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Home My WebLink About0408 MAIN STREET (HYANNIS) (8) r E / \uTlvL ,u "t 1 M J I � ��I 71y-,. �^+ `. � i �� ` } � �, r r 1 I� h ; �7 fl Oxfords NO. 7521/3 ESSELTE 9 o% © v G fi NO HAN IN USE OR OCCUPANCY LIMI EN ORS ENT IS FOR LICENSING BOARD HE RIN NLY E 0 ENT DOES NOT CERTIFY BUILDING o a C ONING COMPLIANCE O 0 PLY W/ALL BUILDING CODE, "°`°S A CES ITY & NG REQUIREMEN S TUXEDOS BY DATE g O o g o . O O O O PURITAN CAPE COD 408 MAIN STREET, HYANNIS, MA 13,635 SD' 0 0 0 c O ELEVRtOR N0IJlAIQ a o 0 ON L fi :01 61V 5 Z 833 61 OZ O O O 11sb1SUvg A0 PI i Puritan Cape Cod 2019 TOWN OF gAgmSjA4j Month Day Event #of People Location Beer/Wine March 27 Charity/Fundraiser WECAN 100 408 Main Street-Hyannis Wine and Beer April 4 Vendor- Dress Clothing 30 408 Mca4a. nnis Wine and Beer May 10 Vendor-Mens and Ladies Shoes , 30 408 Main Street-Hyannis Wine and Beer June 8 Centennial Party 100 years 100 408 Main Street-Hyannis Wine and Beer June 13 Vendor Sportwear 30 108 Main Street- Hyannis Beer August 15 Vendor Ladies Clothing 50 408 Main Street-Hyannis Wine . September 12 100-Anniversary Party 100 408 Main Street-Hyannis Wine and Beer October 11 Vendor Footwear, 30 408 Main Street-Hyannis Wine and Beer December 3 . Charity/Fundraiser Giving Tuesday 50 08 Main Street- Hyannis Wine and Beer December 5 Vendor Mens Event 30 408 Main Street-Hyannis Wine and Beer December_ 8__ ___� P_ur_itan_Cape_Cod-Shopping-Night- — --100-- — 08 Main Street Hyannis V1/ine and Beer December 11 harity/Fundraiser Calmer Choice Holiday Even 70 08 Main Street-Hyannis Wine and Beer . * All Events are 5:00-8:00 Cape Cod Package Store Except for Centennial Event June 8th 12-6 Cape Cod Beer TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION c� 30(CR oS Map` '322 Parcel �- Application # Health.Division Date Issued Conservation Division Application Fee l Uo Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address D Village Py,4NjV; S Owner ImoU-k NuAg-0) M&& R& /Ty PLC' Address P 0 r3ux a G,5�- l /A✓N�S Telephone— Permit Request U iy o BALL j�� eg i jl� i!'J741 ni Aa . puayh o �11rr S� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation '0100,000 Construction Type , AS`a Lot Size Grandfathered: ❑Yes ❑1%, If yes, attach supporting documentation. pp g Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family'(# units) Age of Existing Structure q,o Historic House: ❑Yes 2"No On Old King's Highway: ❑Yes ❑ No Basement Type: U rull ❑ 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: as ❑ Oil ❑ Electric ❑ Other Central Air: d'Y'es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new -size—Pool: ❑ existing ❑ new size _ Barn: Ltersting dnevvesize_ `Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial &Kes ❑ No If yes, site plan review# Current Use E AI l Proposed Use Rayh V -- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name f2adnm Telephone Number 5 Ok -7 37- d yJo Address wah License # 0 q 21P. MA tea W I Home Improvement Contractor# I Worker's Compensation # C V 0 r D 310n0 ALL CONSTRUCTION DEBRIS RESULT I ROM THIS PROJECT WILL BETAKEN TO Oury\,0 5EW SIGNATURE N4 N DATE 3 ,4 l i FOR OFFICIAL USE ONLY = APPLICATION# 'r DATE ISSUED i t MAP PARCEL NO. ADDRESS VILLAGE E OWNER r DATE OF INSPECTION: r,FOUNDATION: FRAME INSULATION i FIREPLACE r k ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. ;, i x .� Department of Industrial Accidents Office of Investigations > 660 Washington Street Boston,MA 02111 www.mass.gov/dia Workers Compensation Insurance Affidavit Builders/Contractors/Electridans/Plumbers Applicant Infori''ation Please Print Leebly ' Name(Business/Organization/Individnal): LC i ' �Address: �� (3 • i4 � • City/State/Zip: Phone.#: $OlS' 77�44/ Are yo -an employer? Check.the appropriate box: .Type of project(required):. 4. I am a general contractor and I 1. I am a employer with.' ❑ 6. ❑N w construction employees (full and/or part-time).*, have hired the sub-contractors 2:❑ I am a'sole proprietor or partner- ship listed-on the-attached sheet 7. Remodeling . P P P. ship and have no employees "These sub-contractors have •g. 0 Demolition workin forme,in an ca act employees and have workers' g Y cap?,city. 9. ❑Building addition [No workers' comp.insurance comp. insurance. required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions _ officers have,exercised their 11. Plumbing repairs or additions 3 ❑• I am a homeowner-doing all work ❑ g P myself. [No workers' comp. right of exemption per MGM 12.❑Roof repairs insurance required.]t c. 152;§1(4), and we have no ] .. 131-1 Other employees. [No workers' comp.insurance required.] : *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box.must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have t their workers'co olic number. ' employees. If the sub-contractors have employees,they must proved wo mp p y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: 1%}lli//C C �li'rQ Policy#or Self-ins.Lic.#: VV CCU0I'D 5_/ wu . Expiration Date: ihlON Job Site Address: Ll t5 g 1-3 A M f}"/r^'$I 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$256.00 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 certi nder the pains'and penalties of perjury that the information provided.above is true and correct • � . Si ature:- Date: Phone Official use only. Do not write in this area, to be completed by city.or town official City or Town:. Permit/Liceuse# Issuing Authority(circle one): J.Board of Health 2,Building Department 3.City/Tow.n Clerk 4.Electrical Inspector .5.Plumbing Inspector 6. Other Phone Contact Person: #: , jn fo.f ation and In.truc Io.n Massachusetts General Laws chapter 152 requires.all employers to provide workers' compensationfor.their employees. Pursuant to;this statute,an employee is defined as"...every.person in.the service of another under any contract of hire, express or iimphed,offal or written.". An employer is defined as"an individual,partnership,association,corporation or other legal entity,or'any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the.: receiver or traAee-of an individual,partnership, association or other legal entity,emp oymg employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the . 'dwelling house of another'who employs persons to do,maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or,to construct buildings in the commonwealth for any applicant who has not produced•acceptable evidence of compliance with the.insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until-acceptable-evidence of compl aLce with the insurance requirements of this chanter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-con6actor(s)name(s),address(es) and phone number(s)along with their certificates) of ' insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have. employees,a policy is 'required. Be advised that ibis affidavit may be submitted to the Department of Industrial ' Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should, be returned to the city or town that the application for the permit or license is being requested;not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation.policy,please call.the Department at thenumber listed below. Self-insured companies should enter their self-insurance license number on the appropriate liner City or Town Officials. Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contactyou regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should wrife."all.locations is (city or town)."A copy of the affidavit,that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any.business or commercial venture (i.e. a dog license.or permit to bum leaves-etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give as a call. The Department's address,telephone-and fax number: The CQm mauve th of Mnsaehuwtt DQp Z ect d hWusl�xal Ae xCidm is Office of luv��tiptious 6Q4 Wasbmgtca�Stmot Rostm, MA 02111 T # 17� : `�-4 _0- 40 r 1 r -MA ;AFE of � � � � Fax 617--727-7749 Revised 11-22-06 wvw.mas 91OV/dig I f,...•:� .:j..ir',:,r, �.I !i l;i, - Sijgrj:r::;r b1Y,'iie t',?n a uL ,n„w u a o i r.:, :• ' tic II krG:'�en ,m i,m 1m•Y 'r: .�.•,YB{' i �l,b, nc-dRO�;;{,;�:>��',j,r i�t�''Ek ;�,� , •I.l '-,I!,I �i h's,ft' .,1,-;},y��^_;i;;�.f�rj,-f��;f� 13 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 SE!_OW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING(NSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the pollcy(los) uet be endorsed. If SUBROGATION IS WAIVED,subject to tile m e terms and conditions of the policy,certain policies may require an endorsement A statement on t le ce "sate dose not confer rights to the certificate holder In lieu of such endorsements(s). CONTACT PRODUCER N6ME• PHONE FAX Horgan Insurance Agency,Inc. (AIL No.,,,: (508)'775-5830 No.:) E-MAIL 1 PO BOX 250 ADDRESS: Hyannis, MA 02601 PRnnIMFR s'•I6TnMPR ID r INSURERS AFFORDING COVERAGE NAIC S INSURED INSURER A: AtlantW Charter Insurance Company VDAC 29211 Gruham,LLC INSURER B: INSURER C. 1694 Falmouth Road If 113 INSURER D: Centerville,MA 02632 INSURER E: INSURER F: COVERAGES: CERTIFICATE NUMBER: REVISION NUMBER: THIS 16 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL sU1sR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR WVD DATE(MM/DWYY) DATE(MMIDOlYY) (In TTlpusand) GENERAL LIABILITY EACH OCCUKKENCE S DAMAGE TO RENTED PRGMISFS )S COMML'RCIAL GENEER'A'L'1LIABILITY �❑ t Wr(Ea CLAIMS MADE I I OCCUR _ ED r)W(Any one person) 6 L_J EROONAL a ADV INJURY S CNERALAGGREGATE d CEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO 8 POLICY D PROJECT I I Loa AUTOMOBILE UA5IUTY LLB--•••JJJ COMBINED SINGLE LIMIT 6 (Ea AWderlq ANY AUTO BODILY INJURY AU-OWNED AUTOS ❑ (For pers") 9 SCHEDULED AUTOS BODILY INJURY (Ea Aocdafd) HIRED AUTO$ PROPERTY DAMAGE- 8 EO AUTOS (Ea Acplderd) NON-OYUND � � I /UMBRELLA ❑ OCCUR EACH OCCURRENCE S LIABILITY EXCE88 UAS CLAIMS MADE - AGGREGATE 5 DEDUCTIBLE ❑❑ RETENTION 3 RKERS COMPENSAYtON AND wevo 1059000 01/29/201.3 01/29/2014 X STATUTORY OTHER A MPLOYERW LIABILITY LIMITS ANY PROPRIETOR,PARTNCRMXL'CUTIVE Y/N O l��lff{OER/MEMBER EXCLUDCDT NIA F.ACH ACCIDENT L 100,000 �lll Policy Covcruge State MA Mandelery in NH ' If yes.desorOe rmdor aFCCIAL PROVISIONS Behar , DISEASE-POLICY LIMIT , 500,000 DISEASE-EACH FmPLOYCE s 100,000 r OTHER EI EI • . DESCRIPTION OF OPERATIONSILOCATIONS/VRHICLES(Adaeh ACORD 101,Additional Rom4as aelladule,it more space is mquifed) *'r "iti 't`l •E,''+13.,: y Fi 1 1 .�!�;,} it it II`.}!;/f ,, pL.1/,.c•' Irtifi• t` i C�RY1FICk�I=.;t�� l3 i,;,ftt{:.j• .IIG',i,'j,jt. •rt,(i.`t;'1 .,,. .,t(Y vcii.l:;a .+ ,u'a.. f.� )� } ...,. .....,.,r,a. :r!}..) . •Err-.4,,.,,�•,Ithiiii,r::•! i3:,:;'..I.r a I EUe,i.i•- , h'iSi"'.•.':.,.-�..�rl .n,. SHOULD ANY OF THE ABOW DESCRIBEO POLICIES BE CANCEI•LED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 200 Main Street 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Hyannis,MA 02601 BUT FAILURE TO DO SO LL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON T IN URER,ITS AqljNT EPRE$ENTATIVES. FUTH�DPRESENT ACORD ss(2e09/e9) 1e8 Y004 TION. All rights raswel Page 1 of I CERTIFICATE HOLDER t.OPV � E tti Town- of Barnstable. Services � Thomas'F.:Geiler,Director , 9. Argo ram' Building Division Tom Perry,Building Commissioner . 200 Main Street,Hyannis,MA 02601 www:town.barnstable.ma.us Office: 508-862-4038 Fax: _5087790-6230 - Property Owner Must Complete and Sign This Section If Using A Builder 9A20. pf"Nx� as Owner of the subject property hereby authorize 6", 6rt,9,9n, rf 6ad•N4n ae,, to act on my behalf, in all matters relative to work authorized by this building permit: . (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signati4e of Applicant Print Name Print Name I . OlI �1 - Date - QTORMS:OWNERPERMISSIONPOOLS.620I2 Town ®f Barnstable Regulatory Services MRNST"U, Thomas F. Geiler,Director y nsass. , 039. Budding I)iVlsimn ArfD �p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.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 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 e eriod y p 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. Y 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. 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," . 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 P ,P Y when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas 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 form/certification for use in your community. Q:forms,homeexempt: Massachusetts Department of Environmental Protection _ "_. Bureau of Waste Prevention • Air Quality 1100184735 �~ Decal Number BWP AQ 06 Notification Prior to Construction or Demolition Important: A. Applicability When filling out pP y forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do return not use the ret (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten (10) days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. VQ B. General Project Description 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?❑Yes 0 No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order 2 Facility Information: to comply with the y Department of PURITAN CAPE COD Environmental Protection a.Name notification 1408 MAIN ST. requirements of b.Address 310 CMR 7.09 H annis IMA I02601 .C' rT n _ate e.Z' Code 5087752400 f.Tele hone Number(area code and extension Q.E-mail Address(optional) 12000 12 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: RETAIL I. Is the facility a residential facility? ❑ Yes ❑✓ No �o m. If yes, how many units? Number of Units �° 3. Facility Owner: �N 400 MAIN REALTY LLC __o a.Name o PO BOX 2652 b.Address HYANNIS CMA y 02601 co c Cityrrown. d.Sta e,Zi Code �0 5087752400 f.Teleohone Number(area,code and s E-mail Address io al C GARY C. GRAHAM OQ h.Onsite Manager Name 0 ag06.6oc•10/02 BWP AQ 06•Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention . Air Quality 100184735 Decal Number BWP AQ 06 Notification Prior to Construction or Demolition General Statement:If B. General Project Description Cont. asbestos is found during a 4. General Contractor: Construction or Demolition IGRAHAM LLC. CONSTRUCTION operation,all a.Name responsible parties must comply with 166 BRANT WAY . 310 CMR 7.00, b.Address and Chapter HYANNIS MA 02601 Chapterer 21 E.of the General Laws of c.City/Town d.State e.Zip Code the Commonwealth. 15087781461 garycgraham@netscape.net This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an IGARYC. GRAHAM asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. IGRAHAM LLC. CONSTRUCTION a.Name 66 BRANT WAY b.Address HYANNIS MA �� 02601 c.Cit /Town d.State e.Zip Code 5087781461 garycgraham@netscape.net f.Telephone Number area code and extension g.E-mail Address(optional) GARY C. GRAHAM h.On-site Manager Name 2. On-Site Supervisor: GARY C. GRAHAM On-Site Supervisor Name 3. Is the entire facility.to be demolished? ® Yes ✓[1 No N =0 4. Describe the area(s)to be demolished: -o PARTIAL FACADE ON MAIN ST. :N �0 -0 5. If this is a construction project, describe the building(s) or addition(s)to be constructed: REPLACE PARTIAL FACADE ON MAIN ST. �o �a �Q aq 10/02 BVVP AQ 06 Page 2 of 3 Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention • Air Quality 1100184735 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s) surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No If yes,.who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 10/14/2013 `—� 5/30/2014 a.Start Date(mm/ddlyyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving El wetting ✓❑ shrouding b. If other, please specify: ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification Cl) I certify that I have examined the IGARYC. GRAHAM =0 above and that to the best of my a.Print Name _o knowledge it is true and complete. JGary C: Graham The signature below subjects the b.Authorized Signature —N signer to the general statutes MANAGER �o regarding a false and misleading c.Positionrritle _o statement(s). IGRAHAM LLC. CONSTRUCTION d.Representing 9/4/2013 (0 e.Date(mm/dd/yyyy) �o �Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ 1` Massachusetts -Department`of.Public Safety Board of Building Regulations and Standards Construction Super%isor ` License: CS-042246 is A GARY C GRAHXM ter. 66 BRANT WAY _ HYANNIS 02601 Expiration Commissioner 03/20/2014 l Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(go I M )of t enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov%DPS j _ . I M I K E NZ'I E September 23, 2013 ENGINEERING CONSULTANTS Mr. Thomas Perry structural-civil-environmental Building Commissioner - Town of Barnstable I 200 Main Street Hyannis, MA 02601 j RE: Construction Control, Phase 2 Renovations to Facade,.Puritan of Cape Cod, 408 Main Street, Hyannis F Dear Mr. Perry, v McKenzie Engineering Consultants, Inc. has been retained by Puritan Clothing of Cape Cod to complete code review and structural analysis for the proposed phase 2 renovations to the facade and entry way to their building located a 408 Main Street in Hyannis. We have completed the code review, which consisted of reviewing the proposed changes to the windows and the egress door ways for the front entrance to the building. The stamped plans reflect the requirements of the code. We.will complete inspections and provide reports when the framing is completed and when the project is finished. We will also be on call to review the structure during demolition and framing to review the existing conditions and ensure the framing is adequate for the proposed renovations. If there are any questions, feel free to give me a c Sincer lyMcK e q a 1 M k A. Pr s.; McK g Consultants, Inc. cc: Puritan Clothing Ij 1279 Millstone Road Brewster, MA 02631 t 774.353.2144 f 774.353.2142 www.mckengineers.com Mlti '13 AUG are 9.46 Town of Barnstable Growth Management Department UHRI N=Ti;L�LE T'�U�t'�'-LE^" Hyannis Main Street Waterfront Historic District Commission www.town,bamstable.ma,us/h yannismainstreet Decision —Certificate of Appropriateness Puritan Cape Cod—Phase II Facade Renovation 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.August 21, 2013 hearing, after consideration of the testimony l given and materials submitted by the applicant and members of the public, the Commission found the proposed fagade renovation for Puritan Cape Cod will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the design, materials, location, construction, colors and the historic significance and appearance of the structure and found the proposed renovations to be appropriate for the protection and preservation of the district. Based on these fmdings,1 the Commission voted to grant the certificate of appropriateness subject to the following conditions: 1. The fagade renovations are approved as presented on the revised elevations received on August 21, 2013 and detailed in the application dated July 13,2013. 2. All materials to match existing fagade renovation of January 2013 3. Permits from the Building Division are required prior to commencing work. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop, Paul Arnold,Joe Cotellessa and William Cronin Opposed:None Absent: Marina Atsalis,David Colombo,Meaghann Kenney and Brenda Mazzeo George A.Jessop, Cha Date i cc: Rick Penn,Puritan Cape Co , plicant Tom Perry,Building Commission littwhowider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Hyannis Main Street Waterfront Historic District Commission filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day o under the pains and penalties of perjury. Town Clerk i 408 Main St. Puritan Cape Cod 10/1/13 Fagade renovation Widows will be commercial, Black aluminum, Low-E, safety glass, double thermopane. In accordance with code. Door will be painted mahogany 2 1/4"thick,with low-E, thermopane, safety glass. In accordance with code. Brick wall/stone treatment will be solid brick/stone on bottom of wall up to top of windows And top will be wood framed with plywood attached to framing, a waterproof membrane,then galvanized wire mesh,with a base coat of thinset.Then attach the brick veneer and stone to system with thinset, and grouted. 8" x 18" Limestone panels.will have a lineal channel to sit on and will be attached the same as brick. r �BABNSIABM MA88. 10'j Town of Barnstable �{1� P1�=,THOLE T► 1+;i�!CLERKGrowth Management Department Hyannis Main Street Waterfront Historic District Commission www.town,barnstable.ma.us/h yannismainstreet Decision —Certificate of Appropriateness Puritan Cape Cod — Phase II Facade Renovation 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 August 21, 2013 hearing, after consideration of the testimony given and materials submitted by the applicant and members of the public, the Commission found the proposed fagade renovation for Puritan Cape Cod will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the design, materials, location, construction, colors and the historic significance and appearance of the structure and found the proposed renovations 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 conditions: 1. The fagade renovations are approved as presented on the revised elevations received on August 21, 2013 and detailed in the application dated July 13,2013. -2. All materials to match existing fagade renovation of January 2013 3. Permits from the Building Division are required prior to commencing work. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop, Paul Arnold,Joe Cotellessa and William Cronin Opposed:None Absent: Marina Atsalis,David Colombo,Meaghann Kenney and Brenda Mazzeo George A.Jessop,Chair Date cc: Rick Penn,Puritan Cape Cod,Applicant Tom Perry,Building Commissioner I, r,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Hyannis Main Street Waterfront Historic District Commission filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of ' under the pains and penalties of perjury. t � ! j-, Town Clerk wa ayp dY Town of Barnstable Hyannis Main Street Waterfront Historic District Commission Application Certificate of Appropriateness Application is hereby made for the issuance of a Certificate of Appropriateness under M.G.L.Chapter 40C,The Historic Districts Act ' for proposed work as described below and on plans,drawings or photographs accompanying this application for. Assessor's Nap No. L3o8 ? Pwad No.v? to Z Address of Proposed Work 3 — $' Apprcnid amine c,�i�r- Applicant Mai6rtg Address d 3 o TOWStateaip Applicant Phone Number ,%5 d g" ��_ g-® 0. Applicant E-Mal Property Orrrrer Name 4—b® c3 i!'� /L'C_ / � Z- L G Owner Mailing Address /°. /Q - Z2c>x �-Town StateRip Owner Phone.!� n,%E Agent or Contrxtor Name 6 Agent or Contractor Address Town/State/Zip Agent or Coritractor Phone 1232 —[ d Agent or Contractor E-Mail GQ rya A® w/�c3 ,��/��'�� , •��.��G o PROPOSED WORK Please check all categories that apply: erg Type: Commercial ❑ Residential ❑Accessory ❑ Other Work Proposed: 1. Budding Construction: ❑ New Building ❑Addition ❑ Alteration 2. Exterior Alteration: Windows Doors �9 Siding ❑Roof ® Other '4 era i27 oS 3. Exterior Painting: �61cUyl�/tJC /��—i�tqq� 4. Signs: New sign ❑ Akeragdn to existing sign 5. Accessory Improvement: ❑ Fence ❑ Parking Lot ❑ Outdo Dining Awning/Canopy 6. Other: Page 1 of 3 f Hyannis Main Street Waterfront Historic District Commission BUILDING MATERIAL SPECIFICATION SHEET Please=0914to this sheet only d new building construction or aUerations to an existing bring are,proposed. Fill out all sections that are applicable to your project Include materials,specificadons,dimensions and/or colors to be used. FOUNDATION � SIDING TYPE riGll ��CrI C� COLOR_ /l/2-D 7, CHIMNEY TYPE COLOR ROOF MATERIAL COLOR ROOF PITCH DOORS COLOR ��i/� WINDOWa�ii3�,/-c'iq �rE-4a�i� ✓��C✓./�i//ltl COLOR > �rfG SHUTTERS A A COLOR TRIM 140 G,c ` COLOR J e--,O GUTTERS PATIO/PORCHIDECK w GARAGE DOORS COLOR OTHER /-V � 1) 7-4X Z:f Page 2 of 3 Hyannis Main Street Waterfront Historic District Commission DETAILED DESCRIPTION OF PROPOSED WORK • Provide detaied SpeCdeCatioroS 01(the propose. • Include a detailed description of changes to existing conditions,if applicable. • Describe proposed materials to be used,desired colors,manufacturer's specifications,etc. • In the case of signs,give locations of existing signs and proposed locations of new signs. 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T^,""�3%y �.y R'� �d .7 q+� �� f ?3'`„{�'"_�''�6is �.�� R��+�'�'f v�.,r'f��=,i f a�j k °� ir+.. � MYTi •,.,R �P�,. a ..�., 1 r.^g•��. .�.tft.� ..� +td'."-'• � �t ��•�� .r..;'ai` r,.'1pk..i^r!`• �l�'�,� ..+irw _2� i ..S �.«�$' 4 -':`r:�; NOR'CH `-''TREES 0 Q O — m Q . r z Q m w w - B4OG in I 400 It . 3 7s OVP��S STR�`E� PLOT PLAN- 400 BLOCK, MAIN STREET, HYANNIS, MA RVASIONS •E. •1-1 2'B LMESfq •CttN qtS ST�rIgoN1Y•VNRIS V/ORT1 ENDS Td61ir•0.N>r.RiG it SW WE 0.N%KWWN iru�2. vlare.x Iaem er Lec�rwls e•v.erL.1-ve•e LB¢srma•cttxr BWL S slmux IN ELEVRrBN 21"p S S N'quR°uL V•R3<Sre01q('-VENEEN •) KWMOM CB,MERIK WnBE VNIBW. MIX PNME O RV OKfK 1xIR PRgrEe BENJVIIN 1091E'wRLIMi VNITE' � C� 6'V•.'N GR19N LENBix LIMESr®!E 581 O /1 ® // e'V.1.x pISTd1 LEx°Ix w.cnmtleN fA.R1TE, z Yv�Cy1t rwwx rntt F-1 SECTION A / WINDOW RECESS xU W :Ya' MAIN ST. ELEVATION N BBVE .r W W O "'r'o'..�- b JI, JI� O/ FIRST FLOOR PLAN - Z-4,ZZ ILKKB"81F' EBCIK w.BE VgwV, - ,. � BZEN RIN,P.wrEo cx.rxBt� dxr.N nax J i - wrt unr vxlrE• c 242 0 I6"oc, L.raaas ' ' ST61,1-BEM �'M•' e LV uau SECTION B PLOT PLAN RAMP DETAIL 5W:X"-IV' 1 Nr1•'"s 400 BLOCK, MAIN STREET, HYANNIS, MA 1 NO s G��- 408 Main Street r P.O.Box 730, Hyannis, MA 02601-0730 URI Phone:508-775-2400 Fax: 508-.771-5277 McWs Women's Ski£ Tennis E-mail.address: info@purilancapecod.com Web: puritancapecod.com April,5, 2013 Tom Perry Town of Barnstable Building Commissioner 200 Main Street Hyannis,MA 02601 Dear Mr. Perry,. urrently,.there is a large,unsightly sign frame at the North St. entrance to Puritan Cape Cod. The sign,installed in the 1970's, was an aluminum 84 square-foot box ffame'with a backlit plastic.insert listing the businesses in.the 400 building. During,the storm this past February 10, 2013,the plastic insert and the interior lighting were destroyed by high winds, leaving only the outside frame. We are working with Cape and islands Signs to finalize the design for an externally lit 50 square foot sign proposed for the same site. This will be a traditional style more upscale.in appearance: white field; black nameplates lettered in white, gold accents. We would like to remove the existing damaged sign now, instead of leaving it up until we have completed the permitting and fabrication process. We should be ready to install the new sign in approximately two months. Please advise if we.can move forward with;the removal of the damaged sign. Sincerely, Richard Penn President "sewing you iri' Main St.,Hyannis *Main.St., Chatham *Mashpee Commons *Mai St., Palmouth mot , Sign TOWN OF BARNSTABLE Permit * BARNSTABLE. MASS. 16 9. A� Permit Number. Application Ref: 201302455 20070851 Issue Date: 04/18/13 Applicant: FOUR HUNDRED MAIN REALTY LLC Proposed Use: DEPARTMENT DISCOUNT STORE Permit Type: SIGN PERMIT Permit Fee $ 75.00 Location 408 MAIN STREET (HYANNIS) Map Parcel 327262 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks 45 SQ TOTAL PURITAN 31.5 SQ WALL/3 SQ HANGING/ 10.SQ AWNING Owner: FOUR HUNDRED MAIN REALTY LLC Address: PO BOX 2652 HYANNIS, MA 02601 Issued By: p 4 003 .1...-...1................1.....1................................... xy, 'OST THIS CARbSO THAT IS VISIBLE FRAM THE S REET � r Town. of Barnstable Regulatory Services' 9 MASS Thomas F.Gefler,Direct6r a Building Division _ Tom Perry, Budding Commissioner 200 Main Street; Hyannis,MA 02601 www.totmbarnstable.m&us Office: 508-862-4038 Fax: 508=790-6230 R > Building Official approving Application for Sign Permit ApplicantALha sensors 1Vo,32 9�4a p 7"- k Doing Business As• u/'—/T�� LqO� Telephone No.,Sign IAaltion StreeVRoad: Zoning Distri� Old Xmgs . . may? Yes/6 HYarmis Historic aib ict? STo Property Owner Name: 4-DDC�i .p�9/7ii LG Telephone:�d$� i Address: 8 0, 6 village:. y�o y, h%S • Sign cotter 1 Name: Telephone Mailing Address:. I(D3 Des -Please follow the cover diaections.You m have an h an curate rendition of sign with dimensions and location. ce 11 s �, _ �1 ,!6 Is the sign.to be electrified?. / gl4e by l wrdth of building face f gi O &z 10- 00 )a a-) Check one Reface eristing sgn or New //Total Sq.Ft posed sign(s) . a w h iH.�q Ise I-/`/?C� Y7,?u-have additionalsigasFlease a=r-b a sbeetlis6ngeacb as pn•s.;Qp� �J If refic'ug an M:is gdgn Please provide.a picture of the ex:s ft sign with dmzensians.. I hereby cerd{y 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 §2A-0-59 through.§240789 of the Town of B le Zoning i SignatLue of Owner/Au&orized bracket 9" x 44" sandblasted sign with 50" 1 ° signfoam laminated to 3/4" MDO plywood - total thickness 2.75' i black with 22-carat old leaf g Gee��l z►�► DATE: Tuesday, February 05, 2013 CLIENT. Puritan Clothing CONTACT Linda Grice PHONE: FILENAME: purproj APPROVED BY 103 ENTERPRISE RD., HYANNIS, MA 0260.1 :• •-•• 4, • � • e • 508-815-3431 •• " " low door_- - DATE: Tuesday, February 05, 2013 CLIENT Puritan Clothin' g CONTACT - • SIGNS-, - - • . "' •• THE ABOVE DESIGN IS THE PROPERTY OF CAPE AND ISLANDS SIGNS AND MAY NOT BE DUPLICATED OR -USED-WITHOUT-EXPRESS WRITTEN-CONSENT.--CHARGE-FOR-DESIGNS USED WITHOUT PERM/SSIOM' S500.00 END VIEW / • CROSS ' SECTION } SIGN BRACKET BOLTED TO BUILDING GUY WIRES BOLTED TO BUILDING CROSS ARMS WITH. : LIGHTING FIXTURES 9„ X 44" HANGING SIGN' 2.75": THICK � e ��a%ZAiJ/ DATE: Wednesday, February 20, 2013 CLIENT Puritan Clothing CONTACT: Linda Grice PHONE: 4Z IFILENAME: purproc APPROVED. BY: 103 ENTERPRISE RD., HYANNIS, MA 02601 THE ABOVEPROPERTY • • OR 508-815-3431 •• " " Town of Barnstable Growth Management Department Hyannis Main Street Waterfront Historic District Commission www.town,bamstable,ma.uslhyannismainstreet Decision—Certificate of Appropriateness Puritan Cape Cod—Signage The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code of the TovRof Barnstable Chapter 112,Historic Properties,Article M.Hyannis Main Street Waterfront Historic Dish hereby approves a Certificate of Appropriateness for the following property: °1 r Property Address: 408 Main Street,Hyannis , Assessor's Map/Pareel: 327 262 N At the February 20, 2013 hearing, after consideration of the testimony given and materials submitted by the applicant and members of the public, the Commission found the proposed signage for Puritan Cape Cod will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the design, materials, location, construction, colors and the historic significance and appearance of the structure and found the proposed wall,projecting, and awning signs 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 conditions: I. One wall sign (black aluminum letters back-lit with white LED), projecting sign (bas relief sign foam on mounting bracket with illumination), and awning signage (white 4" Palatino Linotype letters) are approved as shown in the application dated February 50 2013, 2. Sign permits from the Building Division are required. All signage is subject to compliance with applicable zoning regulations. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop, William Cronin,,Meaghann Tenney,Paul Arnold,Brenda Mazzeo Opposed None Absent:Joe Cotellessa,David Colombo,Mari=Atsalis, d)P3 George A.Jessop,C Date or; Ride Penn,Puritan Cape Cod,AP Tom Perry,Building Commissioner 1,Linda Hutchenrider,Clerk of the Town o£Barnstable,Barnstable County,Massachusetts,hereby certify that--•-.. twenty(20)days have elapsed since the Hyannis Main Street Waterfront Historic District Commission,frl' ihrs" decision and that no appeal of the dec' n as been filed in the office of the Town Cleric. -;, Signed and sealed this day o und9pthp pains d penalties of per - r Linda Hutchenrider,Tovim Cleric ------------------ -______-________ __ __-__--__-___-__--_-___--------------------------- ------------------ --------- ----� ======- - --- ---------- ----- -________- =--_____- -- ==__==_=_----____=_=___===__--------=---=--------=---=- -_---------------=- _ ------ ----------=----- --------- ---- -- --- -=-- ----- --------===-------- u__. --- --- = u= --- --- - --_ - --- - - _ _..--------------------------------------------------=------_-- ________=___----- - -------==_=-==-===_-=__=_-_-------===-=_=====---_-MM ------ u.-- - - -- - u��---------------------------------emu- =====_-===_ ====-==-::_:__ ====_===___===-=== =_==== u=_= -------- =---- ------ --- - - --- - - - --- _:u: - - - - -- --------- ----- =---- - ------------------------------------------------- ---_ - -- --_-------- - ■■=----=--------------------------------------------=-------------------__--- - -- - - - - --------- -------------- -----------------------------------------------------. -- --=-- -- -s---------- -------------------------------u --------------------------- ------------ ------ _, =__=_-----_--_=_____-=_=-=-__________________ u-_====================-====-====-========_====__==== --------------------------------------------------------_=_-_ ___=__-_=__-_=_-_--- _ -------------------------------- ME LEI" ,, • • No Il�l�i POLf5, 1 1 ONE i• ---• fVRLTAW-C�� PROJECTING SIGN SIGN DETAIL pEp.20,2015 ---■ �II—',� ===___=====r=:_===' --====--==-r=====-____= ------------------ ---------------- ---------------------- ME ==r=-=====r_r -r==== - r===== _ � =_ .__--____-=_=- ____-® -=-==_=-__-__----_-==-_-____=--==_-____---_-- ___----__----____-=--------------------------------------------------._ _ --=---= --_-__-_- _-__=-----_- -_- ---__-----_--=rr==r=-r=======_= -- ----=----------- r_ ___=r-r_=__-=rr--_=r===__=-- -=_______-=-____=__= __, _____-=r_===-_-r=-rrr=_=_= -=-------------__--_-_--___=--________---- _-_____ __ _ __- -___ __-__-__ _ ___________ __-__:-__ _____-____ _- _ ___ ____-____-_____ __-___ ------------------------ a_= BOYSWEAR PURITAN CLOTH ING CO. MENSWEAR Bailin FACADEEXISTING --------------- --__--- --------------- ----------------- -------------------- ------- ---------------_____----------_-=== u r==-r=-=r== -r=== =r=____---==r_------= - =. MEN --- ---------- ------------------ ----------------- ------------------------- ------------------------------------------------------------ -- _..----------------==r=---=--------------------------------------------------- •=---------------------------------------------------- --------------------------------------------------------------------------------=====r==__----------==-r=------ - _.= _ _ -___=_-___-___-=-------------------===-=r== _--------------=----r==-=-r-=r-----_---- _•_ z==r_r=:-=zr=s=====--- ==r==r====zr==r=__• .-- ._..----------r=__ ------------------------------- ••----------------------------------------------------' -_-______�--------------------------------------------------------------------------- -----_-----------------------------__---------------- rrr=ss=____.__.__�___�___�--'-_-_-_--_-____-_-_-�___-=-___---__-_-- _____�_�_-___-=-_-=-_----'-=__-�_----•-__ --- -----��v��---�--- -=__=====rr=_-=rrr_==r=r===r===r=___=r=___ ___--- -___________________________________________________________________________________________________________ ._. ==r==-------------------=---===-=r==______=====r===-=______- r=====-r=_= u==-=r=r--=--------------------------____=_-------- --==-------------------------------------------------------------------------------------------------------- =___-=-===r==r=-r=_= r--=r ==r==r=__-==r===r=-=- _--- --_--_ ----=--_r--rr_-r-_- --__-_- =-_-___ _-__-______ ----------=====r=r==-=rrr-=_-_---_=___-==r======r_r=-----=--_-_-------_-_-= =___= =_:_=: = :_=: =_.:__ _:_=_:_= _=:u==rr_rr===_=r==r=====__=====r====r=====- -- -=r -- --=------- ===-____===_= - ------ - ------------- ------------------------=----=--=------ ---r-__- =_____------ =r=___====---------=-=--------- ,J =------===-------------------------------------------___ ----------- _-----------=: `==--------------=- ===-= = =• -==___�____ _=-_==�-ens__; --- _ - _ =:M.1 • 408 „� BARNSTABLE4 �p Mfl p Town of Barnstable Growth Management Department Hyannis Main Street Waterfront Historic District Commission www.town.barnstable.ma.us/hyannismainstreet Decision —Certificate of Appropriateness Puritan Cape Cod — Fargade Renovation 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: 3272.62 At the January 16, 2013 hearing, after consideration of the testimony given and materials submitted by the applicant and members of the public,.the Commission found the proposed fagade renovation for Puritan Cape Cod will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the design,materials, construction, colors and the historic significance and appearance of the structure and found the proposed renovation 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 conditions: 1. The fagade renovations are approved as presented on the revised elevations dated January 16,2013 and detailed in the application dated December 20, 2012, and revised per the document entitled "Revisions to Puritan Cape Cod Plan dated Dec.20,2012". 2. The applicant shall.file separate application for new signage for the businesses. The applicant shall also present details of the exterior light fixtures (proposed Nauset Lanterns) to the Commission for final review and approval. 3. Permits from the Building Division are required prior to commencing work. Present and voting in the affirmative to grant the certificate of appropriateness were: David Colombo, Joe Cotellessa,William Cronin,Meaghann Kenney,Brenda Mazzeo Opposed:None Absent: George Jessop;Marina Atsalis,Paul Arnold w -3 ,_3 David olombo,Vice Chair Date Hyannis Main Street Waterfront Historic District Commission cc: Rick Penn,Puritan Cape Cod,Applicant Tom Perry,Building Commissioner File I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts;hereby certify that twenty(20)days have elapsed since the Hyannis Main Street Waterfront Historic*District Commission filed this decision and that no appealp decision h e n fiIl��din the office of the Town c 1prk� Signed and sealed this 91: 0 U,daYUNW E L. under the pains�:hd penalties of,per'-jury. s J � .4.J,. ° m a utc enrider,t Town;r?erk � �/ V ' i � � � �� C� �. , =��- -v .� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel Application 1p?() 1 � � Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 3 F q Date Definitive Plan Approved by Planning Board % -D Historic -.OKH Preservation/ Hyannis Project Street Address 7 b q ✓,9 9m) I/ r Village_may-AA110S Owner fop m+io Q R/Ty L J c_ Address P 6 /301( abs d � �e Telephone .5;- 7 75' a Permit Request R fti o(IA�E /R E A)ka sH mq"� U,57 fig CP 04 . Pva;-r)W rAX 680 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District _Flood Plain Groundwater Overlay Project Valuatiorf��V _Construction Type 1N0013/57Jk`I1139�4 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 90 y/2S Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Bfull ❑ 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: ErGas ❑Oil ❑ Electric ❑ Other Central Air: Wes ❑ 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 ❑ O Commercial M Yes ❑ No If yes, site plan review# Current Use kETA-d Proposed Use 12re 7-H l -= APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name G&ANAL U L Cw5muOV'A) Telephone Number Address 1'14Irno��N Ili License # Ll a� C�,,A zf V I R C 611►'-} 0 aL 6 -3 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE C h&9_ DATE t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED • MAP/PARCEL NO. 1 ADDRESS VILLAGE 'i OWNER DATE OF INSPECTION: FOUNDATION FRAME I! INSULATION II s FIREPLACE y ELECTRICAL: ROUGH FINAL 1` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' s FINAL BUILDING ' DATE CLOSED OUT R ASSOCIATION PLAN NO. ,ti 4 M c K E N Z I E February 1, 2013 ENGINEERING CONSULTANTS Mr. Thomas Perry structunl chit environmental Building Commissioner Town of Barnstable + 200 Main Street y w Hyannis, MA 02601 1,F 1 " ` 4 RE: Construction Control,Renovations to Facade, Puritan of Cape Cod, 408 Main Street,Hyannis FA q 3 Dear Mr. Perry, ,: t= McKenzie Engineering Consultants, Inc.has been retained by Puritan Clothing of Cape x Cod to complete code review and structural analysis for the proposed renovations to the . facade and entry way to their building located a 408 Main Street in Hyannis. We have completed the code review,which consisted of reviewing the proposed changes to the windows and the egress door ways for the front entrance to the building.The stamped plans reflect the requirements of the code. We will complete inspections and provide reports when the framing is completed and when the project is finished. We will also be on call to review the structure during demolition and framing to review the existing conditions and ensure the framing is adequate for the proposed renovations. If there are any questions, feel free to give me a call, X"MARK A. ' Sincerely � � 39068 L w. Mar . McKenzie, 'sr .. Pres., McKenzie Engin nsultants,Inc, cc: Puritan Clothing 1279 Millstone Road Brewster, MA 02631 t 774.3 53.2 144 f 774.353.2142 www.mckengineers.com L •DepaTttJ nt 6 &strlaLAccideit4 r 600 Washington Street Boston;lVlA 02111 www.mass.gov/dia, Workers' Comp ensationlasurance- Affidavit: Bunders/Contractors/Electridans/Plumbers Applicant Information Please Punt Ledbiv . r Name(Business/Orgmization/fndividuan HA m L L G (°oYv 51�tasr�`i -Address: City/Stawap: afvT4avi.`'1k, h2ft oa'6.3J- Phone.#: S-0t-77j-P(bj' Are you an employer? Check.the appropriate box: :Type of project(regnired);. 1. 1 am a employer with`. '� -. 4. I am a general contractor and I _ 6. ❑New construction . employees (full and/or part time).*._ have hued the sib contractors o fhe'attached sheet 1• L� de� n 2:❑ I am a sole proprietor or partner- .listed - ship and have no employees These sub-contractors have 8. Demolition 'working for mein any capacity. employees and have workers' 9. $ addition [No workers' comp.insurance comp.insurance.$ _ required] = 5. [] We are a corporation and its 10.E Electrical repass or addriions 3.0 I am a homeownea•doing all work officers have exercised.their 11.❑Plumbing repairs or additions - mysel£ [No workers' comb. ' ' right of exemption per MGL 12.E Roof repairs insurance r ed t c. 152, §1(4),and we have no equff ] ' o ees. o workers' 13.E Other �t [N Y. comp:insurance required.] _ *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating$ey are doing all work and then hire outside contractors must submit a new affidavit indicating such. ZContractors that check this box.must attached an additional sheet showing tine name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb 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: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: yD s i'1'1/4jr 51 _ 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 tinder 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 Inye,sti>;ations of the DIA for insurance coverage verification I do hereby certify under the Apacns•and penalties of perjury that the information provided above is true and correct Si aiure: e' Date: Phone#' o5-0 S-7 7- Official use only. Do not write in this area, to be completed by city.or town official City or Town: Permit/License# Issuing A-uthority.(circle one): J.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other. . Contact Person: Phone#: - . ons Information.and Instructi _ . . Massachusetts General Laws cha ter 152 r, all a Io firs to rovide workers' co ensatian.for thcaemployees. '~ P mP Y P. - mp / b Pursuant to_this,statufe,an employee is defined.as".:.every.person in the service of.another under any P ntract of hire; express or implied,oral or written.". An employer.is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the.faregoing engaged.in a joint enterprise,and including the legal representatives of a deceased employer, or.tne..................:_..:.... . .. . .. _ . receiver or trnstee-of an individual,partnership, association or other eg entity,employing emp oyees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the 'dwelling house of another who employs persons to do maintenance,.construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.' MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to•operate a business or to construct buildings in the commonwealth for any applicant who*has not produeed•acceptable evidence of compliance with the'insurance coverage required." AdditionaIly,MGL chapter 152, §25C()states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the perfonmance of public work until-acceptable tvidence of compliance with the in�nce requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit-completely,by checking the boxes that apply,to your situation and,if necessary,supply sub-coniractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you'are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed.legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license nuimber which will be used,as a reference nummber. Ir addition,an applicant - that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all'•locatioas in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (ie.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The-Office of Investigations would ae,to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address ty--leP hone-and fax number. Yhe�Commoiiwt�alth of Massnhuw. DQ 7tmt of kdu tea;)Acddmts Q• sre of lnvet at ores 600.Washin St ma- Bostan,ILIA 0-2111 del.# Cl 7-727-4900 ext 406 of 1- MAS.SAFF Revised 11-22-06 Fax#617--727-7 4 . WWWM=gQV/dig 1//%U1L D:JL 11 tll`1 rJ1 lyrt1 vj Ac"R ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYV) 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 FRANK L HORGAN INS AGENCY INC CONTACT NAME: 44 BARNSTABLE ROAD PHONE o 1 A/C NO: 8 775-6688 HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC A INSURER A: INSURED INSURER B: GARY GRAHAM INSURER C: b6 BRANT WAY INSURERD: HYANNIS MA 02601 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 13626448 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 I ADDL SUER POLICY EFF POLICY EXP LIMI"I"S LTR rVPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE DOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGG $ POLICY M PRO LOC $ COMBINED I LE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ , ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE (Per accident) $ HIRED AUTOS AUTOS. . UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ $ WORKERS COMPENSATION WC5-31 S-328005-022 3/23/2012 3/23/2013 WC STATU- OTIi• A AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000001 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR GARY GRAHAM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 230 SOUTH STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 13626448 CLLENT CODE: 1236006 Anne Chandler 7/17/2012 5:31:56 AM Page 1 of L This certificate cancels and supersedes ALL previously issued certificates. Town -of Barnstable . . t Reg ulator . Services , WA Thomas F..Geiler,Director _ �639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 wwwaown.barnstable.ma.ns Office:. 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize &A A`he't L L C l�6 0S ,Ual-tWy to act on trig behalf, in all matters relative to work authorized by this building petmit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 1 ; Signature of Owner Signature of Applicant. Punt Name Print N e Date Q:F0RMS:0WNERPERMISSI0NPOOLS 62012 Town of Barnstable.r THErti Regulatory Services * r Thomas F.Geiler,Director. r r1639.MASS. Building Division: ..A �R Tom Perry,Building Commissioner - 200 Main Street, Hyannis,MA 02601 wwwtown.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 :. HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: - number street. . village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRFSS: 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 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 with the State Building Code Section 127.0 Construction Control HOMEOWNER'S,EXEMPTION C:..., The Code states that "Any homeowner performing work for which a building pernpt is required shall be exeinpt from the provisions , 7 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." 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 y, 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. (A- 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 can t amend and adopt such a form/certification for use in your community. Q:forms:hom' =xempt 408 Main St. Puritan Cape Cod 2/1/13 Facade renovation Widows will be commercial, Black aluminum, Low-E, safety glass, double thermopane. In accordance with code. Doors will be painted mahogany 2 1/4" thick, with low-E, thermopane, safety glass. In accordance with code. Brick wall/stone treatment will be solid brick/stone on bottom of wall up to top of windows And top will be wood framed with plywood attached to framing, a waterproof membrane,then galvanized wire mesh, with a base coat of thinset.Then attach the brick veneer and stone to system with thinset, and grouted. 8" x 18" Limestone panels will have a lineal channel to sit on and will be attached the same as brick. E Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality 100171 772 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition Important: A. Applicability When filling out PP Y forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated b the Department of Environmental Protection cursor-do not g 9 Y P use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten(10)days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. r� B. General Project Description 1. a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or.less?❑Yes ,❑✓ No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of Environmental puritan Cape Cod Protection a.Name notification 408 Main St. requirements of b.Address 310 CMR 7.09 I H annis MA 02601 c.CitvrFown d.State e.Zip Code (508)775-2400 I. ele hone Number(area code and extension) E-mail Address(optional) 12'000 2 h.Size of Facility in Square Feet ` i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ !No k. Describe the current or prior use of the facility: .retail I. Is the facility a residential facility? ❑ Yes 0 No o m. If yes,, how many units? Number or units -0 3. Facility Owner: 400 Main Realty LLC. �o a.Name o PO Box 2652 b.Address _ [Hyannis Ma 02601 --� d.State e.Zio Code o (508)775-2400 f.TeleDhone Number a codeand ex e i ail Addressio al Gary C. Graham �Q h.Onsite Manager Name ag06.doc•10/02 BWP AQ 06•Page 1 of 3 Massachusetts Department of Environmental Protection_ _ "^ Bureau of Waste Prevention • Air Quality 100171472 i BWP AQ 06 Decal Number Notification Prior to Construction or Demolition General B. General Pro p (cont.) Statement:If Project Description asbestos is found. during a Construction or 4. General Contractor: Demolition Graham LLC Consrltruction operation,all responsible parties a.Name must comply with 1694 Falmouth Rd.#113 310 CMR 7.00, b.Address Chapter er7. 21and t L Chapter 21 E of the Centerville Ma 02632 General Laws of c.Cit /Town --Y d.Slate e.Zip Code the Commonwealth. (508)778-1461l This would include, f.Tele hone Number area code and extension but would not be E-mail Address o tional limited to,filing an JGary C. Graham asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. Graham LLC.,Construction a.Name 1694 Falmouth Rd#113 b.Address Centerville _ _ _ Ma 02632 c.Cit /Town d,State e.Zip Code (508)778-1461 T.Telephone Number area code and extension) E-mail A dress(o tional Gary C. Graham h.On-site Manager Name 2. On-Site Supervisor: Gary C.Graham On Site Supervisor Name 3. Is the entire facility to be demolished? F1 Yes" ✓[, No �■�.N =0 4. Describe the area(s)to be demolished: 0 Partial facade on Main St �� V N �0 0 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: o Replace partial Facade on Main St. 0 �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 I Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention • Air Quality 100171472 BW P AQ O^ Decal Number s:ti �'V1 Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s) surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No If yes, who conducted the survey? b.Survevor Name c.Division of occupational Safety Certification Number 7. Construction or Demolition: 02/12/2013 I 05/13/2013 a.Start Date(mm/dd/yyyy) b.End Date(mm/ddlyyyy) 8. a. For demolition and construction projects, indicate dust suppression.techniques to be used: seeding ❑ paving b. If other, please specify: ❑ wetting ✓❑ shrouding ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification I certify that I have examined the Gary C. Graham =o above and that to the best of my a.Prinj Name =o knowledge it is true and complete. U -- The signature below subjects the b.Authorized Signature _-N signer to the general statutes Manager =o regarding a false and misleading c.Position Fitle �0 statement(s). JGraham LLC. construction d.Re rese tin -1(0 e 0 e.Date mm/dd/ . o YYYY) �Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ 408 Main St. Hyannis, Ma.02601 Renovate/repair Main st. Facade 1/29/13 1. Strip existing granite fagade off from Naked oyster to right side of lady Puritans entrance, And from top of existing sign to sidewalk. 2. Remove all glass showcases, and doors. 3. Install new wood/steel framing to receive new windows and doors. 4. Install solid brick on bottom of walls, and a brick veneer at top of renovated wall to blend with existing brick. 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-042246 GARY C GRANXM 66 BRANT WAY HYANNIS MA 02601 Expiration Commissioner 03/20/2014 d Town of Barr stable: Growth Management Department Hyannis Main'Street Waterfront Historic District.Commission unow.town.banistable.ma.ugLn annistriainstreet George A.Jessop,Jr.AIA,Chair Jo Anne Miller Buntich,Director i Acknowledgment of Twenty Day Appeal Period. Required.by Section 112-33 of the Hyannis Main-Street Waterfront Historic District Ordinance I,. R 1 G 11 POO4 ?F0 lj("Applicant„),acknowledge that the Certificate granted by the Hyannis Main Street Waterfront Historic Distnct Commission is subject to a twenty(20) day appeal period,..pursuant to Section 112-33 of the Code of the Town of Barnstable: Within. 20 calendar days after the date of issuance of a Certificate,any person(s)aggrieved by determination of the Commission may appeal the decision to the Historic District:Appeals Committee. The Appeals Committee,after.an evaluation of all pertinent evidence,may uphold,overturn,or remand a determination of the Hyannis Main Street Waterfront Historic District Commission. Decisions of the Historic District Appeals.Committee may further appealed.to Superior Court Any subsequent permitting;or licensure conducted!in reliance of the Certificate granted by the Commission is contingent on the validity of said Certificate at the conclusion of any appeal. The Applicant shall be required to-fully comply with any decision of the Historic District Appeals Committee`or,upon remand,revised decision of the Hyannis Main Street Waterfront Historic District Commission Signature: Applicant Date: .j ZtG►fiarvl t✓'N 9 Print.Name 4 Address.of Proposed Work 200 Main Street,Hyannis,MA 02601(o)508-862=4665(0 508=862-4784 i • MRS Official Interpretation No. 2012_09 Date: January 8,2013 i Subject: 8th Edition 780 CMR,Base Volume,Requirements for replacement windows. a Background/Discussion: When code guidance is sought for replacement windows there are at least four code sections in the Base Volume that deal with this topic: • International Building Code(IBC), Section 2401.2 Glazing Replacement,which reads, `The installation of replacement glass shall be as required for new installation.' • International Existing Building Code(IEBC),Alteration—Level 1 Section 403.1 Scope,which reads, `Level I alterations include the removal and replacement or the covering of existing materials, elements, equipment, or fixtures using new materials, elements equipment of fixtures that serve the-same purpose.'and Section 306 Glass Replacement,which reads, 'The installation or replacement of glass shall be as required for new installations.' • International Energy Conservation Code(IECC), Section 101.4.3 Additions,alterations,renovations or repairs, which in part reads, Additions, alterations, renovations or repairs to an existing building, building system or portion thereof shall conform to the provisions of this code as they relate to new construction...' This official interpretation is provided to address the apparent overlap of these,requirements and considers the absence of evidence that hurricanes cause widespread damage of building fenestration in MA. QUESTION 1 For buildings in wind borne debris regions do replacement windows need to comply with both wind borne debris protection and energy conservation requirements? ANSWER 1 When the project involves mainly removal and replacement of the existing windows,that is a Level 1 Alteration; • Wind borne debris protection:No • Energy conservation: Yes Replacing windows is a typical existing building project so the code that applies is the IEBC and not Chapter 24 of the IBC. This is considered a Level 1 alteration,which is defined as `the removal and replacement or covering of existing materials, elements, equipment, or fixtures using new materials, elements, equipment, or fixtures that serve the same up rpose(emphasis added here)'. So, for example compliance to the IECC,section 101.4.3 would dictate energy conservation requirements,since a `purpose' of the original windows was energy conservation. The original windows had other functions as well but in general,the replacement windows need not comply with the wind borne debris requirements . since this was not likely a`purpose' of the original windows. If an existing building project is `significant' whereby it is essentially considered `new' construction which will likely include an analysis of the structure of the building,then the IBC applies and not the IEBC. So,it may be reasonable for the building official to invoke wind borne debris protection of openings. In this case,an analysis of the structure of the building,using an assumption of either a`closed', `open',or`partially enclosed' building per ASCE-7,will help the owner decide if adding opening protection is a cost effective option. This official interpretation only applies to the energy conservation and opening protection requirements for the replacement of exterior windows. If other systems which contain glass(like interior doors or rail guards)are being replaced then the code for new construction likely applies to those items. i k 1 A , i Town of Barnstable Hyannis Main Street Waterfront Historic District Commission Application Certificate' 'f Appropriateness Appfiptlon k,hereby*0 for the woe of a Cer ilp of Appropnalhness under M,G.L.Chapter 440,The ftale Districts Act for proposed work as desk below aril on ps,drd*p or pho graphs a rt�anyarg this appl cation t Assessor's ti p No. -3.Z 9 Parcel No. 9 2.2�o Addrm,gf Proposed Work .D PIU S A { Applirarrt Nanne PEa 4# T 41 ACE L_G 6 Appltpnt MaTing Address p.l�, vx :_ tbd r&tateMp pz&0l, Affi Phone Number -6 nL 4-0l0 a 40iicant E-Mall, tT r�l� ,Yu x-' fit cr�Je c �a a cc�Gam Property0wner Name /c'E/�L TT3� L _ Owner Maifrng Address "A.n ; /� o x lJ TownlState21p l�yi�iJ�'d1/rS ; :/�7 Cba Ca U 1 Owner Phone _�6'D Agent or Contractor 6 j::�: ( Agent or ConftAor Address M.— TownlStatelPp / 8 Agent or Contractor Phone tr Agent or Conirador E-Maii G cr ►r�r=i fa r�G.0 Jr=c�cz - �, PROPOSED WORK Please check all categories that apply: Buitdang Type: Commercial '❑ Residential [IAccessory 0 Other .,. . . Work Proposed: j 1. 8011ding Construction:. 0.New Building ❑.Addition ❑ Afterstloh 2. E derlor Alteration Windows pgoar/s_ (A Siding 0 Roof Other�L yy _S 3. Exterior Painting: ® l t 4. Signs ❑ New sgn ❑ Alteration to e)ds6ng sign S. Accessory Improvement: 0 Fence ❑ Parking Lot ❑ Outrjoor Dining JS Awn ng/CanoPY & Other. APPROVED JAN1 Paget 013 6 2013 t a TOWN OF BARNSTABL� -PA fz-eY I'�%1.5r C'> Q 11 -`C HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT a COM MISSIV Ct. d� ► �i Lo � 3 ` r 'Hyannis Main Street Waterfront Historic District Commission 'BUI IRM I E# AL. SPEC FICATIQH SHEET P e.a tt s s onfy ifi r r tx�t lir oonsuucft fteraum to an ew tilm a_e FM out W that we awl to ywr In m*Aal%SPOCK10ftns,d et�dt calars.�be tmd. FOUNDA'RON j - s�t3��c CHIMNEYWR �! caoR ROOF MATERial coLOR ROOF PITCH DOORS ,. ''�~N,x 9, "1�4/.t . 8!o''/►% .X f„ COLOR % G u�1bOM////��L.� /��9//il1!!�1 C�JI/ b'i�L SFt1TTERS COLOR oz) ,C3 �7'A/LI , TRIM I . cRs /l p PATIOIPORClimm 1V CARA(s D O*S COLOR ,OTHER ZAMeX . i 1 TAMAK'� T r T49 ,". .eze.)"Y ,G�YG ?�TC' TD fir¢ ?C, L 1:1 i { Hyannis Main Street Waterfront Historic District Commission DETAILED DESCRIPTION OF PROPOSED WORK • Provide detailed q ns of ft • Indude a detailed det*tion of changes to existing condons,if appC�ble.. Dwaine proposed materials to be used,desned oolars,nranufadur er's spedeat. etc. In the case of sigrrs,.give locations of existing 4ns and p nposed locadons of new signs. Atbch an.addfonAsheet,ti necessary, 16, s Q/U 441 VA92 �Add2Z 42' 5 pha� /cr�:ti r C1Q G�tSfD i ct�dUO '" - s / -- . p _ �n rA92 A 01,6 U AQ C-0 Y' t Appkwt-Agent , j r pa8e 3 at a 1 s { t USED_BRICK PATTERN PRODUCT DESCRIPTION Boulder Creek's Used Pattern Brick, although manufactured new, gives the impression of a Weathered. used brick. The face has a.lot,of texture on it and the edges are,soft and rounded. 1 COLORS i l OQ-8 Chicago Used This brick is a blend#ng of tan, pinks, ;yellows, rusts, red, and black .bricks. � 110:1:-$ New Orleans This brick is a blending-of equal parts of;buff,medium brown,and dark brown bricks. 1 1102-8 Cant6ury. This brick is a blendin'of equal_parts of buff,brown,;and rust+bricks. 1103-$ Lexington TN$brick varies from a medidth light brown to a medium dark brown, 1104-4 Buff This brick is a light camel color:. 1105-:$ Sequoia This is a variegated multi:colored brick of buff,°brown,rust,and black. 1106-2 Old'Wor Thisb veiwiah tharcoal overlay. 1107-8 Gray This brick is a mediumto gray a dark h 4Z-07 SsEX may; TECHNICAL INFORMATION Flats— I I sf coverage;per box 571bs.per`box : 24 boxes per pallet Corners 10 if coverage per:box y-45.lbs.:per box - 24 boxes per;pallet Piece"Size Range Length = 7 y21' Width = 2 1/2" Thickness /2" Picture: (Inside dimensions) 90°Size'Ran ge 'Short Return = 3 '/4" Long Retum _ 7 1/8� Height Range — 2 112- Thickness '%" i 135°Sie Range .,Short,Return 31/a" :Long Returii 7 1 w4 Height:Range. = 2 1/2" Thick-ess _ %Z -Tolerances + 1/8" i — a 3 NOR Q j 0 Q r 4 m V w w a0 , Z N+P`O PLOT 1 LANO' l- 4,00, :BLOCK, MAIN. STREET," HYANNIS, MA , A. AM mi a i a' ry .z y a y w mi too i a . ..ay, AM+d° a+Al :A „1 .,immN.,—'*+nti.,.#•�' " S -�;-� +� #�� Jumbo'Stone Texturxng'Patterxl 4 ��'. v . S ht r ,e a u� `k c 7hrs=Jumbo`5toneTeyctunng dei�n_was cut` . rnto:30t x30 •diamonds'to,grve a`unrque,,„PP achrtectural a earance. 10. .gyp �f ,�„�`��•k.�i r��.$ q. p w14+ q�RZA .!]� e3 ��X• kA � t' PT KT 9-, ` "4 5G• "e}' .( 5 s Fx'"0;^- Penn Blue hrghbghting color:was used,on a Sandstone Integ`a/color base a%ng with Charcoal Release to achieve an . ° .: appearance with tare Jumbo Stone Texturing pattern hat rndwidual�zes thrpro�ect: 4, d .._�,wtkhlr?7, ..e i' {� .�. ` . M .TM .: .:. s a a • ; ;j• 3 }S 3 . --- '-' - ---------- "y- - ,_.._- _.,,_.,�_u..,..,....,,.-_-r"`-'•--:>: `________ ________�__- - __'-_�'__,T_-r::,+-_.�=__=.s-,o-itir:'v:-,.y>s__ri_' -r��` +,.�.,�y,�_��-ec-x_ �tt� ___.— _ _: re•rm�sars®:s�arAr _-._:r�:--,._.t='�.-"=--:-r.:-,-?.dr_s--kvyr��®r.:'�x-_-�i___,r__�_-gym,.r._ _,. �-��-�fL�'S�t�-fc.�it_-"tc_-=-T-s--"m__ '"-c'i'L'�.,.� - --.r=.�;;s:r-�Yyy,.__=-:= -- ---rr_._�_=�-==ri=��:r•z=-_=::n:--' �---�?��-='-f-_��---- _ -- �-:-�`1'z=i1M=�='��-_-:-�c:,w�:Y—i=��"---=�_--- --'��L�--_�_-��E �----_ _ —=��..—.::; }'.._... �. ��,�i � -- � �y� �, r ll� � ii� ��• eft �?®. _�� PJ,F� `=� ("'-I' �'i� .� ,lE�®�I �Fr �; , III _=� 1� f �-�I - ,,,r - �• €:�� `I� `� -�-:®� Y�t -- iI, �I ,y � � _ =_ r.� ::: -�� r_ _ �) -.� zz ram:®, • s s s „ `■■ EH ®' : •: >a ..:...fit, ,«may t ". w 7— `,-_��.....,..�xv c. „,� �--ems•� ��w'�4 ��`�'"-�4: — , �a o- d�, m � 8 � •5 »ice �'^'�-.,x.�• r.� �� ';a b� x Rk E d >s.- , r A k Y. ,� roy� � y� � � I I' '��-�=ad• . . Dui nrm�rwwirn�r MwWw W __`-�`.. �� s»��""'"'""� "''».-- , � � •ff-ate..% s r . - ..... ....�:-. m ..w ....,.,_, _ Y . i - r , REVISIONS TO PURITAN CAPE COD PLAN DATED DEC. 20, 2012 ELEVATION AND FLOOR PLAN: X AT LEFT END, SINGLE DOOR.AND WINDOW POSITION REVERSED . * RECESSED ENTRANCE ELIMINATED X AWNING ADDED ABOVE DOOR WINDOW WIDTH CHANGED TO 4' SECTION A: w BOULDER CREEK LT.GRAY CONCRETE BASE SPECIFIED FOR ACCENT BAND CHANGED TO LIMESTONE ACCENT BLOCKS , w BOULDER CREEK"ESSEX'BRICK VENEER CHANGED TO S&H"CHARCOAL WATERSTRUCK"BRICK/VENEER x BOULDER CREEK LT. GRAY CONCRETE SILL CHANGED TO CUSTOM LENGTH LIMESTONE SILL f MAIN ENTRANCE: BLACK ALUMINUM CLAD DOORS CHANGED TO MAHOGANY DOORS PAINTED BLACK (ALL THREE ENTRANCES) If NOTE: THE ABOVE CHANGES APPEAR ON THE REVISED PLAN DATED JAN. 16,2013 ; APPROVED JAN 16 ?p TOWN OF BARNSTAB E HYANNIS MAIN ST WATERFRON! HISTORIC DISTRICT COMMISSION REVISIONS TO PURITAN CAPE COD PLAN DATED DEC. 20, 2012 ELEVATION AND FLOOR PLAN: X AT LEFT END,SINGLE DOOR AND WINDOW POSITION REVERSED RECESSED ENTRANCE ELIMINATED X AWNING ADDED ABOVE DOOR " WINDOW WIDTH CHANGED TO 4' SECTION A: BOULDER CREEK LT.GRAY CONCRETE BASE SPECIFIED FOR ACCENT BAND CHANGED TO LIMESTONE ACCENT BLOCKS • BOULDER CREEK"ESSEX"BRICK VENEER CHANGED TO S&H"CHARCOAL WATERSTRUCK"BRICK/VENEER • BOULDER CREEK LT. GRAY CONCRETE SILL CHANGED TO CUSTOM LENGTH LIMESTONE SILL MAIN ENTRANCE: BLACK ALUMINUM CLAD DOORS CHANGED TO MAHOGANY DOORS PAINTED BLACK (ALL THREE ENTRANCES) NOTE: THE ABOVE CHANGES APPEAR ON THE REVISED PLAN -DATED JAN. 16,2013 i � } r 1 r r, Qff 5 sp vl� p IDS ONII t �� Parcel Lookup Page 2 of 4 327-089 338 MAIN STREET(HYANNIS) KUHN, CHRISTOPHER P & HY 327-006- 342 MAIN STREET(HYANNIS) MANGELO, MICHEL G TR HY 001 327-112 345 MAIN STREET(HYANNIS) H,IBEL REALTY LLC HY 327-113 347 MAIN STREET(HYANNIS) YETMAN, KENNETH & LOUISE HY 327-114 349 MAIN STREET(HYANNIS) MANGALO, MICHEL C HY 327-005 354 MAIN STREET(HYANNIS) CAPE COD LODGE 226 IOOF HY 327-004 BARREIRO, FELISBERTO, G HY TRS 356 MAIN STREET(HYANNIS)- Multiple Address BARREIRO, FELISBERTO, G 327-004 (360 MAIN STREET(HYANNIS)-ALBERTO'S REST.) TRS HY 327-115 357 MAIN STREET(HYANNIS) NEWMAN INVESTMENT LTD HY PTNRSHP 327-003 FIELD, MELVIN D HY 327-002 GEORGE, THOMAS N &ALICE HY TR 327-002 GEORGE, THOMAS N &ALICE H TR Y 327-002 GEORGE, THOMAS N &ALICE HY TK 367 MAIN STREET(HYANNIS) ' Multiple Address BARNSTABLE, TOWN OF 326-021 (230 SOUTH STREET- SCHOOL ADMIN BUILDING) (MUN) HY 327-001 GAROUFES, KALLIOPE G TR & HY 327-001 GAROUFES, KALLIOPE G TR& HY 327-001 GAROUFES, KALLIOPE G TR& HY 327-116 385 MAIN STREET(HYANNIS) UNITED STATES OF AMERICA HY 326-138 397 MAIN STREET(HYANNIS)- Multiple Address BARNSTABLE, TOWN OF HY (250 SOUTH STREET-GUYER BARN) (MUN) 326-013 401 MAIN STREET(HYANNIS) \ HYANNIS PUBLIC LIBRARY HY ASOC 40.8-MAIN--STREET(HY-ANNtS)- Multipl"ddress 327-262 (3.90_MAIN.STREE_T_(HYANNLS)�Salon Concept-(Fmly PENN, MILTON L & HY National Wholesale)) [4MB MAIN STREET(H_YANNIS) - Multiple Address 327-262 _(-388 MAIN STREET(HYANN.IS)--Colorful-Creations PENN, MILTON L & HY (FmlyCOLONIAL CANDLE)) 408_MAIN STREET(HYANNIS)-z-Multiple_Addr_es_s� 327-262 f_(394 MAIN-STREET(HYANNIS)=`GUERTINTBROTHERS PENN, MILTON L & HY JEWELERS) 327-262 ��408-MAIN-STREET(HYANNIS)-Multiple A'� ddre PENN, MILTON L & HY (3.96 MAIN_STREET(HYAN.N.IS)�THE 400 1301-6LNG) 408-MAIN $TREE_T_(HY- - NIS).�Multiple-Address, 327-262 (408"MAIN�STREET(HYANNIS) P_URIT_AN-CLOTHING) PENN, MILTON L & HY 4O8 MAIN_S_-TREET_-Al --=-.Multi le_Addr-ess 327-262 (45 NORTH-S_T_REET`F_ormerly Nafional`Whol se ale) PENN, MILTON L & HY 309-221 412 MAIN STREET(HYANNIS) PENN, MILTON & HY 326-014 415 MAIN STREET (HYANNIS) SOUSA, FERNANDO TR HY 309-218 420 MAIN STREET (HYANNIS)- Multiple Address DUMONT, DAVID S TR HY (422 MAIN STREET(HYANNIS)-JEWELERS) http://issgl/intranet/propdata/lookup.aspx 5/8/2006 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION s ' Map 2 f� _Parcel © Application# Health Division Date Issued Conservation Division Application Fee 6 Tax Collector Permit Fee - Treasurer Planning Dept. Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis L1f)9n Project Street Address �T7 / (�'�' '`� `1;KZT_ Village y Y 6&J& Owner EQ " � �,U� I (r Address 3(o '7 �A SJ lY)/AAWI Telephone Permit Request l e k�T / 0 On Ld Square feet: 1 st floor:existing 3490 0 proposed 2nd floor:existing proposed Total new Zoning District Flood'Plain Groundwater Overlay Project Valuation Construction Type l F" 1�1M p okA Y?Y 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 i ❑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 f Number of Bedrooms: existing new CJ Total Room Count(not including baths):existing new First Floor Room'Count 77 Heat Type and Fuel: ❑Gas ❑Oil ❑Electric\ ❑Other =�" �' ` ' \ Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove:--❑Yes ❑No r Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑e isting O:newcsize CD Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name CNA3"V CA�Q Py L C � Telephone Number U8- 7 8 ~a b Address /V AJ) cky" oNk-)-K', License# M /-TMru13 Fz--7( (7 IT 02-1 v / Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ZZ- 6 _ 0 7 FOR OFFICIAL USE ONLY d APPLICATION# DATE ISSUED o MAP/PARCEL NO. -;Y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT x- ASSOCIATION PLAN NO. R_ � t i 249' ne Commonwealth of Massachusetts - ,)epartrnent of ndustrid Accidents Office of Investigations, 600 Washington Street Boston,AM 02111" www.masg.gov/d`ia , Workers'Compensation Tnsnrance A.£fidavrt: Builders/Contractors/Electricians/Plumbers A lfc=t J�nforlmatlon .Biease)Pz-int X,e 'bl Name ' ZA •Address: • f City/StateJZfp: Are y an esiployer7 Check the appropriate bog -i` :Type of project(required):. 1,E I am a employer with 4. � z� contractor a general can at�d i 6. ❑New cortstructlon . envloyew(full andior part ti=).* live hired the sub-contractors 2. 1 am a Sole proprietor or partner- listed on the'attached sheet 7. Remodeling slop and have no e=Ployees Thew sub-wnt aciors haw S. Demolition employr4 and lava wod=' .erorlang for me in arty capacity. t. 9. Building addition [No wo*qu, comp.Dance wrap.insurance. 10,L3tiectricalrepairs or additions _ reauired,1 5. E] We are a corporation and ita 3. 1 a�a bor>zeowranr doing all work . officers have exrscised their 11.[_]Pl=bing repairs or additions myaelf.[No worker®' comp. cg1 bf exemptiosl per ave no 12.[]hoof repairs' fiance required.]t .c. 152, ¢1(4),and we have . amployc es, [No wor1cer8` 13.[ then t`L 1�17' comp.inns oeregiiired.] •-tiny sppiiemt that checks box Rol amat tlso fill out the section below showing(heir workers'compemation policy b7rdtPtrti®. t Harneowna-s.vdho submit th3a affidMt bsd3ating mqy are doing atl work and tltm hire outside oontroetors uA=aulnnit anew affidavit indicatfrtg such leuntract m that oheek this box must attached No additional sheet abowbg the name of the rab-c lntzaotors and state vvhe$trr arnot those eaddes have anTloytez. Ythe Bub-contractn''9 ba�a amployeas,theymoat➢rvvida their work=,comp.poh;dYnuaber. �I�M an insurance for my employees. Below is the policy and joh site' information. . Insuraazce Company Na=81 Policy"or Self-ins.Lie,P U f7 7 Expimtioa Date: Oi ,/49$ GY /State/�i .Jab S`te Atldreas: 1��"�Gt�' ty P Attach a copy of the workers compensation policy deciaratlon— ge'{showing the poUcy n er and et ration date). Fadure,to sectae coverage as requirod under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of s. -arse lip to$1,500.00 moNor one-year irllfpisomnenI an well as civil peaaltSs in the forum of a STOP WORKORD13R and a i;ne of ap to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of W.-.��/� tiow 2f the DIA fbi IDSULE775ve coy6ra a verifcatic . ' 1'do frereby certify corder t7ie pains and penalties of perju that the lnf0 on,provided above is true and cop r7 .� Date -7---------�-- ' a .c use and of war to In this area, to be camp of y.c_ ar town�fficiai City or'rownt—._ Bermit�L,icense# Iss ing Authority(circle ogle): 1,2302rd of Ilealth 2.Building Department 3.City/Tovm Clerk 4.Electrical Inspector 5•Plumbing Inspector 6. Other �-- C�ntactperson: Phone#:_ NOV-02-2007 FRI 01 :05 PN Berry Insurance FAX 140. 15085206914 P, 02 � ��®• CERTIFICATE OF LIABILITY INSURANCE OP ID S DATEjMMIDD/YYYY; PRO1410ER - CHASE-3 11 02 07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Berry insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Franklin MA 02038 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phones B00-824-5201 P'axzS08-520-6914 INSURERS AFFORDING COVERAGE _a NEC) _LNAIC# — LNSURER A' 9C eaUl AStm c Mmriae Sna. Co. INSURER B: ( I 3r, I,LC ;DmMerCe Insurance Co Cha a Canopy Company, I- Dan el Chase INsuRERc:02 Wholesale Retail Suppliers �_ 4 M ckyls Lane P.o. Box 46 a Mattapoinett jj 739 INSURE:RD., -- COVERAGES INSURER F: F POLICIES OF INSURANCE LISTED BELOIV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING REOuIREraENT,TERM OR CONDITION OF ANY CONTRACT OR OniCR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY B_ISSUED OR Y PGRTAIN,THE INSURANCE AFFORDGO BY THE POLICIES OESCRIBEC KCREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH ANYPOLICIES.AGGREGATE LIMITS SHOVJN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �T,� �R:lCY t"EC7I4�Pi3CTCYEXPTiipY10SR TYPE OF INSURANCE POLICY NUMBER DATE fd MJDD/YY DATE M%It0O Y LIMITS GENERAL LIABILITY G4CH OCCURRENCF �t 1 00(O�000-- A i it + COVII•AERCIALGENERALLIABILITY CZ0021848@ 07/O6/07 07/06/08 i�ti sr_S(Ea�c_ureN�e I $ 100,000 I - I_J^_J CLAIMS IMlADE h OCCUR --------- MFD EXP(Any one Pomon) 1-- I PERSONAL 8 ADV INJURY i 5 1 ,000_- J G-NERALAGGREGATE I, I i GENT AGGREGATE LIMIT APPLIGS PER: --�� 2,000 , I PRp_ i` i PRODUCTS-COMP?OP AGG $ ,0 0 0,Q Q Q J POLICY I JFCY I LOC I - AUTOMOBILE LIABILITY I _ $ I�ANY AUTO I COMBINED SINGLE LIMIT 1$1 OOO,OOO 071 M ERWCL I 05/21/07 I 05/21/08 � (Esaccldenl) I_ ALL OWNED 4uros I X J SCHEDULED AUTOS I I j BODILY INJURY (Par perrcn) XJ HIRED AUTOS -- j , 3C NON•OVvNEDAUTOs --—' BODILY INJURY If (Per ectidenodcnt} PROPERTY DAMAGE S GARAGE LIABILITY (Per acciderd)- i TO ONLY-EA ACCiOENT APPf AUTO I AU I t j OTHER � ! I AU'f0 ONLY:NLY: AGGC�S EXCESS1UfJIBRELLA LIABILITY - I EACH OCCURRENCE —I OCCUR I I CLAIMS MADE + AGGREGATE —� DEDUCTIBLE ! I— R- TV-NTION� g r I WM LOYC 3'LIAILITYCOMPENSATION AND i I -—I O L,f I EMPLOYERB'LIABILITY X TORY LIMITS I L EyR,-�•�—�....___' ,; N'PF:Of'R*TORrPARTNER/CGECUTIVE I WC0 0 0 9 91-7 i 01/01/07 01/01/08 G.L.E4GH.lCCIDEPJT S 100 000 i 01-r-lcEw�+nrrnE.k EXCLUDr:D7 ( _ fyFa,dcscrlpe order E.L.DIScA.SE-EA Ef,PLOYFE S QQ�OQO 3 eC!AL PrtO'�ISIGNS below 4 — OTHE-R I ! i E.L.DISEASC-POLICY LIMIT 3500 00O A 1Equipment Floater CY00218484 07/06/07I 07/06/us j J J $800,000 Limit $1 000 Deduct. _ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED-BY ENDORSEMENT I SPECIAL PROVISIONS Pr00f Of coverage, - !� Set-UP 11/9/07, went 11/10/07 & 11/11/07, Take down 11/12/07 J I ! CEIRTIFICATE HOLDER CANCELLATION PURITAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONr BATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN �I Puritan Cape Cod NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TD DO 60 SHALL Parking Lot in Back IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 4.08 Main. St. REPRESENTATIVES. Hyannis KA 03601 Auz TA > _ �GCIFcC7 25(200 f/08j - (DACORD CORPORATION 19" J f - Lb i 4z ell S oZ .1 i {.3 20` e ✓e o ��>:��ard MP 3ffl 1 M P O RTANT DOCUMENT 5 5 5 Certlf cafe of Jlanne Resistance 5 5 ISSUED:BY 5 SREGISTRATION Date of Manufacture 5 5 APPLICATIONa = CNOR @ 06i07i02 S NUMBER s INOUSTRIE INC. ij r y�r EVANSVILLE, INDIANA 47725 Order NumberMANUFACTURERS OFTHE FINISHED 5 353461 Dj 5 F140:1 E ENT PRODUCTS D SCRIBED HERE N S 5 This is to certify that the materials described have been flame-retardant treated 5 5 (or are inherently noninflammable) and were supplied to: 5 S . 266675 5 5 CHASE CANOPY COMPANY 5 5 4 NICKYS LN 5 P O BOX O SETTE MA 027390406 5 - 5 MATTA 5 5 5 5 5 5 Certification is hereby-made that: 5 SThe articles .described on this Certificate have.been treated with a`flame-retardant approved 5 5 chemical and that the application of said chemical .was done'in conformance with California S S 5 fire Marshal Code, equal to exceeds NFPA'701:, CPAI 84, ULC 109. 5 5 'The method of the FIR chemical application is: S 5 Serial# 5 5 goa�000(2, 5 5 5 5 Description of item certified: 5 5 NAVITRAC END 40WX20 SNY W W _ 5 5 5 Flame Retardant Process Used Will Not .Be :Removed By 5 S Washing And Is Effective For The Life Of The Fabric 5 5 SNYDER MFG NEW PHILADELPHIA.OH Signed: 4 , 5 Name of Applicator of Flame Resistant Finish TENT DEPARTMENT-ANCHOR INDUSTRIES INC. 5 s PrJ�rJ�rJ�rPrJ�tPcPtJ��Pr�rPrl�Pr�r�rJ�r�r��Pr Pr�rJ�rJ�r�rJ��PrPrjrJ-Ej-r3P rP�Pr��PrJ�r��Pr�rJ�rJ�r�r�rJ�rJ�rJ�r�r�cP�PrJ�rJ��P�P�P�Pr��P�Pr�rl�Pr��Pr Pr�rJ�rJ�r Pr P A' r [aMP0��I M P O RTA NT DOCUMENT'�� Iff" �`�`�' ° 5 Elan l�esistal?ce 5 5 Cert if leave o � 5 ISSUED BY Date of Manufacture 5 5 REGISTRATION 5 APPLICATION 06/07/02 5 5 NUMBER FMIDUSTRIE INC.CN R� 5 ej EVANSVILLE, INDIANA-47725 Order Number 5 5TENTMANUFACTURERS OFTHE FINISHED 353461 F140.1 PRODUCTS DESCRIBED HEREIN 5 5 This'is to certify that materials described have been fl lame-retardant treated 5 5 5 S (or are inherently noninflammable) and were supplied to: 5 S5 .266675 S CHASE CANOPY COMPANY S�C� S 4 NICKYS L6N P0BOX �j 5 MATTAPOISETTE MA 027390406 5 5 5 - 5 5 S 5 5 5 SCertification is hereby made that: S SThe.articles described on this Certificate-have been-treated .with a flame-retardant approved 5 5 chemical and that the application of said chemical was-done in conformance with California 5 5 Fire`.Marshal Code, equal to exceeds NFPA'701, CPAI 84, .ULC 109. 5 S The method of the FR chemical application is: 5 5 5 .S 5 erial# 8047000(2) 5 5 5 5 Description Of item certified: END 40wx20 SNY W W 5 S 5 SFlame Retardant Process Used Will 'Not ..Be Removed By. S 5 Washing And Is Effective For The 'Life Of The�,Fabric 5 5 SNYDER MFG NEW PHILADELPHIA.OH SI ned: `-''`� 5 5 Name of Applicator of Flame Resistant Finish TENT-DEPARTMENT ANCHOR INDUSTRIES INC. 5 - ��n��n o ��nd_Q pr�� n�� a � � � ��n��n�� 1 c o QQQQPQ92=� IMPORTANT D O C U:M:E NT �d�� M 5 Certificate of Ala Rill; ce 5 SREGISTRATION ISSUED BY 5 5 ck,� Date of Shipment 5 APPLICATION CHAR® 08/31/04 5 NUMBER s INDUSTRIES INC. Sr� � EVANSVILLE, INDIANA 47725 Tent Identification . S F140.1 £ 03936�14 MANUFACTURERS OF THE FINISHED S '� � V 5 5 TENT PRODUCTS DESCRIBED HEREIN S 5 This is to certify that the materials described have been flame-retardant treated 5 S (or are inherently noninflammable) and were supplied to: 5 i 5 266675CHASE S 5 4 N CKYS N CANOPY COMPANY 5 5 MATTAPOISETTE MA 027390406 5 S 5 � 5 S 5 5 5 S Certification is hereby made that: 5 SThe articles described on this Certificate have been treated with a flame-retardant approved 5 Schemical and that the application of said chemical was done.in conformance with California 5 5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. S S 5 Serial # 8047100(z) 5 - 5 S5 Description of item certified: 5 5 NAVITRAC MIDDLE 40WX10 SNYDER C 5 WHITE VINYL S S Flame Retardant Process Used Will Not Be Removed By 5 5 5 Washing And is Effective For The .Life Of The Fabric 5 5�j SNYDER MFG NEW PHE ADELPHIA OH Signed: `•�.�..,;;�,%;-�,..�� C5 5 "ISPECIAL EVENTS DIVISION-ANCHOR INDUSTRIES INC. 5 o ��Ln��l M PO RTA NT DOCUMENT �� z 5 Cert f cate; of Flange Resist"r- c f SREGISTRATION ISSUED BY 5 APPLICATION a p Date of Manufacture 5 s osio7ro2 5 NUMBER IND 5 j Order Number EVANSVILLE, INDIANA 47725 O rj 5 F140.1 MANUFACTURERS OFTHE FINISHED 353461 c� 5 TENT PRODUCTS DESCRIBED HEREIN 5 This is to certify that-the materials described have been flame-retardant treated 5 (or are inherently noninflammable) and were supplied to: 5 5 5 266675 5 , S4 NIACKYS LNOPY COMPANY 5 MATT PO SETTE: MA 027390406NJ 5 . 5 5 Certification is hereby madethat:: 5 r . The articles described.on this:Certificate have been treated with a flame-retardant approved 5 } 5 chemical and.that the application of-said.chemical was done in conformance with California - Fire Marshal Code, equal to-exceeds NFPA 701, CPAI 84, ULC 109. 0 The method of the FR chemical'application is: 5 Serial # 8047000(2) 5 5 - Description of item certified: 5 jNAWMAC END 4oWX20 SNY W W. Flame Retardant: Process Used Will Not Be Removed By 5 Washing And Is Effective For The Life Of The Fabric 5 13 SNYDER MFG NEW PHII,ADELM A.OH Signed: 5 j Name of Applicator of Flame Resistant Finish TENT-DEPARTMENT-ANCHOR INDUSTRIES INC. 5 5 M ��d�r� ��MPr PL o gf�� 01-51 IM PO RTANT DOCUMENT �Pui PP' 5 Certif of Flan?e �esi 5 5 REGISTRATION % ISSUED BY Date of Shipment 5 5 APPLICATION 4, s cipme 08/31/04 5 5 INDUSTRIE INC. NUMBER Tent Identification Oj 5 EVANSVILLE, INDIANA 47725 5 7 � MANUFACTURERS OF THE-FINISHED 03936314 F1.40.1 TENT PRODUCTS DESCRIBED HEREIN 5 SThis is to certify that the materials described have been flame-retardant treated 5 (or are inherently noninflammable) and were supplied to: S 5 S 266675 5 CHASE.CANOPY COMPANY 5 4 NICKYS LN 5 5 P MATTAPOISETTE MA 027390406 5 5 5 5 S 5 S 5 5 c5� Certification is hereby made that:_ 5 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 5 chemical and that the application of said chemical was done in conformance with California 5 5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109 5 SSerial # 8047000(2) 5 5 5 5 Description of item certified: 5 5 5 i 5 NAVITRAC END 40WX20 SNYDER 5 5 WHITE VINYL 5 . Flame Retardant- Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric 5 - 5 SNYDER NTG NEW PHEADELPHI&OH Signed: 5 "SPECIAL EVENTS DIVISION-ANCHOR INDUSTRIES INC. Ij € -,r„��r,r�r_�r�r_�r_,r�rar_nnnnnnnnnrannnl7r7rr717171r3l73rr7(�r�[PGP1717f71717LPLPf�l�CPLI�CP[J�C�CP�CPCPCPC CPLI�LI�CPCPr�C�CPLTC�C�CPCPCPr�LI�rJ�CP o �� r�rPrP�u IMPORTANT DOCUMENT'��' �� 3 o s Certificate of JF1 j"�'� 5 Reg- 5 SREGISTRATION S REGISTRATION ISSUED BY APPLICATION o �� Date of Shipment 5 5 NUMBER = WDUSTRIE�I ® 41IM006 5 S r� EVANSVILLE, INDIANA 47725 Tent Identification 5 5 F444.08 c MANUFACTURERS OFTHE FINISHED 5 TENT PRODUCTS-DESCRIBED HEREIN �26 S 5 5 This is to certify that the materials described have been flame-retardant.treated 5 5 (or are inherently noninflammable) and were supplied to: S 5 5 266675 5 CHASE CANOPY COMPANY 5 C5J N P O BOX 46 5 5 MATTAPOISETTE MA 27390406 S 5 5 5 5 5 S 5 5 5 Certification is:hereby made that: - 5 5 5 'The articles described on this Certificate have been treated with a flame-retardant approved 5 5 chemical and that the application of said chemical was done in conformance-with Califomia 5 SFire Marshal Code. All fabric has been tested and passes NFPA-701-99, CPAI 84, ULC 109. 5 S Serial# 5 S 8046015C(2) 5 - S 5 Description of item certified: S 5 NT LT CUSTOM END 20X10 FERRARI S 5 702 B/O S 5 Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And -Is Effective For The Life Of The Fabric 5 5 Signed• Q..,,(.�'; TPDA A A T TCVTTT T=C T A T(1T TA TlT l D1TT D A lT(` 5 `"SPECIAL EVENTS DIVISION-ANCHOR INDUSTRIES INC. fj �PrJ�r��P�P�P�cfrJ�rJ��PrJPLPrJ�rJ�tPcfrJ�rJ�rJ�LPr�r�r rl:: �r��PrJ�rJ�rJ�rJ��PrJ�cPr Pr PrJ�r P�P�PrJ�rJ�rJ�cPcPcJ��PrJ��PrJ"�PrJflJ�rJ��PrJ�rJ�rJ�rJ� ^PrJffl�cPrn O i 3 IMPORTANT D p ` 5 Cer C UME NT�� o 5 �I�1Ca Cif �1 Rs 5 5 REGISTRATION a ISSUED B`Y } 5 APPLICATION 'Date Date of Shipment 5 5 NUMBER ts PNi INN rj `e lJ�D' .. 4/12/2006 5 �. 5 5 5 r� EVANSVILLE, INDIANA 47725 Tent Identification 5 F444.08 E MANUFACTURERS OF THE FINISHED rj TENT PRODUCTS DESCRIBED HEREIN 04234256 5 5 This is to certify.that the materials described have been 5 5 (or are inherently noninflammable) and were supplied-to:flame-retardant treated S 5 5 266675 5. CHASE CANOPY COMPANY 5 5 N P0 BOX 46 5 5 5 5 MATTAPOISETTE MA 27390406 5 5 5 5 5 5 5 5 Certification is hereby made that: 5 5 The articles:described on this Certificate have been treated 5 5 dant chemical.and that the-application of said chemical was done n conformance with approved 5 5 5 Fire Marshal Code. All fabric.has been tested esCa serial,# and pass NFPA 701-99, CPAI 84, ULC t 09nia S 5 5 8046015C(2) 5 5 1. 5 5 Description.of item certified: 5 5 NT LT CUSTOM END 20XI0 FERRARI ON 5 702 B/O 5 5 'Flame Retardant Process Used 5 Will Not .Be Removed By 5 S Washing And Is Effective For The Life5 5 Of The Fabric S Signed: 5Q O tPrJ�rJ�rJ�cJrJ�cPrJ�rJ�[PrJUDMrr 1r.J1rPrJ"rJOM71r-J.rIr.-I PrJ�r��!rJ��rJ�cJrJ�rJ�rJ�r��P�cJ��PrJ�r�clrJ�rJ�rJ�r�rJ[-VECCIAL EVENTS DIVISION -ANCHOR INDUSTRIES INC. 5 rJ�tPr�tPcP�rJ�cPcPcPrJ�PrJrJ'rJ� !] 3 S I r r I Chase Canopy LLC Job provided on NOV 5 07 For: f PO Box 46 Marilyn Whelden r r r 4 Nicky's Lane Puritan Cape Cod Mattapoisett,MA 02739 408 Main Street y Voice: (508)758-2055 Hyannis, MA 02601 Fax: (508)758-2083 Phone: (508)568-1451 Ext: info@chasecanopy.com Cell: Fax: (508)771-3277 Quote By: Debra Jardin Invoice To: Puritan Cape Cod Our Job#: COR-07913-1 Job Status: Confirmed Order Ship Via:Chase Canopy 408 Main Street Purchase Order: Return Via:Chase Canopy Hyannis,MA 02601 Job Site: Puritan Cape Cod Terms: 50150 Room: Parking Lot in Back Delivery/Set Up Friday NOV 9 07 Address: 408 Main Street Delivery/Set Up Friday NOV 9 07 Hyannis, MA 02601 Event Start Friday NOV 9 07 Event End Sunday NOV 1107 Contact: Marilyn Whelden (508)568-1451 Pick Up/Return Monday NOV 12 07 Description: Ski Show EQUIPMENT QTY I Description Duration Unit Price Extended Tents 1 20x20 Navi-Trac Tent 1.00 Day(s) 400.00 400.00 1 40x80 Navi-Trac Tent 1.00 Day(s) 3,200.00 3200.00 Tents Total: $ 3,600.00 Heaters & Fans 5 80,000 BTU Heater& Propane Tank 1.00 Day(s) 140.00 700.00 Heater may require more propane dependant on temperature. 40lbs.@$40.00 ea. Heaters&Fans Total: $ 700.00 Tent Accessories 320 String Lighting Per Foot 1.00 Day(s) 1.25 400.00 Tent Accessories Total: $400.00 Equipment Subtotal: 4,700.00 Equipment Total: $4,700.00 Equipment Tax: $235.00 MISCELLANEOUS QTY Description Unit Price Extended 1 Delivery Charge 75.00 75.00 1 Early Morning Set Up Fee 150.00 150.00 Misc.Total: $225.00 07913-1 Updated on NOV 2 07 at 8:40AM Page 1 I • Chase Canopy LLC Job provided on NOV 5 07 For: PO Box 46 Marilyn Whelden r 4 Nicky's Lane Puritan Cape Cod Mattapoisett,MA 02739 408 Main Street Voice: (508)758-2055 Hyannis, MA 02601 Fax: (508)758-2083 Phone: (508)568-1451 Ext: info@chasecanopy.com Cell: Fax: (508)771-3277 Description: Ski Show MISCELLANEOUS QT Description Unit Price Extended Job Grand Total: $ 5,160.00 PAID TO DATE: $2,506.50 BALANCE: $2,653.50 07913-1 Updated on NOV 2 07 at 8:40AM Page 2 Chase Canopy LLC Job provided on NOV 5 07 For: PO Box 46 Marilyn Whelden r 4 Nicky's Lane Puritan Cape Cod f Mattapoisett,MA 02739 408 Main Street i Hvannis, MA 02601 - Voice: (508)758-2055 Phone: (508)568-1451 Ext: Fax: (508)758-2083 Fax: (508)771-3277 info@chasecanopy.com Quote By: Debra Jardin Invoice To: Puritan Cape Cod Our Job#: COR-07913-1 Job Status: Confirmed Order Ship Via:Chase Canopy 408 Main Street Purchase Order: Return Via:Chase Canopy Hyannis,MA 02601 Terms: 50/50 Job Site: Puritan Cape Cod Delivery/Set Up Friday NOV 9 07 Room: Parking Lot in Back Delivery/Set Up Friday NOV 9 07 Address: 408 Main Street Event Start Friday NOV 9 07 Event End Sunday NOV 11 07 Hyannis, MA 02601 Pick Up/Return Monday NOV 12 07 Contact: Marilyn Whelden (508)568-1451 Description: Ski Show Notes de Site:4-Clear Sidewalls, all the rest=solid walls. CC Crew: Need to bring water barrels. Cannot stake into the ground. 7am Setup.- Use the North Street entrance.Puritan Cape Cod is responsible for blocking off the parking lot where the tent goes. Chris Graham --maintenance- 508-737-6420 NO 954 • Chase C tnopy LLG 9 Po Box,Ir. To:Mariilyr:l Wheldnn d Hlrky'g lane Puritani 1",,ape Cod Malftapoi sett,MA 02739 408 Mai r1 Street bolaN (;06)758-2055 Hyannis, -MA 026Q1 Fax: (ZEDS)750.20S3 Phone; (508)ME.,1451 Ext: info,'M1S0canopy,CDM Fax: (508)771-3277 Email: mwheldc:r:@Puritancapecod.com From: Dobra Jardin Our Job#: 01913.1 underground wires, pipes,sprinkler systems,etc, on their property. If property Is rented, please contact the owner for S;iit9 information.We highly recommend contacting Dig Safe prior to Installation. Chase Canopy is not responsible in the event we purirture any untold Systems in the ground. We must be notified of any tenl cancellations no later than 2 days prior to+:tellvery date. In the event•that:the tent is cancelled by1his time,the 50%deposit will be hoi If full payment has already bean received,501! of the tent price will be refunded to the cLir:turner following the event. The full price of the dent will Pa charged If the tent is cancelled 21ter this time or has beef]ere)ted,even if it is n sf used:' Chase Canopy does not 211O v t le sharing of tents or any other rental Item:;,. Each function Is separate and biliad as such. When heaters or generators are involved in a function, a Chase Canopy et-n ployee may be � required on site. if need is determined,it will then result in an additional fe>c.;. We strongly recommend hiring One of our E rent Supervisors for functions of high coral,lexity.Please � call for an estimate. If grills,ovens,and griddles are not returned In the condition that they are r4nted in,an automatic$35.00 cleaning fee will be charged. It you have read-ind understood the above, please sign below and return vcth the required deposit. _ Customer"s Signature % � i � Date j a� � Printed Nam® !.� -i Quote/eantract# 11rp�'r l'} Chase Canopy Signature. Cale: ©ate: f Cnase Canopy LLC Puritan Cape Cad I I Signature Signature: Narrw Tltie' i Name&Title I� Page 2 I i � f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION za Map Jv Parcel Application# Health Division (� Conservation Division Permit# Tax Collector Date Issued O� Treasurer Application Fee o Planning Dept. Permit Fee 1; -7 �— Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address D fC Mal l� S 1 Village Ai Al-rt,i S Owner PuaiYAN r^)DTWnvl• Address q0V Telephone 44oU Permit Request — AN lUC 4 A l Square feet: 1 st floor:existing bD proposed 501yy+ , 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation el7 0, 000 • Construction Type L-/cLfl J SEcl 5 5,s 04Teock, �,v;;pTa;r :a _ ? Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. <- Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure `b a Y Historic House: ❑Yes LTNo On Old King's Highway: ❑Yes {�? Basement Type: fff6ll ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) J _ 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: 6Yes ❑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: i Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes Cl No If-yes,-site-plan review#. Current Use Proposed Use BUILDER INFORMATION Name GA 0,141114-, Telephone Number Address ilfLXX i_v License# 4,wA i � Home Improvement Contractor# / :� 310 S! Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 31 U 7 A FOR OFFICIAL USE ONLY ^ x z PERMIT NO. ' DATE ISSUED i t MAP/PARCEL NO. r ADDRESS' VILLAGE OWNER 1 DATE OF INSPECTION: FOUNDATION ` � FRAME P �'4 S& 1 O'/C � - a ( '6 '7 A►` � ►��5� J INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial,Accidents Office of Investigations ' 600 Washington Street Boston,MA 02I1I' www.mass.goM/dia ' Workers}Compensation Insur2nce Affidavit; Builders/Contractors(Electricians/Plumbers Applicant Information Please Print Le ' l-V Name(Business/Organisation/Indi-vidual): pz//e i �An/ cTf/i�vG e)o -Address: /h,4t�/n/ City/State/Zip: ANyr s /hA o2 6o I Phone.#: so e Are you an employer?Check the appropriate boa: 1.MI am a employer with JP0 4. ❑ I am a general contractor and I ;Type of project(required):. employees(full and/or part-time).* , have hired the stab-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 'iyorldng for me in any capacity, employees and have workers' 9 ❑Budding addition [No workers' comp,insurance comp.insurance$' required] 5: ❑ We are a corporation and its 10,❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing ill•work 11.❑Plumbing repairs or additions ' lf m se o workers'co right 6f exemption per MGL y � �� 12,❑Roof repairs . . insurance,required.]t c. 152, §1(4),and we have no '• employees, [No workers' ...13.0 Other_ comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners•who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit a new affidavit indicating such. $contractors that check this box must attached an additional sheet showing the name of the$ub-contractors and state whether ornot those entities have employees, If the sub-contractors have employees,they'raust provide then•workers'camp,policy number. I ami an employer.that is providing workers'compensation insurance for my employees. Below k-the policy and job site• information. _ Insurance Company Name: l �6r-4EXX Policy#or Self-ins.Lic,#: /ACR 48— ts-//C/,6/ —.o.. a 7 Expiration Date: lob.Site Address 7 o�AA/Al -fT;�,7I'ifNtiyJ' Z(cl 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 tip 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 maybe forwarded to the.Office of, Investigations of the DIA for insurance coverage verification, ' I do hereby certify under the pains and penalties of perjury that the information provided above is true an'd correct. Si tore. �J` �-�-�Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town:' Permit/License# Issuing Authority(circle one): .'1.Board of Health 2,Building Department I City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#; Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ad as".:.every person in the service of another under any contract of hire, Pursuant to this statute, an employee is defin express or implied,oral or written." An employer is defined as"an individual,partnership;association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a-deceased employer, or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or onthe grounds or building appurtenant thereto shallnotbecause of such employmentbe deemed to be an employer." MOL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to.construct buildings in the commonwealth for any applicant who has not produced,aecepfable evidence of compliance with the insurance coverage required." . Additionally,MGL ohapter..152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence Gfcom0:6_d e 7 tht]ie insurance' requirements of this chapter have been presented'to the contracting authority.'t Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti•actor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability'Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance'coverage. "Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law-or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their . self-insurance license number on the appropriate-line. City or Towti Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permivUcense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information-(if necessary)and under"Job Site Address"the applicant should write"all-locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance.for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Department's address,telephone-and fax number:. t:.' �'• ._, �. ,:The Commonwwth of Mmarh tt Boston,, 0211I . . To.#617-727 4900 ext 406 or 1- 7 MASSAFE Fax 4 617-727-7749 Revised I1-22-06. wwwmams6vldia I-W R EVo-T1 T tl,(I!; K 'S H L f4 ()5 H 1 6/ffm'(", OY R.5 P O;h -3. jv 6 Ri-rvoodei). hl-lAio �--IY11 Ot -TY2()Uc u-uoD 1019,1-1 Is-, Town',of Barnstable Regulatory ,services szaa Thomas F. Geller,Director Teo 19,, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Ofnce: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder the sub)ect psopertp . hereby authorize C G- 2 A �k to act on=7 behalf, in all matters relative to work authorized b7'this building permit application for: (Address of Job) Co 0 er ate Print Name Q:FOBMS:O rrN:.P�ERM�55I'�N PJLWTANfAPEa)D 408 Main Street P.O. Box 730, Hyannis, MA 02601-3904 Phone: 508-775-2400 Fax: 508-771-3277 The Men's Store The Women's Store The Outdoor Store E-mail address: info@puritancapecod.com Web: puritancapecod.com December 6, 2006 Town of Barnstable Building Department 200 Main Street Hyannis, MA 02601 This letter is to confirm that Gary Graham is a full time employee of Puritan Clothing Company of Cape Cod and is fully covered under our workers compensation and general liability insurance. Sincerely, Richard Penn President Serving you in Plain St., Hyannis Main St., Chatharn= Orleans Marketplace* Mashpee Commons x Main St.,Falmouth _ _ d i '' ✓�e t^arivr��or�sreal�z o�✓G'�19ac�u6elZ6 ' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O42246 Expires: 03/20/2008 Tr.no:. 15499 Restricted: 00 GARY C GRAHAM 66 BRANT WAY HYANNIS, MA 02601 Commissioner }' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map —.Parcel bo-L Permit# Health Division �' �D� a7 03 Date Issued �.� Conservation Division Application Fee �� ° Tax Collector OK- 4Wl-2 �! Permit Fee Treasurer ;a o'CANTMUSTOBTAM _;T ECTIOn PERMIT F OMFT . Planning Dept. °, EaNEERV G DIVISIONPRIOR Tip Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address °b W AlN Village R 6 Kb)(- 2�.5 Owner q0D MA,11 RCA-6 , Address M11' 5i Telephone L,ZX 77S`,1W __rr Permit Request Qom 0 J M yr L A4,, -6 N Div s gF. Aip� ( -899 r-ioi4 A,10 9-k c/7 5F. Cxrs7r-4 CE11,4 haoo IIy MAiN sr "010,5 DEPLof ?va: &1Y daui:;, Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total newer, Zoning District Flood Plain Groundwater Overlay Project Valuation.0,J P, o U 04 Construction Type 571; _ 5Y!Ei 120Ck. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure � 0 lam- Historic House: ❑Yes �o On Old King's Highway: ❑Yes alo Basement Type: trF'ulI ❑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: �N'Gas ❑Oil ❑Electric El Other Central Air: C3'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes U-No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑'Yes ❑No If yes,site plan review# Current Use Cow mi-Li tR Proposed Use BUILDER INFORMATION Namey C , Gerikm Telephone Number Address L 6 3M,%;r L,-4 License# 6 Ll as H4 tArvN�S MA, c gbo 1 Home Improvement Contractor# Q 3 b S Worker's Compensation# l4.0 cad lLD,�33SS 0 S o� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -_- Qurv.6)ST12 SIGNATURE DATE 1 S /63 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ., F MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE t ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. t � - --~--=` The Commonwealth of Massachusetts Department of Industrial Accidents office oflnyestigat/ons C` 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit / ens name: T /t/ LiL a T iV G o e r,4,42 L' Cc Z Al C .. location: o Al X 7 , city /y A iV A//1' . �1 d'1'• G� .t c ,y ' onone Y 6-5-0 ❑ I am a i gmeowner pet:orming all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this jeo. com anvname: Oe.OA17,4A1 address: / �. city: '0 ib C/ phone msurance co.f7/ jQ/ iy��.tfT�.✓A7�oi✓.4�L(12iJlf® ✓/EJlfolicv 1C O o I am a soi.e proprietor. general contractor, or homeowner(circle one) and have hired;he contractors listed below who have the following workers' compensation poiices: comoanv name: address::. «_ city:t ! ; phone;';" ,K ; insurance co. oiicv ii z companv name: address: s cirv: - t phone:;: w; insuranceco: olicv of Failure to secure coverage as required under Section:SA of�IGL 152 can lead to the imposition of criminal penalties of a tine uQ to S1a0U.00 and/or one years'imprisonment as well as civil penalties in the form of a SZ OP WORK ORDER and a fine of 5100.00 a day against me. I understand that a cupy of this statement may be fonvarded to the Office of Investigations of the DI.1 for coverage verification. I do hereby certify under t ains and penalties of perjury that the information provided above is true and correct. Signature Date Pint name o�E� T c/, /.CSC"/ �s�✓ ne T �7 0 e 7 official use only do not write in this area to be completed by city or town official city or town: permittlicense r7Building Department (]Licensing Board check if immediate response is required ❑Selectmen's Otrice Health Department contact person: phone ; MOther (reviud 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer-,is defined as,an individual, partndrsh'ip;associati8rf,,corpo'ratiori or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of•a;deceased etriplover. or the receiver or trustee of an individual , partnership, association or other legal entirv, employing employees. However the owner of a dwelkng.house having not more'than i'hme apartments and,who`resides there n, 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 ;rounds or building appurtenant thereto shall not because of such employment be deemed to be an emplover. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license%or permit to opernte*a business,or to bonsti-uet`buildins in'the'comm on wealth for any applicant who has not produced acceptable evidence of compliance with the insurance,c�oyer'age required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public:woric�until acceptable evidence..of.cbmpliance with the insurance requirernents of this chapter have been pr6sentec tc the contracting au'thoriy. ..,, r 4 r, 'ry .7 `�'+r S�'. •r.,':a ,.aj,.`" ,yy,'_ t-.a;�..<v. , .\'. i it'.-:. .,a v.. p Applicants Please fiil in the workers' compensation affidavit completely, by checking the box:hat applies to your striation and supplying company names. address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance 'coverage. Also be sure to sign and date the affidavit. The affidavit should be renurned to the city or town that the appiication for:he permit or license is being requested, not the Department of Industrial Accidents. Should you have anvquestions regarding the "law'or if you are required to obtain a workers' compensation policy, please call the Deparnneat at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. T he Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to live us a call. The Department's-addre"s;telephone"and fax number: } The-Coibrn Wealth'bf Massachusetts ., Department of Industrial Accidents Office of Investigations 600 Washinaton Street Boston,Ma. 02111 fax#: (617) 727-7749 . phone#: (617) 7274900 ext. 406 DFTMEt�,,� Town of Barnstable 0 Regulatory Services RARM9 i+us4�I'E'$ Thomas F.Geller,Director 16jq. Building Division �pTFD MA'S a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 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.sub ro e l hereby authorize C N'R14 P M to act on my.behalf,. in all matters relative to work authorized by this building,pexmt application for: (Address of Job) z s Signature of Owner Date Print Name Q:FORMS:OVngLWEPkMSION f COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $100.00 Alterations/Renovations $50.00 f:xK' 0 0 Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0061= ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet X$96/sq. foot= 0 X.0061= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0061 Commprojeost ✓lam BOARD+OF BUILDING REGULATIONS, License CONSTRUCTION SUPERVISOR Number ,:C:S O422'46 Fk�yy i Expires 0W20/20;04 Tr.no: 20196 � `'"�'�„p Restricted OA ' GQRY G GRAHAMS 'I ; 66 BRANT WAY HYP N. MA 02661 Administrator j i I I i I i ' ✓lie Vomvnwnuiea/.� o�✓�,a°°acLivaelta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O42246 Expires: 03/20/2004 Tr.no: 20196 Restricted: 00 GARY C GRAHAM 66 BRANT WAY HYANNIS, MA 02601 Administrator T 00-35,000 cf enclosed space (MGL C.112 S.60L) 1A-Masonry only 1G-1 &2 Family Homes Failure to possess a current edition of the Massachusetts State Bttllding Code is cause for revocation of this license. 9 I I i --DIG SAFE CALL CENTER:--(888)344-7233 --- -- _ - Hyannis Main Street Waterfront Historic District Commission i6796 �ED �A 230 South Street Hyannis,Massachusetts 02601 508-790-6270--FAX:508-790-6289 Application to ' Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition U Alteration Indicate type of building: ❑ House ❑ Garage J�J( Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK 4 0 0 Main .S t . ASSESSORS MAP NO. OWNER 400 Main Realty ASSESSORS LOT NO. 327-262 HOME ADDRESS P 0 Box 2652 , Hyannis , MA TE.L.NO• 508-775-2400 02601 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way.(Attach additional sheet if necessary). See Attached AGENT OR CONTRACTOR Chris Graham TEL.NO. 5 0 8-7 7 5-2 4 0 0 ADDRESS408 Main Street , Hyannis , MA 02601 a� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters - leaders,roofing and paint color, including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Retrofit existing 6 'w x 7 ' h . roll—up garage door to receive new 10 'w x 12 'h roll-up style garage door . Demise existing chimney . Build new overhang spanning both existing Colonial Candle garage door and proposed 'Puritan Clothing C.o . garage door . Install extruded 'aluminum , gutter to be connected to existing drainage system. Insta].1 doors on existing dumpster .enclosure to match existing fence . Signed Owner-Contractor-Agent Space below line for Commission use. Received by HMSWHDC Date Time By The Certificate is hereby: D Approved p Disapproved Date IMPORTANT: If this Certificate is approved, approval is subject to the 20 day appeal period provided in the Ordinance. 4 j r j HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** ADDRESS OFPROPOSEDWORK 396 Main Street , West side of building FOUNDATION poured concrete SIDING TYPE 4 inch concrete wood grain COLOR white CHIMNEY TYPE COLOR archite ral ROOF MATERIALcer t a int eed asphalt CcQ ,`�R weatherwood PITCH 10- 1 2 WINDOW COLOR TRIM COLOR PVC White DOORS_ COLOR SHUTTERS l GUTTERS extruded aluminum white Fence MECK 8 ' h . white cedar picket , stockade , natural GARAGE DOORS r o d 1 u p COLOR white NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies.of this form are required for submittal of an application,along with three copies each of the plot plan, landscape plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the lot to scale. !� v f • ) PLEASE SUBMIT THE FOLLOWING INFORMATION AND/OR MATERIALS WITH YOUR APPLICATION TO THE HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION. THREE(3)OF EACH.IN THREE(3)SETS APPLICATION: All sections must be completed SPEC SHEET: Complete applicable information PLOT PLAN: Show all structures on the lot and any proposed additions/changes. Certified plot plan for new homes only DRAWINGS: All Elevations and please include Landscaping plans for changes in existing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBMITTED: PICTURES: Of area(s)affected; Street view for additions/changes. SAMPLES: Of materials/colors(i.e.color chart) THE FOLLOWING FEES MUST BE SUBMITTED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE CERTIFICATE OF APPROPRIATENESS $20.00 CERTIFICATE OF EXEMPTION $10.00 CERTIFICATE FOR DEMOLITION OR REMOVAL $10.00 IF YOU HAVE ANY QUESTIONS REGARDING APPLICATIONS PLEASE CALL PAT ANDERSON AT 790-6270 BETWEEN 8 A.M.. AND 12 NOONM-F 'PURITAN UR TAN -.ling 00=.� :-e OF • ! Serving you in downtown Hyannis, Chatham,Falmouth,Mashpee Commons, Orleans,and Wel fleet Abutting Owners 1 ) . 376 Main Street Kalli Garoufes 67 Long Pond Dr . Centerville , MA 02632 2) . 420 MThin- Street David Dumont 67 Villow Street Hyannis , MA 02601 .. 3 ) . 366 Main Street Thomas & Alice George 17 Thacher Road Yarmouth Port., MA 02675 4 ) 16 North Street Liam Monaghan Hya-nnis Travel Inn 1.6 North Street Hyannis , MA 02601 5 ) . 40 North - Street Flower & Fern 40 - North. .Street Hyannis , MA 02601 . Drawer 730/408 Main Street, Hyannis,MA 02601-3904 Phone: 508/7,7572400 Fax: 508/771-3277 e-mail address:, infoC>puritancapecod.com w , Internet location: www.puritancapecod.com 4 :u ol Alz Vk s R- " M w ' f 411. LA-A:'L j y .. i r R � Z--r/-7 f �hfo�z�r�� 5 _4,u/��2�c S I � ,a� ,z �?SiSf%hs�.__Co/en:al.Caa� �ProPosecl PNn /7roho�C� ova! hGin� umAsf�r e/9G�osurG �loorS PrTa-5cd Jood:r7G dock doer yfrbuat�cl2/17. I i Pra I I - I I I I . I I � I /°N /a 'iF � ! ° I I IIIIIII �--c'SrSf*h��---.�`�a�ris+tr.�� PcoPoScc/ PHr;�gncf'G,G� Goad%Kq dQal'..dnar..�o'u..�1,. Lp9rl<'ngdoct'.door.ic:t�:vl�t'A. ,2r000zc2d ove-Aar)!�j� damofa tCr eric%surr- c%orS Pro/ a--5mol loodi'l Clock d oor-�oycrh rta dc!lml ;ng hi-One- • � car � f. 1 FROM :OVERHEAD. DOOR FAX NO. Jul. 03 2002 1O:5OAM P5 Rolling Doors 625 Series Face-of-W all Mounted Door Clearance Door AMmby W;dt, Elevadons WallO rdn Wldth OpBrCtt10'n:�r chain hoist or electric. h For cleasunce details Meeovtera on electrilly ca oyeerurr "no ed doors see Motor A operator section N tO Tenwon Drive • End — — End + • • V Note: For a Dimension{ Le1 see applicable guide detail page. o •A+5`for electric operation- ..Add 7',for crank weration. A Section XA Slat Data F2651 Slst Const UjUctoryfor atu Sid Op�n1_q WM1h 3tadaM 0 Wnal ta rninn and skOnleas _ 2.2 lamed tr�Place F2661 Thtu 3W4' 24 SL 20 22 steel(se)Slat 0007ii Polyurothane � �or�� Slats are gatuaniwd and foam{Cti',treei paw"siativrless steel or aksmrntare. $4 Gauge eadc R-Yew Smsla Fbnr CaMnde" Sancti s/a• 7.7 10 6 - Headroom Clearance dbrAtalon A Duaeasiono F8ti5!Scot Bpsoint IW6%W QPW1%WWft »o Noll MW Tfuy wo' IF lc' 1t3' Thru 87 IF IF 20' Thru 9y 18' 18' 20' Thru 11'0' 20' 20' z2' Thru 13'0' 20' z0' 22' Thm Iwo* 22' 24' 24' Thru 18'0' 24' 24' W. Thru 1V 24' Z4' 28. Thru Sav 2y 26• Ztl' Tlau 26'0' consult factory consult far:tory consulk f!= Thra 260' consult factory consult factory consult factory Thru 30'0' cowWt factory coneuk factory consult factory www.Ovettte&6Dcw,ccm 1 1.800-887.8867 1639. TOWN OF Assessor's map and lot number BUILDING � N 0 �� 0 �� INSPECTOR _ ��NNN0-0� N �� '�� ~� �� . , APPLICATION FOR PERMIT TO ... ' \ TYPE OF CONSTRUCTION -~—..—.----~.__._.._._.___~_____.____,^_.___,___._,^._.___,___ ........................ TO THE INSPECTOR OF BUILDINGS: / ^ \, '— undersigned. hereby applies for ci� permit according to the following information: 6� & ` Location ........... ;^..—.—.....---..~..--------.,—. ProposedUse —.. . _�.. 8�J_. ,.. .�... ........................................................ Zoning District ........ --...------------.Rne District ............... ................................ | Nome of Owner .. ... --_,._~,A66res ,_. »� � ............................ | Nome of BoUJe . —A66re» !�?�. �� .. .mk ' ��~ hJ ��, " '' '' Nome of A��iK�� .,!.L./x:�l��/�x�^.--.�---A66ams ----------------....--.—.. ............. ~ Number of Rooms ----------------------Foundohon ------------...—_..----__—__ Emehor ----------------------------RooGng --------'-----------___--_—,.. Floors ------_---------------------,|nHerior .............. � | Heating ---------------------------Mvm6ng ........................................... ' �� Fireplace ---------------------------.Approx|moteCou _—.�� .�_ Definitive Plan Approved by Planning Board l� A,eo | Diagram of Lot and Building with Dimensions Foe _ ............................. | SUBJECT TO APPROVAL OF BOARD OF HEALTH | / -_ ' ' ' � / / � | � � � ~ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS / . | hereby agree to conform to all the Rules and Regulations of the Town of 8o,nahnb|e regarding the above construction. . . . � No ..................................................... . ' GUERTIN BROS, INC A=327-262 �� OX 24326 REMODEL INTERIOR No ................. Permit for .................................... Store ............................ ................................................... Location S r g.e- .t......................a. ................ ......................................... 4 Owner ...Gue.r'L.n...Bxq§.1.... ........ .. ....... ....... .. Type a Construction ...Er aaP...............�4.......... ............. PlotLotj................................ 27, Permit Grante ...Augus,,t................................. ...19 82 Date of Inspection ........... ..................�t 19 Date Completed ............ .................. ....19 IP&� 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ( Parcel 2. Permit# L37 Health Division lL L-25&_ Date Issued 3 Conservation Division PP Feed d �Q Tax Collector ® f Treasurer ,9 MJ S/As/©Z Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 'IDt) m�,iu Calr Village Owner qOn rnl4iry RG,H 1tT� Address P© B:oX thy,1 ±S . M79 oab�l Telephone 0S —775' t{oc7 Permit Request I OVVv I► TD�,4�C of- maiw51 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost � ,000. Zoning District Flood Plain Groundwater Overlay Construction Type . IL 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: [Tull ❑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 M<o 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 VYes ❑No If yes,site plan review# Current Use- Proposed Use - 51'09A6L BUILDER INFORMATION CEI-1— 7,j 7.- 611X (Cf4 u_) Name l.7Atz.4 C 6i.a Wo ws Telephone Number r Address 6( &fiA)T �LO A� License# �AwN"IS frh111- Q74f o N Home Improvement Contractor# /J,3 6 59 Worker's Compensation# !? AT L/o boo 0a 657. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v Yno -su_p I SIGNATURE DATE r i I' FOR OFFICIAL USE ONLY b rx P •_ PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS > VILLAGE OWNER l' " DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: . ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t FORM The Commonwealth of Massachusetts 2R __ 1 - Department of Industriirl Accidents office nfl01MUg AHS 600 Washington Street _ Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit %////// : / 'R ��F%%��%��}%%�/%%�%�/�%�%/V/��////�% name: el/ / TAB✓ C_ o T/�i/i ni G C o . (�f.9 L C. a a _ZA/ c location: do A/N `P 7 city A/ V/'3 N i✓/ ,l', A 9 s J'. o Z / phone# (�_o 00) ® I am a homepowpner performing all work myselfnetor and have no one worg. p T %%//%%%//n% /I am an employer providing workers compensation for my employees working on this job. comonnv name: 11Z111R i TA Al o Tfi'/ ni G Co . F CAP E address: O /y! A /N / A N Al/ X /'/A .r r. O � `o hone#: -:M.city: � y ° insurance cn. EL �N✓' ¢ �r o u ,�N a^_ . olicv# T A o o a Z o ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: .... .. company name• address: dtr. phone#: insurnnce cm BOUCT# company name: address: city phone#: insurance co. ;.>;.:.:.:...:..: R0IIcV# Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the Imposition of criminal penalties of■fine up to 31.500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that■ copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. Lion. I do hereby certify under the pants and penalties of perjury that the information provided above is true and correct Signature Q-: Date Print name �0 8E/t c/. �/•�JE' /L- Phone 0i 0 O O official use only :nol""te in this area to be completed by city or town official city or town: per nit/ltcetue 0 ❑Buildlnq Department ❑Licensing Board eheekif immediate required ❑Selectmen's OMce ❑Health Department contact person: phone oh. ❑Other .frAUa 9193 P1A) TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel Permit# J 10 CP Health Division ?/` v`q� f,,�f� — ` ! - Date Issued f f [Zoo Conservation Division C)9 alzo� �` Fee Tax Collector Treasurer, AMzc 001v E�1VIfl$p OBZW A$EWER ION PERMIT FROM i Planning Dept. g'XG!1+sEMW(1]DIM10i PSIOR , I10e10�[ Date Definitive Plan Approved by Planning Board Historic`-'OKH Preservation/Hyannis Project Street Address Ll u% (YNY "1� <T ` Q L^�g �L;P rTPtL C � : Village 4 AAJj�JS _ Owner v M%q 1N 2CA 117-4 --� Address �. i v s VIN plwv1s MIT Telephone �7�' �i1UL� Permit Request fZP,r/,0yA710t4 lb mcIfTk sr II9A�S oP9 M frS ROCL Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation 40 Zoning District Flood Plain Groundwater Overlay Construction Type coo 0 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 Cl 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: 5 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 I Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use C am fintuiA Proposed Use S l lyc a BUILDER INFORMATION Name �, "� C c�o Telephone Number 7)S %? Address 614 ®10 License# _ q EPA�� Home Improvement Contractor# 10-1 Worker's Compensation# 11'I T �/ 00 O L ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I f , l" FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO: b ADDRESS VILLAGE; OWNER .xA, imc 1 3 e DATE OF INSPECTION- - > FOUNDATION FRAME13- INSULATION FIREPLACE ELECTRICAL: ROUGH '•Y'. ,:. FINAL• PLUMBING: ROUGH Fz FINAL: f r GAS: ROUGH FINAL J L 4 s = FINAL BUILDING .- i DATE CLOSED OUT s ASSOCIATION PLAN NO. Demolition Demise existing overhang&vestibules at east end; demise existing sidewalk. East Entrance Pour applicable sonotube foundation; build shed roof over porch with gable featured at door location&vinyl balustrade either side of gable; roofing material to be asphalt architectural grade shingle with recessed gutter system; install white automated sliding door; poured stamped concrete for entrance area. West Entrance Remodel existing roof; apply vinyl balustrade; install stamped concrete flooring; install white automated sliding door; on upper fagade install double sided false pitch roof with gable feature&vinyl balustrade either side of gable; roofing material to be asphalt architectural grade shingle with extruded white aluminum gutters; window shutters are vinyl louver. Adjacent To West Entrance Current stucco will remain with Benjamin Moore Yorkshire tan color applied. Walkway Walkway to be stamped concrete extending from east end porch to west of building;-three landscaped beds to be cut in; asphalt from stamped walkway 40 feet north(First row of parking). ' c�f2e 6Jowwwzu L ay REGULATIONS F BUILDING RBOARD DTRUCTION SUPEVISOR ONS License ' p42246 e Number: CS Tr.no'. 19695 Expires:.0312012002 Restricted To: 00 Y C GRAHAM (�'" 690 OLD STRAWBERRY HILL R CENTERVILLE, MA 02632 Administrator 07/6 TOOOJb7M0'M!!/E'OUII L� f�llJP,lCd ' HOME IMPROVEMENT CONTRACTOR Registration: 123659 ° Expiration: 03/25/2001 Type: Individual Gary C. Graham Gary Graham &y**41d Strawberry Hill Ro f ADMINISTRATOR Centerville MA 02632 I' i . i { ,r.;_.,:-_. The Commonwealth of Massachusetts Zj T� - Department of Industrial Accidents Office n1/AMM9.aUoos 600 Washington Street Boston,Mass. 02111 = � Workers' Compensation Insurance Affidavit (iraaat�azrt"inn'�i?�//%/////1//l/%�� /////�% name: 61/2 / 7;4n/ / o T/l// NG 0o . �,� �A/� L= (f o A , ZNC n � location: dp 19) ig city /-9 N n// J', A f J'. 0 2 / phone ❑ I am a homeowner performing all work mvself. ❑ I am a sole pro rietor and have no one working in any capacity �I am an employer providing workers compensation for my emplovees working on this job. comnnnv name: �u� / TA ^/ �"� n 7/i'/ A.- qp E �� D, _fin/C address: /l Al �/ 7- - �i city. /7 VA N Al .l, L} ./'!'. O 2 o / phone#: /�j .rf A c Nrr✓'� 7T'✓' TRa� � insurance cn. EL NJ' ¢ E o u •.zw C policv# 122,9L T a o 2 2- .o ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have!tired the contractors listed below who have the following workers' compensation polices: i company name: address• I ......... Mr. phone#: ........ niicv# insurance cm company name: .. "` M. address: city. phone#: Insurance co. :;.:;.:.:.,:.. .:.;::..,..... �%/// % //.0/% Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a Me up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the forns of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that■ copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct QSigoatum 22zDate _ �Q 8E t� �/L/f- /L- Phone# i-� 4 �I 7 S eZ 00 Print name Echeckff ly do not write in this area to be completed by city or town oillodal town: permit/license 0 ❑Building Department ❑Llcensint Board mediate response is required ❑Selectmen's Office ❑Health Department n: phone q; ❑Other (mva 9/95 PIA) I 5-13.1 Concealed Spaces. 5-13.1.1X All concealed spaces enclosed wholly or partly by exposed combustible construction shall be protected by sprinklers. Exception No. 1: Concealed spaces formed by studs or joists with less than 6 in. (152 mm) between the inside or near edges of the studs or joists. (See Figure 5-6.4.1.4.) Exception No. 2: Concealed spaces formed by bar joists with less than 6 in. (152 mm) between the roof or floor deck and ceiling. Exception No. 3: Concealed spaces formed by ceilings attached directly to or within 6 in. (152 mm) of wood joist construction. Exception No. 4: Concealed spaces formed by ceilings attached directly to the underside of composite wood joist construction,provided the joist channels are firestopped into volumes each not exceeding 160 ft3 (4.53 m3) using materials equivalent to the web construction. --'� Exception No. 5: Concealedtspaces entirely filled with noncombustible insulation. Exception No. 6: Concealed spaces within wood joist construction and composite wood joist construction having noncombustible insulation filling the space from the ceiling up to the bottom edge of the joist of the roof or floor deck,provided that in composite wood joist construction the joist channels are firestopped into volumes each not exceeding�160 ft3 (4.53 m3) to the full depth of the joist with material equivalent to the web construction. Exception No. 7: Concealed spaces over isolated small rooms not exceeding 55 ft2 (4.6 m2) in area. Exception No. 8: Where rigid materials are used and the exposed surfaces have aflame spread rating of 25 or less and the materials have been demonstrated not to propagate fire in the form in which they are installed in the space. i Exception No. 9: Concealed spaces in which the exposed materials are constructed entirely of fire-retardant treated wood as defined by NFPA 703, Standard for„Fire Retardant Impregnated Wood and Fire Retardant Coatings for Building Materials. Exception No. 10: Noncombustible concealed spaces having exposed combustible insulation where the heat content of the facing and substrate of the insulation material does not exceed 1000 Btu/ft2 (11,356 kJ/m2). Exception No. 11: Sprinklers shall not be required in the space below insulation that is laid directly on top of or within the ceiling joists in an otherwise sprinklered attic. Exception No. 12: Pipe chases under 10 J12 (0.93 m2)formed by studs or wood joists, provided that in multifloor buildings the chases are firestopped at each floor using materials equivalent to the floor construction. Such pipe chases shall contain no sources of ignition,piping shall be noncombustible, and pipe penetrations at each floor shall be properly sealed. 5-13.1.2 Sprinklers in concealed spaces having no access for storage or other use shall be installed in accordance with the requirements for light hazard occupancy. Copyright NFPA 5-13.1.3 h Where heat-producing devices such as furnaces or process equipment are located in the joist channels above a ceiling attached directly to the underside of composite wood joist construction that would not otherwise require sprinkler protection of the spaces,the joist channel containing the heat-producing devices shall be sprinklered by installing sprinklers in each joist channel, on each side, adjacent to the heat-producing device. 5-13.1.4 In concealed spaces having exposed combustible construction, or containing exposed combustibles, in localized areas,the combustibles shall be protected as follows: (a) If the exposed combustibles are in the vertical partitions or walls around all or a portion of the enclosure, a single row of sprinklers spaced not over 12 ft(3.7 m) apart nor more than 6 ft (1.8 m) from the inside of the partition shall be permitted to protect the surface. The first and last sprinklers in such a row shall not be over 5 ft(1.5 m) from the ends of the partitions. (b) If the exposed combustibles are in the horizontal plane,the area of the combustibles shall be permitted to be protected with sprinklers on a light hazard spacing. Additional sprinklers shall be installed no more than 6 ft(1.8 m) outside the outline of the area and not more than 12 ft(3.7 m) on center along the outline. When the outline returns to a wall or other obstruction, the last sprinkler shall not be more than 6 ft(1.8 m) from the wall or obstruction. 0 Copyright NFPA •y�� 1� �� Y vv..��.ww 11L./rnl rvwouno IYU.J'lJ4 1''.4/L3 J4 Hyannis Main Street Waterfront - 4 i fYistoric District Commission E�, 230 South Sumr Hyannis,Ma mwhas= 026Q1 TEL: 508462-4665/FAX: 508-962-4725 l r € J,pq _) Application to Hyannis Main Street Water$ont Historic District Commission in the Town of Samstable for a CERTIFICATE OF APPROPRIATENESS Applwalon is hereby made, in triplicate,for the issuance of a Certificate cf Appropriateness under M. G,L Chapter 40C, The Historic Districts Act for proposed work as descai"bed below and on plans,drawings or photographs accompanying this application for. PLEASE CHECK ALL CATEGORIES THAT APPLY; 1- Exbetior Banding CoAsancaon: ❑ New Budding ❑ Addition ❑ oration Indicate type of balding: ❑ Hwtsa ❑ Garago ® Cvm ❑merdai Al t Other 2- Faeerior PRMW ❑ �---- 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting adsting sign c� 4. Stcuc m, ❑ Fence ❑ Wall ❑ Flagpole 0 Other 5• B I.ot: ❑ NW SWding Q Addition ❑ Alteration (Please see the gaidefl for explanation and requirements) TYPE OR PRINT LEGIBLY DATE~+December 1, 2000 v ASSESSOR'S MAP NQ 327.. _ - ASSESSOR'S LOT NO. 262 � -'APPI ICAi1 'Richard Penn/Alt. Patrick M. Butler ?EL,N0. 79o-54n7 APPLICANT MAILING ADDRESS PO Box 1613 Iyannough Rd, Hyannis, MA 02601 ADDRESS OFRsROPO$F,,,D.WORK Puritans of Cape Cod, 408 Main St, Hyannis MA 02601 pROpERTy OOVNFR 400 Main Realty M NO. 775-2400 0VVNM hLAJUNQ ADDRESS PO Box 2652, Hyannis, MA 02601 FILL HAMS AND MAWO ADDRESSES OF ABVIT G OWNERS.Irx U&name of adjacent PMPNW owners across any public street er way. This intmu tion is best obtained at the Town Assessor's Oiixa. (Attach additional sheet if aew=q). SEE ATTACH D AGENT OR CON'i'RACTOR. 400 Main Realty M,NO. 775-2400 ADDRESS PO Box 2652, Hyannis, MA 02601 ... .i�.�vw t.•vxn, runnlL�Ib nu.�U4 ,j HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION SPItiCIFICATION SE=T*** ADDRESS OF PROPOSED WORK 408 Main St- rear of himildi nAl FOUNDATION Poured concrete. SIDING TypE 4 inch vinyl wood grain COLOR white CZ RANEY TYPE COLOR ROOF MATERIAL cert ' teed s Q d P1TCH`KA 'ENZ F�r.r�t AN�� VmMW COLOR TIttm COLOR PVC white DOOR$_ Automa -i COLOR SHUTTERS vinyl louver Eitruded aluminum-recessed PECK GARAGE DOORS COLOR NOTES: MU nut completely, including mama=ms and materiaWcolors to be used. Three copies of this form W requited for submittal of i s applicat pn,along with tbree copies „each of the Plot lan.lsad=pc plea=4 elevation plans.when applicable.The Plol plan need nt be Cernfto .but sbould show all stmcnu+es on the lot to scalc. ,r Demolition Demise existing overhang&vestibules at east end;demise existing sidewalk. East Entrance Pour applicable sonotube foundation;build shed roof over porch with gable featured at door location&vinyl balustrade either side of gable;roofing material to be asphalt architectural grade shingle with recessed gutter system;install white automated sliding door;poured stamped concrete for entrance area. West Entrance Remodel existing roof;apply vinyl balustrade;install stamped concrete flooring;install white automated sliding door;on upper facade install double sided false pitch roof with gable feature&vinyl balustrade either side of gable;roofing material to be asphalt architectural grade shingle with extruded white aluminum gutters;window shutters are vinyl louver. Adjacent To West Entrance Current stucco will remain with Benjamin Moore Yorkshire tan color applied. Walkway Walkway to be stamped concrete extending from east end porch to west of building;three landscaped beds to be cut in;asphalt from stamped walkway 40 feet north(First row of parking). OCT.19.2000 11:09AM PLANNING NO.504 P.7i8 DETAUM DESCRIPTION OP PROPOSED WORK Give all -PWimlats of work to be done, ir4udirtg detailed data on such architect" features as: foundation,chimney,skiing,roofing,roof pitch,sash and doors,window and door frames,trim,gtttters- leaders.r00ft and paint color,iMIUding materials to be=4 if Wecificatiops do not accompany pleas. 'a the cam Of signs, gme ns IOCM of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). See Attached Signed Owner-Contractor-Agent SPACI FXQW LINE FOR CONEMSSION USE Received by HMSWHDC - Dato Time nr /s 9tM0 7U Certificate is h O By mARNABLE Date -� HISTQMC PRESERVATI IV- _, .. Signed DeORTAN'T:ff thus Cmtiffi ate is approved,approval is subject to the 20-day the Ordinance. CONDM014S OF APPROVAL; �ysr. IUUU-mmii r iorl rHANUI I DU J vv..�J.LWa. a♦ v�."n• I V114.11V I.V.JG.". + •w . Hyannis Main Stroet Waterfrout 1 I Historic District Commission .y 230 Booth Street Hradis,hero onol IU; SOW2.4663/FAX 505-862 4725 SPECMCAnoN SST FOR SIGNAGE Prior to filing your application for a Certificate of Appropriateness,please contact Gloria Urenas,the Town'$ Zoning Enforcement Officer, at 862-*W6 to discuss the amount of signage allowed for your building,as well as any other Town Sign ` Code regulations which may affect the sign(s)you propose to install. Even if you are applying for the same amount of sigmage as was previously existing on your building,the laws may have changed since that sign was installed. Duce yvu have applied to the Hyannis Main Street'VWaterfiont Historic District Ca=i ssion for a Certificate of Appropriateness for signage,you may apply to the Building Department for a temporary sign permit. The Building Department can provide all information regarding the temporary sign permitting process. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATIgNIt • a scale drawing of the proposed sign • color chips for all colors on your sign v a photo or scale drawing of the building on which the proposed sign location, as-well,as stay light futiomes proposed to light the sign, are indicated a scale crvs"action of the sign, with dimensions, showing edge detail • specifications for any light fuxtua$s proposed to light the sign • a scale drawing of the sign bracket, indicating dimensions, color, and material Please fill out all information requested below. If you are applying for a Certificate of Appropriateness for more than one sign, Please fill out ONE SPECIFICATION SHEET FOR EACH SIGN. Site of6fgn _ f9et hx 20 f„ot display Materials)of Sign 1 L/Z foot gatorboard Material of Lettering(if dMfteut) Gatorboard The Sign Will Be(circle one): carved wood/ painted wood/ vi-vt lettering Other(�Cp )�:... _ . _23K..1iolf Leaf painted waves,gulldi Location inW�c. -t`le SDgY3'd�'iil ..�g edges yee Attached Drawing Will there be exteriv, t')"ht fu t"L Aga? yes If so, what type of fixture?__ , 0S2 rfz--1 Where will the fixturef s)be located? from ground Puritans of Cape Cod List of abutters & neighbors across the streets Hyannis Main Street/Waterfront Historic District Commission Application Map/Parcel Address Owner of Record 327/001 376 Main St. Garoufes, Kalhope&Joakim 67 Long Pond Circle Centerville, MA 02632 327/269 North St. Barnstable,Town of(Mun) 367 Main St Hyannis,MA 02601 309/194 60 North St. Keller, J&Silvia, F&R TRS%Silvia,Floyd 619 Main St Centerville, MA 02632 309/195 North St. Schulman, Ruby%Bell Atlantic Pay Ctr Team Leader 1717 Arch St 22°d Flr Philadelphia, PA 19103 327/116 385 Main St United States of America Post Office Hyannis,MA 02601 326/138 397 Main St. Barnstable, Town of(mun) 367 Main Street Hyannis, MA 02601 309/221 412 Main St. Penn, Milton&Penn,Howard Tonela Rd Cummaquid, MA 02637 309/218 426 Main St Selenkow, Dolores 155 Paulson Rd Newton, MA 02158 309/222.001 North St. Barnstable, Town of(mun) 367 Main Street Hyannis, MA 02601 326/013 401 Main St. Hyannis Public Library 401 Main St. Hyannis, MA 02601 309/197 15 Washington St Cloutier, Diane 40 North St Hyannis, MA 02601 01/09/2001 05:04 FAX 5082553176 MARK Z 02 I east cape engineering, inc. 44 Route 26 P.O.Box 1525 CIVIL ENGINEERING Orleans,Mass.02653 LAND SURVEYING T%TEK wE9ouacem uNo CUURY ENY,AOMrENTAL SM255.7120 SITE PLANPWVr 9^NRwM - GEATicEO PLwN9 STRUCTURAL Fox 508'2.S.S13176 wwYfw►wvNT l January 9,2001 I I Mr.Elbert Ulshoeffer Building Commissioner Town of Barnstable 367 Main St. Hyannis,MA 02601 RE: Renovations to 408 Main St.,Hyannis Dear Mr. Ulshoeffer: f East Cape Engineering,Inc.has been retained by 4001 Main Realty Trust to I provide engineering review and oversize of the proposed improvements to the rear entrances to the Puritan Clothing of Cape Cod store located at 408 Main Street,Hyannis. i East Cape Engineering,Inc.has provided engineering review and design of the structural improvements as shown on the stamped plans and will provide Controlled Construction inspections of the work as it progresses in accordance with Section 116 of the Building Code,60'Edition. We will provide inspection reports and a final inspection at the time of completion. If you have any questions,please give me a call. I Sincerely, . �µ OF 17IE ,r Pao.35;063 �•' Mar A McKenzie,P.E. Treasurer East Cape E ` MAM:jlo NUTTER, McCLENNEN & FISH, LLP ATTORNEYS AT LAW ROUTE 132-1513 IYANNOUGH ROAD P.O.BOX 1630 HYANNIS,MASSACHUSETTS 02601-1630 TELEPHONE:508 790-5400 FACSIMILE:508 771-8079 DIRECT DIAL NUMBER (508) 790-5407 E-MAIL ADDRESS pmb@nutter.com October 19, 2000 Gloria Urenas,Zoning Enforcement Officer Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: - Puritan Clothing ~ Dear Gloria: Just a brief note to thank you for taking time yesterday to meet with Rick Penn and I at the Puritan Clothing site. Based upon our discussions, this office will prepare an appropriate application to file with the Barnstable Downtown Water Fund Historic District Commission. This will confirm that we will address in that application the architectural changes and signage issues with the rear facing portion of the Puritan building and will defer dealing with the pylon sign until further clarification of the work to be done by the town and various private property owners within the parking lot area. Again, thank you for your time and assistance on this matter. Very truly yours, Patrick M. Butler PMB/kab cc: Mr. Richard Penn, Puritan Clothing of Cape Cod 915967.1 r _ r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ,3a -7 Parcel cD 6 1� - ; ' Permit# ' s 9 q Health Division Date Issued' n Fee Tax Colle -q Treasu r t APPLICANT MUST OBTAIN A SEWER CONNECTION PERMIT FROM THE 'P al flil gfty. ENGINEERING DIVISION PRIOR TO CONSTRUCTION. rd P^ I Historic-OKH aPA48--- 4 Project Street Address i I t Village i k t wro-s Owner bl o MAIN FEal,T Address MAX 57T V P -&)4 ab5� Telephone 775-a yaoyK1iv�%!s r�A. Permit RequestlyT6_.12ir�2 2�ivayN7'io.Js �f m � S (ZESs�ivf l�2r/9 -�urlx� Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost y0a d 0 0. Zoning District Flood Plain Groundwater Overlay Construction Type ODD F2ArnF_ 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 alq-o 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❑ i '.Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION 75--,;'400 t�Cs< i � Il$Sl" SJ� Name rgizq L 6lLR Y9m Telephone Number 72,S`q3;1 0 Address �qu 011) STg2#WBr;Q1Z-, AP 20 License# 0 fo C�.'1A6ewi d 6 �- Home Improvement Contractor# /Q 3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lo(U STFV P-/OrU n Ue,9 5Ti(L SIGNATURE C_ DATE . II - FOR OFFICIAL USE ONLY,r PERMIT NO. DATE ISSUED . ° ' MAP/PARCEL NO. ADDRESS44: !. VILLAGE OWNER Ad DATE OF INSPECTION:, FOUNDATION ' FRAME �� // �1'/ �!� • r — INSULATION .. f FIREPLACE • • - e, ELECTRICAL: ROUGH = r FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH ; FINAL s _ - ' 7. FINAL BUILDING r m } DATE CLOSED OUT Y - t ASSOCIATION PLAN NO. To the Building Dept From; Gary C. Graham Puritan of Cape Cod 408 Main.st.' Hyannis, Ma. 02601 M We are planning renovations to our main A men's dept.fitting area and tailor shop. Drawings attached include existing and proposed floor plan with the relocation of the men's bathroom. Also a new roof top airconditioner unit is being installed to replace an existing split a/c unit . East cape engineers have been retained for structure load in regards to the installation of the a/c unit. All walls to be removed are non-bearing and the hannis fire dept. has been notified of our renovations. Gary C.Graham is the general contractor for this project and can be contacted at 775-2400 or paged at 978-488-9823.Thank you for your time. Sincerely, Gary C. Graham. J 01/04/1992 01:07 5082553176 EAST CAPE ENGINEERIN PAGE 01 east cape engineering, inc. 44 Route 28 P.O.Box 1525 CIVIL ENGINEQRING Orleans,Mass.02653 -ATEA aESOVRc� LAND$URVEriNG GNVo�NMQnr4l y� r� LAND COUOT QANI�gav 509-255-7120 9rTE PLANNIND sT4UCTUr,AI. Fax 508-255.3176 GERTrwrED PLANg wltEacofin V January 14, 1999 Mr. Chris I.r;,ia,im Puritan of Cape Cod P.O. Box Hyannis . Mr ; 71 Fax 771-3 RE: Stru; ' - Review of Air Conditioner Unit for Building Rod. Dear. chtiF. I East Eng ineering, completed a review of the structura; on the building roof for !the air conditioning unit loca+ the Hyannis Store. Based r he catalogue cut indicating the weight of the unit and the ex)' ' ; rg roof structural system, we ,have determined that the exist. j%,: 7ructural system is adequate to carry the proposed air condi T !;a unit. call . of 7f y, 1-re any questions on thi please give me a - �SS9c o` MA 'A. Since o NcKENZIE U IV N Mar4 A. T3reas. -- AL a Engineering, xnc. MAM:jlo i f • Soil 5�-- ,. � r' Gv!rB5 i F I. -I• Ire... -_ __ --_ --. _. __- -. E Ell LF sir✓ i I - __— , ' — — —I I j ✓1 �5 � oIs'1 5 1 `, F EL .-I LiTuuec�o_< f i f i I "t » � .._ The Commonwealth of Massachusetts '.+. Department of hldustribl Accidents exce o11HIMS1l9allnas - 600 Washitlgton Street Boston,Mass. 02111 ��. any — Workers' Compensation Insurance Affidavit WD'el nr%in1O1711:1tIIIr�IUG �//�/////��/////�MI 1111'r��I MM"It ��Iu�I�I%1CL'IU�� Rome• AD 0 Ac' / 7,�7.✓ ( e, T h// ni C 0 o . -,eL (2.9 2 L= (f 0 r) , Z A✓ C location• / y a' //) A//✓ city A/ �Lq N n// J', /h A s J'. 0 2 / phone 0 l� o �J � 7 -6 — ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workin in any capacity llll//Q/�'�////J�/Ndid/�/ %////////�/D////%/%///%///////J///%/////%/l///J/%%// /%//////%//I/////////%////'�i///%////i�//"//.//,//.�i,��//i'/i. "'�/�!"/i,��i'�lJ//ll//////�//� � •, I am an employer providing workers' compensation for my employees working on this job. compnny name: TA Al CZ o 7y/ N a ro . o F C.9p E C. D C . address: .Yoe A A /N J'T city: lzl yA N N/ x, A.4 Sx. O 1 `o / phone#: insurance co. r o a w C . olicv# d T a X 2— a ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name• address: dtr phone#: insurnnce cm Dollm# company nnme• address• city- phone#: .. ......:.:`. :;.:;.. ::.. .: olicv# WO /// /% l%%/%/�%% // //%%/ / / // /�11.. Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as dvil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understand that o COPY of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby eerrify under the pains and penalties of perjury that the information provided above is true and eorrecit Sigttalure Date. Print name Phone N O CMd21se only do not write in this area to be completed by City or town official own: permi(Mcense 0 ❑Building Department ❑Wcensing Board kifff immediate response is required ❑Selectmen's Office ❑health Depa meat person: phone N• ❑Other (rrvuw 9193 PJAI �rz � N Z Z N <J X C C � • � • I� a t m l"f T T y " Z •� 1 � 11 J m A C A O i m 0_ is d tp G � .-. c N rm-• a ��¢. i m � � n 1 o A N o � V Information and Instructions 25 requires all emplovrs to provide workers' compensation for their Massachusetts General Laws chapter 152 section ee is defined as every person in the service of another under any contra` employees. As quoted from the "law", an employ of hire,express or implied,oral or written. An employer is defined as an individual. Partnership, association. corporation or other legal entity, or,any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased emplover, or the receiver trustee of an individual, partnership, association or other legal entity, emploving employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of o„nintre nPrennc to(in nmmtenance , construction or repair work on such dwelling house or on the grounds o: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the *commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants t completely, by checking the box that applies to your situation and Please fill in the workers' compensation affidavi supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be Submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the 'law"or if S'ou are required,to obtain a workers' compensation policy,please call the Department at the number listed below. �/////�/�//. / / N /////////////%%%/%%/ /% ter, City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permidUcense number which will be used as a reference number. The affidavits may be returned io . the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. E VMS The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigallons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 r I - 1 The Commonwealth of Massachusetts J Department of Industria!Accidents = Office allnyesaffations 600 Washington Street Boston,Mass. 02111 ' * Workers' Compensation Insurance Affidavit �gi i;U name: G/2 / TA i✓ o 7-All a✓a �o . �� fI P L (f location: p city �1/-3 i(/i✓i ,(', f J'. 0 2 / phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole p rietar and have no one working in any capacity �I am an employer providing workers' compensation for my employees working on this job. company name /�u� i'TA ^/ L .L o �/� N C �o F CAP E '.4 /�7A /eV .'T address /J �/, _city �/ V.4 N N f J', R .I X O o / phone#: 1-� 0 do) 7 s 41 .p..: . . A) JI-•rA c NOJ'e 7� �' T/R,►B E insurance Co. E _� ,P ¢E G R o u nnlicv# T ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers compensation polices: ..... ........ com anv name: address: �t,, phone#: insurnnce cn TmHcV# --------------------- cam anv name- address: city phone#: ....... Insurance co. NO FOR:// / r Failure to secure coverage as required under Section 25A of:11GL 152 can lead to the imposition of criminal penalties of aline up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a ane of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the OIIIce of Investigations of the DU for coverage vermcation. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct • � ��9� Sig ate. - Print name �Q 8E/t f% �i /E- /c Phone# O omri2l the only do not write in this area to be completed by city or town oMchd city or town: permitilicense# ❑Building Department ❑Licensing Board ❑checkifimmediate response is required ❑Selecnne Health Depep rtmee attaent contact person phone#• ❑Other (mm 9195 P1A) � 1 O ' PE=57 a r " 6 t � L" h a,C \iy YY+ it 6-Od �7 � t oFt►+e tb,,,_ Hyannis Main Street Waterfront narwszaer e. ' Historic District Commission Maas. 1679. 230 South Street Hyannis, Massachusetts 02601 508-790-6270--FAX:508-790-6288 i Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under ` M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: New Building ❑ Addition N Alteration Indicate type of building: 0 House p Garage Q Commercial Other 2. Exterior Painting: N 3. Signs or Billboards: New sign Existing sign Repainting existing sign 4. Structure: 0 Fence 0 Wall Flagpole n Other 5. Parking Lot New Building p Addition n Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE August 7. 1998 ADDRESS OF PROPOSED WORK 394 Main St. ASSESSORS MAP NO. 327 400 Main Realty _ OWNER Milton Penn, .Howard Penn ASSESSORS LOT NO. 262 HOMEADDRESS P. 0. Box 2656, Hyannis TEL.NO. 775-2400 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). SEE ATTACHED AGENT OR CONTRACTOR Puritan Clothing TEL.NO. . 775-2400 ADDRESS 408 Main Street Hyannis, MA 02601 HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK 394 Main Street Guertin Brothers FOUNDATION Stucco-Benjamin Moore HC-169 SIDING TYPE Brick/Vinyl , Stucco COLOR White-Vinyl/Brick-Existing CHIMNEY TYPE N/A COLOR ROOF MATERIAL COLOR PITCH WINDOW Wood Frame, .stationary COLOR White TRIM COLOR Benjamin Moore, Brilliant White Natural/Oak Transom, side Match to attached chip DOORS lights, Commercial Grade COLOR (dark teal) SHUTTERS N/A GUTTERS N/A DECK N/A GARAGE DOORS N/A COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application,along with three copies each of the plot plan, landscape plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the lot to scale. DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data '.on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames,,trim, gutters - leaders, roofing and paint color, including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). SEE ATTACHED SHEET i Signed Owner ontractor-A ent RECEIVE® Space below line for Commission use. Received by HMSWHDC AUG' 10 1998 TOWN OF BARNSTABLE Date Time B HISTORIC PRESERVATION DIV. Y 1 The Certificate is hereby: Approved f1i 0., Disapproved Date IMPORTANT: f this Certificate is approved,approval is subject to the 20 day appeal period provided in the Ordinance. 400 Main Realty List of Abutting Owners Property Owner Map Parcel Thomas&Alice George 309 219 17 Thacher Road 327 002 Yarmouthport,MA 02675 Thomas Spiro&Delores Selenko 309 218 155 Paulson Road Waban,MA 02601 Milton&Howard Penn 309 221 PO Box 730 Hyannis, MA 02601 Kalliope Garoufes 327 001 67 Long Pond Circle Centerville,MA 02632 Estate of Ruth Arenovski 327 003 PO Box 492 Osterville,MA 02655 Felisberto Barreiro 327 004 PO Box 2417 Hyannis,MA 02601 Joseph Dinanno 327 115 118 Main Street Malden,MA 02148 David Sanberg 326 014 415 Main Street Hyannis,MA 02601 Hyannis Public Library 326 013 401 Main Street Hyannis,MA 02601 Hyannis Post Office 327 116 Main Street Hyannis, MA 02601 DETAILED DESCRIPTION OF PROPOSED WORK: Window lights to be wood framed,painted white; Between top of show windows to a second floor height of 15' to be stucco panels painted light gray, trimmed in white; window base to be stucco to a height of 18" above sidewalk painted light gray. 6' wide front entrance to contain natural oak transom and sidelights with wooden door painted dark teal (see attached chip) featuring an oval glass insert. Entrance to be recessed 4' with tile floor. The design and colors of this fayade will be identical to Puritan For Her (remodeled 1996) and Colonial Candle of Cape Cod (remodeled 1998) with the exception of the door. i E S 0 ; s c E f t! O { [ �f � --Ex�sT»6 w�9115 G uE2 � ��o�N�RS 3�y �t`�•►N ST --N�IANnJiS , h1a. 9 b 198. i L- -7-rizt - _ '41 lit -.1. Colop s DO0 ; 1 EA y r-7� 3Eiv i'�loc�c. L39 fj L3 J .. 5S occ_0 - CPZAy. IBC S NATuRA ( OAk , 7�R14 N 5p M � .. . lime r� r► 6 r 2>Me r 5 .3 9¢ �o:,� S • w - t C 3 � tZ r -� 3 •I l ran +J�p a s a� m o rn � i s>v v � s x -r .v - �•z z � . .—cn -c> o � ram- � I •'� m.�:. .� a. .. N. --r - ._� � z •o a m J F w ` CD O K::7 - _O c-l V, + � t Restricted To; gg 64 950 1J 69. - 35,69E of enclosed space €`I L„ (M6l C.112 SAL) ti- � 01 A- ..v 1R - Masonry only �. . 16- 1 & 2 Family Homes a Failure to possess a current edition of the g' Massachusetts State Building Code l is cause for revocation of this license, i f i ' s License or registration valid for individual use only before expiration date. If found return to- One Ashburton Place. Rm 1301 Boston Ma.02108 'Ila�. a x � t ff ` o 3 f o ( 0 - ----- _- -Ex�s7►N6 w►�1�5 - 3S 7'� P2�P�S�j� wA11S r» ' I : LZ 'DOb BE/um0oRE. l_g9'1 L�J TR�rn 3P.i IliAn3j w i4iTE STocco 0 6.RAy. Nc -165 �� . t�. f �+9 _ T �a�11 FIA� SECucZQO �b , ooU ��2r1rn�, 11��rJ a STiN(Zl Hilt, IwT'o �ck 3 ao►� .. .4 e r I TD oO fizAmE-• ►s�� 31 ck Fk IT A No ` Y �fpt. i h 011, Bo)TE D wa F,},i No,271-�sT I o � i 1 F O i i 'i L, L39-� L3_J TRirn Fl -. ,H aP.i kiANi io H;TE Gpuly- DlltE S 7P.A Nso��n e 1\(ATUR A ( o A k , C��er4-; . .3 S �� "_ / ,10 CvaQOTo a�00 000 ��2Am�� TFfiEN , -501T"O V . Xisr►N(a �R ck ,rA11 E\Az , 2�c e ,�;TH 3 Ix5 T9-► Ny? Tp01� W r� 31��k Fk ►T ANC _ 14, m�tsd�� 4`Yy� f x- , • �'�, vD�r j k' I p 7 trl- W 1 I ii f iI �x oVVF IRT -- ----- -- — : , H•��T•i BoITF..D ', } r �✓� 97 t"Town of Barnstable e I BARNSPABU, • MAS& ,0�' Department of Health Safety and-Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 30, 1998 Four Hundred Main Realty Tonela Road Cummaquid,MA 02637 Re: Puritan North Street Parking Area,Map 327 Parcel 262 Dear Sir: On inspection of the above referenced property, I noticed you have the following violation(s)of the Town of Barnstable's General Ordinances,Article XLIII PARKING FOR HANDICAPPED PERSONS, Section 2 Sign Requirements for and Location of Handicapped Parking: _X_ The handicapped parking signs do not meet the requirements of the Town of Barnstable's General Ordinances _X_ Faded/missing pavement striping and handicapped logo in your parking lot Please see that these violations are brought into compliance by July 24, 1998. Call for a reinspection when this has been done. If this is not brought into compliance by the above date, a fine of$200.00 per day will result. Enclosed,please find a copy of the"Handicapped Parking Signs Key"as well as a copy of the appropriate section of the Ordinances to use as a guide and for your file. Sincerely, VIOLATION H.P.signs missing from Ralph L.Jones H.P.spaces Deputy Building Inspector RLJ/km enclosures(2) FORMS Q970922B TOWN OF BARNSTABLE .BUILDING PERMIT PARCEL ID 327 262 GEOBASE ID 24374 ADDRESS 408 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SI'LE DBA DEVELOPMENT DISTRICT 'fly . PERMIT 29841 DESCRIPTION PURITAN OF C.C. (INTERIOR REMOD. ) PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONV CONTRACTORS:: rARY C GRIHAM Department of Health, Safety ARCHITECTS: 1 and Environmental Services TOTAL FEES: -- - $61-- 00 BOND $.00 CONSTRUCTION COSTS $10,000.00 Q� 437 NONRES_/NONHSKP ADD/CONV 1 PRIVATE P RUMTABLr, +' MAS& >tbg9. ED INIr►� BUILD D V I , BY DATE ISSUED 04/02/199€i EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER 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 OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FO 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU R - ELECTRICAL,PLUMBING AND MEC (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION IHAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. 611:14 M BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. _ � �. ;i� �, r � � � . � `� �' �� .� _ � � � � � _ � � �' � _ r - 0,4 08i1`348 10:07 5082553176 EAST CAPE ENGINEERIN PAGE 02 east cape engineering, inc. 44 Route 26 P.O.Box 1525 CIVIL.ENGINEERING Orleans,Mass.02553 LAND SURVIVING WATEQ 11E6OV-CET. LAND COURT ENVIRONMENTAL 508-2WTUO SITE PLANNING SANITAQT CERTIFIED PLANS .STRUCTURAL Fox$00-255-3176 WATERFRONT April 8, 1998 Mr. Ralph CrossenI Commissioner Barnstable Bl.ii.lding Department 367 Main St . Hyannis, MA 02601 RE: Puritan Clothing of Cape Cod, Remodeling Project Main Stz-eet, Hyannis, MA Dear Mr. Crossen: This letter is to inform you that East Cape Engineering, Inc . , has reviewed the added remodeling area in the Cricket Shop at Puritan Clothing of Cape Cod , Main Street , Hyannis , and will provide oversight of this portion of the project as wl:.11 as the project reviewed in our March 25, 1998 letter, in ac,7ordance with Section 34 of the Mass. State Building Code. We will. provide advisement or any structural issues that arise during this project. If you have , any questions, lease give me call . XSN OF Mq.S Sincerely, ,o`' MARK A. c't� McKENZIE VIL o.39068 Mark A. McKenzie, P.E. 'p."9FGISTER``o�`�w� Treas. East Cape Enqine N MAM:jlo E F TRANSMISSION VERIFICATION REPORT TIME: 01/07/1995 07:36 NAME: FAX TEL DATE.TIME 01/07 07: 35 FAX NO. /NAME 915084308662 f PAGE(S) 00:00:56 02 RESULT OK MODE STANDARD Apr-03-98 O2 :39P P-05 Northern Ilcrita c Buildcrs Inc. 191 Ai rt Rd. Unit C 11•annis,NIA026UI ;j FAX Date: Number of pages including cover sheet: I To: — From: IYoelhern Iredtale nallder+,Inc. lrl Air rt Rd.Unit C Hyannis MA 02601 Phone: Fax phone: Phonc; t508)775-4353 CC; Fax Phonc: (508)'75-46 10 REMARKS: ❑ Urgent [] For your review ❑ Reply ASAP ❑ Please comment Apr-03-98 02:36P P.01 NORTHERN HERITAGE BUILDERS, INC �i 191 Airport Rd., Unit C • Hyannis, MA 02601 • Tel: (508) 775-4353 • Fax: (508)775-4610 • t (800) 440 8581 � I Town of Barnstable April 3, 1998 Building Division 367 Main Street Hyannis,Mass-02601- RE: PERMIT#28588-PURITAN!COLONIAL CANDLE. Dear Mr.Stevens. I'm sorry that 1 was out when you,tried to reach me this morning.The reason 1 called you was to further define your request for a flame spread blanket to be applied to the exposed,insulated,ceiling at the above referenced property. Please don't feel as if I am doubting yoamur veracity but I a somewhat perplexed by your request,due to the fact that the entire building is setup with an approved automatic sprinkler system equipped with heads that spray up into joists and joist to floor. Perhaps my interpretation of 780.CMR 713.1 using exception 11,5 is totallv misconstrued. I realize that the Kraft facing that now exists without question or doubt is combustible,my contention is this,if the Isulation was unfaced you made mention it would have passed,what about the wood joists? Please call me so we can straighten this situation out.I'm boggled at this point in time. i Thank you Sincerely for your time,I'll await your call. St ely y an Lucier VP of Operation i it �I f Apr-03-98 02 : 37P P-03 • 780 CMR' STATE BOARD OF BUILDING pi-,GULATIONS AND STANDARDS i THE 1v1ASSACHUSETTS STATE BUILDING CODE Exceptions: Exceptions: 1. In lieu of an approved smoke detector 1. Horizontal sliding doors t n.s comply with located within the duct, ducts that penetrate 7g0 CMR 410.0 are perm�tled in smoke ballets smoke barriers above smoke battier doors that in occupancies in Use Group I-3. tile 2. Horizontal sliding doors that comply with approvede damper 0 arranged toS',close ill `upon 790 CMR 1017.4.4. detection of smoke by the local device designed 712.4 O&ning protectives:Doors in smoke barriers to detect smoke on either side of the smoke shall have afire protection rating of not less than 20 barrier door opening. minutes in accordance with 780 CMR 716.0, 2 Dampers at the smoke barrier in a fully Double means nJ egrevs corridor doors shall have reQuilued- duct vision panels of '/.-inch-thick labeled wired class 713,0 FLOOR+CEILING AND mounted in approved steel frames in accordance with 780 CMR 716.0. The doers shall close th ?13 1 GRpp`I�11�iNG oor and of�a;sL'mb�ies shall openings with Only the clearance necessa for proper operation under self-closing Or automatic- comply with the applicable previsions of 730 CMR closing operations and shall be without undercuts, and shall have a fireresistance rating of not icss then louvers or grilles. Rabbets or astragals are require the .7go ChIR 602.0. at the meeting edges of double meal's of egre Exception: 1.4velling rirrit separations in doors,and stops are required on the head and jamb buildings of Types 2C,313 and 5B construction of all doors in smoke barriers. Positive latching shall have fireresistance ratings of not less than devices are required on double meal's Of egress 1/2 hour in buildings equipped throughout with an corridor doors. a'ttomatic sprinkler system in accordance with Exceptions: 790 CMR 906.2.1 or 780 ci'vJR 906.2.2, 1. In occupancies in Use Group 1-2, double provided that sprinklers are installed in all means of egress cross-corridor doors shall be closets located against tenant separation walls 13h-inch solid core wood or steel doors. Positive and in all bathrooms, latching devices are not required on double 7l3 1', f Ceiling panels: Where i.he weigtht of mem of egress cross-corrof idor doors,and center lay-.In ceiling panels, used as p, mullions are prohibited. fireresistance rated floorlceil'ing or rooflceiling 2. Security glazing protected on both sides by an mitomatic sprinkler system shall be permitted is not adequate to resist an up tted assemblies, upward in smoke barriers in force of I psf(5 kglm r Z),wire or ctheapproved in doors and windows nels devices shall be installed above the panels to occupancies in Use Group I-3. Individual pa of glazing shall not exceed 1,296 square inches prevent vertical displacement under such upward (0,84 m'), shall be in a gasketed frame and force. installed in such a manner that the framing 713.1.2 Unusable space: In an assembly system will deflect without breaking (loading) required to have a one-hour fireresistance rating, glazing before the sprinkler system operates the ceiling membrane of a fireresistance rated The sprinkler system ahail be designed to wet assembly is not required to be installed where completely the entire surface of the affected unusable space occurs below the assembly, or the flooring is not required to be installed where Qlazing when actuated. unusable space occurs above the assembly. 712.4.1 Door closers: Doors in smoke barriers shall be provided with approved door hold-open 713 2 Continuit All floorlceilin and roofrceiling y: g devices of the failsafe type which (: J release q9�� the doors, causing them to close; upon the aenetrations exblies cept pt as perrmitted by 190 C1C1R 713 2r. actuation of smoke detectors as well as upon the pwhich are be application of a maximum manual pull of 50 fi00esistancebrated r u o hall extendtca d betigln pounds(244 N)against the hold open device. against exterior walls, Or ether provisions shall be Exception: Doors in smoke barriers in made for maintaining the fireresistance rating of the occupancies D Use Group 1-3 shall be self- assembly at such locations. Penetrations through a closing or autamatic-dosing >y smoke roof deck to the outside are permitted provided that C the roof detection. the required fireresistance ratirg o construction is maintained. All i.onceaied spaces 712.5 Smoke damper. An approved damper and openings shall be-frrestopped and drilflslvPPeli designed to resist the passage of smoke shall be in ac provided at each point with 780 CNIR 720.0. a duct penetrates a smoke hall close upon detection of 713.3 Floor open?tog enclosure: All floor openings barrier. The damper s smoke by an approved smoke detector located connecting two or liiore stories shall be protected by within the duct. 790 CMR-Sixth Edition 217197 (El1'ectke 2l28/?7) 134 Apr-03-98 02 :36P P_02 rti t 780 C%1R. STATE BOARD OF BUILDING RCt3ULA'flONS AND STANDARDS IrTI FIRERESISTANT MAT O The building is equipped throuyho a shaft enclosure that complies with 780 C. b 7100. Mth an approved atatontatic spr•inkier sysrenr in accordance with 790 CNIR 906.2.1. Exceptiolm A shajr enclosure is not required for any of the following floor openings: 4penetratton protection: penetrations of a 1. A floor opening serving and contained within floor/ceiling assembly or the ceiling membrane of a a single ahvellirtb unit and connecting tour stories rooClceiling assembly shall be protected by a shcrfr or less enclosure that complies with 780 CMR 710.0. 2. A floor opening which: Is not part of the required means of Exceptions: egress. 1. Penetrations within and through a floor 2.2, is net concealed within the building opening permitted to be unenclosed by construction, 70 CMR 713.3, 2.3 Does not connect more than two stories; 2. Penetrations through assemblies required to 2.4. Is separated from other floor openings be: fireresistance rated and complying with serving other floors by construction 780 CIv1R 713.41 or 780 CMR 713.4.2. conforming to 780 CMR 710,3,and 3. Penetrations through assemblies without a 2.5 is not open to a corridor in occupancies required fireresistance rating and complying in Use Groups i and R, or is not open to a with 780 CMR 713.4.1 or 780 CMR 713.4.3. corridor on a floor not equipped throughout 713.4.1 Through-penetration system: A shati with an approved urrto»+alic fire steppression enclosure shall not be required where cables, s,srent in other use groups. cable trays, conduits,tubes or pipes penetrate a 3. A floor opening in a mall that complies with floor assembly and are protected with an 780 CMR 402.0. approved through-penetration rrorec:ion Systov 4. A floor opening between a me:arsine that tested in accordance with ASTM E914 listed in complies with 780 CMR 505.0, and the floor Appendix A. The positive pressure differential below. between the exposed and unexposed surfaces of 5. An atrium that complies with 780 CMR the test assembly shall not be less than 0.0[-inch 404.0. water eage (2.5 P). The system shall have an 6. A floor opening in an open parking structure "F" rating and a "T" rating of not less than 1 that complies with 780 CMR 406.0. hour but not less than the required fireresistance 7. An approved masonry chimney where rating cf the assembly being penetrated. All annular space protection is provided for in penetrations through a ceiling that is an integral accordance with 790 CMR 720.6.4. component of a fireresistance rated floor/ceiling 8. A floor opening containing an escalator and or root/ceiling assembly, shall comply with complying with 780 CIvIR 3011.2. 780 CMR 713.4.2. 9. A floor opening that complies with 780 CMR 410.5 in an occupancy in Use Group Exceptions: 3 1. A "T" rating shall net be required for 10. Noncombustible shtirfis connecting floor penetrations that are contained and communicating floor levels in an occupancy in located within the cavity of a wall. U,L� Group I-3 where the area complies with 2. A "T" rating shall not be required for 780 CNIK 410.5. Where additional stories are floor penetrations by pipe,tube and conduit located above or below, the shaft shall be that are not in direct contact with permitted to continue with fire and smoke combustible material. damper protection provided at the fireresistance 713.4,2 Fireresistance rated assemblies The rated floo.*ciling assembly between, the required fireresistance rating of floor/ceiling and noncornmunicating stories. roof/ceiling assemblies shall be determined in 11. A single floor opening containing a accordance with ASTNI E119 listed in stainvaywhich is not a required ntearts of egress Appendix A. Except where permitted by in an occupancy in Use Croup B and complying 780 Clvilt 70.4.2.1 through 713.4.2.3, with the follcwing parameters: penetrations for electrical, mechanical, plumbing l i.1. The stairway does net connect more and communication conduits,pipes and systems than six floor levels steal; be installed in actAkI nce -with the 11.2. The sioinvcty does not connect with approved ASTM E119 ratedlMsembly in the an exit access t'orriek)r. case ofceilings that are an integral component of 11 3. The sininvay floor opening shall not a fireresistance ratted floor/ceiling or roof/ceiling exceed 160 square feet(15 m'). assembly, all penetrations shall be installed in 11.4 The stairway floor opening shall be accordance with the approved ASTM E 119 ratcci protected in the same manner as an escalator assembly c: 78Ci CkIR 713.4 2.3. flour opening compiying with 790 CNilt 3011 2 2/7/97 (Effective 2/28197) 780 CMR- Sixth Edition I i Ap lr`03-98 02 :38P P_04 ' 790 CNIR: STATE ROAKD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATF.BUILDING CODE Table 642 k FIREESIS"LANCE RATINGS OF STRIIo TrL`RE E�EnMx�tn o Noncombustible NoncnmbustibteiCombustihle ombtctible 'I1'pe 4 i'tpc> 1 'l'ypt 1 Sy1'c 2 0 ChIR 6O60 7R0 CtviR 780 Ch.iR tiO3O 7R0 CMR 604.0 7 60-0 7B 603.0 Protested Protected Unprotected Protested llnprolecttd IIc vv Note Cb FroteUai llnlv.t,ctcd Structure cicmc it 4 gA 513 IA IB 2A 2B 2C 3A 38 C Note a 0 2 2 2 1 Loadhearing 4 3 2 t - I Exterior walls -Not less then the ratio based on firs:se aro(ion distance(-,cc Nortloadbcarin -Nut less than the rating bascd on tire se 1a7 lion&%zance(see?80 CMR ` 2 Fire walls and p2-ty walls 4 3 2 2 2 2 (7 s0 CMR 707.0) -Not less thmt Ilre tireresistancc ratio re aired by 1 etFla 707.l Fire enclosure oC 2 2 2 2 exits(7R0 CKIR j 2 2 2 2 2 1014.11,709.0 and Note b Shafts(other than exits)&cicvatcr 2 2 2 l I itoisnva 780 2 2 2 2 2 3 Fire separation MR 709,710.0 assemblies(730 C CR,IR 709 p) &Note b; Mixed use&fire -Not less than the fir^-resistance rating required by Table 13.1.2 area separations - 780 CMR 313 0 Other Separation 1 1 assemblies -Note d- (Note i) 3 -Not less then the tireresistance rating required by 780 CMP.lot - Smoke Exit access partitions corridors _Noted- (7R0 CMR (Note g) 711.0) Tenant spaces 1 1 1 ! 0 I 0 l ) 0 separations(Note -Note d fl t 1 l 1 1 l 1 I I 5 Dwelling unit separations ( r780 CMR 711.0,713.0&Notes f -Note d- & g Smoke barriers(780CNIR 712.0& I 1 1 I I I I Not g) 0 0 0 0 0 ? Other nonloadbearing p riI II 0 0 0 0 0 -Note d 8 lnlcrior iood, tier bearing walls, 0' 780 CMR 1 0 Supporting more 4 3 2 1 0 l loadbcaring pa- than one floor t'p' litions,col- urnns,girders, trusses(other Sce than rarf truss- Supporting one 1 0 780 CMR I 0 2 1'h 1 p cs)&framing floor only ore 3 605.0 (;80CMR roof only 715.0) 0 1 1 0 Structural members supporting wall 3 2 1'h 1 0 I 9 -Nut less than fireresistance ratio of wall so crtcd- (790 CMR 715.0&Note g) See 780 t0 Floor censtroctioa ntchrding beams 0 CNIR 1 0 2 l'h 1 0 I {78G CMR 713.0&.Note h) 3 605.0 Natc c I 11 Roof ccroslits�- ' 1 0 CMR I 0 lion,including height la Imvcst 2 1'4 -Note d- l.,OS.O,Note e bconrs,trusses member and framing, Mare than 15'but I I 1 0 0 Sce p 781,> MR I C arches&roof less than 20'in 0 405.0 deck(7R0 CMR height to Inwest -Note d- ,,1s.0&Notes marcher See e,i) 20'or more in 0 0 0 0 0 p 0 780 ChIR 0 0 height to lowest -Note d- 7R0 CMR-Sixth Edition 1/7ig7 (Effective 2i0_81r17) l�n TRANSMISSION VERIFICATION REPORT TIME: 01/07/1995 09:09 NAME: FAX TEL DATE,TIME 01/07 09:08 FAX NO. /NAME 97754610 PAGE{S)N 02: 00: 52 RESULT OK MODE STANDARD ECM :.1 �F VE A The Town of Barnstable . . . . 'M 10�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: ATTN: FAX NO: _ ��- LL( I FROM: �LDG - DATE: PAGE(S): (EXCLUDING COVER SHEET) I I k� CF SHE Tp� �% • BARNSfABLE. • M" 1639. A The Town of Barnstable �0 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner 1 GCS t�o/L "40L)C I'-A-)r. 17' Ra-La�v5� lAI Av r2 cAA1Z --7-13 To ki Ft ae)z o P�uG ��s-�,z ,�N� A16 L r/UA1 TE Zml e-A Ch Gl U y A10 142seK e 77D 114 P-AJ v /:::i*C-"v R fL�S S 02 Vie ,A,4A t 9:- A/LA-7i6 ASS 1-1418- - ►?P-U1)V c7-T . /N 7-14 S G&Llr- 7"l-'G- Pk vu C C-s!'Z.. �CaxtA.c L'57- Cm v6VZeT , VZ)L)/L. /�1 � 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE cement plaster is permitted to be substituted for '/2 the requirements of 780 CMR 2805.0 and the inch (13 min) of the required poured concrete mechanical code listed in Appendix A. protection, except that a minimum thickness of 3/s inch(ten mm)of poured concrete shall be provided 7223 Concealed installations:Insulating materials, in all reinforced concrete floors and one inch (25 where concealed as installed in buildings of any type mm) in reinforced concrete columns in addition to of construction, shall have a flame spread rating of the plaster finish. The concrete base. shall be 75 or less and a smoke-developed rating of 450 or prepared in accordance with 780 CMR 2506.0. less when tested in accordance with ASTM E84 listed in Appe 780 C31R 722.0 THERMAL-AND Fa 722 .1 Facings: 1 vapor retarders, whether SOUND-INSULATING MATERIALS rote separately, shall be installed 722.1 General: Insulating batts, blankets, fills or on the warm side of the buildin element, and similar types of materials—other than fiberboard and shall have a permeance not exceedingone perm. foam plastic insulation—including vapor retarders Where insulation materials are installed in and breather papers or other coverings which are concealed spaces such as wall floor or ceilin j incorporated in construction elements, shall be cavities), attics or crawl spaces in buildings of installed as required by 780 CMR 722.0. Fiberboard ypes 3,4 and 5,construction,the flame spread_ insulation shall be installed as required by 780 CMR and smo e-develo ed ratinglimitations do not 2309.0,and foam plastic insulation shall be installed app y to cul s row e n is as required by 780 CMR 2603.0. e an m su wi e un ce o the ceilin floor or 7222 Exposed installations: Such materials,where s . i exposed as installed in rooms or spaces, including L spaces 22.4 Cellulosic insulation: Cellulosic insulation hall have a flame spreadrating of 25 all meet the requirements of CPSC 16 CFR,Parts oke-developed•rating of 450 or less 09 and 1404,listed in Appendix A. accor ance,wit 4 sted in lenum installations shall comply with 142 780 CMR-Sixth Edition 2/7197 (Effective 2/28/97) FRO}1 TEL . ,' F A.Pt 10 "19° 12 2E�,PM P 1 a t A 'P_P1 AUl 4?] 17t3] Apr-10-9f1 11 :74A Ir►sljl-Ma r•t•. 612 7?Q ?S?t3 P 02111) ftce?•18-1999 �s:�` PoLM PLASTICS 114C United States Testln9 ComPmY, Inc. ; r Enyineetlnp 8enrlose it n W RAIA/1llD AllNUE MW*LQ NtW J 1"Ity O'� M 1pFd�blLS! I. AEPOAT,OF.TEST - 93635 NUMBER .CLIENT: polar Plastics, sna. ; June' 19, 1986 2591 seppala Boulevard North Bta Paul, H" S5108 SUBJECT: Surface Burning Charactaristiat Of apilain0 materials polsr .Plastic$, Inc. , rurchaso Order No. 71057 dated L May 28, 1986, 701 P?-"2MD l The submitted sample was tested for pl.armaability in accordance with the procedures outlined in ASTM 8-84-84a. SAMPh 12=1FZ AC T10N/ one (1) sample was._submitted.and identified by' the Client ast r1awo Retardant# Low Density polyethylene Filth L4IeT Testing Supervised by: SIG D OA THE f? IsANY a041 of f 8Y rp 6 Fire aTechnology�Section ;A a start Vice President Lobaslales In: New Ybfk a Chlpapo o too Angelis PhOlIk"d Is Modem a oasfloo .bNn af. •Nr,.n eNq••, rrf. .e Nrr,.n,..snort•.l fi.r.l Upealq, .,l ,/,v,ltaelr N amass"a nee,wel1N•ape rM„ago rM, Nee Or fvl y - prfll H,�tl rq•q,bMr.n. v, .►trl,Ip•„re011ra see wr /e ee wee r.11l�„f oeve/rlepe re:wasvl,lw/e see,1Uel►refti k rnP,sera Satellite .,Ur Mr.lr/as two vee of�.,r..l N nelt•,.•.•r,flowing 4e1Ve/ rq 0,N'I,lr.,s a Mtge�.r„ee.MeN.., tl,pNR,M•MN rn n, . to ulhllt,e to n ile1H!�IMM,,l11�ef•Ileiu.o�ia1i,11N wli/Nf►M two /i�l�r wNt�A ir'�N I�eAt f,Ne M waitrap A1��IVII'f�ibe K�11W 0ItMdIM,1,11116 Mt @e see►,1!.�n a".&$.$$ b 111 11e0,n l•lU al Season 1,yrl.,M Mean w.e.etr,N,lavel Ifl11N eoonl,l•rat.tM,e,/e 1/1 euu",NIIMI e161111p wl • 1.1$bone•,VPIW•�l,l slow.t or•1• 4•0•hal•.a.%,.rats,rl/INIq see ellnrn,,/v.Mve N rr.N••N,.' , J Gar ( �•-.� FROM TEL:, APR. 10,1998 1.2:22 PM P 3 Apr-lo-98 11 :2SA Jnsul-Mart. W?R-t9-t990 f?:�.E Ipl..m FILMS I ICS I1•K 401-423 -7781 I�.oFa G12 778 7570 9363S WNW state!Ueling Compdny, Inc. QllgliY: �� Polar Plastics. Inc. . UTROPUTICNe This report eresenta coat results of Flame spread and Smoke Developed Values per ASTM E-84-04s. The report also includes Material Identification, Method of Preparation, Mounting and Conditioning of the specimens. The tests were performed in accordance with the speciiieatione sat forth in ASTM E-04-e4a, "Standard Test Method for Surface Burning Characteristics of building Materials", both as to equipment and teat procedure. This test procedure S,s similar to UL-723, ANSI No. 2.s, NPPA No. 2SS and UBc 42-1. The test results cover two parameterse rlame Spread and Smoke Developed Values during a 10-minute fise exposure. Inorganic cement board and red oak flooringg are used as comparative standards and their tOAPOnae• are assigned arbitraxy, valuos of O and log, respectively. The performance of each material is evaluated in relation to the performance of inorganic cement board and red oak flooring under similar fire exposure. PURNWHON AN��, ODTDITIOIiING: One (1) 21" x 2410" sample was laid on a 2-inch galvanized hexagonal . wire mesh supported by steel rods spanning the width of the tunnel . The sample thickness was U 04 inches. The sample was conditioned at 93• t Sot and SO 1 5 percent relative humidity. MST E;EDURR The tunnel was thoroughly pre-heated by burning natural gas. When the brick temperature, sensed by a floor thermocouple, had reached the prescribed 105°F i SOP level, the sample was inserted is the tun-eel and test conducted in accordance with the standard ASTM 8-84-04a pro-e:adures. The operation of the tunnel was chocked by perfuming a 10�ainuto toot with inorganic board on the day of the test. PW 2 FROM TEL: APR. 10. i998 12:23 PM P 5 i Apr-10-98 .11 :24A Insul-Mart: 401-421.-77131 P.02 MF1t-19-1Y98 13!56 PC"R F1 ASTIC6 INC 612) 770 -578. P.041LO 93633 pUnIted Slates TwI ft Cwipsny, Inc. CLIENT; Polar Plastics, Inc. Numbs► UNT 8j80LT8r The test resuiter c>Rlouiated in accordance with ASTM Zm84-84a for Flame Spread and Smoke Developed Values are as followso i ® zest Specimens 8R polyethylene Film Flame Spread Index*, 20 Smoke Developed Value*# s0 fOzaphe of the Flame Spread, Smoke Developed and Time-Temperature are shown in Figures 1, 2 and a at the and of this report. 9m88HVa►Tlal�a: Ignition was noted At 9 seconds Along with charring, maltingand drippings of the specimen directly euposed to the ame. Alen observed were flaming drippings as the flamefront advanced a maximum distance of 4 feet at 25 seconds. Neither afterflama nor afterglow were evident upon test completion. I . � 3 - •" 4 4 •• f S: f �� R Fill ® I rd mar �2 COU �mamis -offMal �� o mmul°s_ mw BOB =m loom . mm Sme u minim Man, RM Rai tMM;tZZ 'U N&wL . FROM TEL: APR. . 1998 12:22 PM P 4 Apr-10-98 11 :24A Irn-t 1'1-Marti 41�1-4"l.l -i`lt l P.U3 t R-iB-1998 13'S7 P(l(,AR PL%'1 1CS 114C Ki? �:;p 7578 P.C18-'1© SCKULNAN, INC 50 N 35est Kh rCttt street -u113T Akron, Ohio 44313 (800 662-S751 FATERIAL BApETY VATA 8HiC8T ! page 1 or 3 I• PROD9ff IDMMt!lCajp OD PRODUCT NANB1 POLYFLAN RCP-770C .PRODUCT I880E pOATS: 01/Z7/9{FROPRODUCT OBBCRIPTION: tis■q Retardant Pblyethylan• Resin AUf:T MDE t 1.A �11T8 PRETARSO 1 07/t a/v j When roquanting additional information, plomme refer to the product code. I1. NANARD006 IMQRsbI811'te CAB / PEL TWA By CHF�dICAL NAC�IB >sq/m3 „� _ y m9/93 N1?IfiliT 1263-29 5 HROKZNATBD DIPH6NYL E=RR 7��0-36-0 ANTIKoNY COMPOUNDS- t As JUMMONY O.SO 0 30 <40.00 i I i Do components of this product roquico reporting under 8AR11 T Californiaitle III? Yoq Do ooepora hts of this Product squirt reporting under SARA Proposition 654 Yes A>:o . Compliance with CONEG: No 1 :011�onents of this product limed on the TSCA inventorys Yes FbA CITATUB, Yf. APPLICASLE: Not Applicable j III. iRODDCT DATA XZLT Poxmt BOLUABILITY �pp•ARJINCE IN WATER Natural Colored - FL11Bti POLNT 103-1106C Insolublo Solid Pellets 625•F C1®voldnd upon Cup SPECIFIC VOLATILS ODOR GRAVITY By WEIGHT REAdTIVITY NATBR = 1 1.10 wild Olefinic Very Citable Not VolAtile Odor This Material aafsty Data sheet also a` ppjiBg-td the following Droduoter i I : i i i S Engineering Dept. (3rd floor) Map g g,? ``7 Parcel cQ.&oa � Permit# l House# Date Issued 'c� Board of Health(3rd floor)(8:15 -'9:30/1:00-4:30) ` Fee^ Conservation Office(4th floor)(8:30- 9:30/1:00-.2:00) 7) Planning Dept. (1st floor/School Admin.Bldg.) *1E e itive PI a pp ed by Planning Board 19 SEP`PIC SYDE INSTALLEDDICE TOWN OF BARNSTABLE WIT Building Permit Application (froject Street Address 7® (� mfy) �= Village R yl)MV I'S , _Owner ` t i lgv 'of ev- e0® Address 4(U j►fP/iu S/- // �Y/ILV/V-7S. 4.6. ,Telephone d ' 7 7 A `- q 00 r Permit Request IV/l�7/� /i,�.► C %J7, ila,� 5� �, ��'`'�,' (� M i4 : � 6 First Floor square feet Second Floor square feet •Construction Type Fp-f)m?- /W Sas'v f�x Estimated Project Cost $ (�, t7 y 0,. Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other M Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Karage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information .Name 61 &.:, Telephone Number 7 7S r.3;;�O Address '�j License# 0 q 1�1�Y6 00, Home Improvement`Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ` DATE 3 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) sue' FOR OFFICIAL USE ONLY 4 1 PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. Y � ADDRESS r VILLAGE ~i OWNER '- 4 DATE OF INSPECTION: FOUNDATION FRAME 17a INSULATION-' FIREPLACE ELECTRICAL. ROUGH FINAL PLUMBING: ROUGH FINAL. GAS: ROUGH FINAL FINAL'BUILDING r_t , DATE CLOSED OUT ; ASSOCIATION PLAN NO.ti I inc.east cape engineering, 44 Route 28 P.O. Box 1525 CIVIL ENGINEERING Orleans, Mass.02653 LAND SURVEYING WATER RESOURCES - LAND COURT ENVIRONMENTAL 508-255-7120 _ SITE PLANNING' SANITARY - CERTIFIED PLANS STRUCTURAL Fax 508-255-3176 - WATERFRONT March 25, 1998 II Ralph Crossen, Commissioner Barnstable Building Dept. 367 Main St. Hyannis , MA 02601 RE: Remodeling- Project, Puritan of Cape Cod, Main St. , Hyannis Dear Mr. .Crossen: I have reviewed the plans and performed on site evaluation for the proposed remodeling project for Puritan of Cape Cod located at 408 Main Street, Hyannis . This evaluation and review was in accordance with Section 34 of the Massachusetts Building Code , Sixth Edition . I have determined that the submitted plans are insubstantial compliance with the Section 34 of the Code. The proposed remodeling has no impact on the structural systems in the building. If there are any questions , please give me a cV' OFyjgs9 s Sincerely, ; �s°� MARK o MCKENZIE a CIVIL No. 39068 Mark A. McK.enzie ,. P. °�F`�c�srER °��`� Treas .- East- Cape Eng sAebVA ° C. MAM: jlo 4I enclosures _ t II j I L • •�" �' Tlc• C'!/I///rlU/I11'calt/t of atassaclrusctts w ='^i %hi �j'-�--- �•� Department ajludustrial Accillcnts .. — office 8ROPOS&MOOS 600IFicslrinrtulrSircet Boston.Marx !kill! Workcrs' Compensation Insurance ARdavit Anliiicantinnformatiorir -' _Please PRINT:1er9tily came �4,1/2/TA�✓ ,L o7-" I V G Ca v X- C— C c a, fit✓C. lncatinm /9 t9 / A✓ AI AI! s a,,,� I am a home 'ner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity I am an employer(providing workers' compensation for my employees working on this job. rnrnnam•n•tmr• .J�/�.rr addrrcr fit\•' - phone ff• ..;.�..r.�., inenr�nrc n. lirvf! [� ►am a sole proprietor.general contrnrtor. or homeowner(circle one)and have hired the contractors listed below woo rc', the following workers compensation polices: cmmT11ns• nnrnr- adrarrcc• tin•• ,�. nhnnc H• _ inner-inrr rn nnlicr it comnins• name- nddrree• tin•• nhnnc Of. incurnnre rn nniicy a Attach additional sheet if necessary Futiure to secure curcrnec:ts required under Sccuon ISA of 11IGL 152 can lead to the imposition of criminal penalties of a liar up to SISDU.UU andiur une�cars'imprisonment as%soil as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. 1 understand that n copy'of this statemrnt mai be forwarded to the Office of Int•estications of the DIA for coverage verification. 1110 herebt•cerrift•rattler the put.its anti p !tics of erjun•Char Cite inforn.rarion provided aiiove,is true asrd Si^^acute D1uc _ Af Print name o E67 Phone#(�ta�� 7�.2 'ntiicial use arils do not write in this area to be completed by tiny or town of lcial City or town: permit/lieettse d r'tttuiidinc Department t OUcensing Huard tC3 check if immediate response is required Oseleetmen's OMcr t �- pucailb Department contact perxnn• phone q: MOther i. ;ta; Information and Instructions Massachusetts General La��s chapter 15'_section ?5 requires all emplovcm to provide workers cc1rn:pcnsaticm for emplrn ccs. .4s quoted..from tbet"fa��".mt rsipinrer,is defined as every. person in the service of anc�thcr under cn� contract of hire, express or implied. oral or wrincii. An cntp1�!t•cr is defined as an individual. parncrship.�asspciation, corporation or;other legal entity, or any t��u or ;�_ the forc:_oim=engaged in a joint ctiterprise,and including the legs! representatives of a deceased employer. or the receiver or trustee of an individual . partnership. association or other legal entity. employing employees. Howe:cr oWner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the dacltin�_house of another who employs persons to do maintenance, construction or repair wort: on such dwelling or oil the•_rounds or building appurtenant thereto shall not because�of such employment be deemed to be an empio, ? clta to 15_'. section :S aisn states that r�vcn. state or local licensing agency shall withhold the issuance or _ mnei •al of a license or permit to operate a business or to construct buildings in the commonwealth for any tinlicantt who`ltas-not"produced acceptable evidence•of compliance With,the insurance covern;e required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perforniance of public work until acceptable evidence of compliance with the insurance requirements of this chap= keen presented to the contractine authority. t �_..� .-ter-.«.._ ..•- , .��... .•. ..... _.... .. .,.... ..?�'. .�i/..• ... .1Y.•��^ �L« �..... . ..r._ Ahhlicn.-as r g P that applies t^ `cUr eitt„+ -;Oil all ti affidavit corn letel�, by checking the bd:,: rr � , = Please fill in the workers' carper-a--on � p - o suppivims company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the afiidzwit. The affidavit ;should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have anv questions regarding the "law"or if you are recuir= to obtain a workers' cotnpcnsation policy. please call the Department at the number iisted below. City or Towns Pie»e be sure that the a tidavii is col-aij:k.-a U id prinicj leaiblv. -T11C0J=paztt CnA has prvv d�rd S. zice at the boaror-, the affidavit for you to f t11 out in the event the Office of Investi`ations has to contact you regarding the cppIicant. P'. be sure to i1l,in the permitilicense number which will be`'used as-a reference=mber. The affidavits may be returnee s have been made. °D theepz..,nent by mail or FAX unless otlter.arran^_ement_ , The Office of invest i=atiOtis would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to ---,ive us a call. The Department's address. telephone and fax number- The Commomveaith Of Massachusetts Department of Industrial Accidents Off1c:of Investigations 600 NVashington Street Boston, Ma. 02111 S Z£9Z0 dW eTT?A1A1U80 ecuvtusuuiwav ! PeOa IT?N ;caaogae�lS PTO Odd weyelg '0 ,cieg �� 66/SZ/£0 u0tleatdx3 lVnOIAIONI - adAl ¢` 6S9C?j dolObb1NOJ1NMAOWNIS3WOH :^ - _ - - 311I4831N39 M 11IN 1tltl38NYN1S O10 06} - . �� MYNYM9 IbY i d AFans 866I/Ol/£A 4►tZ Q 3SM3311 HSIAtl3dQS - /133YS 311804 MQIl911N1SM03 !0 1M3M1JYd30 P j Restricted To: 00 88214 1A - Rasonry oily 16 • 1 1 t Fully Notes Failere to Possess A cirreet edition of the s Rassachosetts state Erlldieg code is eaese for revoulioe of this license.. k C d License 0n ec only beforete tion valid for urn to; One xpiration date. Individual Boston Ma.021 Ashburton Place 1f found 08 Rm 1301 Puritan of cape cod Main St. Hyannis. .. Proposed renovations to main floor Mens shoe area. A. Demising 1. Approximately 100 feet of non-bearing partitions and display fixtures will be demised, exposing front showcase window to inside, and existing firewall. 2. Staircase to basement stock area will be taken out and filled in for floor space. 3. Existing electrical panel will be removed and placed on same wall only be installed within 5 feet from existing show case window. B. Build out 1. A new wall will be installed around two sides of elevator and in front of firewall made of 25 gauge steel studs and sheathed with half inch sheetrock. Walls will be finished to receive new wall fixtures. 2. A ceiling drop will be installed from the elevator to the front show window and return at 90 degree angle to existing entrance door, approximately 50 feet. Ceiling drop will be constructed of 20 gauge steel studs and project 7 feet 2 inches from back wall and have a finished ceiling height of 9 feet from floor. Steel framing will be sheathed with half inch sheetrock, finished and painted. Suspended ceiling in main floor area will be extended to meet new ceiling drop. a ' Assessor's�OfficeJ(lst floor) Map Yz 7 Lot Z ce Z " Permit#,.. Yd 3 Conservation Office(4th floor) L' a.1 Date Issued II a ar— v21l Board of Health.(3rd floor)(8:30-9:30/.1:00-2:00) / ee mo Engineering Dept.4(3rdfloor) House#1 ayq,-�� la g.D or/ oo d Bl � `� ~` efi ' iv 1 App ed PI ng oar a / C • • THE CONNECTION OR TO ENG/ > MNG TOWN OF BARNSTABL 0Nmuc1L l� E� Building Permit Application ' Project treet ddress 408 Main Street F Village is Owner Puritan 'Clothing Address Telephone Permit Request New steel. support and demolition of existing masonry wall o r! T' Total 1 Story Area_(include 1 story garages&decks) N/A square feet Total 2 Story Area(total of 1st&2nd stories) N/A square feet Estimated Project Cost $ $5 0 . 0 0 0 . 0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Retail Proposed Use Construction Type Commercial XXX Residential Dwelling Type: Single Family NA Two Family Multi-Family Age of Existing Structure N/a Basement Type: Finished Historic House N/A Unfinished Old King's Highway N/A Number of Baths N/A No.of Bedrooms N/A Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air N/A Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Northern Heritage Builders Telephone Number ( 508 ) 539-1060 Address P.O. Box 2363 License# CS 058984 680 Falmouth Road, Route 28 Home Improvement Contractor# 110555 Ma s hp e e, MA 02649 Worker's Compensation# WC C 2 0 2 4 2 7 019 3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBR ULTING FROM THIS PROJECT WILL BE TAKEN TO / SIGNATURE 4 — DATE BUILDING PERM DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. ADDRESS `VILLAGE OWNER 1 y i DATE OF;INSPECTION: FOUNDATION FRAME': 1 INSULATION - FIREPLACE '•ELECTRICAL: ROUGH-- FINAL PLUMBING: ROUGHl�,, FINAL _ • �GAS: RO �� U FINAL r FINAL BUILDING c_ _' } DATE CLOSED OUT. s `� ASSOCIATION PLAN NO� 4 The Commonwealth of Atassachusetts . -_., Department of Industrial Accidents '� iiw -.,� _ OIIjCi'�I�QYCStltpaltsODS � ,• 600 If'ashiat,ton Strut _ Boston.A1ass. (12111 Workers'Compensation Insurance Affidavit Annitcant n1! ation• Please PRINT`le�tbly _—.._..._�.�r��TlmT�SJ name: mention. city nhone# I am a homeowner performing all work myself. I am a sole proprietor;tnd_have no one working in any capacity■+�1! 1--..'r+'w'r'.Rr�i'_'..�....'St'7�.r r ------- _r.■: _ =-W.is:..i1,. _ - s.._a. � .'- - --- - - •�� Xg I am an employer providing workers' compensation for my employees working on this job. comnnoyname• Northern Heritage Builders mtis)ress• 680 Falmouth Road, Route 28 . sin.. Mashpee, MA 02649 nhone#: ( 50'8 539-1060 insurnncece_ Paul Peters Insurance Agency nnlia# WCC2024270195 I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company mime: address, cih•• shone#t Insurnnee Co- nelitw -- ---- — - =_'!�?i^.��'=...-.:,.. _�.:,,,----- - - - �r�S7�1417�JF?�1a': m yn mddress: . city.: nhone#: insurnnet co noliev# A_tinch idditional'sheei if aceerisa •",r;, 'wn^ i'ailure to:cents eayernpe as require under Lion 25A o� 1GL 152 an lad to the imposition of criminal penalties of a fine up to S1.500.00 and/or One •ears'imprisonment as well as fffiril pedalli#i in the fo1 of a STOP WORK ORDER and a tine of SI00.00 a day against me. 1 understand that a copy of this statement ma)%'bel rw rded4o th Office of 1 •estigntions of the D1A for coverage verification. !do lterebr cerrif}}�under tit n tits and enalties of et f urr that the information prodded above is true and coma. Sicnaturc /� Date November 21 , 1995 Print name John J. Burk Phone# ( 508 ) 539-1060 wean �. olTiciai use oniy do not write in this area to be completed by city or town official �. city or town: permit/license# nBuilding Department (3Ucensinp Board p cheek if immediate response is required (3Seleetmen's Office �lialth Department contest,person, phone fl; nOther Ireveed)4)�PJA1 .._.._... _ .. mum■i .._........,......�..—........ .. .......�................_ y. CST 17 195 09 `iS PALL PETERS AGENCY P.1 CERTIFVZTT.ICATE OF xNSLLRANCE: CSR BM 10 17 95 Paul Peters Insurance Agency CONFERS 40 RIGHTS UPON THE 'CERTIFICATE NO(GER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR BITER THE COVERAGE AFFORDED BY THE 680 Falmouth Rd. POLICIES8ELOW Mashpee, MA - - :-.,- ------------------------------------------------------ 0264 - COMPANIES AFFORDING COVERAGE PHONE 598-477-0021 .........----------------------^--------------------- ---------------------------------- ---------------------------------------- INSURED COMPANY LETTER A Northern Assurance Companies - . COMPANY-LETTER 8 WORKERS COMP INS. PLAN OF MASS NORTHERN HERITAGE: CO ------------.........................................---------------------- P. 0 . BOX 2363 COMPANY LETTER C MA S H P E E NA ................-......................................................... 02649 COMPANY LETTER D ----------------------------------------------------------- COMPANY LETTER COVERAGES ------------= a::::::::::::xeaee-a_ .........................2....... ::a:a::::: THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITNSTANOINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHIR DOCUMENT WITH RESPECT TD WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED IV THE POLICIES OESCRIBED HEREIN IS SUB,'ECT TD All TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN NAY HAVE BEEN REDUCED BY PAID CLAIMS. ---------------------------------------------------------------------------------- --------------------------------------------- CO TYPE OF INSURANCE POLICY NUNOER POEICT EfF POLICY EXP LIMITS LTR DATE DATE --- - ---.......----------------. --------------------------- GENERAL LIABILITY GENERAL A6GRE64TE J600000 A Oq COMMERCIAL 6EN LIABILITY NBFBZ0470 12/01/94 12/01/95 PROD-CONPJOP ASS. 300000 ( ) - ----------------- -------------- ClRIMS MADE (X ) BCC. PER$. & ROV, 1914RY 304000 ( ) 306000------------OWHERS'S & CONTRACTOR'S - --+ PROTECTIVE EACH OCCURRENCE --- FIRE DAMAGE I ] (ANY ONE FIRE) lessee ------------------ -------------- ( ) MED. EXPENSE (ANY ONE PERSON) 5000 - - --AUTOMOBILE L l-- B ---- ........ ...... ......... ............... ......... '---- COMB. SINGLE LIMIT- ------------- ...-_-------------- -------------- ANY AUTO BODILY INJURY ALL OWNED AUTOS (PER PERSON) SCHEDULED AUTOS ------ HIRED AUTOS BODILY INJURY ION-OWNED AUTOS (PER ACCIDENT) GARA6E LIABILITY -__ _- PROPERTY DAMAGE - --- ---------------- ---------- ----...........----------- ----- -._--- -- ------ ----------------- ---•--- EXCESS LIABILITY EACH OCCURRENCE ( l 6169ElL4 FORM ------------------- -------------- [ J OTHER THAN UNBRE(IA FORM AGGREGATE - ---------•- ---- ------...........---------- --------......- ---........... ----------------- -------------- STATUTORY LIMITS B WORKERS' COMP UCC2024270195 07114/96 07/14/96 EA H ACCIDENT loose@ AND DISEASE-POI. LIMIT 500000 EMPLOYERS' LIAR DISEASE-EACH (OP. 100000 --- ------------------------------- ........................... ........------- --------...... .........--------------------. --- OTHER .__------------------------------------------------------------------------^-^-------------------------------------------------- BESCR1PT10N OF DPERATIONSf.00A1I0NS(VEH1ClESfSPECIAI ITEMS CERTIFICATE HOLOER CANCELLATIO9 a::aaa�aa:xa:xxAx:_ax:xsselt:xsasesesaa:aa::::a::::::::x: SHOULD ANY Of THE ABOVE DESCRIBED POLICIES If CAMCELLEC BEFORE TN( EX- PIRATION OATS THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NAIL 10 • DRYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Town Of Barnstable x FAILURE TO MAIL SUCH NOTICE S4AL1 IMPOSE NO OBLIGATION OR LIABILITY OF Building Dept. ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. -- - ------------------------------------------------------------------------ H y a n n i s NA a AUTHORIZED REPRESENTATIVE r02601 AtORB 25-S (1194) Robert W. Moore • t 1 h a N INUNUV N ,SSSOj� uat� � p eo N c o l0 ITt N � to C IA 3 m ii 101 pI 101 �^ I - - - - - - - - - - - - - - - - - - - LJ vi �_ Lj - - M 'th IL n b . 'gin W � I r f A leyafor i . fix - ` -- r . R-/LQ....../.ar�� 07 i p �I _ol,4f_y_sc_r �l�le- s rh T n i --+�- f i R i 13hN i'olk - O r � , I O J41 ^^ _ O sttif�i 1 .. y �Qwer. S02r;nk/er-S ri-l* Cad t ; PAs � � a �¢ s� o r . ,J.. :Xlk! 't P 1r , I. �,^ r drA'1 �'t#4 c,1' , i r, 7 'r r)-0 -, .r�.( 'tb' ,'%• .'t. '„c.:.H ,. rfi .f 4� Yi.'..1 1 / ! , f 1. :,�, ,' ;_r.,"�:�.�1:;..,I,_..��I.�,".,..!".,.-.".�.":-�,.....,�I1...I--.�._.:.:.7-,I_.��.....1f..-',..-,i'' ,;r., , t�1 :y 1tr�i Lt ♦I i t. 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'FIRESIST' BLACK FABRIC, SQUARE BLACK ALUMINUM FRAME. WHITE 4'H, LOGOS AT LOCATIONS SHOWN ON ELEVATION 21,(01� B'W x 24'L x 1-1/2'D LIMEST❑NE ACCENT BLOCKS _8'W x 24'L x 1-1/2'D LIMESTONE ACCENT BLOCKS S & H 'CHARCOAL WATERSTRUCK' BRICK/ VENEER ALUMINUM C❑MMERCIAL GRADE WINDOW, BLACK FRAME 0 .11 �l — AZEK TRIM, PAINTED BENJAMIN M❑❑RE 'BRILLIANT WHITE' 6'W x 4'H CUSTOM LENGTH LIMESTONE SILL 2'W x 14'H CUSTOM LENGTH CALED❑NIAN GRANITE, ROUGH FACE SECTION A WINDOW RECESS. Xw.E: Y2'' s I'01,1 wM ALUMINUM C❑MMERCIAL GRADE WIND❑W, BLACK FRAME AZEK TRIM, PAINTED BENJAMIN MOORE 'BRILLIANT WHITE' 2x 2 @ 16''o.cl d' STEEL I -BEAM 1x12 LVL SECTION B 4' LALLY COLUMN RAMP DETAIL. Y2'1_1Io' REVISIONS 0 �>Esq �1� Tr� v1 > z 0� ICI Z W u� p O Q p 0 W � O 0 pm� U 0 P4 H pool TITLE: �L�VKON, FLOOp PLAN PLO1 PLAN, 5�CfION5 DATE: JlY 31, 2013 SCALE: A51\1002 DRAWNEY. LA Cikla 1 SHEET of v E1In 31n! Exhibit # Date: HHDC