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HomeMy WebLinkAboutBuilding Permits (4)PRIOR ENGINEERING, INC. PEI200173 Deputy Chief William Green Fire Prevention Department 96 Old Main Street So. Yarmouth, MA 02664 Re: Fire Alarm Narrative Shields MRI #2 Iyannough Rd. (Rte. 28) West Yarmouth, MA Dear Deputy Chief Green: 531 Second Sweet, Everett, NIA 02149 617-381-0294 • Fax 617-381-0272 April 11, 2000 Project No. 20106 Summarized below is a description of the fire alarm system for the referenced building. The building consists of a first floor level with approximately 5700 sq. ft. to be used as a magnetic resonance imaging office and a second level attic space for RVAC mechanical equipment only. In addition, ADA compliant audio/visual alarm devices, pull stations, strobes, smoke and duct detectors with remote LED test switches will be provided throughout the building as indicated on the drawings. Storage rooms and mechanical/ electrical spaces will be provided with smoke detectors having remote LEDs. Activation of the fire alarm system by any manual or automatic device within the space shall cause the following action: Transmit the alarm signal to an authorized central station service through dedicated leased telephone lines from the fire alarm control panel. 2. Simultaneously, the following will occur: Indicate the stricken zone at the fire alarm control panel and remote annunciator. Sound a Code 3 temporal pattern evacuation horn signal as well as synchronized pattern of flashing signals with the strobe lights. Deputy Chief William Green PEI 200173 Fire Prevention Department April 11, 2000 Page 2 • Shutdown all air handling equipment for the stricken floor. The equipment may only be reactivated after the fire alarm system is reset. The fire alarm system will be tested in accordance with NFPA 72. All devices will be tested to ensure proper operation. The installing contractor will provide copies of test certificates as required by NFPA 72. If there are any questions, please contact me at your convenience. Very truly yours, APP:ak Enc. zc: M. Hartford - MHA PRIOR ENGINEERING, INC . + Formal_ Informal_ Review SITE PLAN REVIEW COMMENT SHEET Terry a Bill Greene Jim Brandolini Peter B anton Bruce Murphy Dan O ala Vem Santos Michael Stusse Jack Shields Comments: Planning: The applicant proposes a Magnetic Resonance Imaging (MRI) facility at this site in the B2 business zone and the Aquifer Protection Overlay District (APD). The use, code 01 (SIC 8071) is an allowed use in the B2 zone, but requires a Special Permit in the APD, per Zoning Bylaw section 202.5. The applicant has applied for and recellved a Detemdnation of Non -Applicability, per section 408.5.1.1 Instead of a Special Pemdt for the use In the APD. A complete upgrade of the site is required per section 3012. Parking appears to be adequate with 18 spaces shown on the plan. Underground utilities are required, per section 301.4.10. Parking lot lighting must be under 35 it. in height. As outlined in secton 301 AA, the Site Plan Review Team has unanimously voted to allow the existing fences to remain in the property buffers. Any future sign must meet the design and display criteria of section 303. Meet with the Sign Inspector to review sign designs. A street number must be mounted on the building per Town Code and Massachusetts General Law. Building: 1. Constrution shall be placed under Consirction Control, pursuant to Chapter 1 of 780CMR 2. Compliance with site lighting and underground utilities shad be shown on the proposed site plan. Conservation Commission: A Request for Determination application will be required. Fire Dept.: Recernnends fire alarm and sprinkler system, stretcher access to rooms, emergency shut down plan to be submitted to the Fire Dept., and extinguishers, as required by code. Board of Hearth: Review detail notes: factory rubber boots for septic tank and pump chamber Inverts. Both tanks to be water proofed at factory, elec pernent needed, cap end on each leach One, 2'pressure pipe. septic design based on one floor, upstairs for storage or uOOtes onl"o office use, for reserve septic- note primary area to be reused, add eng Inspection sch, to include overdig soil removal prior to badddgng. Insp of tanks rubber boots, pump chamber float levels, entire system; add 8 mil liner to Inside of retaining wag; revise plan date Water Dept.: Water service Is now new plastic and would have to be sleeved though the new area. Sleeve must be 4 Inch schedule 40 P.V.C. from stop to building. Fxdsting crab stop may be used. Water Dept would do work at owners expense. New area meaning paved area or planted area. Engineering: Please provided and engineer's stamped letter staling that existing drainage system Is adequate in size and condition to aecomodated the proposed stormwater flow. Also state in the letter that proposed flow will be contained within the pavement area and wig not flow Into the adjacent wetland. Economic Development: The proposed project would add 8 fug time positions to the local economy. it would also be a substantial Improvement to the general area. Building Dept. 1. Construction shag be placed under Construction Control, pursuant to 780CMR, Chapter 1. 2. Compliance with site lighting and underground utilities shall be shown on the proposed site plan. 3. Final construction plans shall reflect all applicable MR] related systems. l l /,Y A _/ Reviewers: S7.33 • ' BUILDING PERMIT APPLICATION SIGN OFF APPLICANT: LV.//. $ouc/f/Z2r 1-iL BUILDING PERMIT #: ADDRESS: :V- �� �y/y a Fey JPT.Lierh!iTELE. NO.:L/7-A9y-V5-0/ DATE FILED: BLDG. SITE LOCATION: MAP#: P/9G L30� LOT#: 94' CDX-� 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 DETER- MINE COMPLIANCE TO THE FOLLOWING (A) ZONING REQUIREMENTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING. THE BUILDING DEPARTMENT WILL BE RESPONSIBLE FOR ASSISTING THE APPLICANT THOUGH THE FOLLOWING DEPARTMENTS: RESIDENTIAL AND/OR COMMERCIAL BUILDING WATER DEPARTMENT: DETERMINES COMPLIANCE OF WATER AVAILABILITY. _ 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, OCEANS, BOGS, BAYS, MARSH LAND, ETC. HEALTH DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REGULATIONS, I.E.: REQUIRE- MENTS FOR SEPTAGE DISPOSAL AND OTHER PUBLIC HEALTH ACTIVITIES. FIRE DEPARTMENT: DETERMINES COMPLIANCE TO STATE AND TOWN REQUIRMMS FOR PERSONAL SAFETY, PROPERTY PROTECTION, I.E., SNOKE DETECTORS, SPRINKLER SYSTEMS, ETC. THE FOLLOWING DEPARMUMTS MUST SIGN OFF, IN THE RESPECTIVE ORDER, PRIOR TO BUILDING INSPECTOR ISSUING THE REQUIRED BUILDING PERMIT: BY: . WATER DEPARTMENT DATE: S /I) /G5c N/A: 2. GINEERING DEP DATE: N/A: �T SERVATION: DATE: - Q p N/A: co DEP 1 DATE: N/A: ��WIRING (� INCG . FIRE DEB ALL STUMPS AND/OR BRUSH MUST BE DISPOSAL SITE MUST BE SUBMITTED PERMIT. I I I I I II I I BLM 89 . DATE: b N/A: PLEASE NOTE DISPOSED OF AT AN APPROVED SITE. A SIGNED RECEIPT FROM THE TO THE BUILDING DEPARTMENT PRIOR TO ISSUANCE OF THE BUILDING n FILED WITH TOWN CLERK: TOWN OF YARMOUTH BOARD OF APPEALS DECISION May 10, 2000 PETITION NO: #3602 HEARING DATE: April 27, 2000 'L PETITIONER: Shields Health Care Group PROPERTY: 2 Iyanough Road, West Yarmouth Map: 36, Parcel: 99 (30/D2) Zoning District: B1 MEMBERS PRESENT AND VOTING: David Reid, Chairman, James Robertson, Joseph Sarnosky, John Richards, Douglas Campbell, and Alternate, Robert Reed. It appearing that notice of said hearing has been given by sending notice thereof to the petitioner and all those owners of property deemed by the Board to be affected thereby, and to the public by posting notice of the bearing and published in The Register, the hearing was opened and held on the date stated above. The Applicant proposes to acquire the property located at 2 Iyanough Road, West Yarmouth for the purpose of installing a Magnetic Resonance Imaging facility. To that end, the Applicant has entered into an agreement to purchase the property from the current owner, Goose Hummock Shop Nominee Trust. The site is also located within a APD District and falls within the jurisdiction of the Yarmouth Conservation Commission. The Board finds that prior to applying with this Board , the Applicant has received approval from the Conservation Commission, the Building Commissioner relative to APD compliance, and received a plan approval from the Yarmouth Planning Board The Petitioner was represented at the bearing by its attorney, Michael B. Stusse. Required Relief In order to construct the MRI facility, the applicant will require a special permit to allow the building to encroach within the 25 foot sideline setback limitation as set forth in Section 203.5 (Table of Dimensional Requirements). The'application before the Board is for a special permit and not a variance as the Planning Board and Board of Appeals are allowed to adjust lot dimensional requirements pursuant to Section 411.1.2, where the objectives and mandatory criteria of the Revitalization and Overlay Architectural District are met. The Board finds that the objectives and criteria of the ROAD District have been met. 4- blectives and Mandatory Criteria Satisfi Shields Heahh Care has voluntarily submitted its proposal to the ROAD zoning District and is not seeking any waiver limitation as enumerated by Section 411.3.3 of the By-law. The application has been approved within the APD District and has completed the Site Plan Review process. . The applicant has submitted all information required by Site Plan Review, as well as a landscape plan, and abutters list. Accordingly, all procedural requirements for approval have been met. With respect to the Genial Criteria for approval as set forth in Section 4111.5, the Board finds that the applicant is in compliance therewith as follows: Site Plan Review: The site plan review objectives of Section 103.3.1 have been met. The applicant has met with Site Plan Review on three occasions and has developed a satisfactory site plan. The Board finds that the objectives of Section 103.3.1 have been met, to wit: (1) The design provides for adequate parking. (2) Parking areas have been removed from the front of the building and placed in the rear of the budding. (3) Access. A new, conforming and adequate curb -cut will be created. (4) Utilities. Utilities will be provided underground. (5) The plan minimizes environmental impacts by avoiding impacts on wetlands, providing a new Title V septic system, reducing the need for fill as the site maintains most of the site in open space and provides for increased planting and landscaping in buffer and front yard areas Effects on Abutters: The plan enhances abutting properties by improving a derelict site, avoiding impacts on wetlands and achieving greater conformity with the by-law than at present. The Obiections of Section 411 are met. The purpose of the ROAD District is to induce rehabilitation of existing buildings by, in some cases, relaxing dimensional requirements in return for site and architectural review that promotes attractive structures and grounds and minimizes environmental impacts. The design criteria and goals of the by-law are met by the current application. Economic Benefits- The economic benefits of the project are: (1) a derelict, empty building will be put to beneficial use; (2) the commercial tax base of the Town will be improved; (3) up to six persons will be employed in well -paying positions and; (4) a diagnostic facility will be made available for Cape residents. -2- Project Recommendations. The proposal has received the endorsement of the Site Plan Review, the Route 28 Task Force and the E.R.C. Supplemental Standards: 1) Architectural Stvle: The plans submitted depict a Cape Cod style building. The colors, materials, and design will improve on the existing building an d create a positive visual effect at the entrance to Yarmouth from Hyannis. 2) The natural environment is enhanced by the design in that any impacts on wetlands are avoided and greater compliance with the by-law is achieved 3) The benefits to be derived by the project outweigh any ill effects of a deviation in the sideline setback requirement for the underlying zoning district Special Permit Criteria of Section 103.2.1: The site will be utilized by appointment only. As such, there is adequate parking and access and there will be no undue nuisance, hazard or congestion created by the facility. The reuse of the vacant building with its aesthetic improvements to the site, will enhance the character of the neighborhood and the Town. While this stretch of Route 28 is very congested at peak traffic intervals, the proposed use is expected to generate traffic at a slow and steady rate, without real peak volumes of incoming or outgoing traffic. The traffic impact is expected to be less than most other uses to which this commercial site could be put The Purposes of the ROAD District Are Accomplished: The ROAD District seeks to utilize flexible zoning standards to induce rehabilitation and re -use of existing buildings. The proposal will reuse a vacant building and enhance the visual presence of the property. The Purposes of the Underlying Zoning Are Accomplished: By allowing the project the Board of Appeals will meet the objectives of the By -Law as the site will be in conformity with the underlying zoning, both as to use and dimensional requirements, with the exception of the easterly side yard setback. No pavement or traffic will be permitted along the easterly boundary, so that the entire reduced side yard will serve as a buffer for the building. The Protect Benefits the Neighborhood: By derelict property, the development will enhance impacts from the requested variation. improving and beautifying what has become a the neighborhood and there will be no adverse Planning Board Approval: The Planning Board has endorsed the project and approved the architectural and site designs. The Planning Board's Form R-1 is dated March 29, 2000 and received by the Board of Appeals on April 3, 2000. No abutters appeared in opposition to the proposal. The commercial neighbor (across Route 28) wrote a letter in support of the petition. Therefore, a Motion was made by Mr. Robertson, seconded by, Mr. Richards, to grant the -3- Special Permit as requested and as represented, in order to allow the Petitioner permission to install a Magnetic Resonance Imaging Ewil ty, as set forth in the petitioner's Site Plan (dated 3/6/00, revised 411 V00) and architectural plans (received by the Board on March 24, 2000) and incorporating by reference the Planning Board's Form R-1 dated March 29, 2000. The members voted unanimously in favor of this motion. Therefore, the Special Permit as requested is13rawed. No permit shall issue until 20 days from the Sling of this decision with the Town Clerk. Appeals from this decision shall be made pursuant to MGL c40A §17 and must be Sled within 20 days after the fling of this notice/decision with the Town Ckrk. David S. Reid, Clerk WE BF; 1300?'PG223"--, 33214 OS-30_-2000 ._. C•' . 12 = SS THE COMMONWEALTH OF MASSACHUSETTS si ` T OF si BOARD OF APPEALS a drN U N N Appeal #3602 Date: May 30, 2000 Certificate of Granting of a Special Permit (General Laws Chapter 40A, Section 11) 6 • •.1 1 1 11� I I 1 • I I Inn, 1 II I+1 - • Yti III�w 1. , •M 111 I.I 1- I'1 .41-• To: Shields Health Care Group Address: 265 Westgate Drive City or Town: Brockton. MA 02402 affecting the rights of the owner with respect to land or buildings at: 2 Iyanoagh Road, West Yarmouth, MA. Assessor's Map: 36 Parcel: 9921 (30/D2), Zoning District: Bl 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 fled with the Planning Board and the Town Clerk The Board ofAppeals also calls to the attention ofthe 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 twenty (20) days have elapsed 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. David Reid, Chairman CERTIFICATE-S.P.#3602WPD.wpd TOWN OF YARMOUTH BOARD OF APPEALS DECISION FILED WITH TOWN CLERK: May 10, 2000 t ..'l' 1J PETITION NO: #3602 HEARING DATE: April27, 2000 PETITIONER: Shields Health Care Group PROPERTY: 2 Iyanough Road, West Yarmouth Map: 36, Parcel: 99 (30/D2) Zoning District: Ill. MEMBERS PRESENT AND VOTING: David Reid, Chairman, James Robertson, Joseph Sarnosky, John Richards, Douglas Campbell, and Alternate, Robert Reed. It appearing that notice of said hearing has been given by sending notice thereof to the petitioner and all those owners of property deemed by the Board to be affected thereby, and to the public by posting notice of the hearing and published in The Register, the hearing was opened and held on the date stated above. The Applicant proposes to acquire the property located at 2 Iyanough Road, West Yarmouth for the purpose of installing a Magnetic Resonance Imaging facility. To that end, the Applicant has entered into an agreement to purchase the property from the current owner, Goose Hummock Shop Nominee Trust. The site is also located within a APD District and falls within the jurisdiction of the Yarmouth Conservation Commission. The Board finds that prior to applying with this Board, the Applicant has received approval from the Conservation Commission, the Building Commissioner relative to APD compliance, and received a plan approval from the Yarmouth Planning Board The Petitioner was represented at the hearing by its attorney, Michael B. Stusse. Required Relief In order to construct the MIRI facility, the applicant will require a special permit to allow the building to encroach within the 25 foot sideline setback limitation as set forth in Section 203.5 (Table of Dimensional Requirements). The'application before the Board is for a special permit and not a variance as the Planning Board and Board of Appeals are allowed to adjust lot dimensional requirements pursuant to Section 411.1.2, where the objectives and mandatory criteria of the Revitalization and Overlay Architectural District are met. The Board finds that the objectives and criteria of the ROAD District have been met. -1- biectives and Mandatory Criteria Satisfi Shields Health Care has voluntarily submitted its proposal to the ROAD zoning District and is not seeking any waiver limitation as enumerated by Section 411.33 of the By-law. The application has been approved within the APD District and has completed the Site Plan Review process. The applicant has submitted all information required by Site Plan Review, as well as a landscape plan, and abutters list. Accordingly, all procedural requirements for approval have been met. With respect to the General Criteria for approval as set forth in Section 4111.5, the Board finds that the applicant is in compliance therewith as follows: Site Plan Review: The site plan review objectives of Section 1033.1 have been met. The applicant has met with Site Plan Review on three occasions and has developed a satisfactory site plan. TheBoard finds that the objectives of Section 1033.1 have been met, to wit: (1) The design provides for adequate parking. (2) Parking areas have been removed from the front of the building and placed in the rear of the building. (3) Access. A new, conforming and adequate curb -cut will be created. (4) Utilities. Utilities will be provided underground (5) The plan minimizes environmental impacts by avoiding impacts on wetlands, providing a new Title V septic system, reducing the need for fill as the site maintains most of the site in open space and provides for increased planting and landscaping in buffer and front yard areas Effects on Abutters: The plan enhances abutting properties by improving a derelict site, avoiding impacts on wetlands and achieving greater conformity with the by-law than at present. The Objections of Section 411 are met. The purpose of the ROAD District is to induce rehabilitation of existing buildings by, in some cases, relaxing dimensional requirements in return for site and architectural review that promotes attractive structures and grounds and minimizes environmental impacts. The design criteria and goals of the by-law are met by the current application Economic Benefits. The economic benefits of the project are: (1) a derelict, empty building will be put to beneficial use; (2) the commercial tax base of the Town will be improved; (3) up to six persons will be employed in well -paying positions and; (4) a diagnostic facility will be made available for Cape residents. -2- Project Recommendations. The proposal has received the endorsement of the Site Plan Review, the Route 28 Task Force and the E.R.C. Supplemental Standards: 1) Architectural Stvk: The plans submitted depict a Cape Cod style building. The colors,, materials, and design will improve on the existing building an d create a positive visual effect at the entrance to Yarmouth from Hyannis. 2) The natural environment is enhanced by the design in that any impacts on wetlands are avoided and greater compliance with the by-law is achieved. 3) The benefits to be derived by the project outweigh any ill effects of a deviation in the sideline setback requirement for the underlying zoning distric L Special Permit Criteria of Section 103.2.1: The site will be utilized by appointment only. As such, there is adequate . parking and access and there will be no undue nuisance, hazard or congestion created by the facility. The re -use of the vaunt building with its aesthetic improvements to the site, will enhance the character of the neighborhood and the Town. While this stretch of Route 28 is very congested at peak traffic intervals, the proposed use is expected to generate traffic at a slow and steady rate, without real peak volumes of incoming or outgoing traffic. The traffic impact is expected to be less than most other uses to which this commercial site could be put. The Pumoses of the ROAD District Are Accomplished: The ROAD District seeks to utilize flexible zoning standards to induce rehabilitation and re -use of existing buildings. The proposal will reuse a vacant budding and enhance the visual presence of the property. The Purposes of the Underlvine Zoning Are Accomplished: By allowing the project the Board of Appeals will meet the objectives of the By -Law as the site will be in conformity with the underlying zoning, both as to use and dimensional requirements, with the exception of the easterly side yard setback. No pavement or traffic will be permitted along the easterly boundary, so that the entire reduced side yard will serve as a buffer for the building. The Project Benefits the Neighborhood: By improving and beautifying what has become a derelict property, the development will enhance the neighborhood and there will be no adverse impacts from the requested variation. Planning Board Approval: The Planning Board has endorsed the project and approved the architectural and site designs. The Planning Board's Foci R-1 is dated March 29, 2000 and received by the Board of Appeals on April 3, 2000. No abutters appeared in opposition to the proposal. The commercial neighbor (across Route 28) wrote a Letter in support of the petition. Therefore, a Motion was made by Mr. Robertson, seconded by, Mr. Richards, to grant the -3- H Special Permit as requested and as represented, in order to allow the Petitioner permission to install a Magnetic Resonance Imaging facility, as set forth in the petitioner's Site Plan (dated 3/6/00, revised 4/19/00) and architectural plans (received by the Board on March 24, 2000) and incorporating by reference the Planning Board's Form R 1 dated March 29, 2000. The members voted unanimously in favor of this motion. Therefore, the Special Permit as requested is granted. No permit shall issue until 20 days from the filing of this decision with the Town Cleric. Appeals from this decision shall be made pursuant to MGL c40A § 17 and must be fled within 20 days after the fling of this motice/decision with the Town Clerk. -4- ,. TOWN OF YARMOUTH BOARD OF APPEALS ••*:,: APPLICATION FOR HEARING = = Appeal #: 3 (o O J. Hearing Date: 41 a1( 00 Fees(o% oo _ Applicant: Shields Health Care Group — 265 Westgate Drive, BroT(EFullNAM-ACIBJJ%�b/a) g txton, c/o Atty. 508-775-3433 (Address) (zip) (Telephone Number) and is the (check one) ❑ Owner ❑ Tenant ,M Prospective Buyer ❑ Other Interested Patty Property: This appplication relates to the property located at: 2 Iyanough Road, West Yarmouth, MA 02673 which is also shown on the new Assessor's Map: 3 as Parcel: 99(old Map & Lot 9) .391Z 30/pa Zoning District: B-1 Project: The applicant seeks permission to undertake the following construction/use/activity :(give a brief description of the project. i.e.: "add a 10' by 15' deck to the front of our house" or "clipga the use of the existing building on the property"):The applicant proposes to remodel the existing building to allow its use as a magnetic resonance imaging facility (MRI) w ereas a bui dj will exceed the side yard setback areas and the driveway is no ee rom adjoining or oppose a ariveways. RELIEF REQUESTED: The applicant seeks the following relief from the Board of Appeals: 1)_REVERSE THE DECISION OF THE BUILDING INSPECTOR OR THE ZONING ADMINISTRATOR dated (attach a copy of the decision appealed from). State the reason for reversal and the ruling which you request the Board to make. 4 It A,—q (o Y-":5. 2 %� 2) x SPECIAL PERMIT under § 4 11.""r of the Yarmouth Zoning By-law and/or for a use authorized upon Special Permit in the "Use Regulation Schedule" §202.5 ')_VARIANCE from the Yarmouth Zoning By-law. Specify all sections of the by-law from which relief is requested, and, as to each section. specify the relief sought: Section: Relief sought: Section: Relief sought: Section: Relief sought: Additional comments: The applicant's plans have been approved for the use in the APD district and have received approval from the Yarmouth Conservation Commission. FACT SHEET This sheet must be completed and filed at the time of application. Owner of Property (if other than applicant) William Ho �Boucher & B & B Company a Pennsylvania Pattnership, P. O. BoxWdndenhall, PA, c/o Atty Robert Pen- ( Address) (Telephone Number) 0 How long has the owner had title to the above premises: 7 years, Book 84301 Page 167 (Give title reference if available) Use Classification: Existing: Retail §202 5 # H-11 Proposed: §202.5 # — Is the property vacant: yes How long has it been vacant: 3 years, approximately Lot Information (if available) Area: 3 acres Subdivision/Plan Reference:n/a / Is this property within the Aquifer Protection Overlay District: Yes x No Other Department(s) Reviewing Project: Indicate the other Town Departments which are/ have/ or will review this project, and indicate the status of their review process:Conservation Commission, Site Plan Review Committee, Planning Board, Route 28 Tasz Repetitive Petition: Is this a re -application If yes, do you have Planning Board Approval: Prior Relief. If the property in question has been the subject of prior application to the Board of Appeals or Zoning Administrator, indicate the Appeal number(s) and other available information: ADDITIONAL INFORMATION: Please use the space below to provide any additional information which you feel should be included in your application: Michael sB rgStu setorneyAddress 25 Mid -Tech Drive West Yarmouth, MA 02673 ding Inspector's Si®- Signature . Site Plan Review Required Completed � Yes 13 No ❑ Yes ❑ No Atty. SITE PLAN REVIEW COMMENT SHEET James Brandolini Terry Sylvia Bob Savage Vern Santos Corev Kittila Brad Hail Dennis Broom Michael Stusse Jack Shields Comments: Planning: The applicant proposes a Magnetic Resonance Imaging (MRU facility at this site in the B2 business zone and the Aquifer Protection Overlay District (APD). The use, code 01 (SIC 8071) is an allowed use in the B2 zone, but requires a Special Permit in the APD. The applicant may apply for a Determination of Non -Applicability, per section 406.5.1.1 Instead of a Special Permit for the use in the APD. A Variance will be required under section 203.5 for less than the required side setback;10 ft. is shown on the plan where 25 ft Is required. A complete upgrade of the site is required per section 3012. A note regarding buffer trees (301.4.4) should be noted on the plan. Parking space #1 is in front of the building and should be reiocated/elminated or relief sought from section 301.4.1. Relief must also be sought from 301.4.7 for less than the required 250 ft. separation of driveways. Parking appears to be adequate (with space #1 removed), as shown for the proposed facility. Underground utilities are required, per section 301.4.10. Parking lot lighting must be uner 35 ft. in height Any future sign must meet the design and display criteria of section 303. Meet with the Sign Inspector to review sign designs. A street number must be mounted on the building per Town Code and Massachusetts General Law. The applicant plans a ROAD application to the Planning Board, per Bylaw section 411. Building: 1. Constrution shall be placed under Constrction Control, pursuant to Chapter 1 of 780CMR 2. Compliance with site lighting and underground utilities shall be shown on the proposed site plan Conservation Commission will require a Request for Determination application. Fire Dept. 1. Recommend supervised alarm system for the unheated attic 2. Recommend supression sytem suitable to use. 3. Portable fire extinuishers required. Board of Health: New septic syetem will be installed in accordance with title 5 regulations. Septic plans must be submitted to health agent for review. No hazardous chemicals are proposed on site. Future use of chemicals will require approval from Health Department. Design Review: proposed architecture is a substantial improvement at this gateway location. Underground utility proposal is a definite plus. Route 28 Task Force wiftupport this ROAD proposal Water Dept 1. New water serice shall be shown on plan detailing sleeve through slab and parking lot 2. Old service shall cut and capped by Water Dept at owner's expense. n ,-rrrm Building Div. Conservation Div. Health Div. Planning Div. EngineerinO Div. Water Div. Fire Dept.Desi n Review Police Dept. Economic Development L3 TOWN OF YARMOUTH BUHMING DEPARTMENT APPLICATION FOR DETERMINATION OF NON -APPLICABILITY AQUIFEW 406.5.1.1 MAN 2 0 Y000 TOWN OF YARMOUTH Applicant: Shields Health Care Date Filed: 01"VPOFeoeS Property location: 2 Iyanough Road,West YaamuthMap# 30 Parcel# 2 Proposed Use: MI Facility (Magnetic Resonance Imacim) iifrtiitttittrt••itit•tttrtrtkktktttrtrttt#trttttrtitttrtktttrtrtkttrtittirtitttittrtiirtiftt 1. The applicant has fiilly complied with the Submittal Requirements of §406.5.2 N/A (Attach copy of Hazardous Materials List) 2. The proposed use meets all of the Design and Operation requirements of §406.5.7, N/A 3. The chemicals, pesticides, fuels and other potentially toxic or hazardous materials used or stored at the site, or produced by the proposed use, will be in qualities not greater than those commonly associated with normal household use, and 4. The proposed use will meet all of the objectives and water quality criteria of the bylaw. The above applicant hereby acknowledges that the Building Inspector may require the applicant to submit the matter to the Health Agent or Board of Health, and may require the applicant to demonstrate that he/she has received a favorable report from the Health Agent or Board of Health. The Determination, if made, shall apply only to the individual applicant and proposed use and shall automatically expire upon any change of use or transfer of ownership of the business. There shall be no appeal from an unfavorable De&pination of any such application nor from a failure to act except for filing by the applicant for a Special Perm from the Board of " Appeals as otherwise provided herein. Shields Health Careb3 Appliea'nt / Date Michael B. Stusse, Esquire DETERMINATION: The Building Inspector, based upon a review of this application and information supplied by the Applicant, hereby determines that the proposed use satisfies the requirements of §406.5.1.1 and that the Applicant need not apply for a Special Permit under §406.5 Ci r , / 3 0 -j ► j 00 iding Inspector Date ricalth Agent Efate IYU Copies of this form must be sent to the following departments (as listed in §4065.4); Water, Engineering, Fire, Health, Planning, Conservation, Board of Appeals. AP Ddetemonapp 10-99.wpd TOWN OF Y A R M O U T H PLµA�NNI{Nq�G 1146 ROUTE 28 SOUTH YARhfOUTlt AfASSACHL'SETTS 07 E C "Z iVSkLY . Tctcphone 398-2231 APR 3 2000 TOWN OF p APPEATH LS FORM R-I BOARD O PLANNING BOARD TOWN OF YARMOUTH, MASSACHUSETTS CERTIFICATE OF APPROVAL OF A R.O.A.D. PLAN March 29, 2000 Town Clerk Town of Yarmouth, Massachusetts RE: Planning Board R.O.A.D. Reference No. 200011, Shields Health Care. It is hereby certified by the Planning Board of the Town of Yarmouth, Massachusetts, that at a duly called and properly posted and advertised Public Meeting of said Planning Board, held on March 29, 2000, it was voted, by the requisite majority, to approve a R.O.A.D. application and plans submitted by Shields Health Care Group, of 265 Westgate Drive, Brockton, MA The plans are entitled: A-1, Front Elevation; A-2, Proposed Floor Plan; A-3, Side Elevation; A-4, Side Elevation; A-5, Side Elevation; C-1, Existing Site Plan; D-1, First Floor Demolition Plan, and; Site, Proposed Site Plan The plans and the application were originally filed with your office on February 17, 2000. The applicant seeks relief from the Yarmouth Zoning Bylaw for. 1. A reduction in the side setback requirement of Zoning Bylaw 203.5. The proposed building addition is to be 10 feet from the Eastern side setback where 25 feet is required by the Bylaw. The Planning Board granted its approval upon the conditions that: 1. The building is to be clad entirely in red cedar clapboard siding, with the rough side exposed, and painted or stained white or gray or with color shades that are pre -approved by the Yarmouth Old King's Highway Regional Historic District Commission; 2. The roof is to be Gad entirely in white cedar shingles and remain natural in color, 3. Window shutters are to be installed on all windows and that the shutters be painted green; 4. Building trim is to be painted white; Form R-1, Ref. 2000/1, Page 2 5. Outdoor lighting is to be limited to a maximum of 20 feet in height. Outdoor illumination is to be minimized so as to be restricted to the site; 6. The roof pitch be constructed with an 8 inch rise in a 12 inch run, as shown on the plans; 7. Windows to have sashes with a divided light (individual pane) configuration of 8 . panes over 8 panes, and; 8. Outdoor signage to be of wood construction with wooden support post(s), with carved lettering, and painted in colors complementary with those of the structure. The applicant must present a plan of any sign for final Planning Board approval. NOTE TO THE APPLICANT: Approval by the Planning Board does not grant zoning relief. Application must be made to the Board of Appeals. NOTE TO PLANNING BOARD: Conditions must be written on the plan and endorsed, per Zoning Bylaw section 411.6. NOTE TO THE BOARD OF APPEALS: Planning Board approval is a recommendation to the Board of Appeals that the above referenced zoning relief be granted in the form of a Special Permit, as outlined in Zoning Bylaw section 411.3.2. Mandatory criteria of Board of Appeals approval are outlined in Bylaw section 411.5, paragraph 2. Yarmouth Planning Board Duplicate copy sent to applicant Duplicate entered into project file Duplicate sent to Board of Appeals March 29, 2000 Yarmouth Zoning Board of Appeals Yarmouth Town Offices 1146 Route 28 South Yarmouth, Ma. 02664 Rc: Appeal Number. 3602 Good People: CHRISTY'S OF CAPE COD, LLC 105 PLEASANT STREET HYANNIS, MA. 02601 Telephone: 508-771-0900 APR 2 z 2000 r j TOINN OF YARMOUTH BOARD OF APPEALS As the operator of the business known as Christy's Market. located at the intersection of I}anough Road and East Main Street in West Yarmouth. I would like to be recorded in favor of the application of Shields Health Care for a Special Permit. The property, which is the site of the proposed MRI facility, has been vacant for several years. The proposed use is one that is needed by the people of Cape Cod and the Islands and is properly situated nearby to other medical facilities. The site plan and building elevation indicates that the property will be made attractive and pleasing in all respects. By granting a Special Permit the Board of Appeals will demonstrate its willingness to work with business and property owners to enhance the appearance of Route 28. Further, I have personally known the Shields family for over two decades. Their commitment to the people and the communities they serve is of great admiration to me. As a Town resident. I know their presence here will enhance the future of Yarmouth. With the hope that you act favorably upon this request. I am. Respectful) yo Christy P. M' President CPM/jam Formal_ Informal_ Review SITE PLAN REVIEW COMMENT SHEET Terry Bill Greene Jim Bmndolini Peter Bryanton Bruce Murphy Dan O ala Vem Santos Michael Stusse Jack Shields Comments: Planning: The applicant proposes a Magnetic Resonance Imaging (MRI) facility at this site in the B2 business zone and the Aquifer Protection Overlay District (APD). The use, code 01 (SIC 8071) Is an allowed use In the B2 zone, but requires a Special Pert in the APD, per Zoning Bylaw section 202.5. The applicant has applied for and rece0ved a Determination of Non -Applicability, per section 406.5.1.1 Instead of a Special Permit for the use in the APD. A complete upgrade of the site is required per section 3012. Parking appears to be adequate with 18 spaces shown on the plan. Underground utilities are required, per section 301.4.10. Parking lot lighting must be under 35 ft. in height. As outlined in secton 301.4.4, the Site Plan Review Team has unanimously voted to allow the existing fences to remain in the property buffers. Any future sign must meet the design and display criteria of section 303. Meet with the Sign Inspector to review sign designs. A street number must be mounted on the building per Town Code and Massachusetts General Law. Building: 1. Consbution shall be placed under Constrclion Control, pursuant to Chapter 1 of 780CMR 2. Compliance with site fighting and underground utilities shall be shown on the proposed site plan. Conservation Commission: A Request for DeterNnation application will be required. Fire Dept.: Recommends fire alarm and sprinkler system, stretcher access to rooms, emergency shut down plan to be submitted to the Fire Dept, and extinguishers, as required by code. Board of Heath: Review detail notes: factory rubber boots for septic tank and pump chamber inverts. Both tanks to be water proofed at factory, elec pemxent needed, cap end on each leach One, 20pressure pipe. septic design based on one floor, upstairs for storage or uUHtes only -no office use, for reserve septio• note primary area to be reused, add eng Inspection sch, to include overdig soft removal prior to backlIHI g, Insp of tanks rubber boots, pump chamber float levels, entire system; add 8 ml Brier to Inside of retaining wail; revise plan date Water Dept: Water service is now new plastic and would have to be sleeved though the new area. Sleeve must be 4 Inch schedule 40 P.V.C. from stop to building. Existing tab stop may be used. Water Dept would do work at owners expense. New area meaning paved area or planted area. Engineering: Please provided and engineeft stamped letter stating that existing drainage system is adequate In size and condition to accomodated the proposed stormwater flow. Also state In the letter that proposed flow will be contained within the pavement area arid wit not flow Into the adjacent wetland. Economic Development The proposed project would add 8 fur time positions to the local economy. It would also be a substantial Irnprovement to the general area. Building Dept 1. Construction shall be placed under Construction Control, pursuant to 780CW Chapter 1ja- Compliance with site fighting and underground utdi ies shall be shown on the proposed site plan. 3. Final construction plans shall reflect at applicable MRI related systems. DJ_/,Reviewers: /��SW�'� it/� .. .:�[71��•7T..: : I rL,. /���1��! Se, _ �- MF., MEMO U SITE PLAN REVIEW COMMENT SHEET James Brandolini Terry Svtvia Bob Savage Vern Santos Corey Kittila Brad Hall Dennis Broom Michael Stusse Jack Shields Comments: Planning: The applicant proposes a Magnetic Resonance Imaging (MR0 facility at this site In the B2 business zone and the Aquifer Protection Overlay District (APD). The use, code 01 (SIC 8071) is an allowed use in the B2 zone, but requires a Special Permit in the APD. The applicant may apply for a Determination of Non -Applicability, per section 406.5.1.1 Instead of a Special Permit for the use in the APD. A Variance will be required under section 203.5 for less than the required side setback;10 ft. is shown on the plan where 25 ft. Is required. A complete upgrade of the site is required per section 3012. A note regarding buffer trees (301.4.4) should be noted on the plan. Parking space #1 Is in front of the building and should be relocatedlefiminated or relief sought from section 301.4.1. Relief must also be sought from 301.4.7 for less than the required 250 ft separation of driveways. Parking appears to be adequate (with space #1 removed), as shown for the proposed facility. Underground utilities are required, per section 301.4.10. Parking lot righting must be uner 35 R in height. Any future sign must meet the design and display criteria of section 303—Meet with the Sign Inspector to review sign designs. A street number must be mounted on the building per Town Code and Massachusetts General Law. The appliicant plans a R.OA.D application to the Planning Board, per Bylaw section 411. Building: 1. Constrution shall be placed under Consirction Control, pursuant to Chapter 1 of 780CMR 2. Compriance with site lighting and underground utilities shall be shown on the proposed site plan Conservation Commission will require a Request for Determination application. Fire Dept. 1. Recommend supervised alarm system for the unheated attic 2. Recommend supression sytem suitable to use. 3. Portable fire extinuishers required. Board of Health: New septic syetem will be installed in accordance with tide 5 regulations. Septic plans must be submitted to health agent for review. No hazardous chemicals are proposed on site. Future use of chemicals will require approval from Health Department. Design Review: proposed architecture Is a substantial improvement at this gateway location. Underground utility proposal is a definite plus. Route 28 Task Force wiInsupport this ROAD proposal Water Dept. 1. New water serice shall be shown on plan detailing sleeve through slab and parting lot 2. Old service shall cut and capped by Water Dept at owner's expense. n Reviewers: Building Div. Conservation Div. Health Div. Planning Div. -Engineerir4 Div. Water Div. Fire Dept. Design Review ., Police Dept. Economic Development if ft SITE PLAN REVIEW COMMENT SHEET Formal ✓ Informal_ Review Terry a ' Peter Ralskio Jim Brandolini Peter Bryanton Bruce Mu v Shawn Macinnes Vern Santos Michael Stusse7jkl Dan Ojai Comm€nts: Planning: The applicant proposes a Magnetic Resonance Imaging (MRI) facility at this site In the 82 business zone and the Aquifer Protection Overlay District (APO). The use, code 01(SIC 8071) is an allowed use in the B2 zone, but requires a Special Permit In the APD, per Zoning Bylaw section 202-5. The applicant has applied for and receiived a Determination of Non -Applicability, per section 406.5.1.1 Instead of a Special Permit for the use in the APD. A Variance will be required under section 203.5 for less than the required side setback; 10 ft. is shown on the plan where 25 ft. is required. A complete upgrade of the site is required per section 301.2. A variance under 301.4.4 and 301.4.9 for pavement, a concrete retaining wall, and fencing within the buffers. A note regarding buffer Ines (301.4.4) should be shown on the plan. Parklmnpp appears to be adequate with 18 spaces shown on the plan. Underground uBtlties are required, per section 301.4.1.0. Parking lot lighting must be uner 35 R In height Any future sign must meet the design and display rrfieria of section 303. Meet with the Sign Inspector to review sign designs. A street number must be mounted on the building per Town Code and Massachusetts General Law. The applicant plans a R.OA D application to the Planning Board, per Bylaw section 411. Building: 1. ConstnNon shall be placed under ConstrWon Control, pursuant to Chapter 1 of 780CMR 2 Compliance with site lighting and underground utilities shall be shown on the proposed site plan. Conservation Commission: A Request for Determination application will be required. Fire Dept.: Recommends fire alarm and sprinkler system, stretcher access to rooms, emergency shut down plan to be submitted to the Fire DepL, and extinguishers, as required by code. Board of Heakk add detail notes: factory rubber boots for septic tank and pump chamber Inverts. Both tanks to be water proofed at factory, elec perfnent needed, cap end on each leach line, rpressure pipe, septic design based on one floor, upstairs for storage or Willies only -no office use, for reserve septic• note primary area to be reused, add eng Inspection sch, to Include overdig sob removal prior to baddtiling, Insp of tanks rubber toots, pump chamber float levels, entire system; add 8 mil Iner to inside of retaining wall; revise plan date Water Dept.: Water service is now new plastic and would have to be sleeved though the new area. Sleeve must be 4 Inch schedule 40 P.V.C. from stop to building. Existing curb stop may be used. Water Dept would do work at owners expense. New area meaning paved area or planted aerea. Engineering: Please provided and engineers stamped letter stating that t dsting drainage system Is adequate in size and condition to accomodated the proposed stormwater flow. Also state in the letter that proposed low will be contained within the pavement area and will not flow Into the adjacent wetland. Economic Development: The proposed project would add 8 full time positions to the local economy. it would also be a substantial Improvement to the general area. Building Dept. 1. Corudnrdion shall be placed under Construction Control, pursuant to 780CMK Chapter 1. 2. Compliance with site lighting and underground utilities shall be shown on the proposed site plan. 3. Final construction plans shag Felled all applicable MR] related systems. Reviewers: IJ� TABLE 2 APPLICATION FOR SITE PLAN REVIEW SUBMISSION DATE: 312?1cn REVIEW DATE: d%y TIME: ;t: 3a ASSESSOR'S MAP REF. NO. -5&Aci LOT NO. oLD M1W 30/D L LOCATION OF PROJECT: tt- 2. 1YANNoucyrt:6 rxrl-, R328 we. yRM^au7H,nW NAME OF PROJECT: 51-4\ aL�S /ATz\ APPLICANT NAME: SHtr_t_a5 lic-.sic-T•) L^n a 6TLo%,p APPLICANT ADDRESS/PHONE NO: 2-c5 wC -rv^rrLvlt.. 3z.oc.r70N0n?A OWNER NAME (If not applicant): ;3 cvv+CTL'•rL. FoosE HVWA*tV.sriep Trz. OWNER ADDRESSIPHONE NO.: 'pc ZOA 5T oms.Ls.4,JS, �1 ENGINEER/SURVEYOR: bew N c.4 6aa�a�Rwc, TITLE REFERENCE: $ Li'tn/le-7 REGISTRY SURVEY: hr3 .Lw'5 CHECK IF A R.OAD. PROJECT DESCRIPTION OF PROJECT (Attach additional pages, if necessary): jL6N0Vh-T'E- . m� C cLST>N G- '3L71t_'7lr�Cr I o¢- .1- oFFt c.E , 'ill tS T�L_ 4nm t S jy-1jr`-V\Stor.1 '70 OtuG WAL- A?PLuhTDp VJ'P• \-AfJLC /'ij Crc..\At_ -PE72.nTT5 . A T-ty. M\V-C' STVC,5E i ZONING DISTRICT: '$ ( APD? &N) FLOOD ZONE: 3 BUILDING SIZE (Square feet): 21WW ' -7W) BASEMENT. 0 FIRST FLOOR: 10 4-7-n SECOND FLOOR: 9rIin3 07rFLF-- MAXIMUM NUMBER OF EMPLOYEES: i„ro F-a" Amy ST.Ksc TOTAL NUMBER OF RESTAURANT SEATS: 9 IS THE PROJECT WITHIN 100 FEET OF A WETLAND?&#9N) DO YOU USE, HANDLE, STORE, OR PRODUCE HAZARDOUS MATERIALS OR OILS? (YIN) If yes, attach list, by name and quantity. Attach MSDS sheets. Provide a description of proposed method of storage, handling, and disposal. Include a description of emergency spill & containment procedures. -<-, j tad, . -1Arx,y,,)ccT. SIGNED: -:�> -A �� "�l�N1EL_ .�. oytLA �Owr� th'�E rtNGaN EEdL�Nrr Submit 8 copies of this completed form, any hazardous material information mentioned above, Boor plans, and a site plan, containing all of the information outlined in Zoning Bylaw section 103.3.3, to the Building Division in order to get your project on the Site Plan Review agenda. Building elevations and architectural drawings are required for new or substantially reconstructed buildings in B 1 and B2 commercial districts south of Route 6. A 9"' copy of the site plan will be required if the project is within 100 feet of a wetland. racy le,19M TABLE 2 APPLICATION FOR SITE PLAN REVIEW SUBMISSION DATE: 3-6-M REVIEW DATE: :7A(1 � TIME: ASSESSOR'S MAP REF. NO. 99 LOT NO. oL.UMAT /D-z LOCATION OF PROJECT: %YANNOZ*I+ iz3 NAME OF PROJECT: 51+1*l aS . M'¢•\ ye H • MARTrors'V%A0DC APPLICANT NAME: Heh4--N &Ar- Z brco.rp t•�t�•�t•'�5o� APPLICANT ADDRESS/PHONENO.: �.LS L�G.lTc��. >oc7wt,JLM oz,-w OWNER NAME (If not applicant): WLl.L%APA i3OUC.H EfL -rP-- 6001be 1+WA^ nocK S+Lor-p . OWNER ADDRESSIPHONE NO.: po 8ox 5't ENGINEER/SURVEYOR: �owr+ c,^-r& 6N4LrLEEruv36- TITLE REFERENCE: -P3843o/167 REGISTRY SURVEY: A4 P- &cr's ® CHECK IF A R.OAD. PROJECT DESCRIPTION OF PROJECT (Attach additional pages, if necessary): TLGNO V A-7r- i 5A % 5T N ` I V IL.D tN fr t-o ti- MR\ OR LG- jL6F- eLAO S op Pit-6 'by NAfrrFo%D 8 h65mX- fi �ti�l YS. 'ft}LS PLAT► 6Maw5 SErTr�L sYSTFr� 9:'7X. FoR- PIL.EVtousW $ V3M cTreZ> -DErS16N . Alf AMY-4S Sl1265F R-�Pr�ESC�N7W6 G�LENT. ZONING DISTRICT: 7.7\ APD? t9N) FLOOD ZONE: BUILDING SIZE (Square feet): noo+/— BASEMENT: O FIRST FLOOR: 5-7oo SECOND FLOOR: D NAZivo L-C- MAXIMUM NUMBER OF EMPLOYEES: A*r +n4v• ALLZ ohly, TOTAL NUMBER OF RESTAURANT SEATS: p IS THE PROJECT WITHIN 100 FEET OF A WETLAND?AN) DO YOU USE, HANDLE, STORE, OR PRODUCE HAZARDOUS MATERIALS OR OILS? (YIN) 1f yes, attach fst; by name and quantity. Attach MSDS sheets. Provide a description of proposed method of storage, handling, and disposal. Include a description of emergency spi71 & containment procedures. e� q�,, 4 Ae ,,; k,-T not 6 vre . SIGNED: �''� ` Z-• TL-5 -AO W N CJ4P:c 6Nf.�N�L�Hbr Submit 8 copies of this completed form, any hazardous material intbrmation men6:)ned above, floor plans, and a site plan, containing all of the Information outlined in Zoning Bylaw section 103.3.Z to the Bui7ding Division in order to get your project on the Site Plan Review agenda. Buflding elevations and architectural drawings are required for new orsubstially reconstructed but7dings in Bf and B2 commercial districts south of Route 6. A' 9")copy of Me site plan will be required if the project is within 100 feet of a wetland. ", / "Le, IM9 SITE PLAN REVIEW AGENDA �. 1:30 TUESDAY,: ••3/14)2000 STARTING AT IdnP.M., FOR THE FOLLOWING: 1. SHIELDS MRI LOT 99 MAP 36 SHIELDS HEALTHCARE GROUP OLD D-2 30 21 IYANNOUGH ROAD.. WEST YARMOUTH, MASS..02673 RENOVATE AHD EXPAND EXISTIMBUILDING 2. 0. LOT MAP A 3. LOT MAP w 4• LOT MAP ASSESSOR •. PLANNING DEPARTMENT t BUILDING DEPAR WATER DEPARTMENT CONSERVATION ECONOMIC DEVELOPMENT DESIGN REVIEW ENGINEERING DEPARTMENT BOARD OF APPEALS FIRE DEPARTMENT , HEALTH DEPARTMENT HISTORIC COMMISSION , SITE PLAN REVIEW AGENDA 1:30 TUESDAY`.-'-3/14)2000 ­7 STARTING AT IMP.M., FOR THE FOLLOWING: 1. SHIELDS WU LOT 99 MAP 36 SHIELDS HEALTH CARE CROUP OLD D-2 30 ,$ t'1 nAHHODGH ROAD.- • WEST YARM UTH. MASS..02673 REBOvATE ARD EZPAim EasTnrzu LDIRG � y �� • 2. LOT MAP r. 3. LOT MAP .N 4• LOT MAP ASSESSOR... BUILDING DEPARTMENT CONSERVATION DESIGN REVIEW ENGINEERING DEPARTMENT FIRE DEPARTMENT HEALTH DEPARTMENT HISTORIC COMMISSION PLANNING DEPARTMENT i WATER DEPARTMENT ECONOMIC DEVELOPMENT BOARD OF APPEALS C. TOWN OF YARMOUTH BOARD OF APPEALS I�'7 '8& ,AFL 15 P 3 :15 Filed with Town Clerk: 7-15-88 Hearing Date: July 14, 1988• Petitioner: Luke P. Lally Petition N�iiN55§RtM 2 Iyanough Road West Yarmouth, MA Owner: Luke P. Lally and Jeanne F. Lally Title Reference: Barnstable County Registry of Deeds Book 3881, Page 136. DECISION The Petitioner requested variances from the Board of Appeals to allow construction of a parking area and drive on his property within fifty (501) feet of a wetland and with a curb cut on Route 28 greater than twenty-four (241) feet in width. The property is located at 2 Iyanough Road, West Yarmouth, Massachusetts and is shown on Town of Yarmouth Assessors' Map 30 as Parcel D2. Locus is comprised of a single parcel of land of approximately 2.6 acres improved with a two-story wood -frame structure, being more particularly described in a deed recorded with the Barnstable County Registry of Deeds in Book 3881, Page 136. Members of the Board of Appeals present: Donald Henderson, David Reid, Fritz Lindquist, Joyce Sears and Leslie Campbell It appearing that notice of said hearing has been given by sending notice thereof to the Petitioner and all those owners of property deemed by the Board to be affected thereby and that public notice of such hearing having been given by publication in The Yarmouth Sun on June 29#1988 and July 6, 1988, the hearing was opened and held on the Hearing Date set forth hereinabove. The following' appeared in favor of the petition:`, Philip Michael Boudreau, Esq. and Luke P. Lally The following appeared in opposition: None This is a request for two variances to allow a parking lot and drive to be constructed within the fifty (50') foot setback of a wetland and to allow the curb cut servicing said parking lot from Route 28 to be constructed to a width greater than twenty-four (241) feet. Article IV, Section 405.1 of the Yarmouth Zoning By-law requires that all paved parking areas and drives be set back from wetlands a distance of fifty (501) feet. The Petitioner's plans show parking areas and drives set back from the wetlands to varying degrees --as close as twenty -.five (251) feet at one point. The Petitioner has received an Order of Conditions from the.Yarmouth Conservation Commission approving the proposed work. Article III, Section 301 et seq. of the By-law allows a maximum driveway width of twenty-four (241) feet accessing parking lots. The curb cut delineated the plan filed* with the Board, shows a width of fifty-two (521) feet. The Commonwealth of Massachusetts Department of Public Works designed this curb cut and has issued a permit to the Petitioner to construct the same. Upon the evidence presented at the hearing, the Board found as follows: If the requested relief were not granted, the Petitioner would suffer a severe financial hardship as he would be unable to obtain an occupancy permit fo'b locus. The Petitioner's hardship is directly owing to circumstances relating to the odd shape of locus and its peculiar topography and soil conditions, all of which combine to limit greatly the siting and design of improvements to - locus. These special circumstances affecting locus do not affect generally the. zoning district in which locus lies (General Business). The desired relief may be granted without substantial detriment to the public good and without nullifying or substantially deroghting from the intent or purpose of the By-law. The Board voted unanimously to grant the requested variances subject to the following conditions: All construc- tion is to be in accordance with the plan and landscaping sketch dated June 2, 1988 submitted by the Petitioner. Variances are hereby issued to allow access to the premises from Route:28 to be widened from the requirements of.Section 300 ,et seq. of the By-law and to allow the parking lot and drives to be constructed within the set back areas defined in Section 405.1 of the By-law, all in accordance with said plan. Members of the Board voting: Donald Henderson, David'Reid, Fritz Lindquist, Joyce Sears and Leslie Campbell The decision to approve the petition was unanimous. no permit shall.be issued until twenty_(20) days have elapsed from the filing of this decision with the Town Clerk. Fritz Lindquist e Clerk I/llbasp o � •7 N:. - � t r� W EDWARDI SWEENEY. JR. MCNAEL 9. STUSSE DONNA M. ROBERTSON MATTHEW I DUPUY CNARLES X SABATT ARDITO, SWEENEY, STUSSE, ROBERTSON & DUPUY, P.C. ATTORNEYS AT LAW MATTACHEESSE PROFESSIONAL BUILDING 25 MID -TECH DRIVE, SUITE C WEST YARMOUTH. MASSACHUSETTS 02673 TELEPHONE (508) 77534aa FAX (508) 790.4778 G 4569 Z February 10, 2000 Yarmouth Town Hall Building Inspector 1146 Route 28 South Yarmouth, MA 02664-4451 Re: Aquifer Protection Bylaw §4065.1.1 Shields Health Care Group or���anr�D IIII FEB 16 2000 Dear Building Inspector: Enclosed with regard to the above -captioned matter please find the following: 1. Aquifer Protection Bylaw §4065.1.1 Should you have any questions or concerns, do not hesitate to contact me directly. Very truly u I 'L B. SE nv Enclosure cc: MCNARD P. MORSE, JR oBu o NEWELL CMARIES I ARDITO, P.C. 'Mw WNIW M MNNE TOWN OF YARMOUTH BUILDING DEPARTMENT APPLICATION FOR DETERMINATION OF NON -APPLICABILITY F41111i I W DI 40,41 a toil M_ ill0 LINS 0-311AWMAXI BMW Applicant: Shields Health Care Date Filed: 02/09/00 Property location: 2 Iyanough Road,west .Yarn outhMap# 30 Parcel# 2 Proposed Use: MRI Facility (Magnetic Resonance Imaging) iiitiiiiiiiititiiitititiitiiiiiiiiiiiiiiiiiitiiiifi►tiiiiiiiitiiiiiiiiiitiiFii 1. The applicant has fully complied with the Submittal Requirements of §406.5.2 N/A (Attach copy of Hazardous Materials List) 2. The proposed use meets all of the Design and Operation requirements of §406.5.7, N/A 3. The chemicals, pesticides, fuels and other potentially toxic or hazardous materials used or stored at the site, or produced by the proposed use, will be in qualities not greater than those commonly associated with normal household use, and 4. The proposed use will meet all of the objectives and water quality criteria of the bylaw. The above applicant hereby acknowledges that the Building inspector may require the applicant to submit the matter to the Health Agent or Board of Health, and may require the applicant to demonstrate that he/she has received a favorable report from the Health Agent or Board of Health. The Determination, if made, shall apply only to the individual applicant and proposed use and shall automatically expire upon any change of use or transfer of ownership of the business. There shall be no appeal from an unfavorable Det'etmination of any such application, nor from a failure to act. except for filing by the applicant for a Special Perm from the Board of Appeals as otherwise provided herein. Shields Health Care bY„ Applic.fnt / Date Michael B. Stusse, Esquire DETERMINATION: The Building Inspector, based upon a review of this application and information supplied by the Applicant, hereby determines that the proposed use satisfies the requirements of §406.5.1.1 and that the A licant need not apply for a Special Permit under §406.5 C� 3 -/3-�� 3 /3 DO uilding Inspector Date ealth Agent l5atc Copies of this form must be sent to the following departments (as listed in §406.5.4); Water, Engineering, Fire, Health, Planning, Conservation, Board of Appeals. APDdetemompp 10-99.wpd TO: Commercial Applicants in the APD FROM: Yarmouth Health Department SUBJECT: Hazardous Materials As part of the application process for a Board of Appeals hearing or Determination of Non -Applicability, please complete this form and return it with your application For further information concerning hazardous materials regulations, contact the Health Department Office. In the conduct of your present and/or proposed business, do you store, use, generate any of the following types of products? (Check all which apply): Antifreeze, Engine & Radiator Flushes Motor Oil Hydraulic, Brake, Automatic Trans. Fluid Gasoline/Fuels Grease, Lubricants Degreaser/Cleaners Floor/Driveway Degreaser Battery Acid Rustproofing/Undercoating Vehicle Detergents Vehicle Waxes, Polishes Asphalt, Tar, Sealers Paint, Varnishes, Stains, Dyes, Thinners Wood Preservatives _ Dry Cleaning Solvents, Carbon Tetrachloride Floor/Furniture Strippers Other Cleaning Solvents Rock salt, Road salt _ Drain, Toilet, Cesspool Cleaners Refrigerants _ Bug & Tar Removers Photo chemicals _ Printing Inks & Dyes Pool Chlorine _ Pesticides, Insecticides, Herbicides Rodenticide, Fungicides Nitrate Fertilizer Jewelry Cleaner _ Leather Dyes PCB's _ Electroplating Sludges zo Others (List) I - Applicant Shield Health Care by B. Stusse, Esquire Ei C:\My Files\Documents\Application\HEALTAPDdeterl0-99.WPD TOWN OF YARMOUTH BUILDING DEPARTMENT APPLICATION FOR DETERMINATION OF NON -APPLICABILITY Applicant: Shields Health Care Date Filed: 02/09/00 Property location: 2 Iyanough Road,West :YarmouthMap# 30 Parcel# 2 Proposed Use: MRI Facility (Magnetic Resonance Imaging) **sssssssssssss*ssasssssssssssssssssssss**sssss*ss***ss*sssss**srs*****ss***** 1. The applicant has fully complied with the Submittal Requirements of §406.5.2 N/A (Attach copy of Hazardous Materials List) 2. The proposed use meets all of the Design and Operation requirements of §406.5.7, N/A The chemicals, pesticides, fuels and other potentially toxic or hazardous materials used or stored at the site, or produced by the proposed use, will be in qualities not greater than those commonly associated with normal household use, and 4. The proposed use will meet all of the objectives and water quality criteria of the bylaw. The above applicant hereby acknowledges that the Building Inspector may require the applicant to submit the matter to the Health Agent or Board of Health, and may require the applicant to demonstrate that he/she has received a favorable report from the Health Agent or Board of Health. The Determination, if trade, shall apply only to the individual applicant and proposed use and shall automatically expire upon any change of use or transfer of ownership of the business. There shall be no appeal from an unfavorable Deikmination of any such application, nor from a failure to act. except for filing by the applicant for a Special Perm from the Board of Appeals as otherwise provided herein. Shields health Care by.. Applicd'nt 0 Date Michael B. Stusse, Esquire DETERMINATION: The Building Inspector, based upon a review of this application and information supplied by the Applicant, hereby determines that the proposed use satisfies the requirements of §406.5.1.1 and that the Applicant need not apply for a Special Permit under §406.5 iding Inspector Date ealth Agent tj D to Copies of this form must be sent to the following departments (as listed in §4065.4); Water, Engineering, Fire, Health, Planning, Conservation, Board of Appeals. APDdetemonapp 10-99.wpd TO: Commercial Applicants in the APD FROM: Yarmouth Health Department SUBJECT: Hazardous Materials As part of the application process for a Board of Appeals hearing or Determination of Non -Applicability, please complete this form and return it with your application. For further information concerning hazardous materials regulations, contact the Health Department Office. In the conduct of your present and/or proposed business, do you store, use, generate any of the following types of products? (Check all which apply): Antifreeze, Engine & Radiator Flushes Motor Oil Hydraulic, Brake, Automatic Trans. Fluid Gasoline/Fuels Grease, Lubricants Degreaser/Cleaners Floor/Driveway Degreaser Battery Acid Rustproofing/Undercoating Vehicle Detergents Vehicle Waxes, Polishes Asphalt, Tar, Sealers Paint, Varnishes, Stains, Dyes, Thinners Wood Preservatives Dry Cleaning Solvents, Carbon Tetrachloride Floor/Furniture Strippers Other Cleaning Solvents Rock salt, Road salt Drain, Toilet, Cesspool Cleaners Refrigerants Bug & Tar Removers Photo chemicals Printing Inks & Dyes Pool Chlorine _ Pesticides, Insecticides, Herbicides Rodenticide, Fungicides Nitrate Fertilizer Jewelry Cleaner Leather Dyes PCB's Electroplating Sludges �Others (List) Applicant Shield Health Care by B. Stusse, Esquire C-.\My FRes\Documents\Application\HEALTAPDdeterl0-99.WPD SITE PLAN REVIEW COMMENT SHEET James Brandolini Terry Svlvia Bob Savage Vern Santos Corey Kittila Brad Hall Dennis Brown Michael Stusse Jack Shields Comments: Planning: The applicant proposes a Magnetic Resonance Imaging (MR) facility at this site in the B2 business zone and the Aquifer Protection Overlay District (APD). The use, code 01 (SIC 8071) Is an allowed use in the B2 zone, but requires a Special Permit in the APD. The applicant may apply for a Determination of Non -Applicability, per section 408.5.1.1 Instead of a Special Permit for the use in the APD. A Variance will be required under section 203.5 for less than the required side setback; 10 ft. Is shown on the plan where 25 ft. Is required. A complete upgrade of the site is required per section 301.2. A note regarding buffer trees (301 AA) should be noted on the plan. Parking space *1 Is In front of the building and should be relocatedleliminated or relief sought from section 301.4.1. Relief must also be sought from 301.4.7 for less than the required 250 ft separation of driveways. Parking appears to be adequate (with space #1 removed), as shown for the proposed faaTity. Underground utilities are required, per section 301.4.10. Parking lot fighting must be uner 35 f . In height. Any future sign must meet the design and display criteria of section 303. Meet with the Sign Inspector to review sign designs. A street number must be mounted on the twflding per Town Code and Massachusetts General Law. The applicant plans a R.OA.D application to the Planning Board, per Bylaw section 411. Building: 1. Constrution shall be placed under Constrction Control, pursuant to Chapter 1 of 780CMR 2. Compliance with site fighting and underground utilities shall be shown on the proposed site plan Conservation Commission will require a Request for Determination application. Fire Dept. 1. Recommend supervised alarm system for the unheated attic 2. Recommend supression sytem suitable to use. 3. Portable fire extinuishers required. Board of Health: New septic system will be installed in accordance with tide 5 regulations. Septic plans must be submitted to health agent for review. No hazardous chemicals are proposed on site. Future use of chemicals will require approval from Health Department Design Review: proposed architecture Is a substantial Improvement at this gateway location. Underground utility proposal is a definite plus. Route 28 Task Force wilRaupport this ROAD proposal Water Dept 1. New water serice shall be shown on plan detailing sleeve through slab and parking lot 2. Old service shall cut and capped by Water Dept. at owner's expense. n Reviewers: Building Div. .� -� Conservation Div. Health Div. Planning Div. Engineerin§ Div. Water Div. Fire Dept. Design Review Police Dept. Economic Development SiTE PLAN REVIEW COMMENT SHIN James Brandolini Terry SvMa Bob Savage Vera Santos Corey Kittila Brad Hall Dennis Brown Michael Stusse Jack Shields Comments: Planning: The applicant proposes a Magnetic Resonance Imaging (MRI) faaTity at this site in the B2 business zone and the Aquifer Protection Overlay District (APD). The use, code 01 (SIC 8071) is an allowed use in the B2 zone, but requires a Special Permit in the APD. The applicant may apply for a Determination of Non-App6cebility, per section 406.5.1.1 Instead of a Special Permit for the use in the APD. A Variance will be required under section 203.5 for less than the required side setback;10 ft. is shown on the plan where 25 ft is required. A complete upgrade of the site is required per section 301.2. A note regarding buffer trees (301.4.4) should be noted on the plan. Parking space #1 is in front of the building and should be relocatedlefiminated or relief sought from section 301.4.1. Relief must also be sought from 301.4.7 for less than the required 250 ft separation of driveways. Parking appears to be adequate (with space #1 removed), as shown for the proposed faaTity. Underground utilities are required, per section 301.4.10. Parking lot lighting must be uner 35 ft. in height Any future sign must meet the design and display criteria of section 303. Meet with the Sign Inspector to review sign designs. A street number must be mounted on the building per Town Code and Massachusetts General Law. The applicant plans a ROAD application to the Planning Board, per Bylaw section 411. Building: 1. Constrution shalt be placed under Consirction Control, pursuant to Chapter 1 of 780CMR 2. Compliance with site lighting and underground utilities shall be shown on the proposed site plan Conservation Commission will require a Request for Determination application. Fire Dept. 1. Recommend supervised alarm system for the unheated attic 2. Recommend supression sytem suitable to use. 3. Portable fire extinuishers required. Board of Health: New septic syetem will be installed in accordance with tfile 5 regulations. Septic plans must be submitted to health agent for review. No hazardous chemicals are proposed on site. Future use of chemicals will require approval from Health Department. Design Review: proposed architecture is a substantial improvement at this gateway location. Underground utility proposal Is a definite plus. Route 28 Task Force will\urpport this ROAD proposal Water Dept. 1. New water serice shall be shown on plan detailing sleave through slab and parking lot 2. Old service shall cut and capped by Water Dept at owner's expense. F7 Reviewers: .. TABLE 2 SITE PLAN REVIEW REQUEST AND PROJECT DESCRIPTION FORM SUBMISSION DATE: 01/27/00 REVIEW DATE: TIME: ASSESSOR'S MAP NO.- .jr 3O LOT: _Dl_LMap 36/Parcel 99 ) LOCATION OF PROJECT: Iyanough road. West Yarmouth. MA 02673 NAME OF BUSINESS/PROJECT: Hyannis MRI Facility APPLICANT NAME: Shields Health Care APPLICANT ADDRESS: 265 Westgate Drive, Brockton, MA APPLICANT PHONE NO.: (508) 559-7616 ENGINEER/SURVEYOR: _Down Cape Engineering TITLE REFERENCE:` Book 8430/PaQe 167 REGISTRY SURVEY: DESCRIPTION OF PROJECT: (attach additional pages if necessary) ZONING DISTRICT: B1 FLOOD ZONE: BUILDING SIZE: (square feet) 5, 21 sq. ft. ATTACH FLOOR PLANS: Yes BASEMENT: N/A FIRST FLOOR: 5,621 sq. ft. SECOND FLOOR: _N/A MAXIMUM NUMBER OF EMPLOYEES: _ Three to Four Employees DO YOU USEMANDLE/STORE OILS OR HAZARDOUS MATERIALS? No Radiation/No .hemi al% 1F SO, ATTACH A LIST OF THEM BY NAME, QUANTITIES, AND PROPOSED METHODS OF STORAGE/HANDLING/DISPOSAL ETC. N/A BOARD OF APPEALS ACTION EXPECTED: Yes IS THE PROPOSED CONSTRUCTION WITHIN 100 FEET OF A WETLAND? _Yes RESPECTFULLY SUBMITTED, L B. STU ARDITO, SWEENEY, STUSSE, —ROBERTSON & DUPUY 25 MID -TECH DRIVE, SUITE C, WEST YARMOUTH, MA 02673 (508) 775-3433 DATED: / 3-- OL) BBO # _ 483960 Submit 8 copies of this completed form and the site plan to the Building Department in order to get your project on the Site Plan Review Agenda. A 9th copy is required if within 100 feet of a wetland. TOWN OF YARMOUTH Application for a Permit to Build No. ,J UPON FINAL APPROVAL f140/ I jag MAP 7-� LOT FEE MUST ACCOMPANY THIS APPLICATION. DATE The undersigned hereby applies for a permit to build according to the following specifications 1. Name of property owner Address t ew o -z.- 6�71f STel. 2. Name of Architect (if any) Tel. $. Name of builder dress iV,< 4. License No. Tel. '77 VI—T w' Yf¢/L s99�9 5. Name of Mason Address 6. License No. 7. Construction address 8. Date of subdivision Approval Tel. 9. Private dwellingX Estimated Cost 10. Multifamily ❑ 1 3-ro 11. Commercial ❑ 'S , pe jt� 12.Other ❑ �/�lyT'1�GoO P 13. No. of stories 0 14. Foundation — Full ❑ Half ❑ Crawl ❑ Slab ❑ 15. Materials — Wood ❑ Cement ❑ Other ❑ 16. Type of heat — Oil ❑ Gas ❑ Electric ❑ Other ❑ 17. Garage —1 ❑ 2 ❑ 18. Swimming pool - Size 19. Storage shed — Size 20. Stove — Wood ❑ Coal ❑ i ^District 3 �� zone — Zone DO NOT WRITE IN THIS SPACE I Type of room I No. 21. Size of lot: No. of feet front No. of feet rear _ 22. Size of building. No. of feet front No. of feet side 23. Distance from nearest building: Front 24. Distance back from line or street 25. H.I.C.R. No. LOT RELEASED BY Signature PLANNING BOARD Ft. side From rear lot line Dining Rm. Living Rm. Bed Rm. Bath Deck Closed porch Family Rm. Sun room _ No. of feet deep _ No. of feet rear _ Ft. side Rear 16�lfA.6�z°Do� �/j Side li Date Y Suggested Affidavit for Home Improvement Contractor Permit Application rer cruet uaa ony NAME OF CITY(TO WN Penn Ns DNa MGLc. AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application contractom wits certain eaeptioos, along with other Type of work: Re Ovf 00 R m 12 57RI PE 4r��'. Cost Address of Work Owner Name: A?ASS a 4e/<eosv Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law Job under S1,000 _Building not owner -occupied _Owner 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 NOTHAVE 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 caner. OKL,91 Date' I, Contractor Name Registration No. OR: Notwithstanding the above notice. I hereby apply for a permit as the owner of the above property: Datc Owncr Namc Z In ac:d:.ac with the. provisia= of MCL a 40, S 54', a c:.ditioa of :�in, ?e—•: Num..be: is this the debris re:uitiw; from this wwk st»:: be disposed of in a prep=:; lic---c :solid waste di-aai::a Licht as dcEac : b r MC7 c :. S Ltd The debris wM be disroscd of itt: , y/s���lo'y7`!1` Sicture of ... �tr..�... ' Date The Commonwealth of Massachusetts Department of Industrial Accidents 8=88IIOf1'MSI S90IS 600 Washington Street Boston, Mass. 02111 y Workers' Compensation Insurance Affidavit -Applicant information: PleaseVRJB:Ufdlbia locmion- AZ cin Z/(^ ;hone 0 'i 7 O 1 am a homeowner performing all work myself. CC3�'l am a sole proprietor and hase no one working in any capacity I am an employer pro%iding workers' compensation for my employees working on this job. insurance co. eoliev M I am a sole proprietor. general contractor. or homeowner (circle one) and have hired the contractors listed below who ha%c the follow in_ Worker' compensation polices: Failure to secure coverage as required under Secoou 25A of MGL 152 can lead to the imposition of crindad penalties of a line up to a1.S0a.00 and/or one years' imprisonment as well as civil penalties In the form of s STOP WORK ORDER and a fluent 11100.00 a day against me. 1 uadentaad that a copy of this statement maybe forwarded to the Office of Investigations of the DtA for coverage veri0utfoe. t do hereby certify under the pains and p1tgltles of perjury that the information provided above is true and correct Print G�5�9�F �15e6 //G �i _____Phone ?? 7 of/� omeial use only do oat write in this area to be completed by city or Iowa official city or town: YARHODTQ p cheek if immediate response is required contact person: permit/license a nBuilding Department DlJeensing Board 261 OSeleclmea's Omce C3Healtb Department phone#;_ (508) 398-2231 ext. nOther 0�. 3.95 IOAI Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. 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 employer 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 owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on•such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter I: _ section _: 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 applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth 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 ha% e been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supply ing company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents 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 afUdavitt 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 Irtlee of tmstlntloa 600 Washington street Boston. Ma. 02111 fa: N: (617) 727-7749 phone 0: (617) 7274900 ext. 406, 409 or375 76:. TOWN OF YARMOUTH BOARD OF APPEALS �7 '8b JLL 15 P 3 :15 �, Filed with Town Clerk: 7-15-88 Hearing Date: July 14, 1988 Petitioner: Luke P. Lally Petition 2 Iyanough Road West Yarmouth, MA Owner: . Luke P. Lally and Jeanne F. Lally Title Reference: Barnstable County Registry of Deeds Book 3881, Page 136. DECISION The Petitioner requested variances from the Board of Appeals to allow construction of a parking area and drive on his property within fifty (501) feet of a wetland and with a curb cut on Route 28 greater than twenty-four (241) feet in width. The property is located at 2 Iyanough Road, West Yarmouth, Massachusetts and is shown on Town of Yarmouth Assessors' Map 30 as Parcel D2. Locus is comprised of a single parcel of land of approximately 2.6 acres improved with a two-story wood -frame structure, being more particularly described in a deed recorded with the Barnstable County Registry of Deeds in Book 3881, Page 136. Members of the Board of Appeals present: Donald Henderson, David Reid, Fritz Lindquist, Joyce Sears and Leslie Campbell It appearing that, notice of said hearing has been given by sending notice thereof to the Petitioner and all those owners of property. deemed by the Board to be affected thereby and that public notice of such hearing having been given by publication in The Yarmouth Sun on June 29,1988 and July 6, 1988, the hearing was opened and held on the Hearing Date set forth hereinabove. The following appeared in favor of the petition:', Philip Michael Boudreau, Esq. and Luke P. Lally The following appeared in opposition: None This is a request for *wo variances to allow a parking lot and drive to be constructed within the fifty (501) foot setback of a wetland and to allow the curb cut servicingd arking lot from Route 28 o e constructed to a width eater than twent - ice IVI Section 405.1 of the Yarmouth Zoning By-law requires that all paved parking areas and drives be set back from wetlands a distance of fifty (501) feet. a etitioner's plans show parking areas and drives set back from the wetlands to varying degrees --as close as twenty-five (251) feet at one point. The Petitioner has received an Order of Conditions from the Yarmouth Conservation Commission approving the proposed work. Article III, Section 301 et seq. of the By-law allows a maximum driveway width of twenty-four (241) feet accessing parking lots.• The curb cut delineated the plan filed with the Board shows a width of fifty-two (521) feet. The Commonwealth of Massachusetts Department of Public Works designed this curb cut and has issued a permit to the Petitioner to construct the same. Upon the evidence presented at the hearing, the Board found as follows: If the requested relief were not granted, the Petitioner would suffer a severe financial hardship as he would be unable to obtain an occupancy permit for locus. The Petitioner's hardship is directly owing to circumstances relating to the odd shape of locus and its peculiar topography and soil conditions, all of which combine to limit greatly the siting and design of improvements to- locus. These special circumstances affecting locus do not affect generally the zoning district in which locus lies (General Business). The desired relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the By-law. The Board voted unanimously to grant the requested variances subject to the following conditions: All construc- tion is to be in accordance with the plan and landscaping sketch dated June 2, 1988 submitted by the Petitioner. Variances are hereby issued to allow access to the premises from Route 28 to be widened from the requirements of Section 300 et seq. of the By-law and to allow the parking lot and drives to be constructed within the set back areas defined in Section 405.1 of the By-law, all in accordance with said plan. Members of the Board voting: Donald Henderson, David Reid, Fritz Lindquist, Joyce Sears and Leslie Campbell The decision to approve the petition was unanimous. No permit shall be issued until twenty (20) days have elapsed from the filing of this decision with the Town Clerk. Fritz Lindquist e Clerk I/llbasp o f_. 1 r: c � � - �c J- TOWN OF YARMOUTH BOARD OF APPEALS W JUL 15 P 3 :15 Filed with Town Clerk: 7-15-88 Hearing Date: July 14, 1988 < Petitioner: Luke P. Lally Petition NJ1Mit.ENt55#RLA: L:, 2 Iyanough Road West Yarmouth, MA Owner: : Luke P. Lally and Jeanne F. Lally Title Reference: Barnstable County Registry of Deeds Book 3881, Page 136. DECISION The Petitioner requested variances from the Board of Appeals to allow construction of.a parking area and drive on his property within fifty (SONY feet of a wetland and with a curb cut on Route 28 greater than twenty-four (241) feet in width. The property is located at 2 Iyanough Road, West Yarmouth, Massachusetts and is shown on Town of 'Yarmouth Assessors' Map 30 as Parcel D2. Locus is comprised of a single parcel of land of approximately 2.6 acres improved with a two-story wood -frame structure, being more particularly described in a deed recorded with the Barnstable County Registry of Deeds in Book 3881, Page 136. Members of the Board of Appeals present: Donald Henderson, David Reid, Fritz Lindquist, Joyce Sears and Leslie Campbell It appearing that notice of said hearing has been given by sending notice thereof to the Petitioner and all those owners of property deemed by the Board to be affected thereby and that public -notice of such hearing having been given by publication in The Yarmouth Sun on June 29,1988 and July 6, 1988, the hearing was opened and held on the Hearing Date set forth hereinabove. The following appeared in favor of the petition:' Philip Michael Boudreau, Esq. and Luke P. Lally The following appeared in opposition: None This is a request for two variances to allow a parking lot and drive 'to be constructed'within the fifty (501) foot setback of a wetland and to allow the curb cut servicing said parking lot from Route 28 to be constructed to a width greater than twenty-four (241) feet. Article IV, Section 405.1 of the Yarmouth Zoning By-law requires that all paved parking areas and drives be set back from wetlands a distance of fifty (50') feet. The Petitioner's plans show parking areas and drives set back from the wetlands to varying degrees --as close as twenty-five (251) feet at one point. The Petitioner has received an Order of Conditions from the Yarmouth Conservation Commission approving the proposed work. Article III, Section 301 et seq. of the By-law allows a maximum driveway width of twenty-four (241) feet accessing parking lots. The curb cut delineated the plan filed with the Board shows a width of fifty-two (521) feet. The Commonwealth of Massachusetts Department of Public Works designed this curb cut and has issued a permit to the Petitioner to construct the same. Upon the evidence presented at the hearing, the Board found as follows: If the requested relief were not granted, the Petitioner would suffer a severe financial hardship as he would be unable to obtain an occupancy permit for locus. The Petitioner's hardship is directly owing to circumstances relating to the odd shape of locus and its peculiar topography and soil conditions, all of which combine to limit greatly the siting and design of improvements to- locus. These special circumstances affecting locus do not affect generally the zoning district in which locus lies (General Business). The desired relief may be granted without substantial detriment to the public good and without nullifying or substantially deroghting from the intent or purpose of the By-law. The Board voted unanimously to grant the requested variances subject to the following conditions: All construc- tion is to be in accordance with the plan and landscaping sketch dated June 2, 1988 submitted by the Petitioner. Variances are hereby issued to allow access to the premises from Route 28 to be widened from the requirements of Section 300 et seq. of the By-law and to allow the parking 'lot and drives to be constructed within the set back areas defined in Section 405.1 of the By-law, all in accordance with said plan. Members of the Board voting: Donald Henderson, David Reid, Fritz Lindquist, Joyce Sears and Leslie Campbell The decision to approve the petition waS unanimous. Wo permit shall be issued until twenty (20) days have elapsed from the filing of this decision with the Town Clerk. Fritz Lindquist c Clerk I/llbasp o z._ r s •. r. �I hields MRI CAPE COD 2 IYANNOUGH ROAD TOWN 1146 ROUTE 28 BUILDING OF YARMOUTH ELECTRICAL GAS MASSACHUSETTS 02664 PLUMBING GN BUILDING DEPARTMENT Op APPLICATION TO ERECT AND MAINTAIN SIGN (� __—A 3 w��� Q Q DATE (S 5 � 0 TO THE SIGN INSPECTOR: UNDER SECTION 303 OF THE YARMOUTH BY-LAWS, THE UNDERSIGNED HEREBY APPLIES FOR A SIGN PERMIT ACCORDING TO THE FOLLOWING INFORMATION: SOUTH YARMOUTH Tcicphonc (508) 398-2231 ZONING DISTRICT L.B. G.B.Yj=a no. RES. HIST. DIST. BUSINESS OWNERS OWNER OF RECORD OF SIGN BUILDER TYPE OF CONSTRUCTIbFI kkfff�) () reMM C��CI1 FnaM ALM;neyn LIGHTING TYPE FREE STANDING 1� ATTACHED TEMPO PERMANENT L/ DIAGRAM OF LOT AND SIGN WITH DIMENSIONS AND 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. �Ic�, Frot►4c�= �SS�,F+ e' Sh IP�dS ��" I 3r 02 Y114,0/614 I HEREBY AGREE TO CONFORM TO THE ZONING BY-LAWS, SECTION 303 OF THE TOWN OF YARMOUTH REGARDING THE ABOVE SIGN CONSTRUCTION. I FURTHER AGREE THAT THIS SIGN WILL NOT BE ALTERED, ADDED TO, OR CHANGED IN ANY WAY UNTIL A NEW PERMIT HAS BEEN GRANTED. THE NUMBER OF THIS PERMIT WILL BE AFF1%ED TO THE SIGN IN NO LESS THAN 3/4" NUMBERS. ALL PERMITS SUBJECT TO APPROVAL OF THE SIGN INSPECTOR. Rs�,PR.go�3(4� NANE..61�✓I(�.ea _•/,� 9 ae APPROVAL BYJ DATE /rJ-3O-dd FEE NUMBER_ I 3' x 6' 2" Thick Cedar Panel with carved out text & graphic with painted 5" x 5" cedar post with flutes %hieldsMRI CAPE COD 2 IYANNOUGH ROAD S/GNderian inc 1-800-500-SIGN r.L 50"80-0094 Fax 50"90-096 two W Ceaatnut St, Broaktor% MA 03301 www.sWdoalpgnc.com sipudra Data New Routed Post & Panel Sign 10/23/00 McCarthy & Company Steve McCarthy BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I Number. CS 068112 Birthdate: 0821/1964 I Expires: 0821/2002 Tr. no: 1214 Restricted To: 00 i RALPH R FERRIGNO JR / 70 HEATHER HILL DR BRIDGEWATER, MA 02024 Administrator 00.35.000 a enrbsed apace (MGL C.112 S.60L) IA - Massey o* I -1 d 2 Family Homes Failure b possess a ounent edWM or gm MassaUuae4s State BuYdep Code is cause for reroaton of MW Manse. DIG SAFE CALL CENTER: (888) 744-723] OF TOWN OF YARMOUTH o'er, •j-/f� �T�DOr� �� 11 APPLICATION FOR PERMIT TO DO PLUMBING m� u Fee: $--26 PERMIT NO. Date `7 — / a -t9.dp Building Owner's f^ qxA SST AT: Location Q. J--.1/cLn A O e. ICJ G.. Name - Type of Occupancy ss'�! eetC 9- New ❑ Renovation Replacement ❑ Plans Submitted Yes ❑ No 0_�_ Z 2 Lim SEP 14 � N _gn W ¢ S F z O t7 y a M OFA CA ~ S¢ �" Q W rA 'n¢ a " a a s y _ �__._.T-. U Z m W Q 3 N p Q W J ? W O Q Q Q fn J Z Q O 0. M G U. Q�> y N Z) Ch to 2 2 W W 3 x g Q= m o o g Q p 2 O h� O M o a t- 3 O M U m o ,n 3 x cQ7 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: Installing Company Name ' ❑ Corp Address ❑ Partnership P. G IE# rm/C impany Business Telephone Name of Licensed Plumber- I? . �� ce= INSURANCE COVERAGE: 1 have a current liability Insurance policy or its substantial equivalent. Check One: Yes Ei—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. Signature otOwnerorOwner's Agent Check on Owner ❑ Agent ❑ I hereby certify that all of the details and Information 1 have submitted (or entered) in above application are true and accurate to the best 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 Plumbing Code and Chapter 142 of the General Laws. , 1 A. �7 Signatu censed Plumber License Number Type: Master 0--youmeyman❑ Office Use On' idle TLIMM6nw 810 of if assttrllusefts Permit No. E-61-mil Utpartment of Ilubl(c £taftfg Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Wo (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Oo y City or Town of Qr iikoJ-t�A To the Inspectoil of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street A Number) I,' a —1 i A-n O`q�" 1� of Owner or Tenant Owner's Address Is this permit In conjunction with a building permit: Yes 0' No ❑ Purpose of Building Utility Authorization Existing Service Amps _/ Volts Overhead ❑ Undgrnd El�1 ''ww�\ New Service 1Amps--L49__at%)Volts Overhead 0-- Undgmd ❑ JUL U 6 2000 Dropriate Box) No. of Meters No. of Meters Number of Feeders and Ampacity A-`-( A-t Location and Nature of Proposed Electrical Work fDn...r��Q i1�y �S o r J tL Qs' C No. of Lighting Outlets No. of Hot lobs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- ❑ ❑ gmd. gmd. Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones N . of Dg No. of Ranges No, of Air Cond. Total was Devion and No. of Disposals No of Heat Total Total Pumps Toro KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW Local ❑ CCononneectiicipal on [:]Other cti No. of No. of Low Voltage No. of Water Heaters Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: rNaUr rvct ULNERAGE: Pursuant to the requirements of Massachusetts general Laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES Z) NO ❑ 1 have submitted valid proof of same to the Office. YES Y] NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE M BOND ❑ OTHER ❑ (Please Specify) .Tannary 1 - 2001 Estimated Value o EI dceI Work a 350. d� Work to Start Inspection Date Requested: Signed under the Penalties of perjury: (Expiration Date) Rough — Final (. FIRM NAME LiC. NO. A74497 Licensee al ynn V l prt ri r r Tni-Signature L IC. NO. Al 449 Address 17_..rpm fral Ctrppt F—at Arid pt.— r'A AILTel.NO. 1509) 97A—nA74 CJ tf'Y Aft. TeL No. SAR 47A nnaw OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have thrQZ&&3e coverage or Its substantlal equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) / T,J (Signature of Owner or Agent) Telephone No. PERMIT FEES x-6565 ' APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector of Wires Wiring Permit rf E—PLOO COM/Electric Town of :y "#to rr'4 Massachusetts Building Permit a Date Customer. J k SLn.�� An+ on(Streeto) TYIrNOugs 1RoAd Lot • in the village y� utility pole number a underground number Customer's billing address l9 iCrosQ Awe r s. � ��t KO V-H. M14 Temporary ^ New installation Ctuuge of §grvice Starting Date 71710 Q— Job descripI Q wpoLk` f .� r ica r n w rct Service enhance voha e— Wire size (cu. Number of meters — Estimated bad: Electric heat Ready for first Inspection _ Electrical nbactor-61Z Address Additional Remarks: per phase Water heater Off peak Yes — No — kw, lights kw, Range dryer Motors. H.P. 3 PhasCAL0e Ready for na1 rrs 11 ��4° =10 � Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTIONS �^ 4 INSPECTOR OF WIRES [�� Temporary Service +�w�r `� J "' • ~:" [�"'7"" Roughing in Service and Meter Off Peak Meter Final Approval. Disapproved' 'For the following CERTIFICATE OF INSPECTION To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has approval granted for connection to your service. FEE CHARGE WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue been Ins ed and is CA 4s r White —COWEtecsb Green —bspecror Canary —Town Receipt Pink— Inspector's Copy Goldenmd— Ekcbxw Contractor to COM/Electric Office Use Only (I01Iimanwallt Of Musar4aEffs Permit No. E-ei-ootl 11martilunt Of public eafav Occupancy a Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 sled Peeve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All -work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL I�Nt�F1ORMATION) Date 60 City or Town of 'YAr`MO rz v� To the Inspecto of Wires: The udersigned applies for a permit to perform the electrical work described below. c )a -� Ya„ o ,�� �d 111 /�1 NISI-�In Location Street 8 Number Owner or Tenant Owner's Address is this permit in conjunction witt) a building permit: Purpose of Building r Existing Service Amps _,/ Volts New Service Amps _!�9_'&_�Volts Yes 'B" No ❑ Utility Authorization No. of Meters No. of Meters Number of Feeders and Ampaclty fir'( Act Location and Nature of Proposed Electrical Work T n� S a w tc'i it C �S eKZ tp� Overhead ❑ Undgmd ❑ Overhead 0� Undgmd ❑ No. of Lighting outlets - No. at Hot lobe No. of llansformom KVA No. of Lighting Fboum Swimming Pool Above In- Wrd. ❑ gmd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners r No. of Emergency lighting Battery Units No. of Switch Outlets No. of Clan Sumem FIRE ALARMS No. of Zones rIn Initiating Devicesud - No. of Sounding Devices No. of Self Contained DetectlonfSounding Devices Local ❑ Municipal [ -]Other - No. of Ranges No. of Alr Cord. tonne No. of Disposals NO•m Heat TOW TOW Pumps Tbns KW No. of DishwashersSPace/Area Heating KW No. of Dryers Heating Devices KW . No. of Water Heaters - KW No. of No. of Signs Ballasts Low Wltage Wiring No. Hydro Message Tubs No. of Motors Total HP LryGly-P INSURANCE COVERAGE: Pursuant to.the raqulremente of Massachusetts general Laws 1 hav► a Current U& UIty Insurance Polley Including Completed Operations Coverage or Its substantial equivalent YES = NO ❑ 1 have submitted valid proof of same to the Office. YES Y] NO ❑ If you he" checked YES, please Indicate the type of coverage by checking the appropriate box. INSURANCE Ja BOND ❑ OTHER ❑ MesseSpectW ' aannary 2001 J Estimated Val EI rkal Work S — IS 1. O Work to Stan .0'O Inspection Date Requested: Signed under the Penalties of perjury: FIRM NAME (Expirauon Dnate) Rough - Final au co UC. NO..A14497 Ucensss- Glynn FIPr*rlrr Tnr Signature 1IC.NO. A14497 Address 17 Bus Tel No (50R 1 37B_f]474 L`y�,tr j;roa* Fast Arldmawn s_MAj> a Ti u 8 7757 04174 OWNER'S INSURANCE WANER: I am aware that me Licenses does not have m!a?e3r8nie Coverage or Its substantial equivalent as re- quired by Massachusetts General laws, and that my signature on this permit application walls this (Please Cheek one) requirement Owner Agent Telephone No. PERMIT FEES (Signature of Owner or Agenq X45e5 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusem Electrical Code, (MEC), 527 CMR 12.00 TOWN OF YARMOUTH (OFFICE USE ONLY) By / Fee: $ 6 C PERMIT NO. E-M -3, (PLEASE PRINT IN INK OR TYPE ALL INFORAIATION) Date: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. t Location (Street & Owner or Tenant /7e 10(. IK- r 1114ei— Telephone No. Owner's Address0%-16C'144—'VA rn V5 Is this permit in conjunction with a building permit? I~I Yes ❑ No (Check Appropriate Box) Purpose of Utility Authorization No. Existing Service Amps f Volts Overhead ❑ Undgrd ❑ No of Meters New Service Amps / Volts Overhead ❑ Undgrd Number of Feeders and Ampacicy t Location and Nature of Proposed electrical Work: 7 I' i l.6• Db I Complawn of the fol ,t table Gray he uwitrd by The Insp tar of Wirtt No. of Recessed Fixtures No- of s No. o _ Transformers KVA No. of Lightiniz Outlets No. of Hot Tubs Generators KVA No. of Li htin Fixtures A ve In- SwimmingPool rnd. ❑ md. ❑ No. of Emergency lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Bumers No. c Detection m- Initiating Devi¢ No. of Ranges Total No, of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totils: Num r Tons KW_ No. of Self -Contained Dcteaion/Aletting Devices No. of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection ❑ Other No. of Dryers Heating Appliances KW uuty ystems: No. of Devices or Equipvalenr No. of Water Hearers KW No. of No. of Signs Ballasts Data Wiring: No. of Drim or Equivalent No. H dromassa a Bathtubs Y g No. of Motors Total HP Telecommunications Wiring: Z No. of or Equivalent a Attach et&itional detail if desired, or as regaired by the Inspector of Viret. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licenser provides proof of liability \insurance including *completed operation' coverage or its substantial equivalent. The undersigned tenses that such coverage is in force, and has exhibited proof C of same to the permit issuing office. CHECK ONE: INSURANCE ❑� BOND ❑ OTHER❑ (Specify:) � ,c__ (Expiration Date) Estimated Value of Electrical Work: a C56 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with DfEC Rule 10, and upon completion. I certify, under thep ains a penalties of peter (ry, that the information on this application is true and complete. FIRM NAME: /7 A a � J NG; .S nco----o LIC. NO. (If applicable, eppter'exem the license number ineA ^' Address: __/� 9A'GArWA-; J C�/1� OWNER'S INSURANCE WAIVER: I am aware that the licenser does not have below, I hereby waive this requirement. 1 and the (check one) owner Owner/Agent Z""' LIG NO. Bus. Tel. No.: Alt. Tel. No.: is liability insurance coverage normally required by law. By my signature owner's agent. ❑ Signature [Rev. 04rbo) Telephone No. &;4o,00 ^+ Office Use Only of CruMt1Wn M1t4 of IfflttssuC41Metts Permit No. ErVartmutt of Ilublic Safifg Occupancy Free Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 Peeve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMp 12.p (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date - -Lc1JI-3t I OO City or Town of i(K'M.J{:.� To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described, below. /n1 Ff ..� Location (Street & Number) Q.( u c\ - ip� Owner or Tenant a`ex,okks vltr-AL.1 Owner's Address SA. e _ d' Is this permit in conjunction wit a building rY ❑ it./oSJ I P 1 h g permit: Yes IJ No �hsg�-q{ate.g� Purpose of Building M %T. t rMJ-1142a — CUtility Authorization No. Existing Service 'Amps —J Volts Overhead ❑ Undgmd ❑ No. of Meters New Service 4 OO Amps —416-O a2 Volts Overhead ❑ U1ndgmdNo. of Meters Number of Feeders and Ampacity _ 1 _ (600 rICMk 00 eAr iv in -Az Location and Nature of Proposed Electrical Work (-�� , e _Q.i.\r� • its 1- %4 0.+-.'i No. of Lighting Outlets . No. of Hot Tube No. of Tansformers Q1 O No. of Lighting Fbdursa (' Swimming Pool t7nr+d• ❑ g. ❑ Imd Gw rotors KVA No. of Race ptacie Outlets - `a,l I O. t - - No. of Oil Burners • No. w Emergency Lighting Battery Units .. - No. of Switch Outlets - - ""- S 7 No. of Gas Burners - - -FIRE ALARMS ---No. of Zones - a" No. of Detection and - Initiating Devices No, of Sounding Devices No. of Self Contained DeteWoNSounding Devices Local ❑ Municipal Connection No. of Ranges - Noof Air Cond. Q Tom . 0 tone rb No. of Disposals - No.of Heat Total Total Pumps Tons KW Na. of Dlahwsahers Space/Area Nesting KW No. of Dryers Heating Devices KW No. of Water Heaters 1 KW No. of No. of Signs Ballasts 6 Low Voltage Wiring nV No. Hydro Massage Tuba // No. of Motors '4- Total HP b OTHER: Sjps S.ffi-tew.c - a, ti r Cr�t�'cSol h�en,e,-c m�urw uv ULNERAGE: Pursuant to the requirements of Massachusetts general Laws 1 have a current Liability Insurance Policy Including Completed Operations Coverage w he substantial equivalent. YES x) NO ❑ 1 have submitted valid proof of same to the OMce. YES Y) NO ❑ If you have chocked YES, please indicate the type of coverage by Checking the appropriate box. INSURANCE M BOND ❑ OTHER ❑ (Pleas@Specify) 2 ,Tannery 00' Estimated Value El"cal Work S -) a1S�pD-00O n� final W(Expiratbn Date) Work to Start 1 w �w 0 00 Inspection Date Requested: Rough ` r(l Signed under the Penalties of per)ury: - FIRM NAME -GJYn EJ eCt r4 r T Uc. NO, A144Q7 Licensee 1111Tnn F1or1-rirr Tnr+ signature C.NO. A1449 Bus. Tel. No. (5n8) a7R_n474 Address 17-�i'.-f =+ Q+-use.♦ x'aaf• PH ripper-�� 1�'A ao Tr u ie 9 77�n4-rw OWNER'S INSURANCE WAIVER: I am swam that the Licensee does not hove thJ0253r3niscoverage or tts substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) y 01. Telephone Na. PERMIT FEES $ a Q (Signature of Owner or Agent) )14563 APPLICATION FOR PERMIT TO INSTALL AND REOUEST FOR ELECTRICAL SERVICE inspector CRor�Wires Wiring Permit r COk4Electric r Town of rF-"Jt� Massachusetts Building Permit If nee S/1 Customer. `]�S •t`aS PRAC--I L CARe— on (Street r) Lot If In the tillage of Customer's bring address Temporary Job descrtl New utifdy pole member or urderground number Date Sim - Service erdra voItage O a- Amperage - c/cc� Phase Wire size oor al.) rmeo Conductor per phase - - Number of meters Water heater Off peak Yes — No J� Estimated bad: � eeat�—kw. lights kw. Range dryer Motors. H.P. 6 Phase tips Ready for first inspectionC not Ready for final Inspection U3• 11 Cn40 Electrical Contractor LTfYN 1=ttcT2,; Llc.r A IMy9a. Telephonerr122-�7a-OK7y Address 1 I cenr6iii, ST Additional Remarks: a- f%Wz -1'1►n saSC aJOS S�Tortit Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTIONS INSPECTOR OF WIRES DATE FEE CHARGE Temporary Service Roughing in 4 l� O I tam Service and Mere. L-A- 0 - t. Off Peak Meter Final Approval t Disapproved' *For the following reasons CERTIFICATE OF INSPECTION / To the COMMONWEALTH ELECTRIC COMPANY. The Installation described above has be been this day Inspected and approval granted for connection to your service. �A _v►.4Gj(e^I , WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue rw 46-1 White — COM/Electr c Green — Inspector Canary — Town Receipt Pink— Inspector's Copy Goldenrod — Electrical Contractor to COM/Electric a APPLICATION FOR PERMIT TO INSTALL AND REQUEST J. 'FOR ELECTRICAL SERVICE S _ • rr s ctorofWires Wiring Permit t COMIElectr)c11y--^—'- 1 Town of " `yfi3,.c-� �`- Massachusetts "-- - " Building Permit Date ~r' �'Cuslomer.°ohtnet/) f r .- Lott In the village of .. ..' ulflitj!Dole inmlber or, underground �umbei - ""-•_ .F yl .'�.+''y! ' a. 1. �_"�r�..rv"rah ,.: _:r ti� a �.. JCA�_+Ai.-�+t Ai'Al •• _ .:.4fri1 r.. ti'dw:. .Ms".-, t TemperalY •., " New lnstaearlon mange or perwce -., S-tarep t CN;A X4 1 +' [ i Service entrance voltage "`'I Lt o ai 7 " ' Amperage _Phase. . z. Wire size (cur al.)Conductor per phase ' Number of meters �— Water heater I Off peak: Yes _ No -W. ` ^ s . � s •� ' Estimated bad: EleMkeeat tlh kw, Ugh kw, Range �yei ° ors, N P. 3�Phase "�. t�' s iF _ Ready for first Inspection t Ready for IiQ)nspectlon ' ' .. • a • 11 to ( ',.. • �"""` ., •.`� - F': ;. +IYM,y �twr eft'. e• `.1—_. Telephonet` ElecMcalContractor Lk.t ��-L_�S. `L1 7 yy _ Address 17-. _ _ _ V a., •.-„•;--,...��_ _....•...t- s INS f _ -�Do Nol Write below L ne • f ELECTRICAL: WIRING INSPECTION CERTIFICATE - INSPECTOR OF WIRES'' - INSPECTIONS _ DATE 49 .. FEE CHARGE r^ - Temporary Service - • " Roughlrgin . i • Service and Meter R"�s"'� �' 4e.> . 1 Off Peak Meter C4raf Approval _ ,l O raaPProVR1ed* c - ...1Focthe lfeasons ' . a �y � iT' a, .�^Yt '!rt •t � '� 1ig.`jt ..•Y i }✓ To dtd COMMONWEALTH ELECTRIC COMPANY The Mstalla8on descntied above has been�n this days been inspeoed this days ee Inspeoed and tr approval Granted for connection to your service . jl�r _ji'J' —••�' ''� Inspector of Wires - - - WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION z _ Permit Good For One Year From Date Of Issue a 46-1 White — COMIElect is Green = Inspector Town R _ - . " Canary— eoeipt Pink Copy ". " � Goldenrod - Ekrr.Yrkal Contractor - " .. lo COM/Electric . Commonwealth of Massachusetts Official UsCee Only Department of Fire Services Permit No. L— Ol-21� t3 - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked } [Rev, 11/991 1cawblanl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 CMR 12.00 (PLEASEPRINTININKORTYPEALLINFORMATION) Date: o8-28'—ao City or Town of: atimr WA15!er7otJ77Y To the Inspector of Wires: By this application the undersigned gives not] his or elf cr�intenuon to perform flu electrical stork described below. Location (Street & Number) 1-Z-Y/JA/O UG Al /�Oe9D Owner or Tenant S6iEt9) Afe/ 110.470.ZLIA49ZM(S CaawrneTelephone No. Owner's Address Is this permit in conjunction with a building permit? 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 ❑ Und-erd ❑ No. of Mcters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �?e te644.e ,4.44e�w s- C&Ty.SYJY;FM Cone letian o the ollowin table mar be Yres. No. of Recessed Fixtures No. of Ccit.-Susp. (Paddle) Fans o. o p of Transfo s V n. No. of Lighting Outlets No.,6r Ilot Tubs Generator &VA No. of Lighting Fixtures Swimming Pool os•e ❑ n- ❑ cad. cad. n rgc hb oil' Batten U its i No. of Receptacle Outlets No. of Oil Burners FIRE AI:�i1IS No. of Zones No. orSwitehes ' No. of Gas Burners No. of I lerectinn an - Initiatin2 Devices No. or RanTotaT _ No. or AirCond. Tans No. or Alerting Devices No, of Waste Disposers cat Pump Tntnit- I PLumber JTon3 o. of Scir-Containcl— Detection/Alerting Devices No. of Dishwashers Spdcc/Arca Heating KW Local ❑ blumcipa ❑ Other Connection No. of Dryers Heating Appliances l(V ecurity ystems: No. of Devices or Equivalent o. o eatter KW Heaters o. o o. o SiZns Ballasts Data Wiring: No. of Devices or E uivalent No. Ifydromassagc Bathtubs No. of Motors Total HP c ecommumcalhons long: No. of Devices or E uivalent OTHER: Arrach additional detail lJ'derired or as reghdred by the Inspector ofWirca. 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:) ( phrauon te) Estimated Value of Electrical Work: S 9667 ego (When required by municipal polity.) Work to Start:_ E Ito _oc` Inspections to be requested in accordance with MEC Rule 10, and upon completion. f terrify, under thepains and penalties ofperjuiy, that the information on this application is true and complete FIRM NAME: .ADT Security Services Ill Morse Street, Norn•ood, MA 02062 LIC. NO.: 1533C John S. Bassett 'e, enter "exennpt" ht required by law. Owner/Agent Signature _ JKAIN UL WAl VLK: t am aware Illat UIIC Licensee tloeS By my signature below, I (hereby waive this requirement Telephone �. 1b)444.rG LIC. NO.: 1533C Bus. Tel. No.: 781-278-1131 AIL TcL No., 791-779-1725 not hm a the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT F,EE: $ys00 r, a �11 pU6 � 9 2000 -,S, •. Z R 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 (OFFICE USE ONLY) SO �= PERMIT NO. Fee: $ E,0I"t3 /p ff (PLEASE PRINT IN INK OR TYPE ALL INFORAIATION) Date: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 7 . Location (Street & Number) :�ft Z � Zg Owner or Tenant .S H 16 L D S M Y�TL Telephone No. Owner's Address Is this permit in conjunction with a building permit? 0 Yes ❑No (Check Appropriate Box) Purpose of Building C L I N 1 C" Utility Authorization No. Existing Service New Service Amps / Volts Amps ! Volts Overhead ❑ Undgrd ❑ No of Meters Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed electrical Work: _1-0LJ V11LTAb tr- 11 F-R m 6% TA'R F'O T2- a A C. U m Z:T5 �f} GAS PEA-=ms AN'D ( F_YH(ju5', GAIN _ Com le ion . the llowre table be waned the let or v Warr No. of Recessed Fixtures No. of Ccil.-SusI211'addle) Fans No.of Total Transformers KVA No. of Lighting: Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures A ve In SwimmingPool rnd. ❑ md. ❑ No. of Emergency lighting Battery Units No. of Receptacle Outlets No. of Oil Bumers FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o Detection an InitiatingDevices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Hu[ Pump Totals: Num r Tons — KW — No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating Local ❑ Municipal No. of Dryers Heating Applianct. KW utrty yscem No. of Devic a al No. of Water Heaters KW No. of of Signs last AI O U 1 D 2000 I ata Wiring: No. of Devi, E No. H dromassa a Bathtubs Y g 1B No. of Motors i) l HP � Telecommunicat Na. of Devic t o Equivalent Attach additional detail tjdesrre , a n lurr y r nspM it o Wires. 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 mhbited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ (Specify:) (Expiration Dam) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: I spections 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. FIRAI NAME: LIC. NO. 36 1 Sa t "-"` ` ' " `�� .SAM�Signature LIC. NO. �7 S3 e Licensee: -ram--c-ca-ro� (If applicable, enter 'exempt" in the license number line.) Bus. Tel. No.:_L 1-1- 7 1-L— L i7 Address: 5 3 PEAR1_ S l AAt! LQesr JOA _ 61 'I 'I (p Alt. Tel. No.: '-n( OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signuure U below, I hereby waive this requirement. I and the (check one) owner owners agent. Owner/Agent Signature Telephone No. [Res: 04/001 n The Commonwealth of Massachusetts ORlea use Oa hnlr Jb. Department of Public Safety Ocwr.ecr a rw awk.a 16D •m) BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 tt,,w Mani: oo�A PPLICATIIONeFOR PERbe perforated IneMITance�TOe PERFORM IELEnCTRICAL WORK An work1 (PLWE PRINT IN nM OR TIPE ALL'INFORHATIOI) Date i 0/fof p h City or Tovof 49V ..r,,.'� A To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street i Number) OZ. ' 1 do Cr,, Q /,, /gOR r✓ e Owner or Owner's Address C .r L'i ...r f q 1. / r iiv" L c — Is this permit In conjunction vith a building permit: Yes ❑ No ❑/ (Check Alppropriate Box) Purpose of Building Al R r ,(La /4hC,,.-, 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 Location and Nature of Proposed Electrical Work Z1 4r /.. // No. of Lighting Outlets No. of Not Tubs No. of Transformers TotAa KV No. of LightinjoFSxtures SwimmingPool Above El grnIn- rnd. d. ❑ Generators KVA No. of Receptacle outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Can Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices of Sounding Devices No. of Self Contained Detection/Sounding Devices local❑ Municipal Connection []Other No. of Ranges g Total No. of Air Cond, tons No. of Disposals No. of Heats Tons Total Total pumpsNo, No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters 1,W No. of o. o signs Ballasts- Low Vol Wirin No. Hydro Massage Tubs No. of Motors Total HP Ll OTHER W FEB 0 2 2001 I io INSURANCE COVERACEs Pursuant to the reoulrements of Massachusetts Cenera I have a current LlaDi St Insurance Policy including Completed Operations Coverage or i substantial equivalent. YES 10 a I have submitted valid proof of same to this office. YES�O If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE �ND ❑ OTHER El, (Please Specify) xp ration ace " Estimated Value of Electrical Work S G o ed'' �- - -• +' / At IP"I, Coe&./cticn •Work to Start - /i G/ Inspection Date -Required: Rough Final Signed under the penalties.of perjury;; _. LIC. NO- Ali e y y Licensee Signature 0L­l V 1-. LIC. NO. Address A .i/oY AV.& Bus. Tel. No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or Its sub- stantial equivalent as required by Massachusetts Ceneral La vs, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S /06. OU ' Sfernn.re of r`.mrr or Agent P ""ASSACHUSEa IS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) TOWN OF YARMOUTH, MA 02664 Date 911 $ dt�e Pe Imtit Buliding.Loeation Z Aso. v.c,_,t,.1 t.... Q d. Owner's Name S U e o 1 je P/ 9 T �,t % C/' S + Y, (- w �. ,�T L Type of Occupancy New pr Renovation ❑ Replacement ❑ Plans Su ttte rY �]S9.fio FDCfURES SEX 112000 l 011111 ili�il �rumn�o�mom�m�mnnoo ��o�00000n�m �o� �nnnnuoo'mm�no Installing Company Name Sherman Plumbing Services Corp Check one: Certificate Address 24-3 Commonwealth Ave. PoSorporation 8 - C- SuuM u, ❑ Partnership Business Telephone ? 98- 2 9 ❑ Firm/Co. Name of Ucensed Plumber INSURANCE CO GE: I have a current fifty insurance policy or Its substantial Yes No ❑ equivalent which meets the requirements of MGL Ch. 142. If you have checked ye;, please Indicate the type coverage by checking the appropriate box A liability insurance policy ❑ Other type of Indemnity ❑ Bond ❑ OWNER'SANSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement Check one: Owner ❑ Agent ❑ 1 hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Poumbing�CJpda and Chapter 14 tt��Pneral Laws. Title Signature of LicensedPlumber CiA/Town Type of License: Master [ .loumeyman ❑ I NL License Number 9T%5-� Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official UseeOnly //�% Permit No. 4-- D f —2 / Y Occupancy and Fee Checked [Rcv- 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MECI 527 CMR 12.00 (PLE(SEPRINTININKORTYPEALLINIORMATION) Date:_ 08-28'-00 City or Town of: ttJEST y.4e/r/O!/TH To the Inspector of Wres: By this application the undersign�rves noui uTi or tf ei'uuention to perform the electrical work described below. Location (Street & Number)_ 1 --2 y.9d/e LJr L/ /�C OAD Owner or -Tenant SYsrE&o voe/ ,*up _Vq.9i9i.-vG Cs N76POF[e4,eDTcicphonc Na Owner's Address Is this permit In conjunction with a building permit! Yes ❑ No ® (Check Appropriate BOX) Purpose of Building Utility Authorization Na Existing Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ Na of Meters Number of Feeders and Ampacity ' Location and Nature of Proposed Electrical Work: �?ae6A4.e i4:9e,wy- eeny .3Yd7$,vl ^--. '-1--- -1., _ Na of Recessed Fixtures . nm Na of Ccil.-Susp. (Paddle) Fans a+oar rune ae lres. No. o Transfo { s V Na of Lighting Outlets Nabf Hot Tubs Gencrato A . 1111 No. of Lighting Fixtures Swimming Pool ovc ❑ n- ❑ cod. rnd. o. o n rgc r Battery its r IT Na of Receptacle Outlets Na of Oil Burners FIRE AI:W1S Na of Zones o. InD r ectitin2 Dc Devices Na of Switches ' Na of Gas Burners No. of Ranges Na of Air Cond. Tons No. of Alerting Daises No. or Waste Disposers cat ump Totals: um er ons o. o c - ontarnc Detection/Alerting Devices Na of Dishwashers SpdcdArea Heating KW A*"ccUNriiYe'r'YD5= Local ❑ unicrpa ❑ Other Connection No. of Dryers No. of ater Heaters KW Heating Appliances KW ao as SiEns Ballasts or E uivalcnt DarsNo. of Devices or E uivalcnt No. Itydromassage Bathtubs Na of Motors Total HP c ccommunicalrons rung: Na of Devices or E uivalcnt OTHER nuacn aaauronar aerarr y oeslrea. oras required by the Inspector of Mmrc INSURANCE COVERAGE: Unless waived by the owner, no permit for Ue perfonmmce orelectrical 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 fora, and has e.•dtibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) • ( pwuon te) Estimated Value of Electrical Work: S 96ee7 00 (When required by municipal policy.) Work to Start: 9 .2o—oo Inspections to be requested in accordance with NIEC Rule 10, and upon completion. I certify, under the pains and penalties ofperjury, that the Information on this application is true and complete. FIRM NAME: ADT Security Services 111 Morse Street, oryyood, MA 0 062 LIC. NO.: 1533C Licensee: John S. Bassett Signature LIC. NO.: 1533C (lfapplicabkenter tsenlpt-Inthe ficensenumber fineJ Bus. Tel. No.; 781-278-1131 Address: AIL TeL Nas 781-778-1725 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requiremenL I am the (check one) ❑ owner ❑ owner's a ent. OwnedAgent Signature Telephone No. PERMIT FEE: $o0 P -0/io.00 "1ASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING fPrint or Tvrnel TOWN OF YARMOUTH, MA 02664 Date--? $ W ft Permit l Ipll iii� �roren��omq�i on�o� ono �••�••••'Co��iiioiii� �nuoono � o� oo�uo�noa�o �nniC mnn��onmm Installing Company Name_ Sherman Plumbing Services Corp. Check one: Certificate Address 24.3 Commonwealth Ave. 26orporationSOOM e- u, MA UZ1554 ❑ Partnership Business Telephone_ ? 96— 2 219 ❑ FlmVCo Name of Licensed Plumber INSURANCE CO GE. I have acutyes eM ulty Insurance c ra ce policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked ye;. please indicate the type coverage by checking the appropriate box A liability Insurance policy ❑ Other type of Indemnity ❑ Bond ❑ OWNER'SjNSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have submitted (or entered) In above apprication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbina.Code and Chanter 1a9dthA rm.... h r .,.,. Type of Ucense: Master Journeyman ❑ Ucense Number 9S%5� c71 !!t (117mmunwM10 of Al"llar4imf o 1epartmfixt of Ilubi(c $afclg SOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 t Office Use Orly Permit No. I-- nI-c2L(�- Occupancy A Fee Checked wo (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code, 527 CMP 12: 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3t 00 City or Town of ABMbJKti To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described y,�1low. Location (Street & Number) Ar, c%&14�. Owner or Tenant '0\Ate1As iLPaLT6. P'.� Owner's Address .Sty-/O,Op Is this permit in conjunction with a building permit: Yes No ❑ ' q ��O `te+t A�praryrie(e 8etr1 Purpose of Building - M_%%i +- ris i e C4+c Utility Authorization No. Existing Service 'Amps _/ Volts Overhead ❑ Undgmd ❑ No. of Meters New Service 4 OO Amps-4-1 VJ ai7 yogy Overhead ❑ Un1dgmd [�' No. of Meters I_ Number of Feeders and Ampacity —L (000 KGt/w no par 4y Q Location and Nature of Proposed Electrical Work t .l4 H� \a. let .y, Id" d,.+-. - No- of Lighting Outlets No. of Hot Tube No. of ltensformsrs Tbial KVA Q No. Of Lighting Fixtures Swimming Pod Above gmd. In• ❑ gmd. ❑ Generators KVA No. of Receptacle outlets I a.� No. of Oil Burners r No. of Emergency Lighting Battery Units No. of Switch Outlets S 7 No. of Gas Burners - - FIRE ALARMS No. of Zones . � No. of Rarges No. of Air Cond. OW No. of Detection and to"I Z� Initiating D"ces No. of Disposals No.of Heat lbtal Taw Pumps Tbna KW No. of Sounding Devices No. of Dishwashers SPaca/Ms Heating KW No. of Sere Contained DateetioNSounding Devices No. of Dryers Hosting Devices KW Local Municipal E5 ❑ Connection CJOtMr No. of Water Heaters 1 KW / J No. of No. of Signs I Ballasts Low Vonage Wiring rJ%j Q44n... No. Hydro Massage Tubs ff No. of Motors Total HP {p nTHER. �— INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent YES )0 NO ❑ 1 have submitted valid proof of acme to the Oftles. checking the +Prropriau box. YES M NO O ifyou have checked YES, please Indicate the. type of coverage by INSURANCE JU BOND O OTHER ❑ (Please Spttdty) Jannary 1, ?001 Estimated Valve EI00 Work i _ SDOJ.D O (Expirationn Dnata) Work to Stan 0 Inspection Date Requested: Rough \\ �� Final \..lr(I C.o-+�Y Signed under the Penalties of pgqury: . FIRMNAME-/1J'yZD � nn}rinr 7 UC. NO. A1d4Q9 Ucensse r•1 inn F7pr}ri rr Tnr Igrutun "O C. NO. -All 4492 Address 17'11 f•ra1 S}rn } s . Bus.Tel No On RI 378_0474 g Aft. Tel No. PA 77C nw�rw OWNER'S INSURANCE WAVER: I am aware that the Uceases doea not hew thdiirs covenge or its substantial equivalem as re - (PIOUS by MassCheek one) General Laws, and that rtry signature on this permit application walvss this requiremem. Owner Agent (Pieties check one) (Signature of Owner or Agent) Telephone No. PERMIT FEE S $ ayo 0- 11d565 P Plans Submitted TOWN OF YARMOUTH APPLICATION FOR PERMIT TO DO PLUMBING (OFFICE USE O LY) BYAI tL�,-��J5 r c Fee: PERMIT NO. Date Building Owner's 1L4d`"". _ rZ3 1 S le+ AT: Location Name Type of Occupancy Ri sr�t'17C 9- New ❑ Renovation ❑� Replacement ❑ Yes ❑ No 2--� L13 XJ Z N Z Q FF V le Uj 4 ccQ Q N O y Z 6 0 �D•Vv—On N _W N N W N U M co U) 0 Q N 2? V Z m W ¢ Q W ? Q N Z 2 d m LL � w 0 �' 3 Q T+ N O O S 3 J N Cr F- Q Y O¢ O U. JO LL Q a t a i N y a o Q 0 0 a¢¢¢ a o a W 3 x m o c g 3 3 o rn x w a r, a Q m m SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR (PRINT OR TYPE) Check One: ❑ Corp. ❑ Partnership `' C3'FGm/C mpany Business Telephone Name of Licensed PlumberT�L21 e� INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent. Check One: Yes E?—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 Owner ❑ Agent ❑ Signature of Owner orOwners Agent 1 hereby certify that all of the details and Information 1 have submitted (or entered)In above application are true and accurate to the best 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 Plumbing Code and Chapter 142 of the General Laws. t Signatu fticensed Plumber License Number Type: Master 0---Joumeyman 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00 (OFFICE USE ONLY) TOWN OF YARMOUTH By Fee: $ c/ PERMRNO.___ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 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) b S 1 n nil DU Sit /Gl%1 Owner or Tenant A l EGOS},, 11ZhL 7B �/�a %y% 2� Telephone No. Owner's Address G�5 L& �' rn 0 Is this permit in conjunction with a building permit? Ili 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 Ampaciry Location and Nature of Proposed electrical Work: (�b• bb Comolrtion o Nxfdlorulffg table br rvahisd by the Inspintor of Wirtt No. of Recessed Fixtures -NQ-.QECriI.-SuscJPaddIe) Fans No. o Tot Transformers KVA 7— No. of Lighting Outlets - r No. of Hot Tubs Generators KVA I . No. of Lighting Fixtures Arnd. ve In- SwimmingPool ❑ rnd. ❑ No. of Emergency Ug Ling . Battery Units No. of Receptacle Outlets - No. of Oil Burners - FIRE ALARAIS No. of Zones No. of Switches No. of Gas Burners No. ot Detection an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices of Waste Disposers Heat Pump Torals: Num r Tons — KW No. o Self-ContainedNo. Detection/Alerting Devices No, of Dishwashers - Space/Area Heating KW Municipal Local ❑ Connection ❑ Other of Dryers ry Heating Appliances KW 8 PP uory yuems: bCCNo. No. of Devices or Equipvalent No. of Water Heaters KW No. of No. of Signs Ballasts Dara Wining: No. of Devices or Equivalent No. H dromzssa a Bathtubs Y 8 No. of Motors Total HP Te"Ni—.funicatiom Wiring: Z No. of Devirn or E uivalent Attach additional detail if desired, or ar required by the Inspector of Wine 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 permir issuing office. CHECK ONE: INSURANCE ❑ ,a BOND❑ OTHERQ (Specify:) g' I� �c� (Expiration Date) Estimated Value of Electrical Work: tJ( rJa G� (When required by municipal policy.) Work to Stan: Inspections to be requested in accordance with Iii Rule 10, and upon completion I certify, under the Eains andipenal_ies of pet�ury, that the information on this application is true and complete. FIRM (If applicable, OWNER'S INSURANCE WAIVER: I tan aware that the licensee does not below, I hereby waive this requirement. I and the (check one) owner Owner/Agent NO. LIC. NO. Bus. Tel. No.: Alt. Tel. Nci A liability insurance Coverage normally required by law. By my signature ownei s agent. ❑ Signature (Rev. 041001 Telephone No. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachuseas Electrical Code, (MEC), 527 ChIR 12.00 TOWN OF YARMOUTH (OFFICE USE ONLY) MA Fee: $ Irr) •�D PERMIT NO. C--0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 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) L C ,YA ANiik)00 &k ii i-1—D Owner or Tenant SN lephone No. Owner's Is this permit in conjunction with a building permit? ❑ Yes 0 No (Check Appropriate Box) Purpose of BuildiinJg�� M`ZS— I 11 (- Utilit uthorization No. _ Existing Service Amps �/ Volts Overhead Undgrd ❑ No of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity ? C / 1V Location and Nature of Proposed electrical Work: 0j V�K-fG �j. nT E S %6'. Completion of The follminir table way k waned by the lsomrw of Irlims No. of Recessed Fixtures No- of Ccil.-SusplPaddle) Fans No. of Total Transformers KVA - No. V Li htin L Outlets No, of Hot Tubs Generators KVA No. okiRhring Fixtures Above swimming Pool gmd. In- ❑ rnd. ❑ Na. of Emergen Lig ring Ba trery Units r No. of AFeptacle Outlers No. of Oil Bum"Bum"t., FIRE ALARMS o. of Zones No. of Swi hes No. of Gas Burner No.no Detec Iirlatin an n viers NqA of 4ange No. of Air Cond Ton Tons No. of Aler 'ng evices N . rice Du sers cat Pump m Toals: Tons KW No. of Se -Contain Detection/Alerting Devices No. of Dishwashe Space/Ana Heating Local ❑ Conne cNion ❑ Other . No. of Dryers ry Heating Appliances , KWScL g PP Systems: No. of Devices or Equipvxlent No. of Water Heaters No. of No. of Signs Ballasts Data Wiring: No, of Devices or Equivalent No. H dromassa a Bathtubs Y 8 No. of Motors Total HP Telecommunications W r rag: N of ices s E n lent ls Attach additional detlhil ifdairrd, or at rrgnired by the InVertor of 1ltrzr. INSURANCE COVERAGE: Unless waiv by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including 'compltted oprnt 'coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing once. CHECK ONE: INSURANCE �j BOND❑ OTHER.❑ (Specify:) Estimated Value of Electrical Work: Oy � (Expiration Date) (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, trader the pains and penalties of perjury� that the information on th' a pli i ' eve and complete. FIRDINADIE: SMNRtGU<�L CCYLtMUNtCIff1u ��Q, LIC.NO. GKCA^q r Licensee: Signature LIC. NO. (If applicable, enter "exempt in he life rise no leer ne. Bus. Tel. No.: Address: 12212 �f { f /UtJI �1F(A. /t Alt. Tel. No.: OWNER'S INSURANCE WAIVER I am aware that the licensee does not hale the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I and the (check one) owner owner's agent. Owner/Agent Signature Telephone No. IRrv. 04/001 r 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 (OFFICE USE ONLY) . By Qb Fee: $ PERMIT NO. (PLEASE PRINT IN INK OR TYPE ALL INFORAIATION) Date: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. -7. Location (Street & Number) Z 'F:`07- Z% Owner or Tenant .4 h t e L- V S M 'F')T Telephone No. Owner's Is this permit in conjunction with a building permit? Purpose of Building C Existing Service New Service Number of Feeders and, Ox Yes ❑ No (Check Appropriate Box) Utility Authorization No. Amps / Volts Overhead ❑ Undgrd Cl No of Dieters Amps I Volts Overhead ❑ Undgrd ❑ No. of Dieters Location and Nature of Proposed electrical Work: (_Q W YLL,-r)Ab t _ -r ii e- I~M F o -A Ti F C a Lk A G u h) --r- L� Gbit, PEXTE GS ANn I F_Y11405 GANJ. CovrDktiaa af!!x foltatuinr table rear he uwised br t!x IaftMY01 of Wirti No. of Recessed Fixtures h1s2.12f Ccil.-Su5p,(Raddle) Fans No. of Total Transformers KVA o. of Li6ting Outlets No. of Hot Tubs Generators KVA No. of LightingFixtures Above In- Swimming Pool gird. ❑ d. m❑ No. of Emergency Ug ting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALAIMS No. of Zones No. of Switches No. of Gas Burners No. ot Detection an Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: um r Tons — KW No. o Self -Contained Detection/Aletting Devices No. of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection ❑ Other No. of Dryers Heating Appliances KW or Equipvilent y No. of Devices No. of Water Heaters KW No. of No. of Signs Ballasts UIr. Wiring: - No. of Devices or Equivalent No. H drommsa a Bathtubs Y 8 No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent - Attwb additional detail tfdafrrd, or at required by the Inspector of Wires. 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) (Espuation Due) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: . I spections 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. FIRAI NAME: AA LIC. NO. ? S S3G Licensee: �-? RED+c SAMI= Signature LiA LG LIC.NO. '3S-rS"SC- (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 4 1'1- 7 12 - 74 4 b Address: t- 1i IALLRtSC�iAA 61 I'1( Alt. 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. 1 and the (check one) owner owner's agent. Owner/Agent Signature Telephone No. Iaer. o4ro03 4r Cgommonf=A4 of c4ffiussar4usetts #1079 TOWN OF YARMOUTH In accordance with the Massachusetts State Building Cbde, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY Is issued to LOUIS KISH c� (Qerfifq,thatlhaveinspectedthe PREMISES known as GOOSE HUMMOCK SHOP INC. located at 2 IYANOUGH ROAD to the TOWN Of WEST YARMOUTH Cbunry of BARNSTABLE Cbmmonwealth of Massachusetts. 7Ae building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USEGROUP M LIVE LOAD 150 LBS. FIREGRADING 5B OCCUPANCYLOAD 4210 PERSONS MARCH 1, 1993 y.�, G ?� Dare Certgiaate lamed Building 011cial The building official shall be notified of any changes in the above informariom COMMONWEALTH OF MASSACHUSETTS TOWN OF YARMOUTH APPLICATION FOR USE AND OCCUPANCY DATE: �� y FEE $25.00 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, SECTION 119.0. I HEREBY APPLY FOR A CERTIFICATE OF USE AND OCCUPANCY FOR THE BELOW NAMED PREMISES, -LOCATED AT THE FOLLOWING ADDRESS: NAME OF YOUR BUSI STREET PURPOSE FOR WHICH PREMISES IS USED CERTIFICATE ISSUED TO, O '"S S HOME ADDRESS: SOUARE FOOTAGE TO BE OCCUPIED: OWNER OF RECORD OF BUILDING: NAME OF PRESENT HOLDER OF CERTIFICATE: -% ,nl_ . _i_ 7 / .r . u" (V TELE: FT% SISNATURE OF PERSON TO WHOM CERTIFILYSTE TITLE IS ISSUED OR HIS AUTHORIZED AGENT 1 y 17 L . wo&-t- DATE 050)e7OL Wr-jr�/�i�.seo« i /Jilf.[92.C, 77i-7/45' PLEASE NOTE: /?. APPLICATION FORM MUST BE.SUEMITTED FOR EACH BUILDING OR STRL'-TORE OR PART THEREOF TO BE CERTIFIED. 2?. AFFLICATION AND FEE MUST BE=ECEIVED BEFORE THE CERTIFICATE DILL BE ISSUED. �). THE BUILDING OFFICAL SHALL SE NOTIFIED WITHIN TEN (10) DAYS Z:F ANY CHANGE IN THE ABOVE INFORMATION. CERTIFICATE NUMBER r U G M FG i ��cs�"sf �rr�-�.•--a aJ cZhe hlommoufuealth of Mttsonhusetto #737 TOWN OF YARMOUTH In accordance with the Massachusetts State Budding Cbde, Section 120.0. this CERTIFICATE OF USE AND OCCUPANCY *1 Is issued to DUNHAM SHOE COMPANY ,3 (geiflfgt,thatlhaveinspectedthe PREMISES knownasDUNHAM SHOE COMPANY locatedat- 2 Tyanough Road in the Town of West Yarmouth CWnty of Barnstable Commonwealth of Massachusetts. ?he budding is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP M LIVE LOAD - - 100 lbs . FIRE GRADING --. 4 -B OCCUPANCY LOAD 420 Vapple August 11, 1988 Date Certilunte issued eutiilrt; Olftcid The budding official shall be notified of any changes in the above information. c U CITY/TOWN OF YARMOUTi owjpl(wikl(*MEO• .ti a ••• w DO ( ) FEE REQUIRED $Ow IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, SECTICN 108.15, I HEREBY APPLY FOR A CERTIFICATE OF USE AND OCCUPANCY FOR THE BELOW NAMED PREhIISES, LOCATED AT THE FOLLOWING ADDRESS: NAME OF PREMISES paAo1!/6r49 .57/!z-7e GO"Fd h/Y STREET AND 1114M 2 ` /%d NOu6:/i /�D . J�%� �,f,�J• Y/yRt7oo# I Ma. �9 •: 7altalY aa•. 10t40.1 30,: 4 lips'Jha�l `I a. :f HY.lal; !•�/alCwla E: �. r: N i!•1V: C N f LICENSE OR PERMLT N //I/+•�crV ...� 1Ll.H //1/ / p0 Sy.177 r• I • •'1aCla • Yal• • Mal• • Y• � OF AGENT, IF C r. •r • • al'.: • / • I • •gal •/ 1'}1 • • 11. .1. •••• AP- ljryl raCold PLEASE NOTE: 1.) APPLICATICN'FURM MUST BE SUBMITTED FOR EACH BUILDING OR STRUCTURE OR PART THEREOF TO BE CERTIFIED. 2.) APPLICATION AND FEE MUST BE RECEIVED BEFORE THE CERTIFICATE WILL BE ISSUED. 3.) THE BUILDING OF'FICAL SHALL BE NOTIFIED WITHIN TEN (10) DAYS OF ANY CHANGE IN THE ABOVE INFORMATION. «a•• • v 0 0 �11 fag UG M FG ►� 6. D .L: 1 l o GI dle Tomm ilwealt of ttssttrllu5efftt Etpartmwt of ilublir Eafell BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 r Office Use only Permit No. " Occupancy d Fee Checked ' L (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 OR TYPE ALL INFORMATION) Date 1 City or Town of -----)!A To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant a"\.okA"'of Owner's Address s (e p Is this permit in conjunction with a building permit. Yes ❑ No L_I (Check Appropriate Box) Purpose of Building AQ;LP I: , Dd—MQ1T Utility Authorization No. Existing Service LITS' 'Amps ovf �77yolts Overhead ❑ Undgmd Q�No. of Meters New Service Amps _J volts Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Na. of Lighting Outlets No. of Hot Nibs ` No. of 4snefonnars Total KVA No. of Lighting Flxtursa Swimming Pool Above ❑ ❑ gmd. Generators KVA No. of Receptacle outlets No. of Oil Sumers * No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bunters fit! FIRE ALARMS No. of Zones No. of Ranges No. of Alr Cond. Total No. of Detection and tone Initialing Devices No. of Disposals No.of Heat Total Pumps lone No. of Sounding Devices No. of Olehweshers Space/Arsa Heating MKW No. of Solt Contained Dstection/Sounding DMus No. of DryersHeatlng DMces Local Municipal ❑ConnectionNo. of Water Heaton KW of No. ofLow Signs BallastsWiring14 Voltallo. Da No. Hydro Massage 11rbs No. of Motors Total HP t OTHER: l Iro / INSURANCE COVERAGE Pursuant to the requirements of Massachusetts general Laws r�7 I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equNalent YES 10 NO ❑ 1 have submitted valid proof of same to the Otto, YES i] NO ❑ It you have checked YES, Pismo Indicate the type of coverage by O Checking the appropriate box. `INSURANCE X] BOND ❑ OTHER ❑ (Please Specify) January 1 2002 Estimated Value of cal Work S �tlil (� (1f'1 1/ (Expiration Date) M Work to Stan Inspection Date Requested: Rough _LA 1.L_ Final W'T Signed under the Penalties of perjury: 1 FIRM NAME UC.NO. A144o7 Licensee_ r71 Ynn F1 F+r•t ri r r Tn r Signaturs C. NO. A 1 449 ress t 7 rant q Bus. Tel No Add gt r,ri11g AltTi u tcn8 M R4 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have thfuzzaae coverage or its substantial g g equivalent as re- quired by Massachusetts General Laws, and that (Please Cheek one) my signature on this permit application wahroa this requirement. Owner Agent (Signature of Owner or Agent)Telephone No. I PERMIT FEE S a1 a0ock x4se5 Ville TommunwralO of fifusnr4usetfs Erpartment of llubffr $afftg BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 otnca use ony Permit No. " Occupanry &Fee Checked L (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 OR TYPE ALL INFORMATION) Date aIn I City or Town of iARAtr To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) — , 1 y Ar` .,,,,tSi.% ';�Ol Owner or Tenant Owner's Address Is this permit In conjunction wit a building LI (Check Appropriate Box) M g permit: Yes ❑ Na Purpose of Building—alklae : eUtility Authorization No. Existing Service tAo'o 'Amps _& ��17 volts Overhead ❑ Undgmd Q� No. of Meters �_ New Service Amps _J Volts Overhead ❑ Undgmd ElNo. of Meters Number of Feeders and Ampaciry Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tube Na. d 7tanefor Total KVA No. of Ughting Fixtures Swimming Pod Above In• ❑ ❑ grind. grind. Generators KVA No. of Reosplecle Outlets No. of Off Burners r No. of Emergency Lighting Bahery Unite No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Na. of Ranges No. of Air Cond. Tom Na. of Detection and tons Initiating Devkbs No. of Disposals No.d Heat Total Total Pumps lbna KW No. of Sounding Devices No. of Dishwashers Space/Area HeatingNo. KW of Salt Contained 0etecdoNSounding Devices No, of Dryers Heating Devices KW Local Municipal ❑ Connection her No. of Water Heaters KW No. of No. at Signs Lay Volta Ballasrs Wiring No. Hydro Massage lUbs No. of Motors Total HP OTHER -- INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a Current Liability Insurance Polity Including Completed Operations Coverage or its substantial equivalent YES 10 NO ❑ 1 have submitted valid proof of same to the Office. YES Y1 NO ❑ If you have checked YES, please Indicate the type of coverage by checldng the appropriate box. INSURANCE b BOND ❑ OTHER ❑❑ (pleas@Specify) January 1 2002 Estimated Valued cal Work S S `"Z(') On fkpirstwn Date) Work to Start Inspection Data Requested: Rough —L_ Final�_ Signed under the Penalties of per)ury: FIRM NAME UC. NO. A144Q7 Licensesr•l �nn Floc+ri r Tn Signature C. NO. .A1 4497 Address Bus. Tel. No. i RnA) 77A—n474 AIL Tel. No. I 5nR 1 97R nd7d OWNER'S INSURANCE WANER: I am aware that the Licenses does not have th&QZ133e coverage or its substantial equivalent as re- quired by Massachusetts. General Laws, and that my signature on this parmit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE: �° � �0w (Signature ofOwner or Agent) x-6665 W=2015 SlipGen- Portal Home Town of Yarmouth Template [Building Dept] Slipsheet Identifier [sg348721 Document Category Building Permits Map -Block Number 036.99 Street Number 0002 Street Name IYANOUGH RD Department Building Parcel ID 5166 Backfile Batch Scan No Document? Additional Naming Info Index Operator Operator, Yarmscan Date - Time 2015-07-27 - 12:38 t JAaserlkhe1M1pGed 1/1