HomeMy WebLinkAbout0655 IYANNOUGH ROAD/RTE132 - YANKEE CANDLE a C-W
`T
`t"" TOWN OF BARNSTABLE
� 0 Permit No. .
•
` BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
.YL
'rawY` HYANNIS,MASS.02601 Bond .......
CERTIFICATE OF USE AND OCCUPANCY
Issued to Christmas Tree Shops', Inc.
Address 655 Route 132 (Lot 13) Hyannis
Unit 61Yankee Candle- Go.,Inc.
USE GROUP B FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
..Auk.4...... ....... .... t993.............. f' l .....
�Blu ilding Inspector
TOWN OF BARNSTABLE
Permit No.`.....3z70.8.........
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash
7 .Y�
HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Christmas Tree Shops, Inc.
Address 655 Route 132 (Lot 13) Hyannis
Unit 6 The Yankee Candle Co.,Inc.
USE GROUP B FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
..Aug............... .... 19 93............. ..........
Building Inspector /
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map _Parcel 0' Permit# �O
Health Division Date Issued
Conservation Division Application Fee a
Tax Collector Permit Fee CIO
Treasurer
Planning Dept. 0/
rj,Date Definitive Plan Approved by Planning Board ✓
� v
Historic-OKH Ir ervation/Hyannis
Project Street Address G ,,
Village G {—
Owner �M)M-e, Co Address & b� a h 0o Q �1 K 5u* 1 e
Telephone 50 lQ00
��.ifl I �, 1C , TOY- r �Q +0 � �D
Permit Request
i C-,
(}7
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed E51 Tot 6n ewes_
Zoning District Flood Plain Groundwater Overlay is 3
Project Valuation Construction Type c m
Lot Size Grandfathered: 0 Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes 0 No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count '
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:O existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use Proposed Use
f BUILDER INFORMATION
Name f(,�Yl� �,Q� C11,Y) 6 t l 0 • Telephone Number 509
Address (01_Q, y t ! (�Vll)l License#
�?
)c) 1) l ��[' Home Improvement Contractor#
RI-IV(m h` --) M r7 0 2)�,(D 01 Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
l
SIGNATURE DATE l O' a
FOR OFFICIAL USE ONLY v
-r -
PERMIT NO. -
DATE ISSUED -~
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
i DATE OF INSPECTION: �}
FOUNDATION '
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH -r FINAL
L
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL j
FINAL BUILDING - -
DATE CLOSED OUT
ASSOCIATION PLAN°NO.
I;
I
The Commonwealth of Massachusetts
Department of Industrial Accidents
- Office ofinyestigadons .
600 Washington Street
3 Boston,Mass. 02111
Workers Compensation Insurance Affidavit
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name:
location: _
hone#
CitV
❑ -I am a homeowner performing all work myself .
❑ I am a sole proprietor and have no one worldn in ca achy
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' ' orkers' con ensation for my employees worlang on this job. :• .::• . . � '
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❑ I.am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who..-.
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Failure to secure covers;e as required ender Section 25A bf MGL 152 cahlead.to the imposition of criminal penalties of a fine up to 31,500.00 and/or
one years'imprisonment A ��penalties in the f°rmt of a STOP wORK ORD)KR and a fine of sloo.00 a day against me. I mnderstand f6t a,
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
do hereby-certifyunder thepai -and-penalties-of-perjury-that -ixformatian-pravided�bnve issraiid colaect
Date -•h l a
..Signature
lione
Pant name,
1 M, ME
oMclal we only do not write in this area to be completed by city or town official
cityor peimit/license# C3Building Department
town: ❑Licensing Board
❑Selectmen's Office
❑checkif immediate response is required ❑HealthDepar{mnent
contact person:
phone#; ❑Other
4r&ed 9/95 PIA)
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 152 section 25 also states that every 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,neitherthe'
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 have 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'
supplying company names, address and phone numbers along with a certificate of insurance 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
not the Department
of Industrial Accidents. Should you have any questions regarding the"law".or;`*
being requested, _..
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 tie
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas e•�
. ... .... ...... ...... . ..
be sure to fill in the.permrtlhcense number which will be used as a reference number..The affidavits may be're to
the Department by akvl of FAX finless other arrangements have been made:
.n. .. •, .. . .'.F ..
The Office of Investigations would like to thank you in advance for you cooperation and should you have any�uesttons, .
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
Office of Investigations
600 Washington Street z4
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
I
0611712002 14: 07- -.15095613793 AMERDCAN TENT PAGE 01
a,
AMEBICAN TENT AND TABLE
PO Box 1348, Marstons Mil* MA 02648
1-800-U24335;tent&apecod.het; Fax: 509-561-3793
• EQUIPMENT LEASE
Order I CUSTOMER
DELIVERY ADDRrSS
4715 Yankee Candle Yankee Candle
p O 665 lyanough Rd. Suite 2 665 lyanough Rd. Suite 2
Hyannis, MA 02601-1900 Hyannis, MA 02601-1900
Contact Name Ellen Phone Number
Order Date Delivery Dat Function Date Pickup Date
6/17/2002 7/5/2002 7/5/2002 7/7/2002
Product Name uanti Unit Price Line Total
Tent 10' x 15' Frame 1 $175.00 $175.00
Table 8' x 30" Banquet 1 $7 50 $7 50
Ellen, Thank you for your order. A 30% deposit is required Subtotal $182.50
with a signed copy of this agreement by June 21st to Tent Permit $0.00
confirm your order, with balance due upon delivery. Securitv Denosit $0.00
Thanks again, Jan Freight Charge $25.00
SHOP NOTE: SALE STARTS @9:30 A.M. ON THE STH Sales Tax $g 12
AND RUNS THROUGH THE 7TH. Order Total $216 62
Total Payments
Total Due $216.62
cheep re,
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SIGNATURE: DATE: 6/17/2002 Page 1 of 1
0,F17/2002 14: 07 15095613793 AMERItAN TENT PAGE 02 -
05/07/2002 15:59 5084204474 GRA?UL_ INSURANCE PAGiE 01
A- CORD. CERTIFICATE OF LIABILITY INSURANCE
PWAXW THIS Cli-R—TtMAT9 4 19WED AS A MATTER dF INF[fRMATHt
Rftw PL GM.1 Mumm ONLY AND CMPEY18 NO ptowv s u"m THE CERTIMCA
149k,04R. THIS CEP1' RCA7'E GOES NOT AMEND, LX`MNO I
P IOL DL M7ALTER THE C-OVIE14AGE AFFOROM DY THE POLIICIES96LG
t�dl]a4, KA
INsuaERs aPFQaCnN4 COVERAGE
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P.Q B=130 ;eu9URER c
t�bCR>13>t�ll�. F;wl ,MRLN�lP,o: -
COYERAGEE
THE POLICIES Or-INOVPANCE LISTED BELOW HAVE BEE%IS9UED To THE INSURED NAMIEt7 ABOV11 FOR THE POLICY PERIOD INC GATED.NOTW ITHS'"ANC
ANY AEQUtREMENT,YEAU OR CONDMON OR ANY CONTRACT bR OTHE"bQC1AIAENr WITH RESPECT TO WHfCsi T4I5 CERTIFICATE MAr BE 195JED
MAY PERTAIN.THE INSU14ANCF AFFORM0 8Y"POLl010 DESCRINO HEREIN Ill SMECT TO A.U.THE TeFIMS.EXCLUSION$ANC r,0NDI'r1f?NS OF S:
POLICIES.A0QRE0ATE LIMIT6 Smowm MAY HAVE BEEN WDUCED BY VA10 CLANKS.
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06/17/2002 14:07 15095613793 AMERI 9A,l TDJT PACE 03
FIEGISTM
APPU6ATO OWED By Onto treated or
w
r z OO 4"No. Academy Tent & Canvas manufactured
�► r 5035 i
G fford Ave,
0
6/31/Z002
Los Angeles. CA.90058
277-8368
This IS to Certify that the materials{described below
treated(or are Inherently nonflammable). her
have been flame retardant
FOR AMERfCAN TENT 8 TABLE
CITY ADDRESS 381 OLD FgLMpUTH ROAD
STATE Meh► 02686
Certiflcat/on Is hereby made that.(ChOCk "a"or"b")
(a) The artlCles described below this certificate have bean treated
approved and registered by the State Flre Marshal and th8j te appll with aoatlon of flalmto d ce-rerdant chorn
�I
was done In conformance with the laws of the State of Callforroia and till Refs and Rego al
tions of the State Fire Marshal.
Name of chemical used.....................
Method of application. ................. Chern. Reg. No. .. ........ ..........
(b) The articles described below hereof are made from...fla...........................ric"......'.,ter'a'I"r gi
I_J aflame-resistant f$brlc or material regis-
tered and approved by the State Fire Marshal for such use; Fabric has been tested and passes
NFPA701-96.
Trade name Of flame-resistant fabric or material used VINYL F�-i19 01
The Flame Retardant Process Used . Wiii root ... .. ..................... Reg• o:............
tr„���or w;tii,tity'Be Removed by Washing
David Bradley Tom Shapiro - President
- Name of Applicator or Production Superintendenrlull
By �--��-
7
all
THIS FABRIC WAS USED IN THE MANUFACTURING OF THE POLLOV61NG
2EA 30X30 U/W 2PC CANOPY TOP ONLY
3EA 30X10 U/W MIDDLE CANOPY TOP
C0NTROL2N60 U/W 2PC CANOPY TOP ONLY
ti19S8 '^ 21 A 1 aX16 U/W 2PC E CANOPY TOP ONLY
CUSTOMER ORDER NO. CANOPY Top ON
2PC CANOPY TOPS ONLY
CUSTOMER INVOICE NO. 49966
YARDS OR QUANTITY
COLOR
STYLE
DATE PROCESSED
ALL MATERIALS ARE CERTIFIED BY THE CALIFORNIA.STATE FIRE
MARSHALL ANb MEET THE REQUIREMENTS OF THE NFPA 701 AND UL214—
elo