The URL can be used to link to this page

Home My WebLink About0366 MAIN STREET (HYANNIS) (3) CO(L YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. � DATE: Z9� Od' A/ Fill in please:APPLICANT'S YOUR NAME/S: rQ e-�i�Cr ®`o�pvc� SINESS YOUR HOME ADDRESS: Z16 7o17-s-e- .Pay. Or/e�in� c�z6s� TELEPHONE # Horne Telephone Number NAME OF NEW BUSINESS Lope NOJ�e�=- TYPE_OF BUSINESS IS THIS A HOME:000UPA►TION ir ? t/ ADD, RESS OF BUSINESS i �66: ,rti/a 'h MAP/PARCEL NUMBER-J -.2 [Assess!n 9). When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - corner of Yarmouth Barnstable. This o m y g y y [ Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER'S OF C?�a This individ al h e nmifsr. e �pirequirements that pertain to this type of business. Aut on ed Sign ur COM ENTS: 2. BOARD OF HEALTH This individual has a infor e f e perm' r,equ r ants that pertain to this type of business. ?/,-/7 - a 1X6A__11_ - - Authorized Si ature* COMMENTS: RAI IS-f hAPI Y IAIIT14 Al �jt7ARnr'iiI4 hAAT!=RjA! q RPM!I 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual hnAuthoriz"' form oft a licensing.r ql�i ements that pertain to this type of business. Y 4 d Signature* COMMENTS: 1 Sign TOWN OF BARNSTABLE Permit * BAtaysrAs . • MASS. 9� i6 �FG.59. A, Permit Number. Application Ref: 201404407 20071009 Issue Date: 07/21/14 Applicant: GEORGE, THOMAS N & ALICE TRS Proposed Use: RETAIL& SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 25.00 Location 366 MAIN STREET (HYANNIS) Map Parcel 327002 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks TEMPORARY SIGN UP 7/7/2014 DOWN 7/21/2014 FOR LASH BOUTIQUE 2ND REQUEST FOR TEMP SIGN 7/22/14 - 8/21/14 Owner: GEORGE, THOMAS N & ALICE TRS Address: 17 THACHER SHORE RD YARMOUTH PORT, MA 02675 Issued By: RA POST THIS CARD SO THAT IS VYSIBLE FROM TIDE ST ET _IKE Sign TOWN OF BARNSTABLE Permit * iARNSTABLE, 9i MASS. YVAr16 3 A Permit Number: Application Ref: 201404407 20071008 Issue Date: 07/08/14 Applicant: GEORGE, THOMAS N&ALICE TRS Proposed Use: RETAIL& SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ .00 Location 366 MAIN STREET (HYANNIS) Map Parcel 327002 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks TEMPORARY SIGN UP 7/7/2014 DOWN 7/21/2014 FOR LASH BOUTIQUE Owner: GEORGE, THOMAS N'8z ALICE TRS Address: 17 THACHER SHORE RD YARMOUTH PORT, MA 02675 Issued TP By: v POST TFIS CARD SO THAT IS VISIBLE FROM T1E STREET f , wo- IMHeTown Town of Barnstabler ° Regulatory Services O� �'"R'' `��; Richard V. Scali,Director o;o. Building Division 11 Tom Perry, Building Commissioner v 1 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 '�ICI 1t� Fax: 508-790-6230 ' 1 Permit#c2,6140(40' Building Official approving Application for Sign Permit Assessors,No. : Z Doing Business As: G•a-" Telephone No. `l - 'Z Sign Location Street/Road: Zoning District:_i Old Kings Highway? Yes4-o Hyannis Historic District? �/No Property Owner r Name: A T -IS It- Telephone: T 2 ":%Z,7 5 Address: Village: ' Sign Contractor Name:_ Telephone: = Mailing Address: _ _a Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and - location. Is the sign to be electrified? Yes (Note:Ifyes, a wiring permit is required)5� z Li Width of building face IS . S ft x 10= IS' i— x.10= /7 E. 5 Check one Reface existing sign or New Total Sq. Ft. of proposed sign (s) /t!2 — Ifyou have additional signs please attach a sheet lisdng each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authoritvf the owner to make this application, `f that the information is correct and that the use and cons o rn n shall conform to the provisions of §240-59 through §240-89 of the Town of Bastable;�2Ordinance__—._._.. Signature of Owner/Authorized Agent: Date 0_jF - - t Ll 5 SjN$ IREQU revised110413 ` oFTHE lo,,, Town of Barnstable �o w Regulatory Services + BARNSTABLE, + MAss. g Richard V. Scali,Director i639• '�Fo► Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall, hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawingof the bracket. A colored scale graphic indicating dimensions � P g showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revised110413 r, � , � 1 ,� �� .� � � �t g c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 6V TOWN OF BRNST Map Parcel �� Application #2—O l `L O 7�VZ � Health Division ' 2014 JUL I J PM 3; 56 Date Issued ll Conservation Division Application Fee Planning Dept. Permit Fee lio Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address' v v c Village Owner��4 14^�s 9- � (1 e- Address -Telephone 2 Ra .Permit Request AQ2n- ",. U/;4-.4 /1 v- ' S,a�� - 3' .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District HV Flood Plain Groundwater Overlay Project Valuation-A/Xvv.v cn.Construction Type Lot Size Grandfathered: ❑Yes ❑ 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 ❑ 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: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION { (BUILDER OR HOMEOWNER) Name A2Z/_ i:�k5kre-w L- - Telephone Number 7 7 `Y` �,� 2 2 y f. Address ziu..2 Sf License # O 2 L, v f Home Improvement Contractor# Email d q14 . ba: AAa,, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE j ` FOR OFFICIAL USE ONLY I 3 'y APPLICATION# y DATEISSUED MAP)/-,PARCEL NO. F ADDRESS VILLAGE OWNER. DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING DATE-CLOSED-OUT ASSOCIATION PLAN NO. 27ye CoYYEmorrywakh of Massachusetts Dejrktrent orudusftid Accidents - OKWe of-&VeA-.0d0nS 600 Wayhington Mr'eet Boston,MA 02-HI wmv.attassgasVdia Workers' Compensatian.Insurance Affidavit:Builders/Contractors/FAectrici-ansMwnbers Applicant Information Please Print Leeibly Name Musme�0gmi-,xfionFf &vidal). f wR •�u uJ Address_ 3 6 ,6 CI'ty/StatEMp r M,4 v Phone 47 `� — 2, /j:� - 0 2, 2 Are you an employer?Check.tie appropriateUx: Type of project(ran redj: 1.❑ I am a employer with 4: W1 am.a general ctmtractor and I 6- ❑New construction employees(full and/or part-ime).* have hire tithe sub contractors. 2_❑ I am a sole proprietor or partner- listed on the attached sheet 7- ❑Remodeling ship.and hate no employees These sub-contractors have g_ ❑Demolition w for me in an Capacity. employees and have workers' 1'i.��T � y c insurance-, 9_ ❑Building addition [No workers' comp_inmrance �- 5..❑ We am a corporation.and its M❑Electrical repairs or additions 3.❑ recm a h officers ham exercised their 1 I_. Plumbing airs or additions I am a hnmeou'n�er doing all work ❑ g� , right:of exemption per MCL myself. [No worl�rs'comp- 12_.❑Roof repairs iumnanrerequired.]t c.1.52, §1(4} and we have no employees-[No,workers' 13_®Other ��2 r it / f 14-c comp-msurance required-] *Any sppticaat that checks boa#1 nunt also fill 0it the section below showing iTieu Workers'compensation pa3irg fiUFMrmafiM1- Homeowners ocho submit this affidavit ixtiratarg they are doing all ucak and then hire o=de coutmctors mast submit a new affidavit inthcam mdL ._- -- ._ cs that check this box most sttarh_ed sir additinnsl sheet shvcsime then of the sob-furs and state whether ornot those entities have �emplayees�Ift sob co�utractat's hate eatpToy�s,the}must pmvide their..vwkers'comp.policy nup er J am an employer that isprmi&ng tt�orkers'cotrrmnmitran insurance for my emptnyem Belotc is thepoH17 andlob site in formalian. Insurance Company Name: Policy 4 or Self-ins-Lim# Expiintion Date: Job Site Address: City/5tatelzip: Attach a copy of the workers'compensation policy dedaration page.(showing the policy number and expiration date). Failure to secure coverage as requirredunder Section 25A of MGL c 152 can lead to the imposition ofcrimival penalties of a fine up to$1,50Q.00 and/or one-year imprisonment.as well as civil penalties in the four of a STOP WORK ORDER.and a fine of up to$250-W a day against th violator- Be advised that a copy of this statement maybe forwarded to the Office of Irrtestigations of the DIA ffiZvi ce coverage-mri#ication. � J de here cam¢ ins tit n flies a. u f#tatfh¢ire ormufian rat�ided abate¢is true unrf carrsct Pm P �P�7 ry .,� P Si�aturey Phone 9: 0Wkial use only. Do not write in fhis area,to be completed by city or town offtszat City or Town: PermitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitT[Fown Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 n Y! Information and. Instruction Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. P`ursuantto this statute,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 dwel2mg 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, §25C(6)also states that"every state or Iocal 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 Pay applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.- Additionally;MGL chapter 152, §25C(7)slates"Neither the commonwealth nor any of its political,tubdivisiom shall enter into any contract for the performance of public work until acceptable evidence of compliance vzLh the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department cf Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit_ 11t 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 obtalli a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 pe mitlhcense number which will be used as a reference number. In addition,an.applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicatng,current' policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or-- - town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the . applicant as proof that a valid affidavit is oa file for future permits or, licenses. A new affidavit must be i5lled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit- The Office of Investigations would Ile to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ' nc Gommanw(talth of Massachusctts Department of Industrial Accidents Offiee of kvestig bons 600 Washingtan Strcet Bostons MA G21 I 1 Tel.#617-727-49-00.W 406 or 1-3' MASWE Revised 4-24-07 Fay# 617-727-7749 vj .massgovfdia iu1. 7. 2014 12:26PM No. 9347 P, "2 ALu�UTG CERTIFICATE OF LIABILITY INSURANCE CE 07/07/2014) 07/07/2014 zTHIS'CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). _ I PRODUCER CONTACT Lo we NAME: -----a -- —-- Southeastern Insurance Agency, Inc. PHONE c Ext_ 508.997_60fO1 50$_-990.2731- 439 State Rd. E-MAIL ADDRESS: P.O. Box 79398 ��U -----------------------..__—..___..__.._._.._------------- CUSTOMER ID�_-- ------..- ------- North Dartmouth MA 02747 -- r- --- � INSURER(S)AFFORDING COVERAGE I NAIC ti INSURED INSURER A: Central Insurance Companies r20230 Bob Glidden INSURER 8— ---------_..---------------�---------- : I DBA: Aming Systems INSURE-RC: -----_ 30 Perserverance Way INSURERD: Hyannis, MA 02601-8112 INSURERE: INSURER F: .� ---------r---------- COVERAGES CERTIFICATE NUMBER: 201'4/2015 _REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW KA'VE BEEN ISSUED TO THE INSURED NANIED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOJ(REMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EX i CLUSI_0_NS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. pJ At3b1TSITe T- F i (P LI YC-XP T-------------------- ----- LT R — TYPE OF INSURANCE (�p�1Y`p� - ---- POLICY NUMBER �jMM10 SCTdYI.MYY)1fW&DDM' LIMITS - - _ I GENERkLLM;LITY I CLP7879522�07/01,1014 1T 07/01/201 5 =AC H;XCUPc_=_NCF g 1,000,000 _AMAG-70 RENTED �1'_ ttdEPc'.A _NERAL LIA-3ILIT`.' I i i r REMISE ;Ea,r,.).r rr I$ 300,000 I =L R.iS.McCF_ LA] OCCUR Ne D FXa I,Ary One F r or; c _ 5,000 A ---—- ---- j I ------------- -..—. Fti_OrlAL�:Anv; .ILr{s- -----1,000,000 �ENEr�,�N;:GI:e��A.rE :s 2,0_00,000 _ _ -----�.r 1,000,000 3EN'l.%+GGr+E6.AT::L INIT 'oLIES PGP' I 'gor)i ICTS-COh^r'l��r AGi_. ! ! r----- ---i - ( "LICY r 1 I_T _C I AUTOMOBILE LIABILITY ---- � �—r—INFi,'INC-.!-LWIT E, I 3'DI_'r iNJ'_42Y'Perperson) $ a.L 00.NED AUTG: ----------..J— -- --------- ;rJJUIRY(Peracc-ide. x --�. SCHEDULED AUTOS i I_. -- --- - -- ---- ROPERT"C,AMAK i-RED AU-G I I ;Far accidanl; .t. I h- JL,J_;1VJni=C AUr_'S: i I r---------------- $ I ---�— r I JA9BRELLA LiAO� 9,ACH OCCtJRRENCc $ EXCESS LIA6 CLAIMS-IVI q^GHrt.ATc j ! 7EC'UC-IELE j r?tIFNTInN $ _--_— WORKERECOMPENSA.TION T— WdC7B79S231fi 0� 7101/2014'07101120151�X Lf :.>I,� U j TH AND ENPLOYERS'LlA91LITY 1'.!N _ ._TOkY'L Ig4iT_1—__ 6�' ------- -~ A!Jr PRORRIETOR;PAP-NER;EXE(U-I\;E �j ! BOB GLIOGEN IS EXCLUDED.; _I..EA_.HACCID�taT j� 1,000,000 A !OFF!CEP.'M1^F_MBEF EKCL.UDED^ L J j N f A l I ------'--.---- (MandatoryinNH) I I I j I 'L C!flE:GSF-FA FI4.Pi_OYFE1A 1, 000 II`s,dar;rr;[.P LIMPf j ( _ - _i$ 1,000,000 D�S::R!STi::N OF:)FEPATION5 be!on GU;t SE-Pi:'LICY'Lir�IT DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more spaces required) CERTIFICATE HOLDER CANCELLATION S14OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Lash Boutique AUTHORIZED REPRESENTATIVE 366A Main Street Hyannis, MA 02601 Lora FitzGerald 111 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009/09) The ACORD nama and logo are registered marks of ACORD 1 r r. ser � e r i % C i ® q } i 08-280-3559 PAWN v t f i + ••.�.a 23a�•• ..�.'i'.`. + ", ••`�:.'..::. *:., ,. � ':..:.:,.. _:� +k;u.3.y. ;C++'r,!'F.e•c�:' ..Ys:•' _�.. r'� �.,.1 e,N..yw�,tc.£'m4" �., u i �?i�!t_,,•-c 5:"a. :R,`;aY'£v t a S.M� '�.'��. L r } * IARNSrABrA + '� ,�� Town of Barnstable ATfb M{a'l A Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 50 8-8 62-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder -\a S eo q -e — as Owner of the subject propert7 hereby authorize �. to act on my behalf, in all matters relative to work authorized by this building permit application for: awn (Address of Job) Signature of awner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILES\FORIvM\building permit forms\EXPRESS.doc Revised 061313