ml"wtdd1m8ftI :.1 i ♦ 1 M 142 YES . 1 111 ff you hm ctwdwd PIGM1U I. 1 I coverap 1 :,• 1 :II 11 '. boxbelow. POLICYi LIABILITY INSURANCE 7 OTHER 1 BOND • • Ikemm does 10 1.'1r Um kmnm cmmP : 1 LI 1 M mpter 142 of the 1:. 1Ik1 IP 1C'f mWirmnot SIGNATURE OF OWNER OR AGENT CHECK 'NE ONLY. OWNER I heroby cer* that al of ft dediis and Inform dm I haw submtted (or entered) reganilnf DPliaUon an bu aaurate to Ihs best of my Knowledge and OW d plumtkng work and Instaltadm performed order moon permit Issued"a icadm wUl In cewith all Perkad proNalon of ttN Massacfwsetts Staton Plumbing Code and Chapter 142 of the General laws. PLUMBER NAME:` k. LICENSE I 'SlGNATURE COMPANY NAME \ a�tADDRESS: 1 Cam: STATE 7 Zp FAX c c g c TEL: CELL-EMNI:[".. MAST8Rf63 JOURNEYMAN CORPORATION O 8 � PARTNERSHIP ❑ 0 LLC 0 # ®! . I FOR F! y' I-ISE ONLY "� L IYes No :Wit , i ■ ■ / 1. :.p1_.: ! 6, PLAN R i MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY I Yarmouth Ma DATE PERMR # G I Z _ 676 JOBSITE ADDRESS OWNER'S NAME t� GOWNER ADDRESS: CSJ c TEL FAX TYPE OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL 91 CLEARLY NE&9 RENOVATION. ❑ REPLACEMENT. ❑ PLANS SUBMITTED: YES ❑ NO ❑ FIXUTRES -1 FLOOR-+ Bsmt 1 2 3 4 5 B 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE --- — --- -- _ — — -- --- — — — — — -- GENERATOR GRILLE LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE s _ I have a current (iabiI insurance policy or its substantial equivalent which meets the requirements o*ap@ ` Byou have checked X, please indicate the type of coverage by checking the appropriate boa below.}yl' LIABILITY INSURANCE POUCY V OTHER TYPE INDEMNITY ❑v� v OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage reeJ 3 Massachusetts General Laws, and that my signature on this application permit withis requirement. . SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ❑ AGENT ❑ hereby certify that all of the deta9s and leformadon 1 have submitted (or entered) regarding this Ikation are true and to to the best of my Knowledge and that all plumbing work and Installations performed under the permit Issued for th flan will be In p ce with a0 Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBERlGASFITTERMAME UCENSE # �2 SIGNATURE COMPANY NAME . ADDRESS: CITY: STATE ZIP.-1 FAX TEL CELL: — 0 EMAIL: C VASTER -A JOURNEYMAN ❑ LP INSTALLER 0 CORPORATION ❑ #PARTNERSHIP LLC 0 #� ROUGH GAS INSPECTION NOTES BELOW FOR OFFICE USE ONLY Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: i PERMIT PLAN REVIEW NOTES FINAL INSPECTION NOTES I ft MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY Yarmouth MA DATE PERMIT #�2 2. -%%� JOBSITEADDRESS �. OWNER'S NAME t G OWNER ADDRESS: TEL-I& WIN FAX F PRRINTR OCCUPANCY TYPE. COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL CLEARLY NEW; RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO ❑ FIXUTRES 1 FLOORS Bsmt 1 2 3 4 1 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOFTOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER I have a current ll il' insurWW policy of its substantialequivalentwhich meets the requirements of MG Ch 142if INSURANCE COVERAGE R2ofthe you have checked = please indicate the type of coverage by checing the appropriate box below.LIABILITY INSURANCE POUCOTHER TYPEINDEMNfTY ❑ gOWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required Massactursetts General Laws, and that my signature on this permit application wa vei this requiremer><.. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ❑ AGENT ❑ hereby certify that all of the details and information I have submitted (or entered) regarding this lion are true and rate to the best of my Knowledge and that all plumbing work and insialiadw performed under the permit issued for this will be mpl ce with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBERiGASFiTTER NAME UCENSE #® SI RE COMPANY NAME. ADDRESS: \%-\ Cam\ \ e LOUR! ME 51 JOURNEYMAN 0 LP INSTALLER ❑ CORPORATION ❑ #COPARTNERSHIP 0 #U.0 0 # �� ROUGH GAS INSPECTION NOTES �d%Q lz BELOW FOR OFFICE USE ONLY Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: S PERMIT t PLAN REVIEW NOTES FINAL INSPECTION NOTES All A V MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY I Yarmouth MA DATE 2 PERMIT # t; I Z-671 JOBSITE ADDRESS OWNER'S NAME GOWNER ADDRESS: TEL \ FAX TYPEOR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL CLEARLY NEW. RENOVATION: ❑ REPLACEMENT. ❑ PLANS SUBMITTED: YES ❑ NO ❑ FIXUTRES 1 FLOOR-+ Bsmt 1 2 3 4 5 8 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE - GENERATOR GRILLE LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER :A 1N3 INSURANCE COVERAGE I have a current Its tl' t murance policy or Its substantial equivalent which meets the requirements of M 1�`ZOZ XF �0 If you have checked YES. please indicate the type of coverage by checking the appropriate box below. yy d LIABILITY INSURANCE PO uc;Yz OTH%ER TYPE INDEMNITY ❑ Rai 3 .J OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application Maya this requkemenL SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ❑ AGENT ❑ hereby certify that all of the details and Information I have submitted (or entered) regarding thb alptSIGNA re true and to the hest of my Knowledge and that all plumbing work and installations performed under the permit Issued for thiswfl be In co an with aG Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER/GASFITTER NAME: LICENSE#® COMPANYNAME \ ADDRESS: MR V4A �WSW_ JOURNEYMAN 0 LP INSTALLER ❑ CORPORATION ❑ #=PARTNERSHIP #LLC 0 ## C� ROUGH GAS INSPECTION NOTES /M4- ioAs ck BELOW FOR OFFICE USE ONLY Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT i PLAN REVIEW NOTEB FINAL INSPECTION NOTES k� �� r r OWNTYPE ♦ 1►1�Lai��\A» OR \ ' • ■ 1 ■ r r ■ 1 ■ • • - �O©©p©OpppiOi�!®®m -...- 1 current flaftLirmuranceI I Grits 1. 1 fwkki-pu. 1 ., l 1 ti 1• • • i �, ( r I 1 1 I I 1 1 1 LIABILITY INSURANCE POLICY �15\7 OTHER TYPE INDEM OWNER'S ' 1 �Y• 111 I .IzA 1� �111 .1 r III hereby certify that a9 of the detalls and khrmallon I have submitted (or entered) regarding this a ikation are hue and accu the best of my Knowledge and that all plumbing work and Installatbns performed under the permit Issued for th VA be In co th all Pertinent provision of the Maasacfwselts State Plumbing Code and Chapter 142 of the General Laws, PLUMBERlGASFITTERNRME LICENSE # SIGNATURE COMPANY NAME ADDRESS: CITY: , \ STATE ZIP FAX: TEL — CELL: EMAIL MAST�RJOURNEYMAN ❑ LP INSTALLER 0 CORPORATION ❑ #PARTNERSHIP ❑ #(—� LLC El # JtOUi I OAS INSPECTION NOTES BELOW FOR OFFICE USE ONLY Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: i PERMIT t PLAN REVIEW NOTES FINAL INSPECTION NOTES , DMS - Nia Hanlon From: Joseph Telloactello@drywalimasonrysupplies.com] Sent: Friday, April 27, 2012 9:00 AM To: 'DMS - Nia Hanlon' Subject: approval Hi Nia, Can you please print this and give to Lou for me? Thank you, Joe MASS APROVAL CODE for Napoleon GVF36 is G3-0509-449 Don Bliss J & B Construction Company Custom Homes Box # 809 Forestdale, MA 02644 Phone: 508-737-6506 Fax: 509-539-1132 E-mail- dblissIQmsn.com www.jbcustomhome.com 6 New J-ksk c,1R h-e,k- 6c)-o — t-16?% 1 o� r TOWN OF YARMOUTH Building Department BUILDING ►? _ 68-12-1200 (508) 398.2231 ext.1261 PERMIT NO .::.:.::... .. . PERMIT �• ISSUE DATE ; _ 3/30/2012 _ ; PROPOSED USE APPLICANT ,"RobertSc'hmid-t ----- '------------- " JOB WEATHER CARD PERMIT TO ; MiscJsheet metal ; AT (LOCATION) ZONING DISTRIC R•25 Bldg. Type: Residential 10006NEW HAMPSHIRE AVE Unit 4 SUBDIVISION MAP LOT BLOCK 1016.54 BUILDING IS TO BE: CONST TYPE USE GROUP LOT SIZE single system two zone unico hydro -air, A/C REMARKS 1 i f1 AREA (SO FT) EST COST ($ $0.00 PERMIT FEE ($) $50.00 OWNER IRed Rose LLC BUILDING DEPT BY ADDRESS 0006 NEW HAMPSHIRE AVE Unit 4 West Yarmouth I MA 102673 PHONE CONTRACTOR LICENSE 11510 Schmidt, Robert P.O. Box 3068 Bourne MA 02532 5087598691 INSPECTION RECORD FIELD COPY Date Note Proaress - Corrections and Remarks Insoector A -.. Home Energy Raters LLC Box 989, E. Sandwich, Ma 02537 Duct Leakage Test BTorrey @EnergyCodeHelp.com . 888-503-2233 Address: 6 New Hampshire Rd. Unit 4 Yarmouth Ma Date — May 17, 2012 Test Type — Rough - In — Total Leakage Conditioned floor area = 1282 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 76 CFM (1282 /10O x 6 = 76.92) Duct leakage tested = 35 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test: MNay 17 2012 Technician: Chris Mazzola Test File: Urddled Customer: End Unit Building Address: 4 New Hampshire Yarmouth, MA 02675 Phone: Fax: Test Results 1. Measured Duct Leakage: 2. Dud Leakage as a Percent of System Airflow: 3. Dud Leakage as a Percent of Building Floor Area: 4. Leakage Split: 5. Dud Leakage Curve: 6 Test Settings: Supply Side: Return Side: Flow Coefficient (C): Exponent (n): Test Mode: Test Pressure: Equipment: Test Type: Building and System Parameters: Floor Area: 1282 sq. ft. System Airflow: Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC 35.0 CFM / 6.6 sq. in. (*/- 0.0 %) 2.7 % 5.1 0.600 (Assumed) RECEIVED OCT 12 2012 BUILDING PARTMENT Pressurization 25.0 Pa Series B Minneapolis Duct Blaster Total Leakage (Duct Blaster Only) Average Supply Operating Pressure: Pa Average Return Operating Pressure: Pa OF P TOWN OF YARMOUTH Building Department BUILDING + _ _ ---- (508) 398-2231 ext. 1261 PERMIT NO SB-12-�199 PERMIT s. ISSUE DATE : ......01 . _ . PROPOSED USE :; APPLICANT .RobertSchmidt- -- - ----------------------------- JOB WEATHER CARD PERMIT TO ; MlscJsheet metal ; AT (LOCATION) 10006NEW HAMPSHIRE AVE Unit 3 ZONING DISTRIC R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK 1016.54 BUILDING IS TO BE: CONST TYPE= USE GROUP LOT SIZE single system two zone unico hydro -air system, A/C i REMARKS AREA (SO FT) EST COST ($ $0.00 PERMIT FEE ($) OWNER lRed Rose LLC BUILDING DEPT BY ADDRESS 10006 NEW HAMPSHIRE AVE Unit 3 West Yarmouth I MA 102673 INSPECTION RECORD CONTRACTOR LICENSE 11510 Schmidt, Robert P.O. Box 3068 Boume MA 02532 5087598691 PHONE 15087598691 FIELD COPY Date I Note Progress - Corrections and Remarks Inspector �J tc VC E 6 Dome Energy Raters LLC BTorrey @EnergyCodeHelp.com Box 989, E. Sandwich, Ma 02537 888-503- 2233 Duct Leakage Test Address: 6 New Hampshire Rd. Unit 3 Yarmouth Ma Date — May 17, 2012 Test Type — Rough - In — Total Leakage Conditioned floor area = 1282 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 76 CFM (1282 MOO x 6 = 76.92) Duct leakage tested = 42 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test: MNay 17 2012 Test File: Untitled Customer: Middle Unit Phone: Fa)c Technician: Chris Mazzola Building Address: 3 New Hampshire Yarmouth, MA 02675 Test Results 1. Measured Duct Leakage: 2. Duct Leakage as a Percent of System Airflow: 3. Duct Leakage as a Percent of Building Floor Area: 4. Leakage Split: 5. Duct Leakage Curve: 6 Test Settings: Supply Side: Return Side: Flow Coefficient (C): Exponent (n): Test Mode: Test Pressure: Equipment: Test Type: Building and System Parameters: Floor Area: 1159 sq. ft. System Airflow: Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC 42.0 CFM / 7.9 sq. in. (+1- 0.0 %) —% 3.6 % 6.1 0.600 (Assumed) \1 F, OCT 12 201� i, INGEFA�RTMFNT i I pU1LD— p or - Pressurization 25.0 Pa Series B Minneapolis Duct Blaster Total Leakage (Duct Blaster Only) Average Supply Operating Pressure: Pa Average Return Operating Pressure: Pa TOWN OF YARMOUTH Building Department BUILDING ... _ _ ... _ . _ , (508) 398-2231 ext.1261 PERMIT NO SB-1 ..... .; PERMIT ISSUE DATE ; • 3/30/2012 . ; PROPOSED USE ....... e •-" -' JOB WEATHER CARD APPLICANT .'Robert Schmidt -------------- PERMIT TO MlscJsheetmetal ' AT (LOCATION) 10006NEW HAMPSHIRE AVE Unit 2 ZONING DISTRIC R-25 SUBDIVISION MAP LOT BLOCK 1016.54 BUILDING IS TO BE: CONST ; LOT SIZE F--� single system two zone unico hydro -air system, A/C REMARKS�y AREA (SO FT) EST COST ($ $12,500.00 PERMIT FEE ($) $50.00 OWNER IRed Rose LLC BUILDING DEPT BY ADDRESS 0006 NEW HAMPSHIRE AVE Unit 2 West Yarmouth I MA 102673 INSPECTION RECORD Bldg. Type: Residential 'E= USEGROUPC PHONE CONTRACTOR LICENSE 11510 Schmidt, Robert P.O. Box 3068 Bourne MA 02532 5087598691 FIELD COPY Date I_ _ .--Note Progress - Corrections and Remarks I Inspector 2 • 10' nie Energy Raters LLC BTorrey @EnergycodeHelp.com Box 989, E. Sandwich, Ma 02537 888-503- 2233 Duct Leakage Test Address: 6 New Hampshire Rd UNIT 2. Yarmouth Ma Date — May 17, 2012 Test Type — Rough - In — Total Leakage Conditioned floor area =1282 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 76 CFM (1282 MOO x 6 = 76.92) Duct leakage tested = 32 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test: MNay 17 2012 Technician: Chris Mazzola Test File: Untitled Customer: Middle Unit Building Address: 2 New Hampshire Yarmouth, MA 02675 Phone: Fax Test Results 1. Measured Duct Leakage: 2. Dud Leakage as a Percent of System Airflow: 3. Dud Leakage as a Percent of Building Floor Area 4. Leakage Split: 5. Dud Leakage Curve: 6 Test Settings: Supply Side: Return Side: Flow Coefficient (C� Exponent (n): Test Mode: Test Pressure: Equipment: Test Type: Building and System Parameters: Floor Area 1159 sq. ft. System Airflow: Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC 32.0 CFM 16.0 sq. in. (+1- 0.0 %) 2.8 % 4.6 0.600 (Assumed) i OCT 12 2�12 gU1LDINV pEF��''" Pressurization 25.0 Pa Series B Minneapolis Duct Blaster Total Leakage (Duct Blaster Only) Average Supply Operating Pressure: Pa Average Return Operating Pressure: Pa i .90 OF r TOWN OF YARMOUTH Building Department BUILDING + _ . _ ... (508) 398-2231 ext.1261 PERMIT NO SB-12-1197 PERMIT ISSUE DATE 3/30/2012 PROPOSED USE ; ........... ; APPLICANT .'Robert Schmidt - - ----------------------------- JOB WEATHER CARD PERMIT TO Miscjsheetmetal ; IAT (LOCATION) 10006NEW HAMPSHIRE AVE Unit 1 ZONING DISTRIC R-25 Bldg. Type: Residential I SUBDIVISION MAP LOT BLOCK LOT SIZE BUILDING IS TO BE: CONST TYPES I USE GROUP REMARKS single system two zone unico hydro -air system, A/C v�) V y AREA (SO FT) EST COST ($ $0.00 PERMIT FEE ($) $50.00 OWNER I Red Rose LLC BUILDING DEPT BY ADDRESS 10006 NEW HAMPSHIRE AVE Unit 1 West Yarmouth I MA 102673 INSPECTION RECORD PHONE CONTRACTOR LICENSE 11510 Schmidt, Robert P.O. Box 3068 Bourne MA 02532 5087598691 FIELD COPY Date Note Progress - Corrections and Remarks Inspector D /2 c � %zNbi� v Y-gstl RE&2&'± //-20 4 751 , Y Home Energy Raters LLC BTorrey @EnergyCodeHelp.com Box 989, E. Sandwich, Ma 02537 888-503- 2233 Duct Leakage Test Address: 6 New Hampshire Rd. Unit 1 Yarmouth Ma Date — May 17, 2012 Test Type — Rough - In — Total Leakage Conditioned floor area = 1282 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 76 CFM (1282 /100 x 6 = 76.92) Duct leakage tested = 36 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test: MNay 17 2012 Technician: Chris Mazzola Test File: Untitled Customer: End Unit Phone: Fax: Building Address: 1 New Hampshire Yarmouth, MA 02675 Test Results 1. Measured Duct Leakage: 2. Duct Leakage as a Percent of System Airflow: 3. Duct Leakage as a Percent of Building Floor Area: 4. Leakage Split: 5. Dud Leakage Curve: 6 Test Settings: Supply Side: Return Side: Flow Coefficient (C): Exponent (n): Test Mode: Test Pressure: Equipment: Test Type: Building and System Parameters: Floor Area: 1282 sq. ft. System Airflow: Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC 36.0CFM/6.8sq. in. (+/-0.0%) 2.8 % 5.2 0.600 (Assumed) 011 12 2 ,t ©lj1LO1N�' UCP�`y Pressurization el 25.0 Pa Series B Minneapolis Duct Blaster Total Leakage (Duct Blaster Only) Average Supply Operating Pressure: Pa Average Return Operating Pressure: Pa RE -INSPECTIONS Isr, RE-INSPECI'ION Z" RE -INSPECTION 3 OR MORE s DUPLICATE WEATEER CARD DATE: �My 114 2012' N% DUILDING DEPT 7S8007 0. S80.00 D1 BUIWINV Udi+`i BY ADDRESS: o Not4/ lj!/-1Qf/� ISSUED TO; O c, Ao n REASON FOR -INSPECTION: BUILDING DEPT.: . ELECTRICAL: FIRE DEPARTMENT: GAS: OCCUPANCY PERMIT: PLUMBING PERMIT: OTHER: 1 rI TOWN Or YARNIOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext. 261 Fax 508-398-0836 Permit Number -7oR�- i Date Issued Expiration Date TRENCH PERMIT Pursuant to G.L. c. 82A §1 and 520 CMR 7.00 et seq.(as amended) TIUS PERMIT MUST BE FULLY COMPLETED PRIOR TO CONSIDERATION Name of Applicant Hcuekf Phone Cell Str t Addr TO )21 1 l _. , ,wl 1 A 5D� Q5 Q City/Town :1fA I ZIP /� / ^/� U (.�ll/"tJ Name of Excavator (if different from applicant) Phone Cell Street Address CityiTown 111A I ZIP Name of Owner(s) of Property Phone Cell 02dAddress 1 nn -t- kl� Street t - Q. In �2o uC�u� SOLL AW a.uy, i u"Is A A I ZIP 40tr Contact ' Permit Fee Received No Yes Description, location and purpose of proposed trench: Please describe the exact location of the proposed trench and its purpose (include a description of what is (or is intended) to be laid in proposed rench (eg; eipestcable lines etc..) Please use reverse side if additional sp a Is needed. 5�,r2Vi cC five. RECEIVED Insurance Certificate Na and Contact Information of Insurer: e BUILDING DEPART—MENT , Policy Expiration Date: Dig Safe #: 0 Name of Competent Person (as defined by 520 OdR ?e� Le of e� 1 of 2 Massachusetts Hoisting License t< �I}� 13 (a 4�—r (08 Date: BY SIGNING THIS FORM, THE APPLICANT, OWNER, AND EXCAVATOR ALL ACKNOWLEDGE AND CERTIFY THAT THEY ARE FAMILIAR WITH, OR, BEFORE COMMENCEMENT OF THE WORK, WILL BECOME FAMILIAR WITH, ALL LAWS AND REGULATIONS APPLICABLE TO WORK PROPOSED, INCLUDING OSHA REGULATIONS, G.L. c. 82A, 520 CMR 7.00 et seq., AND ANY APPLICABLE MUNICIPAL ORDINANCES, BY-LAWS AND REGULATIONS AND THEY COVENANT AND AGREE THAT ALL WORK DONE UNDER THE PERMIT ISSUED FOR SUCH WORK WILL COMPLY THEREWITH IN ALL RESPECTS AND WITH THE CONDITIONS SET FORTII BELOW. THE UNDERSIGNED OWNER AUTHORIZES TILE APPLICANT TO APPLY FOR THE PERMIT AND THE EXCAVATOR TO UNDERTAKE SUCH WORK ON THE PROPERTY OF THE OWNER, AND ALSO, FOR THE DURATION OF CONSTRUCTION, AUTHORIZES PERSONS DULY APPOINTED BY THE MUNICIPALITY TO ENTER UPON THE PROPERTY TO MONITOR AND INSPECT TILE WORK FOR CONFORMITY WITH THE CONDITIONS ATTACHED HERETO AND THE LAWS AND REGULATIONS COVERING SUCH WORK. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO REIMBURSE THE MUNICIPALITY FOR ANY AND ALL COSTS AND EXPENSES INCURRED BY THE MUNICIPALITY IN CONNECTION WITH THIS PERMIT AND THE WORK CONDUCTED THEREUNDER, INCLUDING BUT NOT LIMITED TO ENFORCING THE REQUIREMENTS OF STATE LAW AND CONDITIONS OF THIS PERMIT, INSPECTIONS MADE TO ASSURE COMPLIANCE THEREWITH, AND MEASURES TAKEN BY THE MUNICIPALITY TO PROTECT THE PUBLIC WHERE THE APPLICANT OWNER OR EXCAVATOR HAS FAILED TO COMPLY THEREWITH INCLUDING POLICE DETAILS AND OTHER REMEDIAL MEASURES DEEMED NECESSARY BY THE MUNICIPALITY. THE UNDERSIGNED APPLICANT, OWNER AND EXCAVATOR AGREE JOINTLY AND SEVERALLY TO DEFEND, INDEMNIFY, AND HOLD HARMLESS THE MUNICIPALITY AND ALL OF ITS AGENTS AND EMPLOYEES FROM ANY AND ALL LIABILITY, CAUSES OR ACTION, COSTS, AND EXPENSES RESULTING FROM OR ARISING OUT OF ANY INJURY, DEATH, LOSS, OR DAMAGE TO ANY PERSON OR PROPERTY DURING THE WORK CONDUCTED UNDER THIS PERMIT. APPL ,IG TURE & .1fa DATE ' EXCAVATOS51!R SI NATURE (IF DIFFERENT) DATE OWNER'S SIGNATURE (IF DIFFERENT) DATE: 2 of 2 ,,tYY�rc Jae No. nl__ 1. LOCUS IS A.. 1e. PARCc�� EXISTING 2500 GAL Z ELEVATIONS SHOWN ARE NGVO29 BASED UPON TOWN WON No. 2S H-20 PUMP CHAMBER 1. ALARM To BE IRKED BY ELECTaCIAN ON S LOCUS IS N FLOOD ZONE Al2(EL 12) ON FIRM DATED JULY 2. 199Z SEPARATE CIRCUIT FROM -PUNS NOT4 LOT DaEN90N5 ARE FROM LAND COURT PLAN RM IM45A COVER TO DRILL 3/8" WEEP L ELECTRICAL WORK TO BE INSPECTED BY SCALE to /VENT HOLE MRNG INSPECTOR. Inc INSPECT. REPAIR AND CONNECT TO EXISTING SEPTIC SYS , Recommend Floats 'PVC 3. ALARM TO BE LOCATED AT BUI DNo. P - - - THE E705DNC BMW SYSTEM USES A NOT STRENGTH VAST 3A AND S DE=tm FOR trig CPR replaceable from tap 6 ELECDaC 7D RUN TO SEPARATE MEIEIN. (NOT A ONR ME' Look Bay PROPOSED DESIGN FLOW S LESS---t2 BEDROOMS X 110 OPD-132D CPO _•U S PUMP TO BE CAPABLE OF PASSING SYSTEM NEEDS TO BE INSPECTED BY THE COMPANY P/ ICk Isconneet 1-1/4- SOLES AND INSTALLED N STRICT 7_1PRINTING THE YAINIENMICE CONTRACT AHJD 2nd Pum AI 29• Man CONFORMANCE WITH MANUFACT F S LOCATION MAP ANY DAMAGED'CO"IINTS REPLACED WITH A COPY OF THE REPORT 70 HEALTH OFPARfYFDHL caNEcr E9sTIRc eo0o GAELCN SEPTIC TANK To PROPOSED eLmDeNc As sIHDWN (nNvotls ON 1st Pump On 25• Check Valve OHSCOGECT ! FILL T000 GALLON GREASE TRAP. REPLACE CONTROL PANEL ALARM G: PUMPS. PLAN) O1 15" B. USE 2 METER MFLS, 1/2 HP PUMP, No SUB_ USE 2 MEYE S. MHRS T HP PUMPS NO SUBSTmfTON WITHOUT APPROVAL BY R..L CADDIA STITUTION MTHOUT R.J CADILLAC APPROVAL LEADING LATERALS (2�PVC) AND PORTION OF LIANFDLD NTH HGFs 70 BE CLEANED WITH OMSK 7. TO PROVIDE FOR EASY AND SAFE LOT RAINWATER RUNOFF MAINTENANCE OF PUMP. CAUTION: CONFINED SPACE -USE PROPER �O� r NECT N S PVC ALL ROOF RUNOFF S TO BE DIRECTED BY GUTTERS AND VENTILATION AND PRECAUTIONS RECOMMEND LINE AT TOP G HAYBER SO PUMP R S PROPOSED TO CONTINUE TO USE 71C COSTING DOWNSPSHED OUTS To DRY S THIS SALT SFHOMI} PUMP AND FLOATS BE SET FROM CUT- CAN BE REMOVED FROM TOP OF TANK. RAINWATER TO BE TRAPPED MERE R FALLS AND 1ROFgS RUNOFF LO GS ELF SE TAMS MO LOWERED DL -AMEND RM73 BE ATTACHED TO 3' PROPOSING NO CHANCES D HE EXIT FAL S AKNC AREA AND NO F 70 THE STREET.$ HAVE BEEN ' OUTSIDPUMP E EOi4 0M FLOATS SO CAN BE ADAlSiTS REPORTED ADJACENT 10 THE RED ROSE Eft ALL MECHANICAL EQUIPMENT 1 oT coyERacE SERVINFOOTPRINT 2964*W DESIGN DATA ABOVE OTOP FourronON.N. LEACH AREA DEcK FOLMA� ,omtss. BEDROOMS: (4-3 BORL1 UNITS) 12 LEACH FIELD IS ODD SHAPED, AS AC PLATFORM ��• GARBAGE GRINDER: NO / -SHOWN (1175 S.F.). FIEND IS 18" 1DTAL � REQUIRED CAPACITY: 1320 CPD / / * OFF OF CONCtETE WALL COVERAGE 43W±S.F./15.26UIMP-26.7x' SEPTIC TANK REQUIRED, 3960 GAL1ST COMPARTMENT / I BUILT LNG HEI(`HT 2ND COMPARTMENT 1320 GAL / G w Red Rose ADJACENT ROAD GRADE- AVG ON Ik7 FI 2 - 5. + AVM O/ BEIRY/ 2 SEPTIC TANK PROVIDED: iSp p GGAAL, / / V 85 MemoAdADJAI PROPOSED ROAD FOUNDATION— 4.4 + ae / 2 AO 1ST COMPARTMENT 3M CAI. / \ \ 2 on ac SCALED TOPPBOVE TOP FO 12A BND COMPARTMENT 2710 GAL / v / Plaque SCARED ROOF ABOVE TOP FOUO.k2� BOTTOM LEACHING AREA: 1175 SF / �\ / ` PROPOSED OAK " >7 NORMAL CAPACITY: B69.5 GPD / \_ 1 I BUILDING HEIGHT- 3d7 - &0 33 �4,80 •'� -V_ lEC>Q@ GENERAL F) USE CAPACITY.1739 GPD / / 6 5.51 WATER LINE MARIONGS(AS LOCATED N 2a00) I(1175 � X (1.48 GPp/SF)•] 1+ -E- OvOWEAD ELECTRIC SIRES OF SHOWO PUMP CHAMBER $5M CAL / _ .4 I I --C- GAS LINE MAm@NGS (AS LOCATED N 2000) PUMP CLAMBER S10RACE CAPACITY: 1560 CAL � / 4.76 ECS LNG CONTOUR DOSES PER DAY: 40 UTILITY POLE ® EXISTING DRAINAGE CATCH BASIN • EFFMMVE LOADING RATE / / * / i LLI ' 6.06 UNDER FAST ANUS FENCE or SHOWN, NOT ALL. SHOMQ DATED FAST APPROVAL AND USED 4.83�4.4 2 ' wTTH 5' GROUHDwA7ER / N THIS PLAN -IS A VALID COPY CNLY I TT BEARS / / � N I AN ORIGINAL RED STAMP AND SIGNATURE ^„1 / ei`x �.' I 2" PVC tt t 4; 4.845.72 O ♦ f 16 CAD?, ,4 i-I, / /% 4.40 ale// `. 11i CLEANOUTS 9 �' N y 4.40 ` ♦, i w ENDS OF LINES 41 O �� I r 1/4" HOLES (TYPICAL) 1 F'/ / `` / / • ho \ \ o �� R ' MOLL ` / • O Z 3 PVC � 1 6 0 / 4.5 ,9� 6,2 \ Preferre \`, �J ' g F, 4.33 / 9� \ \ 6.3 Pile b=� Proposed Gross 6. \ .j f�5.0 mLa MARK- OF Fx NAA / / \5 \ 'i' Area / N vAwaFr 4A0 PANT) i o + , \ i Zi W / Ow+Km wnH eHetE. CANT / /\� * 5 '�i' :... �. r'.:. �.7 1''•1 I \ o 5. `♦ ,rye 14. 7 1 w ODOR TRENCH •,\'\ dJ? / USE 3 HI -CAPACITY X�\�` \ y,�i `. J , F . :: 6. INFILTRATORS WITH 7/2' OF STONE ALL 4.04 \ \ `.\ •�O Q, y� „ I AROUND. USE 3 �i 5. ♦`� �01e �OQ i� * 6 5 STONE UNDER AND 12" 4 .79 \ �i,�i ` Q 9 Q 11. i /6.0 UP ON SIDES3 BOTTOM INFILTRATORS-3 T \ \ `♦`♦\ 7��CiGELP ```�::::.:: ♦�� O� w � VENT FAST 3.OHS TO _ i i O pc •♦y50Q� �� ,� (� �cg%I 6. I M PPIITCH VENT PIPE EVENLY \ \ ``\ ♦ ' • ♦ j �^ 5,�� j W DOWNHILL TO TRENCH. \\ J\ pQ `♦ :::" ) (� . (' `� ) TRY NOT TO DAMAGE 3' \ QQ' ♦ \ O PUMP LINE LOT AREA= 6 '. �,� �Voqr .Be 15926 0t S. F. o = '`° �� / ' * ODOR TRENcH 0 ��`__ �Q L I 1. DRILL 2" DIAMETER HOLES W ♦ �. vC` ,n� ♦ N 12' ON CENTER ON TOP 8' PVC mac`\ i ♦1 , its : F '� 31 INSIDE INFILTRATORS, CAP END. o?.Z>, ♦v'�OeG `��pv� �� N� k"E r DRILL 3 FOR D HOLES O B E PIPE ON LEVEL 3" STONE BED. SEPIICBYSYSTEMCSPECTIONS? �}, 5'1 "` Q�°Q� 4.36 N ' 2. PLACE INFILTRATORS OVER PIPE AND PLACE STONE ON SIDES OF 2 BY 1/A PROMDER ,S� "6 -� 6.6 6.25 Exist ./// INFILTRATORS TO COVER ABOVE A>t 6.nv. INFILTRATOR SIDE VENTS (12"). Belo Slab - 5.59 - / LAY FILTER CLOTH OVER INFIL- TRATORS AND STONE " 3 �'1t1L1L 1 6 I CEDAR 2. CWOOD ECHIIPS OVER FILTER *of 5.39 CLOTH TO GRADE. CHANGE OR N/F T I ADD WOOD CHIPS YEARLY OR ro1K1 OF YARMOUTH "DEN EXISTING 6 6.3 v ' I WHEN NECESSARY. PUBLIC BEACH PLANTING BED TO ��iib. 6' AND EXTEND AS 9 / 5.28 SHOWN --USE NATIVE `�� ' APPROVED SALT HARDY O 5A Gross PLANTS --THIS WORK OK �O 1 p BEYOND WORK LIMIT `PCD 5' I BENCH MARK-7OP OF PK HAIL SITE PLAN 4.8 Nam . M M". c"°ir,TE28 6 NEW to FOR THE SEPTIC TL0s/299j2201TION 0 01E HAMPSHIRE, LLC LOTS 31 do 32, 6 NEW HAMPSHIRE AVE., W. YARMOUTH, MA .2 " 5 a.e AUGUST 4, 2011 SCALE: 1'=209 RONALD J. CADILLAC,6 ♦ 6. 0 RIP -RAP, c PROFESSIONAL LAND SURVEYOR REGISTERED SANITARIAN _ DOS of Bonk P.O. BOG( 258 WEST YARMOUTH. MA 02673 * 3 9 * 2.7 OP 7 (508) 775-9700 3.4 REY.1, 6e°�h 1 hj tee REV. 11�1�OP �'TM �AD�T-SOP DATA ` �• /01/20 1-FOU HEALTH OEPAFLOM & ODOR LEVA mcN DATA. LEADING INNS SHOIWI. L C' REV. RI/19�o11--FDL NTING S lSi OLITY R SLAB ElFYA7KN5 `'o°5`O Me°n * 1.2 REV. oe/24/m11--PLANTING BEos, umrry RDGE, AG ©2011 BY RA CADBIAC PAGE 1 OF 1 o< r TOWN OF YARMOUTH Building Department BUILDING �i _ _ . _ _ _ . _ _ , (508) 398-2231 ext.1261 h PERMIT NO .....F1312-659. ' _ PERMIT ISSUE DATE ; _')j11Q/2011_ ; PROPOSED USE APPLICANT _DavlaAireu ® JOB WEATHER CARD 1 PERMITTO Mi cWoundaGononl AT (LOCATION) 10006NEW HAMPSHIRE AVE ZONING DISTRICT R-25 Bldg. Type: Residential SUBDIVISION MAP LOT BLOCK LOT SIZE Foundation Only - as per BOA petition # 4359. REMARKS BUILDING IS TO BE: CONST TYPE" USE GROUP AREA (SQ FT) EST COST ($ $40,000.00 PERMIT FEE OWNER ID.A Ro Inn & Ta em LLC To IT, i% •G LICENSE 49990 reu, David 47 Cedar Oaks Ddve Plymouth Ma 02360 6178289294 se v BUILDING DEPT BY ADDRESS 500 Victory Road (North Quincy MA 102171 PHONE 16178729933 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 PUBLUC 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 EQ IRA EPORMITSARE RICAL FOOTINGS. 2) PRIOR TO COVERING STRUCTURAL FINAL INSPECTION HAS BEEN MADE WHERE A CERTIFICATE OF OCCUPANCY IS PLUMBINGIGAS AND MEMBERS (READY FOR LATH OR FINISH REQUIRED, SUCH BUILDING SHALL NOT BE MECHANICAL INSTALLATIONS. COVERING) 3) FINAL INSPECTION BEFORE OCCUPIED UNTIL FINAL INSPECTION HAS OCCUPANCY 4) REFER TO DETAILED INSPECTION BEEN MADE SCHEDULE POST THIS CARD SO IT IS VISIBLE FROM STREET 0-1691-11 2 12 X= ".: 3 OTH - 1 A Flood Elevation CertificatD Is requil c i prior to Issuan e 2rounaanon location Approved VVI, Y -147 WORK SHALL NOT PROCEED PERMIT WILL BECOME NULL AND VOID IF INSPECTIONS INDICATED ON THIS CARD UNTIL 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 ABOVE. McK ENGINEERING 1279 Millstone Rood Brewster, MA 02631 t 774.353.2144 f 774.353.2142 www.mckengincers.com May 10, 2012 Mr. Mark Grylls Building Commissioner Town of Yarmouth 1146 Route 28 S. Yarmouth, MA 02664 RE: Framing Inspection, 6 New Hampshire Ave, Yarmouth Dear Mr. Grylls, McKenzie Engineering Consultants, Inc. was retained by Thomas Moore Design to complete structural review and design for the residential condominiums under construction a 6 New Hampshire Avenue in Yarmouth. During the course of framing, we have completed three site visits to review framing progress and to inspect the framing element and wind resistive hardware installation. On May 1, 2012, we completed a final framing inspection after all the roughed in utilities had been completed. Based on our inspections, we find that the framing systems and the wind resistive ,hardware has been installed insubstantial compliance with our design and the stamped plans. If there are any questions, feel free to contact me. RKA. ro No. 39MB M A. zic,� Pres., Mck'1vA e Consultants, Inc. RECEIVED MAY 14 2012 BUILDING DEPARTMENT ey:_ Commonwealth of Massachusetts Sheet Metal Permit Date: 3 30 12 Estimated Job Cost: S 1,2 •sca Plans Submitted: YES NO Business License # Business Information: Name: xL ^%al, Street: I (t'r L)j:s: , Lsj:.,< .e l_ Permit # - I -/ Permit Fee: S Plans Reviewed: YES NO Applicant License # I Isla Property Owner / Job Location Information: Name: Red ?t;- I,.t-C . Street: _W L A%7 R%mnes2tr Ul City/Town: '?e,,,,.,, e 10 c.• City/Town: d Telephone: �a4s- YS-S-&L91 t� S�'a9i"� Telephone: YES / Photo I.D. required / Copy of Photo I.D. attached: J-1 / Q-unrestricted license 9 san micw J-2 / DI-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. / 2-stories or less Residential: 1-2 family _ Multi -family _ Condo / Townhouses ✓0 Other _ Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. ✓ over 10,000 sq. ft. _ Number of Stories: Sheet metal work to be completed: New Work: -Z Renovation: _ HVAC V� Metal Watershed Roofing _ Kitchen Exhaust System Metal Chimney / Vents _ Air Balancing _ Provide detailed description of work to be done: SINs�c $�/SicW '�'yo ?ts�tC Urnled t4ydro -ci Suslrwt RESIDENTIAL ntICT rI6fFTNESS 2 Y.) -L,,% a /. TEST REQUIRED "Guon wa.[ or Ire Energy Ca3e requires leak testing Of duct installed in Non Conditioned Spaces. Two opdom Me wevided: Posi-conziluclion in, of oug In Test An Approval Certification is required from an authadzed tnsnflgagency bafore the Building—v"epi.wm Issue a Certificate of Occupancy or final approval of the work INSURANCE COVERAGE: I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 Yes 9j'0`No ❑ If you have checked Yes. indicate the type of coverage by checking the appropriate box below: A liability Insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[], I hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date By_ - Title Cityrrown Permit tl Fee S — Duct Inspection required prior to Insulation Installation: YES NO Inspector Signature of Permit Approval ProaressInspections Comments Final Inspection Type of License: W aster ❑ Master -Restricted ❑Joumeyperson ❑Joumeyperson-Restricted 11 Comments Signature of Licensee License Number. /%S /y Check at www.ma.Lj oYJ !p VVIYIIVIVI\tt G/1L III VI-OIMJJMNf7VJG1 IJ T•METAL WORKERS: 'AS MASTER•UNRESTRICPED I ISSUES THE ABOVE LICENSE TO: R03CRT fJ SC1414IDT I - a r.0 Box 306E 4� BOU12NE : 11A 02532 , 0 76II i I - 11510 04/21J17 0610 A Commonwealth of Massachusetts Sheet Metal Permit Date: 30 .x Permit — y R� Estimated Job Cost: $ 12, ,f dc' Permit Fee: $ Plans Submitted: YES NO Business License # Business Information: Name: Neal�tl G/L Street: City/Town:� t�.,� �►'I c, Telephone: Photo I.D. required / Copy of Photo I.D. attached: Plans Reviewed: YES NO Applicant License # /IS/0 Property Owner / Job Location Information: Name: Qyd LIC "C Street: L NPv fl, ,Vs4,—t UHry Z City/Town: Yaw vgollt NO saa 101tw J-1 /)L- unrestricted license Telephone: YES P/ J-2 / M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. / 2-stories or less Residential: 1-2 family _ Multi -family _ Condo / Townhouses _Z Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. V over 10,000 sq. ft. _ Number of Stories: Sheet metal work to be completed: New Work: ✓ Renovation: _ HVAC Metal Watershed Roofing _ Kitchen Exhaust System Metal Chimney / Vents _ Air Balancing Provide detailed description of work to be done: i4vttca �nyclro-at/' RESIDENTIAL DUCT TIGHTNESS �6h Ci TEST REQUIRED seam] 403.2 of me Energy Code requires leak testing of ducts Installed in Non conditioned Spaces. Two options TesL An Approval Certiliation is required from an auths&ed teetieg 290^cg-befare the onildin- Dept. Certificate of Occupancy or fatal a fi Issas a D �Y Dproval of the work, INSURANCE COVERAGE: �/ I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L Ch.112 Yes 93 No ❑ If you have checked Yg3, indicate the type of coverage by checking the appropriate box below: A liability Insurance policy [r Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box❑. I hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all shoat metal work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date Duct Inspection required prior to Insulation installation: YES NO Progress Inspections Comments Final Inspection Comments By Type of License: Lf Master ❑ Master -Restricted Tits City/Town ❑Joumeyperson Permit M ❑Joumeyperson-Restricted Fee $ ❑ Inspector Signature of Permit Approval — 6z'tq�-e- )-'/� Signature of Licensee License Number. // S/0 Check at 1Mww.mas9:noyliii! r Commonwealth of Massachusetts Sheet Metal Permit Date: 31AI I4. Estimated Job Cost: S 1 2 , S'oc) Plans Submitted: YES NO Business License # Business Information: Name: _5JA"y Street:�� City/Town:_K14--nc 94c-, Telephone: _ SnS'In — SIG 5r I Permit # Permit Fee: S Plans Reviewed: YES NO Applicant License # 1m0 Property Owner / Job Location Information: Street: ]EG IVaJ City/Town: Telephone: Photo I.D. required / Copy of Photo I.D. attached: YES I/ NO _ J-1 lvt- unrestricted license Starr mm.r J-2 / M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. / 2-stories or less Residential: 1-2 family _ Multi -family _ Condo / Townhouses 1e� Other _ Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. —Z over 10,000 sq. ft. _ Number of Stories: Sheet metal work to be completed: New Work: (/ Renovation: HVAC _ Metal Watershed Roofing _ Kitchen Exhaust System Metal Chimney / Vents _ Air Balancing _ Provide detailed description of work to be done: RESIDENTIAL ntiCT TIGHTNESS TEST REQUIRED QUQ= ws"r meLnergy Code requires leak testing of ducts installed in Nan Conditioned Spaces. Two options Of Koug In Test An Approval Certification is required from an auth#&W lesang agency bofofe the tiailding—vft- , ,ill Issue e Certificate of Oaupanty or final approval of the work INSURANCE COVERAGE: I have a current liability Insurance policy or Its equivalent which meets the requirements of M.G.L. Ch.112 Yes Lq No ❑ If you have checked yet, indicate the type of coverage by checking the appropriate box below: A liability Insurance policy 01" Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 112 of the Massachusetts General laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,1 hersby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date Duct inspection required prior to Insulation installation: YES NO ProeressInspections Comments Final Inspection Comments By Type of License: taster ❑ Master -Restricted Title City/rows ❑Joumeyperson Permit # ❑Joumeyperson-Restrlcted Fee S ❑ Inspector Signature of Penult Approval Signature of Licensee License Number. /K/6 Check at www.mas9:na&!p Commonwealth of Massachusetts Date: o Estimated Job Cost: $ La n 5ZD0 Plans Submitted: YES NO Business License # Sheet Metal Permit Permit # $1�--UZ— I?� Permit Fee: $ Plans Reviewed: YES NO Applicant License # lizio Business Information: i2o�3 -f S 0 ff,11,0oferty Owner / Job Location Information: Name:•te,`i, CJ/< Name: Veaa �oSQ (•�(' Street: llltr�Licr�►nu1r'�,� Street: V City/Town: d7 U&,44 t W e— City/Town. 'i Telephone: Telephone: Photo I.D. required / Copy of Photo I.D. attached: YES JZ NO _ J-1 /�I mrestricted license Staff raiear J-2 / 51-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. / 2-stories or less Residential: 1-2 family_ Multi -family _ Condo / Townhouses _Z Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. ✓ over 10,000 sq. ft. _ Number of Stories: Sheet metal work to be completed: New Work: ✓ Renovation: _ HVAC I/ Metal Watershed Roofing _ Kitchen Exhaust System Metal Chimney / Vents _ Air Balancing _ Provide detailed description of work to be done: St �(e St�f�t� 'fcso 'fi�N� 1101ec kqd v —Gfo� RESIDFNruL DU :T—TIGHTNESS ,i I,_ 1_ e-, J, TEST REQUIRED we w wj.c of ine tnergy Code requires leak testing of ducts installed in Non Conditioned Spaces. Two options r Rough In Test. An Approval Certification is required from an aulhedzed 'Pe"na 29""'T—bafcra the guildiny—vept.wit Issue a C"fiale of Occupanq or rural approval of the work INSURANCE COVERAGE: 1 have a current liability Insurance policy or Its equivalent which meets the requirements of M.G.L. Ch.112 Yes g No ❑ If you have checked YI ,, indicate the type of coverage by checking the appropriate box below: A liability Insurance policy [ld Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 112 of the Massachusetts General laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box❑.1 hereby certify that all of the details and Information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all &hest metal work and Installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date Duct inspection required prior to Insulation installation: YES NO Progress Inspections Comments Final Inspection By GI Master ❑ Master -Restricted Tine City/rown ❑Joumeyperson Permit M ❑Joumeyperson-Restricted Fee S Inspector Signature of Penult Approval Comments Signature of Licensee License Number. 115E /V Check at www.masg:ao�i: Of' C O H MATTAC.9V BUILDING PERMIT APPLICATION APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE, OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING. Town of Yu -mouth Building Department 1146 Route 28 • }armouth, I IA 02664-4492 Tel: 508-398-2231 ezlL 1261 Fax 508-398-0836 VcaiUseOnly Planning Board Information Assessors Department Information: Permit No.- ilk%fn Type Map p Lot Permit Fee $ �f. Sl�� Endorsement Date �n1 (� / I �L2A �{ ecording Date New Deposit Rec'd. $30"ate Q, Ilan 1.4 Property Dimensions: d $,l /O Go �. 6 Net Due $ 8 /t v er of Area (sl) Frontage (it) lot Coverage e This Section for Office Use Onl Building PeEVtjNuyibe5 I Date Issued: Signature / — �^ // Building Official Date Certificate of Occupancy is is not required Section 1 - Site Information 1.1 Property Address: 6 � eiv 14WM 1.2 Zoning Information: R �- 5,- Zoning District i-C-) I► tZv 1\4'y CjA/34MIM�.IAMI Proposed Use 1.3 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 2- /Q I qr7 1.4 Water Supply (M.O.L c. 40.3 541 1.5 Flood Zone Information: Comments: Public X Private I Zone: At 2— BFE: / } Section 2 • Property Ownership/Authorized Agent 2.1 Owner of Record (,r' �yV�q�IN l 't —�—e�" [2�I fk.itA go d,-J JrAVagrJ LLB 1�iC 71 FOC) UT 1�vA%f �o�� /v.uutwey p N�yne print) MailingAddresl.' Signature Telephone Telephone I I Ij 1-7C 2.2Authorized A1gaent: jj�� __ t)tn %rvli.L-`-irj �7 CG�a - - �Yi P�N��aT�1, rLt A 6Z?60 ame nt) Mailing Address: Signature Telephone I — '-. '_-Fax_r- :-s Section 3 - Construction Services NOV ' 3.1 Licensed Construction Supervisor �� Not Applicable LI s� t� L4CS Llqlqo q7 CRDA/Z DAB t-%�VG, License Nuumbermber '---- -- -A.y�fyt4 GL3 6 6�fvt4yz3 6 6 Z123/LorL Addres q Expiration Date Signature Telephone of 4 OVER 3.2 Registered Home Improvement Contractor. Company Name �Jme Not Applicable ❑ —f Address Registration Number Expiration Date Signature Telephone Section 4 - Workers' Compensation Insurance Affidavit (MAL c. 152 S 25C (6) Workers Compensation Insurance affidavit must 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 .i°.... 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) 9(£h1 t Section 5.1 Registered Apef+ileett a O c + �Q O� O ET( C N M �J Not Applicable Nam*( egi ranttf. r a ! Y39 QM„+5�0� „o„Q R IstraWnNumber Address G(� B ►Q�(, G YO 3 Signature . Telephone Expiration Date Section 5.2 Registered Professional Engineer(s) c (cWz(e 6/' ) 6 in/ceA w Name % ( M� « STD g/1 SM A Area Ot Responsibiity � Addres 7 33 , Z y Signa a Telephone umber Registrar M1N ZO/ Z Expiration Date Rams l Area of Responsibility Address V V6 Dip � Signatur Telephone [, J "t q1 Registration Number Expiration Date Nam* Area of Responsibility Address Signature Telephone Registration Number Expiration Date Nam* Area of Responsibility r Address Signature Telephone Registration Number Expiration Date Section 5.3 General Contractor t s l i) A-61C94 rs r,3 s-",`rzi o,%/ Not Applicable ❑ Company Nam* P� tD A6KCL( Person Responsible for Construction P) I/'1 c6AA2 CY4�s (�� `�mo� Nl� a13co Tignature Telephone 2of 4 r'' Section 6 - Description of Proposed Work (check all applicable) New Construction (for multiple family only) No. of Bedrooms (for multiple family only) No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ I Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work:Co _1 J O QA.7 `t, l lr1, �� u. G � C O f7 S S 0 ti,J CA . E Section 7 - Use Group and Construction Type Building Use Group (Check as applicapable) Construction Type A ASSEMBLY ❑ A-1 ❑ A-2 ❑ A-3 ❑ A-4 ❑ A-5 ❑ 1A ❑ 1B I] B BUSINESS ❑ 2A ❑ 2B ❑ 2C ❑ E EDUCATIONAL ❑ F FACTORY ❑ F-1 ❑ F-2 ❑ H HIGH HAZARD ❑ 3A ❑ 3B ❑ I INSTITUTIONAL ❑ 1.1 0 1.2 ❑ 1.3 ❑ M MERCHANTILE ❑ 4 ❑ R RESIDENTIAL R-1 Ef R-2 R-3 ❑ SA ❑ / 50 lam/ S STORAGE ❑ S-1 ❑ S-2 ❑ U UTILITY ❑ SPECIFY: SPECIFY: M MIXED USE ❑ S SPECIALUSE i] SPECIFY: Complete this section If existing building undergoing renovations, additions and/or change In use. Existing Use Group: Existing Hazard Index 780 CMR 34 Proposed Use Group: Proposed Hazard Index 780 CMR 34 Section 8 Building Height and Area Building Area Existing (if applicable) Proposed Number of floors or stories include basement levels 2 Floor Area per Floor (sf) Zli (fSr) Z OY ZN Total Area All Floors (sf) se O Q Total Height (ft) 31 Section 9 - STRUCTURAL PEER REVIEW (780CMR 110 11) Independent Structural Engineering Structural Peer Review Required Yes .........: No ........ SECTION 1 Ca OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNER' OR CONT ACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property, hereby authorize RU (p E to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of'Owner Date 3 of 4 OVER SECTION 10b OWNER/ AUTHORIZED 1 pftu ( N A8A6Lt , as Owner/Authorized Agent hereby declare that the statements and Information on the forgoing application are true and acurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. AAytt> A88GtA Print Name Signature of Owner/Agent Section 11 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building 80° 006 2. Electrical :3-V po O 3. Plumbing / Gas J O o 4. Mechanical (HVAC) 5-V 000 5. Fire Protection a O t7 6.Total.(1+2+3+4+5) % OJT 7. Total Square Ft. (for nw ssucivss a sciftem) Check Below 0 Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) Date 4of4 Workers' Compensation The Commonwealth of Massachusetts Department of Industrial Accidents Offlce of Invesdgations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Insurance Atiidavit: Builders/Contractors/Electricians/Plumbers Name(BusineWOrganizadodlndividual):h p,-�JkN 02Q,c Address: `f 'T C E—D F t`l o" 7-if, M/q 0236 o Phone Are you an employer? Check the appropriate box: l.M I am a employer with (_ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 3p1-I am a sole proprietor or partner- listed on the attached sheet, T` ship and have no employees These sub -contractors have working for me in any capacity, employees and have workers' [No workers' comp, insurance comp. insurance.= required:] 5. [] We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required] t 3a. ❑ I am a homeowner acting as a c. 152, § 1(4), and we have no employees. [No worker' general contractor (refer to #4) comp. inammnre requlredj — �9Z B - 51 Type of project (required): 6. �9 New construction 7. ❑ Remodeling g. ❑ Demolition 9. 0 Building addition 10.0 Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repair 13.0 Other •Any appGcmt that checb ton N I must also fill out the section below showin Ii�ocy 1 t Homeownen who submit this a84davit Indicating they am doing all work and then hire outside �s�s must submit aanew affidavit indicating such. tContnwton that check this box must attached an additional sheet showing the fume or the sub-ooutractcss and stud whetba of not those entities have employees. If the sub-contrnctas 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 pokey and Job site informadom MMENIMS Insurance Company I Policy # or Self -ins. Lic. #: b Pr W C., 2 Z Y 2- no Expiration Date: Z Il zo f 2 Job Site Address: NW KAYIatj Q Avt. tJ-,LL City/State/Zip: IA12! � yAQ.`n& Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal fine up to S 1,500.00 and/or one-year imprisorunrnt, as well, civil penalties in the form of STOP WORK ORDER and ties a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. es' I do hereby certifjr under the pains and penaitia of perfury that the Information provided above is true and corrsctMe M � 0/2 O,akla1 use only. Do not write in this area, to be completed by city or town o/JlciaL City or Town: Permlt/Lkense # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. Cilyfrown Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone #: Information and Instructions Laws chapter 152 regtrires 19 MVloYdM to Provide wa&cn* CO�d°° for them a Vkce& Mawchuutal tan the sarice of another under any contact of hire. Prtrsusnt to this staattsju ae. in arrolyw is dewed as "„.every pecans e,cpresa or hMlled, oral or written." ,boc;,do4 corparatios of other legal entity of any two or more An nrylelr► isengageddefined � i idtridt V sad lactatithe legal of a deceased employer, or the ng r elver of and" o P asrociados or other legal melt►t aaPbYi entployeee• Howene the owaa ate dwelling home trios Dot mote theca three op and who resides tharehk a of the the oocupsat dwelling home of another who employs Pasons to do mriafessaaM conttstrttios at MP* work on mcs dwelling home or on the gtouads as bidding ifsto shall not because of such enVkqu cat be deemed to be m amployee ,MGL. chspler 132. !uC(5) 90 stases the "every stab w 1" deeadeg sgesey SW withUM ue ismasa K rssawr a Ikesee parmlt b opersb a beelws sr to tesetru - be0dbr i• eta arttseaw"M lit say applkast wee has set predwd seesptsble evldeeee et eempttasee wits tke Isntasa eeverags ngelrei" losMOL chsp�e 132)23q'n a oHo work acceptable evidence of 'ta eum se a e ffeomplia»a with t wxu.oe of this chspler have beft pre enod to do eantracdng sutitorit)►•" Appliesets Please fill out do waft, oompemadoa affidavit coMpletslyp by cheeping the bom that apply to YOM sitmtlaa and, it necaaryo supply sub eca"ctor(r) nima(sh ,ddrese(es) and phoos mrmbee(s) along wnl< their cadficate(sother than the innstara. Limited L.iabilky C'AOV des (LLQ a Of Limited LLbiltq Puooashipt (LLP) wits no employers et. we not � b � worhrsas� eompe sadm haueanee. If seLLC a LL.P dos have rosmbess ar pastaa �Pl07ea► s POh7► Is Be advised that be sdsvitn b s� data tM amdarlL The at5dsrit should Aeddeab 1be conflrmsdos of hmrsnce corasge. applicatloa ttr Alm �� or license is being re l m , I . user the Deperlsoo d of In ren:nsd In the ekf or to" � art quesdOus the law a if yos are required b obt io a warim ladmtrW Aaidsala. plead yor d the anmA r Wted below. SetFinar sed cooPmies shOUM elver their compeessdm poUry� please call the Departrnast -_.. • --- u.........mhar am the soccoorbo Iiew now City K Two Owelsi Pheaee bs sun that the al>ldark is complete aril printed legibly. The Deparmrmt tar provided i spscs d the boobs of the affidavit far you to fM out is the ervent the other of Iavestigmkna has toeaatad yos M1PMdist the gpUcaot Pleaas be ate to AU Is the Pun*fiieeasr number which will bs used u a reference "amber. Ia add[dM m sppliesat that noel wbrait mitt l@ Peemitlliaan &PPiieadoae is any gib year, need Only submit one AM&vk fndiaefrtg eaasnt Policy khaostim (i fneco easy) mad rmdnr "Yoh She Addrese" the applicant should write "serf locadooa In (sky Ot town)`" A copy of the &Mderk abet hu bees ofseisUy slanged err msrload by the city a tme psay bo peevided b the applicant ee pevot that a r M d&kvk is as file fbr fhltat pwaft or [ieeaeae. A new selicint nut be filled out eses yew. Whore a home owner a eidus Is obtaining a teems bus8oesr or comnrae W vmh" (i.e. a dog Ifeems or Perrait to burn leaves eta.) said person is Mrsequilt InconVielethkaffidlyk The office of iavesdgadont would lib to thank you in sdreaee far your cooperation end should you law any quesdoeta, plan do ant besitab to gin m a call. nw Depw nteWs addres% telephoor and fine nuar1h sr The Commonwealth of Massachusetts Department of fndustrial Accidents Me* of Isvttstlptlees 600 Washington street Boston. MA 021 It Tel. 0 617-7214900 od 406 or 1-877-htASSAFE Fax M 611-727-7749 Revised 11.224)6 wwy,man,gpv/did �• "o TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRIM. Job Location: - NeA-j k/tAS k" Agmt e e✓ � e Number r Street __ 11 //�� Village Owner of Property: �'' 3 C°Xival •KC� ItZ'� � 1V�% 4''TAU6T&'1 &Lc.. Construction Supervisor: .GL8_q 7 C�AAR- Phone No. `I o�tcS t�Rti�e Address: P'—`t ^ 0 L 3 (0 0 License No Licensed Designee: (If other than Supervisor) Name License No. 2.15 Responsibility of each license holder. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1. 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities tinder the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes 19 No ❑ If you have checked ym, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy q Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 152 of the Mass. General laws, and that my signature an this permit application waives this requirement. Check one: Signature of Owner or owners Agent Owner ❑ Agent Signature: Building Official Approval: TOWN OF YARMOUTH BUILDING DEPAR"IENT 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext.1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.51 I hereby certify that the debris resulting from the proposed work/demolition to be conducted at A-_,3 ✓u A.1 Qiy u,-e, Work Address Is to be disposed of at the following location: MAt omttn rm%j'vcs� Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Application Permit No. IN Date ..\ r✓7e laWnntO axQ r . �.•7C NtJC�ii •.,. 011ue o ConsumcrAf�foirs tacss c�u aUou �j„ it FLOME IMPROVEMENT CONTRACTOR Type. _ `)�f lleglstratlon:.-103755 Expiration: ,,7f9.'2013 DBA DA�/ID ABREU CQNS7Rl,'� PION _;R David Abrev=;'.^.•i''::,• 7 47•CEDAR OAKS PLYMOUTKMA02360;•'.-_-sJ, UndcrsccrclmT u J Uasxachusctts - Ucpartntcnt of Public Sldct� Bb'efd'u[ wklin;; Rcgulalions and Standard l�dbn8tspen•isor. Licems —i; Re6GicteA.ta;!;IXlw�r 7 •� DAVIS ABR 4fCEDAR OAKS DR PLYMQY.Tt.j MAOM60 o�L .d jic� .Expiration: ?12312012 I lbuwri+Q�mir TO: 14758 i 1� 0PERMO�•qk TOWN OF YARMOUTH cry HEALTH DEPARTMENT �i .ess•� IT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed byAppllcant. Building Site Location: r Proposed 77 ld �src i t/N/t-,v Tel. Date Filed: D Sri 1 ll / "Ifyou would like e-mail notrication ofstgn off, please provide e-mail address: ,P�/ ��.,,,/.i �ix.�t4•crJ UGC Owner Name - HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. REVIEWED BY: 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) — Notet Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. PLEASE NOTE .7. F—Yr, iT PWf �N� 3. f-s TOWN OF YARMOUTH ±'�?� WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (506) 771-7921 Fax: (508) 771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location �., � Map #: Lot #: Proposed Improvement: Applicant: , C% Address .;�-- A(,f V �.oc%.>./ LG �- t Tel. #:/% Date Filed: D14�6� RESIDENTIAL AND / OR COMMERCIAL BUILDING /,Vj"A7Y Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lots) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc.. Health Department: Determines Compliance to State and Town Regulations, Le., Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, I.e. Smoke Detectors, Sprinkler Systems, Etc... PLEASE NOTE: COMMENTS: r// 3/2&/) YARMOUTH FIRE & RESCUE Commercial Building Permit Sign Off Project Name:Red Rose Inn and Tavern Address:6 New Hampshire Dr. W. Yarmouth Contact Name:Mar T. Reilly Phone #617-872-9933 FNO NA Subject Regulation Access for Fire Apparatus 527 CMR 25.02 Building Numbers MGL Chapter 148 sec 59 •Flammable gas/ll uW story a 327 CMR 14.03 Fire Lanes 527 CMR 10.03(10) •Servlee Stations 527 CMR 5 & 9 •Kazardous Materlals Storage 527 CMR 25.08 'Kuchen Exhaust system 780 CMR, 527 CMR 10.03(8) Extinguishers 527 CMR 10.02, Chapter 148 sec 28 'Fire Alarm Syslem&ACO detection 780 CMR, Chapter 148,527 CMR 24,CMR 31 'LPG Storage Chapter 148 sec 9,10.28 & 527 CMR 6 Pesticide Storage 527 CMR 37 *sprinkler systems 780 CMR & Chapter 148 sec 26 A-1 Storage inside/outside Buildings 527 CMR 10.03(5) Vphohtery 527 CMR 29 *Trash Containers 527 CMR 10.04 & 34 Any Hazard to the Public Chapter 148 sec 28 *Curtains, Draperies, Blinds 527 CMR 21 Description of planned project/other requirements: Construct 4 residential condominiums. Sprinkler and Fire Alarm plans for permit are required before any work is started. *YFD permit required -depending on oe pan and submittal Plan Reviewed By: Caps. Sawyer Date: 10/28/11 Copy for Applicant® Copy to Iding Dept. opy to Fire Prevention Town of Yarmouth Conservation Commission Building Permit Sign -off Application TO BE FILLED OUT BY APPLICANT Building Site Location: Map # Property Owner. Lot(s) # Applicant- GetV .I c Applicant Address: _.7-:2 ,4 Telephone: 0 �1 � %'� ^ iS' 2,3 Date Filed a_ 11 Project Description: Plans: Does the Proposed Project Require a Permit? i40 .a&s /wwrN/A.0 / Comments from Conservation minis Approved Conditionally Approved Rejected MUV corn,l C..J0. {� G�de,� a►1' Condi{ti'ons SEF3. 1905 Conservation Commission Sign -off Signature: hwi d� Date. /(J—W_ 11 TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.1281 BUILDING.PERMIT TRANSMITTAL Temp Permit No.: T-12-168 Applicant Name: David Abreu Applicant Phone: 6178289294 Building Location: 0006 NEW HAMPSHIRE AVE (OFFICE USE ONLY Recorded By: IC Permit Fee: $0.00 Deposit Rec: $3.484.80 Payment Type: Check ChkNo.: 1079 Net Owed: ($3,484.80 Application Date: 11/3/2011 Issue Date: Expiration Date Comments: 016.54 new construction (4 unit townhouse) - as per BOA petition # 4359 Owner's Name: Red Rose Inn & Tavern, LLC ZONING APPROVED- Qlf Owner's Addres 500 Victory Road North Quincy ma 02171 Owner's Telephone: (617) 872-9933 REVIEWED BY: 1. WATER DEPARTMENT: DATE: 2. ENGINEERING DEPARTMENT: DATE: 3. CONSERVATION: DATE: 4. HEALTH DEPARTMENT: DATE: 5. BUILDING DEPARTMENT: DATE: 6. FIRE DEPARTMENT: DATE: PLEASE NOTE COMMENTS: WA: WA: N/A: WA: NIA: N/A: raquirar, TEST m:.-.-: - ---- - - -- RECEIPT OF COPY: of du s r talle in Non Nilicr sieeesl wo o�Q GNATURE OF APPLICANTtre x ,,a M-con ' ''on Test or RD�gfr est. An A rovj tGa ica i d from an authoked testing Vency before the Building Dept. will issue a Certificate of Occupancy or final approval of the work Date Printed: 11/3/2011 Engineering Department New House (vacant lot / never developed) ''` _ Work Sheet A Address! � �1/�N/�i1�s•�.e�' Assessors Map & Parcel: Assessors Plan N: 7�_ r �C� •Ce Plan Type: oe:�460 nod.P% Recording Date: 10001P ¢/ Planning Board Endorsement Date: Planning Board Release Date: II SuhdivLgkwt%Only A Ptxl • Fvbnj y 14. 1950 ' "o TOWN OF YARMO_U.Tji r— --• ENGINEERING 1146 ROUTE 28 SOU E YARMOUTH ACHUSEM 02 k 51 DIVISION Telephone (508) 398.2231, Ext. 250 a�t,ff)d9t2ft ll�vllllVV BUILDING DEPT. — NOV 0 3 2011 ENGINEERING DEPT. Name of Applicant: Telephone or Email Address: 6 1 i - •G 20 d �ig-e lC Proposed Building Location: Date Submitted: Il /3/ l/ Engineering Division requirements for review: Please submit one (1) copy of plans, to include: 1. For Residential: Site Plan showing proposed and/or existing buildings, water service location, and septic system location. For Commercial: Site Plan showing details required by the Zoning By-law and revisions required by Site Plan review, if any. 2. Floor plan labeling All rooms within building (all existing and/or proposed). 3. One (1) copy of application. Reviewed By: Comments/Conditions: PLEASE NOTE Date: Pnrded an Recycled Papa fV1 EScheck Software Version 4.4.1 Compliance Certificate Project Title: NEW CONDOMINIUMS FOR (UNIT #1) Energy Code: 2009 IECC Location: Yarmouth, Massachusetts Construction Type: Multifamily Glazing Area Percentage: 13% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor. NEW HAMPSHIRE AVE, LLC NEW HAMPSHIRE AVE, LLC THOMAS MOORE 6 NEW HAMPSHIRE AVE 6 NEW HAMPSHIRE AVE THOMAS A. MOORE DESIGN YARMOUTH,MA YARMOUTH,MA COMPANY 949 LONG POND ROAD BREWSTER, MA 02631 508-896.6403 Compliance: 2.0% Better Than Code Maximum UA: 253 Your UA: 248 The % Better w Wage Than Cone tndmc reflects how dogs to ompWno@ the horse Is based on code radeoa Nee It DOES NOT provide w esttm to a w ew we or cost relatt" to e n"rmxnc a hens. Gross zing U see Area ,Cavity i0al-12luor-45" •Value Door bly #J � Perimeter actor Ceiling 1: Flat Ceiling or Scissor Truss 748 3p.A u.0 Zo Wall 1: Wood Frame, 16' o.o. 392 19.0 0.0 19 Window, 1: Wood Frame:Double Pane with Low-E 58 0.310 18 Door 1: Solid 20 0.140 3 Wall 2: Wood Frame, 16' o.c. 673 19.0 0.0 40 Wall 3: Wood Frame, 16' o.c. 392 19.0 0.0 14 Window 2: Wood Frame:Double Pane with low-E 40 0.310 12 Door 2: Glass 120 0.310 37 Wall 4: Wood Frame, 16' o.c. 673 19.0 0.0 37 Window 3: Wood Frame:Double Pane with Low-E 54 0.320 17 Floor 1: All -Wood JOist/Trlss:Over Unconditioned Space 748 30.0 0.0 25 Compliance Statement The proposed building design described here Is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2009 IECC requirements In REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist Name - Tide Signature Date Project Title: NEW CONDOMINIUMS FOR (UNIT #1) Report date: 11/03/11 Data filename: C:1Documents and SettingMAdministrator%My DOcumentslRESchecMNHAVELLC (UNIT #1).rck Page 1 of 4 REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R30.0 cavity insulation Comments: Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: ❑ Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: ❑ Wall 3: Wood Frame, 16" o.c., R-19.0 cavity Insulation Comments: ❑ Wall 4: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: ❑ Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: ❑ Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: ❑ Window 3: Wood Frame:Double Pane with Low-E, U-factor: 0.320 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: ❑ Door 1: Solid, U-factor: 0.140 Comments: ❑ Door 2: Glass, U-factor: 0.320 Comments: Floors: ❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity Insulation Comments: Floor insulation is Installed in permanent contact with the underside of the subf c or decking. Air Leakage: ❑ Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed with cauk gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs/showers, and In openings between window/door jambs and framing. ❑ Recessed lights In the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the Interior wall or ceiling covering. Project Title: NEW CONDOMINIUMS FOR (UNIT #1) Report date: 11/03/11 Data filename: Untitled.rck Page 2 of 4 Access doors separating conditioned from unconditioned space are weather-stripped and Insulated (without insulation compression or damage) to at least the level of Insulation on the surrounding surfaces. Where loose fill Insulation exists, a baffle or retainer is installed to maintain Insulation application. Wood-buming fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: Building envelope air tightness and Insulation installation compiles by either 1) a post rougir4n blower door test result of less than 7 ACH at 33.5 psf OR 2) the following Items have been satisfied: (a) Air barriers and thermal barrier. Installed on outside of air -permeable insulation and breaks or joints in the air barrier are filled or repaired. (b) Cailing/attic: Air barrier In any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c) Above -grade walls: Insulation Is installed In substantial contact and continuous alignment with the building envelope air barrier. (d) Floors: Air barrier is installed at any exposed edge of Insulation. (e) Plumbing and wiring: Insulation Is placed between outside and pipes. Batt Insulation Is cut to fit around wiring and plumbing, or sprayed/blown insulation extends behind piping and wiring. (Q Comers, headers, narrow framing cavities, and rim joists are Insulated. (9) Showeritub on exterior wall: Insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed In accordance with the manufacturers Installation Instructions. ❑ Insulation Is installed In substantial contact with the surface being Insulated and in a manner that achieves the rated R-value. Materials and equipment are Identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the budding plans or specifications. Duct Insulation: Supply duds In attics are Insulated to a minimum of R-8. All other duds in unconditioned spaces or outside the building envelope are Insulated to at least R-6. Duct Construction and Testing: 0 Building framing cavities are not used as supply ducts. All joints and seams of air duds, air handlers, fitter boxes, and building cavities used as return duds are substantially airtight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or UL 181 B and are labeled according to the dud construction. Metal dud connections with equipment and/or fittings are mechanically fastened. Crimp joints for round metal ducts have a contact lap of at least 1 1/2 Inches and are fastened with a minimum of three equally spaced sheet -metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially Inaccessible dud connection exists, mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 In. w.g. (500 Pa). Duct tightness lest has been performed and meets one of the following test criteria: 0) Postconstruction leakage to outdoors test Less than or equal to 119.7 din (8 dm per 100 ft2 of conditioned floor area). (2) Postoonstruction total leakage test (including air handler enclosure): Less than or equal to 179.5 cfm (12 cfm per 100 ft2 of conditioned floor area) pressure differential of 0.1 inches w.g. (3) Rough -in total leakage test with air handler Installed: Less than or equal to 89.8 cfm (6 dm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 Inches w.g. (4) Rough -in total leakage test without & handler installed: Less than or equal to 59.8 cfm (4 cfm per 100 ft2 of conditioned floor area). Temperature Controls: 0 Thermostats exist for each dwelling unit (non -dwelling areas must have one thermostat for each system or zone). A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each room is provided. Electric Systems: Project Title: NEW CONDOMINIUMS FOR (UNIT #1) Data filename: Untided.rck Report date: 11/03/11 Page 3 of 4 O Separate electric meters exist for each dwelling unit. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are Included by an Inspection for compliance with the International Residential Cade. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating (Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are Insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn oft the circulating pump when the system Is not In use. Heating and Cooling Piping Insulation: WAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are Insulated to R-3. Swimming Pools: Heated swimming pools have an ordoff heater switch. Pod heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pod heaters and pumps are present Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar- and/or waste -heat -recovery systems. Heated swimming pods have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a minimum Insulation value of R-12. Exceptions: Covers are not required when 60% of the heating energy Is from site -recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a) Compact fluorescent (b) T-8 or smaller diameter linear fluorescent (c) 40 lumens per watt for lamp wattage <=15 (d) 50 lumens per watt for lamp wattage > 15 and <= 40 (e) 60 lumens per watt for lamp wattage > 40 Other Requirements: Snow- and ice -melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation Is falling, and c) the outdoor temperature Is above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement V). Certificate: A permanent certificate is provided on or In the electrical distribution panel listing the predominant insulation R-values; window U-factors; type and efficiency of spaceconditioning and water heating equipment. The certificate does not cover or obstruct the visibility of the circuit directory label, service disconnect label or other required labels. NOTES TO FIELD: (Building Department Use Only) Project Tide: NEW CONDOMINIUMS FOR (UNIT #1) Report date: 11/03/11 Data filename: Untitled.rck Page 4 of 4 2009 IECC Energy ' Efficiency Certificate Calling / Roof 30.00 Wall 18.00 Floor / Foundation 30.00 Ductwork (unconditioned spaces): r. �. - r Window 0.32 0.28 Door 0.32 0.28 Heating System: Cooling System: Water Heater. Name: Date: Comments: REScheck Software Version 4.4.1 Compliance Certificate Project Title: NEW CONDOMINIUMS FOR (UNIT #2 & #3) Energy Code: 20091ECC Location: Yarmouth, Massachusetts Construction Type: Multifamily Glazing Area Percentage: 10% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor. NEW HAMPSHIRE AVE, LLC NEW HAMPSHIRE AVE, LLC THOMAS MOORE 6 NEW HAMPSHIRE AVE 6 NEW HAMPSHIRE AVE THOMAS A. MOORE DESIGN YARMOUTH,MA YARMOUTH,MA COMPANY 949 LONG POND ROAD BREWSTER, MA 02631 508-896-6403 Compliance: 1.3%. Better Than Code Maximum UA: 234 Your UA: 231 The % Beam m Wone Than Code Y,dm mfleds how dose to 0Wr1ianca the hmM Ie based an code tradeoff vies. n DOES NOT provide an eswriets or anew use or ood relatin to a ff**n ff mwe home. Gross CaYity Cost: Glazing U, sse b y V of •Value • alue o Doo Perimeter u-Facto Ceiling 1: Flat Ceiling or Scissor Truss 704 30.0 0.0 25 Wall 1: Wood Frame, 160 o.c. 388 19.0 0.0 19 Window 1: Wood Frame:Double Pane with Low-E 58 0.310 18 Door 1: Solid 20 0.140 3 Wall 2 Wood Frame, 160 o.a 673 19.0 0.0 40 Wall 3: Wood Frame, 160 o.c. 388 19.0 0.0 14 Window 2: Wood Frame:Double Pane with Low-E 40 0.310 12 Door 2:Glass 120 0.310 37 Wall 4: Wood Frame, 16' o.c. 673 19.0 0.0 40 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 704 30.0 0.0 23 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the pennit application. The proposed building has been designed to most the 2009 IECC requirements In REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date Project Tide: NEW CONDOMINIUMS FOR (UNIT #2 & #3) Report date: 11/03/11 Data filename: C:1Documents and SetfingsVldministratorWy DocumentslREScheckW HAVELLC (UNIT #2&3).rck Page 1 of 4 C(iREScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above -Grade Walls: ❑ Wall 1: Wood Frame, 16' o.c., R-19.0 cavity Insulation Comments: ❑ Wall 2: Wood Frame, 16' o.c., R-19.0 cavity insulation Comments: ❑ Wall 3: Wood Frame, 16' o.c., R-19.0 cavity insulation Comments: ❑ Wall 4: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: ❑ Window 1: Wood Frame:Double Pane with Low-E. U-factor: 0.310 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: ❑ Window 2: Wood Frame:Double Pane with Low-E, U-factor: 0.310 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: ❑ Door 1: Solid, U-factor: 0.140 Comments: ❑ Door 2: Glass, U-factor. 0.310 Comments: Floors: ❑ Floor 1: All -Wood JOISUfruss:Over Unconditioned Space, R-30.0 cavity insulation Comments: Floor insulation Is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings In the building envelope that are sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubsishowers, and In openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the Interior wall or ceding covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated (without insulation compression or damage) to at least the level of Insulation on the surrounding surfaces. Where loose fill insulation exists, a baffle or retainer is Installed to maintain insulation application. ❑ Wood-buming fireplaces have gasketed doors and outdoor combustion air. Project Title: NEW CONDOMINIUMS FOR (UNIT #2 & #3) Report date: 11/03/11 Data filename: C:\Documents and SetdngsWdminlstrator\My Documents\REScheckWHAVELLC (UNIT #2&3).rck Page 2 of 4 Air Sealing and Insulation: Building envelope air tightness and Insulation installation complies by either 1) a post rough -in blower door test result of less than 7 ACH at 33.5 psf OR 2) the following Items have been satisfied: (a) Air barriers and thermal barrier Installed on outside of air -permeable Insulation and breaks or joints in the air barrier are filled or repaired. (b) Ceilinglattic: Air barrier in any dropped caifing/soffit Is substantially aligned with Insulation and any gaps are sealed. (c) Above -grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d) Floors: Air barrier is installed at any exposed edge of Insulation. (e) Plumbing and wiring: Insulation Is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or sprayed/blown Insulation extends behind piping and wiring. (f) Comers, headers, narrow framing cavities, and rim joists are insulated. (9) Shower/tub on exterior wall: Insulation exists between shower,/tubs and exterior wall. Sunrooms: 0 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: O Materials and equipment are installed In accordance with the manufacturers installation Instructions. O Insulation is Installed In substantial contact with the surface being Insulated and In a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all Installed heating and cooling equipment and service water heating equipment have been provided. O Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts In attics are insulated to a minimum of R-8. All other ducts in unconditioned spaces or outside the building envelope are Insulated to at least RE. Duct Construction and Testing: El Building framing cavities are not used as supply ducts. All joints and seams of air ducts, air handlers, filter boxes, and building cavities used as return duds are substantially airtight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or UL 181 B and are labeled according to the dud construction. Metal dud connections with equipment and/or fittings are mechanically fastened. Crimp joints for round metal duds have a contact lap of at least 1 1/2 Inches and are fastened with a minimum of three equally spaced sheet -metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible dud connection exists, mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1) Postoonstruction leakage to outdoors test Less than or equal to 113.3 rim (8 cfrn per 100 ft2 of conditioned floor area). (2) Postconstruction total leakage test (including air handier enclosure): Less than or equal to 169.9 rim (12 cfm per 100112 of conditioned floor area) pressure differential of 0.1 Inches w.g. (3) Rough -in total leakage test with air handler installed: Less than or equal to 85.0 rim (6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 Inches w.g. (4) Roughen total leakage test without air handler installed: Less than or equal to 56.6 rim (4 cfrn per 100 ft2 of conditioned floor area). Temperature Controls: Thermostats exist for each dwelling unit (non -dwelling areas must have one thermostat for each system or zone). A manual or automatic means to partially restrict or shut off the heating and/or cooling Input to each room is provided. Electric Systems: O Separate electric meters exist for each dwelling unit Heating and Cooling Equipment Sizing: El Additional requirements for equipment sizing are included by an Inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating (Sections 503 and 504). Project Title: NEW CONDOMINIUMS FOR (UNIT #2 6 #3) Report date: 11/03/11 Data filename: Q%Documents and SettingsWdministratorWy DocumentslREScheckWHAVELLC (UNIT #2&3).rck Page 3 of 4 Circulating Service Hot Water Systems: Circulating service tot water pipes are insulated to R-2. O Circulating service tat water systems include an automatic or accessible manual switch to turn oft the circulating pump when the system is rat in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an onloff heater switch. ❑ Pod heaters operating on natural gas or LPG have an electronic pilot light O Timer switches on pod heaters and pumps are present Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar- andlor waste -heat -recovery systems. Heated swimming pods have a cover on or at the water surface. For pods heated over 90 degrees F (32 degrees C) the cover has a minimum insulation value of R-12. Exceptions: Covers are rat required when 60% of the heating energy is from site -recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a) Compact fluorescent (b) T-8 or smaller diameter linear fluorescent (c) 40 lumens per watt for lamp wattage <=15 (d) 50 lumens per watt for lamp wattage > 15 and <= 40 (a) 60 lumens per watt for lamp wattage > 40 Other Requirements: Snow- and Ice -melting systems with energy supplied from the service to a building shall Include automatic controls capable of shutting off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is above 40 degrees F (a manual shutoff control Is also permitted to satisfy requirement'C). Certificate: A permanent certificate is provided on or In the electrical distribution panel listing the predominant insulation R-values; window U-factors; We and efficiency of space -conditioning and water heating equipment The certificate does not cover or obstruct the visibility of the circuit directory label, service disconnect label or other required labels. NOTES TO FIELD: (Building Department Use Only) Project Title: NEW CONDOMINIUMS FOR (UNIT #2 & #3) Report date: 11/03/11 Data filename: C:1Documents and SettingsWdministratoAMy DocumentslREScheckW HAVELLC (UNIT #2&3).rck Page 4 of 4 �(2009 IECC Energy j Efficiency Certificate Ceiling / Roof 30.00 Wall 19.00 Floor / Foundation 30.00 Ductwork (unconditioned spaces): Window 0.31 0.28 Door 0.31 0.23 Heating System• Cooling System: Water Heater. Name: Date: Comments: REScheck Software Version 4.4.1 Compliance Certificate Project Title: NEW CONDOMINIUMS FOR (UNIT #4) Energy Code: 2009 IECC Location: Yarmouth, Massachusetts Construction Type: Multifamily Glazing Area Percentage: 14% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor. NEW HAMPSHIRE AVE, LLC NEW HAMPSHIRE AVE, LLC THOMAS MOORE 6 NEW HAMPSHIRE AVE 6 NEW HAMPSHIRE AVE THOMAS A. MOORE DESIGN YARMOUTH.MA YARMOUTH,MA COMPANY 949 LONG POND ROAD BREWSTER, MA 02631 508-896-6403 -r, - Compliance: 2.3% Better Than Code Maximum UA: 260 Your UA: 254 The % SwAw w Warm Tree Code Flex Mods how does b cwVL a ON houss Is lxeed m mde Fedeatt rake It DOES NOT provWe sn mUmte or eneW use w cost roWN0 to e nwwrxeftcds hone. Gross Cavity I Cont." Glazing UA ssembly A� o R• alas -Value o�Doo Perimeter J. U:F.actor Ceiling 1: Flat Calling or Scissor Truss 748 30.0 0.0 26 Wall 1: Wood Frame, 16' o.c. 392 19.0 0.0 19 Window 1: Wood Frame:Double Pane with Low-E 68 0.310 18 Door 1: Solid 20 0.140 3 Wall 2: Wood Frame,16• o.c. 673 19.0 0.0 40 Wall 3: Wood Frame, 16' o.c. 392 19.0 0.0 14 Window 2: Wood Frame:Double Pane with Low-E 40 0.310 12 Door 2: Glass 120 0.310 37 Wall 4: Wood Frame, 16" o.c. 673 19.0 0.0 36 Window 3: Wood Frame:Double Pane with Low-E 76 0.320 24 Floor 1: All -Wood JoW/Truss:Over Unconditioned Space 748 30.0 0.0 25 Compliance Statement The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2009 IECC requirements In REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist Name - Title Signature Date Project Title: NEW CONDOMINIUMS FOR (UNIT #4) Report date: 11/03/11 Data filename: C:1Documents and SettingMAdministratorlMy Documents%REScheckWHAVELLC (UNIT #4).rck Page 1 of 4 , • " REScheck Software Version 4.4.1 Inspection Checklist Callings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R30.0 cavity Insulation Comments: Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c,, R-19.0 cavity insulation Comments: ❑ Wall 2: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: ❑ Wall 3: Wood Frame, 16' o.c., R-19.0 cavity Insulation Comments: ❑ Wall 4: Wood Frame, 16' o.c., R-19.0 cavity insulation Comments: Windows: ❑ Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.310 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: ❑ Window 2: Wood Frame:Double Pane with Low-E. U-factor: 0.310 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: ❑ Window 3: Wood Frame:Double Pane with Low-E, U-factor. 0.320 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Doors: ❑ Door 1: Solid, U-factor: 0.140 Comments: ❑ Door 2: Glass, U-factor: 0.310 Comments: Floors: ❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R30.0 cavity insulation Comments: Floor Insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints (Including rim joist junctions), attic access openings, penetrations, and all other such openings In the building envelope that are sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubstshowers. and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. Project Title: NEW CONDOMINIUMS FOR (UNIT #1) Report date: 11/03/11 Data filename: C:1Documents and SettingsWdministratoAMy DocumentsNRESchedMHAVELLC (UNIT #4).rck Page 2 of 4 .O Access doors separating conditioned from unconditioned space are weather-stripped and insulated (without Insulation compression or damage) to at least the level of insulation on the surrounding surfaces. Where loose fill insulation exists, a baffle or retainer Is installed to maintain insulation application. Wood -burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: Building envelope air tightness and insulation installation complies by either 1) a post rough -in blower door test result of less than 7 ACH at 33.5 psf OR 2) the following Items have been satisfied: (a) Air barriers and thermal barrier. Installed on outside of air -permeable insulation and breaks or joints in the air barrier are filled or repaired. (b) Ceiling/attic: Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c) Above -grade walls: Insulation Is installed in substantial contact and continuous alignment with the building envelope air barrier. (d) Floors: Air barrier Is installed at any exposed edge of Insulation. (a) Plumbing and wiring: Insulation is placed between outside and pipes. Batt Insulation is cut to fit around wiring and plumbing, or sprayed/blown Insulation extends behind piping and wiring. (f) Comers, headers, narrow framing cavities, and rim joists are insulated. (9) Showerltub on exterior wall: Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally Isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75. New windows and doors separating the sunroorn from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: O Materials and equipment are installed In accordance with the manufacturer's installation Instructions. ❑ Insulation is installed In substantial contact with the surface being Insulated and in a manner that achieves the rated R-value. 0 Materials and equipment are Identified so that compliance can be determined. Manufacturer manuals for all Installed heating and cooling equipment and service water heating equipment have been provided. ' Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are Insulated to a minimum of R-8. All other duds in unconditioned spaces or outside the building envelope are Insulated to at least R-6. Duct Construction and Testing: 0 Building framing cavities are not used as supply duds. All joints and seams of air duds, air handlers, fitter boxes, and building cavities used as return duds are substantially airtight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or UL 181 B and are labeled according to the dud construction. Metal dud connections with equipment and/or fittings are mechanically fastened. Crimp joints for round metal duds have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet -metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible dud connection exists, mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and lod -type longitudinal joints and seams on duds operating at less than 2 in. w.g. (500 Pa). El Duct tightness test has been performed and meets one of the following test criteria: (i) Postoonstruction leakage to outdoors test Less than or equal to 119.7 cfm (8 ctm per 1001t2 of conditioned floor area). (2) Postoonstruction total leakage test (Including air handler enclosure): Less than or equal to 179.5 cfm (12 cfm per 100 R2 of conditioned floor area) pressure differential of 0.1 Inches w.g. (3) Rough -in total leakage test with air handler installed: Less than or equal to 89.8 cfm (6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 Inches w.g. (4) Rough -In total leakage test without air handler installed: Less than or equal to 59.8 ctm (4 c1m per 100112 of conditioned floor area). Temperature Controls: Thermostats exist for each dwelling unit (non dwelling areas must have one thermostat for each system or zone). A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each room Is provided. Electric Systems: Project Tide: NEW CONDOMINIUMS FOR (UNIT #1) Report date: 11/03/11 Data filename: C:1Documents and SettingslAdministratorWy DocumentslREScheckWHAVELLC (UNIT #4).rck Page 3 of 4 t 0 Separate electric meters exist for each dwelling unit Heating and Cooling Equipment Sizing: Ll Additional requirements for equipment sizing are Included by an Inspection for compliance with the International Residential Code. ❑ For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating (Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. O Pool heaters operating on natural gas or LPG have an electronic pilot light Timer switches on pool heaters and pumps are present Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar- and/or waste -heat -recovery systems. Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a minimum Insulation value of R-12. Exceptions: Covers are riot required when 60% of the heating energy Is from site -recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a) Compact fluorescent (b) T-8 or smaller diameter linear fluorescent (c) 40 lumens per watt for lamp wattage <. 15 (d) 50 lumens per watt for lamp wattage > 15 and <. 40 (a) 60 lumens per watt for lamp wattage > 40 Other Requirements: Snow- and Ice -melting systems with energy supplied from the service to a building shall Include automatic controls capable of shutting off the system when a) the pavement temperature Is above 60 degrees F, b) no precipitation is falling, and c) the outdoor temperature is above 40 degrees F (a manual shutoff control Is also permitted to satisfy requirement V). Certificate: A permanent certificate Is provided on or In the electrical distribution panel listing the predominant Insulation R-values; window U-factors; type and efficiency of space -conditioning and water heating equipment. The certificate does not cover or obstruct the visibility of the circuit directory label, service disconnect label or other required labels. NOTES TO FIELD: (Building Department Use Only) Project Title: NEW CONDOMINIUMS FOR (UNIT #1) Report date: 11/03/11 Data filename: QkDocuments and SettingsWministratoAMy Documents'RESchecicWHAVELLC (UNIT #4).rck Page 4 of 4 2009 IECC Energy Efficiency Certificate ,. Calling / Roo( 30.00 wall 19.00 Floor / Foundation 30.00 Ductwork (unconditioned spaces): lnFrrtt-yrr A—*tlij Lx4RL=I W!» j Window 0.32 0.28 Door 0.31 023 Heating System: Cooling System: Water Heater. 10 Name: Date: Comments: u STONE' & REID ATTORNEYS AT LAW A PROFESSION 1L A'soaA'f70N SOUTH YARMOUTH PROFESSIONAL BUILDING 1292 ROUTE 28 SOUTH YARMOUTH, MA 02664.4452 TEL (508) 3945648 FAX (508) 3981699 DAvm S. RISD, ESQ. DSReld@verizon.net September 22, 2011 Yarmouth Board of Appeals 1146 Route 28 South Yarmouth, MA 02664 RE: 6. New Hampshire Ave. #4359 Dear Ms. Clark: Mlcl i tm F. S'rom, ESQ. MFStoneEsq@Juno.com Enclosed please find a copy of the Certificate of Granting of a Special Permit in the above -referenced matter, with the Registry of Deeds recording information. Thank you for your assistance in this matter. Ve y y David S. Reid, s . Encl. (1) cc: Yarmouth Building Department : Martin T. Reilly dp3l/millyAtr4wniouth b.o.a. • Each Attorney in this office is an independent practitioner who is not responsible for the practice or liabilities of any other attorney in the office. Rule 7.5 (d) /ylyV _O-Y/d1/nto j7rp`70'J7 1-1�7 o ,, � ��oi/y 1iva,G�rri✓� /77 s TOWN OF YARMOUTH BUILDING DEPAATM$N'P ". PLAN REVIEW & BUILDING PERMIT APPLICATION REVIEW NOTES ADDRESS: Map / Lot: Date of Initial Review: Impeotor Review Date: Approval Data: NOTES Otther Review Dates: r1, aD Permlt Fee Calculations FARr � ��/%�'� "" U� "J [ ill ,�i� L� ��ot'' G/Ylt>'��,✓l ZoninS Denial (if applicable): _—Secdon 1043.2, pan Cb"A imntlon Of Alteradoa (pf"xlttlas, aooconformins) Ma propoud regdm a Spacial Perudt from do Zooms Bond of Appeals. Other 4 BdWInS Code Denial (itgpllcable) an.3am t,l 'J o xcllzw� `5 / �'/ 1� le�?I'aaf • THOMAS A. MOORE : CO-OWNER P.O. BOX 2124 949 LONG POND ROAD/RTE.137 BREWSTER, MA 02631 508-896-6403 (OFFICE) n 0• •• ,0 THOMAS A. MOORE DESIGN COMPANY November 23, 2011 Town of Yarmouth Jim Brandolini Building Commissioner RE: 6 New Hampshire Ave, LLC Dear Jim, The attached addendum sketch is as per our conversation on 11/21/2011. The duct work at the above referenced project will be waterproofed as per section 322.1.6 (exceptions) of the Massachusetts State Building Code. If you have any questions, do not hesitate to call. Toerely' mas A. Moore email: tamdesignco@verizon.net www.thomasmooredeslgn.com 3/4' T c G PLYWOOD SUBFLOOR- GLUED ¢NAILED _Uz� 4 �n O 00 C CO G 14' TRU55 JOISTS Q 1 G'o.c.— Zza� 300 FLEX DUCT FLEX DUCT Lc=3 N X c7 � 0 LaOm A E. a m PVC SUPPLY PVC RETURN V AIR DUCT AIR DUCT 0 Z c/)>O 2 x NAILERS ►� r-� w y. Z Cs] VENTURECLAD JACKSYSTEM , .` : 10-0 Q ET WRAPPED AROUND DUCTS 1/2' P.T. PLYWOOD Q Q" z 1/4' COATING 0 WATERPROOF DE51GN 3 ZERO PERMEABILITY STRUCTURALLY SOUND Z Z z DESIGNED IN ACCORDANCE WITH A: c° 780 CMR 120.G501.5 AS NOTED 780 CMR 120.G501.7 780 CMR 120.G501.8 A -- I 1IM2011 D U CT WATE RP ROO 1= I N G DETAI L PROJ. NO.: 2011-327 AT C fZAWL S PACE DWG NO.: .1- THOMAS A. MOORE : CO-OWNER P.O. BOX 2124 949 LONG POND ROAD/RTE.137 BREWSTER, MA 02631 508-896-6403 (OFFICE) 508-896-6407 (FAX) THOMAS A. MOORE DESIGN COMPANY November 23, 2011 Town of Yarmouth Jim Brandolini Building Commissioner RE: 6 New Hampshire Ave, LLC Dear Jim, The attached addendum sketch is as per our conversation on 11/21/2011. The duct work at the above referenced project will be waterproofed as per section 322.1.6 (exceptions) of the Massachusetts State Building Code. If you have any questions, do not hesitate to call. i erely, lomas A. Moore oe email: tamdesignco@verizon.net www.thomasmooredesign.com 3/4' T * G PLYWOOD C5 5UBLU FLOOR- GED # NAILED g CJi1 o `o oz@ kt c`4 1: O W �4' TRU55 JOISTS Q 1 G'o.c. � col � , W m � c z a z 0 T ¢o Q d FLEX DUCT FLEX DUCT ¢N� in z cn v ;-;:03 Q E- ate.' co j PVC SUPPLY PVC RETURN AIR DUCT AIR DUCT U)>O 2 x NAILERS—z:,I& z�w VENTURECLAD JACKET SYSTEM O W WRAPPED AROUND DUCTS 1/2' P.T. PLYWOOD Q Q' z 141 COATING O WATERPROOF DESIGN 3 ZERO PERMEABILITY STRUCTURALLY SOUND Z z CD DE51GNED IN ACCORDANCE WITH SCALE: 780 CMR. 120.G501.5 CMR 120.G501.7780 1AS NOTED780 CMR 120.G501.82/2011 DUCT WATERPROOFING DETAIL O.: 2011-327 201I- . AT CRAWL SPACE DWC NO.: SKI of ._%t THOMAS A. MOORE : CO-OWNER P.O. BOX•2124 949 LONG POND ROAD/RTE.137 BREWSTER, MA 02631 508-896-6403 (OFFICE) 508-896-6407 (FAX) rr� n i7 r THOMAS A. MOORE DESIGN COMPANY November 23, 2011 Town of Yarmouth Jim Brandolini Building Commissioner RE: 6 New Hampshire Ave, LLC Dear Jim, The attached addendum sketch is as per our conversation on 11/21/2011. The duct work at the above referenced project will be waterproofed as per section 322.1.6 (exceptions) of the Massachusetts State Building Code. If you have any questions, do not hesitate to call. i erely, Lrer omas A. email: tamdesignco@verizon.net www.thomasmooredesign.com 3/4' T 4 G PLYWOOD z o SUBFLOOR GLUED 4 NAILED LE 8g 0 cN Zug? e� `o UM ---14' TKU55 J015T5 aQ I G'o.c. m gr z z cd °' a n �0 FLEX DUCT FLEX DUCT OQN Lo Z `� x in Omr3 casOx PVC SUPPLY PVC RETURN C-) AIR DUCT AIR DUCT 0 ��x�. >O 2 x NAILER5—Z: I I I ------------- >- Z�w VENTURECLAD JACKET SYSTEM O < WRAPPED AROUND DUCTS 1/2' P.T. PLYW00D Q z /41 COATING O WATERPROOF DE51GN 3 ZERO PERMEABILITY 5TRUCTURALLY50UND Z Z z DESIGNED IN ACCORDANCE WITH Co 750 CMR 120.G501.5 A 780 CMR 120.G501.7 AS NOTED 780 CMR 120.G501.8 A 11/22/2011 DUCT WATE RP IZOO F I N G D ETAI L PROJ. NO.: 2011-327 AT CRAWL SPACE DWG NO.: P-0' SK 1 '%'G/`�/C/r�l- I .:2.1/ 5:/0- ,/,V/vd 0 LPJ1 THOMAS A. MOORE : CO-OWNER P.O. BOX2124 949 LONG POND ROAD/RTE.137 BREWSTER, MA 02631 508-896-6403 (OFFICE) 508-896-6407 (FAX) HAM � I aE:Etsst,, � THOMAS A. MOORE DESIGN COMPANY November 22, 2011 Town of Yarmouth Jim Brandolini Building Commissioner RE: 6 New Hampshire Ave, LLC Dear Jim, At the request of Marty Reilly & 6 New Hampshire Ave, LLC, I reviewed the light and ventilation requirements for the second floor bedrooms for the above referenced project. The findings are as follows. Light & Ventilation Required Provided Unit #1: Bedroom #1 107.6 s.f. floor area x 8% = 8.6 8.84 Bedroom #2 100.4 s.f. floor area x 8% = 8.0 8.84 Unit #2 & #3: Bedroom #1 104.2 s.f. floor area x 8% = 8.33 8.84 Bedroom #2 94.2 s.f. floor area x 8% = 7.5 8.84 Unit #4: Bedroom #1 100.4 s.f. floor area x 8% = 8.0 8.84 Bedroom #2 107.6 s.f. floor area x 8% = 8.6 22.86 If you have any questions, do not hesitate to call. Si%erel,, Thomas A. Moore email: tamdesignco@verizon.net www.thomasmooredeslgn.com THOMAS A. MOORE : CO-OWNER P.O. BOX 2124 949 LONG POND ROAD/RTE.137 BREWSTER, MA 02631 508-896-6403 (OFFICE) � HrN g71. THOMAS A. MOORE DESIGN COMPANY November 22, 2011 Town of Yarmouth Jim Brandolini Building Commissioner RE: 6 New Hampshire Ave, LLC Dear Jim, At the request of Marty Reilly & 6 New Hampshire Ave, LLC, I reviewed the light and ventilation requirements for the second floor bedrooms for the above referenced project. The findings are as follows. Light & Ventilation Required Provided Unit #1: Bedroom #1 107.6 s.f. floor area x 8% = 8.6 8.84 Bedroom #2 100.4 s.f. floor area x 8% = 8.0 8.84 Unit #2 & #3: Bedroom #1 104.2 s.f. floor area x 8% = 8.33 8.84 Bedroom #2 94.2 s.f. floor area x 8% = 7.5 8.84 Unit #4: Bedroom #1 100.4 s.f. floor area x 8% = 8.0 8.84 Bedroom #2 107.6 s.f. floor area x 8% = 8.6 22.86 If you have any questions, do not hesitate to call. Si erely, Thomas A. Moore email: tamdesignco@verizon.net www.thomasmooredesign.com 'L �� NOV 15 2011 MA: MANSFIELD • NEW BEDFORD • NEWTON - BERLIN - SALEM 1 NH: BOSCAWEN Family Owned and Operated Since 1931--- COMPONENT DESIGNS & PLACEMENT DIAGRAM FOR J & B CONSTRUCTION 6 NEW HAMPSHIRE AVE. YARMOUTH, MA ROOF TRUSSES Submission Date:11-14-11 SHOP APPROVAL DOCUMENTS Ref: 1110231-33084R REFER TO DETAIL SHEET NL-0 FOR INSTRUCTIONS Approved shop drawings must be returned 2-3 weeks prior to the requested product delivery date The seal on these drawings indicate acceptance of professional engineering responsibility solely for the engineered wood components shown per ANSVTPIIWTCA 4-2002. Questions??? Call Reliable Truss at 508-99-TRUSS (87877) or 1-888-80-TRUSS (87877) THE NATIONAL LUMBER FAMILY OF COMPANIES "OFA1 L — — REt.IABLETRUSS R ,�,,,I-Io KITCHEN A;rrA=jdU61W XWOOMPO1EWS.W, ]1' MMIRM IVIEWSI 71 Maple Street, PO Box 9032, Mansfield, MA 02048 1 T: 508-339.8020 F: 508.339.4518 1 national-lumber.com NL-9300&15-2M TLL-0494580 111023143084R RF APP MA 11.14.11 SHOP DRAWING REVIEW Thank you for selecting National Lumber to be your component supplier. The enclosed drawings represent our understanding of your plans and needs consistent with the scope of our proposal and/or written contract. Naturally, plan ambiguities, revisions, and 'as built* site conditions can change these needs without our knowledge. Therefore we request that you, along with your architect, engineer or building designer, review these documents and carefully verify: dimensions, loads, bearing locations, member spacing, consistence with overall design intent, conflicts with plumbing & mechanicals and, any other conditions noted. Construction should not begin until this information has been reviewed and approved as accurate The builder should understand all the relevant installation requirements in these documents and in the manufacture's product literature. After review, please initial each of the attached plans and/or calculations then check the appropriate box below and sign in the space provided. Approved As Submitted: ❑ Approved As Noted: ❑ By: Title Company Date: Customer. J & B CONSTRUCTION Project 6 NEW HAMPSHIRE AVE., YARMOUTH, MA Task ROOF TRUSS APPROVAL SUBMISSION Date: 11-14-11 Reference M. 1110231-33084R Designer. DAVID DODGE In any case, please return one copy to our office and retain the other for your records. You will be sent a final "truss installation submission' with an engineers seal. Architects and engineers approval stamps will be reviewed and may be acceptable in lieu of the customer's signature on this approval sheet. In accepting these stamps we assume the design professional is acting on our behalf as your agent and / or authori If you have any questions please contact your salesman or component designer i?z�="- ISSUE DATE TITLE SHEET # NA SHOP DRAWING REVIEW NOTES N L-0 TLL-0494581 1110231-33084R RF APP MA 11.14.11 WARNING Failure to Follow Could Cause Property Damage or Personal Injury IMPORTANT NOTES These notes pertain to the attached truss designs and placement plans The following trusses are designed at the request and specification of the customer as an Individual building component, in a vertical plane, to be Incorporated into the building design at the specification of the building designer. Bracing requirements shown is for lateral support of Individual truss members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. Design and materials are in substantial accordance with state building code's referenced edition of NDS and/or TPI/ANSI specifications. For general guidance regarding design responsibility, storage, erection and bracing, consult "Building Component Safety Information BCS12006 Guide to Good Practice For Handling, Installing, Restraining and Bracing of Metal Plate Connected Wood Trusses," available from the Structural Building Component Association (SBCA) www.scbindustry.com and the code referenced edition of the "National Design Standard for Metal Plate Connected Wood Truss Construction ANSVfPI 1" a •r 2. Top chords must be sheathed throughout or purlins provided at spacing prescribed on the individual truss designs. 3. Bottom chords require lateral restraints (or alternate) as shown on the individual truss designs if no ceiling is installed. Anchorage and/or tie-in components are the responsibility of others. 4. ® Designates the location for a lateral restraint (or alternate) for lateral support of individual truss members only. Subject to review and approval by the building designer, this is a 2x4 continuous lateral restraint fastened to each member with two (2) 12d or 16d nails or alternately, a Simpson Strong -Drive Truss Spacer Bracer or Mitek Stabilizer. 5. Do not stack construction materials on floor or roof that Induce loading on truss greater than designated loads. 6. Except as noted on the attached designs, do not cut or alter truss without prior written approval of National Lumber or a registered design professional. 7. Building designer is responsible to insure that loading shown hereon is applicable to building and use. 8. Care should be exercised in handling, erection, and installation of trusses. 9. Provide adequate drainage for all trusses with shallow top chord slopes. 10. Building designer to determine and transfer all gravity, uplift, wind, seismic and other lateral bads from trusses to building foundation. 11. Contractor or building designer responsible to assure that load bearing walls and foundations is adequate to support the bads imposed by the trusses. 12. Camber is a non-structural consideration. Trusses are not cambered except as specified by the customer and noted on the Individual truss design. 13. The effect of lateral thrust/hodzontal displacement of supports for scissors type trusses Is not a consideration of these designs. The design of the truss supports must accommodate the lateral thrust/horizontal displacement of the truss. 14. Mitek Connector Plate Code Evaluation Reports: ESR-1311, ESR-1988, ESR-1352 & ESR-2362. 15. For additional Information refer to National Lumber's: Order Paperwork & Proposal Placement Diagram & Notes. Individual Truss Designs Other Detail Sheets as Provided 16. National Lumber and it's vendors reserve the right to upgrade the specified truss material to facilitate manufacturing without customer approval. Additional Notes for Floor Trusses Only 17. Refer to National Lumber's NL-52 detail sheet: 2x6 Strongback Bracing Recommendations' for additional performance related notes 18. Maximum allowable gap between the inside of bearing and end web for top chord bearing floor trusses is % . BEARING REFER TO ATTACHED WTCA/TPI BCSI-B1 & B3 FOR IMPORTANT HANDLING INSTALLATION AND RESTRAINING SUMMARY INFORMATION N±i10N ''1. ISSUE DATE TITLE SHEET # a-zs-lo STANDARD TRUSS NOTES N L-2 NL4X2 4-2610 TLL-0494582 111023133084R RF APP MA 11-14-11 February 14, 0 00 0 00 MjMa MTek Industries, Inc. Standard Gable End Detail DIAGONAL BRACE Typical x4 L-Brace Nailed To 2x`VoMcals W110d Nails, 6' o.a Vertical Stud SECTION B-B TRUSS GEOMETRY AND CONDITIONS SHOWN ARE FOR ILLUSTRATION ONLY. 12 Varies to Common Truss ST-GE120-001 Page 1 OF 1 Vertical Stud (4) -16d Common DIAGONN. Wife Nate • 16d Common Wire Nails Spaced 6' o.c. (2). 10d Common a &ud a Win Nays Into 2x6 R\ 2x4 Not of betW Typical Horizontal I Nailed To 2x Verticals SECTION A -A wr(4}10d Common Nais 2x4 ud SEE INDIVIDUAL MITFK ENGINEERING DRAWINGS FOR DESIGN CRITERIA 3x4 * • Diagonal Bracing Rater to Section A -A ** -L-Bracing Refer to Section B-B NOTE: 1. MINIMUM GRADE OF #2 MATERIAL IN THE TOP AND BOTTOM CHORDS. 2. CONNECTION BETWEEN BOTTOM CHORD OF GABLE END TRUSS AND WALL TO BE PROVIDED BY PROJECT ENGINEER OR ARCHITECT. 3. BRACING SHOWN IS FOR INDIVIDUAL TRUSS ONLY. CONSULT BLDG. ARCHITECT OR ENGINEER FOR TEMPORARY AND PERMANENT BRACING OF ROOF SYSTEM. 4.'L' BRACES SPECIFIED ARE TO BE FULL LENGTH. GRADES: 1x4 SRS OR 2x4 STUD OR BETTER WITH ONE ROW OF 10d NAILS SPACED 6' O.C. 5. DIAGONAL BRACE TO BE APPROXIMATELY 45 DEGREES TO ROOF DIAPHRAM AT 4'-0' O.C. 6. CONSTRUCT HORIZONTAL BRACE CONNECTING A 2x6 STUD AND A 2x4 STUD AS SHOWN WITH 16d NAILS SPACED 6' O.C. HORIZONTAL BRACE TO BE LOCATED AT THE MIOSPAN OF THE LONGEST STUD. ATTACH TO VERTICAL STUDS WITH (4) 10d NAILS THROUGH 20. (REFER TO SECTION A -A) 7. GABLE STUD DEFLECTION MEETS OR EXCEEDS Lr140. a. THIS DETAIL DOES NOT APPLY TO STRUCTURAL GABLES. 9. DO NOT USE FLAT BOTTOM CHORD GABLES NEXT TO SCISSOR TYPE TRUSSES. PROVIDE 20 BLOCKING BETWEEN THE FIRST TWO TRUSSES AS NOTED. TOENAIL BLOCKING TO TRUSSES WITH (2). IOd NAILS AT EACH ENC ATTACH DIAGONAL BRACE TO BLOCKING WITH (5) -10d COMMON WIRE NAILS. (4)-Sd NAILS MINIMUM, PLYWOOD SHEATHING TO 2x4 STD SPF BLOCK Roof Minimum Stud Size Species and Grade Stud Sparing Without Brace 1x4 L-Brace 2x4 L43 aca DIAGONAL BRACE 2 DIAGONAL BRACES AT 1rd POINTS Maximum Stud Length 2x4 SPF StdrStud 12' O.C. 432 1 4-7-6 ".5 1 8.6-3 1 12-0J6 2x4 SPF StdlStud 16' O.C. 3-10-7 1 4-" 1 5-7.13 7.6-14 1 11-7.5 2x4 SPF Starstud 24' O.C. 3.2-0 1 3-3-2 1 4.7-6 6.4-0 1 9.64 Diagonal braces over V-31" require a 2x4 T-Brace attached to one edge. Diagonal braces over 12'-6' require 2x4 I -braces Diag. Brace attached to both edges. Fasten T and I braces to narrow edge at 1 /3 point: of web with 10d common wire nails Bin o.c., with 31n minimum if needed end distance. Brace must cover 90% of diagonal length MAXIMUM WIND SPEED -120 MPH MAX MEAN ROOF HEIGHT • 30 FEET APRIL 1, 2007 tll End Wi CATEGORY It BUILDING DETAIL ADEQUATE FOR ASCE 7.02 & 7-05 EXPOSURE B or C ASCE 7.98 STUD DESIGN IS BASED ON COMPONENTS AND CLADDIN DURATION OF LOAD INCREASE: 1.60 CONNECTION OF BRACING IS BASED ON MWFRS. MAI M �I► I NJ ♦ !I 2k8 DIAGONAL BRACE SPACED 48' O.C. / ATTACHED TO VERTICAL WITH (4 16d COMMON WIRE NAILS AND ATT HED TO BLOCKING WITH (5) -10d COMMONS. HORIZONTAL BRACE (SEE SECTION A -A) N �10IV�>L ISSUE DATE TITLE SHEET # MITEK STANDARD GABLE NL-1 Oh 2-26-07 END DETAIL r "-v+VY I Ir vuuohn nr nrr mn r r -rwrr M-munm a-mur �QQ o0 0 00 �a Walk Industries, Inc. Standard Gable End Detail I SHEET 2 ALTERNATE DIAGONAL BRACING TO THE BOTTOM CHORD Page 2 OF 2 m Trusses @ 24"D.C. HORIZONTAL BRACE (SEE SECTION A -A) V-3" 2a6 DIAGONAL BRACE SPACED 48. O.C. ATTACHED TO VERTICAL WITH (4)-16d COMMON WIRE NAILS AND ATTACHED TO BLOCKING WITH (5) • 10d COMMONS. IS THE RESPONSIBILITY OF THE BLDG DESIGNER OR NAIL DIAGONAL BRACE TO IE PROJECT ENGINEERIARCHTECT TO DESIGN THE URLIN A WITH TWO 1Bd NAILS TILING DIAPHRAGM AND ITS ATTACHMENT TO THE IUSSES TO RESIST ALL OUT OF PLANE LOADS THAT AY RESULT FROM THE BRACING OF THE GABLE ENDS 2X! PURLIN FASTENED TO FOUR TRUSSES WITH TWO 16d NAILS EACH. FASTEN PURUN \ TO BLOCKING W1 TWO 16d NAILS (MIN) Diag. Brace at 1/3 points \ \ PROVIDE 20 BLOCKING BETWEEN THE TRUSSES SUPPORTING THE BRACE AND THE TWO TRUSSES if needed To TRUSSES WITAS NOTED. BLOCKING NTOENAIL EACH H ( ATTACH DIAGONAL BRACE TO BLOCKING WITH (5)- 10d COMMON WIRE NAILS. End Wall CEILING SHEATHING BRACING REQUIREMENTS FOR STRUCTURAL GABLE TRUSSES STRUCTURAL GABLE TRUSSES MAY BE BRACED AS NOTED: STRUCTURAL. METHOD 1 : ATTACH A MATCHING GABLE TRUSS TO THE INSIDE GABLE TRUSS FACE OF THE STRUCTURAL GABLE AND FASTEN PER THE FOLLOWING NAILING SCHEDULE. " METHOD 2: ATTACH 2X _ SCABS TO THE FACE OF EACH VERTICAL SCAB ALONG MEMBER ON THE STRUCTURAL GABLE PER THE FOLLOWING VERTICAL NAILING SCHEDULE. SCABS ARE TO BE OF THE SAME SIZE, GRADE AND SPECIES AS THE TRUSS VERTICALS NAILING SCHEDULE: - FOR WIND SPEEDS 120 MPH OR LESS. NAIL ALL MEMBERS WITH ONE ROW OF I Od (.131- X 3-) NAILS SPACED 6- O.C. - FOR WIND SPEEDS GREATER 120 MPH NAIL ALL MEMBERS WITH TWO ROWS OF 10d (.131-X 3-) NAILS SPACED 6- O.C. (2X 4 STUDS MINIMUM) MAXIMUM STUD LENGTHS ARE LISTED ON PAGE 1. " ALL BRACING METHODS SHOWN ON PACE 1 ARE / VALID AND ARE TO BE FASTENED TO THE SCABS OR INLAYED STUD VERTICAL STUDS OF THE STANDARD GABLE TRUSS ON THE INTERIOR SIDE OF THE STRUCTURE. I / STRUCTURAL AN ADEQUATE DIAPHRAGM OR OTHER METHOD OF BRACING MUST GABLE TRUSS / BE PRESENT TO PROVIDE FULL LATERAL SUPPORT OF THE BOTTOM CHORD TO RESIST ALL OUT OF PLANE LOADS. THE BRACING SHOWN IN THIS DETAIL IS FOR THE VERTICAUSTUDS ONLY. NOTE: THIS DETAIL IS TO BE USED ONLY FOR / v STRUCTURAL GABLES WITH INLAYED STUDS. TRUSSES WITHOUT INLAYED STUDS ARE NOT ADDRESSED HERE. / STANDARD / GABLE TRUSS N 10NA 1Aezo7LD� ISSUE DATE TITLE SHEET # 2-26-07 MITEK STANDARD GABLE NL-1 Oh END DETAIL iuvr� NL-I9Q2-2"7 ALTERNATIVE LATERAL BRACING OF WEB MEMBERS DIFFERENT TRUSSES ADJACENT TO EACH OTHER OR ISOLATED TRUSSES MAY PREVENT THE INSTALLATION OF CONTINUOUS LATERAL BRACING. IN LIEU OF BRACES BEING APPLIED PERPENDICULAR TO THE PLANE OF THE TRUSSES; INDIVIDUAL WEB MEMBERS MAY BE T OR'L' BRACED AS SHOWN HEREON. INSTALLATION DIRECTIONS APPLY T-BRACE / 1-BRACE PER SEPCIFICATIONS BELOW. BRACES SHALL COVER 90% OF WEB LENGTH OR EXTEND WITHIN 6- OF END, WHICHEVER IS GREATER Nails / Section Detail T-Brace Web Nails Web Flails I -Brace IMPORTANT NOTE Nailing Pattern T-Brace Size Nail Size I Nail S acin . 1 x4 or 6 10d 0.131' x 3.0' 6' O.C. 2x4 6 or 8 16d 0.131' x 3.5' 6' O.C. Note: Nail along entire length of T-Brace On Two PI s Nail Both Plies T-Brace Size For OnG-Ply Truss SDecified Cont. Rows of Lat'l Bracing Web Size 1 2 2x3 or 2x4 1 x4 1 x4 I -Brace 2x6 1x6 I 2x61-Brace 2x8 2x8 I 2x81-Brace T-Brace Size For Two -Ply Truss Specified Cont. Rows of Lat'1 Bracing Web Size 1 2 2x3 or 2x4 2x4 2x4 1-Brace 2x6 2x6 2x61-Brace 2x8 2x8 2x81-Brace 1x—T-Brace / I -Brace must be IND 45 #2 SRB or better species grade as web member 2x—T-Brace / I -Brace must be same species grade (or better) as web member THIS ALTERNATIVE APPLIES ONLY TO THE BRACING SPECIFIED AS CONTINUOUS LATERAL SUPPORT OF INDIVIDUAL WEB MEMBERS TO RESIST BUCKLING IN COMPRESSION. FOR ADDITIONAL REQUIRED BRACING REQUIREMENTS, REFER TO TRUSS PLATE INSTITUTE'S & WTCA'S BCSI 2006 GUIDE TO GOOD PRACTICE FOR HANDLING, INSTALLING, RESTRAINING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES.' N�10 � c�orr� 1a� ISSUE DATE TITLE SHEET# 5-2-07 ALT "Tr & `r1" WEB BRACING NL40 NL-40 5-2-07 TLL-0494585 1110231-330848 RF APP MA 11-14.11 pUliED TRUSS S GENERAL NOTES THIS POSTER 13 A GUIDE FOR SIMPSON STRONG•TIV STRUCTURAL CONNECTORS ONLYI 1. See the curmat Wood Construction Cogs catalog for hanger design Information. 2. Simpson Strong-Tle does not &Dress and wW not accept any responslbUdy for any manufactured wood component Including, but not limited to, bearing bioclm and bacldng blorlts. 3. The structural component manufacturer Is the primary source of Information concerning the use of their products. 4. All specified fasteners must be Installed according to the Instructions In this Installation guide and current Wood Construction Connectors catalog. Incorrect fastener Quantity, st m, type. material or finish may cause connection tailure. 5. Install all fasteners before loading the connection. 6. The hanger must be sl ad for the wood truss being used. 7. Multiple members must be fastened together to act as a single unit to resist the applied load. FASTENERS Use only the specified size, type, and Quantity of fasteners) 16d sinkers (.148 x 3Y4) may be substituted for I W common nails (.148 x 3). No other substitutions are permitted unless approved and spwUW by the designer. 0 1% 214 3 3'/4 314 16dcowmen 160tWUr 16elcommen Nis Bdcomwo Nis Ns SUSV44 Same uses UNLESS e4altalont dtam6tw and La%M �� SAN0��\ � ; bole TLL-0494586 1110231-33084R RF APP MA 11-14-11 lloma oma 4120 Dubin Bled. Ste 400 DOW% G 91566 FAX 92SM3-1496 Ilar•wd O:A 6151 S. A4W Wry amrJaa4 CA WM FAX 2OW234-M t ooDA" l LISA 280 K Palm 6t Brsr. CA 22821 FAX 714IB71-0167 Bamlaadtu =1 country lane Mdarew. TX 75069 FAX 972b423379 IlarOaad Um 2600 Vnanutunel St WAIT" DH 43223 FAIL 6143760M M WN Fafty 436 C"n 06A candle. Tel 370e6 FAX 615/451-M 5 Kxrvlew Blvd. Brampton. ON LIFT M5 Canada FAX 905r458.7274 11476 DVAM SL Maple Wdpe. BC V2X CYS Canada FAX, 6D4/465-0297 Karl, WA; Langley. BC SwIlam WOW>rOWWW Ina. PMrd In ar USA WC-PrIlm 4/716 FASTENER HOLE SHAPES O O o '• Pllat Nola Raised Holes DwuBd Holu Trlugle Holes Dlsmoed Holes AN hWa most bs MW Used to provide wsler rulllm Prosbed on som products In edow opflaw how to exnpt for to THA ecru In light bnDont -o round bow her eddelotul load. ampwMey -scut. Pilot Holes AugabN height duper. Fula ers may be Installed at RoW W trtsngle bow moat be SAW corNedon to sr nurnbu Tooling how for mnu edurbp an opts. Fbw rw-t be tuba to w Nen eM awftum bed vslm durinp bistsosibn. purpose. No astsnn rsgulred. DOUBLE SHEAR (SLANT) NAILING Dome Double thou "HBO Tub Double Shur Nulling (Do not bW tibs oxpt Whirs now for strWGM [Aft.) PROPER INSTALLATION Truss shall bear completely on the connector seat, and the pap between the thus and and the header (carrying member) shall not exceed W. USING A STANDARD CONNECTOR AND SLOPED TRUSS GNP BETWEEN END OF TRUSS AND CARRYING MEMBER TOO LARGE TRUSS KAR. PLATES RI1N-THIOUrfI END VERTICAL _yt#y_ BY OTHERS MONO TRIES 4 3 DOUBLE END VERTICAL O 00 STANDARD NON -SLOT o o SIMPSON HAWAII-- oO 0p4 THGBH SHOWN By OTHERS L PLATES NHOISo o� tFL /1 L-CUM PLANE W0RKPONTA4K01.11 ED TLL-0494587 111023133084R RF APP AAA 11.14-11 rz wF1 156 S&EPS i MS p raw pro�cm.n,raCeae.rm.amuaarcorroslaapoorcna,. Admcanrpaaaa an am pip. mq,ka a.amow wan oaf ayno4, a,x� sum soyuan saagprr branoa• i i D D D D D D D D er 6a feluaers DRIP Allowable Loads UpUtilaad 8dX1%Ra s Vu) BPFIHF Allowable Ludt Upolusad with MM tied) CO"Mo. NIL PAW Trost Plates To SIIds Upiifl 11) Up111t � 160 60 Ft FI H1 18 6-Bdx1K 4.8d — 585 485 165 455 400 415 140 370 H2 18 5-Bd — 5-Bd 335 — — 335 230 — — 230 117.L22,F16 112A 18 5-0dx1% 2-W% 5-SWA 575 130 55 495 130 65 IP1,F25 H2.5 18 5-8d 5-8d 1 415 150 150 415 365 130 130 365 117, L22, F16 H2.5A 18 5-8d 5-8d — 600 110 110 480 635 110 110 480 117,F16 H23T 18 5-8d 5-8d — 545 135 145 425 645 135 145 425 WI.F25 H3 18 4-11d 4-Bd — 455 125 160 415 320 105 140 290 HI 20 4-8d 4-8d — 360 165 160 360 235 140 135 235 117,L22,F16 H5 18 4-8d 4-8d — 455 115 200 455 265 100 170 265 H6 16 — M 8-8d 250 — — — 820 — — — H7Z 16 4-8d 2-8d 8-8d 985 400 — — 945 US — — 117, F18 H8 18 5-10dx1K 540dx1K — 745 75 — 6.10 665 75 — 510 F26 H10 18 "W% 8-Bdx1K — 995 590 285 850 505 235 — 117,FIB H10A 18 940dx1K 940dx1K 11407 ISM 285 1015 ISM 295 117,F25 H10S4i018 111 $-WAN 8.8d 1010 660 215 550 870 570 185 475 IP1,F25 11*2 18 OM 6.10d — 760 455 395 — 655 390 340 — 117, F16 H11Z 18 6-16WA 616dx2K — 830 625 760 715 450 655 170 H11 18 1 128mt1K [2] 12 t1K 13-Bd 15-8d — — 1350' 13W 515 515 265 265 — — 1050 1050 480 480 245 245 — — IP1 F25 WadkV with I for one andw.. A minimum rafter V* wren framing anchors us Metalled an Use same sloe of IN Pare (axnwor i ((awe darse 15) Is 460 Its. 0f2 S); 390 gn (H2.5A); 3f)0 ba par) W 310 gw. (H8). For SPFMF values multiply thusvalues by 0.68. 4. Allowable bads In the Fi affection am riot bdwMd to replace the tlwedWMa memb�ars.� a preventuoae grain DadNp of L When rxo "Plain bwduq or acaayreln terwbn calved be avolded Inmedianlal rdNoramerd toresid such bras may O H2.5T Ibttallatlo9 itwo—II'MY, IIrYoiL��'.r ZD:1:ldr lSf3It3C3[i L Hurdarw Ties am shown hutLged on to outside of iM wag for cladpr and assume a mtdmum ovwharg of 3K' Installation on Ow belde of 8e wag Is acceptable (see SerealInstructions for ate installer notes u On paps 14). For Uplift Continuous Load P&L connections In the sumo area as. bw to pJah curl m=&dpkW to strdcaxecbr) must be an same side of tie wall. 7. Soullism No allowable uplift bids for H10A.1340Its. W for H14.1465 be. B. LNbr to faclir" bulletin HITIEBEANING for Hi, H10, H10S, H104, H117 H14 alWinble bea tfg wdlalarive t loads (set page 191 fordeLgs). 9. H10S an have the stud offset I maximum of 1' from ratter (center border) for a reduced uplift of $90lbs. (DHSP), and 765IbL (SPF). 10. H10S nalls to plates am optional for uplift but required for lateral bads. 11. MAIL 16WA - 0.18Z dla.x2K' lol 10d.0.14T d LxT long, 10dd K.0.148' dlaxlK' long, Bid .(1.131' die x 2K' loop, Wit 4.0.131' dux I brfg. Sao page 15-17 for hash null Ilan W Information a O 112.15A Iutallatlon p416 ado aar mP Plates) ® 118 Shld 10 Band JoLd Insfatiation rtU j 5 WSINnlmm of ha ad war INS side of rnm pmi eas sit nub Into L owe) / Into pairs. LLJ SST- H1 to H14 ® HR Installation hasps a nu 0 11103Installation with stnd oftsel 0 H8 attaching shed to dll (4-8OInto P14 Sad Into 6114 refer to bomm 3 for bads) t X Q H10A Installation H10 options] positive angle twl0ng connects shear blocidng to rafter. Use Bd conunon nails. Slot allows madmum 0eld-bending up to a pitch of 6I12, use 75% of the table uplift bad: bend one time ony. Considerations for Hurricane Tie Selection 1. What Is the uplift bad? 2. What Is the panlleko-plate bad? 3. What Is U s perpendlculardo-plate bad? 4. What Is the species of wood used for the ratter and the fop plates? (Select the bad btbk based on Nhf bwast perfWminp spades of wood) 5. Will the huntcarw Its be nalled Into both lop plates or the upper top plato only/ rrrwa saw or ruaus enu me numcarw ue us Allowable simultaneous bads In more Ow one direction on a single connector must be evaluated as follows: Design Up0 I/Allowable Up0ft Design Lateral Parallel to Plate / Allowable Latenl Para0el to Plate ♦ Design Lateral PerpeWlcolar to Plate / Allowable Lateral Perpendicular to Plate < 1.0. The three lam In the wily equation are due to possible directions that exist to gmende force on a laricam 0a The ad al nmuber of temp used In Uw equation for esudt con0on Is deperWard on desigrwrle meOtod of cab AAA wind forces ard to Id2laOort of the tie b Ow 9n0A Wslem 7. Select hualcm tie based on perfomtarnce, application, Installed cost and ease of Instaltatlom The VB provides lataral resistance force at the bottom of beams when htsta]led approdnletely 450 or more to the vertical plane. MATERIAL 12 gauge FIIOYH: Galvanlxad INSTALLATION: • Use specified fasteners. See General Notes. • 16-NW fasteners an Included with the brace. CODEt: See page 12 for Code Reference Key Chart ` m HIU :. loeamay Insallatoa H14 Installation to double top Plata AVOID A MISINSTAL.LATION �27 H14 Installation to double 21 hesder Hurricane Tie Installations to Achleve Twice the Load (Top View) Both connecors aid be same model. Model Ile. N (BUM Doom) L Fasteners (TAW) AOawableTension Leads' Code ReL Floor 100 Roof 25 VB5 10••1S 5' 16-N54A 990 1240 V87 15-22W T 164" 990 1240 VB8 22W-28W 8' 1P" 990 1240 IAF14 VB10 2BA'-36• 10' 16-11154A 990 1240 VB12 36••4r 12' 16-1154A 990 1240 1. Root bads have been k==W 25% with no mrdwr increase allowaa. TLL-04945589 111023133084R RF APP MA 11.14-11 Do not mats now holes or ovardrive nalisl Wall T � was Top Plats = Top Ph1e r� �r Li install diagonally across Products can be on the NaWN Into both skis -- tom each ouwr for s ms dds of don rag a single ply 2s tress may mWmum 21 truss. pmvwod they are cause to wood to soli. configured as shows SIXNW Na AanrmloUbe Thy beam widtl he of 91a' m 10Y: Typical VB Installation SST- H1 to H14 I R 157 In" nos ypa y 1 av0abn 300eYL1110231 601 Carrrim True 30 1 _ Jab Ref �apliaref) _ D. Lw i 1811 11h0 22-" 1 i-0o F ,1aw I 1,-00 ' LOADING (paf) SPACING 2_0 TCLL 35.0 Plates Increase 1.15 (Rod Stww-M.0) Lumberincrese, 1.15 TCDL 10.0 Rep Stress Incr YES BCLL 0.0 • ono, inn Cade SC2009ITPUW LUMBER TOP CHORD 2 X 6 SPF 1650E 1.5E DOT CHORD 2 X 6 SPF 1650E 1.5E WEBS 2 X 4 SPF N0.2 Left: 2 X 3 SPF Not, Right 2 X 3 SPF N0.2 REACTIONS (lblslu) 4•123610.5-a (min. 0.1-15), 2-135W0-S-8 Max Horz 2-196(LC 9) Max Upldl4-336(LC 10), 2-400(LC 10) FORCES (lb) - Marc. Comp.Mlar. Tan. - All form 250 (lb) or TOP CHORD 2-8+-17541548, 3-0-1424/582, 3.9�-141 BOT CHORD 2.7a24OM276, 7.10•-247/1111, 6.10�-24 1 45-22411261 WEBS 3-5�0� .3.7-0rd83 , NOTES 1) Wind: ASCE 7-0Q 120rnph; TCOL-6.0W. and C-C Eidanor(2) zone; cardilever left n DOL•1.60 plate grip DOL-1.60 2) TCLL: ASCE 7-05; Pf-35.0 psf (that rod an 3) lkhbalarcW snow bads have been canal& 4) This truss has been designed for greater 0 non-anOuraN with other live 5) This truss has been designed f 6) • Tina buss has been des' a fit between the bottom dwrd 7) One H2.5A Simpson 8) This truss Is designed gaeeOQ 't I 9) "aerni-rlgid pitd dm LDAD CASE(S) StA \, 3 CS! DEFL TC 0.So XL BC 0.51 WB 0.09 (M&W Scale • 1:46.5 M f), III O Ud I PLATES GRIP IM 240 Mr20 197/144 57 >999 180 4 rda We WepM: 106 W FT - 209E Shict ral wood sheathing directly applied or 2-2-0 oc prlins. Rigid coiling directly applied or 10-M oc bracing. Welt recommends tot Stabilizers and required cross bracing be Installed during truss erection, in accordance with Stabilizer Installation guide. B-4M L-24R eave+4R Cat 1; End B; partially, MWFRS (all hot") r members and forces it MWFRS for reactions shown; Lumber EV B; Pantidly Enq.; Ct-1.1 In d of 17.0 psf or 2.00 times bat rod load of 35.0 pat on o✓erhergs bottom dhord live bad nonconaurad with any other the bads. 64 20.Dpef on to bottom dord in NI moos whore a rectangle 340 tall by 2-00 wide will with Ito co ned truaf. (N OF Mqs cy rsoomrrnerded b conned uses to bearing walls duct to uphill at Xs) 4 and 2 a 20M International Building Code section 23061 snd referenced standard ANSIMPI 1. nbm and 8rity, model was used In to analysis and design of this toms. O TIMOTHY L. LP PE LE R`, CIVIL y 4/11 Warning! -Verify design parameters and READ NOTES ON THIS AND N jlo� L INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2 LL�� NL-9014.2640 1 LL-ugag0au 11 f ucs rwu0gn nr nrr row n r-ng-h r 6x14 MT18H II Scals • 1:50.e e 2A It 2A II 7 � 7.00 12 2A II e tar II 5 2A II 11 4A •. 3 t 2 1811 24 23 22 21 20 19 1.W 11 1.&0 II 1.5411 1.54 II 6x14 WISH= I.W 11 �v 1..�.i V 16 ye II II i.SO II Hate Offsets 2:0.4.100.2-D 14.0.4-t0O2-9 LOADING (psp SPACING 1-4-0 CS! DEF Well Ud PLATES GRIP TCLL 35.0 (Rod Snow-M.0) p� hasass 1.13 TC 0,W V 8 h. 240 MT20 1971144 TCDL 10.0 Lumber Increase 1.15 BC 0.85 V -18 >313 1W MT18H 1971144 BCLL 0.0 • Rep Stress yyy YES WB 0.30 .03 14 n1a n1s BCDL 10.0 Code IBC2006rrP12007 (^4 Weight: 1051b FT 20% LUMBER TOP CHORD 2 X 4 SPF No.2 BOT CHORD 2 X 4 SPF 2100F I BE SO ORD OTHERS 2 X 4 SPF No.2 SLIDER Left 2 X 8 SPF 165OF 1.5E 1-8.10. Right 2 X 6 SPF 1850E 1. 8.10 REACTIONS (Wain) 2.66710.511 (min. 0.1-0), 1M867i4b8 (min },-8 Max Harz 2=130(LC 8) V Max UpIdt2-263(LC 10), 14•-263(LC 10) TOP CHORD 2-3�70441328, 3i�D,11327, 4'w-D2373 418,-871f455, 7-8�878n528, B-B�-876I528, 0.10�-8711 1 418, 11-12�-9=72, 12-13=ti40r327, 13-14�-1044/328 BOT CHORD 2-24=1811773, 2324�-1817773, 22- �781lT73, 20.21�-181?73, 10.20�-181/773, 18.1W-181fTT3, - �-1 1 , 1 17�-181l773, 14-18-181/773 WEBS 8-20�37L811 FORCES (lb) -Max CompJMwL Ten. -AII forces 250 (lb) or NOTES 1) Wnd: ASCE 7-05; 120mph; TC1306.0pst. , 2511; B-48R; L•246; saoe•28; Cat It; EV B; partially, MWFRS (all halgtas) and C-C Ederior(2) zone; cantilever left and : and vertical kilt and right w posed," for manbers and forces & MWFRS for reactions shown; Lumber DOL•1.60 plate -1.60 2) Truss designed for wind beds In the ans d 6e only. For suds exposed to wind (normal to the lace), sea Starderd Industry Gable End Details as applicable, u8 qualifl building designer as per ANSII TPI 1-2002. 3) TCLL: ASCE 7-05; Pf-35.0 psf ; Category 9; Exp B; Partially Ev.: Ct•1.1 4) Unbalanced snow loads he this design 6) This truss has been designed r or a roof live load d 17.0 pd or 2.00 tines flat rod bed d 35.0 pd on overhangs �� pJj,A OF A0Q, 7 6) A ' � pl Indicated. v 7)GaGa stadsapeced 2 oo. O TIMOTHY L. 4 chord 9vs bad nonconaarax with any other Ins loads. LaCHAPELLE �i rr m2 �ni, on me bottom chard In all areas where a rectangle 38-0 tall by 2.0.0 wide U CIVIL y Structural wood shsatNrp directly applied or 4.10-10 oc pufins Rigid ceiling directly applied or 10-0-0 oc bracing. MiTek reconimends that Stabilizers and required cross bracing be Installed during truss erection. In accordance with Stabilizer Installation guide. bottom 8) This truss has d ad la .0 pot 9) • This truss has Uwe load rot between Be any other 10) One H2.5A Tie connedors rxanme ded to corned truss to bearing walls due to uplift at Xs) 2 ad 14. 11) This truss Is In accordance with 8e 2009 kdaand nalionat Building Cads sedan 2305.1 areferenced standard ANSIrrPI 12) "Sa"gid pot ' udirg heels" Member end li model was used In the analysis and design d this truss. LOAD CASE(S) Standard 4/11 Warning! -Verify design parameters and READ NOTES ON THIS AND N L INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2��,� NL4014.26.10 11 �_4 �=G2•?l�aal�l:1G��:�:•�liail�.!��ii��laliilal FORCES (lb) -Max CompJMwL Ten. -AII forces 250 (lb) or NOTES 1) Wnd: ASCE 7-05; 120mph; TC1306.0pst. , 2511; B-48R; L•246; saoe•28; Cat It; EV B; partially, MWFRS (all halgtas) and C-C Ederior(2) zone; cantilever left and : and vertical kilt and right w posed," for manbers and forces & MWFRS for reactions shown; Lumber DOL•1.60 plate -1.60 2) Truss designed for wind beds In the ans d 6e only. For suds exposed to wind (normal to the lace), sea Starderd Industry Gable End Details as applicable, u8 qualifl building designer as per ANSII TPI 1-2002. 3) TCLL: ASCE 7-05; Pf-35.0 psf ; Category 9; Exp B; Partially Ev.: Ct•1.1 4) Unbalanced snow loads he this design 6) This truss has been designed r or a roof live load d 17.0 pd or 2.00 tines flat rod bed d 35.0 pd on overhangs �� pJj,A OF A0Q, 7 6) A ' � pl Indicated. v 7)GaGa stadsapeced 2 oo. O TIMOTHY L. 4 chord 9vs bad nonconaarax with any other Ins loads. LaCHAPELLE �i rr m2 �ni, on me bottom chard In all areas where a rectangle 38-0 tall by 2.0.0 wide U CIVIL y Structural wood shsatNrp directly applied or 4.10-10 oc pufins Rigid ceiling directly applied or 10-0-0 oc bracing. MiTek reconimends that Stabilizers and required cross bracing be Installed during truss erection. In accordance with Stabilizer Installation guide. bottom 8) This truss has d ad la .0 pot 9) • This truss has Uwe load rot between Be any other 10) One H2.5A Tie connedors rxanme ded to corned truss to bearing walls due to uplift at Xs) 2 ad 14. 11) This truss Is In accordance with 8e 2009 kdaand nalionat Building Cads sedan 2305.1 areferenced standard ANSIrrPI 12) "Sa"gid pot ' udirg heels" Member end li model was used In the analysis and design d this truss. LOAD CASE(S) Standard 4/11 Warning! -Verify design parameters and READ NOTES ON THIS AND N L INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2��,� NL4014.26.10 11 �_4 �=G2•?l�aal�l:1G��:�:•�liail�.!��ii��laliilal rrN ruse Iwo y 1 suuann 770arW 1110221 5018 COMMON TRUSS 2 1 Job RAaece_(gl cri ll co, rvew a�UNu W mrxs, teas R ooxpe 7.2w a s1•Y 113111 wTNt xMuaMr, nc rn Nov 1116w.o2 su11_ v.Q• i 22 D.BiASAIaeBrmlw_CidDVN�Sx ID01 111}0 I 22-00 123b0, 1-0-0 11d0 11fi0 1h0' Scale • 1.47.1 E LOADING (p69 TCLL 35.0 (Roof Snow-W.0) TCDL 10.0 CLL B0.0 ' BCDL 10.0 SPACING 2-0-0 PM" Increase 1.15 Lumber Increase 1.15 Rep Stress Incr YES Cope IBC20O9rTP12007 CSI TC 0.82 BC 0.52 WB 0.09 (MatnbQ DEFL qcl / Wall Ud V 0. /�..gp' >999 240 V >999 180 4 No Na ,,,VVV PLATES GRIP WT20 1971144 Weight 107Ib FT • 20% LUMBER NO TOP CHORD 2 X 6 SPF 165OF 1.5E Ov Structural wood sheathing direly applied or 2-2-0 or purlins. BOT CHORD 2 X 8 SPF 1650E 1.5E RD Rigid ceiling directly applied or 10-" oc bracing. WEBS 2 X 4 SPF Not IATek recommends M Stabilizers and required cross Drocing WEDGE be Installed during trust erection, In accordance with S9abillzar Left 2 X 3 SPF No.Z Right: 2 X 3 SPF No.2 O Installation cuide. REACTIONS (lb/size) 2.13500-5-8 (min. 0-2-2).4•13500-5-8 (m Max Fora 2-189(LC 8) O Max Upl&2-398(LC 10). 4=398(LC 10) FORCES (lb) - Max CompJMax. Ten. - All farces 250 (lb) or s shown TOP CHORD 2-9-17441539, 3.9-1429'573, 3.10-1 ?(Ct 17 9 BOTCHORD 2.8-20611267,8-11-216flIO4,7.11-21 1-216f1101,tilt-21N1104, 441-20611267 WEBS 3-0.OI385, 3.88•N385 NOTES `N/ / 1) Wind: ASCE 7-05; 12Gnph; TCDL•B.Opsh BCDL•8. t, ZSft B-48fk L•24ft; save•4B; Cat 8; Exp B; partially, MINERS (all heights) and C-C EAarior(2) zone; cardilo b1t for members and farces 6 MWFRS for reactions shown; lumbar DOL•1.60 plate grip DOL•1.60 2) TCLL ASCE 7-05; Pf-35.0 pat (Bel roof . E>q B; Partially Exp.; Ct-1.1 ' 3) Unbalanced snow loads has bean tonal a design 4) This truss has been designed tar grwar of min its bed of 17.0 pef or 2.00 times flat roof load d 35.0 pef on oveAlargs rorrcafasrara with attar Bve 5) This truss has been designed f bottom chord live bad noraxrwvrenl with any other live beds. 6) -TNt truss has been dss a 20.Opsf ref between the bottom chord on the bottom Chord In all areas *two a rectangle 3-6-0 tall by 2-0-0 wide with BCDL - 10.0pd. 7) One H2.r, Simpson S to truss to bearing due to uplift at #(a) 2 and 4.a) recmvrwded correct walls This truss Is designed the 2009 Marnational Building Cods section 2306.1 and referenced standard ANSVTPI 1.9)'Seml-rigidpitchir rrLaCHAPELLE I Is'Member and fixity model was used In the analysis and design of this thus. LOADCASE(S) St 4/11 Warning) -Verify design parameters and READ NOTES ON THIS AND IV�r��OlVL INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2 NL-9014-2610 I LLKIe`J9�YL IIIULJl WlJ64r1 rir'Ar't'NV11I•IY17 nee ruse Type , e" on 33osat•,t1aa1 sax OPOLE 4 , Bl]- i TRUSb CO., NEW BEOFORD MA. 0270. Dave R Oodge 7250 a Mq 112011 a4-Tok Indusms, Ind. Fd Nov 11 is 04 032011 0.616QWe9Y01Lr'_Cgg*S' KYcM9�WPWWP)cWEnI t O 1 1101 20.11-13 1 12 3m6 4 7.00 12 3A G 7 6 3r8 G 3r8 G S 46G 4 3 3d3.82 La 9 W 10 4A 1t 37 yN ama 12 13 /4 3x4 -15 to 17 3x1 C Sews-1.57.5 PIS MISS 0_ 22 21 5A 30 = 0��3 32-0-0 Plate Offsets :65.2E a 8.0-3-70.1-1 LOADING(psf) SPACING 2-" CSI DEF Udell Ud PLATES GRIP TCLL 350 (Roof Snow-35' Plates Increm 1.15 TC 0.T8 V 7,999 240 Mr20 1971144 TCL 10.00 Lurnber Increase 1.15 SC 0.72 V 25 >719 180 WISH 127/144 BCLL 0.0 ' Rep Stress Ina YES WB 0.84 .17 19 n/a rJa BCOL 10.0 Code IBC200gaPMW7 (Matrix) Weight 201 Ib FT - 20% LUMBER v TOP CHORD 2 X 4 SPF N0.2 SOT CHORD 2X4X4 No 0Fit' 'BO ORD 83: 2 X 4 SPF IL9850E .5E WEBS 2 X 4 SPF No.2 OTHERS 2 X 4 SPF Not SLIDER Left 2 X 6 SPF 1850E 1.6E 141-11 REACTIONS (INsize) 2.1837/0-" (min. 0.2-14). 19-1 Max Horz 2--IWLC 5) Max Uplift2-547(LC 10). 19--5s9(LC 10) FORCES (lb) - Max. CampJMax. Tan. - All forces 250 (lb) pt when slwwel TOP CHORD 2-3-26=1141, 3-4--2UN 149, 4-6-- 248111228. 6-7-2325/1215. Structural wood sheaWng directly applied or 2-2-1 oa purtins Rigid ceiling d"dy applied or 54-12 oc bracing. MiTek necartmends that Stabilimrs and required cross bracing be installed dung truss erection, in accordance wM Stabilizer Installation ouide. 7-8�2149/1197, 8-9-1937/1090, 9-1 1 37--258111367. 1137-2607/1361, 11-12--2930%4 1 13.14--324311615, 14-15--3537/1735, is16- 3 711 191Z 17.18-411611W9, 18.19--4001/1823 DOT CHORD 236-7W2048. 35.38— 191, 33.34--71212095, 32-33--=1965, 3132-4=1965, 30.31-- 12459, 28.29--10512768, 27-28>`722 MU. 25-27-1 137Wd345, 24-25-1525r3598, 23-24--1645/3796, 22-23z1 9 21-22-16137XM, 10.21--1613/3635 WEBS 831-78W141Z 733--162/426, 10.29--4071828. 11-26-4=685, 1b' 1 99/430, t 4�12U290, 633-455(224, 731-81812W, 18-22>126131%, 189, 1525-466/W7, 14-26--5931J34, 12.28--711/4M 11-29--840/ 19!`3p/a[ , 9J1�1111/552 �N OF MASS NOTES 1) Wad: ASCE 7- : 1 BCDL-6.0pa1; h-256; B-4611; Lti1211:.acre-21L Cal 9: Exp B; partialix MWFRS (all he and CC Ex anor(2) cardi eft and right exposed; end vertical left and right exposed," for members and faces & MWF O� TIMOTHY for reactions DO 160 plate grip DOL-1.60 at LaCHAPELLE mj 2) Truss designed plane d e» truss only. For studs exposed to wind (normal b the face), sea Standard Industry Gable End consult qualified building designer as per ANSVTPI 1-2002 U CIVIL w 3) TCLL: d sr ASCE .0 PSI roof Category 1: Exp a; Partially Exp.; Ct-1.1 0. 30 4) Unbalanced s hale boon considered for this design. 5) This buss has e ned for greater of min roof five bad of 20.0 pd or 2.00 trniss flat roof lad of 35.0 pd on owrhanWp O non-concu rent with live loads. 6) All plates we MT20 plates unless otherwise indicated. 'c4C 7) Gable studs spaced at 2-0-0 oa L E 8) TNs truss has been designed for a 10.0 pd bottom chord five bd nonconwrrenl with any other live loads. Continued on page 2 4/11 Warning! —Verify design parameters and READ NOTES ON THIS AND 14tilo IL INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2 NL•9014-26-10 IW-wa�au lr ruts rw m n r �r w"li -Irrr more more YW Y Y Yruarorr 33061R-111=1 503 OA&E 4 1 Jab t7efaace aldl W BEOF t R pe .350 i Gry TO 1 MfTik Fia�wN�, 1 15. :OT'dli-6�qa S D.OAOJ)oa"Lw GadgUkWNylmSti Nulti g) • This buss has been designed for a live bad of 20.Dpsf on the bottom chord In all areas where a recWngls 3&0 tall by 2-" wide will fit between the bottom chord and any other members. 10) Two H2.5A Simpson Strong -Tie connectors recommended to conned Ines to bearing wells due to uplift at Xs) 2 and 1g. 11) This buss Is designed in accordance with the 2009 International Building Code section 2306.1 and referenced standard ANSYTPI 1. 12)'Seml-rigid pitdtbnab including heats' Member and (sadly model visa used In the analysis and design of this buss. LOAD CASE(S) standard 11/14/11 Warningl —Verify design parameters and READ NOTES ON THIS AND I11jjloI XL INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2 ��y cow NL-W142&10 I LL-U4`J4.7y4 771VGSIi7JW4Fl hit' AYY MA 71.74.71 JUb nass Truss Type Y Fly 330MPl I 1 Mruaxn 2]O61M111107]1 50.1 Carman TNN 2 1 Jab Referece�opimdl �1-0-0-0-0I 1111-0-0-00 ) 0.ee9YLw CDNS. $PAdeogUNaw77vpmwlWbaJAv2GK70®7BpTkSu It-" P14l10 4A = i sale • 1.50.9 Plate Offsets : 22:0.3-00.3-0 LOADING (psf) SPACING 2-0-0 CSI DEF Vdell Ud PLATES GRIP TCLL 35.0 (Rod Snow-M.0) Plates Increase 1.15 TC 0.20 V U.j� 5 Nr 120 MT20 1971144 TCDL 10.0 fiberlincrea3e 1.15 BC 0.06 V 15 n1r 90 V BOLL 0.0 • Rep Stress bnor YES WB 0.18 .01 18 Na Na DL 10.0 Cade IBC2009ITP12C07 (Matrix) WoV* 101 lb FT-20% LUMBER TOP CHORD 2 X 4 SPF N0.2 Structural wood sheathing directly applied or 8-00 cc purlins, axcept SOT CHORD 2 X 4 SPF No.2 and wrticals. WEBS 2 X 4 SPF No.2 T CHORD Rigid ceiling directly applied or 6-0-0 cc bracng. OTHERS 2 X 4 SPF Not O bfTek ncortvnerMs anat Slabili2ars snot rewired alas bracing bs Installed durbp buss rsldion, N axordarncs witl Stabili:ar hatallaticn late. REACTIONS Atlbeatrgs22-0-0. O (lb) • Mau Horz 28.17%LC 9) Max Upldt AN uplift 100lb a feu at )okd(s) 22, 23 1 2R.IWLC a), 18-130(LC 9), 24-,04(LC 10), 2 1 �-130(LC 7), 20d104(LC 10), 18Z101(LC 10).17-120(LC 6 Max Grov An reactions 250lb or lees at jolro 27,19,18.17 except 28-2MLC 14), 18.25NLC 14)e2.'ia� L 20-254(LC 3) /n , 24.254(LC 2), 21-315(LC 3). FORCES (Ib) - Max. CompJMax. Ten. - All hrces 299 I", =opt when show, TOP CHORD 2-28-285(142, 8.7a11=51, -5 11�94Qv�8-9z9flr3/0, 9.10�-83/251, 14.18-2651101 WEBS 7-23-2751153,9.21-27511 NOTES 1) Wind: ASCE 7-05;120mph; TCDL Opsf; BC DL , M251t; B-M L-24ft: aawr211; Cal 0; Exp 8; partially, MWFRS (all heighis) and C-C EAsnor(2) zone: cacti I right ;C-C for members ad farces 6 MWFRS for reactions shown: Lumber DOL-1.80 plate grip DOL•1. 2) Trues designed for wind in buss oNy. For studs aq=W b wind (normal to the face), see Standard Industry Gable End Details as appli ft fined building designer as per ANSVTPI 1-2002. 3) TCLL• ASCE 7.05; : Category 9; W B: Partially Exp.: Ct-1.1 4) Llnbdenced snow for dots design 5) This trues has been si nod f of min roof live bad of 17.0 pat or 2.00 times rat rod load d 35.0 pof on overhangs 0 TIMOTHY L. nor twi ve LaCHAPELLE 8)Cable requires bearing. 7) Truss to be NI face or sw y traced against laird movement Q.e. diagonalweb). U CIVIL 8) Gable studs ao oc o. 30 9) This truss has signed for a 10.0 psf bW= chord Uwe bad nonconcurtaM with any other five bads. 'grxtd 10) • This busshas for a Iva bad of 20.0psf on the bottom dyad In a0 antes where a rectangle 3-6-0 tall by 2-04 wide O fit between On and any other members. A, \ 11) Provide meduanical wrnedion (by others) of truss to baring plate capable d with"Wing 100lb uplift d)oint(s) 22, 23, 25. 21.19 F E surept Gt-lb) 25-IM 18.130.24-104, 28.101, 27-130, 20-104. 18.101. 17.120. L 12) This truss is designed in accordance with the 2009 Intonational Building Code section 2305.1 and referenced standard ANSVTPI 1. f 31'Semi jiddap�dcliibreaks including heels' Member and Uty modal was used in the analysis and design d this truss. 4/1 1 Warning! - Verify design parameters and READ NOTES ON THIS AND O L INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2 "per 4oP NL-9014-26-10 ru-vavqoaa rnluwnwubcnnrnrrmnnr-rwrn nas :4P-11107]t 1n YW Y y 1 r w 503 Ca Reu = 1 kb Refarerce1_Pf"I ) r+.vnac �rww w., ncn ecurvnv win r<I.. N I weyw U LM.aw w Twww, wK re ror ie.�n.w a� rT LOAD CASE(S) Uadwd 11/14/11 Warning) —Verify design parameters and READ NOTES ON THIS AND N r'No L INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2 LLLJ0994�/� NL-W 144610 1 LL-V4`. 40M 111 V451'JJV64n Mr Arr NW 11.14-11 Truss rw ype y r cu*` x�oe,wHlo3s, sod 59KYITNY ,e t Job Refaece fogimell 1 7•t 1 17.10-1 DtiyMAbe6iCTjLr pd0�15'7yP1daOMsal 1t1F � 1 5.7-13 541 61412 tF10.12 7,2-7 -00 Sows-1.58.5 54 a s a52La 013 23h2 025.ao s� +4a+s I 12 I I I I Plate Offsets 2:0.5-2 E a 5:0312 0.2-09.E a 0.2-5 LOADING (pen SPACING 2-0-0 CSI DEF YdeB Ud PLATES GRIP TCLL 35.0 (Roof Snow-35'0) Plates Increase 1.15 TC 0.90 V 5 >05 240 MT20 1971144 TCDL 10.0 Lumber lnrsass 1.15 BC 0.92 V 15 >S34 180 MT18H 1971144 BCLL 0.0' Rep Strew In r YES WS 0.70 .17 9 We n1a BCDL 10.0 CodeIBC2009ITPMW (Matrix Weght:1251b FT-2D% LUMBER TOP CHORD 2 X 4 SPF 165OF 1.5E *Except! T3: 2 X 4 SPF 2100E 1.8E SOT CHORD 2 X 4 SPF 165OF 1 bE WEBS 2 X 4 SPF N0.2 WEDGE Right 2 X 3 SPF N0.2 SLIDER Left 2 X 6 SPF 1650E 1.5E 331 REACTIONS (lb/size) 2-IM410•S8 (min. 031), 9- Max Horz 2--190(LC 8) Max Up1d2-547(LC 10). 9-559(LC 10) FORCES (lb) - Max CompJMax Ten. - NI farces 250 TOP CHORD 2J-297911167, 3.18-2834/1189, 4- 6.17-2717/1287, .7-3as6/1666, BOTCHORD 2.15--78V2365, 15.18-•551/1857, 12-13--1201ld123, 11.12-•1201/31 WEBS 4-15-64Y102, 5-15-375/97V&43: 1pt when shown Of 5--2851/1425,5-17--2614/t309, Q-44001106 14-19-651/1967, 13-19-651/1957, 6.13-1122n07, 6.1 t-a7"W. Structural wood shea0ning dvecdy applied. / Rigid ceiling diredly applied or 2-2-0 oc braGng. MTek racortrrneds But Stabilizers and required roes braCkng fa 4uWled dying buss erection, In accrdanoe with Subillzr Ineullallon uide. r1-tt-sosr4s6 NOTES 1) Wind: ASCE 7-05;120mph; TCDL-6.0paf; BC , h-25R B-48fL L-3M saw-M; Cal 1; Exp 8; partially, MWFRS (all heights) and C C Exanr(2) zone; cad rlpN ;C-0 for members and forces a MWFRS for reactions shown; Lumber Dux-1.60 plate grip DOL-1.60 2) TCLL; ASCE 7-05; Pr-35.0 ( category e; E,p B; Partially E,V.; Ct-1.1 3) Unbalanced snow loads hlaue i for this design tN OF MgScy 4) TNs truce has bean rd,dmin rod Gee bad d 20.0 psl r 2.00 trmea flat rod bad d 35.0pa on overhangs Ott 5) al Wm.s re�Mrnor m a Indicaea. o TIMOTHY8) TNs truss tua pal bottom lord Gve bad noc rlturent with any other Uwe bads.7)-TNsmusshas load d 20.Opef on Bit bottom dnord In all seas where a rectangle 380 tall by 2-0-0 wide g l ,CHAPELLE mtTd between metw members, with BCDL-10.0psf. 0CIVIL H8) Two H2.5A S'or* reCrameded t5 corned muss fo bea�9 walls due to uplift al Xs) 2 ad 9. o.9) TNs Wss is d ith the 2000 International Building Cade sedion 2306.1 ad referenced stadard ANSVTPI 1.30 10)-SrnFripid' Member erd Tully model was used In Bit analysis and design of Ws twit Q LOAD CASES) Sterdad 4/11 Warningl -Verify design parameters and READ NOTES ON THIS AND IL INCLUDED NATIONAL LUMBER REFERENCE PAGE NL-2 "Jw 4&j* ..____. NL-9014-26,10 1 x.�-u i r 11\/r.J 1W1xV%M nr nrr r 11-191a VIM I ecn!rl r, PpMMwMWw-!!-MM W�wu WMIN W�ll Bk 25695 P9306 046831 09-22-2011 a 10 2 20a' COMMONWEALTH OF MASSACHUSETTS TOWN OF YARMOUTH BOARD OF APPEALS Appeal #4359 Date: September 22, 2011 Certificate of Granting of a Special Permit (General Laws Chapter 40A, section 11.) The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been granted to: 6 New Hampshire LLC c% Martin Reilly • 27 Nantucket Street Hyannis, MA 02601 I Affecting the rights of the owner with respect to land or buildings at, 6 New Hampshire Avenue, West Yarmouth, MA Map & Lot#: 0016.54; Zoning District: R-25; Book/Page: 24399/100 and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit, and that copies of said decision, and of all plans referred to in the decision, have been filed. The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A, Section 11 (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the Town, Clerk that tw,gnty (20) days -have cl. apsed after the decision' has been filed in the office of the Town Clerk and no appeal has been filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in'the Registry•of Deeds for- the county and district in which the land is located and indexed in the grantor index under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for • such recording or registering shall be paid by the owner or applicant. Stevell DeYoung, Cha&nan FILED WITH TOWN CLERK: PETITION NO: HEARING DATE:. PETITIONER: TOWN OF YARMOUTH BOARD OF APPEALS DECISION #4359 September 1, 2011 August 25, 2011. 6 New Hampshire, LLC PROPERTY: 6 New Hampshire Ave, West Yarmouth, MA Map & Parcel: 001654; Zoning District: R-25 Book/Page: 24399/100 YARMOUTH TOWN CLERF 911SEplAm11:16 REC MEMBERS PRESENT AND VOTING: Steven DeYoung, Chairman, Diane Moudouris, Sean Igoe, Debra Martin and Richard Neltz, and Bryant Palmer, Alternate. Notice of the hearing has been given by sending notice thereof to the Petitioner and all those owners of property as required by law, and to the public by posting notice of the hearing and publishing in The Register, the hearing opened and held on the date stated above. The petitioners are the owners of the property at 6 New Hampshire Ave.; West Yarmouth, Massachusetts, which is located in the R-25 Zoning District. The premises have.historically been occupied by the Red Rose Inn. The structure was destroyed by fire in December 2610. The petitioners seek a Special Permit under Zoning Bylaw § 104.3 .2 (3); § 104.3.2(4) and § 104.4 to rebuild a modified structure and to change its use to four residential units, to be held in condominium ownership. The petition also seeks relief under the Zoning By-law §301.2 from full compliance with the current parking related requirements, if needed. Prior to this hearing the project was submitted to Site Plan Review, and has been reviewed and approved by the Conservation Commission. It is represented by the Petitioners that the original development of the site contained a large single family home, built in approximately 1880. Sometime in the early 1940s the structure was converted to the Inn, which remained in operation until the fire last year. The Inn traditionally contained a 48 seat restaurant, with an additional 12 seats at the bar.area. It also contained a live-in manager's quarters on the first floor, and 10 bedrooms on the second floor for occupancy by the Inn's customers. Prior to the fire, the owners had undertaken extensive renovations of the property, and had completed the renovation of the first floor (the restaurant and bar area). Renovations of the second -floor bedrooms would have commenced but for the fire. At the time of the fire, the Inn contained and was licensed for 32 seats in the restaurant, with 7 seats at the bar area. Only one bedroom was currently available on the first floor. Following the fire various departments of the town of Yarmouth expressed interest in acquiring the property for use in connection with its adjoining beach property. The petitioners worked with the Town to explore this opportunity and withheld any development while that option was pending. However, in June of this year, the Town Administration decided not to proceed with such an acquisition. The Petitioner represents that the reconstruction of the Inn under § 104.3.3, which would be available as a matter of right, was considered economically. unfeasible due to the current requirements for commercial construction, handicap accessibility,-vtc., given the limitations of the site. They therefore propose, instead, to reconstruct a building similar in design to the original Inn structure, but to convert its use to four residential units, each containing three bedrooms. The proposed structure and floor plans are set forth in the revised architectural renderings of the Thomas Moore Design Cornpany, entitled "New Condominium for. New Hampshire Ave., LLC, 6 New Hampshire Ave., Yarmouth, MA:" Dated August 17, 2010, consisting of sheets Al, A2, A3, and A4. The final site plan for the project is shown on a plan entitled "Site Plan for the 6 New Hampshire Ave., LLC, Lots 31 and 32, 6 New Hampshire Ave., W. Yarmouth, MA., August 4, 2011" by Ronald L Cadillac, PLS, RS, P.C., where the revisions through August 24, 2011. The condominium documents to be considered by the board were filed with the board under cover letter from attorney David S. Reid, dated August 23, 2011. Various other exhibits and correspondence received throughout the hearing were duly recorded and numbered sequentially. The Petitioner presented to the board evidence of the pre-existing nonconforming conditions at the site, with comparisons to the proposed corresponding conditions. The board notes, among these conditions, that a pre-existing structure was substantially nonconforming as to its front yard setbacks, from both New Hampshire Ave. and Berry Ave. At its closest point the existing structure was only 3.8 feet from its Bent' Ave. boundary and only 17.7 feet from his New Hampshire Ave. boundary. The proposed .structure while still not fully conforming to the front setbacks would be substantially- less nonconforming, by increasing both front yard setbacks to 14.7. and 26 feet, respectively. Similar improvements are proposed for the southerly side yard setback, from 4.8 feet to 10 feet. The pre-existing building footprint is also nonconforming at 4308 ft.2, covering 28.2% of the site, where the bylaw permits no more than 25% building coverage. The proposed building (the roofed structure) would be only 2904 ft.s, covering 19.5% of the site. The overall site coverage would be reduced by 1697 12, from 39.9% to 28.7%. The pre-existing building was approximately 25 feet tall. The proposed building would be 24.7 feet from the top of foundation to the ridge. However, due to floodplain regulations, the foundation would be 6.3' above grade, resulting in the total height of the building of 31 feet. However, it was noted that if the original Inn building were reconstructed, it too would have to conform to the same floodplain elevation requirements. Prior to the fire, the Inn had 15 parking spaces on -site, 12 along New Hampshire Ave. and 3 along Berry Ave. All of the pre-existing spaces consisted of a crushed shell surface. The proposed use would require 6 spaces, though the Petitioner proposes to construct 8 on site, all of which would continue to have a crushed shell surface and would conform in size to the current requirements. All of the proposed spaces would' be accessible from New Hampshire Ave. The pre-existing crushed shell parking area along the westerly side of Berry Ave. would be eliminated. The proposed change of use would result in a substantial reduction in the required parking demand, by approximately 60%, and the actual number of parking spaces on -site will be reduced by approximately 46%, as proposed. However, it is also noted that even with the Berry Ave. spaces, the Inn had inadequate spaces on -site to accommodate its business demand and needs, frequently resulting in off -site parking by customers along the adjoining ways and in the adjoining town parking lot. The Petitioner presented information which indicated that the proposed structure would be almost identical in size to the single family home that existed on the site in the 1940s, prior to its conversion to the Inn and subsequent additions.: 2 Relative to the use, the Petitioner represents that the Inn is presently licensed for the 32 seat restaurant with seven additional seats at the bar, and has a liquor license and live entertainment license. These nonconforming commercial activities, and the associated traffic, volume of people, noise and congestion would be eliminated with the proposed change of use. In addition, the change of use would eliminate the prior nonconformity of the parking facilities for the Inn, and its resulting overflow into the neighborhood. Finally, the petitioner demonstrated that the proposed structure has been designed to incorporate the architectural style and features reminiscent of the original Red Rose Inn structure. The board received.correspondence from the Site Plan Review Team and the Yarmouth Conservation Agent, as well as correspondence and a petition in favor of the proposal for various neighbors and interested parties. The board also received correspondence and a petition in opposition to the project from various neighbors and interested parties. Several neighbors and individuals spoke in supportof the petition. Several neighbors and individuals spoke in opposition to the petition. After due consideration of the Petitioner's presentation and proposal and of the comments and input from the audience and neighbors, the board finds that the proposed use and reconstruction will be substantially less nonconforming than the pre-existing nonconforming Inn structure, that strict enforcement of the current bylaw requirements would result in undue hardship to the applicant, that the proposed change to the structure would not be substantially more detrimental to the neighborhood, district or town, and would not cause any undue nuisance, hazard, or congestion. The board finds that the proposed structure 'would be substantially less nonconforming in almost every respect and less detrimental to the neighborhood than the previous structure or a reconstructed Inn. The board further finds that the'proposed change of use to four year-round residential units, would be substantially less nonconforming than the previous commercial use and substantially less detrimental to the neighborhood, would be a significantly 'less intensive use of the site, by among other things reducing traffic and parking, site density, septic'flow, noise, and congestion. The Board finds that the proposed residential use is more consistent with and compatible with existing and anticipated development of the neighborhood and with the current zoning district. The board further finds that the proposed condominium documents satisfy the requirements of the bylaw, §104.4, providing a clear description of the proposed year-round residential use, providing proper management authority to assure the maintenance and repair of the common facilities, for the protection of public health and safety at the site, specifically including the shared septic system and the common fire suppression sprinkler system. The board finds that the proposed'change of use will reduce, rather than increase, the site's parking demand, such that no relief from § 301 is required for this project. After due deliberation, a motion was made by Mr. Igoe, seconded by Mrs. Martin, to grant the petition as requested for a Special Permit under §104.3 .2 (3) & §104.3 .2 (4) to construct the proposed replacement structure and to change the use from the Inn to 4 residential units, as represented and as shown in the above referenced architectural and site plans, on the following conditions: 1) that the shell parking area along Berry Ave. be eliminated and re -vegetated so as to deter vehicle parking along the westerly side of Bent' Ave., 2) that within the parking area along New Hampshire Ave., Petitioner shall take steps to prevent parking between the numbered parking spaces in front of the steps entering each unit, where inadequate depth exists for safe parking, 3) that the Petitioner design and provide enclosed facilities for the collection and storage of trash for each unit, either in a contained structure to the near of each unit or within the enclosed area beneath each unit's deck, 4) that the building shall be constructed as represented in the plans and in the Petitioner's presentation this evening, and 5) that the Petitioner prepare and file with this board, prior to the commencement of construction, a final landscaping plan, conforming to the Petitioner's representations and to this decision. Upon this motion made and seconded, the members voted unanimously in favor, and the Special Permit was therefore granted. A second motion was made by Mr. Igoe, seconded by Mrs. Martin, to grant the Special Permit under § 104A, as requested, to convert the use of the premises to 4 year-round residential condominium units, on the condition that the master deed be revised to specifically recite that the units will be available for year-round use. Upon -this motion -made.-and seconded, the members voted unanimously, in favor; and the. -Special .: Permit was therefore granted. In light of the board's findings above, the Petitioner requested that so much of its petition as requested relief from the parking and loading requirements, under §301.2, and § 104.3 .2, be withdrawn without prejudice, as such relief has been determined to be unnecessary. A motion was made by Ms. Martin and seconded by Mrs. Moudouris to grant the Petitioner's request to withdraw, without prejudice, so much of its petition as requested relief from the parking lot upgrade requirements of section 301.2. Upon this motion made and seconded, the members voted unanimously in favor, and the requested relief was withdrawn, without prejudice. No permit shall issue until 20 days from the filing of this decision with the Town Clerk. This decision must be recorded at the Registry of Deeds and a copy forwarded to the Board of Appeals. Appeals from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20 days after filing of this noticeldecision with the Town Clerk. Unless otherwise provided herein, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw, MGL c40A §9) Steven DeYoung, airman , FH ti TOWN OF YARMOUTH Town 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Clerk e Telephone (508) 398-223.1 Ext. 1285, Fax (508) 398-0836 CERTIFICATION OF TOWN CLERK I, Jane E. Hibbert, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have elapsed since the filing with me of the above Board of Appeals Decision 04359 and that no notice of appeal of said decision has been filed with me, or, if such appeal has been filed it has been dismissed or denied. 0 Jp6e Ir Hibbert, CMC/CMMC Town Clerk �. RED ROSE INN & TAVERN, LLC c/n Marina Bay Mansg mwt Services. LLC SW Vicwry Road N. Quinsy, Mu.achusetts 02171 To: Yarmouth Building Department Yarmouth Town Hall West Yarmouth, Maraachusetts From: Thomas P. O'Connell, Owner Red Rosa Inn & Tavern, LLC Re: Authorization of David Abreu Construction Agent for residential condominiums 6 New Hampshire Avenue, West Yarmouth Date: November 3, 2011 The purpose of this memorandum Is to notify the Town of Yarmouth Building Department that David Abreu of 47 Cedar Oaks Drive, Plymouth, Massachusetts, Is the authorizcd agent for the coostruction of four residential condominiums at property we own located at 6 New H=pshire Avenue, West Yarmouth, Massachusetts. ZA Thomas P. O'Connell. Owner Red Rose Inn & Tavern, LLC AGREEMENT FOR CONSTRUCTION AGENT SERVICES RED ROSE TNN & TAVERN, LLC FOR RESIDENTIAL CONDOMINIUMS 6 NEW HAMPSHIRE AVENUE WEST YARMOUTH, MASSACHUSETTS Thomas P. O'Connell, of 500 Victory Road, N. Quincy, Massachusetts 02171, as Owner of 6 New Hampshire Avenue. West Yarmouth, Massachusetts, d/b/a the Red Rose Inn & Tavern, LLC, agrees to contract the services of David Abreu, of 47 Cedat Oaks Drive, Plymouth, Massachusetts —Massachusetts Construction Supervisor's License No. CS4990-a3 authorized agent for the construction of four residential condominiums at 6 New Hampshire Avenue, West Yarmouth, Massachusetts. AGREED TO AND EXECUTED: By: /'110jV oT= P. O'Coonell, Ov%mcr Red Rose Ina & Tavern, LLC Date: AGREED TO AND EXECUTED: B , vid mu Construction Agent 6 New Hampshire Avenue Date: lilt/ SCOTTD. 'CyV HE&'DERSOIJ rt,� FIREPROTECTION No.465, `o SPRINKLER.SYSTEM HYDRAULIC ANALYSIS Page 2 DATE: ,7/l/2011 C:\PROGRAM FILES\HRS.SYSTEMS\HAS581\NEW_HAMPSHIRE AVE.SDF JOB TITLE: a 0 ID W sni .o in w ,urn ovs as - - c � ae,:sY. s, r7n o ao vmua�i 0.MQ.7 p go �O 1 1 O O 1 V' ti I o ' 0 N 1 C 1 0 H o o co o 0 1 ko 0 1 0 a TM m O O O 1p P N N C9 �C a C9 94 vl +4 �- SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 3 DATE:.?/1%2011.; 'C\PROGRAM, FILES\HRS SYSTEMS\HASS81\NEW HAMPS HIRE AVE,.SDF_' ,... JOB' TITLE:,,,,. NFPA.WATER SUPPLY.DATA' '_-SOURCE ..:STATIC RESID. FLOW -- AVAIL. -TOTAL REQ'D' '.NODE PRESS: PRESS. @' 'PRESS. @ DEMAND,''. PRESS. TAG (PSI) (PSI)- . (GPM). . (P$I) (GPM) (PSI) ,. 76.0 66.0 1100.0 76.0 56.4 510 ' AGGREGATE FLOW.ANALYSISi TOTAL,.FLOW AT SOURCE, 56.4 GPM ' " :TOTAL HOSE.STREAM.ALLOWANCE AT SOURCE 0.0 GPM .OTHER'HOSE;STREAM ALLOWANCES 0.0 GPM TOTAL DISCHARGE FROM ACTIVE SPRINKLERS 56.4 GPM ; NODE ANALYSIS DATA NODE TAG. ELEVATION NODE TYPE PRESSURE DISCHARGE NOTES (FT) (PSI) (GPM) 1 -5.0 SOURCE 51.0 56.4 2 3.0 - - -- 43.0 - - - 3 3.0. - - - 38.0 - - - 4 8.6 - - - - '31.7 - - - 5 8.6 - - - - 16.0 - - - 6 8.6 - - - - 9.9 - - 7 8.6 - - - - 7.6 - - - 8 8.6 - - - - 9.5 - - - 9 8.1 Ka 4.90 9.7 15.2 10 8.6 - - - - 9.2 11 8.1 K- 4.90 9.4 15.0 12 8.6 - - - - 7.0 - - - 13 8.1 K- 4.90 7.2 13.2 14 8.6 - - - - 6.8 - - - 15 8.1 K- 4.90 7.0 13.0 .� SPRINKLER . SYSTEM.'HYDRAULIC ANALYSIS Page 4 ; ' ,'DATE:,7/.1/2011, C..\PROGRAM FILES\HRS,SYSTEMS\HASS$1\NEW,HAMPSHIRE AVE.SDF JOB TITLE: .NFPA PIPE •DATA ;. Pipe Taq, ,,, ,Add ,Fl Add: Fl. To Fit: - L . C (Pt) .Frm °Node El" (ft) ,K-fac r PT- ::.(q) Node/ 'Nom ID Eq. Ln. F (Pe). Not. , o Node T.., 'i El +(ft) PT Tot. Q) ( , Disc h ID Act (ft:) . T:: Pf/ft. (Pf) •: , Pipe:' 1;;'. Source 0.0_ 50.00 . ,150 8.0, . 51.0,.: 56.4 3' 1.500 .2E:12.1' 12.09 -3.5 3.0 43.0 56.4,. 1.610 62.09 0.073 „ 4:5 Pipe:, 2, •:, 0.0 Fixed Pressure Loss Device . 2 _ ,.' 3.0 43.0 56.4 9 :5.0 psi, 56.4 4pm :. :3 "3.0 38.0 56:4' Pipe: 3 0.0,. 0.0`. 7.58 120 6.3 ' '3;. 3.0 38.0, 56.4 5. 1.250 E: 3.0 9.00 :-2.4 4 8.6' 31.7 456.4 1.380 B:'6.0 16.58 -0.233 3.9 Pipe: 4` - 0.0 0.0 74.50 150 15.7 4 8.6 31.7 56.4 6 1.250 4E:18.1 27.20 0.0 5 8.6 16.0 56.4 1.380 T: 9.1- 101.70 0.154 '15.7 Pipe: 5 0.0 15.0 10 3.00 150 6.2 5 8.6 16.0 26.2 7 1.000 T: 7.6 7.56 0.0 6 8.6 9.9' 56.4 1.049 10.56 0.587 6.2 Pipe: 6 0.0 13.0 14 8.50 150 2.3 6 8.6 9.9 13.2 12 1.000 T: 7.6 7.56 0.0 7 8.6 7.6 26.2 1.049 16.06 0.142 2.3 Pipe: 7 0.0 0.0 4.50 150 0.4 6 8.6 9.9 15`.2 9 1.000 E: 3.0 3.02 0.0 8 8.6 9.5 15.2 1.049 7.52 0.052 0.4 Pipe: 8 4.90 15.2 Disch 0.50 150 0.2 8 8.6 9.5 0.0 1.000 ---- 0.00 0.2 9 8.1 9.7 15.2 1.049 0.50 0.052 0.0 Pipe: 9 0.0 0.0 9.50 150 0.6 6 8.6 9.9 15.0 11 1.000 E: 3.0 3.02 0.0 10 8.6 9.2 15.0 1.049 12.52 0.051 0.6 Pipe: 10 4.90 15.0 Disch 0.50 150 0.2 10 8.6 9.2 0.0 1.000 ---- 0.00 0.2 11 8.1 9.4 15.0 1.049 0.50 0.051 0.0 Pipe: 11 0.0' 0.0 8.00 150 0.6 7 8.6 7.6 13.2 13 1.000.2E: 6.0 6.04 0.0 12 8.6 7.0 13.2 1.049 14'.04 0.040 0.6 Pipo: 12 4.90 13.2 Disch 0.50 150 0.2 12 8.6 7.0 0.0 1.000 ---- 0.00 0.2 13 8.1 7.2 13.2 1.049 0.50 0.040 0.0 Pipe: 13 0.0 0.0 13.00 150 0.7 7 8.6 7.6 13.0 15 1.000 2E: 6.0 6.04 0.0 14 8.6 6.8 13.0 1.049 19.04 0.039 0.7 +DATE?/l/2011-- SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page J "C:\PROGRAM FILES\HRS,-SYSTEMS\HASS81\NEW HAMPSHIRE.AVE SDF- 1 , JOB TITLE l i 'e. Tag' K—fac Add Fl Add Fl ,To Fit:' L' C (Pt) , Frm Node, El (ft) '-PT (q)' Node% .Nom ID .'Eq Ln. F (Pe) Note To;.Node ;' El (ft) PT Tot.. (Q) Disch Act, ID (ft );: T? Pf/ft Piper 14,, 4.90 13.0 ; Disch 0.50 150 ! 0.2' " 14 8.6 6.8. 0.0 1 000.._ -; .. 0.00 0.2 15 8.1 7.0 13.0, 'J. 049 :. _ 0.50 0.039 0.0• f The SMART VENT® Option and Accessory System Can Accommodate Any Installation Application 1-Fire Damper 3-Rain Shield In areas of severe rain or harsh conditions, the Rain Shield will orovide maximum protection for your vent SMART VENT• manufactures two UL-certified Fire Damper models. A masonry installation model (1540-530) and a wood wall installation model (1540-537). These fire dampers are certified to provide two hours of fire resistance. It is intended to be used in a situation in which fire proofing is required on a wall in which flood venting is installed, usually in a garage or vestibule. A fusible link holds a galvanized steel door in place. At 165°F (73.9°C), the link melts to permit the door to drop, blocking the path of the fire. Compatible with SMART VENT* and FLOOD VENT models -The Fire Damper can safely be installed in the same cavity for either of the flood protection models, without interfering in their operation. Trim flange and inner sleeve are required for installation. 2-Interior Trim Flange and Inner Sleeve Kit The Trim flange unit fits into the rough opening to provide a clean finished look on the interior wall. Trim flanges are available for use with standard masonry flood vents (1540-533) and SMART VENT• Wood Wall Models (4' depth 1540-573 and 9' depth 1540-573-9) come standard in white. The stainless steel sleeve lining is available in a 7 inch sleeve that can expand up to 12 inches, and a 10 inch sleeve that can expand up to 15 inches. ART VENT www.smartvent.com • 877-441-8368 Ir ANY OWNER ANY PROJECT NEW CONST OR RENOV ANY FLOODPLAIN COMMUNITY, ANY STATE, USA 5. Ventilated Overhead Garage Door Model: Smart VENT Model # 1540-514 6. Flush or Solid Insulated Garage Door Model: Flood VENT Model # 1540-524 7. Fire -Rated Damper Flow Thru Vent Model: Smart VENT Model # 1540-530 (use in conjunction with #1540-510 or #1540-520) 8. Quad Stacking Model —Ventilated i ►BC ARCHITECTS ROJECT NO. XD{X ATE: XX-YY-ZZZZ Smart VENT # 1540-550 (Quad Assembly #) (Actually 2 ea. # 1540-511's with 2 ea. 511 Upper portions and 2 ea. 511 Lower portions) 9. Quad Stacking Model —Flush Door Insulated Flood VENT #1540-560 (Quad Assembly #) (Actually 2 ea. #1540-521's with 2 ea. 521 Upper portions and 2 ea. 521 Lower portions) 10. 14%" Wood Stud Wall Model: Flood VENT # 1540-570 11. Fire -Rated Damper Flow Thru Vent Model: Smart VENT Model # 1540-537 (use in conjunction with #1540-570 model) 12. 14'/z" Overhead Garage Door Model: Flood VENT # 1540-574 13. Accessories: a. 8"-12" Adjustable Sleeve/Trim # 1540-531-12 b. 12"-15" Adjustable Sleeve/Trim #1540-531-15 c. 8"-12" Sleeve Only # 1540-532-12 d. 12"-15" Sleeve Only #1540-532-15 e. 16" x 16" x 6" adjustable sleeve 6" to 9" wall thickness #1540-531-Stacker (Note: Sleeves should be used in `un-filled' masonry Fire Walls and where `air -space' is required on Exterior Walls) f. Interior Trim Flange # 1540-533 g. Interior Trim Flange # 1540-573 h. Interior Trim Flange/Sleeve #1540-573-9 i. Vinyl Buck(s) #1540-800 Series For poured concrete walls Sizes range from 5.5" to 12" Specify wall thickness for exact or nominal sizes Use in conjunction with SV models #1540-510 or #1540-520 encased in Buck j. Vinyl Buck Extension # 1540-800 - 2" FOUNDATION FLOOD VENTS 08 95 43 4 STONE' & REID D ATTORNEYS AT LAW SEP 2 6 2011 A PROFESSION.U. ASSOCIAMON SOUrH YARMOUTH PROFESSIONAL BUILDING ey BU1LDINODEPT 1292 ROUTE 28 SOUTH YARmoui'H, MA 02664-445 TEL (508) 3945648 FAX (508) 3981699 DAvD S. ROD, ESQ. MICHAEL F. &roNE. ESQ. DSReid@verizon.net MFStoneEsq@Juno.com September 22, 2011 Yarmouth Board of Appeals 1146 Route 28 South Yarmouth, MA 02664 RE: 6 New Hampshire Ave. #4359 Dear Ms. Clark: Enclosed please find a copy of the Certificate of Granting of a Special Permit in the above -referenced matter, with the Registry of Deeds recording information. Thank you for your assistance in this matter. Ve ly y David S. Reid, sc'. -- DSR/dmp Encl. (1) cc: Yarmouth Building Department Martin T. Reilly dp3 Vreillyntr/yarmouth b.o a. .: , . .. -; - • Each Attorney in this office is an independent practitioner who is not responsible for tb _ practice or liabilities of any other attorney in the office. Rule 7.5 (d) Ek 2569S Ps3O6 046831 09--22-2011 a 10 n 20a COMMONWEALTH OF MASSACHUSETTS TOWN OF.YARMOUTH BOARD OF APPEALS Appeal #4359 Date: September 22, 2011 Certificate of Grantine of a Special Permit (Ge„crsl Laws Cliapter 40A, section 11) The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been granted to: 6 New Hampshire LLC c% Martin Reilly 27 Nantucket Street Hyannis, MA 02601 Affecting the rights of the owner with respect to land or buildings at, 6 New Hampshire Avenue, West Yarmouth, MA Map & Lot#: 0016.54; Zoning District: R-25; Book/Page: 24399/100 and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit, and that copies of said decision, and of all plans referred to in the decision, have been filed. The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A, Section 11 (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of th,A Town Cleik that t:%;enty (20) days have clapsd u8c: tho. &-cislon has been filed in the'office of the Town Clerk and no appeal has been 'filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in the Registry of Deeds for the county and district in which the land is located and indexed in the grantor index under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such recording or registering shall be paid by the owner or applicant. 4ri,. , Stcved DeYoung, Chaifman r TOWN OF YARMOUTH BOARD OF APPEALS DECISION FILED WITH TOWN CLERK: September 1, 2011 PETITION NO: #4359 HEARING DATE: August 25, 2011 PETITIONER: 6 New Hampshire, LLC PROPERTY: 6 i'•iew Hanipshi:e Ave, Rest Yarmouth, MA Map & Parcel: 001654; Zoning District: R-25 Book/Page: 24399/100 YARMOUTH TOWN CLERi A 111SEP1AM11:16 REC MEMBERS PRESENT AND VOTING: Steven DeYoung, Chairman, Diane Moudouris, Sean Igoe, Debra Martin and Richard Neitz, and Bryant Palmer, Alternate. Notice of the hearing has been given by sending notice thereof to the Petitioner and all those owners of property as required by law, and to the public by posting notice of the hearing and publishing in The Register, the hearing opened and held on the date stated above. The petitioners are the owners of the property at 6 New Hampshire Ave., West Yarmouth, Massachusetts, which is located in the R-25 Zoning District. The premises have historically been occupied by the Red Rose Inn. The structure was destroyed by fire in December 2010. The petitioners seek a Special Permit under Zoning Bylaw § 104.3 .2 (3); § 104.3.2(4) and § 104.4 to rebuild a modified structure and to change its use to four residential units, to be held in condominium ownership. The petition also seeks relief under the Zoning By-law §301.2 from full compliance with the current parking related requirements, if needed. Prior to this hearing the project was submitted to Site Plan Review, and has been reviewed and approved by the Conservation Commission. It is represented by the Petitioners that the original development of the site contained a large single family home, built in approximately 1880. Sometime in the early 1940s the structure was converted to the Inn, which remained in operation until the fire last year. The Inn traditionally contained a 48 seat restaurant, with an additional 12 seats at the bar area. It also contained a live-in manager's quarters on the first floor, and 10 bedrooms on the second floor for occupancy by the Iran's customers. Prior to the fire, the owners had undertaken extensive renovations of the property, and had completed the renovation of the first floor (the restaurant and bar area). Renovations of the second -floor bedrooms would have commenced but for the fire. At the time of the fire, the Inn contained and was licensed for 32 seats in the restaurant, with 7 seats at the bar area. Only one bedroom was currently available on the first floor. Following the fire various departments of the town of Yarmouth expressed interest in acquiring the property for use in connection with its adjoining beach property. The petitioners worked with the Town to explore this opportunity and withheld any development while that option was pending. However, in June of this year, the Town Administration decided not to proceed with such an acquisition. 1 The Petitioner represents that the reconstruction of the Inn under § 104.3.3, which would be available as a matter of right, was considered economically unfeasible due to the current requirements for commercial construction, handicap accessibility, etc., given the limitations of the site. They therefore propose, instead, to reconstruct a building similar in design to the original Inn structure, but to convert its use to four residential units, each containing three bedrooms. The proposed structure and floor plans are set forth in the revised architectural renderings of the Thomas Moore Design Company, entitled "New Condominium for. New Hampshire Ave., LLC, 6 New Hampshire Ave., Yarmouth, MA." Dated August 17, 2010, consisting of sheets Al, A2, A3, and A4. The final site plan for the project is shown on a plan entitled "Site Plan for the 6 New Hampshire Ave., LLC, Lots 31 and 32, 6 New Hampshire Ave., W. Yarmouth, MA., August 4, 2011" by Ronald J. Cadillac, PLS, RS, P.C., where the revisions through August 24, 2011. The condominium documents to be considered by the board were filed with the board under cover letter from attorney David S. Reid, dated August 23, 2011. Various other exhibits and coireFpondenee received hrol,ighout th . hearing wcre duly recorded and numbered sequentially. The Petitioner presented to the board evidence of the pre-existing nonconforming conditions at the site, with comparisons to the proposed corresponding conditions. The board notes, among these conditions, that a pre-existing structure was substantially nonconforming as to its front yard setbacks, from both New Hampshire Ave. and Berry Ave. At its closest point the existing structure was only 3.8 feet from its Bent' Ave. boundary and only 17.7 feet from his New Hampshire Ave. boundary. The proposed structure while still not fully conforming to the front setbacks would be substantially, less nonconforming, by increasing both front yard setbacks to 14.7 and 26 feet, respectively. Similar improvements are proposed for the southerly side yard setback, from 4.8 feet to 10 feet. The pre-existing building footprint is also nonconforming at 4308 ft.2, covering 28.2% of the site, where the bylaw permits no mu.e than 25% building coverage. The proposed building (the roofed structure) would be only 2904 ft.2, covering 19.5% of the site. The overall site coverage would be reduced by 1697 ft.2, from 39.9% to 28.7%. The pre-existing building was approximately 25 feet tall. The proposed building would be 24.7 feet from the top of foundation to the ridge. However, due to floodplain regulations, the foundation would be 6.3' above grade, resulting in the total height of the building of 31 feet. However, it was noted that if the original Inn building were reconstructed, it too would have to conform to the same floodplain elevation requirements. Prior to the fire, the Inn had 15 parking spaces on -site, 12 along New Hampshire Ave. and 3 along Berry Ave. All of the pre-existing spaces consisted of a crushed shell surface. The proposed use would require 6 spaces, though the Petitioner proposes to construct 8 on site, all of which would continue to have a crushed shell surface and would conform in size to the current requirements. All of the proposed spaces would be accessible from New Hampshire Ave. The pre-existing crushed shell parking area along the westerly side of Berry Ave. would be eliminated. The proposed change of use would result in a substantial reduction in the required parking demand, by approximately 60%, and the actual number of parking spaces on -site will be reduced by approximately 46%, as proposed. However, it is also noted that even with the Berry Ave. spaces, the Inn had inadequate spaces on -site to accommodate its business demand and needs, frequently resulting in off -site parking by customers along the adjoining ways and in the adjoining town parking lot. The Petitioner presented inforawtion which indicated that the proposed structure would be almost identical in size to the single family home that existed on the site in the 1940s, prior to its conversion to the Inn and subsequent additions. 2 Relative to the use, the Petitioner represents that the Inn is presently licensed for the 32 seat restaurant with seven additional seats at the bar, and has a liquor license and live entertainment license. These nonconforming commercial activities, and the associated traffic, volume of people, noise and congestion would be eliminated with the proposed change of use. In addition, the change of use would eliminate the prior nonconformity of the parking facilities for the Inn, and its resulting overflow into the neighborhood. Finally, the petitioner demonstrated that the proposed structure has been designed to incorporate the architectural style and features reminiscent of the original Red Rose Inn structure. The board received correspondence from the Site Plan Review Team and the Yarmouth Conservation Agent, as well as correspondence and a petition in favor of the proposal for various neighbors and interested parties. The board also received correspondence and a petition in opposition to the project from various neighbors and interested parties. Several neighbors and individuals spoke in support of the petition. Several neighbors and individual, spoke in oppositionto the petition. After due consideration of the Petitioner's presentation and proposal and of the comments and input from the audience and neighbors, the board finds that the proposed use and reconstruction will be substantially less nonconforming than the pre-existing nonconforming Inn structure, that strict enforcement of the current bylaw requirements would result in undue hardship to the applicant, that the proposed change to the structure would not be substantially more detrimental to the neighborhood, district or town, and would not cause any undue nuisance, hazard, or congestion. The board finds that the proposed structure would be substantially less nonconforming in almost every respect and less detrimental to the neighborhood than the previous structure or a reconstructed Inn. The board further finds that the proposed change of use to four year-round residential units, would be substantially less nonconforming than the previous commercial use and substantially less detrimental to the neighborhood, would be a significantly less intensive use of the site, by among other things reducing traffic and parking, site density, septic flow, noise, and congestion. The Board finds that the proposed residential use is more consistent with and compatible with existing and anticipated development of the neighborhood and with the current zoning district. The board further finds that the proposed condominium documents satisfy the requirements of the bylaw, §104.4, providing a clear description of the proposed year-round residential use, providing proper management authority to assure the maintenance and repair of the common facilities, for the protection of public health and safety at the site, specifically including the shared septic, system and the common fire suppression sprinkler system. The board finds that the proposed change of use will reduce, rather than increase, the site's parking demand, such that no relief from § 301 is required for this project. After due deliberation, a motion was made by Mr. Igoe, seconded by Mrs. Martin, to grant the petition as requested for a Special Permit under §104.3 .2 (3) & §104.3 .2 (4) to construct the proposed replacement structure and to change the use from the Inn to 4 residential units, as represented and as shown in the above referenced architectural and site plans, on the following conditions: 1) that the shell parking area along Bevy Ave. be eliminated and re -vegetated so as to deter vehicle parking along the westerly side of Berry Ave., 3 2) that within the parking area along New Hampshire Ave., Petitioner shall take steps to prevent parking between the numbered parking spaces in front of the steps entering each unit, where inadequate depth exists for safe parking, 3) that the Petitioner design and provide enclosed facilities for the collection and storage of trash for each unit, either in a contained structure to the rear of each unit or within the enclosed area beneath each unit's deck, 4) that the building shall be constructed as represented in the plans and in the Petitioner's presentation this evening, and 5) that the Petitioner prepare and file with this board, prior to the commencement of construction, a final landscaping plan, conforming to the Petitioner's representations and to this decision. Upon -this motion made and: Seconded, the mzmbets voted unanimously in favor, and the Special Permit was therefore granted. A second motion was made by Mr. Igoe, seconded by Mrs. Martin, to grant the Special Permit under § 104.4, as requested, to convert the use of the premises to 4 year-round residential condominium units, on the condition that the master deed be revised to specifically recite that the units will be available for year-round use. Upon this motion made and seconded, the members voted unanimously in favor, and the. Special Permit was therefore granted. In light of the board's findings above, the Petitioner requested that so much of its petition as requested relief from the parking and loading requirements, under §301.2, and § 104.3 .2, be withdrawn without prejudice, as such relief has been determined to be unnecessary. A motion was made by Ms. Martin and seconded by Mrs. Moudouris to grant the Petitioner's request to withdraw, without prejudice, so much of its petition as requested relief from the parking lot upgrade requirements of section 301.2. Upon this motion made and seconded, the members voted unanimously in favor, and the requested relief was withdrawn, without prejudice. 1. No permit shall issue until 20 days from the filing of this decision with the Town Clerk. This decision must be recorded at the Registry of Deeds and a copy forwarded to the Board of Appeals. Appeals from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20 days after filing of this notice/decision with the Town Clerk. Unless otherwise provided herein, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw, MGL c40A §9) Steven DeYoung, Mairman 4 �a r TOWN OF YARMOUTH Town w 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 026644451 Clerk '+•• Telephone (508) 398-2231 Ext. 1285, Fax (508) 398-0836 CERTIFICATION OF TORN CLERK I, Jane E. Hibbert, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have elapsed since the filing with me of the above Board of Appeals Decision N4359 and that no notice of appeal of said decision has been filed with me, or, if such appeal has been filed it has been dismissed or denied. J e Ir Hibbert, CMC/CMMC Town Clerk 1. LOCUS IS A.M. 16, PARCEL 54. 2. ELEVATIONS SHOWN ARE NGVD29 BASED UPON TOWN MON. NO 3. LOCUS IS IN FLOOD ZONE Al2(EL 12) ON FIRM DATED JULY 2 4. OFFSETS SHOWN ARE TO FOUNDATION CORNERS. 5. TOP OF FOUNDATION IS 5.9 FEET ABOVE HIGH POINT IN ROAD. BENCH MARK --TOP OF PK NAIL V� IN PAVEMENT e 4.09 NGVD29 (MARKED WITH WHITE PAINT) OF 4.09` 10 za N/F TOWN OF YARMOUTH $PB• 69.1, i@NgUE DEC 0 5 2011 t LDING DEaT eo LOT AREA= 15,260±S.F. I CERTIFY THAT THE LOCATIONS SHOWN ON THIS ` PLAN WERE MEASURED IN THE FIELD ON 12/02/11. 20.7' JOB NO. Y11-23 N 'd ip 0 z z J a_ W ILE COPY Existing Septic System 5,39 BENCH MARK --TOP OF PK NAIL IN PAVEMENT - 5.39 NGVD29 (MARKED PATH WHITE PAINT) ASBUILT PLAN FOR SIX NEW HAMPSHIRE LLC LOTS 31 do 32 6 NEW HAMPSHIRE AVE., W. YARMOUTH, MA DECEMBER 2, 2011 SCALE: 1 "=30' RONALD J. CADILLAC, PLS, RS. P.C. PROFES9ONAL LAND SURVEYOR do REGISTERED SANITARIAN P.O. BOX 258 WEST YARMOUTH. MA 02673 ©2011 BY R.J. CADILLAC (508) 775-9700 Jack Fowkes J & B Construction Company Custom Homes Box # 809 Forestdale, MA 02644 Phone: 617-620-4646 Fax: 508-539-1132 E-mail: jfowkes@beld.net www.jb customhome.com BUILDING PERMIT APPLICATION APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE, OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING. Toivn of Niirnuntth Building Deparunent 11. 6 Route 2R • larntouth, CIA 02(i(i-t-1-11)2 Tel: 508-398-2231 ext 1261 Fax 508-398-0836 Office Use Only�J Planning Board Information Assessors Department Information: Permit No. f ��oatdl'�� Ian Type Map Lot Permit Fee $ Endorsement Date A91 L PAncz( .SL{ Recording Date New Deposit Rec'd. $ Date 1.4 Property Dimensions: 1�� U 4 Plan No. t Z z by 1` 7 q� -? 0f, Net Due $ Other Lot Area (sf) Frontage (ft) Lot Coverage This Section for Office Use nty Buildinq Permil Ndmber o, Date Issued: Signature: e&z& �-- —& Building Official Date Certificate of Occupancy Is is not required Section 1 - Site Information 1.11 Property Address.. /{Ll<tJLL� 1.2 Zoning Information: �+-e-St llJtA AL.. A-2"S C)A/441-,t (dy1,..�S Zoning District Proposed Use 1.3 Building Setbacks (it) . Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided /0 1 1 A Water Supply (kf.O.L. c. 40. S 54) Public Y Private 1.5 Flood Zone Information: Comments: I Zone: EIFE: Section 2 - Property Ownership/Authodzed Agent 2.1 Owner of Records ESQ. •1 N a f-TAU"tJ L.,tC Np me (print) TOM CO•+N[LC Sig ore Telep , l- <. ; ; ; ' 17 I'-j MARINA VVWw11GCr- c v T' 5eA0t 4J $'o o V t c To 4LUt �RD Mailing Address: N 0. aN lHe0d1 elephone 2.2 Authorized Agent: -1 t p4(c -r1A� r� ,6 k- Moo 02340 ame (print) / t Mailing Address: 61 �L416--1 �--q1 Signature Telephone Fax Section 3 - Construction Services 3.1 Licensed Construction Supervisors �IFri1D r4QR.Ev( Not Applicable ZI _ W1 �EPA4 (3A4Zr rzial e. Qj3 6 o License Number Cs y9,? ? 0 Address /� p 928— % t Expirations Date !mot L 3 /Z-0 ( Z Signature Telephone 1of4 OVER .. 3.2 Registered Home Improvement Contractor. CO any Name Not Applicable ❑ A Address Registration Number Expiration Date Signature Telephone Section 4 - Workers' Compensation Insurance Affidavit (M.G.L c. 152 S 25C (6) Workers Compensation Insurance affidavit must 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 .r .... No .......... Section s - 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) =y ref; Section 5.1 Registered A eMeet: 11tokk% s A Jnn � (G� C J- Not Applicable CY N 0 (R 1trantq n f 'ZP 'Y R? / 3-7 61,e4.)IM 414 Registration Istration Number Address rS1,h 424 _ �ttl KrJ Signature Telephone Expiration Date Section 5.2 Registered Professional En ineer(s) fA �� c� &-tJ 6-tNC67Y2 tN EX c -Q N 7d:'- `T �jW hY 90( (Y5Tor e— PM^ 5 n - sTf ^ Area olResponsibiliry Addr y- 3 —2(YY. Sign a Telephone Regis ration N tuber e o z: Expiration Date Name Area of Responsibility Address ,... _,., ,_-M , ` , ^I j/^`9y a i IEi�{b Signa e bAllAtOlff), VlAfi Telephone Registration Number Expiration Date Expiration Name V Area of Responsibility Address Signature Telephone Registration Number Expiration Date Name Area of Responsibility Address Signature Telephone Registration Number Expiration Date Section 5.3 General Contractor }�QJj 16 nGt� C,).jj Sr�ZqA C-(J4A.,� Not Applicable ❑ Company Name O1( f1�RA14, Person Responsible for Construction L(I ce-Dwx- Dws o�w, �W.k i.4. rVA o bd Address b-t.,,_ q7t% _ G 1-7- Signature Telephone 2of4 Section 6 - Description of Proposed Work (check all applicable) "New Comtruction W (for multiple family only) No. of Bedrooms (for multiple family only) No. of Bathrooms Existing Bldg. ❑ Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work: 'Pour& F:Z) „— 4' 2 u,` L 4 Section 7 - Use Group and Construction Type Building Use Group (Check as applicapable) Construction Type A ASSEMBLY Q A-1 Q A-4 Q A-2 Q A-5 Q A-3 ❑ 1A ❑ 1 e ❑ B BUSINESS Q 2A ❑ 2B ❑ 2C ❑ E EDUCATIONAL Q F FACTORY Q F-1 Q F-2 Q H HIGH HAZARD Q 3A ❑ 38 ❑ I INSTITUTIONAL I Cl 1.1 Q 1.2 Q I- Q M MERCHANTILE Q 4 ❑ R RESIDENTIAL Q R-1 Q R-2 R-3 Q SA ❑ 58I(_„i,'/ S STORAGE Q S-1 Q S-2 Q U UTILITY ❑ SPECIFY: SPECIFY: SPECIFY: M MIXED USE Q S SPECIALUSE Q Complete this section if existing building undergoing renovations, additions and/or change In use. Existing Use Group: Existing Hazard Index 780 CMR 34 Proposed Use Group: Proposed Hazard Index 780 CMR 34 Section 8 Building Height and Area Building Area Existing (if applicable) Proposed Number of floors or stories include basement levels Floor Area per Floor (sf) 0Y b-T Z-q 0 `( Z ^Of Total Area All Floors (sf) 0 Total Height (ft) 3 I Section 9 - STRUCTURAL PEER REVIEW (780CMR 110 11 Independent Structural Engineering Structural Peer Review Required Yes .......... No ......... SECTION 1 QA OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNE GENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property, hereby authorize D " 1-X--3 !A@ W_u to act on my behalf, in all matters relative to work authorized by this building permit application. of Owner Date 3of 4 OVER 1 • IU, *' f tZ— �- to as Owner/Authorized Agent hereby declare that the statements and information on the forgoing application are true and acurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. D r p Aa�n2 k Print Name Signature of Owner/Agent Date Section 11 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be completed by permit applicant 1. Building u o0 2. Electrical C 3. Plumbing I Gas 5V IAN a 4. Mechanical (HVAC) 0 O 5. Fire Protection OO V S.Total.(1+2+3+4+5) 0. o O O 7. Total Square Ft. (far r svwbx" ad*") I V _ I Check Below I conservation-Commisslon Fling (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) ENCM4TXA00 Kw,JVq,o.,j 4of4 r Workers' Compensation The Commonwealth of Massachusetts Department of Industrial Accidents Offlce of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organ;zadowbdivi")' ,Ao t p AgAek — 0 Address: Y 7 Ctfb AZ O qie-(- 6 N Ve. Are you an employer? Check -the pea pr I.21I am a employer with (_ employees (full and/or part-time).* 2. ❑ I am a sole proprietor or partner. ship and have no employees working for me in any capacity. [No workers' comp. insurance required:] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t 3a. ❑ I am a homeowner acting as a general contractor (refer to #4) LV-3 60 Phone #: (a 11 — 1920 — 9 2-4Y date box: 4. I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub-contntctors have employees and have workers' comp. insurance t 5. We are a corporation and its officers have exercised their right of exemption per MOL c. 152, § 1(4), and we have no employees. (No workers' comp. insurance reauim&l Type of project (required): 6. New construction 7. Remodeling 8. Demolition 9. Building addition 10-Q Electrical repairs or additions I I Plumbing repairs or additions 12.0Roof repair 13.❑ Other •Any applicant that checks lox M I must also till out the section below &towing Ihea workers' co t Homeowners who submit dtu affidavit indicatingg mod Policy mfcamatiaL they are doing all work &nd then him outside contractors must submit a new anldavit indicating Such. 1Contnctors that check this box must attached as additional sheet showing the name of the sub-cmtrsctors and state whether or not those entities have employees. If the sub-coutracton have employees, they must provide their workers' c policy omp. po cY number. I am an employer that is providing itbrkers' compensation lns injormadon. trranee jor n►y employees Below &the polity and fob gibe insurance Company None: - G µ NR, Ty-SL kA+2 u (jp Policy # or Self -ins.. Lic. #: ) C ?—Z YZSo Job Site Address: 6 Expiration Date: 2- f 17o Z cityistawz;p: w , y.gR,�.au �, , Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment, as well as civil penalties in the formof imposition STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. � S h,t.AZ A4 e.aJ kwt- I do irsnby esrtiJy carder the pains and penaltlp ajper/ra3r that the inforaratlon provided above k true and comrct: �.. ;1 1 - 8 2-9 -- QQ9clal use only. Do not write In this area, to be compkied by city or town oJyklal G/Z7 City or Town: PermittLicenseW Issuing Authority (circle one): L Board of Health 2. Building Department 3. City/town Clerk 4. Electrical inspector S. Plumbing inspector 6.Other Contact Person; Phone #: Information and Instructions r ; Laws chapter 152 MgUh" aD ampbYd a to Pt�ovtda WwkCW compenaadon fa than =VloYeae. Parlusd as pylgw is defined a "...every Peron h the service of another under my coattsd othire. express of implied, oral or writwe ,. a other argil eadty' or say two or more An, nSr/leYw it defiood a. >a bdtrhdual, s' OO' COfppt"Cut of a deceased a vloyM or the o[ the fo egoio� enpged [no joint eatsrprisa, sod tachSdtng the kph «ptasenhdvea receirar err hnstee of rdw at tadMdwlr pasow hiP4 a or od w kph endure emPbYb* CmP� Ho — owner of a dwelling boast loving not more than three sad who raLlea k� � of �� dwelling house of utothsr wbo emp" pas ore to do maiaoensan, coaStrucdot a repair or an the p>vab or building thereto shall not becom of sects eagbyment be deemed to bean employes:" hMGL chgW 15X 11IJ O ale Ststee tbd "erny shte K arena Ilcesat" slastey Shia wltMWM the has aaee K renewal ef a Uestee err pn�mit to opwate s bradnaea our to eetatrs ' buddhp It the eNsoaww tat Garr W rawwaal wAe Ana net pro dsad ateeptabb erideset of compass" with the hswasee eaves rsgvk*L" ou APr ddidmdly. MOL chapter 1529123CM sum "Neither the commaawaitb ear any of its political,Sttbdhviaioes 169 eater into my cons ract Arc the pallxmasm o[pobtlo wade uodl acceptable avidenee of comviiaan with requ1,e1 1ab of No cbspow Its" beet p enaled to the eoubwdus sudmIt ►." avv� aAidnit complatslyl by dwckhg the born that apply to Yaw simatiat and. it Please ttll out the workers comps) Mm • a s with tboir cadficd@(a) or oxetsaS7, mPP4 ') °'t°0(s)' a) or, ( ) P� ) with ao =Vlolm orbs thm the ians� Limited LWAft Caat� ( 7 err, Lhd can ICLbWq► pahwum ipa (Cults membn er pater@ r ace not � tocalf workers' °n tanxasCt. [tat LLC a LIP doer bare aaP1o� a pow Is ,tom ware to smy belP at/ data the amdavl` 73e affidavit should Acddeole Atr COoatm slot of a COva'ga' �� ere lieeaae i. behrg regtteSted, set the D.paremeat of be t.htanad se the city or tows that the appBadot to obedn a works ' Industrial Aecida>ya Should you have any the law ere if you are regohed comoeatados volley. P� Call the Department at the tatm6ec Wted below. Sall=hta:ed COmpada should cote their City x Tewt OMadals plegn be we that the amdavit is complete and printed legibly. The Devactmod has provided it span d the bottom of the atAdavit for you to till out ht the.vea� the Otte of luvesdpthoos hastocachet you reptdhrg the appikare Malta be sate to fM in the permMieease tntmbSt which will be °sad sa a mfeenn ®caber. Is addidoe. at sPpiicad that must submit muldpb PUMWHeeme appfladosa is any Sim yearl need only submit are affidavit iadicathy Cnn.nt PommyInkrusadma(ifMcmary) and uudw "lob She Addees a the spplieUA Should wits "all beadooa la (city or town)-" A COPY Of the amdtvit that hoe bees o®eWiy staa4ed or asclm'by the city or tows may be povided to the appaesd ■ pwa that a valid afdevit is on Ain ON Atha permits or !lemon A ww aZdavit awd be H11ed out each year, When a homer owner or eitizet is obhiaing a tlecon at permit not related to any bnsioen cc commeseW venhxt (i.e. s dof lic, - or peewit to bum leaven eta.) said pesos iS NOT requited to completer this aAtdavit The Of as of isresdpdom would IN to thaalt you in advaaa Arr your cooperation sod should you have any gaesdoaa6 please do oat hesihts to give us a caLL [fie Depart 's address tdephow and Ara murtbes: The Commonwealth of Massachusetts Depattmed of Industrial Accident Oft* of Glveoptleas 600 Washington street Boston, MA 02111 Tel. 0 611-721-4900 ext 406 or 1-877-htASSAFB Fax 11617-7277-77d9 Revised 11.22a16 www,maw,gov/dln PLEASE PRIM. job Location: _ TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Owner of Property: Construction Supervisor. IN ear: Village %-' I�C "j'o�h 0tC0NNvt4 0 �� 9ze-9z9y Name License No. Phone No. �(� CeIJ�2 t7A1�S AA-t,ve Address: eI,u! /ku t:a 7- ✓Y} %� /92-36 0 I" 0 Street Zh IJ AQ- /Uw aq-- (19 Licensed Designee: (If other than Supervisor) Name License No. 2.15 Responsibility of each license holder: 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities tinder the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes No ❑ If you have A ecked yg,y, please indicate the type coverage by checking the appropriate box. A liability insurance policy ? Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 152,,of /Ithe Mass. General Laws, and that my signature on this permit application waives this requirement. l�+J Check one: Signature of owner or Owners Agent Owner Q Agent Signature: Building Official Approval: . � W TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, NIA 02664 508-398.2231 ext.1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, 1 hereby certify that the debris resulting from the proposed work/demolition to be conducted at N U-j krop S � /tQ /J erJ-fz— Work Address Is to be disposed of at the following location: M o^vp � Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Application Permit No. lD l2 -LI q Date r✓7e t('�uiraonrxall�L rg ..��2•c:at.�Itr.[cli3 OlTire o(Canso mer Affairs & [aess cFu aUoa Fr ;. HOME IMPROVEMENT CONTRACTOR e?I Type: RegisUation:., :g037S5 ai ±.Ati Expiration: 7f912013 DBA D 4TD ABREU CQNSTRV"ONt'-.±. David Abreu ; } 47•CEDM OAKS— PLYMOUTKMA02360;;'t: Undersecretary I 1l:1+ acl}u+rtts.! Ucpartmt:nl of Public Fidc1% •t3oerd•u( takl.n�lie:ulxlwns:u►tl.Standartl� yiz'4ibi�3�On i3ispervisor. Licenste:'a • • ' Licetii.V�4CS ;.�i,..1+1! � .. '.� .. • . . Reb'tricle!1•i�;;t�v� y}; OAVIL'3 47'CEDAR OAKS DR a pLymQyTtL.MA 02360 R• ,dis `j'Ezpualion: 212312012 I l t'ununi�Qrmcr Troy 19753 r I r RFD ROSE INN & TAVERN, LLC c/o Marina Bay Management Services. LLC SGo Victory Road N. Quincy. Massachusetts 02171 To: Yarmouth Building Department Yarmouth Town Hall Wcst Yarmouth, Massachusetts From: Thomas P. O'Connell, Owner Red Roso Inn & Tavctn, LLC Re: Authorization of David Abreu Construction Agent for residential condominiums 6 New Hampshire Avenue, West Yarmouth Date: November 3, 2011 The purpose of this memorandum is to notify the Town of Yarmouth Duildiog Department that David Abreu of 47 Cedar Oaks Drive, Plymouth, Massachusetts, is the authorized agent for the construction of four residential condominiums at property we own located at 6 New Hampshire Avenue, West Yarmouth, Massachusetts. Sincere , Thomas P. O'Connell, Owner Red Rose Inn & Tavern, LLC AGREEMENT FOR CONSTRUCTION AGENT SERVICES RED ROSE, INN & TAVERN, LLC FOR RESIDENTIAL CONDOMINIUMS 6 NEW HAMPSHIRE AVENUE WEST YARMOUTH, MASSACHUSETTS Thomas P. O'Connnell, of 500 Victory Read, N. Quincy, Massachusetts 02171, as Owner of 6 New Hampshire Avenue, West Yarmouth, Massachusetts, d/b/a the Rcd Rose Inn & Tavern, LLC, agrees to contract the services of David Abrcu, of47 Cedar Oaks Drive, Plymouth, Massachusetts —Massachusetts Construction Supervisor's License No. CS4990—a3 authorized agent for the construction of four residential condominiums at 6 New Hampshire Avenue, West Yarmouth, Massachusetts. AGREED TO AND EXECUTED: By: lw�W-110� T omas P. O'Connell, Owner Red Rose Inn & Tavem, LLC Date: Il AGREED TO AND EXECUTED: g� ., vid Abrcu Construction Agent 6 New Hampshire Avenue Date: Bk 25695 P930& 046831 • 09-22-2011 bl 1 O - 20a' COMMONWEALTH OF MASSACHUSETTS TOWN OF YARMOUTH BOARD OF APPEALS Appeal #4359 Date: September 22, 2011 Certificate of Grantine of a Special Permit (General Laws Chapter 40A, section 11) The Board of Appeals of the Town of Yarmouth Massachusetts hereby certifies that a Special Permit has been granted to: 6 New Hampshire LLC c/o Martin Reilly • 27 Nantucket Street Hyannis, MA 02601 Affecting the rights of the owner with respect to land or buildings at, 6 New Hampshire Avenue, West Yarmouth, MA Map & Lot#: 0016.54; Zoning District: R-25; Book/Page: 24399/100 and the said Board of Appeals further certifies that the decision attached hereto is a true and correct copy of its decision granting said Special Permit, and that copies of said decision, and of all plans referred to in the decision, have been filed. The Board of Appeals also calls to the attention of the owner or applicant that General Laws, Chapter 40A, Section I I (last paragraph) and Section 13, provides that no Special Permit, or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the Town, Clerk thekt twenty (20) days have elapsed after the decision has been filed in the office of the Town Clerk audno appeal has been filed or that, if such appeal has been filed, that it has been dismissed or denied, is recorded in+th'e Registry of Deeds for the county and district in which the land is located and indexed in the grantor index under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for' such recording or registering shall be paid by the owner or applicant. Steve DeYoung, an FILED WITH TOWN CLERK: PETMON NO: HEARING DATE: PETITIONER: TOWN OF YARMOUTH BOARD OF APPEALS DECISION #4359 September 1, 2011 August 25, 2011. 6 New Hampshire, LLC PROPERTY: 6 New Hampshire Ave, West Yarmouth, MA Map & Parcel: 0016.54; zoning District: R-25 Book/Page: 24399/100 YARMOUTH TOWN CLEM A '11SEp1m11:16 REC MEMBERS PRESENT AND VOTING: Steven DeYoung, Chairman, DIane Moudourls, Sean Igoe, Debra Martin and Richard Neitz, and Bryant Palmer, Alternate. Notice of the hearing has been given by sending notice thereof to the Petitioner and all those owners of property as required by law, and to the public by posting notice of the hearing and publishing in The Register, the hearing opened and held on the date stated above. The petitioners are the owners of the property at 6 New Hampshire Ave., West Yarmouth, Massachusetts, which is located in the R-25 Zoning District. The premises have.historically been occupied by the Red Rose Inn. The structure was destroyed by fire in December 2610. The petitioners seek a Special Permit under Zoning Bylaw §104.3 .2 (3); §104.3.2(4) and §104.4 to rebuild a modified structure and to change its use to four residential units, to be held in condominium ownership. The petition also seeks relief under the Zoning By-law §301.2 from full compliance with the current parking related requirements, if needed. Prior to this hearing the project was submitted to Site Plan Review, and has been reviewed and approved by the Conservation Commission. It is represented by the Petitioners that the original development of the site contained a large single family home, built in approximately 1880. Sometime in the early 1940s the structure was converted to the Inn, which remained in operation until the fire last year. The Inn traditionally contained a 48 seat restaurant, with an additional 12 seats at the bar area. It also contained a live-in manager's quarters on the first floor, and 10 bedrooms on the second floor for occupancy by the Inn's customers. Prior to the fire, the owners had undertaken extensive renovations of the property, and had completed the renovation of the first floor (the restaurant and bar area). Renovations of the second -floor bedrooms would have commenced but for the fire. At the time of the fire, the Inn contained and was licensed for 32 seats in the restaurant, with 7 seats at the bar area. Only one bedroom was currently available on the first floor. Following the fire various departments of the town of Yarmouth expressed interest in acquiring the property for use in connection with its adjoining beach property. The petitioners worked with the Town to explore this opportunity and withheld any development while that option was pending. However, in June of this year, the Town Administration decided not to proceed with such an acquisition. The Petitioner represents that the reconstruction of the Inn under § 104.3.3, which would be available as a matter of right, was considered economically. unfeasible due to the current requirements for commercial construction, handicap accessibility;`etc., given the limitations of the site. They therefore propose, instead, to reconstruct a building similar in design to the original Inn structure, but to convert its use to four residential units, each containing three bedrooms. The proposed structure and floor plans are set forth in the revised architectural renderings of the Thomas Moore Design Company, entitled "New Condominium for. New Hampshire Ave., I.L.C, 6 New Hampshire Ave., Yarmouth, MA." Dated August 17, 2010, consisting of sheets Al, A2, A3, and A4. The final site plan for the project is shown on a plan entitled "Site Plan for the 6 New Hampshire Ave., LLC, Lots 31 and 32, 6 New Hampshire Ave., W. Yarmouth, MA., August 4, 2011 by Ronald L Cadillac, PLS, RS, P.C., where the revisions through August 24, 2011. The condominium documents to be considered by the board were filed with the board under cover letter from attorney David S. Reid, dated August 23, 2011. Various other exhibits and correspondence received throughout the hearing were duly recorded and numbered sequentially. The Petitioner presented to the board evidence of the pre-existing nonconforming conditions at the site, with comparisons to the proposed corresponding conditions. The board notes, among these conditions, that a pre-existing structure was substantially nonconforming as to its front yard setbacks, from both New Hampshire Ave. and Berry Ave. At its closest point the existing structure was only 3.8 feet from its Berry Ave. boundary and only 17.7 feet from his New Hampshire Ave. boundary. The proposed structure while still not fully conforming to the front setbacks would 'be • substantially •' less nonconforming, by increasing both front yard setbacks to 14.7 and 26 feet, respectively. Similar improvements are proposed for the southerly side yard setback, from 4.8 feet to 10 feet. The pre-existing building footprint is also nonconforming at 4308 ft.2, covering 28.2% of the site, where the bylaw permits no more than 25% building coverage. The proposed building (the roofed structure) would be only 2904 ft.2, covering 19.5% of the site. The overall site coverage would be reduced by 1697 ft.2, from 39.9% to 28.7%. The pre-existing building was approximately 25 feet tall. The proposed building would be 24.7 feet from the top of foundation to the ridge. However, due to floodplain regulations, the foundation would be 6.3' above grade, resulting in the total height of the building of 31 feet. However, it was noted that if the original Inn building were reconstructed, it too would have to conform to the same floodplain elevation requirements. Prior to the fire, the Inn had 15 parking spaces on -site, 12 along New Hampshire Ave. and 3 along Bery Ave. All of the pre-existing spaces consisted of a crushed shell surface. The proposed use would require 6 spaces, though the Petitioner proposes to construct 8 on site, all of which would continue to have a crushed shell surface and would conform in size to the current requirements. All of the proposed spaces would be accessible from New Hampshire Ave. The pre-existing crushed shell parking area along the westerly side of Berry Ave. would be eliminated. The proposed change of use would result in a substantial reduction in the required parking demand, by approximately 60%, and the actual number of parking spaces on -site will be reduced by approximately 46%, as proposed. However, it is also noted that even with the Berry Ave. spaces, the Inn had inadequate spaces on -site to accommodate its business demand and needs, frequently resulting in off -site parking by customers along the adjoining ways and in the adjoining town parking lot. The Petitioner presented information which indicated that the proposed structure would be almost identical in size to the single family home that existed on the site in the 1940s, prior to its conversion to the Inn and subsequent additions.'. 2 Relative to the use, the Petitioner represents that the Inn is presently licensed for the 32 seat restaurant with seven additional seats at the bar, and has a liquor license and live entertainment license. These nonconforming commercial activities, and the associated traffic, volume of people, noise and congestion would be eliminated with the proposed change of use. In addition, the change of use would eliminate the prior nonconformity of the parking facilities for the Inn, and its resulting overflow into the neighborhood Finally, the petitioner demonstrated that the pr,posed structure has been designed to incorporate the architectural style and features reminiscent of the original Red Rose Inn structure. The board received.correspondence from the Site Plan Review Team and the Yarmouth Conservation Agent, as well as correspondence and a petition in favor of the proposal for various neighbors and interested parties. The board also received correspondence and a petition in opposition to the project from various neighbors and interested parties. Several neighbors and individuals spoke in support of the petition. Several neighbors and individuals spoke in opposition to the petition. After due consideration of the Petitioner's presentation and proposal and of the comments and input from the audience and neighbors, the board finds that the proposed use and reconstruction will be substantially less nonconforming than the pre-existing nonconforming Inn structure, that strict enforcement of the current bylaw requirements would result in undue hardship to the applicant, that the proposed change to the structure would not be substantially more detrimental to the neighborhood, district or town, and would not cause any undue nuisance, hazard, or congestion. The board finds that the proposed structure'would be substantially less nonconforming in almost every respect and less detrimental to the neighborhood than the previous structure or a reconstructed Inn. The board further finds that the proposed change of use to four year-round residential units, would be substantially less nonconforming than the previous commercial use and substantially less' detrimental to the neighborhood, would be a significantly less intensive use of the site, by among other things reducing traffic and parking, site density, septic* flow, noise, and congestion. The Board finds that the proposed residential use is more consistent with and compatible with existing and anticipated development of the neighborhood and with the current zoning district. The • board further finds that the proposed condominium documents satisfy the requirements of the bylaw, §104.4, providing a clear description of the proposed year-round residential use, providing proper management authority to assure the maintenance and repair of the common facilities, for the protection of public health and safety at the site, specifically including the shared septic system and the common fire suppression sprinkler system. The board finds that the proposed'change of use will reduce, rather than increase, the site's parking demand, such that no relief from § 301 is required for this project. After due deliberation, a motion was made by Mr. Igoe, seconded by Mrs. Martin, to grant the petition as requested for a Special Permit under § 104.3 .2 (3) & § 104.3 .2 (4) to construct the proposed replacement structure and to change the use from the Inn to 4 residential units, as represented and as shown in the above referenced architectural and site plans, on the following conditions: 1) that the shell parking area along Berry Ave. be eliminated and re -vegetated so as to deter vehicle parking along the westerly side of Bent' Ave., 3 2) that within the parking area along New Hampshire Ave., Petitioner shall take steps to prevent parking between the numbered parking spaces in front of the steps entering each unit, where inadequate depth exists for safe parking, 3) that the Petitioner design and provide enclosed facilities for the collection and storage of trash for each unit, either in a contained structure to the rear of each unit or within the enclosed area beneath each unit's deck, 4) that the building shall be constructed as represented in the plans and in the Petitioner's presentation this evening, and 5) that the Petitioner, prepare and file with this board, prior to the commencement of construction, a final landscaping plan, conforming to the Petitioner's representations and to this decision. Upon this motion made and seconded, the members voted unanimously in favor, and the Special Permit was therefore granted. A second motion was made by Mr. Igoe, seconded by Mrs. Martin, to grant the Special Permit under § 104.4, as requested, to convert the use of the premises to 4 year-round residential condominium units, on the condition that the master deed be revised to specifically recite that the units will be available for year-round use. Upon- this motion -made -and seconded, the members voted unanimously in favor; and the. Special Permit was therefore granted. In light of the board's findings above, the Petitioner requested that so much of its petition as requested relief from the parking and loading requirements, under §301.2, and §104.3 .2, be withdrawn without prejudice, as such relief has been determined to be unnecessary. A motion was made by Ms. Martin and seconded by Mrs. Moudouris to grant the Petitioner's request to withdraw, without prejudice, so much of its petition as requested relief from the parking lot upgrade requirements of section 301.2. -Upon this motion made and seconded, the members voted unanimously in favor, and the requested relief was withdrawn, without prejudice. No permit shall issue until 20 days from the filing of this decision with the Town Clerk. This decision must be recorded at the Registry of Deeds and a copy forwarded to the Board of Appeals. Appeals from this decision shall be made pursuant to MGL c40A section 17 and must be filed within 20 days after filing of this notice/decision with the Town Clerk. Unless otherwise provided herein, the Special Permit shall lapse if a substantial use thereof has not begun within 24 months. (See bylaw, MGL c40A §9) Vt Steven DeYoung, airman 4 TOWN OF YARMOUTH Town 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664-4451 Clcrk e... Telephone (508) 398-2231 Ext. 1285, Fax (508) 398-0836 CERTIFICATION OF TOWN CLERK I, Jane E. Hibbert, Town Clerk, Town of Yarmouth, do hereby certify that 20 days have elapsed since the filing with me of the above Board of Appeals Decision #4359 and that no notice of appeal of said decision has been filed with me, or, if such appeal has been filed it has been dismissed or denied. J e . Hibbert, CMC/CMMC Town Clerk STONE & REID ATTORNEYS AT LAW A PROFFSSIOML ASSOCIATION SOUI1i YARMOUTH PROFESSIONAL BUILDING 1292 ROUTE 28 SOUTH )(ARMOUrH, MA 02664-4452 TEL (508) 3945648 FAX (508) 3981699 DAvID S. RaD, ESQ. DSRetd@verizon.net September 22, 2011 Yarmouth Board of Appeals 1146 Route 28 South Yarmouth, MA 02664 RE: 6. New Hampshire Ave. #4359 Dear Ms. Clark: NhaL%EL F. STONE, ESQ. MFStoneEsq@Juno.com Enclosed please find a copy of the Certificate of Granting of a Special Permit in the above -referenced matter, with the Registry of Deeds recording information. Thank you for your assistance in this matter. Ve ly y David S. Reid, s . — N=6 Encl. (1) cc: Yarmouth Building Department : Martin T. Reilly dp3l/r dlyAtryarmoath h.o.a. . • Each Attorney In this office is an independent p uddoner who is not responsible for the practice or liabllities of any other attorney in the office. Rule 7.3 (d) TOWN OF YARMOUTH Building Department Town Hail .�' Yarmouth, MA 02664 (508) 39&2231 exi1261 BBUILDING PERMIT TRANSMITTAL Temp Permit No.: T-12-169 Applicant Name: David Abreu Applicant Phone: 6178289294 Building Location: 0006 NEW HAMPSHIRE AVE Owner's Name: Red Rose Inn & Tavern, LLC Owner's Addres 500 Victory Road North Quincy MA 02171 Owner's Telephone: (617) 872-9933 REVIEWED BY: (OFFICE USE ONLY Recorded By: Ic Permit Fee: $75.00 Deposit Rec: $75.00 Payment Type: Check ChkNo.: 1078 Net Owed: $0.00 Application Date: 11/3/2011 Issue Date: Expiration Date Comments: Map/Lot: 016.54 Foundation Only - ez-��- y >y ZONING APPROVED ii/% 1. WATER DEPARTMENT: DATE: 2. ENGINEERING DEPARTMENT: DATE: 3. CONSERVATION: DATE: 4. HEALTH DEPARTMENT: DATE: 5. BUILDING DEPARTMENT: DATE: 6. FIRE DEPARTMENT: DATE: COMMENTS: NOTICE or any furth©r construction RECEIPT OF COPY: PLEASE NOTE SIGNATURE OF APPLICANT: N/A: N/A: N/A: N/A: N/A: N/A: DATE: Date Printed: 11/3/2011 YARMOUTH FIRE & RESCUE Commercial Building Permit Sign Off Project Name:Red Rose Inn and Tavern Address:6 New Hampshire Dr. W. Yarmouth Contact Name:Ma T. Reilly Phone #617-872-9933 Y NO NA Subject Regulation E S ® Access for Fire Apparatus 527 CMR 25.02 E Building Numbers MGL Chapter 148 sec 59 *FlanunablegasRlquidstorage 527 CMR 14.03 Fire Lanes 527 CMR 10.03(10) *Service Stations 527 CMR 5 & 9 *11azardous Materials Storage 527 CMR 25.08 *Kitchen Exhaust Systems 780 CMR, 527 CMR 10.03(8) Extinguishers 527 CMR 10.02, Chapter 148 sec 28 *Fire Alarm Systems/CO detection 780 CMR, Chapter 148, 527 CMR 24,CMR 31 *LPG Storage Chapter 148 sec 9,10,28 & 527 CMR 6 El I El M Pesticide Storage 527 CMR 37 *Sprinkler Systems 780 CMR & Chapter 148 sec 26 A-1 Storage inside/outside Buildings 527 CMR 10.03(5) *Upholstery 527 CMR 29 *Trash Containers 527 CMR 10.04 & 34 Any Hazard to the Public Chapter 148 sec 28 *Curtains, Draperies, Blinds 527 CMR 21 Description of planned project/other requirements: Construct 4 residential condominiums. Sprinkler and Fire Alarm plans for permit are required before any work is started. *YFD permit required -depending ots occ pane and submittal Plan Reviewed By: Capt. Sawyer Date: 10/28/11 Copy for Applicant® Copy to ilding Dept. opy to Fire Prevention 0 Y'�R - -o Town of Yarmouth 0.Conservation Commission CA "tom d Building Permit Sign -off Application TO BE FILLED OUT BY APPLICANT: Building Site Location: Map # Lot(s) # Property Owner. XWd A`0 � ~ t le ' Applicant: =eliq Applicant Address: /. -V L! Telephone: %'Z 99 73 Date Filed Ar Gl Project Description: Plans: TO BE FILLED OUT BY CONSERVATION ADMINISTRATOR: Does the Proposed Project Require a Permit? W Comments from Conservation mmiss' Approved Conditionally Approved Rejected MU� Cornpl� L"J'rl-� G'dCA a CorNAiions I, SEF3_ I103 Conservation Commission Sign -off Signature: Date: /U_vg_ 11 ofA,�k,,� TOWN OF YARMOUTH s HEALTH DEPARTMENT �\�7'� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: r Proposed 1-7 ••/f you would like e-mail notification ofsign off, please provide e-mail address: Owner Name: Owner Address: J-0 p U U/le%r Owner Tel. No.: 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, ivindows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY:7DATE: PLEASE NOTE - �a�y�aa�tGP LS' � S TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET ,6 A/a.J A4",arii c. ,O14( Bldg. Site Location _ / Map #: Lot #: Proposed Improvement: Alf,�C—�/�c Applicant: A 'ice �'✓ IF AUzl'^l LL L Albq 4ri /uy Address 3 7 Qllwywe 64, Tel. #:�7 Date Fled: +Mr--yJ, /C/,a. p ;1d$ % RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc... COMMENTS: PLEASE NOTE: Division U Date SITE PLAN REVIEW X FORMAL INFORMAL August 16, 2011 TO: _ASSESSOR (w/o plans) _CONSERVATION _PLANNING DEPT (3) Planning Design Review (All comm. south of Rt. 6) Econ. Development _HEALTH DEPT _ENGINEERING DEPT _FIRE DEPT WATER DEPT Town Clerk's Office (2) w/ plans -for posting _BUILDING DEPT FROM: James D. Brandolini Building Department SUBJECT: SITE PLAN REVIEW AGENDA TIME: 1:30 NAME OF PROJECT: Replace Red Rose Inn ADDRESS: 6 New Hampshire Ave. W. Y. MAP:16 Lot: 54 Chair: FIRE Formal_c_ Informal_Review SITE PLAN REVIEW COMMENT SHEET Persons Present: Karen Greene Kerry Muldoon David Reid Tom RooneyJim Brandolini Marty Reilly Jon Sawyer Amy von Hone Project Summary Applicant proposes to construct new four -unit condominium residential structure to replace Red Rose Inn which was destroyed by fire in December 2010. The previous use consisted of a 10-room (plus 1 mgr. unit) inn, a 45 seat restaurant and a bar. Comments Buildin : (1)The former structure and use were lawful pre-existing non -conforming. (2)The proposed change of use and ris e-construction outside the restoration provisions of Section 104.3.3, require a special permit as per Section 104.3.2. (3)The proposed condominium form of ownership also requires a special permit as per Section 104.4. (4)A special permit required as per Section 301 for the unpaved parking spaces in the front of the proposed structure and buffers. (5)AII work shall comply with the applicable provisions of 780CMR. n Community Develooment: Proposed use is less intensive than prior use and has mitigated the impact on surrounding MV lr natural resources. Recommend that applicant follow-up with DPW regarding the question of existing shell parking along Berry Ave. Conservation: This project will be heard at the Aug 18 Con Com meeting. The proposed work is located to the outer 100 feet of the Buffer Zone or outside of the Buffer Zone. The shelled parking lot is in compliance with DEP stormwater regulation; however this project does not need to apply for stormwater. The project is located within the floodplain thus the project Is subject to the floodplain requirements within the Mass Building Code. Proposed plantings in existing planting beds will need to be native vegetation, preferably with a salt tolerance. The stock pile is best located outside the buffer zone. Desion Review: Not present Engineering: Not Present Fire: Sprinkler system required, will check on requirement for fire alarm system. Lock box required for access to sprinkler control room. Fire sprinkler engineer to follow up with YFD on requirements for a sprinkler installation permit. Health: Proposed use is less intensive than existing (bedroom/restaurant to bedroom only) for a decrease in total septic �i flow. Existing septic system including FAST unit must be Inspected for fire damage and repaired appropriately under a Title 5 permit. Separate electrical meter (common) required for use of the septic system to avoid co -mingling issues between separate condo. units. FAST unit will remain under a Remedial approval with required valid maintenance contract for quarterly inspections with testing per DEP Approval letter and original BOH variance approval. Planning: Not present f Water. Property will require a heated utility room to house fire sprinkler Double Check Valve Backflow Protector. Domestic water services to the property will be provided through the use of meter pits-2. Read & Received by Applicant(s) 'rOWN OF YARNIOUTI-I c BUILDING DEPARTMENT of y 1146 Route 28, South Yarmouth, NIA 02664 .N Cl 508-393-2231 ext. 1261 Fax SOS-398-0836 'Y SITE PLAN REVIEW APPLICATION Date: August 4, 2011 For Office Use Only: Review Dale d —/e—// Time 1 30 Property Address: 6 New Hampshire Ave. , W. Yarmouth Assessors' Map 16 Parcel(s) 54 Zoning District(s): Business Name: R25 Flood Zone: Applicant's Name: 6 New Hampshire LLC Owner or Corp. Name (if different): A Applicant's Address: 41 West Street, Boston, MA 02111 ' Applicant's Phone No.: c/o Martin Reilly — 617-872-9933 Engineer/Surveyor's Name(s): Ronald Cadillac Description of Proposed Project (attach additions pages if necessary): Construct new building to replace the Red Rose Inn, destroyed by fire in December 2010. New structure to contain four residential units. List of all Hazardous Materials and Quantities (attach if nccessary): None Is the Proposed Construction Within 100 Feet of a Welland? Yes X No List and Attach Copies of Prior Board of Appeals Petitions. This information can be obtained from the Board of Appeals Office. g1 95 . 1951 — denied: #21 4 — 1 952— denied Signature of Ap �)Y 3911,.JT,vy?. Rev. 05/06 �f R TOWN OF YARMOUTH o o��y BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, itiiA 02664 503-398-2231 ext. 1261 Fax 508-398-0836 PARKING & LOADING PROVISIONS CHECK LIST Address: 6 New Hampshire Ave., West Yarmouth Date: 8-4-2011 Section: 301.4.1—Paving/Drainage Shell parking presently expsts and is proposed to remain. Section 301.4.1 exemption requested, if applicable. 301.4.2—Parking Space Sizes proposed - 10 x 20 301.4.3-250' Driveway Visibility Non -conforming and unavailable due to site limitations. r 301.4.4—Buffers 15' & 20' front/residential separation —3" cal. Trees new & 4">existing maintain 20' max spacing non -conforming presently, and unable to contain conforming buffers 301.4.5—Residential separation -dense shrubs/fence non -conforming and unable to contain conforming buffers. 301.4.E—In lot trees N/A 301.4.7—Chapter 90 Roads' 250 driveway separation (both sides of street) N/A 301.4.8—wC N/A 301.4.9—Buffers B1,2„1 20' along; ways 10 all others no paving in buffers veg app by site plan review team N/A 301.4.10—Lighting None proposed 301.5------- Parking Demand 4 residential units = 6 spaces. 8 spaces proposed. 301.6 ...... Loading Requirements N/A OFFICE MEETING NOTES ADDRESS: � NAMES OF ATTENDEES: ZONING DISTRICT: FLOOD ZONE: -- MEETING TOPIC: 4i - DATE: i 7/� jJ2 M TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 Telephone 508-398-2231 ext.1261 Fax 508.398-0836 NOTICE OF VIOLATION Mr. Robert Galligan 6 New Hampshire Ave West Yarmouth, Mass. 02673 Inspection Date: 6-20-11 Property Address 6 New Hampshire Ave Owner's Name: Mr. Robert Galligan Mailing Address 6 New Hampshire Ave Inspection type: Complaint West Yarmouth Mass. 02673 An inspection of the above captioned property was conducted by the undersigned during which the following VIOLATIONS were observed. - Dangerous conditions where present at this address, broken glass, bricks, sharp metal objects and numerous other objects need to be removed from this area and graded smooth or the area needs to be fenced in with a permanent fence to keep people out. You are hereby ordered to abate said violation within 10 days. Failure to do so may result in criminal or civil complaints being filed against you, which may be subject to fines as prescribed by pertinent laws and regulations. Signed: Inspector Title p r TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.1261 PERMIT NO ........ PERMIT •. ISSUE DATE ;-12/17/2010- ; PROPOSED U APPLICANT '.KEVIN STAGY JOB WEATHER CARD ...................... PERMIT TO Demolish AT (LOCATION) 10006NEWHAMPSHIFIEAVE ZONING DISTRIC R-25 Bldg. Type: Commercial SUBDIVISION MAP LOT BLOCK 1016.54 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-3 LOT SIZE CONTRACTOR REMARKS DEMOLITION OF FIRE DAMAGED BUILDING - RED ROSE INN LICENSE 53464 KEVIN STACY P. O. BOX 564 AREA (SO FT) EST COST ($ $0.00 PERMIT FEE ($) $75.00 HANOVER MA 02339 6179132273 OWNER IROBT. GALLIGAN BUILDING DEPT BY ADDRESS 10006 NEW HAMPSHIRE AVE WEST YARMOUTH I MA 102673 1 PHONE 16177506161 INSPECTION RECORD FIELD COPY Date Note Progress - Corrections and Remarks I Inspector a-! . — "I, I . /�. /x. ' .. Al :OwIl 1.3 Oullding setbacks (tt) - Front Yard Side Yards Rear Yard Required Provided Renuirad I ar,. 1.4 Ater Supply (HULL c. 40. S S4) 1.S Flood IInformatlon: Corwwts: ublic Private Zone:✓ BFE action 2 - Pronarty Ownnrahin/ei ithnrivnAe.,e..r wn eoI ecordr.—� / s m L �l Wtoa )A Mailing Address: L Telephone Telephone 2.2 Authorized Name (print) Telephone fiction 3 - Construction Services 1 Licensed Construction Supervison Mailing Address: Fax Not Applicable ❑ Po Dok UA Qnt1PR license Number Address 5-3 J16 H GI-7 22-73 Expiration Date Signatur Telephone /7, Z7 - 2oll Iof4 OVFR 3.2 Registered Home Company Name Address Signature Contractor. Telephone Not Applicable ❑ Registration Number Expiration Date Section 4 Workers' Compensation Insurance Affidavit (MAL c. 152 S 25C 1,111V I Failure Workers Compensation Insurance affidavit must be completed and submitted with this application to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes .......... No .......... Section 5 - Professional Design and Construction Services - for Buildings and Strictures Subject to Construction Control Pursuant to 780 CMR 116 (containing more than 35,000 c.f. of enclosed space) Section 5.1 Registered Architect: Not Applicable ❑ Named Address Registration Number Expiration Date Telephone Section Address Name Address Address Signature Professional Name ------------ Address Signature Section 5.3 General Contractor Area of Responsibilty Registration Number Expiration Date Area of Responsibility Registration Number Expiration Date Area of Responsibility Registration Number Expiration Data Area of Responsibility Registration Number Expiration Date Not Applicable ❑ Company Name Person Responsible for Construction Address Signature Telephone 2of 4 ection 6 - Description of Proposed Work (check all appikable) New Construction El(lor muttlpie Iunly onh► No. of Bedroom ([Or muRipA family ordr) No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ 1 Alterations ❑ 1 Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specify: Brief Description of Proposed Work Complete this section N existing building undergoing renovations, additions and/or change In use. Existtng Uw Go* Prcvoeed Ua Gm l — /9 Existing Hazard Index 7110 CMR 34 Proposed Hazard Index 7e0 CMR 34 Section 9 Buildlm Heloht and Area PWmoer d ttaae or 500us Indrde baranrs Uinre Fbw Arse per Floor Ur) Total Area AM Floors (a) Total H (ft) Section 9 , STRUCTURAL PEER REVIEW 178CCUR 11011 Independent StrucUal Engt **" Struoarrd Peer Review RegWrad Yes .......... No .......... SECTION 10a OWNER AUTHORIZATION • TO BE COMPLETED WHEN OWNf:WS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �G ^ r^ t , as Owner of the subject property. here uthoriza �/� �t) on M { o��) �� s -fin _ to act on my e IV ' aN m Ors rel ve to work authorized by this building permit application. atwe d Own Date 3 of 4 OVER 10b OWNER/ it , as Owner/Authorized Agent hereby declare that the statements and information on the forgoing application are true and acurate, to the best of my knowledge and belief. SigneXer the pains and penalties of perjury. VIA VI Print N 1 .JEGUM II • ccIIMAICYY%JFVQInu%oII%jn VVOI�7 Itrn Es*mled Cat (Ooftm) b be My"id by Pam* OPPkarM 1. tlWldkq I ENetrleall 3. POLN thgran 4. Of PI nI r (HVAC) S. FLU PMtftWn a.Tbhloff +2+7+1*6) 7.Tow gI FL ON RM Ouft" a SUMV41 Check Below ❑ Ission FiMng (it appocWO) ❑ Old Kfts Homey A Hbtorical Commission appmvel (H mow) f 4of♦ '.1 The Commonwealth ofMassaehusetts Department of Industrial Accidents Offlee of Invesdgadons 600 Washington Street Boston, MA 02111 www offner ov/dia Workers' Compensation Insurance Affidavits Rt1lIrlP�ri�nnMwwLw�/L+l__�._r Name (Bminesa oimimwon/Mvidual):. `'` istate/Ll Phone ec/7 Are you an employer? Check the appropriate box: I . Ch am a employer with 5� 4. 0 I am a general contractor and I employees (Rill and/or part-time).* have hired the sub -contractor 2. ❑ I am a sole proprietor or partner_ listed on the attached sheet ship and have no employees These sub -contractors have working for me in any capacity, employees and have worker' [No worker' comp. insurance comp. insurance.$ requited:] 3. ❑ 1 am a homeowner doing all work myself. [No workers' comp. insurance required.] t 3a. ❑ 1 am a homeowner acting as a general contractor (refer to #4) S. [ We are a corporation and its officers have exercised their right of exemption per MOL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required] 4-16Q Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. [E"Demofi6on 9. [] Building addition 10.13Electrical repairs or additions I I.❑ Plumbing repair or additions 12.0Roof repair 13.❑ Other " I Any applicui that checks box N I mustdlso d1l out the scction below showing their workers' compeosatiodtoii, informltim Homeowners who submit this affidavit indiatin` they as doing all work and then hire outside coapscton muss submit a new aklrdavit indicating such. tContraetors that check this box must attached an additional shed showing the name of the sub cootractgs and nun w ema. ployoIf this 6b tacontractan have employees, they mua provide their worker' cam, pow, munba bother or not these entities have I an as eaployer that it providing workers' compensation lnr lnformadon, rrraaee jor mJ'employes, Below it the policy and fob silo / Insurance Company Name: c.;04 v Q Policy # or Self -ins. Lic. #: C Ca S` O S —/ Expiration Date. 3 // Job Site City/State2ip: '71 fAA Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requited under Section 25A of MGL c. I52 can lead to the imposition of criminal penalties of a fine up to $1,300.00 and/or ono -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. Be advised that a copy of this statement may be forwarded to the 0 DE a Investigations of the DIA for insurance coverage verification. I do herby G12--T oo r3 penalda ofperjury that the lnformadon provided above is tart and car,, re Offlcla/ are only. Do not writs In thlt area, to be completed by city or town oJJlelaL City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. Cityfrown Clerk 4. Electrical Insp 6.Other ector S. Plumbnn=Inspector Contact Person: Phone #: J Information and Instructions I52 requires an MV%Yh'to FT"NWI= don fbc their COV1byCM Mawchuaete� t39eneral taw" chapter in the service of mother under any consent Of hiM pttrsuaat to this sbduta m ssNe!"ss defined u ...et►ery p�0° express or implied► oW or written." aasociatiO% corpaatlan or other lepl ear, ere airy two of mots An ear/lgw b defined a "s indiridua� � f f ota dweewd employed a dA of the i tregdog wPpd fa a �� or other iepl �h►. �PbY� �PbY Howsnr d w rtxeher err smte. of sa iridlvided. PM'Q' and who raddw therel6 or d w occupant o[the owner of a dwell* h�oaeo 0� not man th»t to do or repdc work on such dweltiog house parse otaaothw who empbye Pawo do msintenanes. comsuctioa . d'°0� thtestb shill mt becawe otsuch employment be deemed to be ere employesG of on the aonods or building �'0t MOL chspow 1529 l25q0 do slates the "ovary shaft w fecal UasrK apaey liar w(thheM flue Waaaee er b to a bettlasee w to esastrttet bsndhV is the 0-8mm - leh der aq renewal srf a lleeao or permk sparer evldesro etesmpWaea wtt! the lanranea avetap nqa�+�" ' l� �� j�2X( states "Noi&w rbs cowmo wow& nor any outs Po�1 o tb the � cow iota asy contract tbt rho peribamana olpubde wady until acaPtabin evido" o! convaosce regnimmeda of this chaplet bars been ptesaoled to dw ate•" Applies" a . please fill out this walkers' a�tb CO'"10l ' b7► ch� � bmree that apply to Ywr afertetioa sad, U we"My, supply zob-c C M nw o(s16 addre*es) nod phase number(s) aloft with On �pC O� that then hwu rsnm Limited Liability CGgmdn (LLC) or Limited LL ilityM@d p kmahipa (1.I3) mmbess or pWbuM em not actlok d to cwq were-' oompeasatlon ltami°Cs' It'n LLC err LL! doer Mrs eitipioYeeti a policy b requh Be advised dint we d Nhvk may be submitted to the Department of Indussid Aaidear cootirmatioa of ioarraan COveralpa. Alan bs mn to sip sad dais tM alfldavlt. Tito affidavit should be retarnsd to the chy or town teat fife eppBeadoa the the parmft or license it being well, I kwitheDepseftnadOf a Wakes Indmtriel Accideata 3basid you !Data aa►y 9n'd00e w the law or i[Yoa an required sbouH eater their comoen.adaa pofky. pkwe nail the Department st the number listed below. Salt-lnevfad eompmiaa _J_-.� City as' Two OlOelsb PICA" be sun that the at1ldevit Is compleea and pcisted legibly. ' tog Dqutmcd hu 1?owicled a span d the banana o! tlr affidavit lbr Yon to fill out la the avert the Office a! laveatigstioae has m con- - you repadby the aPPm please be sate to fM in the papa'I ih which will be used w a reference mm�bw. Is addidon. as appifeaat that must submit multiple pesudgleenae epplicadons;e nay Shva Year, bead only submit Ow affidavit todicating a m' policy hdxnz tiara (if oeeeaawy) and uailve "lob Site Addrese the applicant should write "all loeadow 14(city or town}" A eopy of the affidavit that bra bee odkgsgy >- j m or ntecbd by the City at towns may be provided is the applicant sa peoot that a valid &M&vk to oa Mg dtr Adrare permfb oc liemaee. A new affidavit must be Blind out each yew. Whoa a home ownw or cittssa la obesfning a tk nee orpendt cot rehad ear say bnafaae orcorsotereW veittttrs (Lt. a liaaae a petrdt to bran leaves ems) said person Is ► r required b coagkee this affidavit. The OR%of favestitddons would lib to thank You ha adi mct tau Ywr cooparsdoa and should You haw nay questions. please do not heeitto is giw to a call. flue De,,w,at'a sd&vm teiephose and fkx manbw: IU Commonwealth of Mauachugett Deportment of hAisaid Accident Oft* of Gtvttnlpdau 600 Washington Street Boston, MA 02111 Tel. M 617-7214900 ext 406 or l-877-MASSAFE Fax M 617-727-7749 Revised 11-22a06 www.man.gov/d!s TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: job Location: Number Owner of Property: Street Village Construction Supervisor: - &e.yrK 1z:- c]? Ly e-V 6-3 el V Name License No. Phone No. Address: Licensed Designee: (If other than Supervisor) Name License No. 2.15 Responsibility of each license holder: 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolate subsections 2.15.1, 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes ar No ❑ If you have checked yo, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Car Other type of indemnity ❑ Bond ❑ VAIVER: I am aware that the licensee does not have the insurance coverage required by Peneral Laws, and that my signature on this permit application waives this requirement. .�— Check one: Owner )a Agent I] Building Official Approval: ).. TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext.1261 Fax 508-398-0836 BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, 1 hereby certify that the debris resulting from the proposed work/demolition to be conducted at 19MA Ski /ram i7✓ Work Address Is to be disposed g osed of at the following location: ��iv/v'TpnJ N/� • � 2 S�� Said disposal site shall be a licensed solid waste facility as defined by M.G. Chapter 111, Section 150A. aim arm Sign ture of Ap ation Permit No. ID/who ate o� YAR TOWN OF YARMOUTH of :y BUILDING DEPARTMENT � �-7-• 2 South Yarmouth MA 02664 508-398-2231 ext.1261 s ;a 1146 Route 8, S , R BUILDING DEPARTMENT TOTAL DEMOLITION SIGN -OFF FORM State Building Code (780 CMR) Chapter 1, Section 112.1-Service Connections "Before a building or structure is demolished or removed, the owner or agent shall notifyall utilities having service connections within the structure, such as water, electric, gas sewer and other connections. A permit to demolish or remove a building or structure shall not be issued until a release is obtained from the utilities, stating that their respective service connections and appurtenant equipment, such as meter and regulators, have been removed or sealed and plugged in a safe manner." "All debris shall be disposed of in accordance with 780CMR 111.5." Buildingor Struct a uon: Map: nn-- Lot: Owner'Name: � rddress�.f� t�+L Phone:�77/—z.�/G Contractor's Name:T Phone: 617 S,160 3 2 ( O N tar: i (1 dA l' ;� z N Date: �- By: Title: rwty r.f yAC Ms W National Grid: Date: By: Title: Water Dept.: Date: ) y By: L4 ge Title. S { Board of Health: Date: f I y%t C.> By: iV� Title: D. 2 OF Condition: — Fire Dept.: Date: By: ,(l. &i ,:- Title: Historic Commission: Date: By: Title: Verizon: Date: 1 By Title: i Comcast: Date: By: , . ,��omt4H old .. 79 tV - 'ON U313W 'ON 301na3s �c2p TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location /;//jQ:FTJ jAot Z riVZ Map #: % Lot #: Proposed Applicant: 0 �r Address iko Tel. #:,,5-M! 3yio Date Filed: RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire nt: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkl/erI Systems, Etc... ignature of app scant Date PLEASE NOTE: COMMENTS: nationalgrid 127 Whites Path South Yarmouth, MA 02664 Date December 16, 2010 To: Town of Yarmouth RE: 6 New Hampshire Ave WYA The natural gas service to the above address has been cut and capped as requested. This was done on Thursday, December 16, 2010 If you have any questions please call me at 508-760-7502. Thank you e� AOLIOS� Susan Pykosz Resource Planner nationalgrid +-' NIa%%achu%ett% - Department of Public Safeti 19 Board of BidIdin_ Re_ul:uinm and Standard% Construction Supervisor License License: CS 53464 Restricted to: 00 KEVIN F STACY PO BOX 564 HANOVER, MA 02339 Expiration: 71272011 ! ..................� T. - noon 01111111E ACORO® CERTIFICATE OF LIABILITY INSURANCE °"�'""°°""""' 12 15 10 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(as) must 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 en)orsunen PRooucER Twinbrook Insurance Brokerage 400A Franklin Street Braintree, MA 02184 CONTACT NAVE: Carol McHuah Wr PHONE 7 1 843-7000 FAx .(761) 848-6100 ADDRESS: cmchugh@twinbrook.com FHIJUU565359 INSURE S AFFORDIN 3 COVERAGE NAIL 0 eSURED J. Bonome i Sons Inc 71 Fair Acre Drive Hanover, MA 02339 INSURERA: Selective Insurance INSURER B: INSUR C INSURER D• INSURER E: INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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. NSR TYPE OF INSURANCE COL SUOR POLICY EFF POLICY EXP LIMITS OUCY NUMBER M/DD/Y MJ,DDI A GENERAL LIABILITY CONWERCIALGEM RALLIABIITY CIAMS4AADE a OCCUR X S1827440 11/10/1011/10/11 EACH OCCURRENCE DAMAGE TO RENTED r,,m f 11000,000 f 200,000 Wo OF N Oro pram $ 10,000 PERSONAL& ADV INJURY f 11000.000 GENERAL AGGREGATE f 3.000.000 GEN'LAGGREGATELMITAPPLESPER POLICY X JECT PRO- LOC PRODUCTS-CDMPAWAGG f 3,000,000 f A AUTOMOBILE LIABILITY ANYAU70 ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NONOWPEDAUTO.S A9091063 9/30/10 9/30/11 COMB NED SINGLE LIMIT Es swidert) f SOO, OOO BODILY INJURY (Pv psi ) f BODILY INJURY(Psr wdderA) PROPERTY OHMAGE psracadw+O f f X X X f s UIBTELIAUAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANYPROPRIETOPoPNiTNER)ED7)E JTNE YIN OFFXERA.EAeER EXCLUDED? plarrdabryln NH) N yyees, dms 'b*urgar DESCRIPTION OF OPE ?IONS DeIaw NIA WC 7264051 1/3/10 1/3/11 X �STATU- oTH- EL.EACHACODENr ZOO 000 E.L. DISEASE - EA EMPLOYEE f 100,000 E.L. DISEASE-POLICYLMR $ SOO OOO DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101. Additional Rslnrks 3dwd„ Is, Km spew Is npJ red) Fax: 508-398-0836 CERTIFICATE HOLDER CANCELLATION Town of Yarmouth Building Department 1146 Route 28 Yarmouth, MA 02644-4492 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE ® 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The AC ORD name and logo are registered marks of ACORD 'ro%%*N of YARMOt!T[I BUILDING DEP.1RDIEN I' 1146 Rnme M .uulh Y;irtitutilh- .N1A 02664 5118-398-2231 e%t. 261 Fa% Si)8-398.11836 Permit Number — Date Issued Expiration Date TRENCH PERMIT Pursuant to G.L. c. 82A § 1 and 520 CMR 7.00 et seq.(as amended) THIS PERMIT �xUST BE FULLY COMPLETED PRIOR TO CONSIDERATION NameofApplicsnt Town of Yarmouth Water Dept. Phone 508-771-7921 Cep Street Addrea 99 Buck Island Road C11y1Tovvn West Yarmouth MA I ZIP 02673 None of Excavator litdifterent from applicant) Phone Cep Sired Address Town of Yarmouth Water Dept. 508-771-7921 99 Buck Island Road Citylrown MA ZIP West Yarmouth 03673 Name of owner(s) of Property;6 ] G6- 11 Phone Cep 0'v �j (� n L ' �� v r _' l� Street Address (a `Ivv,rn ' / sh ve Chyfrown MA ZIP W(r . 0 DL (o -7 3 Other C tact Permit Fee Received No I Yes I Deseript" location and purpose of proposed trench: Plesse describe the exact location of Ube proposed trench mad its purpose (Include a desicriptlon of what is for is intended) to be laid in proposed trench (eg: plpedcable lines etc..) Please use reverse side if additional space Is needed. i C Q r9Q� C at-=� C Insurance Certifkste M: Town of Yarmouth —self insured Nome and Contact Infnrtnatl-rn of Insurer: -- _ _ • Pam Barnes Barnes — 508-398-2231 ext.: 270 V ante of ( by 520 (AIR 7 co 1 of2 SERVICE NO. VILLAGE 2 O /3 a547 .t� METER NO. n r �/i VNG�rl-2 I N S')pE r. 0 OFFICE MEETING NOTES ADDRESS: �'�� DATE: NAMES OF ATTENDEES: ZONING DISTRICT/: q FLOOD ZONE: c MEETING TOPIC: FWtAl Mj ,M TOWN OF YARMOUTH Building Department BUILDING • - - .. - - . (508) 398-2231 ext.1261 PERMIT NO B-11-15f3 , ISSUE DATE ..816/2010_ : PROPOSED USE PERMIT APPLICANT FiobertGilligan --- - JOB WEATHER CARD ............................. PERMIT TO Use and Occupancy. AT (LOCATION) 10006NEW HAMPSHIRE AVE ZONING DISTRIC R-25 Bldg. Type: Commercial SUBDIVISION MAP LOT BLOCK, 1016.54 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-1 LOT SIZE E� I CONTRACTOR USE & OCCUPANCY - BED & BREAKFAST/RESTAURANT - OCCUPANCY SUBJECT TO ALL FINAL REMARKS INSPECTIONS - RED ROSE INN Note: Second Floor use is subject to providing second means of egress. AREA (SO FT) EST COST ($ $0.00 PERMIT FEE ($) 550.00 OWNER Robert Galligan UI ING DEPT BY ADDRESS 0006 NEW HAMPSHIRE AVE West Yarmouth I MA 10267365y LICENSE O 5067713010 Certificate Issue Date o`✓i ��J CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy antl Co''in"p"lland e Insoector Data Permit Number ADoroved By Remarks BUILDING g•r .�(• f.g PLUMBING/GAS p Q ELECTRICAL i0 ENGINEERING HEALTH � ol•c �e ?�av � 1 4�= FIRE 4( 230 WATER All, OLD KINGS HM /y" To be filled In by each division indicated hereon upon completion of its final inspection. I Date: October 22, 2010 ' TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext.1260 APPLICATION FOR CERTIFICATE OF INSPECTION PAYABLE UPON RECEIPT ( X ) Fee Required $ 100.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below -named premises located at the following address: Street and Number. Name of Purpose for which permit is used: _ License(s) or Permit(s) required for the License or Permit Certificate to be issued Address: & Owner of Record of Address _ &i of Signature of person to yfio Certificate is issued or 's agent governmental agencies: Instructions: Make check payable to: Town of Yarmouth Return this application to: Agency 1146 Route 28, South Yarmouth, MA 02664 Building Inspector's Office Please note: Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. Application must be received before the certificate will be issued. The building official shall be notified within ten (10) days of any change in the above information. PLEASE SEND US A COPY OF YOUR WORKER'S COMPENSATION INSURANCE FORM WITH THIS APPLICATION OR WE CANNOT ISSUE YOUR CERTIFICATE OF INSPECTION. Certificate # ` 1 Certificate Dates: 01/01/11-12/31/4 The Commonwealth of Massachusetts City\Town of New and Renewal Certificate of Inspection In accordance with 780 CMR, Chapter 1(The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to further enhance fire and life safety), this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to RED ROSE INN - TAVERN 2883 Identify property address including street number, name, city or town and county Certificate Expiration Located at 6 NEW HAMPSHIRtE AVE DECEMBER 31, 2011 WEST YARMOUTH, MA 02673 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group DINING —42 TOTAU 49 Classification(s) PERSON PERSONS A-3 7-BAR STOOLS Allowable Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal MICHAEL A. WALKER Name of Local ANDREW ARNAULT Date of Fire Chief Building Inspector Inspection Signature of Municipal Signature of Local Date of Fire Chief Building Inspector Issuance 0 194E (jffVMMWtfUVa1t4of 'Mazzar4uZAts TOWN OFYARMOUTH In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued toRED ROSE INN ........................................................................ I Certify that 1 have inspected the INN known as RED ROSE INN ................... ........................... located at 6 NEW HAMSPSHIRE AVE in the TOWN o f WEST YARMOUTH ............................... ............. ...................... County of Barnstable, Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Story Capacity Story 1st 1 bedroom on ist approved for use 2nd manager's use brily Place of Assembly or Structure USE GROUP R - 1 CLASS 5-B # 2825 Certificate u er BY STORY Capacity Story Capacity BY PLACE OF ASSEMBLY OR STRUCTURE Place of Assembly Capacity Location or Structure Date Certiftate ssue ' AUGUST 25, 2011 Date ert ca a ExptreT Story Capacity Capaci Location The building official shall be notified within (10) days of any changes in the above information. ies i. TOWN OF YARMOUTH Building Department (508) 398-2231 ext. 61 BUILDING F PERMIT NO B-11-158-p- - •.`,;.. ISSUE DATE ;::8/612010:: ; PROPOSED USE PERMIT APPLICANT .RobertG -'illigan -""........" JOB WEATHER CARD PERMIT TO Use and Occupancy, AT (LOCATION) 10006NEW HAMPSHIRE AVE ZONING DISTRIC R-25 Bldg. Type: Commercial SUBDIVISION MAP LOT BLOCK 1016.54 BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-1 LOT SIZE O USE & OCCUPANCY - BED & BREAKFAST/RESTAURANT - OCCUPANCY SUBJECT TO ALL FINAL REMARKS INSPECTIONS - RED ROSE INN Note: Second Floor use is subject to providing second means of egress. AREA (SO FT) EST COST ($ $0.00 PERMIT FEE ($) $50.00 OWNER JRobert Galligan UI IING DEPT BY ADDRESS 10006 NEW HAMPSHIRE AVE West Yarmouth I MA 10267365y CONTRACTOR LICENSE 0 5087713010 Certificate Issue Date � � � 11�v/r] CERTIFICATE of OCCUPANCY Departmental Approval for Certificate of Occupancy and Compliance Inspector Date Permit Number ADaroved By Remarks BUILDING Q•��r .��. r.8 PLUMBINGIGAS p %e ELECTRICAL to 1, ENGINEERING -77 HEALTH �• � �.4 Se fi OI•( f'ue �� p , FIRE 4f 23 WATER 4-114 OLD KINGS HWY /✓' upon Inspection. SYN, TOWN OF YARMOUTH Building Department BUILDING (508) 398-2231 ext.1261 PERMIT NO B-11:i58. ..... PERMIT ISSUE DATE ;..8/6/2010 _ ; PROPOSED USE ; APPLICANT ,RobertGilligan JOB WEATHER CARD .............................. PERMIT TO Use and Occupancy, AT (LOCATION) 10006NEWHAMFPSHIRE AVE ZONING DISTRIC R-25 Bldg. Type: Commercial SUBDIVISION MAP LOT BLOCK 016.54 LOT SIZE BUILDING IS TO BE: CONST TYPE 5-B USE GROUP R-1 USE 8 OCCUPANCY - BED & BREAKFAST/RESTAURANT - OCCUPANCY SUBJECT TO ALL FINAL REMARKS INSPECTIONS - RED ROSE INN Note: Second Floor use Is subject to providing second means of egress. CONTRACTOR LICENSE O AREA (SO FT) EST COST ($ $0.00 PERMIT FEE ($) OWNER Robert Galligan BUILDING DEPT BY ADDRESS 0006 NEW HAMPSHIRE AVE West Yarmouth I MA 02673 HONE 15087713010 INSPECTION RECORD FIELD COPY Date Note Progress - Corrections and Remarks Inspector Da V -/ 9 -I o / /A w-M C/1� < i /Ni1 /tLtil�� A cc eJ5i24 BUILDING PERMIT APPLICATION . . APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE, OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING. Trnvn of 15miciuth Building Department 114fi Ruutr'1R - 1snnuuth.1NIA 021ifi44492 Tel: (508) :19ti-2231 x261 - Fax: (308) 39M836 .. off" ony Plarelkg Board Infonnaeon Permit No. S Date pan T Permit Fee S�Ob Embumtret Dar Raw Deposit Rec'd. S. Date Am Daft Plan No. Net Due o0w for Asamm Dqumw t Intormaeon: - MW Lot c� AUw 1.4 Propafp DlnNntlarc Lot Arn (sq Frontape (IQ lot Courage I Signature: 5C//6 II C a arw 001" Da Secdort 1 - Site Inkrrna*m 1.1 1.4 zonfrq Irdonnaeon: �- A s Zoning District Proposed Use 1.3 terttakm setsecks (n) Front Yard Side Yards Rear Yard Required I Provided nanwrwl S)rn,... . 1.4 tlemw !r#h W.&L a 4a s "1 I 1.s Flood tans Iriorrnaeonc Corr awft Public Private Zone BFE; Section 2 - Property Ownerehln/ArrthM7M en.-,. =" L MailkgAddreee: tun Telephone T 2.2 Authorized Agent G'Q NORM WWI MarlingAddresa: Signature Telephone Fax Section 3 - Construction Serilc" &I Lk- a4 Cantnathm Supmvl D AUG o s 2010 Address if Licerm number Expiration Date nvFA n 3.2 Registered Home Imp rovement contractor.I Applicable O company Name Not Registration Number Address Expiration Dale Stratu a Section 4 - Workers' Compensation Insumnce Affidavit (M.f3.L G t 52 9 25C let must be completed and submitted with this application. Failure Workers Compensation Insurance affidavit in the denial of the issuance of the building permit. to provide this affidavit will result Signed Affidavit Attached Yes .......... No .......... S . Professional Design and Constnktlon Services' for 8uilolngs and Structures 3ubjed EnC�onsvmftnControl Pursuant to 780 CMR 116 (containing more than 38,000 C.I. of enclosed space) •rf.I�w.J. swoon o.Jn rarvrowr.,\...\...._ WApplleebMO Name IneewnaMM Reoiraeon Number Address , ExpkaMn Dare Telephone Slgnsttue Section 6.2 Segistsr id Professional En nee s Am of Reeponelbary Nerve Re{jatraeon Number Address TelepharN Expkatlon Oeb Signnturs Naellle ArM d RNponeDlay Address R90 Vatlon ►h rrow Telephoto Eapkalbn DaEa Slgtotun Ana d Reeponsbaq Name Address RebaVaea+feumWr Erpirown Dam Telephone Signabxe Area of RMY Name Reosntwn Number Address Telephoto E.pw~ Dale Signature Section 5.3 General Cantrador Nof Applitabls i] Cerrrpany Name Person Responsible for Construtllon Address Signature Telephone m 2 of 4 Section B - Description of Proposed Work (check all applicable) New Construction ❑ (lot multlple Ismily ony) No. of Bedroonq Existing Bldg. ❑ 1 Repalr(s) ❑ 1 Alterations ❑ I Addition ❑ Accessory Bldg. ❑ Type I Demolition Brief Description of Proposed Work: (lot multiple family only) No. of Bathrooms Specify: [Complete this section N existing building undergoing renovations. additions and/or change In use. Exlstlrq use Group: ��& -/1 Proposed use Group I Existtrq Hazard Index 780 CMR 34 Proposed Hazard Index 780 CMR 34 1 Section 8 Building Height and Area Nwnber of foam at $odes WCkxle bal~ hrf" Hoar Mee per Floor 1&0 Total Area AN Floors (SO Total H (n) Section 9 - STRUCTURAL PEER REVIEW 780CMR 11011 Indepwx*M Structural Engi ow" ShxUal Pow Review R"Ared Yes .......... No .......... SECTION 10a OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT It . as Owner of the subject property. to act on by this building permit application. Owner Date 3 of 4 OVER I, � -i�, t ( , as Owner/Authorized Agent hereby declare that the statement d information on the forgoing application are true and acurate, to the best of my knowledge and belief. Sign under the pains and penalties of perjury. I it ' . _ (Section 11 - ESTIMATED CONSTRUCTION COSTS eau�r.:: �� ;ry+aral to be MPOWN+odkem 2. ElacVkal 3. PRrndr I au 4. MaohaMW (HVAC) & Fko pmtaP", a.Tblal.(I+2+2+4+5) 7. Tbtal Spuue Ft Pw eaw Wumm 4 mdN" Check Below ❑ Conservation -Commission Flung (i} applicable) ❑ Old Kings Highway 3 Historical Commission approval (if applicable) Date r 4of 4 ,1� M 2. ❑ I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required:] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required] t 3a. ❑ I am a homeowner acting as a general contractor (refer to #4) Workers' Name The Commonwealth of Massachusetts Depatrtnent of Industrial Accidents OJfiee of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ` 1& 10t4Lrd"P; / n Phone M Are as employ ?Check the appropriate box: V 1 I am a employer with Z V 4. 111 am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.: 5. 0 We are a corporation and its officers have exercised their . right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance retruiredl Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. 0 Building addition 10.0 Electrical repairs or additions 11.0 Plumbing repairs or additions 12.0 Roof repairs 13.0 Other ;Any applicant that checks tax # 1 must also fill out the section below showin - I t tim Homuownen who submit this affidavit indicuinp they are doing all work and thorn hires ou outside tors must submit afa mew affidavit indicating such. IContnetora that check this box must attached an additional sheet showing the name of empthe sub-comttacton and state whether or not those endues have employees. If the sub -contractors have employees, they must provide their workers' comp• policy member. Ian an employer that Is providing workers' compensation insurance for my employees. Below is the policy and Job site information. Insurance Company Name: Policy # or Self -ins. Lic. M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the worken' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 da ainst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of DI oio overage verification. I do here/ e nd pe olPcrlary that the information provided a Jryme and eonrct O,Q?clal use only. Do not write in this area, to he compkted by city or town oJ)7daL City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. Clty/rowo Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Pen on: Phone #: Information and Instructions Last chapter 132 mvim all am 10*2 to P�de wO�' Compensation rot their tnploy� M Missachwettt t3 atut is defined as "...every PCon in the service of another under arty cantrsd of hire. pueruaat to thin statute. an awpliyN . exPrest at implie4 oral or written." "sat indiridtralr putaashiPr suocidloa. coMoratioa a other lepl endtyo or my two of more o f sat lqwftgp is de8aod m in a oid cOICIPtiue and inchd"ll the kW' ota deaascd employs, a the receiver �of hurts of an i vidwi. pet tnenw of other lepl eattlyo empbyiai V10 o Howe�'ec the OccuPeed not more than thug sputmeat and who caides tbereit4 f the owner of a dwelling hnme having to do mainteaanconeWctios of repair work on such dwelling house of on the sounds a building apP'+sdwelling hotrte of another who employs ceo time "not because of such employment be deemed toboas emplow of �°f MOIL dmpte 1320125Q6) also star" the "Very tteb err Kcal Ummiag army deaa wf&&M tee istaasee K —,• �-.....tab a badseea a< is eeustrud bulidiap V tea ceosoawttalth " renewal d a seem" err Pp "-- -- -. .._ _� �e fasarases rewrap requir appihad wbe bee net produced aa""Al evldesa of _ - ,+ddidaoaUyo MOL ceepler 1329 }25(n states "Neither the consstosweahh nor my of its Potldal with 6; inetwance enter into my contract for the perfifmaace of pubdo wash tmW acceptabb ervidasee o[eoa:plimce bees psaented to the cwbsedng authority." requhemeat of due ehspter haw Applies Please till out the walker ' eompmasdos affidavit eomPktelyo by chn" the boxes that apply to Your situadan a4 if neM=yo only e) ntme(a), edd v*cs) and phone mrmbt(s) alodll wile their catificste(a )other than the imtasnca Limited Liability Coapedd (LLC) at Limited Ll MHV Putoerships (LLP) with oo ernPba ye nwmba or parsers, are not m4pired to carry wow' radon houncL It an LLC of LLP does have employ cent a Polley is required, Be advised the We affidavit may be submitted to the Department of ftdU&W Aaideds At ceofitmaddou of innatwe gyp. Are be the to nip and date the af>fdavI L The affidavit should be returned to the city a town teat the appdadm for the Ptmitt a tieease is being requested. set the Dep.etmest of Indnsttial Accident. should you have .ay quesdone the law or if you are required to obaab a wosbrs' leacan the Deputam at the number listed below. SW-imesed comptdes should enter their cull"_e' pse ueAr os the soccovaide iloe.BMW City W Two Ot2ldab Pleaee be sat that the &@!davit is complete and printed k&ly. . 'Ib Department has provided a space at the botlom of the ansdavif for you to fi11 out is the event tho office of Invesdpdam h&a to coetxt yet repsdiug the aPPHc3A Please be sae to f111 in rho perrddlitemo number which will be used as a mferenee "amber Is sd&d^ an &Ppiiemt the must submit [=*Is pe midticc°~ applications in any silver yearg nerd only submit ace IRMDit iodiadni current easu pogry i &dos (if neey) and under "Job site Adth+ese the applicant should write "all beatbns is (city or twvn)." A copy of the affidavit that has bees officially stamped or aserhe ' by the city a town may be Peavided to the applied ■Proof that a valid affidavit is os file ex ibtxo perafit a licemes. A new affidavit must be filled out each yew. Where a proof owner a cidms is obtaining a license � � not relate to a:� � commeseW veneare SdaviL (Le. a dot lieena err Pa to bum lava ere.) acid person required eoap The Oaks of tavesdpdona would lib to thank you in advance for your cooperation and should you have any 4uesdo°ae plea» do ant hesitate to give as a all. Ilse Depattneas's address, telephone and fax mmeber: 'tile Commonwealth of Massachusetts Department of Industrial Accidents 0lflee of favestipdoae 600 Washington Street Boston, MA 02111 Tel. a 617-7214900 tact 406 or I-g77-MASSAFE Fax 11617-727-7749 Revised 11.22a06 wwwntan.gov/dis TOWN OF Y A R M O U T H emvLE�`1'RIco. m GAS 1146ROUTE28 SOUTH YARMOUTH NASSAGMSE['1304664.Ml pLUmiLNG Telephone (508) 398.2231. E:L 261 — Faz (b08) 398.2368 SIGNS BUILDING DEPARTMENT DEkOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G. I hereby certify that conducted at Chapter 40. Section 54 d 780 CMR, Chapter 1. Section 111.5, e debris resulting fr m the proposed work/demolltion to be is to be dispoxd of at the Said disposal site shall be a licen Chapter 111, Section 150A. j Signature of Applicant Permit Vo. j solid waste facility as defined by M.G.L. Data -. �.; �I '•.. �. TOWN OF YARMOUTH Building Department Town Hall V Yarmouth, MA 02664 (508) 398.2231 ext.1261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-11-046 Applicant Name: Robert Gilligan (OFFICE USE ONLY Recorded By: Ic Permit Fee: $50.00 Deposit Rec: $50.00 Payment Type: Check ChkNo.: 719322 Net Owed: $0.00 Application Date: 8/3/2010 Issue Date: Expiration Date Comments: Map/Lot: 016.54 Applicant Phone: Building Location: 0006 NEW HAMPSHIRE AVE Owner's Name: Robert Galligan Owner's Addres 0006 NEW HAMPSHIRE AVE West Yarmouth MA 02673 ' Owner's Telephone: (508) 771-3010 REVIEWED BY: 1. WATER DEPARTMENT: 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: PLEASE NOTE COMMENTS: RECEIPT OF COPY: USE & OCCUPANCY - BED & BREAKFAST/RESTAURANT-OCCUPANCY SUBJECT TO ALL FINAL INSPECTIONS - RED ROSE INN ZONING APPROVED DATE: DATE: DATE: DATE: DATE: DATE: N/A: N/A: N/A: N/A: WA: WA: Date Printed: 8/3/2010 YARMOUTH FIRE & RESCUE Commercial Building Permit Sign Off Project Name Red Rose Inn Address 6 New Hampshire Avenue WY Contact Name Robert E. Galligan Phone# 508-771-3010 ENO NA Subject Regulation S x Access for Fire Apparatus 527 CMR 25.02 x Building Numbers MGL Chapter 148 sec 59 z *Flammable gas/liquid storage 527 CMR 14.03 x Fire Lanes 527 CMR 10.03(10) x *Service Stations 527 CMR 5 & 9 x *Hazardous Materials Storage 527 CMR 25.08 x *W tehen Exhaust Systems 780 CMR, 527 CMR 10.03(8) x Extinguishers 527 CMR 10.02, Chapter 148 sec 28 x *Fire Alarm Systems/CO detection 780 CMR Chapter 148, 527 CMR 24,Ch/ 31 x *LPGStorage Chapter 148 sec 9,10 28 & 527 CMR 6 x Pesticide Storage 527 CMR 37 x *S rinkler Systems 780 CMR & Cha Pter 148 sec 26 A -I x Storageinside/outside Buildings 527 CMR 10.03(5) x *Upholstery 527 CMR 29 x *Trash Containers 527 CMR 10.04 & 34 x Any Hazard to the Public Chapter 148 sec 28 x 11 *Curtains Draperies, Blinds 527 CMR 21 Description of planned project/other requirements: Night Contact Hugh Sheridan Phone# 617-750-6161 * YFD permit required -depending on occu ancy and submittal Plan Reviewed By: _Depu b elle er Date: 8/4/2010 Copy for Applicant = Copy to Building Department Copy to Fire Prevention r_� TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site / 1 A / `.% '4- 'rbUII. CLriS I 7\ • •If you would 11 nolificati n of sign off, pleasp provide e-mail address: c, Owner Tel. No.Lgr—e77%-3d /e) Date Filed: Owner Address: n Owner Tel. No.:,�alLEO 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 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: PLEASE NOTE COMMENTS/CONDITIONS:— `E� V 1 C7, JeZ jo Aiv& TE: z TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext.1261 SIGN 1g7%j- PIjQAt�'ION Date "03 a:J� Pemut No.Applicant Instructions1) Applicant shall complete both sides of ap 2) One application form is required for each type of sign. Each sign will be, assigned its own permit number. 3) Applicant shall attach a separate 8 W"x I I" sheet including two diagrams: A) Design, dimension and colors of the proposed sign(s) B) Freestanding Signs: Indicate location of the proposed sign(s) with setbacks from property lines that are at least 6 feet. Attached signs: must show running footage of portion of building frontage occupied by business. Location / Address for proposed Assessor's Map Lot Zoning District: B1 B2 B3 Res Hist.Dist Name of Business for proposed Name(s) of Business Mailing Address of Business I Business Owner(s) Phone: Business _ — 29 --solo Name of Building Owners) E-;-,) t(_- �� 1 �,vPhone Sign Builder Sign Materials ,W Gb7 Sign BuilderAddress Phone Internal Light External Light Freestandine Sian(s) Size of proposed Freestanding Sign: C�< Attached Sian(s) Size of proposed Attached Sign: Temporary Sian(s) Size of proposed Temporary Sign Dates of proposed Temporary Sign: 2 Please complete other side of Sign Permit Application All Permits are subiect to the approval of the Sign Inspector I hereby agree to conform to the provisions of Town of Yarmouth Zoning By-law Section 303 governing sign construction and installation. I further agree that this sign will not be altered, added to or changed in any way unless a new permit has been issued. Sign Permits are not valid until the Building Commissioner issues Use and Occupancy Permits (where appjicable). Signature of Applican . r"& Property Owner sign application. This Permit Replaces #, Approved by: Date applicant to act on my behalf in all matters related to this Date Date 8.0j! - / a �-� With the following conditions: 3 oz . y. f`y.. 1 C2) I have read and understood the conditions of this Sign Permit listed `'iliUlillNiftittu�«u�••••....--- ---' .Q ' 3 a J�S t 7 - 08 ...1 1 4 1 *It j 4L 1.7 1 *44 VI A P a . MA - Til III d 91 . . 4 �w —' --- RLD Aug ''ROSL ��`—�� —�-xo''.— '—'......''.�/ —~—~---—'.— / '�—r- WA p iow ~rw a N r duUmm�-- y, l,, ... �-' ► Oak do 1ido Y tow I 4 AL ow r rr.. .' :� �� `�,- �S ew � �•�T-T7 - _ - f. �++�!' .C��py `w �r�i '•,��I , ♦ �. 'S ., J 12s!% �- K e'rt� ice' ,.�7�c- +.-�'- —"•- _ r 'F�i — _ • ~�* , Move rieree W 15, 260±S*F*/:. c, ' o� LLJ LIJ 60 _tz— 94 `1r v>�6, 7 W f r • MIT" { �� Office Use BUILDING PERMIT APPLICATION APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE, OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING. Trrwo of tiiirniouth Building Deparournt 11.16 Route 2A • larmuuth, ,%lA 021it 44-l92 Tel: (508) :198-2231 r261 • Far: (508) 398-0836 Only % PWmkq Bond Infamaflm Atsmm Depa wwrd IMormaeon: Permit No ` 1" 1 Patel 3 Twe Permit fee S C;V Endorssrn«d Dad ��hh��,, AlmDeposit Rec'd. S u Date D>ot 1.4 Pro" Dlnwnsimm Net Due S e-7—tof Ara (sQ Fro tW (M Lot cowip Thle Section for OBlce Uee QVw I Sin�Lye'eCBulav� �oftw D ~` ow II is T!lend In n Am Section I - Site Inform don 1.1 fir 1.2 Zor*V Irdortnatlon: que 925 Zoning District 1.3 NuOding Setbacks (M) Fmnt Yard eu— v-�_ AUG 0 3 2010 Required - -- Provided Required - "am ►alu Provided 13fired Provided 1.4 Raeder ftppft (IL&I- a 4& • Mt 1.5 Food Zane tnaft Public Prtvate zow BFE s • P rah Atdflorized tint JUL 29 / , / ,,, BUILDNG Tilephons Mading Addr...: Signalws Telephone Fax Section 3 - Construction SwAcee M Ueensed C sanrotlM eu/rvlsen r 1 rn n �aS-S l NO Applicable '1ds-i3 License Number 61-),yI i r/ Expwa.on Dale 1014 nvFR 3.2 Registered Home Improvement Contractor. conwam Nava NdApplkMIS ❑ i Regbtratlon Number Address Exoradw Dam Slgnatt" Telephone Section 4. Workers' Co rtsatlon Insurance Affidavit (KO.L C. 152 S 45C (e) Workers Compensation Insurance affidavit must 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 ........ No .......... ction 5 - Professional Design and Construction Services - for Buildings and Structures Subject Constr cticn Control Pursuant to 780 CMR 11 a (containing more than 35.000 c.f. of enclosed space) E Section 5.1 R catered Architect: rror AppllmW O Nana (RaebtrNdM Raglaueeon Martie► Address , EaDft* n Dam Signaltue Tslephorte Section 5.2 R Istered Professional En nee s Ana d Rxpaosibwq Nana Address Re" aeon NWOW Telepho V SlgMttue EI own ArM d RaporsDaq Naw�a Address Rabatretlon trurribe► Signature TslephoM EapkaM Dam Ana of Rapona Mq Nana Rebatradan rrumbar Address EjvWatlon Dam SWUM"Telephone At" of ResponaOMY Narita . Regbtratbn ► uftW Address Signawm Telephone E.prMM Oare Section 5.3 General Contractor Not Applkabm ❑ cornMny Nan» Person Resp"ble for constrtxtbn Address Signature Telephone 2 of 4 �diwr. a _ nnenrrnlinn of PmnAcM Wnrk Icha * all amodca61e1 New Construction ❑ (for multiple family only) No. of Bedroom (for multiple family only) No. of Bathrooms Existing Bldg. ❑ r Repair(s) ❑ Alterations ❑ Addition ❑ Accessory Bldg. ❑ Type Demolition Other Specity: Brief Description of Proposed Work: ' � S v� ►rL4�s t C ITI Complete this section If existing building undergoing renovations. additions and/or change In use. Existnp Use Grail:' . h Proposed Use Group: -4 P r Existing Hazed Index 780 CMR 94 Proposed Hazard Index 780 CMR 04 Section a Building Height and Area Number or noon Or exuiee Wx*4e beeenwx h"M Floor Ate per Floor 1e0 Total Area AN Floors Total Heigf>t (it) Section 9 - STRUC Independent Strun UW SECTION 10a OW EER REVIEW (780CMR 110 Sinrctwal Peer Review R*gUred HORIZATION - TO BE COW TRACTOR APPLIES FOR BI Yes.......... No .......... . as Owner of the subject property. to work authorized by this building permit Date to act on a 3 of 4 OVER IOb OWNER/ AUTHORIZED I, 1C.1I5�,a,� , , as Owner/Authorized Agent hereby declare that the statements and Information on the forgoing application are true and acurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Signs a of Ownellftont Date Sectlon 11 • ESTIMATED CONSTRUCTION COSTS EiWeeled Cost (Dollar) Io be o&rwW*dbyP@(rnN FPS" 1. ealdkp �U 60 0 2. Elatrkal 9. Pk n" / tiara 4. Medwieal (HVAC) a. Ro Pmlactl, a,Tdal■(I*2+3r.4+5) 7. 7blal Sprwe Ft Pr nm ramm a saeeal Check Below ❑ Conservation -Commission Filing (If applicable) ❑ Old Kings Hlglr*V & Historical Commission approval (if applicable) 4of 4 TOWN OF YARMOUTH J s BUILDING DEPARTMENT ,77771 CONSTRUCTION SUPERVISOR FORM / PLEASE PRIM. 11 job Location: K rachlt� AG III,%. Numlx�, reef Village Owner of Property. �p Construction Supervisor. 3 Name nn License No. Phone No. :lciclrc�cs: �� PG H �� 1'+�ntc • �-0>7 Mp.. CY Licensed Designee: (If other than Supervisor) Name Liccnse No. 2.15 Responsibility of each license holder. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elementsof building and structures only pursuant to the state building axle and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfully violate subsections 2.15.1. 2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall he responsible for requesting all required inspections. Failure to (In so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing constriction supe ivisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes ❑ No (f If you have checked = please indicate the type coverage by checking the appropriate box. A liability insurance policy Q Other type of indemnify ❑ Bond I am aware that the licensee does not have the Insurance coverage required by aws, and that my signature on this permit application waives this requirement. cnecx one: SyWe of Owner or Owners Agent Owner Agent t] Signature: Building Official Approval: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington street Boston, MA 02111 www.massgov/tiler Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers nlloont Tnr... .".— Name Address: lex Phone #: 7 91 :5E6 y Z. 6 Are you an employer? Check the appropriate box: 1. 111 am a employer with 4. ❑ I am a general contractor and I employees (full trac and/or part-time).* have hired the sub-contors 2. I am a sole proprietor or partner- listed on the attached sheet ship and have no employees working for me in any capacity. [No workers' comp. insurance required:] 5. 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required] t 3a. ❑ I am a homeowner acting as a general contractor (refer to #4) These sub -contractors have employees and have workers' comp. insurance.; We are a corporation and its Officers have exercised their . right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp, insurance reauiredl Type of project (required): 6. ❑ New construction 7. ❑ Remodeling g. ❑ Demolition 9. Building addition 104:1 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12-Q Roof repairs 13.[o Others, &.r>7 P 5 ;Any applicant that check box # 1 mast also fill out the section below t Homeowners who submit this affidavit indicating showing their workers' compensatiodtolicy ln[�y� R they am doing Alt work and then hire outside contractors must submit a new affidavit indicating such. tContracton that check this box must attached an additional sheet showing the Ulmer of the subcontractors and state whether or not those entities have employees. If the sub -contractors have employees• they must provide their workers' comp. policy number. ,ran an employer that is providing workers' compensation insurance for my employees Below is the policy and fob site lnformadon. Insurance Company Name: Policy # or Self -ins. Lic. M Expiration Date: Job Site Address: City/Statc/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herby 11under the pains and penaitla 7? • � of perjury that the lnformadon provided above is true and correct. t/ 1 J Q(jfcld use only. Do not write in this area, to be completed by city or town oj)7daL City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. Cltyfrown Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions • for their employees. Maaeschosens General Lawn chapter 152 requites ill emploYdn �P -"ewe o mo[ ner f coatr.ct V*CC Pursuant to this stabg% an uePkym is defined as "...every petsoe of hit% express or implied, oral or writtm." sawe;uto% corporation or other legal entity, or any two a mon An s de8sed as "an tadiridttal, partners* at P��= of a deceased avloM a the of the faceSoing engaged is s Joid eo6erprb% and receives a ttmta the legal rRX of ere hdiridnsl. Putaeshlp, aasoeiadoe at other kpl endly, empbyistg a V� How"° r the owner ate dwelling house billies not mots these three apeslmenta and who residestherefn� � e � house such dwelling boas. of another who env" P ee s do mot because of cooli a VI re be deemed to be an emPk 7er." a on the Qoaada or buildings shln not beutue of stteb employmat VM 13 Also states that "every saes K teal Iteessdag gooey skaY widdleM the laesees er rM chapter 2+ 423C(� b a s btsdtssse er a asstruet hdidlep ht the cmuwmwenith fir W renawrd ni a Ikeees er pernrt � s.ldeses et eemPWea wkh the lasttrsea averse ngtrlr'ad." Ad i doua ww hr seat chapter 152,1 5CM s h shan enter into tom, MOL cooked fog t e perilzmence T) a ofp Ito work until acceptable evidence of comVliana with of this chspeer hm ben pmodedto the eoubutlas vAO ►" Appnmta pteaae Im out the wasbn' compensadas at11uvit campletaiy by checking the boos that apply to 2oar simsttas an4 if nscaasy, supply ') ptIDe(')' Wdte*es) and phone nomba(s) aloes with their cestleesa(s) of tnstaaaea Limited Usbiltty Companles (= with m empbyees other than the Or limited Lt.bittty puasership ( membere or Pertugra, an not required to cosy workers, compensation inursaee. Ilan LLC Or LLp does haw ereployeek a policy is required. Be sdvimd that this afill"it may be submitted to &a Department of lWuAtrW Aceideata !tar eon&ma.1 of ioAmancecovasp. AM be son tesip Ind date the smd"M The atlideva sbauM err tows that the for the permit a liawe is being regnssIed, net the Depunnent of be retur 10 the cityIndustrial Aeeide Should 1� bove any queadoee sep:dhrs theism er if yae are required to obtain s workess' compenador Po�74 P lease call the Departmeal � tmmber Usted belowr. Self-innnd companiester should eatheir• set l-losussoe license ovmber as the City er TOM Otddxb please be nee that the Ifsdavit is contplets and printed legibly. The Department has provided a qwe at the bad= of tba,nidavit far you to fin out to the °veal the ours otlave dgationsha to contact you repmdios the applicuk Please be suss to tin In the permMNeeme ntnaI r which wW bo used as s reference nnroI r le odditloo an applieaar diet mud submit multiPls pmdVHccnw applications in any Sires years need only attbesil nos aliidavit indicating cnQenl policy harmatios (if nsceua y) ad under "rob eta Address" the applicant should write "all locations a (ctiy or id town" A copy of the dddnk that has ban ollieWly GIN I a mubd by the city or town lily be Proved to the appliead a peoaf that a valid amdavk is os tns for fi tut pemita a licenses. A new affidavit naot be 1111ed our each Yew. Where s boors awns or cititm is obtel"i a Been or P� cot related to sny bnaioea or com wmW veaha+ (Le. a dog license or Puntit to bum leaves etc.) said peso- is NOT required te cmVIeta this Misvit. The otlla of Investigations would lib to thank you in Advance ibr your coopestion And should you have any quesdonsl pleess do not hesitate to giw no a call. M Depgrwx 's address• telepbons and far mmiber: The Commonwealth of Massachusetts Deputmtmt of Industrial Accidents 011ks of moat iptions 600 Washington street Boston, MA 02111 Tel. 0 617-7214900 ext 406 or I.977-MASSAFE Fax M 617-727-7749 Revised 11-224)6 wwv,m=.gov/di0 ;11 . TOWN OF YARMOUTH 1146ROUTE28 SOUTMMMOUTH %MSSACEWS]EM026644451 Telephone (508) 398.2231, EIL 261 — Fas (508) 398.2365 BUILDING D!lARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT etru.DING azCriucAt. CAAS a.t.MNG SICUNS Pursuant to M.G.L. Chapter 40. Section 54 and 780 CMR, Chapter 1, Section 111.5. I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 65blew igcL rP. Aod- - wotk Aadre e l . r Is to be disposed of at the following location: IAt ` 1 C- Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111. Section 150A. e 4��, -14 1 Signature of Applicant Permit .No. 7 13 / o a.10 1 ...wM\••Y-w�.n Vl'•Y•{Y{l1{� VI � YIII,\..)�{{l{� _ Board of Building Regulatiops and S3-m' lyds Ccnstruction Superv;5or. 1.I1s, ' •-' , !. License: CS 61513! ` Restrictedto: 1G . DAVID L E . 45 MARTLAND AVE • ..• . � BROCKTON; 1M 02301 • e � , _ . � , Expiration: W24/2011 l ('onm{i.�ba{er Tr#: 9535 ) c•. . .�.. •` 'jam fii:...... y • �1 •. , i • 1 TOWN OF YARMOUTH Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.1261 BUILDING PERMIT TRANSMITTAL Temp Permit No.: T-11-038 Applicant Name: David Lane Applicant Phone: 7815564261 Building Location: 0006 NEW HAMPSHIRE AVE Owner's Name: Robert Galligan Owner's Addres 0006 NEW HAMPSHIRE AVE West Yarmouth MA 02673 Owner's Telephone: (508) 721-3010 REVIEWED BY: 1. WATER DEPARTMENT: 2. ENGINEERING DEPARTMENT: 3. CONSERVATION: 4. HEALTH DEPARTMENT: 5. BUILDING DEPARTMENT: 6. FIRE DEPARTMENT: RECEIPT OF COPY: (OFFICE USE ONLY Recorded By. IC Permit Fee: $0.00 Deposit Rec: $25.00 Payment Type: Cash ChkNo.: 0 Net Owed: ($25.00) Application Date: 7/29/2010 Issue Date: Expiration Date PLEASE NOTE SIGNATURE OF APPLICANT: Comments: Map/Lot: 016.54 construct two handi-cap ramps, replace or repair four windows, repairs to siding ZONING -APPROVED DATE: DATE: DATE: DATE: DATE: DATE: N/A: N/A: WA: N/A: N/A: DATE: Date Printed: 7/29/2010 ot�9k .4 TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Proposed Applicant: T)a !'j l a kg- Tel. No.: 79/ S -6'71 ••Ifyou would like e-mail notification ofsign of please provide e-mail address: Owner 1ic Date Filed: Z 23 Owner Address: Owner Tel. No.: (��SG "C 1 C 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 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: ` PLEASE NOTE COMMENTS/CONDITIONS: DATE: 7 -,-8 — 10 TOWN OF YARMOUTH WATER DEPARTMENT 99 Buck Island Road West Yarmouth, MA 02673 Telephone: (508) 771-7921 • Fax: (508) 771-7998 BUILDING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Bldg. Site Location (� i1/CW.I'Q�y1T Map #: Proposed Improvement: Lot #: Applicant: D2�U l d�--� Address 6CJ• G �j" #: 791 SC Date Filed: 7 Z3// 0 RESIDENTIAL AND / OR COMMERCIAL BUILDING Water Department: Determines Compliance of Water Availability and or Existing Location Engineering Department: Determines Compliance for Parking and Drainage Conservation Commission: Determines Compliance to Wetlands Acts; i.e. If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Ocean, Bogs, Bays, Marshland, Etc... Health Department: Determines Compliance to State and Town Regulations, i.e., Requirements for Septage Disposal and other Public Health Activities Fire Department: Determines Compliance to State and Town Requirements for Personal, Safety, Property Protection;, i.e. Smoke Detectors, Sprinkler Systems, Etc... tin"y 1- 712,3//0 Signature of applicant Date PLEASE NOTE: COMMENTS: YARMOUTH FIRE & RESCUE Commercial Building Permit Sign Off Project Name Red Rose Inn Address 6 New Hampshire Avenue WY Contact Name Robert E. Galligan Phone# 508-771-3010 Y NO NA Subject Regulation E S x Access for Fire Apparatus 527 CMR 25.02 x Building Numbers MGL Chapter 148 sec 59 x *Flammable gas4i uid storage 527 CMR 14.03 x Fire Lanes 527 CMR 10.03(10) x *Service Stations 527 CMR 5 & 9 x *Ha;ardous Materials Storage 527 CMR 25.08 x *Kitchen Exhaust Systems 780 CMR, 527 CMR 10.03(8) x Extinguishers 527 CMR 10.02, Chapter 148 sec 28 x *Fire Alarm S stems/CO detection 780 CMR Chapter 148, 527 CMR 24,CMR 31 x *LPGStorage Chapter 148 sec 9,10,28 & 527 CMR 6 x Pesticide Storage 527 CMR 37 x *Sprinkler Systems 780 CMR & Chapter 148 sec 26 A -I x Storage inside/outside Buildings 527 CMR 10.03(5) x *Upholstery 527 CMR 29 x *Trash Containers 527 CMR 10.04 & 34 x Any Hazard to the Public Chapter 148 sec 28 x *Curtains Draperies, Blinds 527 CMR 21 Description of planned project/other requirements: Night Contact Hugh Sheridan Phone# 617-750-6161 * YFD permit required -depending on oeeu ancy and submittal Plan Reviewed By: _Depu b cllc er Date: 8/4/2010 Copy for Applicant = Copy to Building Department Copy to Fire Prevention 0 41 YARMOUTH FIRE & RESCUE Commercial Building Permit Sign Off Project Name Red Rose Inn Address 6 New Hampshire Avenue WY Contact Name Robert E. Galligan Phone# 508-771-3010 Y NO NA Subject Regulation E S x Access for Fire Apparatus 527 CMR 25.02 x Building Numbers MGL Chapter 148 sec 59 x *Flammahle gas/liquid storage 527 CMR 14.03 x Fire Lanes 527 CMR 10.03(10) x *Service Stations 527 CMR 5 & 9 x *Hazardous Materials Storage 527 CMR 25.08 x *Kitchen Exhaust Systems 780 CMR, 527 CMR 10.03(8) x Extinguishers 527 CMR 10.02, Chapter 148 sec 28 x *Fire Alarm Systems/CO detection 780 CMR, Chapter 148,527 CMR 24,CMR 31 x *LPGStorage Chapter 148 see 9,10,28 & 527 CMR 6 x Pesticide Storage 527 CMR 37 x *Sprinkler Systems 780 CMR & Chapter 148 sec 26 A -I x Storageinside/outside Buildings 527 CMR 10.03(5) x *Upholstery 527 CMR 29 x *Trash Containers 527 CMR 10.04 & 34 x Any Hazard to the Public Chapter 148 sec 28 x *Curtains, Draperies, Blinds 527 CMR 21 Description of planned project/other requirements: Night Contact Hugh Sheridan Phone# 617-750-6161 * YFD permit required -depending on occupancy Plan Reviewed By: _Deputy Robert K he U Copy for Applicano Copy to Building Deparl Date: 8/4/2010 0 Copy to Fire Prevention L� Proposed Dumpste w/Concrete under & New Fencing Proposed Additional ` Conc. Apron (shaded) \ , SKETCH PLAN FOR" RED ROSE INN & TAVERN 7/9/10 1 "=20' R.J. CADILLAC, PLS� Exist. pip Iy\ Prop. Conc. in Fenced Area 4 1 \anng\\ �Proposed New Access Ramp & Step L�7 II W, f-1 WI c cam+ N a L Wl 3611 % I f t J m � boU Q2A Qr'se I v� New d C%ffi(�s�l Te, �v2 -z2 ( A-cVN TOWN OF YARMIC:.: ; REVIEWED FOR BUILDING AND ZONING CC:= CQ!.'PL!- ANCE. ERRORS OR OMMISSIONS DO NOT R_:'E, APPLICANT FROM THE RESPONSIBILITY OF "AS cJ COMPLIANCE. DATE: 8' 3 FILE COPY S jetales t`eU\ t r WN G aC�rP nU�. �e� ' 1 t 1 1 our (F oai� OS 1 �5 /)0, �-avws!C S-Fep 5 q-- LOnC,T' .fit - -�� r J � njyt� _ _ 7 1 a>�ID �x�3 Sa`1 C. IU6e.5 •' r (fommonwaaa a/ ///amac"flj Official Use Only 1Jcc�� cc77 pp . . lug aPar�mant o`,.tira Jirvicu Permit No. L1 670 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leaveblank ) ZE: APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 ( EASE PRINT IN INK OR YTP'J4� L INFORMA ON) Date: City or Town of: VA Tn To the Inspector of Wires: this application the undersigned gives notice of leis or her intention to perform the electrical work described below. (Street & Number) or Tenant s Address Telephone No. permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of ProAosed Electrical Work: Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters f-M-.:-.. L,- ... L_..._:.._J L...L_,-------- _ Y../._-_ No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans o. o ota Transformers KVA No. of Luminalre Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool A ove ❑ n- ❑ rnd. rnd. o. o Emergency tg ng Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiating Devices No. of Ranges Tal No. of Air Cond. Tans . No. of Alerting Devices No. of Waste Disposers HeatPump Totals: NumberlTons 1KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Lot:al ❑ Municipal❑� Connection No. of Dryers Heating Appliances KW ecu ty ysteros: No. of Devices or Equivalent o. o stet Heaters KW o. o o. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommun ca ons in No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Mres. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: inspections to be requested in accordance with MEC Rule 10, and upon completion. J INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work ma iue less tv the licensee provides proof of liability insurance including "completed operation" coverage or its substantial eq \ u' t 4,C7Ea ened certifies that such coverage is in force, and has exhibited proof of same to the pemu ^suing office. ONE: INSURANCE & BOND ❑ OTHER ❑ (Specify:) FA[2A � N certify, under themunsandpe a ie of er'ury, that the information on this application is true and complete. FiRM NAME: YEV41 25Er l(ZLIC. NO.: C31100 Licensee: Signature LIC. NO.: Q (Ifappiicable ter " empr"in the lie nre numbe !i ) ' 1 �^ t Bus. Tel. No.,• TJ $�� Address: ip / Ii llittt f 1 Alt. Tel. No.: — % *Per M.G.L. c. 147, s. 57-61, security'work requires Department of Public Safety "S" License: Lic. No. Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability'nsurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S FILE Copy OFFICE MEETING NOTES ADDRESS: 4 - DATE: J NAMES OF ATTENDEES: ZONING DISTRICT: FLOOD ZONE: MEETING TOPIC: 4 < 1 .7 ♦ . .7 ... :00 Prop. Conc. Proposed Dumpster\ in AreaFenced w/Concrete under & New Fencing SC Proposed Additional Conc. Apron (shaded) C (:) tK 4- Exist. Overhang SKETCH PLAN F(JR* Proposed RED ROSE INN & TAVERN %\A OF New Access to 7/9/10 1 =20' Ramp & Step R.J. CADILLAC, PLS j a\)o n FILE C®Py OFFICE MEETING NOTES ADDRESS: ✓''"� , DATE: `� NAMES OF ATTENDEES: ` ZONING DISTRICT: - l FLOOD ZONE: MEETING TOPIC: 7 /Proposed DumpsteF`\� w/Concrete under ` `�� F+� �'•:.• & New Fencing `� `��'� ":•. Proposed Additional Conc. Apron (shaded) °r• / Exist. Overhang SKETCH PLAN FdR RED ROSE INN & TAVERN 7/9/10 1 "=20'"c R.J. CADILLAC, PLS M f Fl I Prop. Conc. in Fenced Areas w Proposed New Access n Ramp & Step TOWN OF YARMOUTH FILE COPY 1146 Route 28 South Yarmouth MASSACHUSETTS 02664-4492 Telephone (508) 398-2231, Ext. 268 - Fax (508) 398-0836 New Liquor/Weekday & Sunday Entertainment License July 8. 2010 APPLICATION FOR: Red Rose Inn & Tavern LLC dba Red Rose Inn & Tavern NAME OF APPLICANT: Robert Galligan, manager Contact person: Robert Galligan, 125 Macy Street, Quincy, Ma (617) 750-6161 ADDRESS: 6 New Hampshire Ave., West Yarmouth Application is for full liquor license for the bar and restaurant. Entertainment in the parlor Will be a piano player or up to three piece ensemble with no amplification and TV. NAME OF PROPERTY OWNER: Robert Galligan Date of Selectmen Hearing Tuesday, July 20, 2010 ** Please provide the board of selectmen with the new occupancy based on the Proposed Expansion/Addition of the premises including deck or terrace. ** Building Department Comments: 1. I have met with the applicant on two separate occasions; June 25, & July 9, 2010 to discuss proposed alterations to interior and exterior. 2. The applicant is proposing to perform these alterations in two phases. The first phase during this summer and the second phase during the winter months. 3. Second floor decks are being proposed to mitigate egress issues. These decks/stairs will necessitate a Special Permit from the Zoning Board of Appeals. 4. A concrete patio is also proposed for eating & drinking purposes. Although a patio of this nature is exempt from zoning setback requirements, it does contribute toward the lot coverage calculations. 5. An increase in occupancy may effect parking demand, unless the existing parking is found to be sufficient for the total proposed occupancy. 6. The applicant is proposing to reduce the number of guest rooms from eleven to five. 7. A Certified Site Plan is required depicting the existing and proposed lot coverage (building & impervious surfaces) to determine whether relief is necessary from the Board of Appeals in that regard. This site plans shall also depict designated on site parking. 8. A new handicapped ramp system is proposed which is exempt from zoning setbacks. 9. Once phase one renovations are completed and appropriate inspections are performed and work approved, a qualified Certificate of Occupancy will be issued. 4Page 2 of 2 ,,' 6 New Hampshire Ave. 10. The same procedures would apply to phase two. 11. A new Certificate of Inspection is required. 12. Based on my conversations with the applicant, the proposed occupancy would be as follows: Tavern-18 Dining Room-36 Patio-20 TOTAL-74 13. All work shall comply with the applicable provisions of 780CNIR and 521CMR FILE COPY Signature: Date:/0 Accessibility: Front door ramp: _Yes_No Alternate door ramp_Yes_No Wheelchair accessible bathroom Male: _Yes_No Female_Yes_No NEED COMPLETED FORM BY WEDNESDAY, JULY 14 92010 OFFICE MEETING NOTES ADDRESS: 2�0 NAMES OF ATTENDEES: ZONING DISTRICT: C 1� FLOOD ZONE: if �IJ MEETING TOPIC: FILE COPY DATE: Z �a �c C �� c O—F1 �zoo- C-ee Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Q7 �� W 3 Occupancy and Fee Checked [Rev.1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICA RK NI work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 _ ^ (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: 6/12/09 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersig es notice of his or her intention to perform the electrical wo 1Itr ejow-- Location (Street & Number) 6 1 MPSHiRE AVE, WEST YARMOUTH T r I tl E D Owner or Tenant RED ROSE INN Owner's Address SAME AS ABOVE Is this permit In conjunction with a building permit? Yes Purpose of Building Existing Service _ COMMERCIAL Amps New Service Amps Number of Feeders and Ampacity No: JU No X (Check Appropriate Bo ) I I Utility Authorization No. r 13UILDING Volts Overhead Undgrd 1l oa of ters Volts Overhead Undgrd No. of Meters Location and Nature of Proposed Electrical Work CORRECTIONS OF VIOLATIONS PER KEN ELLIOTT Connlction of the following, table may be waived by the In.snector of Wires. Vt l` Attach additional detail ijdesired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 5 (When required by municipal policy.) Work to Start RF.A )-Y Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee pro- vides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) GFNFRAL ArrlDFNT iNS. 7131/09 'Per M.G.L. c. 147, s 57-61, security work requires Department of Public Safety "S" License (Expiration Date) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. �C( FIRI11 NAME: REILLY ELECTRICAL CONTRACTORS, INC / RELCO LIC. NO.: 'D Licensee: TAMES I RFii i V Signature � LIC. NO.: A 16666 (If applicable, enter "exempt "in the license number line.) Bus. Tel. No.: 508-771-2040 Address: 110 OLD TOWNHOUSE ROAD, SOUTH YARMOUTH, MA 02664 Alt. Tel. 508400-8936 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent.FAX-508-760-1425 ;g Owner/Agent C) Signature Telephone No. PERAlIT FEE:100.00 No. of Recessed Luminaires No. of Cell.-Susp. (Paddle) Fans No. Total Transformers KVA No. of Luminarle Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- Elo. rnd, rnd. o mergencyLighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers lleat Pump Totals: INumber Tons KW No. of Self -Contained Detection/Alerting Devices I I I No. of Dishwashers Space/Area Heating KW Local ❑ 1llunicipal ❑ Other Connection No. of Dryers HeatingAppliances Key Pp Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: FILE COPY OFFICE MEETING NOTES ADDRESS: NAMES OF ATTENDEE S : ZONING DISTRICT: FLOOD ZONE: MEETING TOPIC: ex�z� DATE: Q s - e . 0 TOWN OF YARMOUTH 1146 ROUTE 28 SOUTIi YARMOUTH MASSACHUSF:ITS 02664-t451 Telephone (508) 398-2231, Ext. 241 — Fax (508) 760.3472 B O A R D O F 11 E ALT H November 25, 2009 R F C Catherine Cassons , V O 6 New Hampshire Ave. NOV 2 ?0 West Yarmouth, MA 02675 e 8 �9 r. Uq0/NG UfPT, Dear Ms. Cassons: This letter is in regards to an inspection conducted at your establishment Andy Arnault- Building Inspector, and Lt. John Sawyer -Fire Inspector and myself. We were told by one of your staff members who consulted with you that you were no longer selling food or liquor. We were unable to gain access to your establishment for an inspection. As of today you cannot sell food or liquor from this day forward. If you decide you do want to open we will need to gain access to your property to conduct an inspection prior to opening. According to your Inn license the upstairs bedrooms must be unoccupied and not rented by Building Department. To continue to rent the downstairs bedrooms you must call this office within 5 days for an inspection. If you have any further questions you may call me at 508-398-2231 ext. 1241. Sincerely, Philip J. Renaud Health Inspector cc: Robert Lawton, Town Administrator Linda Hill, Licensing Building Dept. Fire Dept. file CERTIFIED MAIL RETURN RECEIPT REQUESTED 70051820 00017034 3508 Printed on Recycled L Paper °�YgR•y. TOWN OF YAR,NIOUT - - BUILDING DEPARTMENT { �; r` �� n 1146 Route 28, South Yarluouth, 31A 0 . 4 508-398-2231 ext. 261 Fax 508-398-O&J" �' ^VI 24 27 v' Ce .rl.zx,GCy t:�a�r ZONING DETERMINATION FOR BUS CERTIFICCTE APPLICATION The purpose of this form is to determine whether your business'complies with the Town of Varmouth Zoning Bylaw. The applicant shall complete the top section of this form and file it with the Building Department. Once the Building Department has made a determination, it will be forwarded to the Town Clerk. The Building Department will render a determination based on the following factors: (a) Thebusiness/use, actirihl, (b) The zoning district in which the business is to be located Allowed uses are based on Zoning Bylaw Table 202 5 and (c) Rrrious or new zoning rcliejjrom the Zoning Board olAnneals Date ! ►'UYi:M � m Business Address I Al— Ij TROA Su l tC p U WS Description of Business Activitv The applicant acknowledges that a determination will be made by the Building Department based on the information provided on this date and any changes in the business use and/or activity will require additional approval. Failure to do so may result in the revocation of the Busill"'MCertificate and/or appropriate Zoning Enforcement, should it be determined that the changes are nou-,c4aljlliant. Applicant's Signature ��r✓J r�U�a r r1�� Date 7, d B DING DEPARTMENT DETERMINATION (o1Gce use only) Approved Comments Disapproved Reason for Disapproval Building Official's Signature e Date // Re% Ile. IU, :oNa -707- 7Y,/:,-- 6 617 FILE COPY TOWN OF YARMOUTH 1146 Route 28 South Yarmouth MASSACHUSETTS 026644492 Telephone (508) 398-2231, Ext. 268 - Fax (508) 398-0836 New Liquor & Weekday Entertainment Licenses July 13, 2009 APPLICATION FOR: Catherine Cassanos dba Red Rose Inn Full Bloom NAME OF APPLICANT: Catherine Cassanos, manager Contact person: Catherine Cassanos, 6 New Hampshire Ave., West Yarmouth (508) 775-2944 ADDRESS: 6 New Hampshire Ave., West Yarmouth Application is for a New Annual all alcoholic Innholders Liquor license and Weekday Entertainment license from Catherine Cassanos dba Red Rose Inn Full Bloom, Catherine Cassanos, manager. Entertainment to consist of a piano player in the parlor. Occasional dancing in parlor. NAME OF PROPERTY OWNER: Catherine Cassanos Date of Selectmen Hearing Tuesday, July 28, 2009. ** Please provide the board of selectmen with the new occupancy based on the Proposed Expansion/Addition of the premises including deck or terrace. ** Building Department Comments: 1. The applicant is required to provide a minimum of three (3) rooms for transient public use in order to maintain her Inn Use Status. 2. Because of egress issues discussed with the applicant by Inspector Amault, the second floor use is restricted to her personal residence use only. No guests are permitted to occupy the second floor because of the egress configuration does not permit access to two independent means of egress. However, the second floor in total does have access to two independent means of egress, thus the restriction. 3. A more comprehensive floor plan, depicting the first floor layout is required. FILE COPY Signature: s'��YaR c TOWN OF YARMOUTH FILE C Py O H �.'=�-^s'� a 1146 Route 28 South Yarmouth MASSACHUSETTS 026644492 Telephone (508) 398-2231, Ext. 268 - Fax (508) 398-0836 Liquor License Trahsfer May 7, 2008 APPLICATION FOR: Red Rose Inn, Inc. NAME OF APPLICANT: Catherine Cassanos, manager _ Contact person: Catherine Cassanos, 6 New Hampshire Ave., West Yarmouth (508)775-2944 ADDRESS: 6 New Hampshire Ave., West Yarmouth Application is for a transfer of the Annual all alcoholic Inns orlders Liquor license and Weekday Entertainment license from Ruth A. Donaruma dba Red Rose Inn to Red Rose Inn, Inc, Catherine Cassanos, manager. NAME OF PROPERTY OWNER: Red Rose Inn, Inc. Date of Selectmen Hearing Tuesday, May 20, 2008. * * Please provide the board of selectmen with the new occupancy based on the Proposed Expansion/Addition of the premises including deck or terrace. ** ait;.tr.. Building Department Comments: 'L , Signature: Accessibility: Front door ramp: __Yes No Alternate door Tamp 'Yes _No Wheelchair accessible bathroom Male: Yes No Female Yes No . =o7• o 19 NEED COMPLETED FORM BY TUESDAY, MAY 139 2008. 1 • J -1 TOWN OF YARMOUTH 13UIIMING BUILDING DEPARTMENT TWN 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 Fax 508-398-0836 SIGN CODE , , Inspection and License Report i Address �, i (' /f (�• Business Name �' f' (. �: ►iI :, • .. Date of Inspection (. / Contact / ` ^, -� Phone During the annual Inspection of your premises, performed in accordance with the provisions of Section 106 of 780 CISIR (Massachusetts State Building Code), the Board of Selectmen and/or the Board of Health rules, the following violation (s) were observed: Egress ❑ Emergency egress signage Location Emergency egress lighting ❑ Egress door hardware ❑ Maintenance of exits ❑ Guards/iiandrails Mechanical ❑ Combustion Air ❑ Vents ❑ Storage in boiler rooms ❑ Automatic door closures on boiler room doors Smoke Detectors Other Location Location Location Location Location Location Location Location Location Location Deck/Stairway Certification r-. ,. r r /'i ti . 780 CNIR Section 103 MAINTENANCE provides that the owner, as dermed In 780 CMR Chapter 2, shall be responsible for proper maintenance. In order to abate the above violation(s) you must: / ❑ Make corrections immediately and contact this office for a follow-up inspection. Make corrections within z G /' r days an contact this office for a follow-up inspection. Local Olriclal / Inspecto Received By: Rev.3/04 \Original -Premises Yellow -Building Department Pink -Licensing Authority o�•Y9R TOWN OF YARMOUTH 0 _� BUILDING DEPARTMENT N PA" 77 . 11.16 Route 28 South Yarmouth 111A 02664 508-398-2231 ext. 261 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG NAME RED ROSE INN ADDRESS 6 NEW HAMPSHIRE AVE. W. Y. This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall be presented to the License & Permits office and/or the Health Department in order to obtain your license. Licenses will be withheld until all inspectors have signed. Building 'ssioner ep. Date 7/i• a V Fire Department Rep. Date � I171o� NOt 1^5'pcc't Comments Approved for 7Issuance ❑ No Comments Approved for kl� 4 •.� t��. •`�. License Issuance 1``u461� bA� r Yes ❑ No ^1 yca{t�w r f Board of Health Rep. Date Comments Approved for License Issuance ❑ Yes ❑ No Plumbing/Gas Inspector Date Comments Approved for License Issuance ❑ Yes ❑ No Electrical Inspector Date Comments Approved for License Issuance ❑ Yes ❑ No Taxes Paid Rov.ScpL 2W3 ❑ Yes ❑ No i OF '+9; TOWN OF YARMOUTH BUILDING DEPARTMENT S 1146 Route 28, South Yarmouth, MA 02664 1) 508-398-2231 ext. 261 Fax 508-398-0836 Inspection and License Report CNG GAS ZONING SIGN CODE AddressC Business Name Date of Inspection 1 ' I % ' ° 7 Contact Phone During the annual inspection of your premises, performed In accordance with the provisions of Section 106 of 780 CMR (Massachusetts State Building ` Code), the Board of Selectmen and/or the Board of Health rulers, the following violation (s) were observed: � ergency egress signage Location /> ✓ 1 •^ ` ti7 H ✓ a V T _ • „ , M- Emergency egress lighting Location l� c' / "! ✓ 0� l Z L 7 ' 67 ❑ Egress door hardware Location ❑ Maintenance of exits Location ❑ Guards/Handrails Location Mechanical ❑ Combustion Air Location ' ❑ Vents Location ❑, Storage in boiler rooms Location ❑ Automatic door closures Location on boiler room doors Smoke Detectors Location .. Other 7 Location l ,.,`_ 0 — � � Lam- ✓�.t`� ,,....,.� ! �t ._. i VL/ri✓.. L.....�.� • /`��— l - Sri �'rr-- ��`� � -t c /-t f1� I ��'0c� .Deck/Stairway Certification 780 CAIR Section 103 MAINTENANCE provides that the owner, as defined in 780 CMR Chapter 2, shall be responsible for proper maintenance. In order to abate the above violation(s) you must: ❑ M corrections immediately and contact thiFOIC fa a follow-up inspectionMake corrections within ya and co yt� Local Official L Inspector ' Received By. inspection. W Rev. 3/0-i Yellow -Building Department Pink -Licensing Authority TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext. 261 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG NAME: RED ROSE INN Address: 6 NEW HAMPSHIRE AVE. W. Y. This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall be presented to the License & Permits office in order to obtain your license. Licenses will be withheld until all inspectors have signed. Building Co missioner Re . Date Comments Approved for Lils.:t:ance ❑ No 4 Fire epartment Rep. Date Comments Approved for LicYes Issuance ses ❑ No Board of Health Rep. Date Comments Approved for License Issuance ❑ Yes ❑ No Plumbing/Gas Inspector Date Comments Approved for License Issuance }jj&W To i t, Yes ❑ No ( ime-?Wi Electrical Inspector Date Comments Approved for License IssuanceNo Taxes Paid ❑ Yes ❑ No Rev.Sept. 2003 n NAME RED ROSE INN TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG !/ ADDRESS 6 NEW HAMPSHIRE AVE. W. Y. This log is to be signed by the appropriate inspectors upon . a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall 6e presented to the License & Permits office and/or the Health Department in order to obtain your license. Licenses will be withheld until all inspectors have signed. Buildin s one ep. Date Comments Approved for License Issuance i �•�y 0 6 -a-fe's ❑ No Fire Department Rep. ZWJ Date !f/9/06 Comments Approved for License Issuance IYes ❑ No Board of Health Rep. Date Comments Approved for �� l i l�I Oro License lss $c e Ac�4cE< �� ❑ Yu ❑ No SEt 7 Sra� o �� rt�ST be R= �cc �• -- 4110 we c� �.C) SPe y J LP Kc 10 Plumbing/Gas Inspector Date Comments Approved for License Issuance Yes ❑ No � /C ju 7 Electrical Inspector Date Comments Approved for I�►��k t •� L* IssuanceYes 0 No Mq Taxes Paid 0 Yes 0 No Rev.SepL 2003 RR tllylob TZt 60,0,� --� +-s Tz-ace�s .:Z� seaTS fir_ sue' Am=�� Fo'� LTe-e", -Q- zz y16 RED ROSE INN toociric a aNwc Dcar,mr. -arandoUn4 t APR 1 4 2006 UU�LbiMj DEPT. Uy - _.- .sprit 12, 2.006 Yarmouth Town tall Yarmouth, ,Au 02z6+ F17-s4 we would Ukc to tharik�you, anddourdcpartmcntfor�youncctp and undcrsta nd bW rcyardiny the second floor cy► cssf rom The R cd Rase Inn. We understand,thishasbeenaverji bctkyweekatToisnBalU.3-VC aprprcc dapartnwnt has of forded us and the temporary solution extend a to us rc9ardt n this matter. 1. we shall have, all upstairs bedrooms equipped with Nationa l Fireymtection Rating ladders installed ley, RatphycnZI, bottal to the, roofs, as lnstructc4 tly.MW 4 2.00a z. we shall provide amh upstairs bedroom with enureenV cxItsISns at wlndews clearly showing exit to ladders. 3. we will provide the 8ulldiny Depart=nt with upgraded reaUzcd plans f ronti the con tractarshowlny the proposed decks and wa lkwadsfor the proposed egress from thesccmulfloorbcdrooms, and obtafnourbulldlny permit.glans tofollawshortid. 4. We will begin construction on room #1 ltyseptember2W6. We shall com plctc this entire prvvjcct according to a pprovcd plans, on or b fort .Nurrh 1& z007 Anccrc l�y,, RJ,lth voruzruma, catlurinc cassanos caBaWitg Inspector, ,Mr.. M=d t Town.fdministratormr. Lawton 6 _hew - lampsRiae Auekue • eldest (m moud, MA 02673 • 508.775-2944 • Sbx. 508-790-1145 I'm sure�you can understand ourpred&a meat wfth the upcomdnq scason.fast apprvachlny and the necessf� y of the, two= to be yneratedf rom these rooms. We now find oursctves lnserlousf ina ncfa t dll &utt y w" the added burden of ourseptfc , Aystem upgrade, required a y the xea lth veparbnent rhfs prvv jest has been sent out forbids arid the best estimate thusfarwat cast In cxce ss of ddrt�y five thousand dollars. We have the added threatf tom the stealth �cpartn ent of removing over ' twcnt�y scatsf rom ourrestaurant d lnnfny room,scptfc upgrade is notf fnlshcd, alortywlththeBulldlriylnspectorsrcqulremen oru�yearaftcrparchase,00 an outside construction fstalrrasesforeyre cs, and the posslbll%y f not. ing the, rentaG of outguess roo»tisuftes This puts as lr� jeopar day of loosln� y our . entire buslr►css and closlrry the doors to The T.ut Rose Inn 9 , We a ppatL toy youforar{y suuyastfons, %mporarLq rc»udlos, oradditlona.t time to comp!cte this pry jcct; as opposed to the $ulldln9 inspeztors dnuframz of sbqdckys, te ded ou aallmvustoynueo long ourb ni'snessthisseason,aiaearndwmonles p .f needed toflf tfsh tJw outslda sWrca ses. rnu sugyestfori to cansld crm-i y be ladd ers In each room with the Na tlana t Ffreymtcctlan.tssocfa:tlon Rating to hetp some persons .� wlththe, cl9htfootdrop tothcground... we, completclyunderstand, and ayrcc,that `these lssuus are, of gloat lm Aorta nee and rued to be a ddresscdfor the safe�y of our juxsts Page 1 of 1 Brandolini, Jim From: Brandolini, Jim Sent: Tuesday, April 11, 2006 4:17 PM To: Lawton, Robert Cc: Andy Arnault (aarnault@comcast.net) Subject: RE: Red Rose Inn Bob: This matter now appears to be resolved. We are allowing them to take temporary measures now with the understanding that permanent measures will be completed during the off-season. Jim From: Lawton, Robert Sent: Tuesday, April 11, 2006 10:00 AM To: Brandolini, Jim Subject: Red Rose Inn Jim: On April 111 received a call from the owners of the Red Rose Inn regarding egress problems which Andy brought to the owners attention. The owners have sent you a letter and I would suggest that you either meet with them or call them at 508-775-2944 to attempt to resolve the Issues. As I understand it, Andy feels there may be a violation of the safety code for egress from some second floor room which are rented. They are looking for options so they can open for the season. Please let me know what you find. Thanks, Bob 4/11/2006 TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yannouth, MA 02664 508-398-2231 ext.?.6F Fax 508-398-0836 Inspecti/ion and License Report BUILDING ELECTRICAL PLUMBING GAS TONING SIGN CODE Address �..��-gyp J [�, / < /�✓e Business Name �' r� °,rc Y Date of Inspection Contact �� _, (� x rJi; _� Phone il) . 77 T • 7 y t/� During the annual inspection of your premises, performed in accordance with the provisions of Section 106 of 780 CAIR Olamachusetts State Building Code), the Board of Selectmen and/or the Board of Health rules, the following violation (s) were observed: h Erress ❑ Emergency egress signage Location r Emergency egress fighting ❑ Egress door hardware ❑ Maintenance of exits l�i— Guards/Nandrails 'Mechanical I -❑ - Combustion Air t - ❑ Vents, ❑ Storage in boiler rooms ❑ Automatic door closures on boiler room doors Smoke Detectors Other Location Location Location Location �T/ i� i'•..i_l / .� tt Location Location Location Location ) Locatio ll� Lace on /�" k/ S / f 1— / / r t -J rI id n Deck/Stairway Certihcation iLl ,r ti 780 CMR Section 103 MAINTENANCE provides that the owner, as defined in 780 ChIR Chapter 2, shall be responsible for proper maintenance. In order to abate the above violation(s) you must: / ❑ Make corrections immediately and contact this office for a follow-up inspection. e Make corrections within S / days and contact this office. for a 14cal Official / Inspector / �i✓� /� ��y/ Received By �%.G> - Title Rev. 3104 Original-Premisei Yellow -Building Department Pink -Licensing Authority TOWN OF YARMOUTH BEING P1EcraicAl. BUILDING DEPARTMENT PLUMBING GAS 1146 Route 28, South Yarmouth, MA 02664 ZONING 508-398-2231 ext. 261 Fax 508-398-0836 SIGN CODE Inspection and License Report- •�- Address (��. ll-i - /1111'/< BusinessName/z �Gut� 61. Date of Inspection r Z -/r' ' ('T Contact l ` �� IS it •, •� Phone _C� V7 % i 1 V y During the annual inspection of your premises, performed In accordance with the provisions of Section 106 of 780 CMR (Massachusetts State Building Code), the Board of Selectmen and/or the Board of Health rules, the following violation (s) were observed: EEress f ❑ Emergency egress signage I-ocauon D"Emergency egress lighting location i J 1 /_ - iLt J —t ! ti} j c� J / C I lv t /u'L��- �• C- 4 ,- • . ❑ Egress door hardware location ([A Maintenance of exits Location (74 e /✓7 ✓ ❑ ' Guards/Handrails location Atechanical : ❑ Combustion Air location ❑ Vents Location ❑ Storage rooms location toiler `• G � f "� / O - Z ❑ Automatic door closures location �' f on boiler room doors l,y(� a�D 7 t)'7 • el (?r? C Smoke Detectors Location 1� 7 {/ f/ /4 •. Other Location �/� C- f lr U f J / ✓O 0r41 Iti- i Deck/Stairway Certification ..r 780 OUR Section 103 MAINTENANCE provides that the owner, as defined in 780 CA1R Chapter 2, shall be responsible for proper maintenance. l r,, In order to abate the above violation(s) you must: ^---- ❑ Make corrections immediately and contact this office for a follow-up inspection. .1 RMake corrections within O 4 -1,(, �, /a1 days and contact this office for a ollow-up inspection. t �e Local Otlieial / Inspector / /L/ ' r'r, // C „ L. fl /, t ., 1 Received By: Title Rev. 3/04 Original -Premises Yellow -Building Department Pink -Licensing Authority OW 8 NAME: RED ROSE INN TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Roule 28, South Yarmouth, 1IA 0266•k 508-398-2231 ext. 261 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG ADDRESS: 6 NEW HAMPSHIRE AVE. W. Y. This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall be presented to the License 8: Permits office in order to obtain your license. Licenses will be withheld until all inspectors have signed. Building Co missioner Rep Date Comments Approved for :1—reLicense lssuan:e // �Z �J • O✓ C No Fire Department 112c. Date Comments Approved for .1 Li� se Issuanx 5' Yes C No Board of Health Rep. Date Comments Approved for Licc a Issuance Yes C No Plumbing/CIRS Insl2cctor Date Comments Approved for License issuance Yes ❑ No i Electrical Inspector Date Comments Approved for I.jcense Issuance Yes .. ❑ No Taxes Paid ❑ Yes ❑ No Rev.SepL 2003 T APPLICATION FOR: TOWN OF YARMOUTH , ite 28 • South Yarmouth MASSACHUSETTS 02664-4492 hone (508) 398-2231, Ext. 268-267 - Ftix (508) 398-2365 • TRANSFER OF LIQUOR LICENSE Transfer of Liquor License NAME OF APPLICANT: Ruth A. Donanmia DBA: Red Rose Inn ADDRESS: 6 New Hampshire Avenue NAME OF PROPERTY OWNER: l).0C 0 t SCIel: nnCH ifCivai_ January 25, 2005 " Please provide the board of selectmen with the new occupancy based on the Proposed Expansion/Addition of the premises including deck or terrace. •• Building Dept. Comments: Signature: Date: /— /J e�--.) Accessbilit). Front door ramp: =Yes No Alternate door ramp_Yes No _ Wheelchair accessible bathroom Male: ✓es No Female Yes No Rev. 6-03 TOWN OF YARMOUTH 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 026644451 Telephone (508) 398-2231, Ext. 241 — Fax (508) 398-2365 BOARD OF HEALTH To: Robert C. Lawton, Jr., Town Administrator Judy Daigneault, Town Administrator's Offic�eJLiquor Licensing Jim Brandolini, Building Commissioner t Matt Zurowick, Town Assessor's Rick deMello, Town Engineer From: Bruce G. Murphy, MPH, Director of Health V— Date: September 7, 2004 Subject: Red Rose Inn, 6 New Hampshire Avenue, West Yarmouth, MA In May 2002 a new septic system was installed for the Red Rose Inn. The septic was installed for nine (9) rooms and twenty (20) seats. These numbers should be reflected on the liquor license, building occupancy, and within the Assessor's files. Currently the Building Department and Assessor's Office fist the dwelling as fourteen (14) rooms. The Building Department also lists forty-nine (49) seats. These numbers exceed what the capacity of the septic system was designed for. The liquor license does not state the number of rooms or seats. It only states the number of hours for serving liquor. Parking for the Red Rose Inn is on the abutting Town beach parking lot. The property is currently on the market for sale, and questions have come up regarding the occupancy. The maximum occupancy should be based on the size of the septic system, which is designed for nine (9) rooms and twenty (20) seats. BGM/maf cc: file pI@I'll SEP n 7 2004 D By Recycled Printed on �t.s paw o� TOWN Or YARMOUTH a('}y BUILDING DEPARTMENT \; ;••;� 1146 Route 28, South Yarmouth AIA 02664 508-398-2231 ext. 261 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG NAME Red Rose Inn ADDRESS 6 New Hampshire Ave. W. Yarmouth, MA 02673 This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall be presented to the License & Permits office and/or the Health Department in order to obtain your license. Licenses will be withheld until all inspectors have signed. Building CommissDate Comments Approved for Licaaso Issuanco ell-l- ioner A- 9 . p y S—Te�s ❑ No Fire Department Rep. Date LT /12� ,Z.ZZ.a� Comments Approved for L;cmse Issuance Ar Yes ❑ No BoVHth Date Comments Approved for Licer►se Issuance Yes ❑ No Plumbing/Gas Inspector Date Comments Approved for License Issuance liri'es ❑ No Electrical Inspector Date Comments Approved for ►cenw Issuance Y " ' Kb% V1✓ l a �! Yes ❑ No Taxes Paid ❑ Yes ❑ No Rvv.SapL 2003 0 � B'0ARD or TOWN OF 'i A R M O V 'T H SELECTMEN 1146 ROUTE 28 SOUTH YAlMOUTH f NIASSACHUSETTS 026614492 TOWN Telephone (508) 398-2231, Ext. 271, v Eax (5081398-25 ADMINISTRATOR SEP J I Robert C. Lawton, Jr. MEMO I a TO: Bruce Murphy FROM: Robert C. Lawton, Jr — Town Administrator F� SUBJECT: ose Inn DATE: , 2004 — - - - - In your memo of September 7, you raise several issues regarding the Red Rose Inn and the Alcoholic Beverage license issued to the Inn. The first point would be that the Red Rose has an Innholders License. An Imnholders License allows the owner to serve anywhere within the four walls of the Inn. The General Law indicates that we cannot specify the number of rooms. A hearing was held with the ABCC in the 1980s regarding this issue and the Colonial House Inn. At that time, the ABCC stated that the Town did not have the right to identify the specific areas within the Inn within which the Inn could serve alcohol. An Innholders License covers all of the structure. The Board of Selectmen's position has been that the Innholders License occupancy is covered by the occupancy granted by the Building Commissioner. It would seem that if the septic system is designed for fewer scats than what would be allowed under the building code, then the lesser amount applies. Your office should then specify that occupancy on the licenses which you issue. Jd cc: Jim Brandolini 02 r 6na i u, n,.yclda P"Qr $oF YARD TOWN OF YARMOUTH oBUILDING DEPARTMENT .A s _ 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext. 267 DIRECTIONAL SIGN APPLICATION Date: 12/1/2002 Permit No. 50 Application Is hereby made for a permit to maintain and advertising sign, so called' Public Information Sign', In accordance with Sec.8,Chapt.85 of the General Laws. RENEWAL FEE: $10.00 Payable upon receipt PERMIT EXPIRES:1-02-2003 Permit is issued pursuant to Yarmouh Sign Code, Art 303;sec.3.2.1 shall require a permit to be issued by the Building/license Dept In accordance with Chapt.85 of General Laws. -- -- These will be limited to a, ma:amum size of Five and one half by forty inches and will include only Identification of business. The lettering will be black with background. These signs must be placed on racks in locations approved by the Yarmouth Department of Public Works. An annual fee, determined by The Board of Selectmen may revoke any permit at any time, for any infraction of the regulation. BUSINESS: Red Rose Inn LOCATION: Route 28 & Higgings Crowell Rd WORDING: The Red Rose Inn OWNER/MANAGER: Richard Wilky ADDRESS: 6 New Hampshire Ave, West Yarmouth Ma 02673 Phone:508-775-2944 MAIL ADDRESS: Same Signature of Person, or authorized agent, to Title Whom permit is to be granted. Date , Please Note: 1) Application form must be submitted for each permanent sign. 2) The Building/license official shall be notified within ten (10) days of any change in the above information. �o0. TOWN OF YARMOUTH of BUILDING DEPARTMENT � 1146 Route 28 South Yarmouth 111A 02664 508-398-2231 ext. 267 DIRECTIONAL SIGN APPLICATION Date: 12/1/2002 Permit No. 42 Application Is hereby made for a permit to maintain and advertising sign, so called' Public Information Sign', in accordance with Sec.8,Chapt.85 of the General Laws. RENEWAL FEE: $10.00 Payable upon receipt PERMIT EXPIRES:1-02-2003 Permit is issued pursuant to Yarmouh Sign Code, Art 303;sec.3.2.1 shall require a permit to be issued by the Building/license Dept. In accordance with Chapt.85 of General Laws. _ _ — These will be limited to a, maximum size of Five and one half by forty inches and will Include only identification of business. The lettering will be black with background. These signs must be placed on racks in locations approved by the Yarmouth Department of Public Works. An annual fee, determined by The Board of Selectmen may revoke any permit at any time, for any infraction of the regulation. BUSINESS: Whitten Landscaping LOCATION: Route 28 & Front St WORDING: Whitten Landscaping OWNER/MANAGER: Graig Whitten ADDRESS: P.O. Box 1210 South Yarmouth, Ma Phone: 508-394-5051 MAIL ADDRESS: Same Signature of Person, or authorized agent, to Whom permit is to be granted. Title Date pi-� #� a � JE Please Note: 1) Application form must be submitted for each permanent sign. 2) The Building/license official shall be notified within ten (10) days of any change in the above information. TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, L1iA 02664 508-398-2231 ext. 267 DIRECTIONAL SIGN APPLICATION Date: 12/1 /2002 Permit No. 39 Application is hereby made for a permit to maintain and advertising sign, so called' Public Information Sign% In accordance with Sec.8,Chapt.85 of the General Laws. RENEWAL FEE: $10.00 Payable upon receipt PERMIT EXPIRES:1-02-2003 Permit is issued pursuant to Yarmouh Sign Code, Art 303;sec.3.2.1 shall require a permit to be issued by the Building/license Dept In accordance with Chapt85 of General Laws. _These will be limited to a, mabmum see of Five and one half by forty inches and will include only identification of business. The lettering will be black with background. These signs must be placed on racks in locations approved by the Yarmouth Department of Public Works. An annual fee, determined by The Board of Selectmen may revoke any permit at any time, for any infraction of the regulation. BUSINESS: T.L.0 Preschool & Daycare LOCATION: Route 28 & Front St WORDING: T.L.0 Preschool & Daycare OWNER/MANAGER: Tracey Reardon ADDRESS: 24 Commercial St, South Yarmouth, Ma 02664 Phone: 508-760-8226 MAIL ADDRESS: 485 Flint St Marstons Mills, Ma 02648 Signature of Person, or authorized agent, to Title Whom permit is to be granted. Date Please Note: 1) Application form must be submitted for each permanent sign. 2) The Building/license official shall be notified within ten (10) days of any change in the above information. P�.. JE of•YgR TOWN OF YARMOUTH BUILDING DEPARTMENT oay 1146 Route 28, South Yarmouth, b1A 02664 508-398-2231 ext. 267 T DIRECTIONAL SIGN APPLICATION Date: 12/1/2002 Permit No. 22 Application is hereby made for a permit to maintain and advertising sign, so called" Public Information Sign', in accordance with Sec.13,Chapt85 of the General Laws. RENEWAL FEE: $10.00 Payable upon receipt PERMIT EXPIRES:1-2-2003 Permit is issued pursuant to Yarmouh Sign Code, Art 303;sec.3.2.1 shall require a permit to be issued by the Building/license Dept In accordance with Chapt85 of General Laws. These will be limited to a; mafmum s�.Z- a of Five and one half by forty inches and will include only identification of business. The lettering will be black with background. These signs must be placed on racks in locations approved by the Yarmouth Department of Public Works. An annual fee, determined by The Board of Selectmen may revoke any permit at any time, for any infraction of the regulation. BUSINESS: Ocean Mist LOCATION: South St & Old Main St WORDING: Ocean Mist OWNERIMANAGER: Joan Olenik ADDRESS: 97 South Shore Drive, South Yarmouth, ma 02664 Phone: 508-398-263 MAIL ADDRESS: Same Signature of Person, or authorized agent, to Title Whom permit is to be granted. Date Please Note: 1) Application form must be submitted for each permanent sign. 2) The Building/license official shall be notified within ten (10) days of any change in the above information. PV - °4 YRR TOWN OF YARMOUTH � �_° BUILDING DEPARTMENT - S An Route 28 South Yarmouth MA 02664 508-398-2231 ext. 267 m 6 DIRECTIONAL SIGN APPLICATION Date: 1/27/2003 Permit No. 50 Application Is hereby made for a permit to maintain and advertising sign, so called' Public Information Sign% In accordance with Sec.8,Chapt.85 of the General Laws. RENEWAL FEE: $10.00 Payable upon receipt PERMIT EXPIRES: 1-02-2004 Permit Is Issued pursuant to Yarmouh Sign Code, Art 303;sec.3.2.1 shall require a permit to be issued by the Building/license Dept In accordance with Chapt85 of General Laws. These will be limited to a, mabmum s¢e of Five and one half by forty inches and will include only identification of business. The lettering will be black with background. These signs must be placed on racks in locations approved by the Yarmouth Department of Public Works. An annual fee, determined by The Board of Selectmen may revoke any permit at any time, for any infraction of the regulation. BUSINESS: Red Rose Inn LOCATION: Route 28 & Higgings Crowell Rd WORDING: The Red Rose Inn OWNERIMANAGER: Richard Wilky ADDRESS: 6 New MAIL ADDRESS-.,e Yarmouth Ma 02673 Phone: WS-775-2944 ignature of Person, or a.)uh6rized agent, to Title Whom permit is to be,granted. / 1 —3 , O 3 Date Please Note: 1) Application form must be submitted for each permanent sign. 2) The Building/license official shall be notified within ten (10) days of any change in the above information. r "i Memo To: Jim Brandolini — Building Dept From Judy 14imm — Licensing Clerk Buyer CC: Data: 3/21/03 Ree Weekday Entertainment license Attached is a copy of the floor plan for The Red Rose Inn, 6 New Hampshire Ave, WY. The Selectmen have granted a weekday and Sunday entertainment license. Please see attached floor plan and verify that they have the appropriate space. DT@T0TT MAR 111113 D By 0 Page 1 of YRk TOWN OF YARMOUTH BUILDING DEPARTMENT N�A"A PL[. ,a 1146 Route 28, South Yarmouth, NIA 02664 . 508-398-2231 ext. 261 Fax 508-398-0836 MEMORANDUM TO: Judy Klimm, Licensing Clerk Buyer FROM: Jim Brandolini, Building Commissioner `1v DATE: April 2, 2003 SUBJECT: Red Rose Inn Entertainment License Please be advised based on the information provided it appears sufficient area exists for a solo entertainer. The occupancy load has historical been set at a maximum of 65. Their Certificate of Inspection will expire May 2, 2003. An annual inspection will be performed at that time. Memo TO: Jim Brandolini — Building Dept Front: Judy Iaimm — Licensing Clerk Buyer CC: Date: 4/1/03 Re: Weekday Entertainment License Attached is a copy of the floor plan for The Red Rose Inn, 6 New Hampshire Ave, WY. The Selectmen have granted a weekday and Sunday entertainment license. Please see attached floor plan and verify that they have the appropriate space. The attached entertainment license is a brand new license. The Red Rose Inn has never had one. It was issued on March 19, 2003 after their hearing on March 18, 2003. pC�C�C�OdL� APR 0 2 2003 0 Page 1 APR 01 Z003 By v NUMBER THE COA.0vOF SACHUSETTS : FEE 28 TOWN OF YAR UTH $ 50.00 LICENSE FOR INNHOLDERS, COMMON VICTUALLERS AND OTHER KEEPERS OF RESTAURANTS AND OTHER ESTABLISHMENTS In accordance with the provisions of Chapter 140 of the General Laws as amended by Chapter 299 of the Acts of 1926, and amendments thereto, LICENSE is hereby granted to Red Rose Inn to conduct the amusements as herein described in connection with his regular twsiness of inn Folder, common victualler, or owner, manager or controller of a cafe, restaurant or other eating or drinking establishment, on the premises owned by Loaded at: 6 New Hamn. Ave. W. Yarrnouth Description of Premises: Building is an Inn with kitchen dining room living room Guest rooms, office, two rest rooms Two entrances/exits Description of amusements to be conducted Concgrt cabaret public show, live music TV. One Piece band including singer. NO AMPLIFICATION SYSTEM To be conducted on weekdays between the hours of:12:00 PM to 12:00 AM This LICENSE is granted as subject to the provisions 4 the General laws. dl*tw ale Nm&ed and forty. secsons tvw"-two to affty4m nxk*Ne, and of two hurxlred and sm erxy-two, seaions twenty m to twenty se+� ir>clusire, end arnecrdrtrerYs tt�eto and be rand for a location ' as herear described. LFCENSE granted try / - T "' "f�F- t't-t••C-r"�-G Date: 03 -18 - 2003 EXPIRE. DEC. 31, 2003 ( THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE . (See conditions d this License on reverse side) FORM S 342 ALL NOISE TO BE CONTAINED WITHIN THE BUILDING •pF'Yq� r. .. TOWN OF--YAR'MOUTH (� 1146ROUTE28 SOUTH YARMOUTH MASSACHUSETTS02664-4451 G MATTACM[[S Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 BUILDING DEPARTMENT NOTICE OF VIOLATION BUILDING ELEcnuCAL GAS PLUMBING SIGNS Inspection Date: • 2 • 0 Inspection Type: C-E PropertyAddress:-/U �f ��te-• V' Name: 4- eSt Owner QO�Tenant D / B / A: /� GUi9 Telephone: Jai• 77r• Z i y t/ Mailing Address: City / Town: State: Zip Code: 1 An inspection of the above captioned property was conducted by the undersigned, during which the following VIOLATIONS were observed: You are hereby ordered to abate or correct said violations within _402 days. Failure to do so may result in criminal/civil com laints being filed again you, which may be subject to fines as gsc 'bed by pe ' t la's nd regulayo�or may delay the issuance of your licei3s e • _-M ld ink Department for a re -inspection by the 'me e a ve. Signed: inspeCiq ' Title a Copy Received By: Original - Owner/Tenant Yellow Copy - Litinsing Authority Pink Copy - Bldg. Dept. t of•YgTOWN OF YARMOUTH o� BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 Fax 508-398-0836 m LICENSE INSPECTION APPROVAL LOG NAME Red Rose Inn ADDRESS 6 New Hampshire Ave This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall be presented to the License & Permits office and/or the Health Department in order to obtain your license. Licenses will be withheld until all inspectors have signed. Building Co Is ' r Rep. Date Comments Approved for Licences -nuance Lt—ycs ❑ No Fire Department RQQep. Date)) Comments Approved for License Issuance � ( v �ZIil03 � Yes Cr,t,1❑ No Board of Health Rep. Date Comments Approved for License Issuance Ycs ❑ No Plumbing/Gas Inspector Date Comments Approved for License Issuance ❑ Yes ❑ No Electrical Inspector Date Comments Approved for Li00,— Issuance Yes ❑ No Taxes Paid ❑ Yes ❑ No Rev.SepL 2003 LICENSE RENEWAL APPLICATION FOR 2003 15.1800122 YARMOUTH LICENSE NUMBER CITY OR TOWN APPLICATION FOR RENEWAL OF ANNUAL LICENSE FOR 2003 CLASS YEAR RICHARD.A. WILKEY INN/HOTEL NAME ON LICENSE TYPE OF LICENSE RED -.ROSE INN ALL ALCOHOLIC DOING BUSINESS AS CATEGORY 6 NEW HAMPSHIRE AVENUE 02673 WILKEY, RICHARD A. NUMBER STREET ZIP CODE MANAGER DESCRIPTION OF LICENSED PREMISES $l�,ilcli �nJt 6c-i rat, Gr1 hn W i l� I(i-FGh¢rl r ny r'CO rn 1ivtr% morn, 9w5 roorn5r o��tce�a r-cs* r-oorn3.Twor^*r�anccs�cX�tS I hereby certify and swear under penalties of perjury that : 1. 2. 3. The renewed license will be of the same type for the same premises now licensed. The licensee has complied with all laws of the Commonwealth relating to taxes. The premises are now open for business�lf not explain below) 11 Indivydual, Partner or Authorized Corporate otflcer It - o Z- Sams-7?1S" Z F44 033-42-4744 ATE TELEPHONE N . Social Security or Federal Identification Number The space below will be completed by the local licensing authority APPROVED DISAPPROVED ❑ (If disapproved explain) r ivol a-og�- nA-t�: The Local Licensing Authority By ht .►Z r 6TOIWN OF YARMOUTH APPLICANT Richard Wilkey PERMIT TO shed (TYPE OF IMPROVEMENT) FIELD COPY BUILDING / PERMIT-01'�13: DATE May 15• 2001 PEjp MIT v. L* al VLOI./ ADDRESS eW ps--re AVe. • • VLVZ I—) STORY NO. (NO.) (STREET) I PROPOSED USE) NUMBER OF DWELLING UNITS (CONTR'S LICENSE) AVfl_ ZONING W_Y_ 02673 Red Rose Inn R25 AT (LOCATION( 6 Nett HaaPrhirp DISTRICT INO.) (STREET) a BETWEEN AND Oi N (CROSS STREETI (CROSS STREET) IL SUBDIVISION 16/54 LOT YfBLOCK Map 12 LOT SIZE • 33 m U m BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION _ •.�. p 'T . .T 'i . � / z f TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION - --I-(TYPE) O LL REMARKS: buiTdizig a 41 z 101 ntt-m-hpirl_itnrngP jinir_ AREA OR PERMIT VOLUME (CUBIC/SQUARE FEET( ESTIMATED COST $ 1390.00 FEE $ •LO•DQ - OWNER r-(%Wi11Eey BUILDING DEPT. A ADDRESS 6 }�`l; Jig shire Ave W.Y. 02-673 BY INSPECTION RECORD DATE I NOTE PROGRESS - CORRECTIONS AND REMARKS I INSPECTOR T3r BUILDING PERMIT APPLICATION APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE, OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING. Town of Yarmouth Building Department 1146 Route 28 - Yarnlolttli,'NIA 02664-4492 Tel: (508) 398-2231 x261 - Fax: (508) 398-2365 Office Use Only Permit No&oL-21 Date /S o Permit Fee $;20. Deposit Rec'd. $ /PQate Due $�6; -� Planning Board Information Plan type Endorsement Date Recording Date Plan No. Other Assessors Department Information: M%2' cer M r Old New 1.4 Property Dimensions: 7 F. Lo Area (sf) Frontage (ft) Lot Coverage This Section for Office Use Only ' Building Permit Number: Date issued: Signature: $ b Building Official Date Certificate of Occupancy (/ is is not required Section 1 - Site Information 1.1 Property Address: ,cWrcS 116 1.2 Zoning Information: 12_ S. Zoning District Proposed Use r7S /Z/«o i 1.3 Building Setbacks Ift) Front Yard Side Yards Rear Yard Required I . Provided Required Provided Required Provided 01 301 1 I"5.- FLOSD/�GN*N 1.4 Water Supply (M.G.L. c. 40. S 54) Public Private 1.5 Flood Zone Information: Comments: Zone: A -/A BFE: LL y .y I3 Section 2 - Property Own/Authorized Agent 2.1 Owner ol Rec G W010 Al 'N Name (pr' Mailing Address: gna ure Telephone Telephone 2.2 Authorized Agent: Name (print) Mailing Address: Signature Telephone Section 3 - Construction Services 3.1 Licensed Construction Supervisor:--�"'r0� Not Applicable ❑ `oaZ 5 %d License Number Address a Expiration Date Signature Telephone 9- 15-99 1 of 4 OVER 3.2 Registered Home Improvement Contractor: Company Name er1-4 Not Applicable ❑ Registration Number Addres! 'J Z �R Expiration Date slur Telephone Section 4- Workers' Compensation Insurance,Affidavit (M.G.L c.152 S 25C (6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial the issuance of the building permit. Signed Affidavit Attached Yes ......... 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: Not Applicable ❑ Name (Registrant): Registration Number Address Signature Telephone Expiration Date Section 5.2 Registered Professional Engineer(s) Name Area of Responsibility Address Signature Telephone Registration Number I Expiration Date Name Area of Responsibility Address Signature Telephone Registration Number Expiration Date Name Area of Responsibility Address Signature Telephone Registration Number Expiration Date Name Area of Responsibility Address Signature Telephone Registration Number Expiration Date Section 5.3 General Contractor Not Applicable ❑ Company Name Person Responsible for Construction i l Address Signature Telephone 9-15-99 2 of 4 Section 6 - Description of Proposed Work (check all applicable) New Construction ❑ (for multiple family only) No. of Bedrooms (for multiple family only) No. of Bathrooms Existing Bldg. ❑ I Repair(s) ❑ I Alter tions ❑ Addition Accessory Bldg. ype Demolition Other Specify: Brief Description of Pr osed Work: elfAQ it <<j_ 6 , -IbA< Xl0 Section 7 - Use Group and Construction Type Building Use Group (Check as applicapable) Construction Type A ASSEMBLY ❑ A-1 ❑ A-2 ❑ A-3 ❑ A-4 ❑ A-5 ❑ 1A ❑ 10 ❑ B BUSINESS ❑ 2A ❑ 2B ❑ 2C ❑ E EDUCATIONAL ❑ F FACTORY ❑ F-1 ❑ F-2 ❑ H HIGH HAZARD ❑ 3A ❑ 3B ❑ 1 INSTITUTIONAL ❑ I.1 Cl 1-2 ❑ 1.3 ❑ M MERCHANTILE ❑ 4 ❑ R RESIDENTIAL ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ ❑ S STORAGE S-1 ClS-2 El513 U UTILITY ❑ SPECIFY: SPECIFY: M MIXED USE I❑ S SPECIAL USE I❑ SPECIFY: Complete this section if existing building undergoing renovations, additions and/or change in use. Existing Use Group: Existing Hazard Index 780 CMR 34 Proposed Use Group: Proposed Hazard Index 780 CMR 34 Section 8 Building Height and Area Building Area Existing (if applicable) Proposed Number of floors or stories Include basement levels Floor Area per Floor (sf) Total Area All Floors (sf) Total Height (ft) Section 9 - STRUCTURAL PEER REVIEW (780CMR 110 11) Independent Structural Engineering Structural Peer Review Required Yes .......... No .......... SECTION 10a OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property, hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 9- 15-99 3 of 4 OVER DECLARATION I I, `f✓� ult 4' , as Owner/Authorized Agent reby declare that the statements and information on the forgoI4 application are true and acurate, to the best of my knowledge and belief. Signed under the pains and penalties -of perjury. Print Name of Owner/Agent Section 11 - E8 Item 1. Building 2. Electrical D CONSTRUCTION COSTS Estimated Cost (Dollars) to be completed by permit applicant J-'Oo 0 3. Plumbing / Gas 4. Mechanical (HVAC) 5. Fire Protection 6. Total - (1 + 2 + 3 + 4 + 5) 7. Total Square Ft. pm newehxeree a edMons) Check Below ❑ Conservation -Commission Filing (if applicable) ❑ Old Kings Highway & Historical Commission approval (if applicable) .S_/-0� Date n 9-15.99 4 of 4 3; 0`YghC TOWN OF YARMOUTH 00 r„ S BUILDING DEPARTMENT BUILDING- PERMIT APPLICATION SIGN OFF Applicant: G a� Olk` Building Permit No.: Address: 60 11&J 4�'(29i2L Tel. No.: S 'Zy Date Filed: Bldg. Site Location: Map No.: Lot No.: The following information outlines the procedural steps required to obtain a permit to build, alter, or add to a structure within the Town of Yarmouth. The Building Department will determine compliance to the following: (A) Zoning Requirements (B) Historical Districts (C) Flood Zones. The Building Department will be responsible for assisting the applicant through the following departments: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: Determines Compliance of Water Availability. (applicant to obtain) ENGINEERING DEPARTMENT: Determines Compliance for Parking and Drainage. CONSERVATION COABIISSION: Determines Compliance to Wetlands Acts; i.e., If Lot(s) Border any Type of Wetlands, Streams, Ponds, Rivers, Oceans, Bogs, Bays, Marshland, Etc. HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements for Septage Disposal and other Public Health Activities. FIRE DEPARTMENT: Determines Compliance to State and Town Requirements for Personal Safety, Property Protection; i.e., Smoke Detectors, Sprinkler Systems, Etc. ---------------------------------------- 77te following Departments must sign off, in the respective order, prior to building inspector issuing the required building permit: REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERING DEPAR 3. CONSERVATION: ' LENT: DATE: N/A: --eefC DATE: N/A: 4. HEALTH DEPARTMENT: DATE: N/A: INDUSTRIAL AND/OR COMMERCIAL PERMITS 5. WIRING INSPECTOR: _ 6. PLUMBING INSPECTOR: 7. FIRE DEPARTMENT: — PLEASE NOTE All stumps and/or brush must be disposed of at an approved site. COMMENTS: DATE: DATE: N/A: N/A: DATE: N/A: OE �YAR 2 Q I� G PLEASE PRINT: Job Location: _ TOWN OF YARMOUTH BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM Number Owner of Property: Construction Supervisor: Address: X04J Street e k Name Licensed Designee: (If other than Supervisor) Name 2.15 Responsibility of each license holder: License No. Village License No. 46 Phone No. 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfullyviolatesubsections 2.15.1,2.15.2or2.15.3orany other section ofthese rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons, the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.152 Yes �( No ❑ If you have checked M, please ind' ate t e coverage by checking the appropriate box. A liability insura policy Other type of indemnity ❑ Bond ❑ OWNER'S IN irvw I m pare that the licensee does not have the insurance coverage required by Chapter 1 ass ei and that my signature on this permit application waives this requirement. Check one: Sic ature of Owner or er's Aa Owner Agent Signature: Building Official Approval: The Commonwealth ojMassachusetts Department of Industrial ,-accidents ONCO a/19youfffiffoss 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit L -0 ?7.� z N3y O 1 am a homeowner Artorrning all work myself. K1 am a sole proprietor and ha%a no one working in any capacity O 1 am an employer pro%iding workers' compensation for my emplgyees working on this job. insurance co policy N I am a sole proprietor. general contractor, or homeowner (circle one) and have hired the contractors listed below %%ho ha%e the following workers' compensation polices: company name: address• city: phone N• insurance co policy N ' ■ MM? Failure to secure coverage as required no GL I53 as lead to the imposition of criminal penalties of a One up to SIAN.00 aadlor one years' Imprisonment as well ■I t orm of a STOP WORK ORDER and a Oat of S100.00 a day against me. I aaderstaad that a copy of this statement may d tcarestigations of the DIA for coverage verifieadon I do hereby cenijy a qury that the information provided above is true and correct Signature 1 OS— CA Q Print name 1 L� Q ' l� hone 0-2-2 ofricial use only do not write in this area to be completed by city or town official city or town: YARMOUTfi ❑ check if immediate response is required contact person: permitAieense 0 ElBuilding Department ❑Ucensiog Board 261 ❑Selectmen's Office ❑Healtb Department phone#:_ (508) 398-2231 ext. r-10ther Imoed 3M r1A1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their entplo%ees. As quoted from the "law an employee is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An emphr ver is defined as an individual. partnership, association. corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise. and including the legal representatives of a deceased employer, or the receiver or trustee of an individual . partnership, association or other legal entity, employing employees. However the ow ner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelline house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. %lG1_ chapter 15= section :5 also states that even• state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any vidence of compliance with the insurance coverage required. applicant who has not produced acceptable e Additionally. neither the commomvealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hay e been presented to the contracting authorit%. Applicants Please till in the workers' compensation affidavit completely, by checking the box that applies to your situation and suppl%in,.! company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Ace idents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The afldavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Ifl1C0 If Investlladel! 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone 4: (617) 7274900 ext. 406, 409 or 375 BUILDING TOWN OF Y A R M O U T H ELECTRICAL 1146ROUTE28 SOUTH YARNIOUTH NIASSACHUSETTS026641I451 GAS Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-2365 PLUMBING SIGNS BUILDING DEPARTMENT .DEMOLITION. DEBRIS DISPOSAL AFFIDAVIT-. Pursuant to M.G.L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at Work Address is to be disposed of at the following location: Said disposal. site shall Chapter 111, SS41%� , Permit No. olid waste facility as defined by M.G.L. 6 -L- °/ Date For Office Use Only Permit No. Date TOWN OF YARMOUTH AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the reconstruction, alteration, renovation, repair, modemization, conversion, improvement, removal, demolition or construction of an addition to any pre-existing owner -occupied building containing at least one but not more than four dwelling units or structures which are adjacent to such residence or building' be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: Est. Cost J)�� Address of Work _� !s 4% 4-P Owner Name: Date of Permit Application: 3_—/_ 0 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law i'C Job under $1,000 Building not owner occupied XOwner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Notwithstanding the above property: i Registration No. as the owner of the above Date Owner Name Abuttor I s Name Lot # If this is a corner lot, write in name of street. .1 ro PLOT PLAN FOR LOT # Indicate location of garage or accessory building Additions with dashed lines -------------------- Sewerage disposal (cesspool) Well I I I(lot................ft. rear) I SIDE YARD � OO FT_ REAR YARD ......250..ft. SIDE YARD 0__ �_ FT0 3 SET BACK (lot..................ft. frontage) \ / (NAME OF STREET) / \ Information �! C / \ Supplied by AbuttorIs Name Lot # If this is corner la write in name of c other street. b L MARK NORTH POINT .'. r . +�l r 1' � .• vim_ +� �. •''• l • ��1 � ""\.. �r a •j1 •,� .. _F-./�' ��. .�. ' Yam. 0. _ ��`... Ft> 4 -?- e -�,r.t.s;w rs.r. `, , �� , � - ,1, �` .. ", .. � y. .:_ .., �y ��•�. � i CLZE]? TT T-N N N **TO S2b OTn< OT,'r)tl>PO/ADrl ADO / ti Date: 6 Contact Person: Location of Sign: TOWN .OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 260 WRITTEN WARNING OF SIGN CODE VIOLATION December 1,2000 Mr Richard Wilkey 6 New Hampshire Ave West Yarmouth MA 02673 Berry Ave & Broadway Section of Code Being Violated: Section 303.6.1 Description: No sign will be displayed without a permit Please Comply By: Removing this sign. Section 303.9.2 of the Town of Yarmouth Zoning Bylaws requires that you be given a Written Warning to correct the defect or remove the offending sign, before any further enforcement action is taken. That Written Warning allow you one (1) business day to CORRECT OR REMOVE the offending sign. This letter is intended to be that written warning and you should take whatever action you intend to take in this period. Should you feel aggrieved by the interpretation or decision of the Building Inspector, you do have the right under Mass General Law, Chapter 40A, Section 14 to appeal that decision to the Zoning Board of Appeals. . This appeal must be filed within 30 days of any action that is being appealed with the Town of Yarmouth Zoning Board of Addeals at 1146 Route 28, South Yarmouth MA. Certified Main P 131546130 Richard B. Graham Local & Sign Inspector. vSENDER: " I « i 0 Complete kerns t anNor 2 for adoonal samicaa. C0MPI@ta Name 3.4a. and 4b. - 1 also wish to receive the follow- ing services for an extra fee): o` i O� m name and address on the revane of this brm so #rat we can return Vr s arm a Attach to ere frork of er ma tpece, a m the bads N space does not • ❑ Addressee's Address j r "Fits �fermger, p � B9r�ettfed'on the m ece below the amide number. 2• ❑ Restricted Delivery o vt ' G O The Return The Retu fie" wiN Now to whom tM amide watt deiverad sref the date red a - 3' Article Arlrtrnceall f°' 4a. AMCle Number 1 RED ROSE INN E 4b. Service Type Mr Richard Wilkey a ; 0 l ❑ Registered ❑ Certified 6 New Hampshire ❑ Express Mail ❑ Insured ti i i t � West Yarmou th,MA 02673 ❑Return Receipt brMemfwtdtse ❑COD � " -- . - 7. Date of Delivery i C �°, I c i S.Received By- (Print Name) a.Addressee'sAddress (Only ilrequestedand lee !s paid) S 0 6. Signature (Addressee orAgent) / I PS Form 3811, December 1994 102595-99-B- 3 Domestic Retum Receipt - _ i i P 131 546 130 us Postal Service Receipt for Certified Mail No Insurance Coverage Provided _ Do not use for International Ma See reverse P 'zi lyJ 1 Pochpe $ Co" Fee Sp%w DWwy Fw PmVided Delvery ti0 ' $•' Rsuen Reoapt ShoWtq p • � tome a Date DeivareA ' Q peumfi•cWmw gloWw% g t>or, bo-ti ►ea•u cc TOTAL P~8 Fe"s Due Pmun" of U. to Fold at line over top of envelope 1the right of •• CERTIFIED P 131 546 130 .._ . _ r AkI. OWL- 1►' t�1.yl�Je !I - - 11111111111 F.., ",e 2 . pe ru __j ILDING TOWN OF YARMOUTH 11EL GAS 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664 MAPLOT5- ty Telephone (508) 398-2231 PLUMBING SIGNS BUILDING DEPARTMENT smummamuft APPLICATION TO ERECT AND MAINTAIN SIGN z 0 DATE 3— Z % W OI) TO THE SIGN INSPECTOR: UNDER SECTION 303 OF THE YARMOUTH BY -LAMS, THE UNDERSIGNED HEREBY APPLIES / FOR A GN PERMIT ACCORDING TO THE FOLLOWING INFORMATION: r BUSINESS NAME -20 d -P O Q5 �4 TEL: -%� Z `i ci T 6 1,ery iR cr 4q,)1r ZONING DISTRICT L.B. G.B. } /I/NDD."� RES.(/ HIST. DIST. BUSINESS OWNERS NAME/ADDRESS /). lam✓ I LI/ Is TEL: %!-� Z 9 I / OWNER OF RECORD/OF BUILDING ADDRESS SIGN BUILDER ADDRESS TYPE OF CONSTRUCTION MATERIAL(S) [4 0( LIGHTING TYPE FREE STANDING (/ ATTACHED TEMPOR4RY PERMANENT DIAGRAM OF LOT AND SIGN WITH DIMENSIONS ANb SET -BACKS FROM PROPERTY LINE. SHOWN LETTERING AND ADVERTISING ON SIGN. FOR ATTACHED SIGNS SHOW LOCATION ON FACE OF BUILDING AND RUNNING FOOTAGE OF PORTION OF FRONTAGE OCCUPIED BY BUSINESS. ZANZ� U O MAR 2 7 2000 z - I HEREBY AGREE TO CONFORM TO THE ZONING BY-LAWS, SECTION 303 OF THEITOWN OF JARMOUTH REGARDING THE ABOVE SIGN CONSTRUCTION. I FURTHER AGREE THAT TH 5IGN WII.UH 1? BE ALTERED, ADDED T09 OR CHANGED IN ANY WAY UNTIL A NEW PERMI BEEN THE NUMBER OF THIS PERMIT WILL BE AFFI%ED TO THE SIGN IN NOT�iAt�i� ' ERS.^ ALL PERMITS SUBJECT TO APPROVAL OF THE SIGN INSPECTO �-"I � �b APPROVAL BY DATE `La FEE�"� NUMBER C� 5� Office Use DI we — _ (0mmunalo of �arloar4u.aetts Permit No. t_ il)cparttntnt of Ilublic $afctp Occupancy,& Fee Chocked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 1 :00' (PLEASE PRINT IN INK OF�.TYPE ALL INFORMATION) Date Z // �o City or Town of 4!J A& la-6X/ To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. ^ Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with at building permit: Yes ❑ No Q� (Check Purpose of Building Utility Authorization No. Existing Service Amps _1 Volts Overhead f❑ Undgrnd ❑ New Service 20�0 Amps 47a r 2r/o VOlts Overhead rd ' Undgrnd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Z1✓s71aZZsuar4. r�P�� cd/,��.e�r✓a�o� .�C No of Lignting Outlets No. of Hot Tubs No. of Transformers Total VA No. of Lignting Fixtures Swimming Pact Above In- grnd. ❑ prntl. ❑ Generators KVA No. of Emergency Lighting No. of Receplacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devices No. of Sail Contained No. of Disposal& No.of Heat Total Total Pumps Tons KW No. of Oisnwashers Space/Area Heating KW OetectlorVSounding Devices Municipal Local Other Connection No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Rtbs I No. of Motors Total HP . OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws J I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES Z NO ❑ I have submitted valid prool of same to the Office. YES CK NO ❑ If you have checked YES. please Indicate the typo of coverage by checking the appropriate box. INSURANCE Er BOND O OTHER ❑ (Please Specify) (Expiration Data). Estimated Value of Electrical Work i Work to Start Inspection Date Requested: Rougn Final /� o Signed under the Penalties of perjury: FIRM NAME LIC. NO. - - Licensee , A, r%A 4. lele� rrF _Signature LIC. NO. •es Bus. Tel. No. Address 4�0:e Lvi2 ge / � .e,&, f N 4]5-34 Alt. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that trio Licensee boss not have the Insurance coverage at Its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature an this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE i (Signature of Owner at Agent) �f APPLICATION FOR PERMIT TO INSTALL AND REQUEST "'��✓✓ FOR ELECTRICAL SERVICE Inspector of Wi es Wiring Permit #LOUOWElectriq # Town of Massachusetts Building Permit # Date 7. oD Customer: �c�24%$d5-_T✓A✓ o (Street#) ` Lot # in the village of utili number or underground number 3 Customer's billing address Temporary New installatign—� Change of service '� Starting Date Job description ! G �� ! • fOC t//GG' wi2� �Lrve r1n� L� v Or s nrrje j� Service entrance voltage Amperage AGO Phase I Wire size (cu. or al.) r,� Conductor per phase / Number of meters _4 Water heater Ott peak: Yes — No — Estimated load: Electric heat Ready for first inspect' n — Electrical Contractor kw, lights kw, Range Ready Lic. #. dryer Motor , H.P/ Phase nal Inspection- < 0o 7S0 " Telephone tt F1t3 —7 s' Address Z4!7 Additional Remarks: OVF�n 620W D•Eoa Do Not Write BeIOW This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in / Service and Motor. �� r Off Peak Meter Final Approval Disapproved' 'For the following reasons CERTIFICATE OF INSPECTION DATE To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been cosRptetpdt�d ijap this day be n inspe ted and approval granted for connection to your service. D��/„(/94(,, = WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46-1 White — CON/Electric Green — Inspector Canary —Town Receipt Pink — Inspector's Copy Goldenrod — Electrical Contractor to COM/Electric �. .. ..Rr �Y`-. ^'V"y'1 � � �'V'p',"rv..{ (YfJ ^�,'^ ..Yliw=ice-'r^Pi'i`YINr ...� r• ,. .. .. V 1 � _ _ APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector W' Wiring Permit #- of es �C�OM/Electri9 # _ Town of 1 Massachusetts Building Permit # Date % /fl o0 a , D. Customer: pC�—�psE ��✓�✓ (Street #) Lot # in the village of utili�number or underground number 41 Customer'stiilling address Temporary New instal lati nChange of service Starting Dates ,+-- w Job description f �� ,��"� Q r iFie �« r wa2E �nio ll/it to ou or;/Ir �v T Service entrance voltage Amperage i a c Phase Wire size (cu. or al.) Conductor per phase Number of meters Water heater Off peak: Yes _ No — Estimated load: Electric heat kw, lights kw, Range dryer Motor H.P & Phase Ready for first inspect n Ready for final inspection �`1 /a0 ' Electrical Contractors ff= A• -��✓b� Lic. #- 106d f� Telephone #4541- � - Address �d�' �+IQIZ�G7L_ /PD. ec;f'/�i.—e.��f/ Additional Remarks: ayFFG NF%V Dare G© Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in Service and Meter ^ , n ,�/ 1 � (/✓ Off Peak Meter Final Approval Disapproved' 'For the following reasons CERTIFICATE OF INSPECTION DATE To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been comptetjd Fjgs � this day been ins cted and approval granted for connection to your service. 011 /YiIUI,�"{�-�� ti Inspector of Wires V WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46-1 White — COM/Electric Green — Inspector Canary — Town Receipt Pink — Inspector's Copy Goldenrod — Electrical Contractor to CON/Electric ' y.+..v♦ .r"•yr `v-,.:+W a�.r+...,..�H.i',T...FfH.-`^Ywavti•.+r`vMrvwe.':�^w.......r.�..w,.,r.:r.wtnrri V"^i.•..rF..r..-...,w w�. n.. ..�,..�,+w , .. ... /' T „ APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVIC U,_� Inspector of��W%' es / -. Wiring Permit # COM/Electrip # Town of j�'R�"� our Massachusetts Building Permit # Date " 7 �� o0 Customer:. ��D �oSE =.ti/i{/ jy,R (Street #) W4— SNi.e6' rp Lot # In the village of � • V 01454number or underground number 3 Customer's,.billing address Temporary New installation Change of service Starting Date ' Job descrier �� -� A �� Q' Q N fE�� (//G 6 — �v //Z tf `��✓0 4�� ewy O�i$ rvj2"_,V Service entrance voltage 8 Amperage "26 C Phase Wire size (cu. or al.) Conductor per phase l Number of meters Water heater Off peak: Yes — No — Estimated load: Electric heat kw, lights kw, Range dryer Motor H.P/ & Phase Ready for first Inspect' Ready to fin Inspection i i l ( 00 Electrical Contractor r �N�y I . # �� Telephone �.23 Addre af 4001,4,� -fcYL Additional Remarks: N6bt/ O Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in� Service and Meter W tC ' � • Off Peak Meter Final Approval ` Disapproved• 'For the following reasons CERTIFICATE OF INSPECTION DATE UJ To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been comp O d�p d this day b en inspected and approval granted for connection to your service. / l M�4 Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA461 Y White — COWElectric Green — Inspector Canary — Town Receipt Pink - Inspector's Copy Goldenrod — Electrical Contractor to COM/Electric o% C-_ �i�C i�OUIIIIAItlUPA111I Af>BBAfilU6C�f� 15cpartuicnt of Public Bafctli BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Permit Nd. t Occupancy A Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. 527 CM 1 :0o' (PLEASE PRINT IN INK 95TYPE ALL INFORMATION) Date 7/ eo City or Town of To the Inspector of Wires; The udersigned applies for a permit to perform the electrical work described below. Location (Street A Number) rk� �/ .CIA n Nr d A t% Owner or Tenant RED .eaSA-- rf✓n/ Owner's Address rY Is this permit in conjunction with at building permit: Yes ❑ No LJ (Check Purpose of Building' ri✓A✓ Utility Authorization No, Existing Service Amps _/ Volts Overhead ❑ Undgrnd ❑ New Service .200 Amps /961-266i:2—Volts Overhead E?� Undgrnd ❑ Number of Feeders'and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work _z.✓s�a11zen,4. � e No of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pact Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Cond. Total tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Sell Contained No. of Dishwashers Space/Area Heating • KW DelectioNSounding Devices Local Municipal ❑Other ❑ Connection No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Miring No. Hyaro Massage Tubs No. of Motors Total HP . OTHER: INSURANCE COVERAGE. Pursuant to the requirarnents of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its sucstsntial equivalent. YES 0-`NO ❑ I nave submitted valid proof of same to the Office. YES tY NO ❑ It you have chocked YES. please Indicate the type of coverage by checking the appropriate box. INSURANCE e- BOND ❑ OTHER ❑ (Please Specify) (Expiration Dale). Estimated Value of Electrical Work i Work to Stark Inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME LIC. NO. Licensee ';p r/iA /l. L /n/4 N Signature —LIC. NO. f Bus. Tel. No. Address 'o f LvXe QD. E_ a,2s'34 All. Tal. No. 727 = -As'8-7 e A - OWNER'S INSURANCE WAIVER: I am aware that fit* Licensee coos not hew the insurance coverage or Ito subatanilat equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please chack one) Telephone No. PERMIT FEE $ (Signaturs of Owner or Agent) i PATRICIA T. SAVAGE December 5, 2000 Mr. James Brandolini, Building Commissioner Town of Yarmouth 1146 Route 28 South Yarmouth, MA 02664 Re: Sign Violation at Berry Avenue & Broadway Dear Mr. Brandolini: On December 1, 2000, Mr. Richard B. G Warning to Mr. Richard Wilkey, owner of tl Please be advised: ■ Mr. Wilkey did not erect the sign, I did. p R@ 0 T T DEC 0 5 2000 D of-yourro issued a Sign Violation Rose Inn. G �f/ew �an�psi%re , Wy ■ I erected it to raise funds for the Historical Society of Old Yarmouth. Mr. Wilkey graciously agreed to sell Lewis Bay T-shirts at the inn with all proceeds going to the Historical Society. ■ 1 removed the sign this morning. The purpose of this letter is two -fold: ■ To have the record clear that Mr. Wilkey was not involved in the violation of Section 303.6.1 of the Code. ■ To inquire exactly how a non-profit organization should gain permission to erect a sign. Sincerely yours, Patricia T. Savage cc: Mr. Richard B. Graham, Yarmouth Building Department Mr. Richard Wilkey, Red Rose Inn 18 LEWIS BAY BOULEVARD - WEST YARMOUTH, NIA 02673 PHONE: (508) 775-4917 - EMAIL: icsavagc@aol.tom I I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) a- d U , Mass. City, T wn Building "Oe4j AT: Location 14R�wt 126kfi2ld �.I lqvc, New ❑ Renovation ❑ Date /a • a S , g6_ Permit # Owner's Name i - k � eD ose Type of Occupancy Replacement ❑ FIXTURES Plans Submitted Yes ❑ No ❑ as all "M"MMONNEENNON ONO to �nnnnnnnnnnnnnn CM 119 (Print or Type) Installing Company Name e Rc5r-h CA Address 137 U I (o % Check O (Corp. ❑ Partnership _ ❑ Firm/Company nusiness lelepnone •.2a % Name of Licensed Plumber or Gasfitter Certificate 1 hereby Certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the bat of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Slgw or Owagwam t - 1 have a current liability insurance policy to include completed operations coverage. ❑ TiAz� de i ature o Licensed Plumber Ti City/Town Type of Plum ing License (c� ( Master ❑ Journeyman APPROVED (OFFICE USE ONLY) License Number Fonm124o HaW HoauaWuwENrr MASSACHUSETTS UNIFORM APPLICATION OR PERMIT TO DO PLUMBING (Print or Type) i GZ, !em;d u-ni , Mass. City, T wn Building /� AT: Location �O lLmoSkct2,,, qv4 (� l Date is - a g 1961 Permit Owner's Name I'/— e X eD D SG Type of Occupancy S New ❑ Renovation ❑ Replacement ❑ FIXTURES Plans Submitted Yes ❑ No ❑ N� C �) = J W b J U 9 6 W e`J OC'V ZUj N <¢ f` < . F ul 2 O O O Z N 0. ¢ _ N N ¢ Uj d < < X CO 1t lit Z ¢ O cs 0 cc Y/ W Y ¢ < i< i- N W = ¢ a < N O Z ¢ ¢ J LL 7 ¢ W x I- W N 0 ; V) C cc 1-Z J p ¢ W O W ¢ O co -' Imi -< Y Y 1•- � O Y Z 7 N 1- be Z V. O O N _Z < W 1" O W U W Y < 1- < < S 2 N < < O < d ,� < ¢ ¢ ¢ < 3¢ O < t- Y .r m W O a J 3= ►- Vl u. O -'i O < ai O UI31BSMT. BASEMENT 1ST FLOOR 2NDFLOOR 9RDFLOOR 4TH FLOOR 5THFLOOR STH FLOOR Nil TTH FLOOR BTHFLOOR I IF (Print or Type) Installing Company Name e Address q L' • •3 0-1n n TLJ It n,i Check O : Corp. ❑ Partnership ❑ Firm/Company Certificate Business Telephone.lo ( a-7 Name of Licensed Plumber or Gasfitter I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the bat of my knowledge and that all plumbing work and Installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. 1 have informed the owner or his agent that 1 do not have liability insurance including completed operations coverage. I have a curcetit liability insurance policy to Include completed operations coverage. ❑ By i cure o Licenscd Plumber Title City/Town Type of Plum Master ❑ Journeyman ing License Q� APPROVED (OFFICE USE ONLY) License Number FoRm 1240 HaW Haees a WNwEN'o W.LK. eD S � Sn n rV" N0-"TsH;2` Aue, 12T Y •' 137 S . cQ-'s-t L4,1� • TOWN OF YARMOUTH dt? Building Department Town Hall Yarmouth, MA 02664 (508) 398-2231 ext.261 E _U Building Location: 00006 NEW HAMPSHIRE AV Owner's Name: RICHARD A WILKEY/Red Rose Inn Owner's Address: 00006 NEW HAMPSHIRE AVE West Yarmouth MA 02673 Owner's Telephone: Electrician Name: License Number: Company Name: Company Phone: J. R. Ling A15646 Ling Electric (508) 945-9010 PERMIT TO PERFORM ELECTRICAL WORK (OFFICE USE ONLY Recorded By: Ic PERMIT NO. Permit Fee: $50.00 Payment Type: Check Check Number 2146 Issue Date: 3/18/02 Type of Work: Replacement Comments: install control/feeders for sewer ejectors INSPECTION RECORD Date , , I Note Progress - Corrections and Remarks I Inspector P114 Date Printed: 3/19/02 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 TOWN OF YARMOUTH (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) (OFFICE USE ONLY) By 0 Fee: $ 6 a_ Yl^- ti C-- q PERMIT NO. C-OZ" 6 13 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) kk CAJ JOV M 5 Owner or Tenant Q O S I. F 1 Te Owner's Address GA W Lt LV n'J t_t... C.'XXV'� E1C Jill I Is this permit in conjunction with a building permit? ❑ Yes [6No (Check Appropriate Purpose of Building IL S Z= F I Am . Utility Authorization No. Existing Service OD Amps (0 / AAD Volts Overhead(►. New -Se Aml]s I Vnitc 0-erhendo Number of Feeders and Location and Nature of Proposed electrical Work: (AsT Undgrd ❑ No. of Meter�___� Undgrd ❑ No. of Meters IF e,; ripc,io ', Completion of the followina table may be waived by the inspector of Rims o - Sed Fixtures No._oLC&iL5vsv-(Paddle)n No. of Total Transformers KVA No. of Lighting Out No. of Hot Tubs Generators No. of Lighting Fixtures ove n- SwimmingPool rnd. ❑ md. o. of Emergene Ling atim Un' No. of Receptacle Outlets No. of t ers ALARMS No. of Zones No. of Switches No. of Gas Bumers o. of Detection an Initiating Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat m Tot. • m er — " ons — — — — of Self -Contained Deeetion/Alcrting Devices No. of Dishwashers ace/Area Heating KW Municipal Local LJ `-Connection ❑ Other No. of Dryers rY Heating Appliances KW g PP Secutity Systems: No. of Devices or ui t No. of Water Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices c uivalent No. H dro a e Bathtubs y g No. of Motors Total HP Telecommunications Wiring: No. of Devices or uivalent Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE '� BOND[] OTHER[] (Specify:) (Expiration Date) Estimated Value of Electrical Work: / b0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME' L 1 A cr E i e,-1 fLC L LIC. NO. 415(P-A & Licensee: St L 1I A (3 Signature lGc - LIC. NO. ' & 4(D (If applic e, enter'. xempt" in the licens number line.) Bus. Tel. No.: To8 ^`(q —cT0l Address t ox, 11.00 WPS L eM-t11A k MA 04,& 6Ce Alt. Tel. No.: 604 ` det00 - aa.33 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) owner ❑ owner's agent. 13 Owner/Agent Signature Telephone [Rev. 04i00] guest room bathroom I \ 6udicapped bathroom innkeepers quarters MEMEW guest room - f� liquor storage ar: *0 office O oil proposed liquor use, I t Foyer I entrance RED ROSE INN DINiNGROOM AND BAR AREA .� C Dy�� (fommonwsak of Mallachule(fd ,Official Use /Only ccyy�� M Permit No. �8 —tP ()8 � __ - 1JrrParlmsnt o`�ire �iroico! �! f - - `=�, Occupancy and Fee Checked �� • 6 BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME ), 527 C 12.00 PLE SEPRINTININKORTYPEALLIN'FO1RMATION) Date: 1 �6 . �� Cityor Town of: Vat(IMOvTi.., To the Insp ctor of fires: ByI F application the undersigned gives notice of his or her intention to perform tale electrical work described below. W„ L:Ocat'on (Street & Number) cv Owner or Tenant !en fl\ 4 ins_ L; ? O►vnel,s Address LL� 1 Isllthispermit In conjunction with a building permit? Yes ❑ J G � Purpose of Building Overhead ❑ Overhead ❑ Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: s'„6+IA- .t f7at1/ItJi'(%Prt 01 r Telephone No. No Lij, (Check Appropriate Box) Utility Authorization No. Undgrd ❑ Undgrd ❑ No. of Meters No. of Meters Completion ofthe followine table may be waived by the Inspector of Wires. No, of Recessed Luminaires No. of Ce6.-Susp. (Paddle) Fans r o ota Transformers KVA No. of Luminalre Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool rnd. Above ❑ n- rnd. ❑ y Lighting o. o mergenc/I Ba"ery Units o�- No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners nd o. o elect on Initiatiniz Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers P eat ump Totals: Number ons o. oSelf-Contained Detection/Alerting Devices — No. of Dishwashers Space/Area Heating KW Local ❑ MunicipalEl Other Connection No. of Dryers Heating Appliances g PP KW Security Systems:* No. of Devices or Equivalent o. of Water KW Heaters o. o o. o Signs Ballasts Data Wiring: No. of Devices or E uivalent No. llydromassage Bathtubs No. of Motors Total HP Telecommunications ring: No. of Devices or Equivalent OTHER: G,-.,rs Attach additional detail if desirecd or as required by the Inspector of Wires. CatedValue of Electrical Work r O. c'Q (When required by municipal policy.) to Start: AInspections to be requested in accordance with MEC Rule 10, and upon completion. � �, INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cov age is in force, and has exhibited proof of Aame to the permit issuing office. pCHECKONE: INSURANCE LH BOND ❑ OTHER ❑ (Specify:) N*sYn av\� T"', �-I certify, under the pains and It' s of perjury, that the in ormation on this application is true and complete. NFIRMNAME: a (/ *(A LIC.NO.:26aq S �[Llcensee: -5 V1^q, Signature LIC.NO.: �- (Ifopplicable, enter "exempt "in the license n ber li e.) Bus. Tel. No.: P/ 7 S7 / jr Q y3 Address: /t' I O Alt. Tel. No.: �11--O'Per M.G.L, c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No, J OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one ❑owner ❑ owner's a ent Own tore nt PERMIT FEE: $ Signature Telephone No. Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs & Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies State Online Services Home , Division of Professional Licensure Check A Professional License By the Division of Professional Ucensure LICENSEE Name: DAVID R. DUNN HUDSON,NH NEW SEARCH Licensing Board: ELECTRICIANS License Type: JOURNEYMAN ELECTRICIAN TYPE CLASS: E License Number: 36295 Status: CURRENT Expiration Date: 7/31/2010 Issue Date: 5/12/1993 Exam Date: 4/3/1993 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Thursday, December 27, 2007 at 3:56:07 PM. © 2007 Commonwealth of Massachusetts Mass.Gov SEARCH Office of Cons Search ONLINE SI Check a Ili Locate a Li Profession OnlineAd( Contact thi More... REFERENC RELATED I Disclaimer RE Website Ucer Enforcement Glossary Help on Ucen More... Site Policies Contact U: http://license.reg. state.ma.uslpubliclpubLicenseQ. asp?board_code=EL&type_class=_E&I... 12/27/2007 Hv- Anictu L� 1-�- Intve, 41� kuiseJ f (��S vjc;rl� �t��`-�- by►1�,�� u,�t-� c� I ► c� -11d�. -� �Us+ h6+ a Pew OIL unl o vz i, F I e oj} b 44 C6(le�ruC+ar IS�- W,11 ca,� w ll b 1 �Ue an rP iAtL� 403-- � q97. �97 JUN U 8 2007 BUILDING DEPT The Commonwealth of Massachusetts City\Town of New and Renewal Certi •cate o Ins ection In accordance with 780 CMR, Chapter 1(77te Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to further enhance fire and life safety), this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Ident tfy Name of Establishment Certiftcate No. Issued to RED ROSE INN RESTAURANT 2334 Identify property address including street number, name, city or town and county Cert yicate Expiration Located at 6 NEW HAMPSHIRE AVENUE MAY 2, 2009 WEST YARMOUTH, MA 02673 Basement First Floor Second Floor Third Floor Fourth Floor Other 'lise Group Classification(s) A-3 49 PERSONS Allowable Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certifuate is strictly prohibited.. Name of Municipal RANDALL SHERM N Name of Local ANDRE AULT Date of Inspection f O S Fire Chief Building Inspector Signature of Municipal Signature of Local "Date of Fire Chief Bu' ding Inspector Issuance t' OFFICE MEETING NOTES FILE COPY ADDRESS:/ Names of Attendees: Zoning District: Flood Zone: Meeting Topic: I DATE: 9 �` �� - zo Y y / Rug -LU •LHH9 Z3:'LU:3S 1Hbbb541Z9Y -) The Hartford Fax Page HH3 co CERTIFICATE OF LIABILITY INSURANCE U HD 08-26 2005 M1O0OGM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HARTFORD ?IRE IVF rn/PAYROLL ASSOE: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 150760 P: (07)20-1316 F: (877)20-1.;15 ATERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW 308 b'AAMIliGIUN AVE L-AI UIKI,••I.,..I ,-,- ,..,,•.•, INSURERS AFFORDING COVERAGE OVOWv IFSILRMA,Hartford Accident & Indenmity Cc CATHERINE CASSANOS DBA THE RED ROSE IN mium B: FULL BLOOM INALIAM OI 6 NEW HAMDBHIPE AVE INEURIR DI WEST YARMOUTH MA 01973 ucumnc: COVERAGES THE POLICIES OF INSURANCE USTiD BELOW HAVE BEEN ISSUED TO T146 INSURED kAMfiD ABOVI FOR THE POLICY PiRIOD INDICATED. NOTWiTHSTMDING ANY REQUIREMENT, TERM CA CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 133LED CA MAY PER-AIN. THE INSURANCE AFFORDED BY -HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. ACCRGCATS LIMITS SWCWN MAV WAVC SCCU SCetiCCn AV SAM n AIIJ& 1R TYAl OAALSLVAAfJI AOUCYAlAMM CA TF N N WITS AAA[AAL N•AIRY U CM OLCVRRCnGC MAE OAMAOC �N u^• D,q • COMM"" DCNOMAL LIABILITY LLAIMA MADI n LOGUR NED UP wry m• P•nml • PERSONAL L ADV INJURY • ULNCRAL AUMUJA I L • OEIPL AGGPF.GATf LIU IT APPLIES F UL PROMETS • CCMPIOP AGG WLIL7 PRO- LUU AUMMMLI ENNLTY ANY AUTO COMBINED SINGLEUMIT IN ••o1derju•m.I E ODDLY IN; TPv .^! • ALL CiI AUTOS SONEDIIIf] AUTOS HIRED AUTOS AON•OWNED AUTOS ODDLY INJUR" Tr •aN•^U E FROPERTY DAMAGE III. .W maj • CAUGE LLUW V Al ITn nN I Y . FA An CI1 FNT OTMIA RAM FA Ann • ANY AUTn A AUTO ONLY: AP.n AYfJAAIAAAARY CAPAI nen OROLAILC A A00REOATE OCCUR J CLAIMI MADE • OLDUCTIDLL OLTWTION • • IAOOlYYACOMNASAYAWAA! X W • - OTN- A CF&SO/SAD'LL1°EffY 76 WRa 201736 05/22/09 05/22/10 LL.CADIIAOCIOCNT 6100 C 0 0 LLDCCACC CA O.RPLO-CC •ZOO COO U. DOCAOC- F'oUCY LIMT •SOS OOO 07AiR Those usual to the In3urcdF2 Operations. YciziuLLLLll Building DevdLLinwiL 1146 ROUE 28 50-JTH YARMOUTH, MA 02664 JULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FIRATION DATE THEREOF, -HE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE ITS DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO -HE LEFT. SLIT FAIWRE TO DO SO SHALL IMPOSE NO JOA-ION OR LIABILITY OF ANY KIND UPON THE INSURER, IT3 AOENT3 OR ACORD 26-517/97) 0AGUHJ L:UWUHAIIUN lgtltl Jun.11. 1009 4:17PU CHAGNON INSURANCE t'AMUR No.514I P. 1' coRy° CERTIFICATE OF LIABILITY INSURANCE °VE(MMID L 6 Mow= THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORM Chagnon Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE GERTIF PO Box 355 HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEn ALTER THE COVERAGE AFFORDED BY THE PO ICIIES BI 411 Route 28 i Kest Yarmouth, HA 02673 INSURERS AFFORDING COVERAGE I NAIC / Catherine Caseanos, Michael Do IFh.wERb Ruth Donaruma vsu�Ro 6 Nex Hampshire Avenue INs�mERD. West Yajimouthr 2•TA 02673 r-nvco wr_c a THE PO(ICIESOF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMED kBOJE PORTHE POLICY PERIOD INDICATED. NOTWR HSTANDIN3 AMA REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMExf WN H RESPFCT TO WHICH THIS CERTIFICATE WY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. E) CLUSIONS AND GONDTTDNS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ... NS POLICYNUTADER _ U ! POL CY FXPI PA;YIN -WV OpYE 1MNlO0Yh�r LIAYff ! 0lI�ML UAaRlTY , RACN OCCUr61GNOE000 A X GOWAERGALGEM PAL LwUTY IW To be issued 6/ll/Q9 6/11/10 s 50,000 QAA9 MAW OX OGOUR ' . \ ►1EDFXP(Arvo'U pwa ) is 5r000 f 1 OOO 00 PERSO PAL& ADVINAMY f2 1000!000 AL GENERAGO!REGAT! GENLAGGREGATE LENT APPLIES PSR f PRODUCTS- OONPIOP AGO POLICY PR LOC ` AUTONOiIIS WetnY COWNEDSNOLE_NIM a ANYAUTO . E[aaawgl ALLOWNEO AUTOS .OILY INJURY SCHEDULED AUTOS rw P-4 { HREO ALT08 SODLLI'NJURY NONOV6=AUTOS 1 r�raeaiV-•.O { f f PROPS RrY DA.IOGS 1 PmAamq OARAOC UASUTY MTTO ONLY -EA AOL TIENT Is OTHER THJIN EA' % • f ANYAUIO f ' AUTOONLY: AOL EXCE"JuMaRELLAUkau Y W.H000URREN1:E a AGGFCGATE f ocan `CAMS MADE S OE)LCTISLE _r , S P/C 1TAT.. .JTN•, NORRfa8CDN?aNSAT10N AND IDAPLOYFRV LIABILITY ANY FROPRIETDRIPARTNER/E)=VTK — E.L.MmAC x . E OCFICERAGNOGR O(CLUDE0T ImarKIRMV in NH) . G.L.OR EASE •j• t?.+LCY f E a.OaarJlEa uMar SC A FRW6 below U. Dry • _I' Y .MIT 1 f •� ORER 1 DESCRIFnON OFOPERATIONS/L.00ATIONS IVEHCLFSIMCLU80N{ADOGD Pry ENDOPSENZYT/SPECIALPROMONS �� LESSOR'S RISK/BUILDING OWbMRS' LIABILITY ONLY FULLY EXCLUDES ANY G ALL LIABILITY COVERAGE from zoom rentals I f or restaurant operations. L01=:11 INOLLDAYYOrTHEAaovEDESCMBEDPOL105suc.imuUDDiPOR6THCENIPA; ON DATE THGRBOF. THL ISSUNG INSURER WLL DWEAVD , is NMI -1-9— DAYS Wi'IT4M .Yarmouth Sire Department NOTICEITOTHE CERTIRCAMHOLDER NAAWTOTHE, I'n.aUiFAIL MTOOOEabIwLL Robert Kelliher HIPOSE NO OBLIGATION OR UABRITY OF ANY NJNO it JN : HE :ISU. ER I T$ t.U. vr.; RXR Deputy Chief REPRGSENT fax SOA-760-4658 AUTH JM T III L e CHIN ACORD 25 (20OW01) ® 8•Q009 ACO CORPURA110h. All rights reaarwC. The ACORD name and logo are registered 0114 of ACORD Jui-11. 2309 4: 1 7PU CHAGNON INSURANCE YARVOUTH No-6141 1. 2 1eTF7,UTr1_11i1FW1F P:j I P0 1MIi I -;Iii beo; ll DAT_ _." . ...... 17, AADPJ?LD A (WWOONY; PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION Chagnon Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THil CERTIFICATE 20 Dox 355 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 411 Route 20 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Yarmouth, MA 02673 COMPANIES aFFORDING COVERAGE.. COMPANY ALloydz of London CO MPANY Catherize Cassanox, Michael Do B Ruth Donaruma 6 NQW Hampshire Aveaue COMPANY C Weat Yarmouth, MA. 02673 COMPANY w A�[ AN n" k MRS I ".., =4 THIS IS 70 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 CONTRACTOR 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 NAVE BEEN REDUCED BY PAID CLAIMS. CO LTR ITPR Of INSURANCE POLICY NUMWR POLICYAPFECTIVII DATIJMWDWM FOLICY9"RAT&ON hA?R(MWDWM COVERED PROPERTY LIMITS A X PROPERTY To Be 16SUed 6111109 6/11/10 X wEDmc E 650,000 CAUSES OF LOSS PERSONAL PROPERTY a SMIC BU31NCSI INCOM6 a BROAD EXTRA EXPENSE a X SPECIAL BLANKRYOVILINNO 0 EARTHQUAKE i BLANKET FE" PROP I FLOOD BLANKET RLDGI L PIP I WANO MAMNX TYPO OF POLICY CAUSES OF LOSS NMAED PERILB 8 0714ER TYPE OF POLICY SOILEA&MACHINERY OTHER LOCATION Of PREMMIESIDISCMPTION OF PROPERTY 2-story, frame building located at; 6 New Hampshire Avenue lIffent Yarmouth, MA -02673 "E"L C"N'"""'OTMER Cc" RAC" actual cash value coverage basis $2,500 "all other peril" deductible ,$5% wind/hail deductible =., arG. Ir1 .n GWOUW ANT OF THE ABOVS IMSCRIOrD POUCKS I;a CANCELLED BEFORE THE .Yammouth Fire Department EXPIRATION DATE TW=r� THE ISSUING COMPANY PALL ENDEAVOR 10 MAIL ipWbext Rallihar 1Q DAYS WRITTEN NOTICE TO THE CLATIVICATZHOLIIER NAMED TO THE LEFT, -Deputy Chief BUT FAIWAI TO MAIL SUCH ROMCD SMALL IMPOSE 90 OBLIGATION OR UABUM fax 508-760-4858 Of ANY ND UPON Ty CO ITS AGENTS OR RsPR&&RN7ATIV"* AUOTO Spot Sawr MINER ra APR-08-2009 05:16 AM r:.' P.01 I U11 N UY 'f AN 1ULITI-I BUILDING DEPARTMENT � �• I-t `11•i6 Route 28. South 1':u-ulouth. NIA 0256 SM398-2231 ext. 261 Fax 608-399-0836 �"K L er 8utL0IZONING DETERMINATION FOR BUSINESS CERTIFICATE.�1PPL The purpose of this form 4 to determine whether your business complies with the Town of Yarmouth Zoning Bylaw. The applicant shall complete the top section of this form and ilk It with the Building Department. Once the Building Department has made a determination. it y i1i be forwarded to the Town Clerk The Building Department will render a determination based oq tot ,ollowing factors. (a) The busineta/ute, aetiriO-. (b) The;oning district in which the business is to be'* 4ic ic'tR '4110 •ed uses are ba3edim Zoning lh-law Table 242.5 and (c) Prn'ious or new ;vning mijeffrom the Zi;ning &hard oj.1ppeub Name of Applicant_' DBA 'lie Z P,A Mailing Address__& GU e Description of Buslness The applicant acknowledges that a determination will be made by the Building Department based on the information provided on this date and any changes in the business use and/or activity will require additional approval. Failure to do so may result in the revocation of the Business Certificate and/or appropriate Zoning Enforcement. should it be determined that the changes are non -compliant. Applicant's Signature /%��l�L.-g-r Date /A BUILDING DEPARTMENT DF: 41NATION (office use only) _ ,,. ;• Disapproved Reason for Disapproval Building Official's Signature, f•'s, Ike [is 141111 „Date TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 261 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG NAME RED ROSE IN FULL BLOOM ADDRESS 6 NEW IIAMPSHIRE AVE. W. Y. This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall be presented to the License & Permits office and/or the Health Department in order to obtain your license. Licenses will be withheld until all inspectors have signed. Building Commissioner Rep. Date Comments Approved for Li9dise Issuance Yes Fire Department Rep. Date Comments Approved for Li uance f51 es n Nn Board of Health Rep. Date Comments Approved for .� (oLxs+ Rcjc+�S Licenso issuance tA-+it Ces ❑ No lt'lo o„CS �a Sep'K'G Pia^ Plumbing/Gas Inspector Date Comments Approved for License Issuance ❑ Yes ❑ No Electrical Inspector Date Comments Approved for License Issuance ❑ Yes 0 No Taxes Paid ❑ Yes ❑ No Rcv.Scpt 2003 0 W cm O N W , U Lu W a (nommonwea& o` VaAsac"91 �-OOfficial Use Onl _ Permit No. e: r //7, _ `�IparGn.nt O`.}%/e Jervicu jpj I Occupancy and Fee Checke 8Q BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 C 12.00 (PLEASE PRINT IN INK OR 7TP. E LL INFO TION) Date: 2 010 City or Town of: v To the Inspecto of Wires: By this application the undersignell gives notice of his or her intention to perfofrn the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? l Telephone No. Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity of Proposed Electrical N of Recessed Luminaires No. of Cell.-Susp. (Paddle) Fans _. --...-.._ ^._... .. .. -... o. o ota Transformers KVA �Iq of Luminaire Outlets No. of Hot Tubs Generators KVA of Luminaires Swimming Pool Above ❑ n- ❑ rnd. rnd. NO. o mergency Lighting Battery Units NJ m of Receptacle Outlets No. of Oil Burners FiRE ALARMS No. of Zones of Switches No. of Gas Burners o. of Detection an Initiating Devices No. or Ranges tal No. of Air Cond. Tons . No. of Alerting Devices No. of Waste Disposers eat Pump Totals: I Number ITons 1KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal❑� Connection Oth No. of Dryers Heating Appliances KW ecunty ystems: Na. of Devices or Equivalent o. o Water Heaters KW o. o o. o Signs Ballots Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommun li ons Wiring: No. of Devices or E uivalent OTHER: Atiacn additional detail tI desired, or as required by the Inspector of;Vires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE, Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation' coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. �O CHECK ONE: MSURAM E ❑ BOND ❑ OTHER ❑ (Specify:) ��/ certify, under the p f nd� allies �perj�u that the information on this application is true and comple �, FiRM NAME: r?u� JP� OhP LIC. NO.: CJ Licensee: r / r Signature LIC. NO.: .c/6601`f (If applicable, enter '•esempt;-in the licens npmber If'�.J /�� Bus. Tel. No., litV Address: / Ff3 �JJ, isi' / G/�srser Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. i am the (check one) ❑ owner owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ 0 U O .a L0. C cccoyym��motuura� o�ccl77/%asAac�sf�1 .1JtPartmut� o�Jiro �irvicv.! D OF FIRE PREVENTION REGULATIONS Official Use /Only Permit No. -1 1' /1 - 1 / nl0 Occupancy and Fee Checked Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datc: August 16, 2010 City or Town of. YARMOUTH To the Lrspeelor of )fires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 6 NEW HAMPSHIRE AVE Owner or Tenant RED ROSE INN & TAVERN Telephone No. (508) 771-3010 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑✓ (Check Appropriate Box) Purpose of Building COMMERCIAL Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Dieters No. of Dieters Location and Nature of Proposed Electrical Work: TAKE OVER SYSTEM AND CONNECT TO CENTRAL PLEASE FAX PERMIT AND PERMIT# BACK TO US AT: 508 398-5666. THANK YOU rmmnlotinn nhho lnllnwinv inhlo mnv ho wnivad by iha In mortnr n! tt'ircc No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o ota r Transformers KVA No. of Luminaire Outlets No. of flat Tubs Generators KVA No. of Luminaires Swimming Pool Above o In- rnd. grnd. o. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o Detection an Initiating Devices No. of Ranges No. of Air Cond. 1 oTotans No. of Alerting Devices g No. of Waste Disposers eat ump Totals: um er ons o. oSelf-Contained Detect ion/A lert ingDevices No. of Dishwashers Space/Area Heating KW cipal Local ❑ connection ❑ Other No. of Dryers Ileating Appliances KW Security Systems: 5 No. of Devices or Equivalent o. of Water KW Ileaters o. o o. o Signs Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Dlotors Total IIP a ecommunications vv tang No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of 11'ires. Estimated Value of Electrical Work: $2468.00 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER [I (Specify:) LL] I certify, under the pains and penalties of perjuty, that the information on this application is true and complete 9 FIRDI NAME: Cape Cod Alarm Co. Inc. LIC. NO.: 1592 F O Licensee: GENE CORMIER Signature LIC. NO.: 11\(1applicable, enter "exempt - in the license number line.) Bus. Tel. No.- S08 398-6�tff Address: 204 OLD TOWNHOUSE ROAD WEST YARMOUTH. MA 02673 Alt. Tel. No.: 800 468-8300 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SS CO 000248 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hmme the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner owner's agent. Owner/Agent Signature Telephone No. IPERMITFEE.S 115.00 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name (Business/Organization/individual): CAPE COD ALARM CO., INC. Address: 204 OLD TOWNHOUSE ROAD City/State/Zip: WEST YARMOUTH, MA 02673 Phone #: (508) 398-6316 Are you an employer? Check the appropriate box: Type of project (required): 1. 30 ❑ I am a employer P Yer with 4. ❑ I am a general contractor and I 6. [3 New construction employees (full and/or part-time).* 2. ❑ 1 am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub -contractors have 8, ❑ Demolition workingfor me in an capacity. Y9. employees and have workers' comp. insurance.: El Building addition [No workers' comp. insurance required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] r c. 152, §1(4), and we have no 1313 Other 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 I lomeowners who submit this affidavit indicating they are doing all work 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 fob site information. Insurance Company Name: Associated Employers Ins., Co. Policy # or Self -ins. Lic. #: 5006433012009 Expiration Date: September 1, 2010 Job Site Address: 6 NEW HAMPSHIRE AVE City/State/Zip: W'YARMOUTH, MA Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investieations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Phone #: (508) 398-6316 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License #- ,ust 16, 2010 Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: S V4opk TOWN OF YARMOUTH Building DepartmentBUILDING .. 508) 398-2231 ext.1261PERMIT NO6-11-131_ : ( PERMIT ISSUE DATE ; • .8/3/2010• • ; PROPOSED USE ; _ _ _ .. _ _ APPLICANT David Lane ....".""""""""'.""-•• JOB WEATHER CARD PERMIT TO Alterations AT (LOCATION) 10006NEW HAMPSHIRE AVE ZONING DISTRIC R-25 Bldg. Type: Commercial SUBDIVISION MAP LOT BLOCK 1016.54 BUILDING IS TO BE: CONST TYPE 5•B USE LOT SIZE O construct two handi-cap ramps, a or repair four windows, repairs to siding as per plans dated [REMARKS 08103/10. Note: WC ramps a ro tbacks and lot coverage. Re: MGL, Chpater 40A, Sect. 3 AREA (SO FT) EST COST ($ $10,000.00 PERMIT FEE ($) OWNER lRobert Galligan BUILDING DEPT BY ADDRESS 10006 NEW HAMPSHIRE AVE West Yarmouth MA 102673 CONTRACTOR LICENSE 61513 Lane, David 59 Coleman Street Abington MA 02351 7815564261 PHONE 15087213010 INSPECTION RECORD FIELD COPY Date Note Progress - Corrections and Remarks Inspector 9 G P� CltylTown:T/// �/'Lb��r � Date: G Permmiit#�� Building Location ly Q/1%ti-iGjt efli/ Owners Name: Type of Occupancy. Commercial Educational ❑ Industrial ❑ Institutional ❑ Residential ❑ New: ❑ Alteration: ❑ Renovation: ❑ Replacement: [5/ Plans Submitted: Yes ❑ No ❑ tY Cyr vi p W W y F N V Ui N o m= O W 9 (J v) U) tvttu1� N O z y 0 0 W M O l� lu M vwi i N V ug to CC O FO N IL Lu --- W vl a W W O �7 J C9 U.ca ca x -- — o O 0. Installing //Company Name: � ' Check One Only Certificate # Address ll� �J��/Yl/Yirrl/G ��CitylTown: /� State: ❑ Corporation Business Tel: Iva 5�� 3 s�� ❑ Padnership Fax: -- Name of Licensed Plumber/Gas Fitter. i�/J/'� /f/% gWrnlCompany 1 have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.142 Yes ❑ No ❑ If you have checked YS2, please Indicatathe type of coverage by checking the appropriate box below. A liability Insurance policy ®// Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Massachusetts General taws, and that my signature on this permit application waives this requirement Check One Only Signature of Owner or Owners Agent Owner ❑ Agent ❑ —.."...jw.mauun I nave submitted (or entered) regarding this appUcadon am true and accurate to the best of my Knowledge and that all plumbing work and installations performed under Penn" Issued for this appUaatton will be In compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 1 the General Laws. By T Pe of License: Plumber Tine ❑fitter Signature of License Plumber/Gas itfer ❑ star �r^ Cityrrown Journeyman r� tiY, a APPROVED OFFICE USE ONL ❑ LP Installer Ucense Number: 0 �� BELOW FOR OFFICE USE ONLY FEE: S. PERMIT k APPLICATION FOR PERMIT TO DO GAS FITTING LOCATION t PLUMBER GAS L INS(T�ALLt R 4j LICENSE NUMBER: PERMITGRAMM[:] DATE• GAS FITTING INSPECTIOR IVCw LJ Re11UYdLIU11 LJ Submitted Yes ❑ No ❑ ILICATION FOR PERMIT TO DO PLUMBING (OFFICE USE ONLY) r O Date Owner's t Name Type r O ncy rNty,dL,ement DO _o O LV CV 0 Z z Z U Y < i U) rj S n¢ y Y Q D = FQ- z O n. W 00 y w rn v~i i 0 Q w ui Y ga a u ¢z a QQZ 3 I w O M Lu¢ vWi Q w y 0 J Z Q a IX o -j LL U. Ix �A m a C a g a 0 N g a a z 0 N 00 w 31 z M z 0 W a �'0 3 z 0= m o 0 �[ m h 0 0 x rQ- L2 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 0 3RD FLOOR (PRINT OR TYPE) Installing Company Name Check One: ❑ Corp. Address L—`9 /'T /V '/ /TU/`1-_y (Lli /� ❑0 Partnne ip l �1�� !�— t�'F r /Companny�l �L Business Telephone,. � 3q�b?7 Name of Licensed Plumber��/�/►�%�/� INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Check One: Yes ❑ No ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance voerage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check on O r ❑ Age t ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted Si natur of nsed (or entered) In above application are true and accurate to the best of Plungber my knowledge and that all plumbing work and installations performed ! / under Permit Issued for this application will be in compliance with all (r ` pertinent provisions of the Massachusetts State Plumbing Code and License Num r Chapter 142 of the General Laws. Type: Maste Y Journeyman 1�0 (�cC'cf'S ©m G TO DO GAS City/Town: Il�r 1�UT MA. Date: Permit# —QSrIJ Building Location /�G(1 ��f} /I (//J/ ners Name• Type of Occupancy. Commercial ❑ Educational ❑ Indu7rplans Institutional ❑ Residential ❑ New: ❑ Alteration: ❑ Renovation: ❑ ment: ReplaceSubmitted: Yes ❑ No ❑ a rACd z QQ yca= N CD 9 m x O W t°j N rn OCo 0 W y W Q O 0. °x >> 3 O SUB BSMT. co 0 tj BASEMENT 1 FLOOR , 2 FLOOR 3 FLOOR 4 FLOOR t 5 FLOOR ..0004 B FLOOR 7 FLOOR 8 FLOOR Installing Company Name: Check One only Address- r ! ��7� riry �4?ltyfrown: �/ I �4 �l State: ❑Corporation Business Tel ax:❑ P rship n..d.....�.. Imo,. n� , .,, _ FirrrliCom'any I have a current liability Insurance policy or its bstantial equivalent which meets the requirements of MGL Ch.142 Yes No ❑ If you have checked Ygg, please Indic a type of coverage by checking the appropriate box below. A liability Insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owners ent Owner ❑ Agent ❑ accurate to the best By checking this box ;1 hereby Certify Mat ati of Ma deWis and information I he ubmWed r a red) n Inca Mkt appticatlon are trw and compliance with all Poirtinentt Promy vision of Me Massachusge and that all ng work and itts State Plumb latlo and Cho d r 1 W for this cation willbe In no Laws. By T Pe of License: Plumber Tide ❑ Gas Fitter Master SI ature of Licensed PlumbeCityfTdGas Fitter ❑ APPR V ❑ Lp Installer License Number: �-1A APPROVED (OFFICE USE ONLY) 0 LP Installer FINAL iNsPEcnON BELOW FOR OFFICE USE ONLY FEE: S. PERMIT # APPLICATION FOR PERMIT TO DO GAS FITTING N mE m TYPE OF BLUDB4G i� 1-()CATION OF BUILDING LIMSE NUMBER: GAS FITTING INSPEMOR sa�•9- 5 MEN M Red Rose Inn Condos 6 New Hampshire Avenue West Yarmouth 44-12: Received applications for the project. 44-12: Permits issued as follows: Public Meter: E12-899 Unit 1: E12-900 Unit 2: E12.901 Unit 3: E12-902 Unit 4: E12.903 4-18-12: Rough Wiring for the following (R. LaFleur): Unit 1: OK'd Unit 2: OK'd Unit 3: OK'd Unit 4: OK'd • 4-23-12: Service trench OK'd (R. LaFleur) 4.26.12: Service to units 1,2,3,4, & Public OK'd (R. LaFleur) 5-10.12: Applications received for Fire Alarms. 5-11-12: Permits issued for Fire Alarms Unit 1: E12.1018 Unit 2: E12.1019 Unit 3: E12.1020 Unit 4: E12-1021 5.22-12: Rough inspection (Fire Alarms)(X4) OK'd 5-22-12: Advised electrician to have engineer contact me asap regarding fire stop between boxes in same bays. 5-24-12: Received letter from McKenzie Engineering (Fax) 6.21-12: Received letter from Jack Fawkes (Email) 6-21-12: Received applications from TV Tech Design for Low Voltage 0 wiring. • 6-21-12: Permits issued for low voltage wiring: Unit 1 E12-1193 Unit 2 E12-1194 Unit 3 E12-1195 Unit 4 E12-1196 8-15-12: Received application for permit for septic Permit E13-152 isued. 8-15-12: Trench inspection (for septic) OK'd 10-17-12: Final inspections for the following: Septic system Not ready Public Not ready Unit #1 (Electric) OK'd Unit #1 (Low Voltage) OK'd Unit 01 (System) Not ready Unit 02 (Electric) OK'd Unit #2 (Low Voltage) OK'd Unit #2 (System) Not ready Unit #3 (Electric) OK'd Unit #3 (Low Voltage) OK'd • Unit #3 (System) Not ready Unit #4 (Electric) OK'd Unit #4 (Low Voltage) OK'd Unit #4 (System) Not ready 11-7-12: Final Re -inspection for the following systems: Unit #1 (E12-1018) OK'd Unit #2 (E12-1019) OK'd Unit #3 (E12-1020) OK'd Unit 94 (E12-1021) OK'd 11-9-12: Received application for sprinkler system alarm. E13-545 issued. 11-14-12: Final (Reject) Equipment (Septic) in flood zone to be moved. 11-16-12: Final (Re -inspection) for building & systems OK'd 11-19-12: ALL PERMITS FOR THIS PROJECT ARE COMPLETED AND CLOSED OUT. L� 05/22/2012 13:59 7743532142 MCKENZIE ENGRG CONS PAGE 01/01 ENGINEERING L 1279 Millstone Road Brewster, MA 02631 t 77d.353.21dd f 774.353.21d2 www.mdconginecrs.com May 18, 2012 Mr. Ken Elliott Wiring Inspector Town of Yarmouth 1146 Route 28 S. Yarmouth, MA 02664 RE: Electrical Boxes in Fire Separations, 6 New Hampshire Ave, Yarmouth Dear Mr. Elliott, McKenzie Engineering Consultants Inc was retained by Thomas Moore Design to complete structural and fire separation review for the proposed commercial residential project (R-2) located at 6 New Hampshire Ave. Per the code, there are one hour fire separations between units. Electrical and A-V boxes were installed back to back in these fire separations. The building code requires that if this occurs, fire proof electrical boxes or putty pads be used to prevent possible bum through at these locations. The contractor has indicated he will have his electrical contractor replace all electrical or A-V boxes or install the putty pads that are in these fire separations that are installed back to back. If there are any questions, feel free to contact tire. MARK A. /-2— Pres., McKefWQDVAN Ing Consultants, Inc. cc. Marty Riley, Developer Mark Grylls, Building Commissioner Elliott, Ken rrom: Jack Fowkes Oack_fowkes@verizon.net] Sent: Wednesday, June 20, 2012 6:55 PM To: Elliott, Ken Cc: mark mckenzie Subject: 6 New Hampshire Avenue Electrical Box UL Listing Attachments: electrical boxesfire rating.pdf a electrical boxesfire rating.pd... Mr. Elliot, Attached please find the cut sheet indicating the 2 Hour fire rating of the electrical boxes used at 6 New Hampshire Avenue. The A/V boxes were switched out from the ring type to these boxes after this oversight was brought to my attention. Presently, all of the electrical boxes and A/V Boxes are now compliant with code. If you have any questions, please feel free to give me a call. Thank you. Best Regards, Jack Fowkes J&B Construction 617-620-4646 • L 1 06/25/2012 11:18 #1374 P.001/002 .Box Blue nonmetallic switch and outlet boxes — the contractor's choice for easy % installation: Carson has long been the leader with the world's broadest line of nonmetallic, nonconductive wiring k. management products designed for'easier installation, greater performance, and lower installation cost. And that ' includes our full line of Zip Box* Bluer" nonmetallic switch and outlet boxes. Designed for use with nonmetallic sheathed cable in accordance with Article 314 of the National Electrical Code°, they make fast work of any residentia ! or light commercial application. Take a closer look, and you'll see more reasons why they're the right choice for you. R ".00 .J i • UL listed, File No. E42728, for use as indicated in • UL Classified for fire.resistance Category CEYY, in a two - Article 314 of the NEC. hour fire resistive wall within the same partition cavity on • UL Classified for fire resistance, File No. R8326. opposite sides of the wall. Requires the use of mineral wool Reference UL Electrical Construction Equipment batt insulation on putty pad when separation Is less than 21 Directory, in product category QBWY or the UL • Refer to International Building Code Section 712.3.2 Except 2 for other separation options in fire resistive wall assembGj Fire Resistance Directory, for two -hours or less p p classification period. • UL Classified Report, File No. R8326, covers use in two-hour or less fire resistive wall and floor -ceiling assembly. U ding Zip Box®Blue' Part Numbers First Second Third Fourth Position Position Position and/or Position B-ap Box Gang Sue Available cubic inches BH-SuperBlue 1,2,3, or 4 (ml) within the box For Example: 9W IN Fourth or and/or Fifth Position Securing Methods A = Nail On B = 3/e- -5/9" (9.5mm—159mm) Wallboard Bracket for Wood or Steel Studs H-14U4--231W 062mm — 596.9mm) Adjustable Bar Hanger K=18114--263/4' (463.6mm — 679.Smm) Adjustable Bar Hanger L - Metal Bracket for Ceilings P - Standard Nail on Box w/ Grounding lug R = Old Work Box includes Integral Clamps S = Screw On Sixth Position Grounding Features G = Grounding lug Included P - Grounding Lug included (B = Zip Box Blue, 1 = single gang, 18 = cubic inch (295 ml) capacity, A = Nall On.) 70 www.carlon.com N y.u.- Adjust-A"BOX features a patented design that allows the box to be adjusted to most wall thicknesses With the turn of a screw b install, simply clip the bracket onto the stud, secure with two screws to ensure the box won't move, then turn the adjustment screw clockwise or counterclockwise, and adjust the box flush with the wall covering. The Adjust -A -Box is available In one- and two -gang versions, and by removing the box from the bracket the one -gang can easily be upgraded to a two -gang, an ideal feature for old work applications. The Carlon Adjust -A -Box achieves professional results every time. Adjusts to any wall thickness ,• Ideal for new work or retrofit applications Available in backed box or backless bracket designer • One- and two -gang versions B1Z1AD1 SC100AD1C High Voltage • Upgrades made easy • Nonmetallic and durable • UL Listed • Meets NEMA OS-2 • 13/4` Adjustability Lp __ �'Yµ�..-M �/ "�I. r •'F}'k'.Y. ,.n�._ ��rt J'1^'� by ��ty.�r1�.FrJi' ,�' b, 1f��+�Y4,�r-f. 8121ADJ 21 Single Gang Adjustable Wall Box 3 NOW x 3 3/4"H x 3 N"D 24 10 0234ADJC :,. ;,' 34 ' ; .. Double Gang Adjustable Wall Box wb Range Knockout`• 5 S/a"W x 3 Wa'H x 3-D - . •' � 16 . 85 B234ADJ 34 Double Gang Adjustable Wall Box 5 5/s'W x 3 S/a'H x 3'D 16 &5 Low Voltage c& Vim U%422 �.. • i. LL'f''"4icn%la7S�+* r'" Tc„if�5Sf3�i.lirG.�AaS�{� 'i*i,1n"'LF �L�-a.: � .,r ;4� r�,,... ka.'.�u k.p� • f "!•�MeI ,C,�15::...({.� <,•r. fi1 fn... � Jr V . L' ,4�'rR•t S. ��[�.�jp��[�. �•L,Yr,.ff�L •:Y"`Y-V'.� ..='• �� y� /�(:�� YY.OYVV'�/'; SC100ADJC Single le Gang Ad-ustable'Backless Bracket -' 3 7/a"W x 3 3/4-H.. 24 7.5 -S600Ak, Double Gang Adjustable, Backliagiikkek:~1 Sa/a�1N'x35/s'H - 20 6.9 KIII ;., www.carIon.com aoo/aoo'd titsta BL:1L atoa/sZ/80 • Thomas o etts• ["no$ Produeb Mabau 90twon+ Ibm. R.wumea Support Compa•.y C4talo9 yti.. V&tn To Sw Enbr ZIP Cody. EMerGwntlty: Car169 PRINT Blue PVC OuUvt soxeS TLB Celeleo Number: 8,21ADJ UPC Number- 03e+0114929 Status: ArA" Cestdpoon: PVC orls-9ang wd boa win adjustwle bnwkK 21 oarl SUBMITTAL PACKAGE hawts • PAIArded deign abort for adjusVnarf awrl P b 1-3/+' arin n"abon. • IdW for MIT wort orrebont (OW work) Appicabona • Barddsss bw wde9e lea lud And I= bon axons i radalbe. • Ideal For woous dww bwknems and ray fninys. Page l of 2 ' My TNS SUIT CeoNy Add To My TNB SMF Applloaden • arb Cr.D ncnl nw mft 7yha ws aws PVC ranstmcben for aaayr tuuyabm gru ar pedomru End brw blsWlabon ton. • D•xgnw ark) bud w USE "In nwMMlexa ebeadyd Goo n adowdenp with Admit 314 of fit Nollonal Eoaral Codes. • N PVC bows are par.% nde for uca.nn W- C oorrytldra Gwlwal maonal Color SAM VAVV Brow - Ndnmslabr st wdwd cable Vownt (turn.) 21 Vdok Nawwn w moo N upprsae appbraoona Mourning Mwbd _ Num -__Adlu+1 01 „_ - maIGMps Dtnsnsnn Wornurdon Lwpm (vrney - . - 3 34 VAM ('rwhes) L T/S DaPN (nCua) 3 L9 AA.SW Yy(bWya) o•lye P•o4gng pow Mutp1A 2+ Otter petbape 2+ Pr 96 HOWE 9 Package L*%M 1373 Parkags VAdln 10.23 TLB &W n UOM EAd1 TLB Wn9nt PIT UOM 0 A2 na. EarA Application support ih TLB Srw Ramp• ws _ alas a Produd Onm radon Eto PVC Bow+ ry. Wrs Neoa •Now lA cLeu11M b ] M..4. u.. car n. x. Certifications O file Nbr- E 11451 IIOME LOGIN RESOURCES • . Sjwpo: ' 41 b 94s TANAc ,(DwonMt ILma"Pgfa conpn Ve.. NEW I..r. 4'PPbMs LM U.r Tool" Gbb.ILeucane MyTNS SoNean W Smabunn pmrdr ]uppon V.A4EILnbw Swtbwu T"S.r.bs Vm.n. 1. Suy T.my . http://www.tnb.conVps/fullti ;ndex.cgi?part=Bl21ADJ COMPANY AtgW u. c]ou Tl.wn�.i See enwaben Gr..re N. nwrrb tar AJ. xw mry b eeou4 dueduyd a b can ry cad watwd ey Smpbyw. aor.+..d war P]rnw�w of inmyr6 �s bee - Ioaor' L2M � ,foear 5/29/2012 NSTAR: Wiring Permit System (WPS) - Permit Page 1 of 3 I Comments I Work Order Request I Search I Lisa I • AJVSTAR Wiring Permit System (WPS) - Permit Work Order Information I Service Information I Contact Information I Permit Information is Work Order mrormation Utility Auth/WO #: 01874550 Date: 02/13/2012 Company Rep: OMARA ANTOINE Report By: YAR 6 PUB NEW-HAMPSHIRE AVE RED ROSE INN 15130 Status: ACTIVE Service: NEW Type: COM Nature of Work: NEW 400 AMP UG SERVICE FROM P 15/30 QCI VI{7e IIIIUnnanon Service Voltage: 120/240-3 Switch Size: 100 Address: 6 NEW-HAMPSHIRE AVE PUB YAR 02673 Name: RED ROSE INN Service Voltage: 120/240-3 Switch Size: 100 Address: 6 NEW-HAMPSHIRE AVE 1 YAR 02673 Name: RED ROSE INN Service Voltage: 120/240-3 Switch Size: 100 Address: 6 NEW-HAMPSHIRE AVE 2 YAR 02673 Name: RED ROSE INN Service Voltage: 120/240-3 Switch Size: 100 Address: 6 NEW-HAMPSHIRE AVE 3 YAR 02673 Name: RED ROSE INN Service Voltage: 120/240-3 Switch Size: 100 Address: 6 NEW-HAMPSHIRE AVE 4 YAR 02673 Name: RED ROSE INN https://www.nstar.conVsecure/apps/wps/wpspern it.asp?Work_Order Nbr=01874550 5/16/2012 NSTAR: Wiring Permit System (WPS) - Permit Page 2 of 3 • • • Contact Information Type: ELECTRICIAN License: 0000020212 Last Name: FENDER First Name: WILLIAM Company: FENDER ELECTRIC INC Address: P O BOX 2318 RD TEATICKET MA 02536- Pager: Email: Phone: 5085482150 Cell Phone: 5085093666 Fax: Best Hours: ANY TIME Blue Book N Reorder: Type: OWNER License: Last Name: RED ROSE INN First Name: TOM O'CONNELL Company: Address: 500 VICTORY RD QUINCY MA 02171- Pager: Email: Phone: 6178476304 Cell Phone: Fax: Best Hours: ANY TIME Work Order Information I Service Information I Contact Information I Permit Information Permit Information Permit #: E12-899 Meters: 5 Reseal Y Date: 05/16/2012 (Y/N): Inspector: W10060 Description: [ Comments I Work Order Request I Search I LW I i Copyright 2012 NSTAR, 800 Boylston Street, Boston MA USA. All rights reserved. Reproduction in whole or in part of any graphics, images, text or other content at this web site must be granted by NSTAR, Boston, MA, USA. Unauthorized modification of any information stored at this site may result in criminal prosecution. htips://www.nstar.conVsecure/apps/wps/wpspermit.asp?Work_Order Nbr=01874550 5/16/2012 > C✓ o i N � W t 0 LU Z �i 0 .Utpa/rwaat % .yinr Jnv/cae BOARD OF FIRE PREVENTION REGULATIONS �OtBda! Use�O�nlly^ Permit No. fancy and Fee Checkod 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wool: to be ppformed in acMassachusettsdanco with theMassachusettsEixtriai S21.0 12,Oo (P.LEASEPBINTECOW OR TYPE ALL ORMA17OA9 Date. /// / . City or Town of: To the I��o� f per; By this application the undersi gives notice of hislIor ha intention to perform the electrical work described below. Locatlon (Street dr Number) /e ✓ 4,u; a his i rr A-L -P OwnerbrTeaant — &A Telephone Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No Ettzpose of Building Utility Service Amps • / Volts Overhead ❑ tt Amps _ / Volts Overbead ❑ of Feeders and Ampacity i and Nature of Proposed Electrical Wort P (Check Appropilate Bo:) ,uthori ation No. Undgrd ❑ No. of Meters Undgrd ❑ No. of Meters - ... ww wuw "+rJ/s 1.1" Di Mal�lO atie / 0 WirCr. of Recessed i.amlaalres No. of Cell.-Susp. (Paddle) Fans No. oTotal Transformers KVA bw of Laminalre Outlets No. of Hot Tubs Generators KVA No. of Lomiaalres Swimming Pool Above ❑ ❑ Battery IIar e3' g No. of Receptacle Outlets . No. of Oil Burners FIRE ALARMS No. of Zones No. of Switebes No. of Gas Burners o. o an lattla Devleea No. of Ranges tal No. of Air Cored. Tons No. of Alerting Devices No. of Waste Disposers p am r ens o. of taid-ed Totals: Space/Am Heating KW DeteetlodAlertla Derlea No. of Dishwashers I'� ❑ Coaaeetba ❑Other No. of Dryers Berg Appliances KW o. o Haters KW ter o. o o. of No. of Devices or Equivalent Data Wbiag: Signs Ballasts No. of Deviees or ulvsjeut No. Hydromanage Bathtubs No. of Motors Total HP fo peviaees or Egotvalent OTHER: . Auaeh addWanat data YdabvA orar raj�Zed by /hs /NPsetor of Wires. Estimated Value of Elearicai Work: (When required by mtmicipal policy) Work to Start: ' Inspections to be requested in accordance with MEC Rule 10, and upon completion. �• INSURANCE COVERAGE: Unless waived by the owner, no permit for the paformaace of electrical work may issue unless j' the tiatrsoo provide: proof of liability insurance including "completed operation" coverage or its tubadatial equivalent The underaigaed certifies that such coverage is in force, and has =htbited proof of same to the permit iwAg office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I can*,, ander dhs palm andpoukW s ofpsdu7j that die k1fonnadou on dds appUcation b aw and cc arplsta FIRM NAME: RSSOC/4TEcb AL.9Rm S rG S S.Ve LIC.NO.: LlcenseC KCL[.y A. RGAA)G Signature �4. UC.NO:: 1- Iq� (Umd�S, ar�tr "trans" in the licente n onber tint) Bess. Tel No.: SO $ 775 c3 yy� dress: 4�arov 2oa 1S vvt �'� Alt. Tel No.: 800q Per M.G.L. c. 147, s. 57-61, security work regains Department of Pub c "S" License: Lies No. OWNER'S INSURANCE WAIVER.; I am aware that the Licensee does not have the Gabifity tnswana cavane no by law. By my signature blow. I hereby waive this requirement I am the (chock one owner owner's agent Owaar/Agent Sig nture Telephone No. PERMIT FEE: S , TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1263 Fax 508-398-0836 K. Elliott, Inspector of Wires kelliott(a)yarmouth.ma.us November 14, 2012 Leopold Martini 8-G Beals Cove Road Highbam, MA 02043 RE: Red Rose Inn, 6 New Hampshire Avenue, W. Yarmouth Permit Number: E13-152 Dear Leo; The above noted location inspection failed to pass for the reason(s) listed. Equipment installed in flood zone to be relocated. (Septic Controls & GFCI Receptacle) Please forward the required re -inspection fee of eighty dollars ($80.00) to this office and advise when the corrections have been made and when access may be gained, to the property, for the re -inspection. If you have any questions please do not hesitate to contact me. Sincerely, Town of Yarmouth, Building Department K. Elliott, Inspector of Wires • U W z w z ~ i.+ o > — N a W toLU ` r-+ o U �= Z W ¢ ° n,0 m l�ommortivaa of ///albacaii! EPermit ,r fcial Use Only No. V �'1 ZBOARD OF FIRE PREVENTION REGULATIONS `y and Fce Checked ] eave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusemts Electrical Code (MEQ, 527 CMR 12.00 °LEA SE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: To the Inspector ojWires: y this application the pridersigned gives notice o� intention to perform the electrical work described below. ocation (Street & Number) e wner'orTenant �� /j Telephone No. wner's Address — this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) of Building Utility Authorization No. Service Amps / Volts 2 "j4/ New Service Amps / Volts 4� Number of Feeders and Ampacity d a Location and Nature of Proposed Electrical Work: • I J.- C4 J � U Overhead ❑ Undgrd ❑ No, of Meters Overhead ❑ Undgrd ❑ No. of Meters ofcessed Luminaires `WE wm ienon of the foliowin No. of CeiL-Susp. (Paddle) Fans table m be waived Ill ii, the Ins ector o iPves. o. of Total ariaaire Outlets No. of Hot Tubs Transformers KVA Generators KVA minaires Swimming Pool Above n- o. o mergency g g d. orrtd. Battery Units ceptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones itches No. of Gas Burners o. o Detectron anInitiatin nges No of Air Cood Devices Tons No. of Alerting Devices ste Disposers eat ump umber ons Totals: o. of elf ontaine No. of Dishwashers Space/Area Heating KW Detection/Alertin Devices Local MuNetpal ❑ ❑ Connection Other No. of Dryers Heating Appliances KW security Systems:` No. of Devices or Equivalent o. of Water Heaters KW o. o o. OT Data Wiring: Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications ring: No. of Devices or E uivalent OTHER: n••"�n """uiunai ueiafi if aesirm or as required by the inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections 16 be requested in accordance with MEC Rule 10, and upon completion INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify-.) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Licensee: L[C. NO.: Ifa licable Signature (• � PP �+ r pt"i elite erramb r!' .J � LiC. NO./B� Address: t7 us. Tel. No.: 'Per M.G.L. c. 147, s. 57-61, security work requires eparane f Public Safety "S" License: AIL Tel. No.: :�_ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement i am the check one owner Owner/Agent ( ❑ ❑ owner's a ent Signature Telephone No. PERAfIT FEE: S Mum- comao"Momm" 1l.�.,err.ae �.Jfq Ja,.ra+ SOARD OF FIRE PREVENTION REGULAT10NS Omc ur.0ah► PenrAl Na 0/ Z— 89 // Occupaoey and Pa Ched wd lOa .1l07� tar�blaak APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al work to be pwftfmW to accadaea week do MuNdIUMUS MU WW Code (MWL 537 011t I LOO (PLEASEPRLVT/NINK ORTYPSALL/NFOA M11010 Dabs 4//3 l / 2 CityorTOWNoR Y14P VoCUT1T, , To the lnrpeclarofw1ra. By this applkadon the undersi`aed -eves es of his or at nun oa to pafons the dectskal work daaibed below. Loeadee (send A Number) vE t, Syr >svcsl c weer or Taaad e� D.S e Tatepkere se. V7 84763c 0 z wuoeiAddrw W � lhb peradele cooluedboe,Iwith a aaUdIn2rpormbt No ❑ (CboekAppnprISb BOB) act T eeofBulldla/ /YGI� Ul,LVi/4 ,-,YYa GF ffR Ulltlt)AmMarindenNw 1f'�% S�C� cow+ ca w dns serrke Amps I Volts Overboa ❑ u&dpd ❑ Na of bletm LU z � Amps //D 1210Yolts Or bed ❑ Uod ❑ Ne. o[ MNors W a o umber of ►edam and Ampadty LU - &doe and Nadre of Proposed Llecokal Works 11 2 CaM.r eWWASrde.awraiseb.,..F AWMeb..sarora!Hbrx E • Ne. of Rocaed Lumbudift ,O Na dcA sasp (raddk) raw ° • KYA Ne. of Ludsain Caddo (j N• of Hawn Geoanesrs_ KYA Ne. of LuaJaa4a 10 swirdaBPal ❑ r' Na of Ren/hek OutWs 0 its of on S rmaa 4!!�y FMALAl18R IN& of Toros Na of Swtkbw A Na of Cr Idrnors. • Na of Ra ft o 0 N• of Air COud. o Tom Nt of AkidN Denim Na et WuN Dlapesen e2 RKILGHlhvk Ne. of Ddkweekarm 0 SpadArm Itaft IC111 oe Enda ' ❑ otkr Na of Dryers iinikr/ Appllasses 1(w (1� ° 41 w o Him fo KW w sr Bawllasb Data WkbV . t[ Na HfdrsewKr easktubs40 It's-61HOWS TOW HP OTH1Rt .uramaddnowdramywr eawasrepwe+elureuuponwal► n& estitrma d Value o(Pect0ca Work: > loot, (Who required bye mmkipel poday.) \York to scut .3 2 bupedons to be requatd Is aa:aI with bIEC Rate Rk and upon wmpdetioa INSUR MIC V E G NI Uniw weird by tbm owano pem b the the palbm=co o[etectrkal wak nay Inure ualess the Ilcom provides proof of Babildsy Imam indudiaE"completd opowW coraep or its substadW cgotrelen< The umlasiipsW catiAes lbae ruck covarsp Is Is force. sod bu nIsi" proof dsame to the parade i 01" odltta CIMMONit: I1I311JRANC1.0 BOND ❑ amn ❑ (4sd k.) l ead,& Is save a+d aagdrtia i11111 NADI1e UC. NOts�_ Luaaeeee stpatmre UC Nos Ulna nMw'.r ~ Ga tAe Isa�aa,anri.. Bua Tat i/ �G Addradd • Pw bLO.L a 1d7o r. 37.61 o seeacity wmk regtdres Depa tmo o[ Ik safay "r Lkaue Lie. Na 01i N IIWS It1.lt1WCS W.UV ales I sm sweet that the Licrosa dies ao1 haw the Its "1Y jasurarsce corasp r�onnuy regW d bye law. By my sigsssaum bdow. I hatby wad" this requiramatt. 1 set the (chak ono) owttrr r1owneeSaltent. g w"�i aipa O To(°pkene Na PaRNIT FE& J co a/M BOARD OF FIRE PREVENTION REGULATIONS o metal uses only P"wk Na ltat► am Fee Chaired leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AM work to be performed In aecwdamcs with the Musechmetta Qecnial Cads (MICly ! DIR 1 LOG MSB PRLVT /N INK OR TYPH AU WFORMA7l0h9 Data `4 1/9 City orTow>tD�ITN To tht lraperctoro%fi7ra: i appUcadoa th• ttadasiEae� va iron s 6 or er ten an to perf na th• electrfcai wodt described below. N•mbar) ti /U/U�T�� NEU1 H�'6Kf�1�i�yEY�'i?�ovTy err Teaaa! . a Address Telephone Me. 1a I Is permli Is ce•iuttcilan with a bullding permit? Yes ig He U (CheckAppropdate Boa) soof Bulwia[ E/_FC7-, je,0L I, OP1<f Utility A.iharkad•ts dng Ssrvfc• Amps I Volts Ovwbad ❑ H Undsrd ❑ •. of bldars sew 9uvlk• j(Z Amps / .220 Volts Overhand ❑ UndQd ❑ Ya of Mctars Number of ►eedera endAmpadtq 3— Location and Haters of Prapsead Electrical Work: ).f/iAt f✓G 0,47_ 6evv;c ,. -- - - caw�leMar ddtr rdts.fa. nelta,r. t...�a1v.J �.A. r...s.�an. dst� No. of Recessed Lumlaslres 6 Het, of Cd4S•a} (hddls) Ise• ° la a 01 Q KVA N•. of Ladaales Ondsb Net, of Heavubs Q Gematatts- t2 KVA via of Ltedaalres S*lades[ loss ❑ n'♦ ❑ O Na. of RscgescL Oudds Nw sf Or [amass• FMALARM Ma of Zones tV Na of Switches• Ha sf Gas Mwms. a G7 Ns of Rasps 0 HaetAbrCoed. i KwofAJ�tb aswkn Nw of Yllaab Dlspaesee ot� uw ° ~ Nw of Dfshweshers SpeenfArw Hades KW 0 Esw113 M ❑ odw � Nor of Dryers Ids Appilanca a KW or sn w atwsiw Hours KW & M 8a~!lof Oates Wittier.-,- Rift w [ Ne. Hfdromuso Bathtubs /% Ne. of mourn 3 Total"' of*ev se 9 fit t7iHltRrq 7VCWAZ9,0 ' � .lifts Ahwe ael dtreett yfilak 1 or°s-- frtmf Ef 1ha Lai eaw cyllfros. Estitrtotcd Value of EIects{ca! Work: 11 y^n(Who regkvd by m mkipd pocky) Work to Start 3 Impadons to b• requated la aaordaap with blEC RW 1% and upon camplsdan. I&MU"(Ci Y [ G [t Unless waived by the awns; ao pemtit fir the perlbrmam of eletts5al want may Issue unless the Ilcertse s provides proof of IfabiUty la mace fadudias"campiet•d apsrWad coverageor its substantial equivalanL The uadessfyted cadEes that suck coverage Isis f=v6 sad bas esbilged proof of rams to the permit runup o(llea CHECXONIk IMURANCE (3 BOND ❑ OTHU ❑ (1feft) I cud& aaulr thid an end ftndgae °float" that Ib• IOJWmr•f/ets oa tAb OPUNdM is &W mad efOV ter. 11RU NAbilb LIC. NOu r ALI l 'er 'ta t1M Ikowme r ' I ad F l lr >a1. 20 . a re�i Yeu Pa NULL L We L 31.61, security wmk tvgakea Uepxmtwo(hblk Srfdy wr Lice = Lie. No. 0%VH 11W3 U43URACICii WAIV M 1 am swars that the Ucwso dQa mt Ann the liability 1maos to coverage nomnUy lequkW by law. fly my llva rrs below, I hereby waive this regulnmat. 1 am the (cbak am owner o�vnees s tat. g" °` Telcpbsa0IN /IT FE& S • - l ommonwra olc///aalaclia fjOffiicial U� Qt�y _rUrParimsnf o f Yirr Jrroicre Permit No; l� t Z 4` 9 'BOARD OF -FIRE PREVENTION REGULATION$ Occupancy - dFeeChecked ev. 1/07] cave blank APPLICATION FOR*PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code afffiq, 527 CMR 12 Do (PLEASEPRINTININKORTYPEALLINFORAUTIOA9 Date: Ifa-2I, City or Town of: eArA o of f% To the Inspector of Wires: �y this application the µndersigned 'ves notice of his or her intention to perform the electrical work described below. ocation (Street & Number) /n A 1;..1 t'_L .._ A..I. t A. -- - r 1% a s IT Telephone No. rer's Address a_ Cis permit in conjunction with a building permit? Yes❑ NoC%J❑(Check Appropriate Box) Kc--J�j,nerorTenant ose of Building Utility Authorization No. ting Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Service Amps / Volts Overhead ❑ Und d gr ❑ No. of Meters ber of Feeders and Ampacity Location and Nature of Proposed Electrical Work:--------------------- u Luminaires Cam letlarr o the ollowin table m be waived bv the Inv eclor o Wires. No. of Ceil.-Susp. (Paddle) Fans ° °f Total e Outlets pReceptacle Transformers KVA No. of Hot Tubs Generators KVA ` • s Outlets Swimming Pool eve ❑ n- ❑ o. o mergency g ag rnd. ortrd. Bette Units No. of Oil Burners FHtE ALARMS No. of Zones No, of Switches No. of Gas Burners o. of Detec on an Initiating Devices No. of Ranges No. of Air ConTons tal No. of Alerting Devices No. of Waste Disposers eat ump m uber 1,17ons oe. o onta ne Totals; No. of Dishwasher Deteetion/Aterd Devices Space/Area Heating KW' Local uni pal ❑ Connection ❑ Other No. of Dryer o. o Heating Appliances KW ecunty Systems:+ No. of Devices or E ester Heaters KW uivalent o. o o. o Data Wiring: Signs Ballasts No. Hydromassage Bathtubs No. of Devices or E uivalent No. of Motor Total HP elecommun cations it ng: OTHER: No of Devices or uivalent Attach additional detesmunt! if desired orar required by the Inspector of Wires. Estimated Value of Electrical Work (When required by icipal policy.) Work to Start:S 2�GE! Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE", OVnless N waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed QrZ t operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE A BOND ❑ OTHER ❑ (Specif)r) I certify, under the pains andpenalties ofperjury, that the information on this application is true and eomplere. FIRM NAME:'% h LIC. NO.: Licensee: LEan Signature � LIC. NO.: t"inthelice enumber rn ) (Ifopplicable.ente esem �_t% Address: ��a tw"�rjjN /,M Bus. Tel. No.: (� • J + ! rtt, �C' �� Alt. Tel. No .:� Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety S Licens tic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one ❑ owner ❑ owner's Owner/Agent t a enL Signature Telephone No. PER<tifIT FEE. $ Permit No. • BOARD OF FIRE PREVENTION REGULATIONS Occupancy ] 0 LU c' o N LU O U Q. APPLICATION FOR PERMIT TO PERFORM ELEC All work to bo perftmod in accordance with the MaasacbuseCs Electrical Code UAM (P.L&fSEPBNTBVDYKOR77PEAUAW RMATIOlo Date: City or Town of: To the Inspector By this application the undersi gives notice of his or her intention to perform the electrical Location (Street &Number) I1 A14-1S Owner *or Tenant C P Zi . /`A,.lqr, l,�,G . _ ., r AT _ V i Ownees Addrm is this permit is conjunction with a building permit? Yes ❑ No Purpose of Btdltting utility; Existing Service Amps / Voles Overhead ❑ New Service .Amps -- .Volts Overhead ❑ of Feeders and Ampacity a and Nature of Proposed Elechical Work.- I,6 ler (Check Undgrd ❑ Undgrd ❑ e Checked ,blank HCAL WORK CMR 12,00 fires: described below. lone No. / 6 )propriate Box) o. of Meters a. of Meters ion o the r taws be the Inspecor of Wires. f Recessed Laminalres No. of Cell: Sasp. (Paddle) Fans No. o eta Traasforme KV,+ Qtp. f Laminatre Outlets No. of Hot Tubs Generators KVA f Laminaires swimming Pool Ve ❑ ❑ o. a. a Bates Ud ° f Receptacle Outlets . No. of Oil Burners FIRE No. of Zoncs m7i(Switches No. of Gas Burners No. of in Initia Du evices No. of Rang No. -of Air Cond. Tons No. of Al g Devices No. of Waste Disposers Number r oar �, °mod 0 nDevica tin No. of Dishwashers SpacdArea Heating KW Local ❑ Co ace- n ❑ Other• No. of Dryers Heating Appliances KW becu eras: o. o a KW Heaters o. o o. o Nf Devices o oData Wisin or uivalent Signs Ballasts No. of D ices or utvale°t No. Hydremassage Bathtubs No. of Motors Total HP ecomm a as ngg: No. of D vices or °ivalent OTHER: Estimated value of Electrical work (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10. INSURANCE COVERAGE: Unless waived by the owns, no permit for the perforce of ele the licensee provides proof of liability insurance including "completed operation" coverage or its undersigned certifies that such coverage is m fora, and has t::thibited proof of same to the permit CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specif):) J cer*, under Nse palm and penalties of perjury, chat the Information on this application L to FIRM NAME: 9SSOCIA M 6 AL,9k Al S sSrE .m c rL.• . Licensm KCLLy A. KGA,t1E Signature (y rFP1kab , agar "ermaztW in the /Ice U& wrenA.h N,.. 1 *Per M.G.L c. 147. a. 57-61, security work requires Department of Pub c afety "S" License: OWNER'S INSURANCE WAIVER. I am aware that the Licensee doer not have the liability required by law. By my signature below. I hereby waive this requirement. I am the (chock one Owner/Agent Signature Telephone No. PE, va try the tnspeuor of Wires. Upon completion. W work may issue unless nantial equivalent. The ung office. and compktG LIC. NO.: LIC. NO:: I- II- I q--S—a___ Tel. No. SOS•7753yyz Tel. No.• Soo_3�4 Lic. No. uance coverage normally FEE: O-D L� in y W N .> o N C LU kao? o � W Q tr CON 0ffiWd-d101MdAAdJA" BOARD OF FIRE PREVENTION REGULATIONS Omciat ussoah Pemm$ No. E 12 p — / 1 Occm� secy and Fee Checked Rm leay. blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to bo nee f=W is occadmw wM rba Mmwbnens Eiecsiai Coda (MM s OIR I2.tb SSPRGVTl1Y/NK OR 1YPB.�LL INFORbU770r>7 Dabs ��3 /c�L City ottTaNra oft yR� N1 DUTN To thahcipsctiorojfi+Ira: applkatioe tlu undersigs< gra n4 0� ar es tmttas to pafomt dse dautcal work described below. s (strut A ar TiasW _ Telephone Nw 's Addrsso r / paawk is conjustcdas with a bolldta/ parmil? Ya 1Z He ❑ (Cheek Appropriate Bes) t. a aQu a.11 E/_f=c' rR lz oL t,y gg tc _ Misty AaIhamtha Me6 / Q 7 4�Sr�1 ILdnHsanice Amps I volts Overhead ❑ Uadgrd ❑ Ns. of dleters ,New 3eniko 1QQ, Amps l .L10 Yolb therkead ❑ UadQd ❑ Yw of Meters Namber of ►ceders and Ampaelly 3 ^ Asa 4ZLIL"4"'/100 t�1:210 Locades and Nstars of Propead Elect" Work: Wil-21 fV& �j Se y'V;C L0— Cawalarf.s a/rA, rd1s.G. eekta. he wales d by rAw h meow of W&M Ne. of Recessed Lumbwm 6 Nw d CI&SnIF (peiddio) ram Trow © a Nw of Lanelsoln Outlets Nw of HotTubs Q Cernbss- 0 KYA Nw of Ladsalres swlmalas led ❑ e�i ❑ Lielafiv- O NIL at Raaptacle Oodeb �� Nw dO/ 3ltneers 10t>eAr.AAMst Kw of Z000a Not of swltabse Ift of Car sta un. f afteffQ Nw of Rasps 0 Nw sf Air Cand. u Ns� of Aiiretlq Derlas .0 Nw of Wants Dlspmcra �� smRM I LOSw 6) Nw of Dbkweskrs /J' spa "m Hof KW p L a (3 Ce it ❑ Oder (% Na of Da7era HuthigAppUaeca a KW 07 11ca w a Hatters B KW w n grub Data Wrfiap :: R Nw Hydrommnd HaWtabs /% Nw dMotaas 3 Total Hi• _M T C Rx .urau aaartua.e dear yir"N" oiat rl fryer qr rite rerparor 9l nrrn6 Estimated value of Electric! Work: �_ (Who mt pked by Municipal policy.) %York to stunt 3 Inspecdmma to to requester In aaadysa with biEC We 10. and epos wmpleofoa. w3li A.VCi C VR CLt Unlas we(red by theowss, Mo panic Ibo thoperlbentwe of electrical work my Uwe unless the tic anso prorida proof of liability Immauso laeheignsucampleted apaat6W carasp at its substawW cgob last. The umiaslptW catibs that suck cova3p is to fases6 sad boa aabibited pmeof of same to"pamk Lucia{ of8ea CHECICON>I: INSURANCE 0 BOND ❑ OTHEt ❑ (spy) I cad& sn:ar the poor onelpend iw d f forl" that do brjarwoeisma aw INS if fr aAevs to aeo need ce wp w* FIRM NAAIlb LIC.&M L:�__ Licensees Zz5&V2 D g r'r r lAlj slgttaism UCCfasjafssd - p/oo/&W, 'u E br rho /tesu.� bw r e'/ 11. /� 20 Plus. TeL ►T Addrns ,116 TILNess r Pa bULl. e: icensee Va. Na O%VN EA's INSORANCs WAIVVU I am awsa this the Licamser dm not koro tla Ifability jasnraoa ca vemp nocmally meviad by faun. By my slgnanue below, I hereby wairo this tequlramenL I ts the (check one) now= Owner's a erm s l'°"ssy�at Telephone No. m—L1-1T RE& 1 CJ Z LU ` N_• w is LU tat o 1 L r, of in lammanmt¢ Of /r/aJ3aCtutNll3 '. �.. Official �=OnlyC? 4 Permit No, I`` C CJtParGnenf o� yirt ,�trvia3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • ev. 1/07j cave blank APPLICATION FOR`PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (mFC), 527 CMP 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date:�g oZ I a City or Town of: To the Inspector of Wires: this application the µndersigna!d grves notice of his or her intention to perform the electrical work described below. cation (Street &Number) In %lP,.1 A.... a IL 1 a,�- .-, is Address Telephone No. permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) to of Building Utility Authorization No. Service Amps / Volts vice Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters (;om retian o tl�e ollowin table m be waived b the lar ector o Wirer. No. of Recessed Luminaires No, of CeiL-Susp. (Paddle) Fans °• ° Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming pool Above ❑ n- rnd. ❑ Battery Units No. o. o mergcncy g _ ag • rnd. o No, of Receptacle Outlets of Oil Burners —�— FIRE ALARMS No. of Zones No, of Switches= — No. of Gas Burners o• o Detection an --- Initiating Devices -- No. of Ranges No. of Air Cond. tal Tons No. of Alerting Devices No, of Waste Disposers eat ump um er ons o. of el on ne Totals: Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local O Mu cipa Connection ❑ Other No, of Dryers Heating Appliances KW Secunry Systems:* 0.0 ater No. of Devices or E uivalent Heaters KW o. o o. o Data Wiring: Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications i ng: No. of Devices or uivalent OTHER: Attach additions! derail if denreg or as required by the Inspector of Wires. Estimated Value of Ele trical Work Work to Start: (When required by municipal policy.) / Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE V RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I cerdA, under the pains and penaWes ei jury, that the information on this application is true and complete. FIRM NAME: �v J. Licensee: LIC. NO.: LIC.NO.: �(FjC(�r (If applicable "ex em t"in the lice enumb r ine) Signature �""—t-- • Address: Bus. Tel. No.: -- J 'Per M.G.L. c. 147, s. 57-61. security work requi es epartnent of Public Safety" 'License: AIL Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability' coverage normally � required by law. By my signature below, I hereby waive this requirement I am the (check one ❑ owner °c Owner/Agent ❑ owner's a ent Signature Telephone No. PER11tIT FEE: $ Co'.�wow+waQ7s of //%aeeac�aae(td 15eparear.at of .Ylr+s S'drotut BOARD OF FIRE PREVENTION REGULATIONS Permit No. 0 ( Z — (0 L Occupancy and Lev.1/071 fle APPLICATION FOR PERMIT TO PERFORM ELE All work to to performed in accordance with the hfusachumus Electrical Code (PLEAMPRINTJNAWK OR 77P217AUbVF0RAfA770JV Date: City or Town of: Qb( f) To the Irlspee, tm By this application the dersi 'ves notice of his or her mteation to perform the electri Location (Street dr Number)_ l ��) c}1�r,�/-�, / Owner'or Tenants:V _ (` m, C�+ . Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Purpose of Building Utill Aathorhation No Existing Service Amps • / Volts Overhead ❑ Undgrd 0 New Service .Amps _ /Volts Overhead ❑ Undgrd Number of Feeders and Ampacity Location and Nature of Proposed Blectrical Work: e Checked i blame) UCAL WORK tarot 12,90 Vises: dumbed below. tone No ?propciate Box) o. of Meters Q. of Meters Juwn v use auowut r=e my the I o Wens. No. of Recessed Lumiaalres No. of Cell: Sasp. (Paddle) Faus No. o eta Trantf KVA No. of Lumbralre Outlets No. of Hot Tabs Gener 4tuild KVA No. of Luminaires Swimming PoolAbove ❑ ❑ acy g rrn7 d Battery No. ofReceptacle Outlets . No. of Oil Burners FIRE No. of Zones No. of Switches No. of Gas Burners No. if 1)Mw No. of Ranges — --- No. of Air Cond. .loin No. of Al Devk es No. of Waste Disposers p am r ens o. o on a -----. Totals Detection/ n Devices No. of Dishwashers Space/Arta Heating KW Local ❑ ❑ Other Co aectloa No. of Dryers Heating AppUaacu, s: o. o Water KW Heaters o. o o. o s or uivalent S s Ballasna or utvalentNo. Hydromassage Bathtubs No. of Motors Total HP q0cluous ages or ulvaleat OTHER: ...w...r...a.VI.Y{ ..f,{IY V "L UrAL or' n Estimated Vahre of Electrical Work (When required by mtmicipal policy.) Work to Start: ' Inspections to be requested in accordance with MEC Rule 10, INSURANCE COVERAGE. Unless waived by the owner, no permit for the performance of elr provides proof of liability insurance including "completed operation" coverage or its certifies that such coverage is is force, and has cthhribited proof of same to the permit iiaw. E: INSURANCE ® BOND ❑ OTHER ❑ (specify:) der thepalm andpenalties of pdr/ary, that the ktfonnadon on this appMeadon b terE: ASSOC167Et6 gL.9Rirt S rE S _r GLGy A. ICEAAIE Signadrre!"esda�t" In te 1lornu monber 11ne.Jd-441novrt� P4.4b 14 -imvtc. 147, s. 57-61, sectuity work requuires Department of Pub c ay "S" License:INSURANCEWAIVER: Iam aware tat the Licensee does not Kaye the liability it By my Signature below, I hereby waive this requircmmt. I an the (check one Signature Owner/Agent Telephone No. PER w oY ad Impeuor of Wirer. upon completion. :al work may issue unless ttantial equivalent. The ung office. and complete. LIC. NO.: LIC. NO:: TeL No.r SO9-775t3yy�, TeL No.: Boo • da1 "33��4 Lic. No. irrwce coverage normally FEE. S Al , E A • J X W �� inr .�iwisaa Permit No. z OZ., Occupancy and Pee Checked BOARD OF FIRE PREVENTION REGULATIONS str. u07j, ira..et.,tk APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be porfamed to aaadect with tbs Mundaoetss Elauhd Cods (MEC'L 3 t:MR I L00 PRLVTlN INK OR TYPB "U WWORbUT10M�1,19 City orToxltoR %JT7�To the luperro�ojj3+tra:applkatioe the uadersipae� fires nc of or es tenticn to pafotts the slectrlcal work described below. (Sit•eat A Numbed. w Tenasl 's Addn a Talephose Na permit in conjuxedo■ with i building pataltt Yes JA Ns U (CbackAppnpeiats Bus) welliumila{A/F_U/ E/_FGnriz6 z. t ffe 1< UtmtyAatberl=tbsNajS2S.j� 'E=titln{ Serries Amps I Volta Orerhad ❑ Undpd ❑ No. of Atotors Vow Nrylks jaa Amps I.LZO Volts O.-errhad ❑ Undpd ❑ Na of Molars Number of /ceders and Ampadly 3 - Lowden and Hahn of Props" Llactrial Works LY iR1 fV& &,41 ea'I/tC,,!?— Cawaldie af,Ae fella ' - A%U& .. Am wAi r1 Aw db iArOMEA . of ia4re: Noe of Reen"d Lumlaalns ( Na d Ca coop (Pi mb) /ant ° Trow-Arfam• 0 KVA No. of Lumissin Owlets Na of HatTuba Q Gar'ntere_ 0 KVA Na of LsdWros Swimalgiool ❑ +, ❑ Na of Rseeptaeb Outlets Na of Or SUN" MI ZALAUM tfa of Zseoe V Na of SwltrJse Ha of Go tdutws.. — ---- L� ~I I Imagertes Ha of Rasps Q Na sf Air Coed. a Kw rtAbtrtb> Darter Na of Wads Dupsen Hedviwrmow of o a NaofDishwashers SpawAresuntis{ KW p headQ ❑ oew of Na of Dtryars lfadsgApplbeces t) KW sn a o Hoer KW of a n 13iel vests Data Wlrbat:,' R Na Hydrsaansp Bathtubs Na of Molors Told HP ' 0?H1tRi T C 019x .urea ordurw ario+t yJsuma aasrefwnrey reelnrpee" q/lnn. Esdauded Value d seaafeal work: li, 7,� (when «istreI by amalelpal policy.) worst to Start: it 3 lop.asaaa to to mpmIed Is as , 1-ir - with AIEC Rule to and upon eaaspled wL ljjSU"3CZCUV1J1AGJh Uttle:a wdvW by tee ownw no pamk gw me pafbm=co o(eittww wotk may Lswo unlas the licatses proridu ptoolof ftillty Inpawes farltdla{"cotap(etel opasdottt' corerop or its substaatW equkWaat The uadarsiped catift tint much Camp Is is fotcs. sat baa ashmed proof dsame to" permit lunia{ oQlca CI•IECKONN: MSURANC1113 BOND ❑ 0'1' n ❑ (Specit.) I cudA r,dar LW Febw andpifo n ulperl" tAr Lk InjSrorerbw an thk aniked on is are a+d awplesa FIRM HAM& LIC: Nas�_ wumo.e Gy 1;9) r7 & MAIj 3l fttat.ra we NO0 s ' (11wo"Ma -.r Er»dt.lsr mr� t>' Z7. /� 20 BaaTetN�• Add.. .Ut. ToL t`fat - 'Per bL0 L c l 11. s 5161. sesnrity worn nqulcp Oopatitusttt of Ik 3afoty "3" Llaaue: Us. Na OIYN n,3 UN30RANCz WA1vLAs 1 am ewers tint the Llcamae doernot how dta liability jnsncroset coraap normally cequind by law. Dy Illy 1iDtaeuo below. I hersby waive this requitemotl I am the (cbak one)r1owner flowneeS34ont. g "n� d Ttlephoso Va PLrR311T FEBt J l orymmonw�a o` /r/aJsac li`J }Ofticial Use Only UrParfmsnf o��in „7sroicel Permit No. v Z.� qs • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev. 1/07] cave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (),1527 CM 12.00 ( z (PLEASE PRINT IN INK OR TYPEALL INFORMATIOA9 Date: e -3�— /z W City or Town of: tlevlvtomn To the Inspector of Wires: W �. By this application the µndersigne6 gives notice of his or her intention to perform the electrical work described below. cam., a ovation (Street &Number) ��i)t�f, '"� w wner'orTenant ll.l i Z z wner's Address Telephone No. Wo this permit in conjunction with a building permit? Yes El No ❑ (Check Appropriate Box) � � urpose of Building mo zisUtility Authorization No. tlng Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Und rd g ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L "A/J vow • • J Q U Recessed Luminaires wn, .e"an o me ortomn No. of Cell.-Susp. (Paddle) Fans tabs- m be waived the lns ector o Wires. — o. of —Total No. Luminafre Outlets No. of Hot Tubs VA Generators KVA Luminaires 5wirnmtng Pool Amd.e ❑ �rtd. ❑Baste g g Un �ancY Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones Switches FgS4pacetArea No. of Gas Burners o. 0 etechon an Ranges — -' No. of Air Cond. Tons InitiatingDevices No, of Alerting Devices aste Disposers eat ump umber Tons Totals: o. o elf oats ae --- ishwashers Space/Area Heating KW- Detection/Alertin Devices Local u c pal ❑ O Other Connection ryers Heating Appliances KW ecurity Systems:* o. o Water o. o No. of Devices or E uivalent Heaters KW o. of Signs Ballasts Data Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No, of Devices or E uivalent elecommunicagons vviring: No. of Devices or Eouivaent annn; "r,"„ y aesrrea. or as required by the Inspector of Wires. Estimated Value of Elec 'cal Work: (When required by municipal policy.) Work to Start: Q a2 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE OV RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify;) I certify, under the pains and cn ojperjury, that the information on this application is true and complete FIRM NAME: J LIC, NO.: Licensee: Signature LIC. NO.: (If applicable enter mpt " ' the license tuber line Grt r Bus. TeL No.: Address: _ j /�� ti�211�u *Per M.G.L. c. 147, s. 57-61, security,work requires E-partment of Pu lib c Safety "S"S" License: Alt.Li l.No.••�— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one ❑ owner ❑ owner's a enL Owner/Agent Signature Telephone No. LfER11fITFEE. $ C.oasaswu 'of ///aedac OB icw Use Only Permit No. • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and ee Checked 71 flew ht.1,1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acemmm with the Masuebusem Eketrical Code , CMR 12,00 (P.LUW PR1NTININK OR nPEAU &FORAM77ON) Date: 9 City or Town of: A By this application the tmdersigmiVves notice of his or her intention to perform the Inspector o Wires; the electrical wo t described below. Location (Street & Number) U t' Owner'or Tenant C-� /' . A)J._-- Owner's Address - is this permit In conjunction with a building permit? Yes ❑ No (Check ppropriate Box-) Purpose of Building Utility authorization No. Existing Service Amps ! Vohs Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampadty Location and Nature of Proposed Elect ical Work: .1,n CZ in / ,1 e A ..t b ... _ . r . ah. No. of Recessed Luminaires • •• , •�.,�•.OL= F No. of CeIL-Susp. (Paddle) Fans mate oe o• o Transforme UN ! for o Wires. Total KVA No, or Lumloaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool d.e ❑ d ❑ Barre Usd ey g No. of Receptacle Outlets No. of Oil Burners FIRE No. of Zones No. of Switches No. of Gas Burners No. If Devices No. of Ranges ------ No. -of Air Cood. Tom No. of Al Devices No. of Waste Disposers He"mp Totals: Number one 0.01 Detection/ oa Devices rtinp,mdclpa No. of Dishwashers Space/Area Heating KW LAW ❑ Co rection ❑ Other No. of Dryers o. o a r KW Haters Hating Appliances KW o. o s Ballasts ecn ty No or Data Winn No. of Di ems: vices or Equivalent : v1S!!1Lgqg1ygpt No. Hydromassage Bathtubs No. of Motors Total HP Tge-comma No. of D RatioWliynffug. vices or Equivalent OTHER: Attach additional delat! (ldestred orau n Estimated Value of Electrical Work (When required by municipal policy) Work to Start ' Inspections to be requested in accordance with MEC Rule 10, 1 INSURANCE COVERAGE: Unless waived by the owner, no permit for the perforn mce of ek licensee provides proof of liabiliy insurance including "completed operation" coverage or its 'good certifies that such coverage is in force, and has exhibited proof of same to the permit D N ONE: INSURANCE ® BOND ❑ OTHER ❑ (specify:) o w ' under thepains andpauddes alpvjur)• that the information on this app&atfon is to N o RM NAME: RSS 0c /q 7•E 6 AL qie o l S' rE S S.Yc o y 9 • _KELLY A. KEA,tJ6 Signature icnblR aster 'campy in the lioaase trtanber Item) ¢ m dress: d .4z-moo r7f e4.4 b 14 i4alf a,+c o! A • M.G.L. c. 147, s. 57-61, secmity work requires Department of Pub c afety "S" License: 'S INSURANCE WAIVER: I am aware that the Licensee does not Kaye the 6abi7rty it o by law. By my signature below. I waive this Owner/Agent hereby requirement. I am the (chock one Signal Telephone No. PER try the inspector of Wirer. Upon completion. W work may issue unless Untial equivalent. The inS office. and comp/etc LIC. NO: LIC. Na: I- I qI Tel.No.L5 775,3 yy t• Tel. No.• Boo-�a� -33d9 Lic. No. uance coverage normally FEE: 5 // °g 9 ► 0 v LU N > o N LU Ao r U � LU a tY Co,ww,wr,,,u� a�aa-►m r,.j J'j omcW use only Pmnk No. Dccsgraoey and Ies Chaked BOARD OF FIRE PREVENTION REGULATIONS w. Iro7x ieawbleak 160:Y29mc PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ,W work tabs pwfbrmad i. o m&ma wkb ma Mmwbmo EkcUW Coax (MWI ! oIR 1 zoo PAWN INKOR TYPSAU /NFORMA7i0119�ity otrTorrt ol! YAl�MDUa To the 14cemi0f;Vkw: plkados the uadm pcd `ire nos of or er os to perfms the electrical work daaibed below. s (stnd A w Teaad s Address Teiephose Nw pewit Is eeoluxetlos with i balwas pwnw Yeti P9 He („ J (Check AppnpdMa Bans) me(Bulmlog /61// E11=c7-j41t0L t,a•/o�cc _ U1i11yAate@cIub.Nwfg7 fEJQ /abdng se rvlee Amps / Volk Overhead ❑ UsdRd ❑ Me. of Dleten New im Amps SL / .210 Volts Overhand ❑ Uadpd ❑ me. of MMers Number of /etdas and Ampodly 3 ~ a J / t / O ! Locades and Home of Proposed Electrical Works 1fh5t&vL0R1ry twd . e L'Vt Ge. M '--'--,✓eb WL..A.&A" � A...w,..d A" IAo r..,wmrd e! wb,.t Me. of Roeaeed Lumisalrs 6 Pfe. of cs&smp (Ptiamo) raw TozaKVA Nw of Lumisabt Outlet• tYw d HdTuh• Q Cea,nMsr•_ d KVA Nw of ❑ ~ ❑ D Nw of Reapbesb Outlets Kw of Of fanners /MAL11>Rbt1)f Pfw of T.o m" Nw of switehss - -- 1fe. dt:aa Bnsaes.-- — - • -- 1f� dA Oerler Nw of Rsnps 0synow dAirCori o Nt► of Wade Disposers i to" IVKw w ME A&MIS,�tArmoda Na of Dbkmkers sp•odAres Haft KW O Lear Q ❑ odd of No. of Dryers Hoaldf AppUatess 1p KW w an Heaim B KW w n gaged@ Dab Wlrht� U. f Nw HydrsmoseKe Bathtubs to Nw of Melons Tod HP OTHfRe r I �x .trraea aeemrreemaote yuaevve orarretwwvy ua rrapeeaor q rwrrrn. Estimated value of Elaatkal wade (Wha ceq*W by m=kfpd policy.) %York to stall: 3 Imposdoos to be miusetd in xmdamcs with b1EC Rule lq ow upon compie" 1r'IRURiA.YCt C Y t C rs Ualas weird by the owasr, no panda ibe the pafbmnaa aleleetrial work my Roam unless the Ilcoom parities proof of liability Immes laeha!!mg"eamplotd opatdme covaop at its subs tan" egahalemt The uolasiped catiMs that such comp is In (eat. end has eahWW proof of lams to the permit 6ral" anks. CNHCRma imumNCI tl BOND (3 orm ❑ mpedi)o l ead& �wi� lAsoaLr owd Otrebft+ oJyajarA olr rAt fe/ivt•eriew aw rAb o/pJJeplew b frrt awi awjdraa FIRM KAAIb LiC; (Ole ueetmea I-AWIM0 &PA A/i slpa era wena�� s I!/Qi/�e 'c' ' ur UN pc.w Ba1� TeL Addrsss ,IIRToL;fsu Pa M.O.L L 1,41. t 37.61, sonuiq wort rvqutra Depattmatt of Pnblk safety "T' Lkauee Eta. Nw OW(Y Rll's mall IYCS WAIVER: I am swo a that the Llcaaa dm mod bwe the Ibbllity jrtsossna eoversp norm uy required by law. By my sipamrs below. l hereby waive this requlrsmatt. I am the (chat one owner owner's a ent. OwsedApst Telephone @fs. PEJE srstiadar• '� W FE& S--- - • • . • J ItX U l.ommonmsaRofcVwac!a U, '-Usparfmanf o�Jire .�rrvitet Official Use Only / Permit No. 6F I Z- L 19. (O BOARD OF -FIRE PREVENTION REGULATIONS Occupancy and' Checked -Rey. I/07] eave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cadc (MEC). 527 CMR 12Ao (PLEASE PRINT IN INK OR TYPE AU INFORM TIOI9 Date:-,",l- ja City or Town of: ( t, ,0 To the Inspector of Wires: By this application the µndersigne gtves notice of his or her intention to perform the electrical work described below. L¢II lion (Street &Number) lD ` c.. p�; �* ' )Per'or Tenant Address Telephone No. this permit in conjunction with a building permit? Yes ❑ No „ ❑ (Check Appropriate Box) rpose of Building Utility Authorization No. isting Service Amps / Volts Overhead ❑ Und rd l: ❑ No. of Meters rd w Service Amps / Volts Overhead ❑ Und g ❑ No. of Meters tuber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: . of Recessed Luminaires , of LuminaIre Outlets of Luminaires of Receptacle Outlets of Switches of Ranges of Waste Disposers of Dishwashers of Dryers ters KW Hydromassage Bathtubs No. of CeiL-Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool Above n- grnd. amd No, of Oil Burners No. of Gas Burners Vo. of Air Cond. . ota Space/Area Heating KW' Heating Appliances KW o Signs Ballasts No. of Motors Total HP We may be waived by the Inspector o! iPtres 140.01 Total Transformers KVA ;enerators KVA Ilo. o mergency g g , tatte Units 'IRE ALARMS No. of Zones o. of Detection an Initiating Devices lo. of Alerting Devices o. o el on ne - _____ letection/AlLerting Devices IOCA 13 Counnec a cption ElOther ecurity Systems:* No of Devices or Equivalent Bata Wiring- No. of Devices or Eauivalent �....",a w Estimated Value o El",,allv aestre4 or as required by the Inspector of Wires. ec 'cal Work (When required by municipal policy.) Work to StartInspections to be requested in accordance with MEC Rule 10, and upon completion INSURANCE COV RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equival=L The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specif)r) 1 certfjy, under the pains and penakies of ' ry, that the information on this application is true and compld4 FIRM NAMEIn LIC. NO. r (If 1caLicensee: ' Signature LIC. NO.: Address: er "exempt 'tn thealicense rl ber tt e.) Address: Bus. Tel. No.: Te. No `Per M.G. . c. 147, s. 57-61, socuritywork equines Deparun nt o Pu lie Safetry'�icense: AIL L ci No. •----— O WNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one owner Owner/Agent ❑ owner's a ent. Signature Telephone No. PERMIT FEE, $ N { ' • r �` tnoasaso of ///assac�usrtis cial Uu Oay Permit No. �i Z — (d Z I BOARD OF FIRE PREVENTION REGULATIONS Occupancy9 ee Checked . 1ro�m firs ehlen4l APPLICATION FOR PERMIT TO PERFORM ELECT ICAL WORK AA work to be perf mnod in accodanca with the Massachusetts Elactrical Code OAl L . CMR 12,00 (PLEAM PRINT N INK OR TYPE AU FORMATION) Date: G City or Town of: —om To the Irtsp or o Wtres: By this application the undersign gives notice of or her intention to perform the electrical described below. Location (Street & Number) 1 Owner'or Tenant Tel hone No Ownees Address Is this permit In conjunction with a building permit? Yes ❑ No: (Check pproprlate Box) Purpose of Bull Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ o. of Meters New Service .Amps -_ / .Volts Overhead ❑ Undgrd So. of Meters Number of Feeders and Ampacity Location and Nature of Proposed EkcMeni Work: ��_ _ / _ (� _ _ - �J i' w{i K{WII 4 {/IC QIOM•(7I fi7D/C may oe i/IQ I o Wires. No. of Recessed L.amtnalres No. of Cell. Sasp. (Paddle) Fans o. o ota rl Transforme KVA No. of Lnmlwlre Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool ve ❑ o. o cY g d. d. No. of Receptade Outlets . -BatteryU No. of Oil Burners No. of Zones No. ofSwitches No. of Gas Burners an No. of Ranges tal No. of Air Cond.-- Tons JAIg evices No. of Waste Disposers p am r om - - -nTotals DevicesNo. of Dishwashers SpaerJArea Heating ICW tion ❑Other No, of Dryers Heating Appliances KW Security ems: o. of Water KW Haters o. o o. o No. of D Data Wiria ces or ulvaleot •Ica S s Ballasts No. of D or uivaleat No. Hydromassage Bathtubs No. of Motors Total HP ecomm ca ens ngE No. of D ces or ulvaieot R. ttod Valuo of Electrical Work (When required by municipal policy.) to Start Inspections to be requested in accordance with MEC Rule 10. RANCE COVERAGE: Unless waived by the owner, no permit for the performance of ch enaee provides proof of liability' insurance including "completed operation" coverage or its signed certifies that such coverage is in force, and has exhibited proof of same to the permit X ONE: INSURANCES BOND ❑ OTHER ❑ (Specify:) fY, unddr die pains andpenaWas ofpsajur ', that Are lnjormadon on this application it to I NAME: ASS oC 1.4 TE cb AL HR m S' rE S -ZWr_ w=_1<CL1_y A. KSAIJE Signature g74 ricnble war"eoMt"tn the ltcorsemonber&,1&) • ___��__ _— ... .w•. a+ r D rrvn ,.b1601 *Per M.G.L.. r~ 147. s. 57-61. security work requires Department of Pub c 9afety, "S" License: OWNER'S INSURANCE WAIVER: I am aware that the Liccasce does not have the liabilit, required by law. By my signature below, I hereby waive this requirement. I am the (check ont Owner/AgeuSignaturet � Telephone No. 1 ` by uu Inspector of Wires, upon eompletioo. W work may issue unicss dantial equivalent. The dog office, and compku. LIC. NO.: LIC. NO:: 1I q1 Tel.No.L508 775-t3w.7, TeL No.: 800 • dq Lie. No. mince coverage normally FEE. 5 �/�: . t1* Red Rose Inn Condos 6 New Hampshire Avenue West Yarmouth, MA 02673 Permit Fees: $180.00 (M) _ $720.00 $100.00 (Xl) _ $160.00 Total $880.00 ($180.00 per unit plus $160.00 for public meter for septic system pumps.)