HomeMy WebLinkAbout0366 MAIN STREET (HYANNIS) (7) i
TOWN OF BARNSTABLE BU DING PERMIT APPLICATION
.:�
Ma � Parcel �' �` -i=f Application,# !.�
Health Division ��' �. Date Issued
Conservation Division +. Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board / d
Historic - OKH _ Preservation/ Hyannis I
Project Street Address _%6 P'%d 57"
Village kYAVAJ M4-- 0.26e/
Owner 'SAC (��LyY Address l"? AA Gk&It— 21)
Telephone '�l3�3G �- �9e 6 (70a 64-oazz.,,�- S,2N YAR,%co o,A AW-1 1-'" MA, 0"
Permit Request F 4 Sk,,.)1 or- EN,
FolL. v Yvo
,MA Nv sP2catic, ,�S C��] ®/L
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District ^ Flood Plain Groundwater Overlay
Project Valuati 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 X Yes ❑ No If yes, site plan review#
Current Use / 1'.,9 6-C Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name -3_0hnJ S'U 0-MA L4 Telephone Number 5_e> 2 74- 'Z,�-,t-3
Address �t 4 OL:?I=- Yiu- License # CSL. c8; 7f Z.
5:/A1JNdl6(1 M4-- aA��? Home Improvement Contractor# 0 Y2,S
Email �:uI JQ ALA p �'*Ca, _ WL-7— Worker's Compensation # 4 Ce- 5!g?-SW?0-24, -aot5A
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
W&LIT
SIGNATURE DATE %����/j
T FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO. t
ADDRESS VILLAGE
` OWNER
DATE OF INSPECTION:
{ FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLt)MBING: ROUGH FINAL
GAS: ROUGH FINAL
i
FINAL BUILDING
} DATE CLOSED OUT
ASSOCIATION PLAN NO.
1
2Tie Comut;oinvealth of-Massachusetts
Departrnerit o,flndustrialAcdderds
- Dice of lmw*adons.
600 Wasihirrgton Street
_.. Baston,41A 02122
r4ntm rrrcrsmgrrvIdirt
'Worlmrs' CompensatiGn Insurance Affidavit:Binders/Contractur--JElectricians]Phimhers
A13PUCaut Information Please Print L ggib
Na=(Susia�anizakonaEvidad k a M c Sy L u n d 5 „� -
Address: if CvGC i� IT ru.
City/State(Zip: L-'- Sri" �l C � Phone tu 3--ol)
Ar;e an employer?Check the appropriate box: Type of project(required):I. I am a employer with 4 ❑I am a general contractor and I
employees(full art (or part-time)-** have hired the sub contractors 6. ❑New constructionemployees
2.❑ I am a sole proprietor orpartnee Tilted oathe attached sheet 7. ❑Remodeling
These sub-contractors have
ship and have no employees. $_' ❑Demolition
worlring for me in any capacity_ employeesandhatev,oskers'
[No n-micers'camp.insurance comp- nsurance.l ' 9. ❑Building addition'
required-] $- ❑ We are a corporation and its 16❑Electrical repairs ar additions
3.❑ 1 am a homeoumer doing all work officers have exercised their 11-❑Plumbing repairs or additions
myself- o worlrers t of exemption per MGL
�' � - 12.❑Roafrepairs
innzance regained]i c.152, §1(41 and we have no
employees.[No wadmrs' 13-El Other
comp.insurance required.)
'Any appHc=&zt cheds box F1 rest also iffioutthe secticabelow showing the¢workere ca®pensatinupaHU informsdmL
fi IfnMeawnemwho'submit ti7is affdatu inEcaimg they are doing allwc*sndtheahim outsidecontractorsnmct submit anew affidavit indicitm-
.such. '
rCantracttrrs that checY tLds bwE must attached tut.sdditiana2 sheet showing the none of 1be sub-cars antl state whether or not those entitksbave
employees.Ifthesnb-contmdatshaveemplafee%1heymusrprcv-idethek nrorhers'v mp.policynumber-
I ant an empIntw that is pmfalbig itrarkers'cangrerisatzan insurance,for my emplay-em Hatow is i1te policy arced join site
it formatiom
Insurance Company Name: i N LA W-13 ftnt 4,y L>-_ CA r- M I
Policy4orSelf-ins.Lic.:9 WCC-SiO-Sbo 90.24,2oj,5 A FbxpirationDate: La1;
Job Site Address:_ )lyA,.IVIt ft City/Stat&Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required.under Section 25A of MGL c-15,7 can lead to the imposition of criminal penaltbes of a
fine up to 11,50D OD and/or one-yearimprisonmeut,aS w6ll as civil penalties,in the form of a STOP WORK ORDERazrd a floe
of up to$250-00 a day against the-violator. Be adrised that a copy of this statement may.be forwarded to the Office of
Investigations.of the DIA for insurance verage verifcation-
I do hereby cerfzfjr u tt pains o penalties of fperjat}.that tlic ia}brnza&nprmi&d abm a is bare artrl carrect
Sienature. Date: /.'
Phone ik
Official use only. Do not wrke in fibs urea,to be cainpTetctd by city or town a,,fJiciaL
City or Taos.: PermitUcetnse#
Issuing kniharity(circle one):
L Board of Health ':.Building Department 3.C ty]Town Clem 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
laformatzon and Tastrueflons
Massachusetfs C= eral Laws cfiapt�152 reggaes an empIayeas to�sovide workers'compensation far their employees. �.
Pursuant-to this stye,an employee is defined as."_.eQery Person is the smvice of another under any coact ofhire,
express or implied,oral or wrh=e "
An employer is de$ued as wan in ividIIal,Partnership,associafian,corporation or other legal entity,or any two or more
of tile,foregoing engaged in.a joint mterpase,and inrb&[]g the legal representatives of a deceased employer,or the
receiver or trustee of an individnA partnership,association or other legal entity,employing employees. However the
owner of a.dwelling house having not more bran three apa dmeots 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 appxttenaaathamb shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every slue or local licensing agency sha l withhold ffie issuance ar
renewal of a ficerase or permit to operate a business or to construct buuldmgs in the comm onwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance.coverage requited."
Additionally,MCrL chapter 152,§25C(7)states"Neither the �+***m cmwealth nor�y of ifs political subdivisions shall
enter mto any contract for the perfo=aance ofpubhr,wo&uotil acceptable evidence of compliancewith.the fi isrrance.
ravine ents of dais chapter have been presented to the contracting arfhouty."
Applicants
Please El Out: the wo&ers' compensation affidavit c:ompletnly,by checIciag the boxes that.apply to your situation and,if
necessary,supply sub�oniractor(s)name(s), add=s(es)and phone number(s) along with their cer[i acate(s)of
hm -a„ce. Limited Liability Companies(L.LC)or Limited LiabR4 Partnerships.(LLP)wino employees other than,the
members or partner are not requited to caury workers' compensation insurance. If an LLC or LLP does have
cmployees,apolicy is required. Be advised that this affidayitmaybe submitted to the Department of Industrial
Accidents mr confamation of insurance coverage. Also be sure to sign and date+he affldavit The affidavit should
be retanned to the city or town that the application for the permit or license is being requested,not the Department of
T ' Accidents. Should you have as y gnestians regarding the law or if you are req�d to obtain a workers'
compensation policy,please call the Department at the niimber listed below. Self-insRa edcOmPanies should enter their
self-fimnMnce license number on the appropriate line.
City or Town Officials
Please be sore that the affidavit is complete and prided Iegably_ 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 coidact you regarding the applicant
Pims e be sure in fill in tine p en;iWlicense number which will be used as a reference u=ber. In addition,an applicant
that must submit multiple p=h'Iicense applications in any given year,need only submit one affidavit indicating c=nt
ec and under"Job Site Address"the applicant should write wall locations in (cty or
policy inlfb=ation(if II msaly)
town)."A copy of the affidavit that has been officially stamped or an dce;d by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fiatrrre.peunaits or licenses- A new affidavit must be filled Drat each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventiue
(Le.a dog license or peumit to bum leaves eta.)said person is NOT rcTZxed to complete this affidavit
The Office of Investigations would him to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
tel one and fax number:
The Department's address, eph - -
e C�D-MMon- .Ia of Massaohn�#s ,
Department of hid-usfrial AODUents
Qmee of Itvegfigtio--
��4 Wan t
Boston,MA 02111
TfI 617-' -4 'cmt 4-06 or 1-977 TEA S4M
Fax:9 617-727-7M
Revised 4-24 D7
05-14-'15 09:36 FROM-G. H.Dunn Ins. B.B. 508-759-7177 1'00 01l l0001 k-y15
'`; CERTIFICATE OF LIABILITY INSURANCE �TD5/1 12 5"'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(res)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this Certificate does not Confer rights to the
certificate holder in lieu of such endorsemengs),
PRODUCFA
G.H.Dunn Insurance Agency,Inc. NAmEl
PAD E F
64 Fairhaven Road No,
PO Box 497 ADo MOL
MattapoiBett,MA 02739 INSURE aMRDINO CO NAIc R
INSURERA: MAIN ST AMERICAN ASSURANCE 29939
INSURED Engineered Home Solutions Inc John Suomara , UREie a; AIM U00000
4 Wolf Hill Rd
East Sandwich,AAA 02837 INSURER C;
INSURER D:
INSURER E:
INSURER F: -
MVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REO.UIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
ILTR TYPE OFIN9URANcE SUB
PaLICYNUMBER IMMM
MP((p Y LIMITS
A OENCM LIAIII&Y MPT2927H 02/26/2015 021=016
EACHDccuRRENCe s 1,000,000
COMMERCIAL GENERAL LIABILITY IF 500,000
CLAIMS-MADE Gz OCCUR MEOEXP W* S 10,000
PEASONALAADrVINJURY S 1,000,000
GENERAL AGGREGATE 3 2,000,000
13ENL AGGREGATE LIMIT APPLIES PER.- PRoOWT$-WMP1OPNjQf 2,OOD,000
POLICY iprst LOC ;
AUTOMOBILE LIABILITY I LIMIT
(Ea amlAimu S
ANYAUTQ BODILY INJURY(PW PftWA) S
ALLOWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per amideno S
HIRED AUTOS QED
S
MS
VMBRELLALL40 OCCUR EACH OCCURRENCE 3
EX098S LIAD CLAIWMVE AGGREGATE b
Q I I RET ION$ t; -
g WORKMCOMPENSA71ON WCC-50G-5009026-2015A 04/25/20i5 04/25/2018 STATU- OTH
AND EMPLOYERS'LIABILITY YIN I P
ANY PROPMETORIPARTNEREXECU IVE E.L.EACH ACCIDENT S 500,000
OFPICEMMEMBEREXCLUDWO FY NIA
� '^Nw) 1.DISEASE-EA EMPLOYEE S 500,000
o98t`RIPnoN of OPERATI EL,D16EASE.POLICY LIMIT s 500.000
DESCRIPTION OF OPERATIONS/LOCATIONS IVEM0.E3(AltaCh ACORD 101,AddMonal Rome"Sehoduhl,O mm apace I6 Moth")
John Suomela is excluded for coverage for workers compensation
CERTIFICATE HOLDER CANCELLATION
Fax W(508)548-4290
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Town of Falmouth THE EXPIRATION DATE THEREOF, NOMCE WILL BE DELIVERED IN
Building Depart ACCORDANCE WITH THE POLICY PROVISION$.
59 Town Hall Square
Falmouth,MA 02540 AUTHORIZED REPRESENTATIVE
� w
101988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
s
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TAYLOR DES16N --t- ,C, ,-
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Page 1 of 1.
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https://us-mQ205.rria l.yahoo.com/neo/ie_blank 2/l8/2016
• Massachusetts Department of Environmental Protection
Bureau of Waste Prevention •Air Quality
BWP AQ 06 100238430
Notification Prior to Construction or Demolition Asbestos Project Number#
A.Applicability
A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential
building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP),Bureau of
Waste Prevention,Air Quality Division,under Regulations 310 CMR 7.09.Notification of Construction or
Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being
performed.The following information is required pursuant to 310 CMR 7.09.Is this a fee exempt notification(city,
town,district,municipal housing authority,state facility,owneroccupied residential property of four units or less)?
Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied
residential property of four units or less)?
Yes r No
Type of Notification:
r Revision of an Existing Form r Cancellation of Project
Instructions: 1.Blanket Permit Project Approval,if applicable:
1.All sections of this 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: Approval ID#
form must be
completed in order to Approval ID#
Comply with the Department of B. General Project Description
Environmental 1,Facility Information:
Protection
notification PUPCAKES 366 MAIN STREET
requirements of 310
CMR 7.09. Name of facility Street Address
HYANNIS MA 026010000 5088277391
2.Submit Original Form To: City/Town State Zip Code Telephone
Commonwealth of HOLLY LEMIEUX OWNER
Massachusetts Facility Contact Person Contact Person Title
P.O.Box 4062 5088277391 PUPCAKESCAPECOD HOTMAIL.COM
Boston,MA 02211 °�
Facility Contact Person Telephone Facility Contact Person Email
Facility Size:
720 1
Square Feet Number of Floors
Was the facility built prior to 1980? rl Yes r No
Describe the current or prior use of the facility:
DOG BOUTIQUE BACK ROOM STORAGE
Is the facility a residential facility? C 1 Yes f No If yes,how many units?
2.Facility Owner:
TAC REALTY TRUST 17 THACHER ROAD
Facility Owner Name Address
YARMOUTHPORT MA 026750000 5083626906
City/Town State Zip Code Telephone
HOLLY LEMIEUX 366 MAIN STREET
On-Site Manager/Owner Representative Address
Hyannis MA 02601 5088277391
City/Town State Zip Code Telephone
Revised:03/17/2014 Page I of 3
Massachusetts DOpartment of Environmental Protection
Bureau of Waste Prevention•Air Quality
BWP AQ 06 10023s430
Notification Prior to Construction or Demolition Asbestos Project Number#
B.General Project Description(continued)
3.General Contractor:
ENGINEERED HOME SOLUTIONS 4 WOLF HILL
Name Address
EAST SANDWICH MA 025370000 5082747553
City/Town State Zip Code Telephone
JOHN SUOMALA 5082747553
General Contractor's On-site Manager/Foreman Telephone
General C. General Construction or Demolition Description
Statement:If
asbestos is found 1.Construction or demolition contractor:
during a Construction
or Demolition ENGINEERED HOME SOLUTIONS 4 WOLF HILL
operation,all Contractor Name Address
responsible parties
must comply with 310 EAST SANDWICH MA 025370000 5082747553
CMR 7.00,7.09,7.15, City/Town State Zip Code Telephone
the General Laws of
and Chapter E of JOHN SUOMALA 5082747553
the Commonwealth. Construction and Demolition On-site Manager Telephone
This would include,
but would not bw 2,Licensed Contractor Supervisor:
limited to,filing an
asbestos removal JOHN SUOMALA CSL082712
notification with the
Department and/or a Supervisor Name License Number
notice of
release/threat of 3.Is the entire facility to be demolished? r Yes G No
release of a
hazardous 4.Describe the area(s)to be demolished:
substance to the
Department,if PARTITIONING WALL TO BE REMOVED
applicable.
MassDEP Use Only 5. If this a construction project,describe the building(s)or addition(s)to be constructed:
Date Received FEE'
6.If this is a demolition or renovation project,were the structure(s)surveyed
for the presence of Asbestos-Containing Material.(ACM)? r Yes r'No
7.Was asbestos containing material(ACM)found?
r Yes r No
If a survey was conducted,who conducted the survey?
Name Department of Labor Standards Certification Number
Revised:03/17/2014 Page 2 of 3
r
Massachusetts Department of Environmental Protection '
Bureau of Waste Prevention•Air Quality
BWP AQ 06 100238430 ---�
Notification Prior to Construction or Demolition Asbestos
Project ect Number#
C.General Construction or Demolition Description(continued)
The Asbestos Abatement Notification Number for this
address is:
This project r Construction r Demolition
is:
3/30/2016 4/30/2016
Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY)
8.For demolition and construction projects,indicate dust suppression techniques to be used
(J Seeding ❑ Wetting r Covering ❑ Paving r Shrouding
Other-Specify:
9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency?
Name of MassDEP Official
Title
Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number
D. Certification
"I certify that I have personally HOLLY LEMIEUX
examined the foregoing and am Print Name
familiar with the information HOLLY LEMIEUX
contained in this document and Authorized Signature
all attachments and that, based HOLLY LEMIEUX
on my inquiry of those
individuals immediately Position/Title
responsible for obtaining the OWNER/OPERATOR
information,I believe that the Representing
information is true,accurate,and 3/3/2016
complete. I am aware that there Date(MM/DDNYYY)
are significant penalties for 3/3/2016
submitting false information,
including possible fines and P.E.#
imprisonment.The undersigned
hereby states,under the
penalties of perjury,that I am
aware-that this permit
application or notification shall
not be deemed valid unless
payment of the applicable fee is
made."
Revised:03/17/2014 Page 3 of 3
LjMassachusetts Department of Environmental Protection
eDEP Transaction Copy '
Here is the file you requested for your records.
To retain a copy of this file you must save and/or print.
Username: PUPCAKES
Transaction ID: 814889
Document:. AQ 06-Construction/Demolition Notification
Size of File: 100.71K
Status of Transaction: in Process
Date and Time Created: 3/3/2016:5:06:53 PM
Note: This file only includes forms that were part of your
transaction as of the date and time indicated above. If you need
a more current copy of your transaction, return to eDEP and
select to "Download a Copy" from the Current Submittals page.
C
y Massdchusetts Department of Environmental Protection
Bureau of Waste Prevention•Air Quality
� z BWP AQ 06
` Notification Prior to Construction or Demolition
U
This is a revision to an existing form.
Project ID for existing form to be revised:
l-; This job is being conducted under a Blanket Permit'
MassDEP assigned Blanket Authorization ID: �— t
F7 This job is being conducted under a Non Traditional Abatement Work Practice Permit.
MassDEP assigned Non Traditional Work Practice Authorization ID: {
r None of the above conditions apply,generate a new form.
Revised: 11/13/2013 Page 1 of 1
02 cl.� JeK�2.
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Pupcakes, 366 Main Street Hyannis
Deputy Dean Melanson
Thu 12/31/2015 10:12 AM
To:Sally Shea <Sally.Shea@town.barnstable.ma.us>;Tom Perry <Tom.Perry@town.barnstable.ma.us>; Diane LeRoux
<dleroux@hyannisfire.org>; Patrick Franey <patrick.franey@town.barnstable.ma.us>; Debi Barrows
<Debi.Barrows@town.barnstable.ma.us>; Lt.John Cosmo <jcosmo@hyannisfire.org>;William Rex
<wrex@hyannisfire.org>;
cc:Holly Lemieux <pupcakescapecod@hotmail.com>;
I have reviewed the site and t he construction work with the business owner.
Hyannis Fire is OK with a building permit being issued for this site.
We will follow up with the owner regarding the existing fire alarm system in the building as work progresses.
Deputy Chief Dean L. Melanson
Office 508-775-1300
Fax 508-778-6448
dmelanson@hyannisfire.org
oFTMe
RAMS
59. Town of Barnstable
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: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section.
If Using A Builder
I�
I / , as Owner of the subject property
hereby.authorize �01��. U�YY�Gt I to act on my behalf
in all matters relative to work authorized by this building permit application for:
4.
(Address of Job)
Signature Owne Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPMESTORMS\building permit forms\EXPRESS.doc
Revised 040215
OftM of Consumer Affairs&Business Regutahon License or registration valid for individul use only
SOME IMPROVEMENT CONTRACTOR
before the expiration date. 1f found return to:
5 Registration: 160825
Ex iration: 8/26/2016 Type' Office of Consumer Affairs and Business Regulation
ell P Private Corporatic 10 Park Plaza-Suite 5170
ENGINEERED HOME SOLUTIONS INC. Boston,MA 02116
JOHN SUOMALA f (
4 WOLF HILL
E.SANDWICH,MA 02537 � 3—
Undersecretary
No ali without signature
---- -- --
�M
Massachusetts -Department of Public Safety t
Board of Building Regulations and Standards
Cun%tructiun Supeni.ur
License: CS-082712r/ k
JOHN E SUOivt ,
4 WOLF HILL
jj)
E SANDWICH NCA 0i�53
�,,e',,., Expiration
Commissioner
09/21/2016
A r
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-- I)b72
s
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I
Town of Barnstable
t KE'�wti Regulatory Services
c� Richard V. Scali, Director
�� H , Public Health Division BARNSTABI,E
44A0.5TDY N 0�5I@VLLIE�WE57 gd0.NST4491
1639-2014
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
December 3 2015
RE: 366 Main Street, Pup Cakes, Dog Washing Facility, Hyannis, MA
To Whom It May Concern:
The Health Department of the Town of Barnstable has no objections to the applicants'
proposal to install PVC piping instead of cast iron piping at 366 Main Street, Hyannis.
Hair traps shall be installed at each dog washing station.
Regards,
c.
omas McKean, R.S. CHO
Agent of the Board of Health
C C'a ��l!�r.�rt � r►d e./z.s`�, �vLi.'/��!'!�I '_
q:Warianceslstate plumbing variance applications\366.main.st.hya.dog.wash ing.facility.doc
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.
�tlt DATE: ` Fill in please:
i� APPLICANT'S YOUR NAME/S:
BUSINESS YOUR ME ADDRESS:
TELEPHONE # Home Telephone Number
NAME OF CORPORATION:
NAME OF NEW BUSINESS TYPE OF BUSINESS
IS THIS A HOME OCCUPATI N? ES _,NO
ADDRESS OF BUSINESS. i � ' �� )VIA� MAP/PARCEL NUMBER, 3 (Assessing)
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
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMI R'S OFFICE
This individua ha. b inform an per it require that pertain to this type of business.
ut prized S�natur
COMMENTS: i'� cJ
2. BOARD OF HEALTH
This individual he be or a of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3: CONSUMER AFFAIRS(LI NSIN UTHORITY)
This individual has binfpr o licensing requirements that pertain to this type of business.
Au orized Sinatu e*
COMMENTS: ✓c
CHARLES D.BAKER
GOVERNOR Commonwealth Of Massachusetts JOHN C.CHAPMAN
UNDERSECRETARY OF
KARYN E. POLITO
Division o Professional Licensure CONSUMER AFFAIRS AND LIEUTENANT GOVERNOR BOARD OF STATE EXAMINERS OF PLUMBERS BUSINESS REGULATION
JAY ASH AND GAS FITTERS CHARLES BORSTEL
SECRETARY OF HOUSING AND Q DIRECTOR,DIVISION OF
ECONOMIC DEVELOPMENT 1000 Washington Street • Boston • Massachusetts • 02118 PROFESSIONAL LICENSURE
January 27, 2016
Pup Cakes
Attn: Holly Lemieux, Owner
366 Main Street
Hyannis, MA 02601
Re: Variance PV 194—Cup Cakes—366 Main Street -Hyannis
Dear Ms. Lemieux:
Please be advised on January 27, 2016 in the Board Meeting Room, 1000 Washington Street in Boston
Massachusetts,the Board of the State Examiners of Plumbers and Gas Fitters deliberated on and voted
uananiimously to grant a variance from 248 CMR 10.06 (2) (o).The Board voted to allow the
installation of PVC for the waste piping on the four dog washing stations, with the following
condition: Must transition back to commercial material on the venting 6"above the flood level rim of
the fixture.
This variance decision is, based on the presentation, information and documentation provided by the
applicant and is applicable to this end user and this site only. All other plumbing and gas fitting work if
applicable.shall comply with the rules and regulations of 248 CMR 3.00 through 10:00 and all other
applicable statutes and codes
Sincerely,
For the Board,
Wayne E. Thomas, Executive Director
Board of State Examiners of Plumbers and Gasfitters
Cc: Ed Jenkins
Plumbing and Gas Inspector
iJ TEL: 617-727-9952 FAX: 617-727-6095 TTY/TDD: 617.727.2099 http://www.mass-govocabr/licensee/dpl-boards/pl/
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