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0394 MAIN STREET (HYANNIS)
144-"xf eria�e�Vo u s _ i 1 j ft i A Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us (��� "(� Pre-application for Business Certificate Date I� Nape Parcel Applicant Information Applicants Name 6Ar✓ 14/►�J��� Applicants Address /t�IL4��1 n2�c /� ��S(TY��i�-Email Address eD� Telephone Number �N r 3ZIL 06013 Listed ❑ Unlisted Business Information New Business? ________________ Oe No Business is a registered corporation? ____________ __________. Yes If yes Name of Corporation Does'business operate under the registered corporate name? Yes . No Is the business a sole proprietorship or home occupation. _ (g No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business J 4' Ad f��1 Business A da resst� ,��J'C� n'I+ ,✓ S� >S Qo`�id� '�'76� Type of Business 1`0 o B ilding Commissioner Office Use Only a ConditionsA. i — Building Commissi ate 4-250 Clerk Office Use Only �VE„ � Town of Barnstable Regulatory Services BAMsrA Richard V. Scali,Director MA BARNSTABI,E 1639. � Building Division 1639.201: Paul Roma Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us May 16,2017 Mr. Dylan Jordan 12 Linden Street Hyannis,MA 02601 RE: Site Plan Review#032-17 Rendezvous Cafe Takeout Window 34Mne`t,Hyannis Map 327,Parcel 262 Proposal: Replacement of one front window panel with a sliding glass and screen window located inside the recessed entrance to create a takeout window. Existing outdoor furniture will remain for customers for the evening hours. The take out window would be used after business hours only from 5:00 p.m.to 12:00 midnight with a limited"night menu" of food and coffee prepared and served via the take out window from employees inside. Dear Mr. Jordan: Please be advised that the above proposal was administratively approved subject to the following: • Approval is based upon pictures and narrative submitted with the site plan review application dated 4/26/17. • Hours of operation of the takeout window must be offsetting to those of the restaurant 5:00 .m. r � ( r .to 12:00 midnight)as proposed. • Approval from the Board of Health for required air curtain and sliding screen associated with the operation of a food takeout window must be obtained. • Aesthetics of the window require the approval of the Hyannis Main Street Waterfront Historic District Commission. l r • Modification of the existing Common Victualer License will be required to reflect the use and hours of the takeout window. Additionally,the existing Town Manager's approval for outdoor dining will require modification to reflect the use and hours of the takeout window with the existing outdoor seating. Contact: Maggie Flynn, Consumer Affairs, 508-862-4774. A copy of the approval will be retained on file. Sincerely, Ellen M. Swiniarski . Site Plan Review Coordinator CC: Paul Roma, Building Commissioner Health Dept Licensing Y. Town of Barnstable * Building Department - 200 Main Street * BARNSTABLE, * Hyannis, MA 02 601 MAS& (508 1639. ) 862-4038 �Q+ A�.Fa MA'S A Certificate of Occupancy Application Number: 201201180 CO Number: 20120102 Parcel ID: 327262 CO Issue Date: 07130/12 Location: 394 MAIN STREET Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Proposed Use: DEPARTMENT DISCOUNT STORE Village: HYANNIS Gen Contractor: GARY C GRAHAM Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: 7/30 Building D rtme Signature Date Signed TOWN OF BARNSTABLE d i 201201180 Mail BARNSTABLE, Issue Date: 03/08/12 Permit MASS. 9�A 1639. Applicant: GARY C GRAHAM rFG MAC A Permit Number: B 20120484 Proposed Use: DEPARTMENT DISCOUNT STORE Expiration Date: 09/05/12' [Location 394 MAIN STREET Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 327262 Permit Fee$ 1,456.00 Contractor GARY C GRAHAM Village HYANNIS App Fee$, 100.00 License Num 42246 Est Construction Cost$ 160,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RENOVATE EXISTING SPACE TO BECOME CAFE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FOUR HUNDRED MAIN REALTY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 2652 INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS.NO RIGHT TO OCCUPY ANY STREET,;ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY-OR PERMANENTLY.-•ENCROACIIMENTS ON:PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDEk THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION;: STREET.OR ALLEY GRADES AS WELL AS DEPTH AND,LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE-VM APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUB DMSION' ` RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE;REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 l kV �''�� ¢,� I ti v� ra l l y �•a. (,J 1 .. ' T-- 71 . I ' ff z 2 r:� L/ 3 / S'-, S / 1 Heating Insspectibn Approvals Engineering Dept 01c t-bP-- `7EU--� P cd b V . DAY Fire Dept 2 ,��. 1 �1 �+ Z 7 Board of Health 2� �11, 03 q M WEND PA FA Et1 � t-`' i May 25, 2012 ENGINEERING CONSULTANTS Mr. Thomas Perry shvcturalcivil environmental Building Commissioner Town of Barnstable t� 200 Main Street Hyannis, MA 02601J� RE: Final Inspection Report,.394 Main Street, Hyannis Dear Mr. Perry, McKenzie Engineering Consultants, Inc.has been retained by 400 Main Realty.to complete code review and structural analysis for the proposed renovations and change of use for the space 394 Main Street in Hyannis. We provided a code review letter outlining the requirements dated February 29, 2012. During the course of construction,we have completed several site visits to review existing conditions, inspect the progress of framing, and the installation of the sheetrock. On May 23, 2012,we completed a final inspection of the completed work to include the finish work,the bathrooms, and the egress components. Based on our inspections, we find that the work has been completed in substantial compliance with our requirements outlined in our code review letter. As long as the town inspections and any other utility inspections have been completed and everything found to be satisfactory,we recommend issuing an occupancy permit for this space. If there are any questions, feel free to give me a cal OF Sincerel ° MARK A. c No. P 0 �� Z � M A. � 'e, P..E , Pre ., McK Consultants, Inc. cc: 400 Main Realty, 1279 Millstone Road Brewster, MA 02631 t 774.353.2144 f 774.353.2142 www.mckengineers.com -------------------- r lr � ......................... McKENZIE May 25,2012 ENGINEERING CONSULTANTS Mr. Thomas Perry s r��,n ai n civil cnronmentul Building Commissioner �° g 3 , Town of Barnstable 10 Af 200 Main Street Hyannis, MA 02601 gar I RE: Final Inspection Report;394,Main Street;Hyannis Dear Mr. Perry McKenzie Engineering Consultants, Inc. h as been retained by 400 Main Realty to complete code review and structural analysis for the proposed renovations and change of use for the space 394 Main Street in Hyannis. We provided a code review letter - ` outlining the requirements dated February 29, 2012. ty a During the course of construction,we have completed several site visits to review existing conditions, inspect the progress of framing, and the installation of the sheetrock. On May 23, 2012, we completed a final inspection of the,completed work to include the finish.work,the bathrooms, and the egress components. Based on our inspections,we find that the work has been completed in substantial compliance with our requirements outlined in our code review letter. As long as the town inspections,and any other utility inspections have been completed and everything found to be satisfactory, we recommend issuing an occupancy permit for this space. If there are any questions; feel free to give me a cal JA OF Sincerel RK A. c; No,39Q68 M r A. e, Pre .,McK o Consultants, Inc. cc: 400 Main Realty 1279 Millstone Road Brewster, MA 02631 f 774.353.2144 f 774.353:2142 www.mckengineers.com r NORTH ST , A �O 1 13 PAYING F O H 2 E J 4 S \- C1 - �Ell, E cp 5 Fltl o C 6 12 [TE-J-a) 7 V` J -9' ,�,11 11 F -1 9 B K to ORDERING on A 'd EQUIPMENT SCHEDULE ITEM Q T Y EQUIPMENT CATEGORY EQUIPMENT --" - REMARKS MAIN ST KITCHEN EQUIPMENT rDA 1 3 BAY SINK W/ DRYING RACK & DROPPED SOILED DISH AREA 1 DISHWASHER 1 HAND SINK 1 STAINLESS STEEL PREP. TABLE 1 PREP. SINK F 1 GAS HOT PLATE G 1 RANGE HOOD H 1 CONVECTION OVEN I 1 REFRIGERATOR J 1 FREEZER K 1 DRY STORAGE SHELVING CAFE EQUIPMENT 1 1 ESPRESSO GRINDER 2 1 ESPRESSO MACHINE 220 V 3 1 UNDER COUNTER ICE COOLER 4 1 PREP. SINK 5 2 COFFEE BREWER 6 1 1 COFFEE GRINDER 7 1 1 MICROWAVE, ABOVE SINK 8 1 HAND SINK 9 1 18 BAY SALAD UNIT 10 2 CREPE BOWLS 220 V 11 1 PANINNI PRESS 220 V 12 3 DISPLAY COOLERS 13 2 P.O.S. REGISTER 14 3 COFFEE URN 220 V KITCHEN , CAFE EQUIPMENT 394 MAIN ST. , HYANNIS, MA. SCALE: DRAWN BY: DATE: MARCH 1 , 2012 1/4"=1'-0" L. GRICE t"E' �o� Town of Barnstable . * Building Department - 200 Main Street * iAEIYSTABLE. Hyannis, MA 02601 ' 9 MASS. (508 1639. ) 862-4038 �� 10rFa�not°i Certificate of Occupancy Temporary . Application 201201180 CO Number: 20120051 Parcel ID: 327262 CO Issue Date: 05/25/12 Location: 394 MAIN STREET �` �. Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Owner: FOUR HUNDRED MAIN REALTY LLC Proposed Use: DEPARTMENT DISCOUNT STORE PO BOX 2652 HYANNIS, MA 02601 Village: HYANNIS Gen Contractor: GARY C GRAHAM Permit Type: CTCO. COMM TEMPORARY CO Comments: TEMP CO TO EMPIRE IN SIXTY (60) DAYS 7/25112 Building Department Signature Date Signed Expiration Date SINE TOWN OF BARNSTABLE I d i n g 201201180 p * BARNSTABLE, Issue Date: 03/08/12 ■ e rm i t 9 MASS. �A i639• Applicant: GARY C GRAHAM rFG MAC s Permit Number: B 20120484 Proposed Use: DEPARTMENT DISCOUNT STORE Expiration Date: 09/05/11 Location 394 MAIN STREET Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 327262 Permit Fee$ 1,456.00 Contractor GARY C GRAHAM Village. HYANNIS App Fee$ 100.00 License Num. 42246 Est Construction Cost$ 160,600 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RENOVATE EXISTING SPACE TO BECOME CAFE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FOUR HUNDRED MAIN REALTY LLC , BUILDING SHALL NOT BE OCCUPIED UNTIL,A FINAL Address: PO BOX 2652 INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMrr CONVEYS w RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF EITH ER TEMPORARJLY OR PERMANENTLY ENCROACHMENTS ON PUBLIC PROPERTY;NO SPECIFICALLY PERMITTED UNDER THE BUILDIN6'8 6 MUST BE APPROVED BY THE JURISDICTION STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIGSHWERS MAX BE �-s OBTAINED FROM THE DEPARTMENT OF PUBLIC'W.ORKS'THI?ISSUANCE'OF THIS PERMIT DOES NOT RELEASE THE APPLJCANT�FROM THE`CONDTTIONS OF ANY APPLICABLE SUBDIVISION RESTRICTTONS r MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 ,.1 \�1,� -ra.' �. �F, .„ ra I t 5 c•:. ��J 1� , � �� ijll 2 2 � �Ud'��rly' 2 f� 3 /� 5'=. 5= /� 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 ,�k 1 �t S+ j 2 S Board of Health a 251 �INE Sign OF TOW'N BARNSTABLE Permit * BAMSTABLE. MASS. 1639. Permit Number. Application Ref: 201202987 20070745 Issue Date: 05/21/12 Applicant: Proposed Use: DEPARTMENT DISCOUNT STORE Permit Type: SIGN PERMIT Permit Fee $ .00 Location 394 MAIN STREET Map Parcel 327262 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks HANDING 12 SQ SIGN AND 6 S WALL Q RENDEZ VOUS CAFE & CREPERIE Owner: FOUR HUNDRED MAIN REALTY LLC Address: PO BOX 2652 HYANNIS, MA 02601 Issued By: PC �--- POST THIS CARD>SO THAT IS vTSYBLE FROM T�IE..ST! ET 3 �tM Town of Barnstable Regulatory Services 2012 HAY Pm ' Thomas F.Geiler,Director 9 1639. Building Division Tom Perry, Building Commission �� 200 Main Street, Hyannis,MA 0260I � www.town.barnstable.ma.us �O I Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving Application for Sign Permit Applicant:- 4 d Lessors No.� Doing Business As: O �--0 J �Y L`1'e�p(ione o.(j.7 Sign Location Street/Road: Zoning District e _L Old Kings Highway? Ye/No yannis Historic District?' Yes NO Property Owner •� � � � ��J� Name: � L_- -- ----Telephone:- Address: or-village:— — r Sign Contractor �- �, Name:. �Q Yl Telephone:_ T— .Mailing Address: t� �_� (�ce. -C �40e117 � 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:If yes,a mhr?gpermitisrequlred) 1 Width of building face &x 10 e-L x.10 0 5 15 0 Check one Reface existing sign or New` A /Total S .Ft of proposed s' s If you ha ve additional signs please attach a sheet listing 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 authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent 17 Date SIGNS/SIGNREQU revised12110 f i 2"x W x 24"rT PLATE BOTTOM,OF PLATE T 144" � F i [ 48 �n E i O4_m__._ .--------48.1n..---_,.----.._.....___n________________m a e C. ene. f � Sq l� �{\V 9 a . we 'Ile a .� Al- < IRA ,4. _ F. 1 3 � t. �mmm t �c F I r 4 till A . A � b , b 'a,.per T' �,�.- �' � �,. � au. ,.,,�, �. �• L +, e ;has F Ft _ d, d �,Q"'a. �` ,' R t�,- r re. q.r�'`C•r F ro Fw, ^a�:� 'fit sy s w n t ed�,r • - a A R�rt �" ldt v J$ w Y � � � � t id►'�tom,. l 4:� t ;e� p�.� L ��`,t k ,y 1 -►,t� 4¢ 1�� r vA�c;�i+�3�y3 svyp�dl a� r F��,.,f,���'��•�'�1��� '�jca�'�i �' '�"Y.. �l, ��<\�►. 'N-ens•`�..�c@��f' �i#��.i�'I���^` t� �? ► �� \�� K. ;S7- Q�< tFir W. . 1 t RL FT.Mr �r g �j✓ , I Fir AM- till .G iw:.• S��H��� :. �� � � ��. Ki� n.-.yea. +� ar� - r _ r r Mr° v o-' + ry� _q,w • ��,'/w�'"''� P�1 #. °' '.rienr..7 ,1. ar. `ti `Jr,`�AMr. a.slaw' S h ,�."r� 5 .. s.."'e. im A}�{b...+ � Y a -.. _„ ♦ a -i � .� ♦S •d,,�ep>,,.. E. 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' ...., s>1 rv-, ��•- ,� -� - s, .�....ten*' _.___ __....�.,t.-....�...._.,-,..�._. a� ,.: _ h rye �a & Y- -w N t ' a, .s } mil• .,a.E ' �., _ '. �� "fin ,?. a t e. r IV � o-} iml PARKING a e wl i r w f • v. a nA Oa< " _; �M ,w� kg 4��. °•� ems: to L'� r';wt as ms 9 .. � 'y ,�.. � ,. a r timr^�., " t Ilk �. ,� a .li } `a' 4 4• a = ��. '4e _-5+ { r° ,�,. ik I - ,`4.. • •:` .3 � �ti �. a, i'i'}�`„�`".a .,�.}` ��•`'a�.`�.tc.'`�'`.'.` +.*�x! !'���` ?".Feo-.'�3+�a +ua� ' J`� r'�1 * l•,,,J .b' . tf t dry+e"x o" eA.^'""`'.,,", j r 6 x' YZ: (fir ,y{'d`, fie. fff { P0► .,, sy ffd r.r c�bE •�_ `mod - VMS W-T;, tali d a2q"1115 > G ,� r +fig �• F Prn 1 P 1e• t y Ali ;Y s t�t 1,�� Ilk . Al7+ a ;' A � � � a .,.. .;� f r �a' T w•. r ct i � • .. �o .a yew..y., a ,� i y — o tk Ott , `'#. S «. .P ° �•• i a `..s( 7 r. silt. i ��' �' ," -i '1 i� M— s �A as g i 4 *_ w., t } d-la a• .> P� �"ire - �� Nlip Al r r L». #.y r � o �la'L Town of Barnstable Growth Management Department Hyannis Main Street Waterfront Historic District Commission www.town.barnstable.ma.us/hyannismainstreet Decision -Certificate of Appropriateness Rendez Vous Cafe & Creperie-Signage The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code of the Town of Barnstable Chapter 112,Historic Properties,Article III,Hyannis Main Street Waterfront Historic District, hereby approves a Certificate of Appropriateness for the following property: Property Address: 408 Main Street,Hyannis Assessor's Map/Parcel: 327 262 At the March 21; 2012 hearing, after consideration of the testimony given and materials submitted by the applicant and members of the public, the Commission found the proposed design for two business signs will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the material, colors, design, placement, lettering, construction and context of the signs and found them to be appropriate for the protection and preservation of the district. Based on these findings,the . Commission voted to grant the certificate of appropriateness subject to the following condition(s): 1. Two signs are approved as presented in the application dated 3-6-12, except that the applicant may make the cameo larger,if desired. 2. The front sign (Main St) shall be a projecting sign, carved wood. The rear sign (North.St) shall be sign board. 3. Existing light fixtures will be used to illuminate the signs. N . 4. Sign permits from the Building Division are required. -,;> Present and voting in the affirmative to grant the certificate of appropriateness were: Joe Cotelle:Ra, Wilfian Cronin,Meaghann Kenney,Brenda Mazzeo �+ Opposed: None Absent: George Jessop,David Colombo, Marina Atsalis,Paul Arnold i1 e Cotellessa,Acting Chair Date Hyannis Main Street Waterfront Historic District Commission cc; Dylan Jordan,Rendez Vous Cafe&Creperie Tom Perry,Building Commissioner File I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable Count-;Ulassachusetts,hereby certify.that t� twenty(20)days have elapsed since the Hyannis Main Street Wateif-rorit Historic'Diistrict Commission filed this decision and that no appeal ofibe decision has been filed it the`office of-the Towii..Clerk. Signed and sealed this day o unde%;thrms an`l.penalties of pe}jury. ila.da fIu E `eniler,_ b�3�i lerk �w Barnstable Hyannis Main Street Waterfront 1' Historic District Commission »-A�ner�lcaciiy °s 200 Main Street S Hyannis,Massachusetts 02601 ' Mass. Phone: 508-862-4665 / Fax: 508-862-4784 LE to tivww.town.barnstable.ma us/Qrowrthmanaeement 1007 George A Jessapj.AIA,Chair Theresa M.Santos,Administrative Assistant CERTIFICATE OF APPROPRIATENESS FOR SIGNAGE Application is hereby made for the issuance of a Certificate of Appropriateness under MGL,.Chapter 40C,The Historic Districts Act,for proposed signage as described below and on drawings or photographs accompanying this application. CHECK ALL THAT APPLY* 1. Open/Closed Sign 2. Trade Flag' 3. Trade Figure or Symbol 4. Location Hardship Sign 5. Business Sign *Application materials must be submitted for each sign requested Date1 ASSESSOR'S MAP# ASSESSOR'S PARCEL# " APPLICANT Dylen01 ram: TEL# APPLICANT MAILING ADDRESS V S�}'`!� _• t 1 T APPLICANT E-MAIL ADDRESS DV 10`1V\ dam` �{ ► L/ �� @ q! �r ADDRESS OF PROPOSED WORK Mi PROPERTY OWNER R ! C TEL# i �®7 3�"h ^� OWNER MAILING ADDRESS NOTIFICATION TO ABUTTERS: Please contact Growth Management Stafffor abutters list and assistance with notifzcafions to abutters Applicants will be responsible for providing the postage stamps or abutter notification of the time.of submission of this gw-lication, l i AGENT OR CONTRACTOR l �r ('{ (J f^�t h�dV1 TEL# 73 , ADDRESS D IV 1 lat n S T, hv$A .,18111 �t O ►C a 1 SIGNATURE of APPLICANT l DATE3 For Location Hardship Sign&freestanding Trade Figures or Symbols to be located on private property: Check box if property owner has granted permission to locate Sign or Figure on their property abutting the building front. Received by HMSWHDC: Page I of 4, Open/dosed Size of Open/Closed Sign: x sign; Material of Open/Closed Sign: Color(circle one option)Red/Red&Blue Trade Flag: Size of Trade Flag: x Material of Trade Flag: Trade Figure Dimension of Trade Figure or Symbol: x x Or Symbol: Material of Trade Figure or Symbol: Location: Size of Hardship Sign: x Hardship Sign: Material of Hardship Sign: Lettering Color.and Material; Business Sign: Size of Sign x Material(s)of Sign A iq.13D V' Material of Lettering(if different) The Sign will be(circle one): Carved Wood/Painted Wood/Aluminum Other(explain) Exterior Light Fixtures(circle on Yes/No If yes,what type of light fixture �i 'J ° 1 rl Location of Fixture Page 2 of 4 AV m . nde Vows _ 3X6 sign C" " ..i .:_ '�� ...i P--.1'f5� ^,y'.Z�T'.":'Y?1 �::_Y.� Wk.,:RrFwT - _ R. � � ..... 2, .. � .. :� 1 � s }� z .,..,, r ....... +� •ape �,1���� � � � ��� � ' .F ` '... .. , e - INA - .- �ia,VW e '1' is r. kB•' '�i'� "� 'y �r m t c �t,,,,.� - b'.45: Al ex < 4 �a}T p � to }�p S. -a• • i F � tj '4, isly� � S r ,117 i Z' ' "' rE. i �s 5 y�fi•. 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Permit Fee / �— ��c� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis 4�n� Project Street Address 9 f' Airy S7 Village yTi4NN1 5 Owner LIDy MA)Iy Rfhlf , LLC. Address P. o Blex o)LS"9 gya,*V^/3S Telephone 7-7,r-,?y0 y Permit Request � �t1o�l ?� �XST,v� D�4Gf Iy yGor"►� �' � Lple— Square feet: 1 st floor: existing proposed AM 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation"k$QQ(2 Construction Type (arnm I'd Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docwentn. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ".', ZZ Age of Existing Structure �U Historic House: ❑Yes �NO On Old King's Highway: LYes No Basement Type: ®"Full ❑ Crawl ❑Walkout ❑ Other 63 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) `° Number of Baths: Full: existing � new Half: existing ne\kn ' Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 6<s ❑ Oil ❑ Electric ❑ Other Central Air: �s ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes E 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 a<es ❑ No If yes, site plan review# Current Use mur,flw7j Proposed Use t� 5�J4P,i, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Svc-73 7-d ya a Address 64 1309NT r,A License # )d7-1 /�y�YNtirS n719 oab oI Home Improvement Contractor# Worker's Compensation # i,.C, do g op o 3o`fo�3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ) l�1 x. FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4 DATE CLOSED,OUT ASSOCIATION PLAN NO: 4 F f _ The Commonwealth of Massachusetts Department of IndartrW Accidents 1 Office of Investigations 600 Washington S&eet Boston, M4.02111 . "�� wH�tv.mass.gov/da Workers' Compensation Iasiirance Affidavit: Builders/Contractors/EIectr-icial2s/PfQmbers F-pplicant Information' t Please Print Le�ibIy kTame (Business/DrganizationdndividuaD: gI A19liy kc '/ CC. kddress: City/State/Zip: ! •Phone #; j -77y��►�,i� E an employer?Check the appropriate box: Type of project(regrrired7: a employer with f) 4. ❑ I am a general contractor and Iloyees(full and/or part-time).* have hired the sub-contractors 6. 0 New construction a sole proprietor or partner- Iisted on the attached sheet � ❑Remodeling and have no employees These sub-contractors have S. [] Demolitioning for me in any capacity, workers' comp, insurance. 9, ❑ Building additionworkers' comp, insurance 5. ❑ We are a corporation and itsred] officers have exercised their I0.❑EIectrcal repairs or additionsa homeowner doing&11 work right of exemption per MGL 11.❑Plumbing repairs or additionslf. [No workera' comp, c. 152, §I(4), and we have no 12.❑Roof repairsnce required.] t employees, ENO workers' camp.insurance required,) I3.❑Other 'tiny applicant that checks box#I must also M out the section below showing their workers'compc=tian policy information t Homtovm=who submit this af6darit-indicating they are doing all work and thzn hhz outride conh-antnts must submit a ncw.affidavit indicating such. �CDntractors that check this box must aflHchcd an additional sheet showing the name of the sub-contactors gnd their workcs'comp,policy information. lam an cnzpLoyer bfi rsprov&ing-workers'coznperrsatzon insurance for my empCoyees. Below is thepoiky andfob site inforrruc ort. Insurance Company Name: ►7("�Q l �i�1:S PDlicy#or Se1f--ins. Lic. # �C_ „�i3 a1� a� °�� �3 bL, Expiration Date: Job Site Address: �jL j9'Il97'l• �% c Attach a copy of the workers' compensation policy declaration page(shoFving the policy num bar and expiration date). Failure to secure coverage as required under Section 25A ofMGL C. I52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day, against the-violator. B6 advised that a copy of this statement may be forwarded to the Office of Investigations ofthe DIA for ffina-ance coverage Yrrffica±iorL I do hereby certify under the pains arzdpenaltzer ofperfrtry flat the information provided above is L-ae and correct Signature: Date Phone -4 goo �}97--4rt use only..Do riot write hz tftis area, to be cotrzpLded by city or town official City or Town: Permit/License; Lssaing Authority(circle one): I. Board of Health 2: BuiIding Department 3. Cityr own Clerk 4. Electrical Inspector S, PI-umbing Inspector 6. Other � r Town of B anistable RegIIlato /`�ervic r r V t L[Tn�•lu t r t.ti7 . c `��` Thomas F. G,Uar,Dfr=tor QED B IIII ding Dmuf o rt Tam PM-IT,33r ldiag Co=Missirn t 2D0 hfidn 5t<rct,ffyamiis,Mk 0260I • ��.to�va_barnstabl�ma.Bs ' office: 508-862-403 s Far,: 508-750o-5230 Prop exty Ovmiier Mus t Complete and Sign This. Sect oa If UsLg Budder as Dwner of the subject pro r PErtF• hereby,aTrtLnrize0\ to act oa=7 behalf, is aIl ors M atiVe to work= o&--d 17 this StuLiag pew appEcatioa for. . 3qY (.A imss of_TA) S%--Lt= of Dw= Dam N Przat 2�Faa3e If Property der is app yg for p emit pleas e coMPete.the I Homeowner Licernse Egernption Eozm on t vehe re rse side. Nlassachusetts- Department of Public Safetc•�-7;', Board of Building Regulations and Standards' l Construction Supervisor License License: CS 42246 Restricted to: 00 GARY C GRAHAM R, 66 BRANT WAY HYANNIS,MA 02601 . f i . Expiration: 3/20/2012 (,'unuuisKiuner Tr#: 18292 02-17-'12 10:20 FROM-SO DENNIS 5083942267 T-383 P001/001 F-230 Bryden&SPIfiftnSince 1963 urance Agencies February 17, 2012 - Town of Barnstable Main Street Hyannis, MA 02601 RE: Workers Compensation Policy Policy #WC2020003223 Effective Dates: 02/01/12 to 02/01/13 To Whom It May Concern: Please be advised Puritan Clothing and 400 Main Realty are Named Insureds on the above Workers Compensation policy as common ownership. Gary C. Graham is an employee of Puritan Clothing and 400 Main Realty. His actual payroll will be charged at the year end audit. Sincerely yours, AJ Kelley A. Sullivan, CIC President 88 Falmouth Rd,•Hyannis MA 02601 -(508)775-6060•Fax(508)190-1414 485 Routs 134•P.O.Box 1497 So.Dennis.MA 02660•(508)398-6060•Fax(508)394.2267 www.brydenandsuilivan.com i BTS FAX 2/16/2012, 12 : 10:01 PM PAGE 2/002 Fax Server Massachusetts Workers'Compensation Insurance Plan Acadia Insurance Company Administered by Berkley Risk Administrators Company, LLC PO Box 1100,Mpls,MN 55440-1,100 222 S 9th St,Mpls,MN 55402 Acadia Insurance Phone(605)945-2144 Fax (866)215-8118 Toll Free (800)634-4589 NCCI Carrier Code 33391 CERTIFICATE OF INSURANCE 1.The Insured: WCIR Policy Number:WC-20-20-003223-00 Puritan Clothing Company of Cape Cod Inc, y Tax ID#: F 04-2136976 Drawer 730 Hyannis,MA 02601 Policy Period: From: 2/1/2012 To:2/1/2013 Date of Mailing:2/16/2012,, The Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder,. This Certificate does not amend,extend or alter the coverage afforded by the Policy listed below. This is to certify that the Policy of Insurance described herein has been issued to the Insured named above for the policy period indicated. Notwithstanding any requirement,term or condition of any contract or other document with respect to which this Certificate may be issued or may pertain,the insurance afforded by the Policy described herein is subject to all the terms,exclusions and conditions of such Policy. P.. ;.C1 . 1tjt�l.. .LIA 1 :::::...:::..............................................................:...............:...............:•::::;:.....:::::::::.......:......•...•.,.........:.�.................. ..:.{...........,. ......•.3:.... Coverage Part One State(s) Workers'Compensation Statutory MA Part Two Bodily injury by Accident $1,000,000 each accident. Bodily Injury b Disease 1 ease I Employers'Liability Y 1 rY Y $,000;000 policy limit,; Bodily Injury by Disease $1,000,000 each employee. Should any of the above described policies be cancelled before the expiration date'thereof, notice will be delivered in accordance with the policy provisions. All Entities/Insureds: Certificate Holder's Name and Address: 77 Old Yarmouth Realty LLC Four Hundred Main Realty LLC Town of Barnstable Puritan Clothing Company of Cape Cod 200 Main Street Election, Election Hyannis,MA 02601 Category Stabis Name Officer Indude Howard Penn Officer Indude James Penn officer Indude Milton Penn Officer Indude Richard Penn Date issued: 2/16/2012 ' Bryden&Sullivan Ins 88 Falmouth RD Hyannis,MA 02601 � 3 -•. r :• f. r t....,,5 A1140 Signature_ ` Four Hundred Main Realty P.O. Box 2652, Hyannis, MA 02601 • 775-2400 February 17, 2012 Town of Barnstable Building Department This is to certify that Gary C. Graham who is an employee of Puritan Clothing Co.of Cape Cod,Inc. is covered for Worker's Compensation per the attached insurance certificate while performing work for 400 Main Realty. Very truly yours, Richard c and Penn President j M c K E N Z! E February 29, 2012 s ENGINEERING Mr. Thomas Perry CONSULTANTS Buildin- Commissioner srrucruml•ck!) envirunmemal b Town.of Barnstable 200 Main Street ? sR Hyannis,MA 02601 RE: Code Review and Construction.Control,Renovations and Change of Use Category for 390/394 Main Street,Hyannis f Dear Mr. Perry, 'S "N McKenzie Engineering Consultants, Inc. has been retained by Puritan Clothing of Cape ry ^� Cod to complete code review and structural analysis for the proposed renovations and change of use for the spaces at 390 and 394 Main Street in Hyannis. We have completed the code review, which consisted of reviewing the proposed floor plans for Xt � the proposed use of both spaces and completing a review using the 8"'edition of the J Massachusetts Building Code. The 8"' edition of the Code uses both the International Building Code (IBC 2009) and the International Existing Building Code (IEBC 2009)for the base code with additional state amendments. The review used the IEBC . 2009 as the starting point which also references sections of.'the IBC. . ]Existing and Proposed Use The existing spaces at both 390 and 394 Main Street were previously Mercantile use as- defined in the 8"' edition of the Massachusetts Building Code. The proposed use for both spaces is to be restaurant use which is classified as A2 in the Building Code. Since this is considered a change of use classification, compliance with Section 912 of the IEBC is required. Review and Requirements from Section 912 IEBC 2009 The requirements in Section 912 IEBC 2009 are for change of existing use classification for a portion of an existing building. Due to the overall area of the existing building,the proposed.new use classification areas are required to be fire separated from the rest of the building since the overall building area and height is in excess of the allowable heights and areas allowed per Section 5 of the IBC 2009. When separating the uses,only the portion of the building where the change of use classification occurs needs to be brought up to the requirements of the IEBC. We completed a review of the requirements of Section 912 and the referenced sections in the IEBC 2009.and IBC 2009 relative to this project and the following is a summary.• 1279 Millstone Road of the work required to meet the requirements necessary for compliance with the code: Brewster,MA 02631 t 774.353.2144 f 774.353.2142 www.mckengineers.com 1. In order to consider the area fire separated, a one hour fire separation is required between the A2 uses and the remainder of the building. The existing fire walls between units is a brick wall. We require that 5/8"Type X sheet rock be used (or verified if existing) on the walls betweeiz units and on the ceilings of the units to provide theone hour separation.Additionally, a door opening is proposed between 394 .Main and.the Puritan Clothing Store. The penetration in the fire separation is allowed but is required to have UL listed one hour fire rated doors. 2. The stairways and egress halls that are within the A2 unit uses are required to be fire protected with a one hour fire separation and be enclosed including fire doors. Any new hallways or corridors created as part of the renovation require one hour fire separations. The fire separations must consist of 5/8"type X sheet rock on both sides of a 2x4 or 2x6 wood framed wall. 3. Egress Loading has increased for both.spaces to 108 at 394 Main and 62 and 390 Main. This egress loading requires the minimum egress component widths outlined.in the code, including 32" clear openings for doors and 44"clear width for stairs and corridors. Due to the change in use to A2 for these spaces, self closing doors and panic hardware is required for all egress pathway doors. 4. A fire`protection engineer needs to evaluate the existing sprinkler system to ensure the head locations and the density of heads is adequate for the floor plan and use. The fire suppression.system requirements for the commercial kitchens also requires review and plan approval by a fire protection engineer. This also includes the proposed wood burning pizza oven. Additionally, fire alarms and detection system requirements need to be assessed and specified for these areas. 5. Egress signs and emergency lighting needs to be installed within the renovated spaces as shown on the floor plans. 6. All renovated areas must be compliant with all handicapped accessibility requirements including egress pathways, counter heights, bathroom .layouts; etc. 7. We have completed a structural review of the existing floor system and in general, the proposed use has the same live load requirements as the existing use and the existing floor system is adequate to support the design loads. One deferred submittal we will provide is a floor reinforcement sketch plan for support of the brick pizza.oven. We will need to determine the requirements after the exact location of the bearing points are determined. Additionally, we have completed design for a steel lintel system above the proposed door opening between Puritan Clothing and 394 Main Street as shown in the detail previously submitted. List of Inspections and Reports We will be responsible for inspecting the structural and general code requirement - portions of the project. The fire protection engineer will be responsible for any fire sprinkler, alarm, or detection inspection requirements. We request that the town plumbing and electrical inspectors provide inspection of all new utility work required for the project. s• We will complete the following inspections and provide inspection reports: 0 Rough framing when after all rough wiring, plumbing, and HVAC installation is complete. Fire separation assemblies will be inspected prior to taping and plaster ® The floor system will be evaluated and a reinforcement plan prepared for support of the pizza oven. We will inspect the reinforcement upon completion of framing. A final inspection of the spaces will be completed after installation of all final plumbing and electrical fixtures and when all required fire doors are installed. We will also verify handicapped access requirements have been met at that time, We plan.to phase inspections so both.spaces are inspected and reported at the same time, however, this may not be possible and separate inspection reports may be necessary. If there are any questions, feel free to give me a call"'T i t K j Mtn Sincere Y, � ti r t M rk A. M P es., McKen' g Consultants, Inc. cc: Puritan Clothing I Renovations to 394 Main St. Hyannis Proposed renovations to 394 Main St,Hyannis to include` Demo 1. Remove all non bearing partitions, all existing wiring, and plumbing,`servicing 394, and all suspended ceilings. Walls 1. Construct interior partitions per plan with 18 gauge steel/wood studs, floor to ceiling. 2. Cover walls with 5/8" fire code sheetrock, and paint. 3. Kitchen walls will have FRP,panels applied to walls: 4. • Dry storage in basement will have FRP panels on walls:: 5. Cut existing 12"thick brick dividing wall to Puritan of Cape Cod for new 8' doorway. Ceiling 1. Install new metal grid suspended ceiling, with drop in 2'x2' panels, in all locations on main floor. (Fire code vinyl coated sheetrock panels will'be installed in kitchen, and cafe area, and dry storage.) 2. Ceiling to be dropped over cafe area 6" for change of ceiling panels to satisfy health dept requirements 3. Fire sprinkler will be brought up to state code. 4._ Install new lighting Exterior 2. Replace rotted trim and paint same as existing on front of building. 3. Remove existing fire escape in rear of building. 4. Relocate existing HVAC equipment located in back to roof. Bathrooms 1. .2 ADA compliant public bathrooms will be provided on main floor to include.ceramic tile' on floor, painted walls;and vented suspended drop ceiling. 2 employee bathrooms in lower level, ejector pump to service bathrooms in basement, will have VCT flooring, painted walls, and vented suspended drop ceiling.; Plumbing ' 2. 1,80 Gal electric commercial grade hot water storage tank, with mixing valve,1 floor drain to service Cafe area,and 1 to,service,kitchen area. All sinks will be stainless steel, except bathrooms,which will be porcelain, and mop sink.Touch less handsets will be installed on ADA bathroom sinks and 2 hand sinks( 1 in kitchen, and 1 in cafe area) f 3. Plumb new 3000 gal exterior underground grease trap to service 394 and 390 main st. 4. Install under counter grease trap to service 3 bay and prep sink per code. HVAC S. New stainless steel 6' 'hood system will be installed in kitchen area to be vented to the roof, with. make up air and Ansel fire suppression system to meet all code requirements. 6. Supplement existing HVAC unit with new HVAC split system to service space and to meet state fresh air requirements. Cafe area 1. Wall behind service counter will be ceramic the 2. Flooring within cafe area will be quarry tile with rubber base. 3. Counter will be granite/laminate 4. Service area at counter will be ADA accessible 5. Seating will be marked for ADA customers Flooring 1. Main area will have a combination of carpet, ceramic floor the and Quarry the with rubber base in cafe, and kitchen. 2. Basement floor will be epoxy paint, except in Employee bathrooms, which will be VCT with rubber base. I ONE z�—Wi We OF OPENING 6" MIN, 5L 9T 6-O" CLEAN OPENING 6" MIN, 5 f I OD A 7W0 4—5"x5"04"MCU5 W/ 6"MIN.%0r CUf FOR MAKING SECTION AO OF MARK a .3 DETAIL: OPENING BETWEEN . 408 A D �ss10N10k,LE 394 MAIN STREET, HYANNIS, MA DATE: SCALE: DRANM BY: FEB. 1, 2012 NO SCALE L. GRICE 21 p DN O N IF— Q MOP E 14 PAk11AL WPI.I. w-im 8'-8„ a O O ® 0 El - UP 3'-6�� Co 4- - 9'-Ol l - 394 MAIN ST. 0 FIRST FLOOR PLAN 394 MAIN ST. , HYANN S, MA. DATE: SCALE: DRAWN BY: MAR. 2012 8"=1'-0" L. GRICE aDN � PARTIAL Wk. MOP INK Q31 '-09'-0 TV Wall n nJEj I O O PAknAI WAL I-El rlrl Y 0 -a MCI 000 ® P s n � C� 2K8 SQ' UP ORDE 00 ELIA 394 MAIN ST. FIRST FLOOR PLAN 394 MAN ST. , HYANNIS, MA. DATE: SCALE: 77�y: MARCH. 1 , 2012 %8"=1'-0" L. GRICE C Restricted to: 00 00- Unrestricted I-1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/D PS : - yQ avo , C• e 7 fi e �d U5 Cunniff Corp,lVoe der tmv s r Falmouth Sheet Metal 50 Bernard St Jean Dr. - f Y4 East Falmouth, MA 0253 rHs. D , u H ® / B � I Al 390 MAIN ST. 388 MAIN ST, 390 MAIN ST. BASEMENTIPLAN. FIRST.FLOOR PLANS F-G-H-I=122' A-B-C-D-E=178' _ . PIZZA BARBONE BASEMENT EGRESS PLAN 390 MAIN ST. , HYANNIS, MA. DATE. FEB. 14, 2012 SCALE. NO SCALE DRAWN BY. L. GRICE Hyannis Main Street Water,.froiat rT. Historic District Commission Growth Management: t ,.,►88 �`�, 200 Main Street Hyannis,'Massachusetfs 0260.1 Phone:.. 508-862-4665/Fax:508462-4784 CERTIFICATE OF NON:APPLICABILITY` Application''. it hereby made,in triplicate,for`the issuance of a certificate'of.non.applicability under M,G.L...Chapter.40C.,The Historic Districts.Act,.for proposed,work as..:descrlbed below and on plans, drawings, or.photographs.accompanying this application. TYPE OR PRINT LEGIBLY 3qy� MY , 1 DATE ADDRESS:OR:PROPOSED..WOI K g HL A n ASSESSORS.MAP:NO: 2 . OWNER , 2 Q[�'r. ' �\ I�1a Cr ASSESSORS:LOT NO. Z—Z HOME.ADDRESS C7 TEL..NO.. nn C AGENT OR CONTRACTOR o C. y►- ADDRESS b; ti,vR1f .- TEL No.', This application is for:exemption` f proposed'exterior construction on the ground bat ❑ (1),It:will not,be visible from any way or public place. ® (2) It is within a,category declared.entitled to exemption by,The Hyannis Main Street Waterfront Historic District Commission. « " (Check applicable box) PROPOSED WORK:- Describe.and furnish plan of proposed work, showing location on lot, and if an;addition is involved, showing location:of existing building. .IAo� R�7r >7 i,;,,i}oD 77ZiM� f_I . rLLlk / 9N� p�,�►T fix,s7i ,• b. s'To c��. .Ftq:5CIVE L� FOP, � one rnA, S1 The 3S6 rnvgl . [t1SLHfl€. MOM3.9� ' r SIGNED ner4ontractorAgent Space balow.flne for Co tee use. Received by H.D.C. The Certificate.Is hereby Date Time BY Date. Approved ❑ . Disapproved ❑ -- ,t® . :'��� '�'�Jt'YSlit'lllCY1L•�T YLY!`J4ltlff _ _ S - — -_ 'ii.�'.R-i`—�@.� '- Y-.1C'CL•L^•B..SG�`_�'ttffL �'if'_-=�.C�.t3ClLR'�'_'L_:C'S.^.i••fL��id}�•ij..Zi{:- _ — �.L_ �+ -- �••Y •9�•� �•F�=t�a�� �'. .� n.n _.f+Yx.neea!rtn^r�!a. — i-»_�.enexwmfmn.rnnrtnemmirvmlm. - .�avv�:tnw`�mwbwewww.m-iw`n..n ryry'QSr�wf.�.M M-"�Sr-.F'YL1¢[3}� �,����_ _ �_,. "=r�r �_��-"_-��=_��-L-=Cis- •®�® � �[=3 it M•i __I _ i r__;I = I - ...�����:®�:�s-�ot_r =� ----�_acsr INS ® ®o ME C M - . . r TOWN OF B gtiST !E = February 29, 2012 McKENZhtE y t ENGINEERING Mr. Thomas Perry —A- t� - CONSULTANTS Building Commissioner DI IS structural civil�environmental Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Code Review and Construction Control, Renovations and Change of Use Category for 390/394 Main Street, Hyannis Dear Mr. Perry, McKenzie Engineering Consultants, Inc. has been retained by Puritan Clothing of Cape Cod to complete code review and structural analysis for the proposed renovations and change of use for the spaces at 390 and 394 Main Street in Hyannis. We have completed the code review, which consisted of reviewing the proposed floor plans for the proposed use of both spaces and completing a review using the 8th edition of the Massachusetts Building Code. The 8" edition of the Code uses both the International Building Code (IBC 2009) and the International Existing Building Code (IEBC 2009)for the base code with additional state amendments. The review used the IEBC t` k 2009 as the starting point which also references sections of the IBC. Existing and Proposed Use The existing spaces at both 390 and 394 Main Street were previously Mercantile use as defined in the 8` edition of the Massachusetts Building Code. The proposed use for both spaces is to be restaurant use which is classified as A2 in the Building Code. Since this is considered a change of use classification, compliance with Section 912 of the IEBC is required. Review and Requirements from Section 912 IEBC 2009 The requirements in Section 912 IEBC 2009 are for change of existing use classification for a portion of an existing building. Due to the overall area of the existing building,the proposed new use classification areas are required to be fire separated from the rest of the building since the overall building area and height is in excess of the allowable heights and areas allowed per Section 5 of the IBC 2009. When separating the uses, only the portion of the building where the change of use I classification occurs needs to be brought up to the requirements of the IEBC. We completed a review of the requirements of Section 912 and the referenced sections in the IEBC 2009 and IBC 2009 relative to this project and the following is a summary of the work required to meet the requirements necessary for compliance with the code: 1279 Millstone Road Brewster, MA 02631 t 774.353.2144 U774.353.2142 www.mckengineers.com 1. In order to consider the area fire separated, a one hour fire separation is required between the A2 uses and the remainder of the building. The existing fire walls between units is a brick wall. We require that 5/8"Type X sheet rock be used (or verified if existing) on the walls between units and on the ceilings of the units to provide the one hour separation.Additionally, a door opening is proposed between 394 Main and the Puritan Clothing Store. The penetration in the fire separation is allowed but is required to have UL listed one hour fire rated doors. 2. The stairways and egress halls that are within the A2 unit uses are required to be fire protected with a one hour fire separation and be enclosed including fire doors. Any new hallways or corridors created as part of the renovation require one hour fire separations. The fire separations must consist of 5/8"type X sheet rock on both sides of a 2x4 or 2x6 wood framed wall.- 3. Egress Loading has increased for both spaces to 108 at 394 Main and 62 and 390 Main. This egress loading requires the minimum egress component widths outlined in the code, including 32" clear openings for doors and'44" clear width for stairs and corridors. Due to the change in use to A2 for these spaces, self closing doors and panic hardware is required for all egress pathway doors. 4. A fire protection engineer needs to evaluate the existing sprinkler system to ensure the head locations and the density of heads is adequate for the floor plan and use. The fire suppression system requirements for the commercial kitchens also requires review and plan approval by a fire protection engineer. This also includes the proposed wood burning pizza oven. Additionally, fire alarms and detection system requirements need to be assessed and specified for these areas. 5. Egress signs and emergency lighting needs to be installed within the renovated spaces as shown on the floor plans. 6. All renovated areas must be compliant with all handicapped accessibility requirements including egress pathways, counter heights, bathroom layouts, etc. 7. We have completed a structural review of the existing floor system and in general, the proposed use has the same live load requirements as the existing use and the existing floor system is adequate to support the design loads. One deferred submittal we will provide is a floor reinforcement sketch plan for support of the brick pizza oven. We will need to determine the requirements after the exact location of the bearing points are determined. Additionally, we have completed design for a steel lintel system above the proposed door opening between Puritan Clothing and 394 Main Street as shown in the detail previously submitted. List of Inspections and Reports We will be responsible for inspecting the structural and general code requirement portions of the project. The fire protection engineer will be responsible for any fire sprinkler, alarm, or detection inspection requirements. We request that the town plumbing and electrical inspectors provide inspection of all new utility work required for the project. We will complete the following inspections and provide inspection reports: • Rough framing when after all rough wiring, plumbing, and HVAC installation is complete. • Fire separation assemblies will be inspected prior to taping and plaster • The floor system will be evaluated and a reinforcement plan prepared for support of the pizza oven. We will inspect the reinforcement upon completion of framing. • A final inspection of the spaces will be completed after installation of all final plumbing and electrical fixtures and when all required fire doors are installed. We will also verify handicapped access requirements have been met at that time. • We plan to phase inspections so both spaces are inspected and reported at the same time, however, this may not be possible and separate inspection reports may be necessary. If there are any questions, feel free to give me a cap f5_ few Sincere y, UcKFilt M kA. P es., McKe � g .. g Consultants, Inc. cc: Puritan Clothing f ONE FACH 510E OF OPFNIN6 \\'K��\ \\RRNVI ESE 6" MIN. 51L0 8 -0'' CLEAN OPENIN6 6" MIN, 51LOT � A I� /— TWO 5"x5"x%6"ANGLES W/ 6" MIN.5LOT CUT FOP\�W% i SECTION OAF a� WARK A. ki p,- E ,3 DETAIL: OPENING BETWEEN 408 A D. 394 MAIN STREET, HYANNIS, MA DATE: SCALE: DRAWN. BY: FEB. 1 , 2012 NO SCALE L. GRICE Commonwealth of Massachusetts Z Sheet Metal Permit Map Parcel J4 l -16d&-5�)- Date: �/ /Z.o Permit# � l c Estimated Job Cost: $ ,J2zp o O Permit Fee: $ Plans Submitted: YES V NO Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: o me 64, i l4,,.,f 5ysName: IV o b 4 401-- Street: Street: s401� City/Town:M C.- M C City/Town: J� ,.�r✓iS J'-I c. . 6. Telephone: S o,? y-) 7 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES �' NO ff Initial J-1 /gunrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other' Commercial: Office Retail V' Industrial Educational Fire Dept. Approvalr�Institutional_ Other Square Footage: under 10,000 sq. ft. mover 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: ✓- Renovation: 00 3J HVAC i/ Metal Watershed Roofing Kitchen Exhaust System C ` Ln Metal Chimney 1 Vents Air Balancing Provide detailed description of work to be done: � �t•d Z> sL r S�i�-C S S�Pi✓J S,° S �5�P�"� ( �J / ;,�Pc-.� Gti.-�-�i1 � > w S v�w-�e r� 7�'Ei.�. �:�c� S�r.=.:�. ��-��i� G� c���'ir.� ✓P�y�i,% %G 6J �u 10 Z L ab O C" Y / Aa Gt_C/Pc/ loG,�� Y��yc� Ev,� c� at, INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch:.112. Yes No ❑ If you have checked Y.U, indicate the type of coverage by checking the appropriate box below: A liability insurance policy , Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement.. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxE],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments r Final Inspection Date Comments Type of License: ly Master itle. ❑ Master-Restricted :ityrrown ❑Journeyperson Signature of Licensee 'ermit# ❑Journeyperson-Restricted License Number: �� Check at www.mass.gov/dnl ispector Signature of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/org=ization/tndivicb4:_�} C_7 O)-,. /'y) F��G w i Gf / 5✓ .~� Address: Z. is 7:3 .7 0 Ski City/State/Zip: 62_6t1 yPhone.#: .;OS—y 7 > l y8S—. Are you an employer?Check the appropriate box- LA project(required) LA I am a employer with � -4. � I am a general contractor and I # have hired the sub-contractors6. ❑New construction . . employees(fii11 and/or part-time). . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have 8. E Demolition working for me in any capacity, employees and have workers' 9. 0 Building addition [No workers' camp,insurance cOmp.. T'SLU=e,t. required.] 5• ❑ We area corporation and its 10.11-Electrical repairs or additions officers have exercised their '3.❑ I am a homeowner doing all work 11.0Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required-1 t c.152, §1(4), and we have no employees. [No workers' 13•❑ Omer comp.;nsmrd„ce required.] *Any applicant that checks box#1 must also fill out the section below showing then workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box most attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Y the sub-contractors have employees,they mustpro i.&their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.. Below is the policy and job site information Insurance Company Name: 4- Policy#or Self-ins.Lic.#: b S. w e C r 3 J 2 Expiration Date: Job Site Address: `7 � LG ••� s� City/State/Zip: ./4-,s.i�✓i 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 e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and a fine Of up to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of Investiaations of the DIA for insurance coverate verification. T do hereby certify under the pains-and penalties of perjury that th mation provided above is true and correct. S e: Date: J // / Z O/ Z --------------- Phone Official use only. Do not write in this area, to be completed by city or town affzciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector fi. Other Contact Person: Phone#• t Town-of.Barnstable Regulatory Services K+ea Thomas F.Geiler,Director Building Division Tom Perry,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, as Owner of the sub' )ect property hereby authorize ItDNly� to act on mY b ehali in all matters relative to work authorized by this building permit (Address of Job) *Pool fences and alarms are the responsibility of the applicant Pool s are not to-be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. I-Fa Signature of Owner Signature of Applicant Print Name . Print Name r Date Q:F0RMS:0WNERPSRM0SI0NP00LS 1 l �1HE Town of Barnstable 1 ' Regulatory Services i t snaxWr�, • Thomas F.Geller,Director nn+ss .11wt"��� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state a zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. ' DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply withthe State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109,1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." 1 Many homeowners who.use this exemption are unaware that they are assuming the responsibilities of a supervisor see AP Q, , „ 1 Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrn/certification for use in your community, Q:forms:homeexempt -� ACTIMEC-01 MOSU AgCQ��' DATE(MM/DDM'YY) CERTIFICATE OF LIABILITY INSURANCE 5(MM/DD2 THIS CERTIFICATE IS ISSUED AS A"MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,<�ND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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). PRODUCER (508)676-0309 CONTACT Viveiros Insurance Agency,Inc. PHONE FAX A/C No Ext: A/C,No): 375 Airport Road EMAIL Fall River,MA 02720 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Ins(Commercial Lines) INSURED Action Mechanical INSURER B:Hartford Fire Insurance Company 19682 82 Sunset Circle - INSURER C:- - - Mashpee, MA 02649- INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS INSR . TYPE OF INSURANCE - OLIC EFF POLICY EXP - LIMITS LTR INSR WVD POLICY NUMBER MM/DD/Yl'YY MM/DD/YYl'Y GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8547373 11/14/2011 11/14/2012 DE O ENTED PREMISES Ea occurrence $ 100,000 CLAIMS-MADE D OCCUR MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 -XI POLICY F PROT LOC $ AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT - Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ... -AUTOS AUTOS BODILY INJURY(Per accident) $ - NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE - - $ - EXCESSLIAB -CLAIMS-MADE � AGGREGATE $. DED I I RETENTION $_ - - $ WORKERS COMPENSATION WC STATU- OTH- - AND EMPLOYERS'LIABILITY X TORY LIMITS ER YIN B ANY PROPRIETOR/PARTNER/EXECUTIVE 08WECCG3612 8/26/2011 8/26/2012 E.L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? _ N i A (Mandatory in NH) - - - E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks-Schedule,If more space is required) - -,� - `Y j ... it CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St Hyannis,MA 02601- AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo,are registered marks of ACORD T t r jg MICHAEL J r l COMMONW _ AS EALTH OF MSACHU.SETTS • SHEE AS A TALNWRORKERS MICHAEL. J `RONHOCK. 82 :SUNSET CIR 'c MA 02649 4999 • � Commonwealth of Massachusetts Sheet Metal Permit Map Parcel Date: �_f7./Z Permit Estimated Job Cost: $ 300(1, 00 Permit Fee: Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# ;—L Business Information: Property Owner/Job Location Information: Name: �/111Uf/� 94f lgbTAI- Name: 1267i11)G✓vV S C��" Street: /� '/liy i�� �'�� � ' �A Street: 3 f zl City/Town: 'Pi ou TA City/Town: IJ V^A rS Telephone: �6 05,1�® G Z Telephone: U 3 /Z® Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1/ unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family. Condo/Townhouses Other Commercial:. Office Retail Industrial Educational Fire Dept. Approval17S-4ristitutional Other Square Footage: under 10,000 sq. ft.JL over 10,000 sq.ft. Number of 4 ries: Sheet metal work to be completed: New Work: Renovation HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing i Provide detailed description of work to be done: =` \4J- /t /Yaao I s. INSURANCE COVERAGE: , I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 YesX No ❑ If you have checked YM,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee sloes not have the insurance coverage required by Chapter 112 of the' Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box[],I hereby certify that all of the details.and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: 3y Master title ❑ Master-Restricted ,ity/Town ❑Joumeyperson Signature of Licensee permit# ❑Journeyperson-Restricted License Number. cD :ee$ ❑ Check at www.mass.gov/dpl , nspector Signature of Permit Approval "' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street• Boston,MA 02111 6 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/orgmizationdndividuai):_ 16ft_M 0VT-13- IL Address: 50 csVA)AM �r � . City/State/Zip: f/ft- ✓,00rl-4 Phone.#: S093'L''0 4?Z-;-7 Z Are you an employer? Check the appropriate box: Type of project(required):; L❑ I am a employer with � •4. ❑ I am a general contractor and I employees(hill and/or part-time).*. have hired the sub contractors 6. New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7 Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity, employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. nstuance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work have exercised their work 11.❑Plumbing repairs or additions myself. ' o right of exemption per MGL ys �o workers coff• 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insmmice required.] *Any applicant that checks box#1 must also fill out the section below showing thee•workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractws have employees,they mustprovide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: pp,, V �r Policy#or Self-ins.Lic.#: 1i U. 0 J y Expiration Date: F-2 !1`2- Job Site Address: .?1f S� �y�l-aN�✓�j� City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certt er the pa' s-and pen es of perjury that the information provided above is true and correct Si tare• Date: `�./ z•- Phone##: V Wi '/0 67 3� Official use only..Do not write in this area, to be completed by city or town axial City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town.Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r' The Commonwealth of Massachusetts Department oflndustrial Accidents " Office of Investigations. -600 Washington Street Boston,MA 02111 UW. www.mass gov/din ' Workers' Compensation Imraace Affidavit.Builders/Contractors/EIectricians/Pinmbers Applicant Information Please Print Le�biy Name(Busmesd0rganizetimVkdividu4:_ /U_ Address: �� ✓�f 2® %. Ur'e City/State/Zip: �I"(�''layT/� Phone.#: O 9 is' Z e you an employer?Check the appropriate box: 4 I am a -Type of project(required):: 1. I am a employer with � ❑ general contractor and I employees(f ff and/or part time).*, have hired the sub=contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. RemodeIing ship and have no employees These mb-contractors have g, ❑Demolition working for me is any capacity. employees and have workers' ' addition [No workers' comp.insurance comp.insurance.$' 9. ❑Bm1 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing aII work officers have exercised then 11.❑Phmubing repairs ar additions myself [No workers' camp right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no . employees.[No workers' 13.❑ Other comp,insurance required.] "Any applicant that checks box#1=at also fill oat the section below showing their workers'compensation policy infarmation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating such. tContractnrs that check this box must attached an additional sheet showing the name of thb sub-contractors and state whether or not those entities have employees. If the sub-con'ractnrs have employees,trey must prm idt their workers'comp.poiicynumber. I am an employer that is providing workers'compensation insurance for my Information. employees. Below is the policy and job site Insurance Company Name: Policy#or Self-ins,Lic. 6 S�l � Expiration Date: Job Site Address: 7,76 �4jiu. City/State/ ` ziF:_/% 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 ofMGL c. 152 can-lead to the imposition of canal penalties ofa flue UP to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORg ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA fnr insurance coverage verification. I do hereby ce u e/r thZe. s, Lpalftlies of perjury that the information provided above is true and correct; signafire: v Date. Phone#: 9' le Official use only. .Do not write in this area,tb be completed by city or town.official City or Town: Permit/License# •Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C1ty/T0w11 Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: s � r t �021971- #� vry� PS-0B m ilYl)YI i � �F - Jni ro-:� s'. kF CHARLE§�y �., dF Y55sCN�5 ��. LYN 0 �3 t�s 9ff0896 go Zt/8Z/80 Z9.8 is 920 H 1lt0�tldd ;z 3AId (IN 0c Ef fiEY2C ' � x dA I N N n A Sl 2t #J3._ c a sawn n a31s s� DATE(MMIDdIYYYY) CERTIFICATE OF LIABILITY INSURANCE 4/18/2oj2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions Of the policy,certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder in lieu Of such endorsements. PRODUCER CONTA Paula Tavares Hollis Insurance Agency Inc PNONE (508)209-0400 FAx (509)209-0444 The Pine-bills Mip .ptavares@hollisagency.a0m 1 Village Green North STE 121 INSURER 8 AFFORDING COVERAGE NAIC N Plymouth MA 02360 INSURERA:P42erless Insurance 24198 INSURED INSURERB:Utica National Insurance Grou Cunniff Corp. , DRA: Falmouth sheet Metal IN$URERC! 50 Bernard saint Jean Drive INSURER D: Falmouth Technology Park INSURERS; E Falmouth MA 02536 INSURER F I COVERAGES CERTIFICATE NUMBER:CL1191201443 REVISION NUMBER: THiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE,POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT`TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. :INSR ADDL SU8R1 POLICY OFF LTR TYPE OF INSURANCE POLICY NUMBER D POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Iw D $ 100,000 A CLAIMS-MADE Iii OCCUR 395961 /14/2011 6/14120X2 MEDEXP(AnX am Emon) S 51000 PERSONAL 6 ADV INJURY $ 1,000 000 GENERALAOGREOATE $ 2,000,000 GEN%AGGREGATE LIMR APPLIES PER; PRODUCTS-COMPIOPAGG 5 2,000,000 X POLICY PRO- LOG $ AUTOMOBILE LJA8IUTr COMBINED SINgLt LIMIT 1,000,000 A ' ANY AUTO 600ILY INJURY(Per parson) S 20,000 ALL OWNED R SCHEDULED 624$043 /14/2011 6/14/2012 BODILYINJURY(Peraccldent) $ 40 000 AUTOS AUTOS x X NON-OWNED PROPERTY OAMAC,E $ HIRED AUTOS AUTOS PIP-Banc $ 8,1000 X UMBRELLA L)AB OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIM-MADE AGGREGATE S D D I x I RETENTIDN s 10,000 794616 /14/2011 9/14/2012 1 $ B. WORKERS COMPENSATION X WC STATU• 1. OTH- AND EMPLOYERS'LIABILITYLIM YIN ANY PROPRIETOWPARTNERfEXFCLPrlVE E.L.EACH ACCIDENT $ 500,000 OFFICEAW MBER EXCLUDED? N!A (Mandatory In NH} 460549 /27/201a, /27/2012 E.L.DISEASE•EASIVIPLOYE 5 500 000 I!yee,deeerho under DESCRIPTION OF OPERATIONS below E.L,DISEASE-POLICY LIMIT $ 5 00,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(Attach ACORD 101,Ad Ilwal Ramarke Schedule.If mere epaca Is required) '.5 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE TMfl EXPIRATION DATIw THEREOF, NOTICE WILL BE DELIVERED IN Rendevous ACCORDANCE WITH THE POLICY PROVISIONS. 392 Main Street Hyannis, NIA 02536 AUTHORIZED REPRESENTATIVE R H0111s J;./ERIKA ACORD 25(2010/05) ®1986-2010 ACORD CORPORATION, All rights reserved. INS025 potoos of The ACORD name and logo are registered marks of ACORD i rX 1 c 41 0 OCT, Ln Met, I i I i : : ' f I I I I i I ; I i I i I I I I : F7 R • Cul niff_('i. r ' i a F I _you h h t et rd I_ I I ; , i ast.F so IIrnou M I fah. A 02 i Town of Barnstable J 4 t Regulatory Services BARMI �eea Thomas F.Geiler,Director . Building Division. Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www-town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us' A.Builder as Owner of the r subject property hereby,authorize_ FA cu-,la' rjl4, NtrZ"� to act on m b y ehali in all"ma.ttexs relative to work authorized by this building permit (Address of Job) **Pool fences and alarms.are the responsibilityf the applicant.o e pp . cant. fools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date c QT0RMS:OWNERPER1vffSS10NPO0LS _. { . Town of Barnstable .- � Regulatory Services �nxxsr�srs, Thomas F.Geller,Director MASS. n 96.l e� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street . village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: F i city/town state ` ': ; zip code' The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units,or less and to allow homeowners to engage an individual for hire., does not possess'a license provided that"the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures._ A person who constructs more than one home in a two=year period'shall not be considered a'homeowner.i Such "homeowner"shall submit.to'tlie'Build g Official on�a form'acceptab'le to the Building�0fficial,that he'/she`shall be responsible for all such work-Performed under the building hermit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the f w„ State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION * ` The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this'section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." t Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly ; ti when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with-a licensed ` Supervisor.)The homeowner acting as Supervisor is ultimately responsible. 'To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part df the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. fO : . mPt Q: rms•homeexe,. ,,. YOU WISH TO OPEN A BUSINESS? i For Your Information: Business Certificates cost $40.bO for 4 years. A Business Certificate ONLY REGISTERS YOUR-IN AME imther_" Town (WHICH YOU'MUST DO according `to M.G.L. - it does not give you permission to operate). You "mustf`first obta n the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, V'Fl., 367 Main. St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is.required by law. DATE - D Fill in please: APPLICANT'S YOUR NAME/CORPORATE AM i .BUSINESS YOUR HOME ADDRESS: r t TELEPHONE #. . Hom Telephone Number a a NAME OF NEW BUSINESS -eYl- e Have you been given approval f m e buildingdivis'on? ES 1/ N0— ADDRESS OF BUSINESS 39 Sir 2 ,'v1 MAP/PARCEL.NUMBER 3 ? a6 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 ER'S OFFICE This individual VAuii2 i►}for a permit requirements that pertain to this type of business: ed Signatu .. COMMENTS: g ,2. BOARD OF HEALTH This individual has be form d the per 1 require is that:pertain to this type of business Au orized Signature'* COMMENTS: s a 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has be infor d t licensing requirements that pertain to this type o business. Au t orized Signat e* l ' COMMENTS: on I C N CD ® °a 6 (D X j d North St LOCUS D Mom St rn STREETcn LOCUS MAP NOT TO SCALE NORTH TE pROpERT( `INE ��P•� AppRpXIMA 327 - 269 MBLU 327 - 262 o O 1 N N 0-) O Parking L o t --2 Staley 3 2 7 — 0 01 PROPOSED 3000 GALLON CAPACITY GREASE TRAP (H-20 RATED) PROVIDE VENT 00 3 0 9 — 2 2 1 ° DIRECTLY FROM _ GREASE TRAP N , o �'/ TO ROOF � Future Puritan ` ` � estaura Clothing � ,R `t New 1 Restaurant \� Co'�'pleX gUilding EXisting ��P��� OF MgSS9C�G ET R E o PETER T. ST McENTEE CIVIL No. 35109AN R1USA - PLAN REVISION: 2/3/12 — REVISE PIPING TO CAST IRON. -v PROPOSED GREASE TRAP 394 MAIN STREET, HYANNIS, MA Prepared for: Four Hundred Main Realty LLC, P.O. Box 2652, Hyannis, MA 02601 Engineering by: SCALE DRAWN JOB. NO. Engineering Works, Inc. 1"=40' P.T.M. 112-12 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 1/24/12 P.T.M. 1 of 2 t �A PROPOSED GREASE TRAP INSTALL H-20 RISERS, FRAMES & COVERS OVER INLET AND OUTLET SET TO FINISH GRADE. COVERS SHALL BE INSCRIBED WITH THE WORD "SEWER". GREASE TRAP SHALL BE VENTED DIRECTLY TO ROOF CELLAR WALL F.G. EL. TO MATCH EXISTING GRADE CELLAR WALL -12" min./36" max. COVER EXIT L =10' RETURN TO BUILDING 4 C.I. PIPE 7L�.=113 BUILDING .� 6" +w E ® S= 1% (MIN.) 13" ® S= % (MIN.) 2s" PROVIDE NEW SEWER OUTLET 49" LIQUID CONNECT TO EXISTING AT, OR ABOVE, MINIMUM INVERT LEVEL SEWER AT BUILDING U. ELEVATION REQUIRED TO SATISFY 12T MINIMUM PIPE SLOPE REQUIREMENTS. ' (SEE GENERAL NOTE 8) PROPOSED 3000 GALLON GREASE TRAP (H-20) SEWER PROFILE NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO INSTALLATION. 2) GREASE TRAP SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUCHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 4) ALL PIPING SHALL BE CAST IRON. 24" DIA. COVERS DESIGN CRITERIA I I I I A II II 7'-6" tT I I I I I 1TA USAGE: RESTUARANT, GREASE TRAP IS TO BE USED FOR KITCHEN FLOW ONLY. DESIGN CAPACITY: 200 SEATS(MAX.) AT 15 GPD/SEAT = 3000 GPD BASE N 1 O D O 3 0 CMR 15.203 O II II ( ) I II II � I I I I I I I I I I I I L - - - - - -I� - - - - J GENERAL NOTES: 8" KNOCKOUTS PLAN VIEW (TV.) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 6" LOCAL RULES AND REGULATIONS. 24" DIA. COVERS 3. THE PROPOSED GREASE TRAP SHALL NOT BE BACKFILLED PRIOR TO (�-) TO INSPECTION AND APPROVAL BY THE DESIGN ENGINEER AND/OR f., KNOCKOUTS OTHER APPROVING AUTHORITY. - - — — s'' 4. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 6" INLET KNOCKouTsTHE CONTRACTOR OR OWNER TO NOTIFY ANY APPROVING AUTHORITY 6'-0" 8" OUTLET 3. FOR PROPER INSPECTIONS DURING CONSTRUCTION. 4'-10" 5. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. SEE NOTE 6 f ` 4-7 SUPPORT LIQUID ( ) 6. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS BEAM 'LEVEL AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE ( ) DIRECTED BY THE APPROVING AUTHORITIES. 7. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE CROSS SECTION A-A 6" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. WIGGIN PRECAST CORP 30STKH2O 8. A NEW BUILDING SEWER SHALL BE PROVIDED SERVING KITCHED FLOW ONLY, INTO WHICH THE GREASE TRAP WILL BE DISCHARGED. 9. GREASE TRAP SHALL BE MAINTAINED IN ACCORDANCE WITH 310 CMR 15.351. SPECInCATIONS 10. PROPERTY LINES ARE TAKEN FROM BARNSTABLE CIS AND INFORMATION 1.) CONCRETE STRENGTH F'C 4,000 PSI @ 28 DAYS. DENSITY 150 PCF. PROVIDED BY OWNER AND ARE APROXIMATE ONLY. 2.) CEMENT, PORTLAND TYPE I OR III. ASTM C150-81. 3.) ADMIXTURES, AIR & PLASTICIZERS ® ASTM C233-82. PROPOSED GREASE TRAP 4.) REINFORCING ASTM A615 FOR WIRE FABRIC, GRADE 60 BAR. 5.) DESIGN LOADING AASHTO HS20-44. 394 MAIN STREET, HYANNIS, MA 6.) CONSTRUCTION JOINTS SEALED WITH BUTYL RUBBER. Prepared for: Four Hundred Main Realty LLC, P.O. Box 2652, Hyannis, MA 02601 Engineering by: SCALE DRAWN JOB. NO. GREASE TRAP DETAIL Engineering Works, Inc. N.T.S. P.T.M. 112-12 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 1/24/12 P.T.M. 2 of 2 W etj 0 E co e 0 24 Oil AI•�Y�' - � 1 p D N C� ,641 supply pa 1 ,01112-)L {Y < 1 -0 z 0- MR/ 11 O Q Q � o 0 C� N � O N e x r 5 4-1 GI&-G-I--w o ik re,-,—s vlwfec• . N e H, r1eX ►''v•-�5 �--o ties ce /, y Supply ol. GA✓sets �1J w F- Q 0