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Home My WebLink About0459 MAIN STREET (HYANNIS) - - -- Q1 b , 6 s i j V � �� p F Town of Barnstable t . �. EVE Building Department Services Tp� do Brian Florence, CBO Building Commissioner BALUV�TLE '• IABNSTABLE Mns3. 200 Main u"s"mu:as�mn ;°w"'-Rre s`iiac Street, Hyannis,MA 02601 3679 3019 1639. ♦� .e�fD MAy a www.town.barnstable.ma.us 15 Office: 508-862-4038 if ` Fax: 508-790-6230 May 22, 2018 7 3 ! / Mr. Chandler Bosworth Via Fax: 508-790-5982 P. O. Box 685 Centerville, MA 02601 RE: Site Plan Review#041-18 Informal Review- A J Mart Convenience Store Expansion 459 &461 Main Street, Hyannis Map 308,Parcel 083 Proposal: Applicant proposes to expand the existing convenience store into the adjacent tenant space previously occupied by a beauty salon. Review of existing and proposed floor plans depicting the removal of the common wall and other revisions and required upgrades. Dear Mr. Bosworth: At the informal site plan review meeting held May 22, 2018,the above proposal received approval subject to the following: • Color-coded floor plans reviewed and approved depicting existing and proposed construction to remove the common wall and layout of shelving and equipment. • Hyannis Fire Department confirmed that the basement will be used only for storage associated with the convenience store. • Change of address reflecting one street address for the store can be coordinated through DPW and Hyannis Fire Department: Contact: Amanda Ruggerio, Assistant Town Engineer 508-790- 6400 ext. 4933. • Preparation of food is prohibited without the installation of a grease trap. Only pre-packaged food is allowed to be sold. An inspection of the store by the Health Inspector is required prior to putting the coffee maker into service. • Any changes to the exterior, including signage, will require the approval of the Hyannis Main Street Waterfront Historic District Commission for aesthetics. Signage must meet sign code for size, location, etc. Contact: Karen Herrand,Administrative Assistant,Planning&Development 508-862-4064. • A stamped egress plan depicting a clear path of egress and location of exits is required to be provided for the`proposed layout at the building permit stage. • Construction Control documents are required to be provided at the building permit stage. Applicant must obtain all other applicable permits, licenses and approvals required. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator , CC: Brian Florence, Building Commissioner, SPR Chairman DPW Health Department Hyannis FD Final Construction Control Document W To be submitted at completion of construction by a Registered Design Professional eW for work per the 8a'edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.4 Project Title: Bosworth Realty 459/461 Main _ Date: 01—23-2019 Permit No. Property Address: A.J.Mart,459-461 Main Street,Hyannis,MA 02601 Project: Check(x)one or both as applicable: New construction X -Existing Construction Project description: This permit application is for minor modifications(LEVEL-2 Alteration due to change from B- Business to M-Mercantile Use) of two existing retail spaces,with no exterior work. Addditioanllay it should be noted that the existng partiton wall between the spaces(shown to be demolished and removed)is NOT a load bearing wall The proposed plan sows required egress paths,exist light which shall have emergency lighting,and CO/Smoke detectors The plan also shows he store fixture layout with adequate sized aisles. I Kurt E.Raber MA Registration Number: 10563 Expiration date: 08/31/2019 ,am a registered design professional, and hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project. I certify that 1,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. R ED E'ARCH Enter in the space to the right a"wet"or electronic signature and seal: o NO. 10563 BARNS, 4 p S Co y� Phone number: 508-362-8382 Email: kurtraberna,capearchitects.com r Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Trial Version 10 09 2012 5R �Y 0' i '• ul Certified Mail Fee Extra Services&Fees(check box,add tee as appropriate` El Return Receipt(hardcopy) $ l • + At O ❑Return Receipt(electronic) $ iy Postmark ❑Certified Mail Restricted Delivery $ ere Q []Adult Signature Required $ f7 ❑Adult Signature Restricted Delivery$ p Postage ?�l� fd O $ �+ 4 rO3 Total Postage and Fees r Sent To r� Gt.a ire� C' /------ J� Street andApt No.,yC Pita Box A(q ................................� City,State,Zl�e �•CC/•t`!!e /-� �0?(0 301 • :11 • 1 •1 11.1• F '� ' Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■Arecord of delivery(including the recipient's retail a3vocAsrt0' -1 c%, signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailplece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Forth 3800,April 2015(Reverse)PSN 7530-02-000.9047 Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNS LE 200 Main Street H is MA 02601 �`"_`�° '@�`""�'�"°""""_ �] •a-nxvwe•nare+arM, 7 Jann ) :,u,mM N;us 1699-2014 www.town.barnstable.ma.us 575 Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Warren C Bosworth,Jr,Enrique Valdovinos and all persons having notice of this order: As property owner or tenant of the property located at 459 Main Street,Hyannis,MA,Assessors Map 308 Parcel 083 and known as a commercial structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Sections 1003.6 and 1013, and are ORDERED this date 4/25/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 12/12/2017 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter 1 Sections 1003.6 and 1013. Specifically, Section 1003.6 Means of Egress Continuity: the• means of egress path cannot be obstructed so as to reduce the egress capacity at any point. Section 1013 Guard: a guard is required when the floor is opened.THIS STAIRWAY MUST NOT BE USED DURING BUSINESS HOURS OR WHEN THE PUBLIC IS PRESENT. Currently this unit is occupied by the"Mi Pueblo"Restaurant. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office,commence immediately upon receipt of this notice the following action: comply with this order and discontinue use of this stairway during business hours or when the public is present and establish a safety policy for when the stairway is open.A copy of the safety policy must be provided to this office. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires may be taken. By Order, Robert McKechnie Local Inspector ■ - e c � r s _ a ` • .. f yy.,,��,',, � ;x,�`a"a'��±�K$°i��sp�'��r '��y#��: s��±y'y<�,��;3��'� ,��t�':1��'ti.�'��r�'ek'x't'�.�"�rt""+��l+'��ty�,e"��,,�"�•��r�•,t•;�y��' J'."�,o; w7a�x dwsY�i.o .,�.�'+ .r� �«lr .x' 4v 4 ? 1•if% ��1"r•li. p+��f��.r!A„ �A ✓it�a�.'��EY ��` x� 'S, J b y� � y'j. .. �.a� xyt',r tiyr✓r'..,ti„x��• r:'4'�eK'�,`"� ° f*i� �r ,.� ' '�`-"r'•`�„'� .h•+�;�", - r�,�, ,f.��.M.,��.,.r '✓��:.+-��„'"�'«;«� r .r'e. *. ��+, i .. � . • .., � '. • ��' �, ; : • »{ ro Y 1 It is the policy of Mi Pueblo Magico to provide a safe and healthy environment in which our employees, visitors and customers can carry out. their business. We firmly believe in and are committed to ensuring that our operations are carried out in a way that ensures the health and safety of everyone. Therefore we will not open up the staircase while operating, unless necessary. In the case where we need to get something we will go down when there are no customers present. We will not produce or render any service likely to cause an accident or exposure that may.result in personal injury, damage to equipment or loss in process. Each member of our organization is responsible for health and safety and will be held accountable for their actions. Any.and all other policies and procedures must support and comply with this policy statement. Any questions or concerns please feel free to contact me at 1(508)-292-4128 ,Enrique Valdovinos BUILDING OEP- JUN 04 2018 TOWN OF BARNS!ABLE -- Section Owner's Information andProject Location age Section Use 1Strucl6e • • j/� LIP •u l• . I • too • uu- • I - u•- 111 Section Type 1 Permit . go not ■ ' r. . I . . • e Section ' Work Description IA At �I�•' / I MOMl/I'/. ��,/,'/ � ��.L' �7i►Irtty% SLY _- � o �� - �/ :.�► ..ice VO Ml /L►/1� � i will 11 AS F f Application Number.................................................... Section 5—Detail t / r b� Cost of Proposed Construction ! Square Footage of Project 1 Age of Structure' - Dig Safe Number #Of Bedrooms Existing Total# Of Bedrooms(proposed) 110 MPH Wind Zane Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design . I Section 6—Project Specifics +. ., Off ❑ Wiring ❑ '.Oil-.Tank Storages ❑ Smoke Detectors ❑ Plumbing , El, Gas ❑ Fire Suppression j ❑ Hea#ing.System ❑ Masonry Chimney , ❑Add/relocate bedroom water Supply ZPublic '❑ Private 4 Sewage Disposal Municipal ❑ On Site 11istoric"District [Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: 0 I am using a crane ❑ Yes /No � Section 7—Flood Zone Flood Zone Designation - Within or adjacent to a wetland, coastal bank? Yes ❑ No 12/ Section 8-Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. 11 n Total Frontage .S3`Percentage of Lot Coverage #of Dwelling Units (on site) S_etbacks. Front Yard Required Proposed y i Rear Yard Required. Proposed e _ Side Yard ,_. Required - Proposed Has this property had relief from the Zoning Board in the-past? ❑ Yes ❑ No Last weiated n2018 Town of Barnstable Building ra ., a � .' � ��,a�,,'u �x ;: ,..�:'. .� 'y"k-= z� E,,:,� s a,- �,a-r.�, . .;.'.. ?„;• ::<.�.`�?<,..��,c.,:'�. "''� k','.".::'3s 4;�., :.;� v `,� �� ,�:_ PoFT' a is Card So That rt�s Uisible,From h.e Street A °roxed Plans Must beRetamedon Job andth�S Card Must;be Ke t� , < WLtJETCABiJE. ' P e rCectificate,;:of Occupancy is Required,such B,uildmg shall Not be Occupiedhuntil a Final inspectionhas been made Permit ,E.�.v=.� Permit No. B-18-3071 Applicant Name: WARREN C BOSWORTH Approvals Date Issued: 09/18/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 03/18/2019 Foundation: Location: 459 MAIN STREET(HYANNIS), HYANNIS Map/Lot: 308-083 Zoning District: HVB Sheathing: Owner on Record: BOSWORTH,WARREN C JR Contractor Name.',WARREN C BOSWORTH Framing: 1 Address: P O BOX 685 Contractor License. CS019611 2 CENTERVILLE, MA 02632 ctCost: $ 1,500.00 Chimney: ' Description: Remove Exterior Partition that divides the two store fronts doors Permit Fee: $160.00 #459/461 as the convenience store occupies 459 is now takingover Insulation: this space. Fee Pai& $160.00 _ Date , 9/18/2018 Final: Project Review Req: � Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after'issuance. Final Gas: . . All work authorized by this permit shall conform to the approved application and thelapproved construction documentsifor, hick this permit has been granted. All construction,alterations and changes of use of any building and structure's"shall be in compliance with the local zoning by laws an`d codes. Electrical This permit shall be displayed in a location clearly visible from access street oar r�oad'and hall bemamtaued open for public inspection for the entire duration of the work until the completion of the same. a X Service: �� ff4,,4v The Certificate of Occupancy will not be issued until all applicable signatures byahe BuUding and?Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Yspection before Occupancy Health T q. Final: Vvhere'applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. workSshall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: r Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and St andards Us ConstrVction'Supervisor CS-019611 EApires: 09/22/2019 WARREN C BOSWORTH - ti PO BOX 685 CENTERVILLE MA 02632 M /��-- Commissioner R • i iS Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet 1991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts t State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl Town of Barnstable �oFt r Building Department Services Brian Florence, CBO Building Commissioner BAMSTABI,E 9 MASS. M�4A�SIO�HS NIILSE OSIERNLLE°w seann"s"rne�t 200 Main Street, Hyannis, MA 02601 t639-2014 WUE 1639. �� QED MA'S°' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 22, 2018 Mr. Chandler Bosworth Via Fax: 508-790-5982 P. O. Box 685 Centerville, MA 02601 RE: Site Plan Review#041-18 Informal Review- A J Mart Convenience Store Expansion 459 &461 Main Street, Hyannis Map 308, Parcel 083 Proposal: Applicant proposes to expand the existing convenience store into the adjacent tenant space previously occupied by a beauty salon. Review of existing and proposed floor plans depicting the removal of the common wall and other revisions and required upgrades. Dear Mr. Bosworth: At the informal site plan review meeting held May 22, 2018, the above proposal received approval subject to the following: e Color-coded floor plans reviewed and approved depicting existing and proposed construction to remove the common wall and layout of shelving and equipment. • Hyannis Fire Department confirmed that the basement will be used only for storage associated with the convenience store. • Change of address reflecting one street address for the store can be coordinated through DPW and Hyannis Fire Department. Contact: Amanda Ruggerio, Assistant Town Engineer 508-790- 6400 ext. 4933. • Preparation of food is prohibited without the installation of a grease trap. Only pre-packaged food is allowed to be sold. • An inspection of the store by the Health Inspector is required prior to putting the coffee maker into service. • Any changes to the exterior, including signage, will require the approval of the Hyannis Main Street Waterfront Historic District Commission for aesthetics. Signage must meet sign code for size, location, etc. Contact: Karen Herrand, Administrative Assistant, Planning &Development 508-862-4064. • A stamped egress plan depicting a clear path of egress and location of exits is required to be provided for the proposed layout at the building permit stage. • Construction Control documents are required to be provided at the building permit stage. Applicant must obtain all other applicable permits, licenses and approvals required. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator CC: Brian Florence, Building Commissioner, SPR Chairman DPW Health Department Hyannis FD Hyannis Main Street Waterfront V � . � Historic District Commission 200 Main Street BAMSTABU& Hyannis,Massachusetts 02601 MAC' Phone: 508-862-4665 / Fax: 508-862-4784 QED a www.town.bamstable.ma.us/hyannismainstreet' Paul S.Arnold,Chair Karen Herrand,Principal Assistant ACKNOWLEDGMENT OF TWENTY DAY APPEAL PERIOD Required by Section 112-33 of the Hyannis Main Street Waterfront Historic District Ordinance rhrviex�&�icant"), acknowledge that the Certificate granted by the Hyannis Main Street Waterfront Historic District 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 the 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 be 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 conclu of any appeal. Th icant shall be required to fully comply with any ec ion o t iMtewatrict Ap eals Committee or, upon remand, revised de i ion e a ain Street Waterfront Historic District Commission. ture: Ap .icant Date - Print Name Address of Proposed Work 11 JUL 3. 1 ?Uid Town of Barnstable PLANNING oevELoPrY,E NT Hyannis Main Street Waterfront Historic District Application Certificate for Demolition o Removal Application is hereby made for the issuance of a Permit for Demolition or Removal of a building or a structure:or part thereof, 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. Assessor's Map No. Parcel No. Address of Proposed Work Applicant Namehetilaya— malt Applicant Mailing Address.r , Town/State/Zipl r Applicant Phone Number Applicant E-Mail Property Owner Name Owner Mailing Address Town/State/Zip Owner Phone Qo Agent or Contractor Name L Agent or Contractor Address Town/State/Zip Agent or Contractor Phone Agent or Contractor E-Mail DESCRIPTION Of PROPOSED DEMOLITION OR REMOVAL: Provide a detailed evaluation of the e ' ting condition and appearance of the building or structure. Describe the proposed scope of the demolition removal Attach an 'additional sheet and supporting pictures and materials as necessa rr OV d { 1 >c at. 1 � y lC Y z l ` W I :. } �+� '• _ o of � , I SIGN DATE; (� APPROVED • Der/ ut AUG 1r, 2 TOWN OF BARNSTABLE WANNIS MAIN ST`/vATERFRONT HISTORIC DISTRICT COMMISSION Page l of t 7-7 N mom. rn xa'b�- i &01 . -. r��„�� `: �4 '�. �' + � i ,*`* w+ «,�.�: "�" S+Y�. ,.y .p `�1.&SFr � `at�'� ,¢} �`�°+ '�`,� : ✓ f}� ,� �: fix'& :� � „�. .v •n 3 Cam"" •�,�• greys ;�w �* �"r�,r �g�•�r � �',va°�a�� , r �fs a�..� �� ! , �p+ya,�;.� 11�xh`�'.'layr y.a Y ,� a.•. •s��y +3�` l.i e � "'�h �w�� . • ,e� �' r^ ti _ C, •�. fib,. APPROVED AUK 201� TOWN OF BARNSTABLE HYANNIS MAIN ST`NATERFRON HISTORIC DISTRICT COMMISSIC file://isvisions/images/00/03/50/32 jpg 7/31/2018 i i i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 114889 11/04/2019 WARREN BOSWORTH JR. D/B/A BOSWORTH ASSOCIATES WARREN C.BOSWORTH,JR. 1645 FALMOUTH RD l CENTERVILLE,MA 02632 Undersecretary r 1 t i f i i •j k , i f A Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 1 Not valid withdut.si8natur'e I ' The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busines /Organization/Individual): o CIMTJ&i2_ - Address: City/State/Zip . 0*3�one#: Gb4 �910 - ��Z Are you an employer?Check the appropriate bo . Type of project(required): 1.El am a employer with 4. am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 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. Plum 3.El I am a homeowner doing all work b' repairs or additions❑ � P myself [No workers'comp. right of exemption per MGL 12.❑ oof repairs insurance required]t c. 152,§1(4),and we have no eP employees. [No workers' 43.90therk000m / D4 1°I comp.insurance required] 1 n 1 ►It-777 *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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide 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: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ffisyRnce coYqne verification. I do hereby certi under h a pe al' of per'u that inf madon provided above ' true a d correct Signafore: 1 Date: Ci `1 Phone#: Offtcial 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 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for 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 implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." 1 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 operaie 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 compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(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 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 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 to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 640 Washington Street Boston,MA 42111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia I '4C'�� CERTIFICATE OF LIABILITY INSURANCE °A�'M"I°°Y""' 2/27/18 THIS CERTIFICATE IS I$SUED 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 endorsement(s). PRODUCER CONTACT NAME: JIM HINDMAN Schlegel & Schlegel Ins Broker PHONE 508 771-8381 (A/C No: (508) 771-0663 34 Main Street ADDRESS:West Yarmouth, MA 02673 SS: schlegelinsurance@gmail.com INSURE S AFFORDING COVERAGE NAIC# INSURERA:NGM INSURANCE COMPANY 14788 INSURED - _ INSURER B:AIM MUTUAL Adilson Segolini INSURERC: DBA SEGOLINI CONSTRUCTION INSURERD: 117 Minton Lane INSURER E: W Barnstable, MA 02668-1818 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY P_AID CLAIMS. INSR ADDL SUBR POUCY EFF POUCY EXP _ LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER M/DD/YYYY MM/DD/YYYY LIMITS A GENERALLIABILITY MPT1395Z 12/19/17 12/19/18 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDUSES(Ea occurrencel $ 500,000 CLAIMS-MADE [i]OCCUR ME EXP(Anyone person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENTAGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OPAGG $ 2,000,000 1-1 POLICY I PRO LOC $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ f ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AWC40070260252017A 5/23/17 5/23/18 WC STATU. OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT' $ 100,000 OFFICE R/ME MBER EXCL LID ED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 10,000 If yes,describe under DYSCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ADILSON SEGOLINI HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CHANDLER BOSWORTH ACCORDANCE WITH E POLICY PROVISIONS. PO BOX 685 I CENTERVILLE MA 02632 AUIHORIZEDREPRESEN ATIV IN HAND, 01 88 2 10 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered mark o CORD Phone: Fax: E-Mail: IApplication Number........................................... Section 9—.Construction Supervisor NamW3)'*9WTe,1ephone "�aed� � Number , Address D 7J C. It State _��Tip Ito s' _ License Numbers S—O)cj/,cI (_ License Type Expiration Date Contractors Email �®- z�— Cell# D I understand my respo I milli ft r. th. es and re for Li eased Construction Supervisor in accordance with 780 CMR the Massachus Bud ' Co . It the co on inspection procedures,specific inspections and documentation r b 780 o Bamstable. a copy of your license. Signature -- Date Section 10—Home Improvement Contractor Name` elephone Number Addres r�• City State Zip 10'76) Z, 1( S ph0k Registration Number Expiration Date i►�t.}'I cj I understand my responsibilities der the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts S de. I the 'on inspection procedures,specific inspections and 4�4 documentation 80 own o h a copy of your H.LC... Signature . 1 Date J J eb Section 11—Home Owners License Exemption r Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date CANT S ATURE Signature Date 1 C J Print Name elephone Number •� t 7s?� E-mail permit to• r�.r....a a-a./mmPNnI-0 �� Section 12—Department Sign-Offs r Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review Of required) ❑ Fire Department ❑ , • t�.. Conservation For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization as Owner of the-subject property hereby authorize - to act on my behalf j in all matters relative to work authorized by this building permit application for: (Address of job) +�., , • a y Signature of Owner ` ' ' '�I1ante Print Name i' I yid Last undated:2192018 ATIONVORSMPIANP-t4 W LOGAT103J -'------- --• Date: Business Name: Subdivision PIan h I Ir Assessor's Map# 6. 7 Parcel# 6 ANR Plan Pro Addr s: f' Site plan - O WNEEt 0R PRO ItTSI APPLICANT 11 !� � 'Name: r �' J Name: -OWil -- 1 ss• Address: Telep ona: — Lh ?� �Z Telephone- Fax cm7tcT/DEvmoPER/CgiMMw- ErtG R A rrr/ATiaxrlE�r '�� Address: I f . Address• Tele hone: 7i— 76 i Telephone: STORAGE TANKS(HAZ MATYUJUL oR WASTE OIL) 2MWQ DTS!`RICT CLASS M CATION R sti g osed District Overlay(sNumber Number Lot.Area J Wk— . Sq:Ft Ac. Size Size Fire District �; jAl Above Ground Above,Gwund. Underground Underground Setb�.cics & Contents Contents Front /V Side- Rear jTJ Number ofBuildings E)dstiag posed UTIL=S Demolition A) Sewer V 0, public ❑ Private Sizd ` Water Public 0. Pzivate TOTAL FLOOR AREA BY USE Electric FV/ Aerial ❑ Underground. Existing }proposed Gas Natural ❑ Propane - - - s .#t s . Grease Trap ❑Size gal Basement. � �j Sewage DailpFiow * gpd �16. ,j2 12esideir}�ial� GP or WP areas iestddvastewaEer&charge to-330 allons er Rest$ura� acre per day into on site system. g P Retail ?5 a ts0 ' Office - PARIQNG SMICES CURB CUTS Medical OMCO Required Existing Commercial ec Provided It, Proposed Wholesale ec On-Site ,r To Close InstitutionAl(specify) O$-Site Ar Tdtals Tndnsttial ec' Handicapped All Other Uses On Site Es6nmfedPro'ectCost: Fee: Gross FloorAirea (� -012-VO(CA-3 IV sP FoxM pinoc—osnarzooa Y Old Ying's Ilighway Regional historic District Pile# A,*Oved? []Yes ON- Hyannis mak Street Waterfront Kistoric District File# Approved? ❑Yes -❑Vo l� Listed in National and/or State Register of.Mstorio Places? ❑Yes IVNo Previous Site Plan Review File# Approved? El Yes ❑No of)# 1 Previous Zoning Board of Appeals File# Approved? ❑Yes ❑ o fie 1 is the site located in aFlood Area(Section3-5.1) Yes KNo ¢ k Area of Critical Environmental Conoens?- H Yes LVJa Is the Pmject within 100'of WetlandResotrrce Area? ❑Yes o ��' Site sketch—in€or�al.pres�nta€R ❑Yes No Site PIm prepared,wet stamped and signed by,a Registered p&andfor.PLS. El Yes ❑No /04f Parking and Trafio Circulation Finn ❑Yes ❑No A) ` Landsc ap.a'Plan and LightingPlan ❑Yes El No Diaiaage Plan with calculations and Utility Plan ❑ es ❑No!1/ Building Plans,(allfloorplans,el eva ons.and cross s "ons) L�! x ❑No Mote that 0 si ale must lie annroy d by Code Enforeement Officer at the$mZdiva�DeUai�laht Lot area in.sq.ft. 17 J 3� sq.ft Total Biading(s)footprint d 4 ft Maxim=Lot Coverage as%ofLot /9 MID GROUMWAM?ROmmeNO'VMAYDIMCTRRQUIR-1- N : OVERLAYMSTRTCT(S): Lot-Coverage (%) Required Proposed Site Cleating (0/6) Required Proposed - PRINMALBURDINd CCEMORYBUM S ❑Y85. w1k10 s Number of floors 33eight-. 1 $ Number of floors height:� ft. i' FLOOR ARE - FAR A OOIt AREA: FAR: C� SBasemen sq.ft ' ll'1 �..�uOCP Basement ssq.$ t (,First 00 sq ft� First sq Second sq.$, Second. sq.•it. Atria sq ft. Attic sq.ft Other(Sp afy) sq.ft _ Other(Spccify) sq•ft: i • Plesse vide a brief naizati .des of your propo ed pro3ect: =04 on w 1117 page andthe Site Plan Review Application and tILA o est o p owlndg�;-tlie" an sub ' here is tzne. ata Panted Name of Applicant SP FORM-pZpOG 06118�D04 . Bali=Cos+mton u/Rus tSfil j(c1 ®Fiy)sri�! Goroprhohs j?J oR-„-P✓ltfv — mm NOT-7-0 Ip,,�„ � �oRrr6,6 Re�rr I0'ep I I 0 plo o�c£ ylll O� 5 n G�sV Q�II' z6 i I , o � °�az•1 N- �I I AcTon I BIG tA,rrCr _y5'9 1 C3iI�Qll u r2uss� �/) o fiyd', A'3• , n�(Pf , 5�9 SGaarP._orle..Ce+1.A�5 inl O ut rDn(vaJl yTOf y59 pry�,r a„1,,�[Na rares o2 m`�i . o lugv�Noiu,lll�1oa�2Vzv� 02 0� I I I i I I ! i I iI 0� I `(1�91hJ I$I�d �_ Si-DK�7k>�T 1NDa•+'S 3° _ e E-• 7-i+lWXWw � M»iN si�T ann,s rdyoR- _r=n„r /cane.= y61 rvl�;�rs�in-ter t�ynyua�'s' Looms v✓tLL5 y59/�G1 o Ep,5T-) G�NarJlons 002�lrir/ G, �� y� /o o✓ls AMW=W4�� 7T' ��oJ� N©i Tn SCriL� , 5.• ryJ�rt� �JfoKPcFn€ i1„ 65 (S i 116 d 5,111 sS 9�11 O q,q, Sin 6�q`/ 1ERinfL Ul pnC- :� ,�' SINK sr 9' ' D D V (R,.Lo[ATE fa 611 y A ouT-.IO W G tl N 5 Yl b�>J E— 5 �Frn�f,�r �; � ( 3l° - e) F.era�tnonr wNcaws 4aa 41)+iN 5p'p�J'fl7ann,S - 4b1 M*>idS7 T'/�.jnyvNiS it �7 1ySTAiSLE1 h ASUQIUSETTS / Y511tY�IW1�1 MAPV E 11 pp f x t �Y 5 at 00, lop .� '� • w $N°14 0A, Oil aL � 5 lk4 ol Mpg '`� ,►� ¢�4 L� 40,44 1 :60 1 o � \\ pa , r • O+.dY�1/i' pgpS r ,, \ r oo Mir •,� `S n \ \ 1� O091 1 win" Am .•', .L� .. ��.• Riau •� �~y JAM (/� 1• \ `\. ko AISP M/i IRMT0411dlDD OW Yf 2WS FG Its IOW,0f BTJa imi . �� •• Ctf/7344 lCP IiSiSO DRTT 2� � f Page 1 of 1 a + III 1 i I Ij http://townofbamstable.us/propertyimages/00/03/50/32.jpg' 5/17/2018 s.� r Legend Road Names 3j84 ,9 % 1 y •:yA .59 308080 t _ 308081001 308082 #447 c-, .r" 0808 f , a ;9 i ` #�73 W 1 1 -30808t002 1 x 3�" :• �'.. Map printed on: 5/17/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA o26o1 O 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us * ' Town of Barnstable Buildin,. `' �,. �. ar: o,.;.`sY�" >y, ;j, .sR$� .., .�i , :.x�a . :.: __�' � �,� � Post,This�Ca'rd So That�t sUislbl From,the Street ,A rouetl Plans`Mustbe Retained one ob and,#his Gar�tlMust°be Ke t g MAS& €," hPostedUntthFinai Inspection Has BeenMatle y�� a63p. a .'s: Permit Wherea Certificate of.O.ccu ,anc �s Re u�retl such Buldln shallNot`,`be Occu�edFuntil a Ema#Ins ectionls`been made 1 erllll 1 Permit No. B-18-602 Applicant Name: WARREN C BOSWORTH Approvals Date Issued: 06/22/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/22/2018 Foundation: Commercial Map/Lot 308 083 Zoning District: HVB Sheathing: Location: 459 MAIN STREET(HYANNIS),HYANNIS Contractor Name ` WARREN C BOSWORTH Framing: 1 Owner on Record: BOSWORTH WARREN C JR ) ContprLeC19611�a 2r zt Address: P O BOX 685 - EstProiect Cost: $27,000.00 Chimney: CENTERVILLE, MA 02632 Per $345.70 mit Fee: Description: remove common wall with adjhacent unit aj rnart cony store to Insulation: Fee Paid _ $345.70 create larger convenience store.wall is not bearing asYroof,is a yk trussed roof. install new sheetrock,ceiling to match&ktie in with abateY 6/22/2018 Final: adjacent ceiling : �am x Plumbing/Gas Project Review Req: MAINTAIN EXISTING LEVEL OF FIRE PROTECTION t Rough Plumbing: - , A Building Official Final Plumbing: � -.a�,' This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months4after issuance. Rough Gas: t All work authorized by this permit shall conform to the approved appl cation andhe approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shalFbe in compliance with the local zoning by laws a d codes. Final Gas:. This permit shall be displayed in a location clearly visible from access street or road�and shall be maintained open for public4inspection for the entire duration of the work until the coin letion of the same. . . .. . _ . Electrical P The Certificate of Occupancy will not be issued until all applicable signatures by theBuildmgandFire®ffcials are provitl�edon this permit. Service: Minimum of Five Call Inspections Required for All Construction Work �1 g . 1.Foundation or Footing „ Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: �� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 — u Town of Barnstable bEcE��Pr " �,,, `& " 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-18-602 Date Recieved: 2/27/2018 Job Location: 459 MAIN STREET(HYANNIS),HYANNIS Permit For: Building-Alteration INTERIOR Work Only-Commercial Contractor's Name: WARREN C BOSWORTH State Lic. No: CS-019611 Address: CENTERVILLE, MA 02632 Applicant Phone: (Home)Owner's Name: BOSWORTH,WARREN C JR Phone: (Home)Owner's Address: P O BOX 685, CENTERVILLE,MA 02632 Work Description: remove common wall with adjhacent unit aj mart conv.store to create larger convenience store.wall is not bearing as roof is a trussed roof. install new sheetrock,ceiling to match& tie in with adjacent ceiling Total Value Of Work To Be Performed: $27,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: WARREN C BOSWORTH 2/27/2018 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $27,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $345.70 3/2/2018 $345.70 14925 Check Total Permit Fee Paid: $345.70 t H b S�TzHISIS��NO�T��A PERMIT ,��$ � . Town of Barnstable Building Post-This Card=So-.T.hat;it�ls Visible Frorn ythe Street .A .rlrayed:PlanS-Must�beRetamed on Job and�this,Car'd,Mus�> be ke t I I* . xeir - % { r ,' 'yam , - pp h � P Post�dUntil Final Inspection�Has.Been Made � s� � ��,; � �� ,�� `� '' Where2a�Certificate;�of�Occu anc as-Re wired;suchxBytlding shall�Not�b�e Oecupiedunti)a.FLnal Inspect�onrhas been;made Permit Permit No. B-18-602 Applicant Name: WARREN C BOSWORTH Approvals Date Issued: 06/22/2018 Current Use: Structure - Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/22/2018 Foundation: Commercial Map/Lot: 308-083 Zoning District: HVB Sheathing: p Location: 459 MAIN STREET(HYANNIS),HYANNIS ro Contractor Name' WARREN C BOSWORTH Framing: 1 Owner on Record: BOSWORTH,WARREN C JR Contractor Ucense': CS-019611 x= - 2 Address: P O BOX 685 a Est Project Cost: $27,000.00 Chimney: � CENTERVILLE, MA 02632 3 r� P �t Fee: $345.70 errn �;�r � Insulation: Descri tion. remove common wall with ad'hacent unit a mart conv store to �: P 1 1 Fee Paid $345.70 create larger convenience store.wall is not bearin as;roof is a g g, Final. trussed roof. install new sheetrock,ceiling to atch&tie in with Date 6/22/2018 m adjacent ceiling ` Plumbing/Gas Project Review Re MAINTAIN EXISTING LEVEL OF FIRE PRO ECTION 1 q _ Rough Plumbing: •-- - a Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonied tsy,this permit is commenced within sixirnonths-after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and�the approved construction documents for which this permit has been granted. g �a d Final Gas: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zonrng bylaws°and codes. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public insijipection for the entire duration of the work until the completion of the same. x Electrical l� a< � Service: The Certificate of Occupancy will not be issued until all applicable signatures1by�he-Buildgand Fire Officials arepr�ovidedpon this permit. Minimum of Five Call Inspections Required for All Construction Work ° Rough: 1.Foundation or Footing �,-s, - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall notproceed until the Inspector has approved the various stages of construction. Final: "PersonF contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i I . I i 1 1Its W • Section I — Owner's Information and Pr ject Location 01 Section ofStrulcture •nu - • � - n•- 111 • -- Section Permit 6. oil Section Description :.r n►r jvqq _ JWAF Mr /f r � t �i►L! ®c _41 RR - N At �fl MR �J '� r f 4A APplication Number.................................................... Section 5—Detail Cost of Proposed Construction O0O 43quare Footage of Project ® Age of Structure Dig Safe Number #Of Bedrooms Existing Total,#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wring ❑ Oil Tank Storage IdSmoke Detectois Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney t ❑Add/relocate bedroom Water Supply Public. ❑ Private Sewage Disposal dMunicipal ❑ On Site Historic District 2/Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: L4TVA&2ALkA am using a crane ❑ Yes M'No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section S—Zoning Information kt Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage tag (QCp �j i Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard r ! Required Proposed , Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No •r ' T....f.....i..se.i.n M MA I 0 BOSWORTH ASSOCIATES P.O.Box 685 1645 Falmouth Rd. Unit C 2nd Floor rr Centerville,MA 02632 3 i* BUILDERS•DEVELOPERS•PROPERTY MANAGEMENT 508-790-2422 Fax 508-790-5982 Chandler Bosworth i The Commonwealth of Massachusetts Department of Industrial Accidents UW Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Wfl Address: -R0 City/State/Zip Q Z-Phone#: Z, 2 ®� `` ® I/7 7-2— Are you an employer?Check the appropriate bo ' Type of project(required): 1.ElI am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ZlEe modeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers'comp.insurance comp.ins rance i required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 131-1 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 hive outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the subcontractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby ce fy r e den o at the information provided above is true and correct. Si afore: Date: 0 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 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions'- Massachusetts General Laws chapter 152 requires all employers to provide workers'-compensation for 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 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 io 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 compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(L1,Q 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 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 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 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 hike 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. The Commonwealth of Massachusetts Dapar€ruent of Industrial Accidents Office of Investigations 600 Washington Strut Boson,MA 02111 TeL#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749. Revised 4-24-07 www.mm.gov/dia CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DIYYYYY) 2/27/18 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 endorsement(s). PRODUCER CONTACT NAME: JIM HINDMAN Schlegel & Schlegel Ins Broker PHONE 508 771-8381 AX No: (508) 771-0663 34 Main Street ADDRE West Yarmouth, MA 02673 SS: schlegelinsurance@4mail.com , INSURE S AFFORDING COVERAGE NAIC# ------------ ,_____ INSURERA:NGM INSURANCE COMPANY 14788 INSURED ----' --- ------ ----- INSURER B:AIM MUTUAL Adilson Segolini INSURERC: ' DBA SEGOLINI- CONSTRUCTION INSURER D: 117 Minton Lane INSURER E: W Barnstable, MA 02668-1818 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS_OF SUCH POLICIES.LIMITS SHOWN_ MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRI T ADDL SUBR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER MM/DD/YYYY MM/DDYYYY LIMITS A GENERAL LIABILITY MPT1395Z 12/19/17 12/19/18 EACH OCCURRENCE $ 1,000,000 X COMIVIERCIALGENERAL LIABILITY DAMAGE PREMISES( RENTED Ea occurrenc,l $ 500,000 CLAIMS-MADE Fx_]OCCUR ME EXP(Anyone person) $ 10,000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE L IMIT APP LIES PE R PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ _AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AWC40070260252017A 5/23/17 5/23/18 WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L.EACH ACCIDENT $ 100,000 OFFICERMIEMBER EXCLUDED? 7 N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 10,000 1r If yes,describe under f DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ADILSON SEGOLINI HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CHANDLER BOSWORTH ACCORDANCE WITH E POLICY PROVISIONS. PO BOX 685 CENTERVILLE MA, 02632 AUTHORIZED REPRESEN ATIV IN HAND, ©1 88 2 10 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered mark o CORD Phone: Fax: E-Mail: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constrqct'616 Stapervis0r CS-019611 E�ires: 09l22/2019 WARREN C BOSWORTW r PO BOX 685 CENTERVILLE MA 02632/ Commissioner e.* Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpi r'%w`�overircrcuc<cclC�r/n.`lrrd-lcrclercJellJ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration I 114BB9 11/04/2019 WARREN BOSWORTH D/B/A BOSWORTH ASSOCIATES WARREN C.BOSWORTH,JR. 1645 FALMOUTH RD CENTERVILLE,MA 02632 Undersecretary { 4 f �S Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid withdut.sighatu e ------------ Application Number........................................... Section 9—.Construction Supervisor Nam6_9hwoj" 'Telephone N , '?qV " Z-C/7Z d ' , _ Addres I' City (ILState Zip 3 ?- License License Type Expiration Date ZZ / Contractors Email ® '' Cell#��jj —6 f0 ,5 7,) I understand my responsibilities unMttheaniles and regdons for'L c n eedd Construction Supervisor in accord�ce with 780 CMR the Massachusetts S ode. I un construction inspection procedures,specific inspections and Y` documentation 80 0 .Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Nam Telephone Number,j;b 4� -' 7 0 Address o 0 ► t & 5- CitV State Zip 6o 41s- z Registration Number Expiration Date it )Aph I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State de. I understand the c on inspection procedures,specific inspections and documentation 0 o B h a copy of your H.I.C... Signature . r - Date Section 11 —Home Owners License Exemption Home Owners Name: 6- Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date SIGNATURE Signature t / Date Print NameW6C...�jVPff4fTelephone0& Number 0 ' , e E-mail permit to: :I- Wr'Lu g&k vie 04 lit Ul q i Section 12—Department Sign-Offs 1 Health Department El �Zoning Board(if required) � ffistoric District ❑ Site Plan Review required) j c ) ❑ 1 Fire Department Conservation ❑ For commercud work,please take your plans directly to the fire department for approval. Section 13—Owner's Authorization e L , as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for:. (Address of job) . Signature of Owner . date 4 i Print Name ' p 9 t t r Lest uvdamd.2/92018 Town of Barnstable oF1HE r Building Department Services It gyp' o Brian Florence, CBO * ai.e, Building Commissioner snxxsrn BARNSTABLE Mnss• "m, ME $ 200 Main Street, Hyannis, MA 02601 '•9 1679_ i63 ♦0 'Olen www.town.barnstable.maxs �„� . Office: 508-862-4038 Fax: 508-790-6230 May 22, 2018 73 ! I Mr. Chandler Bosworth Via Fax: 508-790-5982 P. O. Box 685 Centerville, MA 02601 RE: Site Plan Review#041-18 Informal Review- A J Mart Convenience Store Expansion 459 & 461 Main Street, Hyannis Map 308, Parcel 083 Proposal: Applicant proposes to expand the existing convenience store into the adjacent tenant space previously occupied by a beauty salon. Review of existing and proposed floor plans depicting the removal of the common wall and other revisions and required upgrades. Dear Mr. Bosworth: At the informal site plan review meeting held May 22, 2018, the above proposal received approval subject to the following: • Color-coded floor plans reviewed and approved depicting existing and proposed construction to remove the common wall and layout of shelving and equipment. • Hyannis Fire Department confirmed that the basement will be used only for storage associated with the convenience store. • Change of address reflecting one street address for the store can be coordinated through DPW and Hyannis Fire Department. Contact: Amanda Ruggerio, Assistant Town Engineer 508-790- 6400 ext. 4933. • Preparation of food is prohibited without the installation of a grease trap. Only pre-packaged food is allowed to be sold. • An inspection of the store by the Health Inspector is required prior to putting the coffee maker into service. • Any changes to the exterior, including signage, will require the approval of the Hyannis Main Street Waterfront Historic District Commission for aesthetics. Signage must meet sign code for size, location, etc. Contact: Karen Herrand,Administrative Assistant,Planning &Development 508-862-4064. • A stamped egress plan depicting a clear path of egress and location of exits is required to be provided for the proposed layout at the building permit stage. • Construction Control documents are required to be provided at the building permit stage. Applicant must obtain all other applicable permits, licenses and approvals required. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator CC: Brian Florence, Building Commissioner, SPR Chairman DPW Health Department Hyannis FD pF�HE�p�r Town of Barnstable Building Department Services MASSB`E'� Brian Florence, CBO i639• ArFo3.6. Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 7, 2018 Warren C Bosworth PO BOX 685 Centerville, Ma. 02632 RE: 461 Main St., Hyannis, Map: 308 Parcel 083 Dear Mr. Bosworth: This letter is in response to application numbers TB-18-602. Your application is denied as submitted for the following reasons: 1) The application is incomplete.No site plan and no site plan review approval have been submitted with application. 2) The construction documents are incomplete.No construction control documents and no code narrative submitted. And, if aggrieved by this notice and order; to show cause to why you are not in violation, you may file a Notice of Appeal (specifying the grounds thereof)with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Respectfully, e L. Lauzon Chief Local Inspector jeffrey.lauzon@town.bamstable.ma.us (508) 862- 4034 . A , Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional w� for work per the 8th edition of the e � Massachusetts State Building Code, 780 CMR, Section 107 �® Project Title: Bosworth Realty 459/461 Mian Date: REVISED 0610812017 Property Address: A.J.Mart,459-461 Main Street,Hyannis,MA 02601 2�'s Project: Check(x) one or both as applicable: New construction X Existing Construction' Project description: This permit application is for minor modifications(LEVEL-2 Alterationdue to ehanze from B- Business to M-Mercantile Use) of two existing retail spaces,with no exterior work. Addditioanllav it should be noted that the existng partiton wall between the spaces(shown to be demolished and removed)is NOT a load bearing wall. The proposed plan sows required egress paths,exist light which shall have emergency lighting,and CO/Smoke detectors. The plan also shows he store fixture layout with adequate sized aisles. I Kurt E.Raber MA Registration Number: 10563 Expiration date: 08/2018 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': X Architectural X Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and, quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official_ Upon completion of the work, I shall submit to the building official a`Final Constructio q, ent'. Enter in the space to the right a"wet"or 0 P1o. 10563 electronic signature and seal: N �I F ' G� Phone number: 508-362-8382 Email: kurtraber(a,capearchitects.com T o Building Official Use Only Building Official Name: Permit No.: ' Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a A d Registered Design Professional for work per the 8a' edition of the a Massachusetts State Building Code, 780 CMR, Section 107 BUILDING UEPT Project Title: Bosworth Realty 459/461 Mian Date: 06/08/2017 JUN 112018 Property Address: A.J.Mart,459-461 Main Street,Hyannis,MA 0260E TOWN OF BARNSTABLF Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: This permit application is for minoe modifications(LEVEL-1) of two existing retail spaces, with no exterior work. Addditioanllav it should be noted that the existng partiton wall between the spaces (shown to be demolished and removed)is NOT a load bearing wall. The proposed plan sows required egress paths,exist light which shall have emergency lighting,and CO/Smoke detectors. The plan also shows he store fixture layout with adequate sized aisles. I Kurt E.Raber MA Registration Number: 10563 Expiration date: 08/2018 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': X Architectural X Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or ��J�� E". W electronic signature and seal: ` a No. 20563 Phone number: 508-362-8382 Email: kurtraberAcapearchitects.com BmRn�srAerE, �yh MASS. G Fqf TH F M PSSP Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen; provide a description. Version 06 11 2013 Citizen Web Request Page 1 of 3 �FA0 THEE ,Y ti esaua�se�fta r� '4 �1 MAS'5 � * } . rto N 0 a Logged nAs: Citizen Request Management Tuesday,April 32018 TOWN\OWN\andersor Route to Users Search Requests Create Requests Request Information Request ID: 59223 Created: 12/7/2017 2:26:37 PM Status: Closed Assigned To: Mckechnie, Robert BuildingDept Anonymous: No Request Category: Routine work: No Estimate: No Date scheduled: Estimated 12/21/2017 Change Estimated Nov December 2017 Jan Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 26 27 28 129 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15, 16 17 18 19 20 21 22 23 24 1 25 26 27 1 28 129130 31 1 2 3 1 4 15 16 Created By: Soto, Kathryn Priority: High Health Office Citation Numbers: Requestor Information Requestor Dr. Dailey,Chief of Request Mi Pueblo DETAILS: Pediatrics CC Hospital LOCATION: 459E MAIN STREET(HYANNIS) Unknown Hyannis, Ma 02601 00 Unknown Unknown Ma 00000 508-771-8350 �-Requester Parcel Number , Doctor-rep an eleven year old Map. 308 Block: 083 Lot: 000 child was injured falling through floor of restaurant.There was a hole in floor Parcel Lookup leading to basement on 12/5/17.The child fell 12' resulting in a head and knee injury. Email: http //issgl2/lntemalWRS/WRequest.aspx?ID=59223 4/3/2018 Citizen Web Request Page 2 of 3 Track Request Progress Request Work History: •Internal Note History: Entered on 12/11/2017 8:37:16 AM System entry on 12/7/2017 2:26:37 PM: by Mckechnie, Robert Related Request 59222 Inspecton.perfo mr ed on 12/_07/17. No - - apparent building:c� ode is e=Floor op— e s to Entered on 12/7/2017 2:28:29 PM accesseasement'area when;employees need to by Shea, Sally replenishrsupplest-etc. 508-771-8350 the dr.s phone number System entry on 12/7/2017 2:28:29 PM: Assigned to Mckechnie, Robert System entry on 12/7/2017 2:29:23 PM: Related Request 59224 Entered on 12%1172017 8:37:16 AM lby_Mckechnie, Robert--- -� r,. ,Last modified-on 12/11/2017 8:38:10 AM" C F As,stated-inpublic view. Explained by owner that an employee went into the basement to get more food out of freezer and left half of the floor open. Child came out of bathroom and fell thru opening to stairs and concrete floor below. I suggested that there should be a way to make this procedure safer so that no one will be using this space while the basement is being accessed. System entry on 12/11/2017 8:37:26 AM: Request Closed by mckechnr System entry on 12/11/2017 8:37:52 AM: Request Reopened by mckechnr System entry on 12/11/2017 8:38:23 AM: Request Closed by mckechnr Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) �e spell CheckSpeIl;Check http://issgl2/IntemalWRS/WRequest.aspx?ID=59223 4/3/2018 Citizen Web Request Page 3 of 3 •Add document or image link: Browse. *You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 1.50 Response time: 0.10 - *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. (O Reopen O Reopen and notify citizen Reopen: Public Use: Printer Friendly Version Internal Use: Printer Friendly Version http://issgl2/IntemalWRS/VvRequest.aspx?ID=59223 4/3/2018 fitizen Web Request Page 1 of 3 sir' iFi�� i ,,.x�'�r�4—,M A^G�, � � :"'E° nC-i. .,�`__�•I"��! [r'V%C/l'�' Ci'(/�i^'liC/' ^.... _+,,.��ir"I�dGw! f� I�"CIO?M�� Logged In As: Tuesday,April 3 2018 TOWN\andersor Citizen Request Management Route to Users Search Requests Create Requests Request Information Request ID: 59224 Created: . 12/7/2017 2:29:23 PM Status: Closed Assigned To: Florence, Brian BuildingDept Anonymous: No Request Category: Work with out permit Routine work: No Estimate: No Date scheduled: Estimated 12/21/2017 Change Estimated Nov December 2017 )an Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 1 3 4 5 6 Created By: Shea, Sally Priority: High BuildingDept Citation Numbers: Requestor. Information Requesto^ter#, �Dr._Dailey;-+Chief of--^----Request Mi Pueblo K-DECAIL-S:}-�—+Pediatrics CC,Hospital ,,. '.LOCATIO' � 459E MAIN STREET(HYANNIS) Unknown "" - HyannisN8;02601 "OOsUnknown ��M� TM Unknown Ma,00000 Request - Parcel Number Map: 308: Block: 083 Lot: 000 � Doctor reported an eleverryear'old child wawas,injured falls g th'rough=floor of restaurant-Th&&wa a holejn=-floor- Parcel Lookup leading'to basement on-12/5/17.The child-fell-12' resulting-in a head and knee L., Inlury. Email: http:%/issgl2/IntemalWRS/WRequest.aspx?ID=59224 4/3/2018 �C,itizen Web Request Page 2 of 3 Track Request Progress Request Work History:' Internal Note History: System entry on 12/7/2017 2:29:23 PM: Related Request 59223 System entry on 12/7/2017 2:29:23 PM: Assigned to Florence, Brian Entere&on 1%3/2018 9:10:20 AM C—=by Mckechnie;aRob._ert.:� v_ comp letedTbyTRMCK;time reflected �.� System entry on 1/3/2018 9:10:20 AM: Request Closed by mckechnr Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) A !/ V Spell Check Sell Check ty„ I? .. . Add document or image link: � rnws;e'.. * You can also type in a folder name to see everything in the folder Current Links: Time worked on request: 2.00 Response time: 0.15 *Time entries'are in hours. Examples of time entries: 1.25, 0.5, 0.75,'1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. O Reopen 0 Reopen and notify citizen Reopem:, http://issgl2/IntemalWRS/WRequest.aspx?ID=59224 4/3/2018 Citizen Web Request Page 3 of 3 Public Use: Printer Friendly Version Internal Use: Printer Friendly Version 4 http://issgl2/IntemalWRS/WRequest.aspx?ID=59224 4/3/2018 Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE. 200 Main Street, Hyannis,MA 02601 1639.-]O14 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Warren Bosworth and all persons having notice of this order: As property owner or tenant of the property located at 459 Main Street, Hyannis,Assessors Map 308 Parcel 083 and known as commercial structure,you are hereby notified that you are in violation of 780 CMR, the Massachusetts State Building Code Chapter One Section 105.1, and are ORDERED this date 1/3/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 12/7/2017 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter One Section 105.1 Specifically, Construction in the basement and construction of an access „ to the basement without a permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action:1.) have an electrician obtain a permit and satisfy the code requirements for all illegal electrical work, 2.)have a construction - supervisor obtain a permit to properly construct the basement stairway and either remove or complete the basement work. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, G�fG� Robert McKechnie Local Inspector SECTION'OfPDAIVERY ■ Complete items 1,2,and 3. 5i ■ Print your name and address on the reverse so that we can return the card to you. Ad ressee s Attach this card to the back of the mailpiece, e I d by to me C D e of v or on the front if space permits. yV, 1. Article Addressed to: 'fY'19&Mery hdodVs different from item 1? ❑Yes if YES,enter delivery address below: El No ,D0 I� �I�III III 3. Service Type ❑Priority Mall Express® COI I II II I I I I III III I II I I I I i El Adult❑Adu t Sig Registered Signature Restricted Delivery ❑Reistered M Restricted 9590 9402 1933 6123 1788 66 ❑ ertified Maii® Delivery Mail Certified Mail Restricted Delivery �Retum Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Coliect on Delivery Restricted Delivery ❑Signature Confirmation^" sured Mal ❑Signature Confirmation 7 015 1730 0001 4990 1291 sured Mail Restricted Delivery Restricted Delivery ver$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 bomestic Return Receipt ly I i v. ■ Complete items 1 2 and 3. p � I ■ Print your name and address on the reverse so that we can return the card to you. Ad ressee ■ Attach this card to the back of the mailpiece, 13 d by to me C D e of v or on the front if space permits. 1/v� 1. Article Addressed to: 1 i ery d different from item 1? 0 Yes If YES,enter delivery address below: ❑No 3 -Service II I IIIIII IIII III I()II II I I IIII I II I I I I I I I III ❑Adult Signature eRestricted Delivery ❑Registered Mail Restricted Mall 9590 9402 1933 6123 1788 66 mined Mali® Delivery ❑Collectd Mail Restricted Delivery > etum Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfef from service labe4 ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM -� i :: :: �sured Mail ❑Signature Confirmation 7 ],5 17`3 ],i 4 9 9 i12 91 i e i psured Mail Restricted Delivery Restricted Delivery . wer$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 bomestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 14 3 6123 1788 66 United States •Sender:Please print your name,address,and ZIP+4®in this box• j Postal Service i TOWN OF BARNSTABLE i BUILDING DIVISION 200 MAIN ST i HYANNIS, CIA 02601 ��.—a.i-tf'�,�?p,��t� ��;r�11r�>>I.Irtfrrl�r��t'Ir�i�r)lirrr�tf.jr,r��r�,lrllrr�llrlil' �l to Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street H annis MA 02601 B"aesrnue•c-�Rvw-lu-M Hyannis, 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Warren Bosworth and all persons having notice of this order: As property owner or tenant of the property located at 459 Main Street,Hyannis, Assessors Map 308 Parcel 083 and known as commercial structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter One Section 105.1,and are ORDERED this date 1/3/2018 to: CEASE AND DESIST all functions associated with the following violaton(s)on or at the above mentioned premises: Summary of Violation: On 12/7/2017 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter One Section 105.1 Specifically,Construction in the basement and construction of an access to the basement without a permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action:1.) have an electrician obtain a permit and satisfy the code requirements for all illegal electrical work, 2.)have a construction supervisor obtain a permit to properly construct the basement stairway and either remove or complete the basement work. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires may be taken. By Order, Robert McKechnie Local Inspector i. •Ln Ir- i 1.n7 Certified Mail Fee - /� n•• $ fit Extra Services&Fees(check box,add tee as appropnateJj' •', El Return Receipt(hardcopy) $ 4� a ❑Return Receipt(electronic) $ ;9�OStRlark O ❑Certified Mail Restricted Delivery $ SHere O ❑Adult Signature Required $ ?O [-]Adult signature Restricted Delivery$ p Postage �Cjs O $ aTotal Postage and Fees r- Sent To r-q O Sheet and Opt.N- Pd Box Vo.------------------5•---------•------------------- M1 C /5`57 � /n nS/ yS a----------- i- _tate,ZIP}4 /T Q/J//iS"� Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return recelppee a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a dupliMte ■Electronic verification of delivery or attempted return res".iffertro additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavallable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is notavallable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for _ the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barooded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 f i Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street Hyannis, MA 02601 �J Nu+iCNS NiLL5.0'i l%vp1P.YiSiE4C�MtF 1 Janni 7 1639-2019 www.town.barnstable.ma.us �� Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Warren C Bosworth,Jr,Enrique Valdovinos and all persons having notice of this order: . As property owner or tenant of the property located at 459 Main Street,Hyannis,MA,Assessors Map 308 Parcel 083 and known as a commercial structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Sections 1003.6 and 1013, and are ORDERED this date 4/25/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 12/12/2017 I observed a violation of 780 CMR of the Massachusetts State Building Code Chapter 1 Sections 1003.6 and 1013. Specifically, Section 1003.6 Means of Egress Continuity: the means of egress path cannot be obstructed so as to reduce the egress capacity at any point. Section 1013 Guard: a guard is required when the floor is opened.THIS STAIRWAY MUST NOT BE USED DURING BUSINESS HOURS OR WHEN THE PUBLIC IS PRESENT. Currently this unit is occupied by the"Mi Pueblo"Restaurant. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office,commence immediately upon receipt of this notice the following action: comply with this order and discontinue use of this stairway during business hours or when the public is present and establish a safety policy.for when the stairway is open.A copy of the safety policy must be provided to this office. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires may be taken. ' By Order, Robert McKechnie Local Inspector } Ak ,+�, � I,�'�¢+�q � �,�. �� _.ter w�r•�,�.R �iJR[`�y � � -`�' ` r ci- �l f " .Ai:. ul w zTO � "•• �„�,�-fit r .t'.•. �.:; -j,. `w� _��,y- r, 'Al r ' s.+y 4 X 0/6 � .- * 'x.• ,'I. .. � � GII�"Ix tx� �",.� 3.,�� '"r '�� f5 �i w� '�.A3.�'j �r t � �' �r �+� "fir /1►��, t +t� �� +e ��`Cc' � � t��# �,� ,. +eJ f y ! { � ^:� = C' ` �Jig.. ��Y�e. � � ��• + �x ra Q 70 , y ok 1 h 7 H - T t Y \ I t 1 f 4 � � M • rw All d. 4TW r . 1 � ti o- - Er Er 0 F F i C I A L-a"u�lq r"- Certified Mail Fes i L rD Extra Services&Fees(check box,add tee as appropriate) fF ❑Return Receipt(hardcopy) $ 0 ❑Return Receipt(electronic) $ .',.j 6Postmark 0 ❑Certified Mail Restricted Delivery $ Here 11.1 0 ❑Adult Signature Required $ p ' ❑Adult Signature Restricted Delivery$ �\ nPostage d Total Postage and Fees $ E09ZQ� Sent Torq L� �` p � S`treet and A�.NO.,or P- Box No. (� N ,p�( v 1U - -- ----------------------------------------- City,State IP+4� ®0?� Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service— Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the r ■You may purchase Cerfified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your ! endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for 4 the following services: postmarking.If you don't need a postmark on this• -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion, of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 38OOr April 2015(Reverse)PSN 7530-02-000.9047 SENDER: COMPLETE THIS SECTION ■-Complete items.i nd 3, - 1, � p Agent . ■ Print your name and address on the reverse so that we can return the card to you: O dd s ■ Attach this card to the back of the mailpiece, ed ry or on the front if space permits. I. Article Addressed to: D. Is delivery address diffe nt from item 1? If YES,enter delivery address below: ❑No II I'lll'I IIII III I III I II I I II I I I I I II I IIIII I I I I 3.❑ dult/S gnatureice eRestricted Delivery ❑�te Registered e ed Mal Restricted 0 Priority Mail 9590 9402 3615 7305 6412 23 Xrtified Mai:6 /D elivery ❑'certified Mal Restricted Delivery �Return Receipt for ❑Collect on Delivery Merchandise --�Artirla_Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT + ; :: • :: .11-1—c.. j Mail. ❑Signature Confirmation i > Mail Restricted Delivery Restricted Delivery 7017 1000: 0000 6T5916`6819l 500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt -7 USPs: ! # w �{ First-Class Mail Postage.&Fees Paid USPS Permit No.G-10 9590 9402 3615 7305 6412 23 United States •Sender:Please print your name,address,and ZIP+4®in this box` Postal Service TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, NIA 02601 1 SENDER: • • COMFLETE THIS SECTIONON I ■i omplete items 1,2,and 3: ■ Printyobrname and address on thde.... rs 0 Agent so thatvife can return the card to you: .. - O Addressee ■ Attach this card to the back of the mailpiece, e Y e e of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address differe em ? _ If YES;enter delivery a below: 14)arrLn if, rUOSu��t7 cc SBDX lo�S' 00 ` �m II I IIII�I 111111111111 Jill III Jill 11111111111111 Adult pe 0 tMail rig eSnatre Restricted Delivery ❑Registered Mail Restricted 9590 9402 3615 7305 6412 54 ueurtiRfled Mail® Delivery ❑Certified Mail Restricted Delivery Return Receipt'for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm _2—Article_Number_LTransfer_from service_label) ❑Si nature Confirmation sured Mail g 7 017 1000 0000 6 7 5 9 6 6 4'1 i i `f sured Mail Restricted Delivery Restricted Delivery ser$500) PS Form 3811,July 2015 PSN 7530ti02-000-9033 Domestic Return Receipt First-Class Mail-, Postag e&Fee&Paid USPS Permit No.G-10 9590 9402 3615 7305 6412 54 United States •Sender.Please print your name,address,and ZIP+4®in this box* Postal Service OWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST � YANNJS, MA 02601. I?IY2 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma - Parcel 0�2Application # ®rn Health Division Date Issued /o P Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Y 5c1 r M oi✓! S/ 1-1110 hrt is 1"4 aZ Gal Village Owner � /C, uoldwlr as Address .1 9uaYkY^0S kr yew So. kwoVA Telephone S08 ;Z,?Z g1.2_a a 02 6 K y Permit Request Ire- dod/ �" •^ , c� e v ��Cu e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay C7 w r� Project Valuation Construction Type ry Lot Size Grandfathered: ❑Yes ❑ No If yes, atta h upportin4 docgnentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ? {„ Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kin s HighwF: L Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑`Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name i9YI give ��IcAUl4 aS Telephone Number SO& Z Q Z �l f.2� ,Address' grow License # S®u - iiG VanWr i dytg ` �2G'G�/ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE" �Q0 rhos DATE /D 16 e1113 E FOR OFFICIAL USE ONLY APPLICATION# 4. DATE ISSUED ` MAP/PARCEL NO. ADDRESS VILLAGE r" h OWNER t _ DATE OF INSPECTION: k + `r " FRAME INSULATIONA ri�,-Ajll4 U, FIREPLACE ELECTRICAL: ROUGH FINAL E PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING'` DATE CLOSED OUT ASSOCIATION PLAN NO. r COMMERCIAL L E A S E THIS COMMERCIAL LEASE made this 16 day of c.� , 20 Eby and between W. Chandler Bosworth,1Jr.,�P.O. Box 685, Cente�v le, Massachusetts 0;632 hereinafter re erred to as Landlord or "Lessor"), and 17- lA/� j ,y3 Cj (hereinafter c�tively referred to as "Tenant" or "Lessee"). _56V 1?4V100'7-H Article 1 Premises Section 1 - Leased Premises mutual cove nants anda agre ements herein contained, Lessor In consideration of the m g hereby leases to Lessee a portion of the premises constituting approximately 900 square feet, along with the basement area located directly below said 900 square.feet, located at t45?-8:ear Main Street, Hyannis, Massachusetts, being more particularly described as the rear portion of building currently configured as a kitchen located at said site (hereinafter referred to as the "Leased Premises"). Article 2 - Term Section 1 - Term This lease shall be for a term of `J J-0 months, commencing on a 7 0 1 and ending on h 710 Article 3 - Rent 7 Section 1 - Rent Payee Rent checks shall be made payable to the Lessor at the address set forth hereinabove until Lessee is notified otherwise in writing by the Lessor at least ten(10) days prior to the rent payment date on which the change in payee is to be effective, and rent checks shall be mailed to the Lessor's address set forth hereinabove, until Lessee is notified otherwise in writing within such time by Lessor or the then payee. In the event that the Lessor's interest in this Lease shall pass or devolve upon another, or in the event that one other than the Lessor or the designated rent payee shall become entitled to collect the rent, then in any such event, notice of the fact shall be given to the Lessee by the Lessor; or, if the Lessor is an individual and shall have died or become incapacitated, by the Lessor's executors, administrators or legal representatives,.together with due proof of the status of such executors, administrators or legal representatives, and until such notice and proof, the Lessee may continue to pay rent to the one to whom the last I i Section 13 - Lease Superior or Subordinate to Mortgage It is agreed that the rights and interest of the Lessee under this Lease shall be subject and subordinate to any mortgages or deeds of trust that may hereafter be placed upon the Leased Premises, and to any and all advances to be made thereunder, and to the interest therein, and all renewals, modifications, replacements and extensions thereof, if the mortgagee or trustee named in said mortgages or deeds of trust shall elect by written notice delivered to the Lessee to subject and subordinate the rights and interest of the Lessee under this Lease to the lien of its mortgage or deed of trust and shall agree to recognize this Lease of the Lessee in the event of foreclosure if the Lessee is not in default; or any mortgagee or trustee may elect to give the rights and interest of the Lessee under this lease priority over the lien of its mortgage or deed of trust. In the event of either such election, and upon notification by such mortgagee or trustee to the Lessee to that effect, the rights and interests of the Lessee under this Lease shall be deemed to be subordinate to, or to have priority over, as the case may be, the lien of said mortgage or deed of trust, whether this Lease is dated prior to or subsequent to the date of said mortgage or deed of trust. The Lessee shall execute and deliver whatever instruments may be required for such purposes, and in the event the Lessee fails so to do within j fifteen (15) days after demand in writing, the Lessee does hereby make, constitute and irrevocably appoint the Lessor as its attorney in fact and in its name, place and stead so to ! do. Section 14 - Exhibits All exhibits, if any, referred t in and attached to this Lease are hereby made a 1 part of this Lease.-) t,l. .y� 11, tkV4 T 1''S ��a�2 i1' L )) kid 1"s et 194;117r y C� WITNESS the execution hereof under seal in any number of counterpart copies, each of which counterpart copies shall be deemed an original for all purposes, as of the day and year first above written. Landlord/Lesso Tenant/Lessee Glyn ito j W. all e U C— -c,- v,�� Chi YC1 oil T4L Coin u � Er ru ra ' O 0 F F I IT Certified Mail Fee Er pPo —IF Extra Services&Fees(check box,add tee as appropriate) +\ `✓� r'I ❑Return Receipt(hardcopy) $ �� r ❑Return Receipt(electronic) $ �� BOS dfk 3 ❑Certified Mail Restricted Delivery $ G { 0 []Adult Signature Required $ z �-- []Adult Signature Restricted Delivery$ Or O Postage 7 Q m $ rr.q Total Postage and Fees 0 601 Sent ti -- yo-zlVO � N oJ eetanpt.. 00 Ciry State,gig" .................................. ........ =• Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the •A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specked by name,or to the addressee's authorized agent lmportantReminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which •Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified •Insurance coverage-is notavailable for purchase by name,or to the addressee's authorized agent' with Certified Mail service.However,the purchase (not available at retai). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.if you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion r of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IMPORTAHr Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 t�� ..,,! 43 y „€. & .�+ i;s, wE.w+•:va +� woo 6 aii;?i � " ; r° d a„ s � � s UIX J. )t FAw x ` V1 ;� R �:A k dsi •� SS �aC•H � y �.'�: 1. ' 3� w,NL� n 7,6 1 1 e S T d rk ., +{ sr -W i�,f ".v�, �,"t�'�' i•p' "''" � s+," fa e'-` "�"� +'3'++�"r ae « "T -*r��wmt• � za r rea� Ct aa�r, A. F+ 4�v- apt-: a ys 6vys yy^ ttt 17 ra a'r=s,,f y F+*' ...: •..�t€�.-.�..t s.. ,y:,�`' °r,2�+,�=^"�"��.�^ �+�,y_�'x �.fit a �z tre '' ;:: ` q SF Yr° �pa"�14Yfik 1 ..d' `r ,.q.z"'' :.c`• +'^�" ^N+ d'i +' h-,yy NA. tp� u �e.5 ,i' �^ Y^` ��'hb ..f�[•a +�; e"f xV;.' 7,Y,, ton Q;a:uIlk qr�. t s,a�t•,r, �A��r � ��,„..,� uia 1,�&+ �!�r;u«� F�rja. �, � ,. '�"�� c a `' $ f5 Ii Sam; i. YES d�a.°Ys.•Y •.Iq "i • 4 ''� �^J�e�f 4' 8 ��M$ ,�y s � A :PF'T=&�� ,.Y �. u .,q 1 •, b ;� €,. low i 'e YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. lm DATE: J / 7 1& Fill in please: �.t. APPLICANT'S YOUR NAME/S: Z2,�y/I Hr,2'Gq/ 2't4 /- ' BUSINESS YOUR HOME ADDRESS: 5 c?/ ji-e O.zS6 3 TELEPHONE # Home Telephone Number S-0 9 - 7 - e 9ci NAME OF CORPORATION: M c.d n i NAME OF NEW BUSINESS Az A,[,-r TYPE OF BUSINESS Conr.�n i s7 �. 5 t0 IS THIS A HOME OCCUPATION? YES NO �- ADDRESS,OF BUSINESS ' MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMIS I NE 'S OFFICE This individual \ b i o d f p `mit equiremen s that pertain to this type of business. Aut o iz d.Signatur O NT 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type-of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) , This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: S YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:W� I Fill 1P please: APPLICANT'S YOUR NAME/S: 65 -F 4 jvf { BUSINESS YOUR HOME ADDRESS: TELEPHONE # Hom elephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS 1AU TYPE OF BUSINESS C IS THIS A HOME OCCUP�jTION?_YES NO ADDRESS OF BUSINESS"1 �1 —� M 0 MAP/PARCEL NUMBER V (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSIO R'S OFFI This individu I ha e in r d f ny rm- requirementhat pertain to this type of business. Aut or' a Si nat re* COM NTS. l)��, 5 J 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. -it does not give you permission to operate.) You must first obtain the necessary signatures;on this form at 200 Main St., Hyannis. Tale the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, NIA 0260.1 (Town Hall),and get the Business Certificate that is required by law. DATE: tOk- 3 " Fil in I a e: APPLICANT'S YOUR NAME/S: e — BUSINESS YOUR HOME ADDRESS: x?. - TELEPHONE # Home Telephone Number /_/ NAME OF 8 WPM NAME OF NEW BUSINESS z TYPE OF BUSINESS D IS THIS A HOME OCCUPATION? .YES _ENO P ADDRESS OF BUSINESS i MAP/PARCEL NUMBER_ 3f7 '� �� (Assessing) When starting a new,business there are several things you must do in order to be in compliance with-the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICEj This individual has been informed hVany permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 2 2. BOARD OF HEALTH This individual has-bee i TV�ftf the permit requirements that pertain to this type of business. COMMENTS Au Fjor�T1 S gr��z r I VI T /V r K41 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has, - n in m the licensing requirements that pertain to this type of business. Auth rized i ature** ! COMMENTS: Vc ® S Assessor's ost floor):ma a DUST CONNECT ECT TO TOWN SEWER OFTNET� ••.. Assessor's map and lot number ............C..J............................. Q.. Board of Health (3rd floor): Sewage Permit number ..........O/q...... 1Jl.�1........41.1 r Z 3AHd9TADLE, • Engineering Department (3rd floor): a—,V l �� °o "639 0� �c� s House number ........................................................................ 0 Nix a` APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Convert 4 offices to 5, Replace windows & doors ............................................. ................... TYPE OF CONSTRUCTION wood ..................................................................................................................................... March..17...........19.8.8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... t......(.#?eald.,....Byannis.....M...................................... ProposedUse ..........Qf.f iQ.e................................................................................................................................................... 0 Zoning District ....................................Fire District ................... �lY1�� .................... ......... .............................................. Name of Owner W ndle• B.._.••Priem.....,•,•,•,,,....,,•.,,,•...Address 255E49th ........Ap ,,,1 ,... NY NY„ „ „• , .„ t Name of Builder ..... ames•.P•....Fi.tzGerald Address .3„•Pin]thorn,,.Pt,,,,,Nia shpee,,,.,MA,,,,,_.,,,... .................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...4.............................................................Foundation Block .................................................................... Exterio. Block Roofing .Asphalt..Roof..Shingles............................ r .............................................. Floors ......................................................................................Interior .WQ.Qd...Fame.,....Sheetrock Cover ....................... Heating GaS...HQ......Air ......................Plumbing ..COP.P.-r...&...caat...IXQ. 3................................. Fireplace ...W/..A.......................................................................Approximate Cost .... 1 S. 0 Q Q Definitive Plan Approved b Planning Board __________________________ PP Y g ------)9-------- • Area ... ....��... Diagram of Lot and Building with Dimensions (� --- Fee ...... .. ......:........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namel n`�...f. A/............................ 014 702 Construction Supervisor's License .................................... PR7EM, WINDLE B. Nod' 31719 Permit for ... i Convert 4 Offces to 5 ................................ Commercial .......................................................................... Location .....4.6.1...Ma.i.n...S.tr.e.e.t....(.Rear) ..... .. .. .. .... .. . .. .................... i S . ............................................ Owner ..Windle B. Priem ................................................................ Type of Constru'dion ....Frame......................... ............................................................................... PI-0,t ........... .............. Lot ................................ Permit Granted .......March...1.8............19 88 Date of Inspection ....................................19 Date Completed ............. ...........19?ff - 03 Assessor's .offioe (1st floor): `/hS� oFTMETo " Assessor's`map and lot number ............................. ............•.. Board of Health (3rd floor): 3 J�3/QC� Sewage Permit number ....:. V I.S....v ...... Y i ) i BAUSTAMLZ S ......... ..LL.......... 'r / /-f/L J ^ Q Engineering Department Ord floor): r-� � �J / � �6}9. 0 House number ` APPLICATIONS PROCESSED8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE n BUILDING INSPECTOR y' APPLICATION FOR PERMIT TO Convert 4 offices to 5, Replace windows & doors Wood 4 . TYPE OF CONSTRUCTION ..................................................................................................................................... March .....................17................19 88.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ...Main St. nis...A......................................................................................y ....... Proposed Use O ..............ff.....ice...................................................................................................................................... Zoning District Fire District ................. nnNnq//�S.................................. ...1"........................................... Name of Owner .Windle B. Priem ....Address .2.55 E 49th St...Ap.t 19E.„ ,NY NY Name of Builder ..,.James P. F.itzGerald Address .3...Punkhorn Pt., Mashpee, PIA ..... ............. .. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ...4.............................................................Foundation B10Ck................................................................ Exierior Block Roofing .Asphalt Roof Shingles Floors ..Interior Wood Frame, Sheetrock Cover ......................................... Heating ...Gas Hot Air..................................................Plumbing ..Copper &. Cast Iron ...... ..................................................... I. Fireplace ...N�A.......................................................................Approximate Cost ....$15.v.o0.0...........................:........ ........... Definitive Plan Approved by Planning Board ---------------------__________19 ------- . Area /1!17.. 47 E-,4 e-bTmIC' • Diagram of Lot and Building with Dimensions Fee '70' SUBJECT TO APPROVAL OF BOARD OF HEALTH ell 04 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. $6 Name G><"�2`0... ....... ............................ 014 702 Construction .Supervisor's, License .................................... PRIEM,, WINKLE B. VA==308-083 . t ..31.7.19.. Permit for ..... onylr. .t...4...Offices to 5 Commercia ............................. .................. ....................... Location ... ... .Ai?...5tr.e-e.t......J.Re.ar.). .....................Hyalmls........................................ - Owner ...Kindle...B,....Pr-ie a....................... Type of Construction .......Frame..................... ' ............................................................................... Plot ............................ Lot .........:...................... Permit Granted ....March 18...............19 88 Date of Inspection ....................................19 Date Completed ......................................19 MOP JV/� �IKE Sign TOWN OF BARNSTABLE Permit sARNSTABLE, MASS. 039. A Permit Number: Application Ref: 201307532 20070929 Issue Date: 10/21/13 Applicant: Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 459 MAIN STREET (HYANNIS) Map Parcel 308083 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks NEW HANGING SIGN 6 SQ MI PUEBLO MAGICO Owner: BOSWORTH, WARREN C JR Address: P O BOX 685 CENTERVILLE, MA 02632 Issued By: PC POST THIS CARD SO THAT IS VISIBLE FROM THE S BEET �t Town of Barnstable Regulatory Services , BAPJWABM t Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner wp.�, 200 Main Street, Hyannis,MA 02601 5� 2-q / www.town.barnstable.ma.us r c� Office: 508-862-4038 Fax: 508-790-6230 s".3 Permit# Building Official approving -- —_ - - - - . Application-for-Sign Permit - - rr ' -all Applicant: V� DC/�/'l 0�S Assessors No Doing Business As: Ao Telephone No. 5e� Sign Location Street/Road: y5 9 6 Mat n 'C4 /ZPgAid �lq D�6© ! �d�U Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Ye /No Property Owner �L Name: C'`1.4�'/0�,�1' 130S WO77A Floor Telephone: 5®T 79,®2 0/li� C A Ad Addresslgi/S Fg/r»ou��i /�� L' >le��>��,Ma c�Z Village: Sign Contractor � e o d 72 S ©S 3 6 Name: S 1 m l� 1 Telephone: Mailing Address• �0 Xo t)�c 96 /Howl �� a d o 0i 4, /h'Q 0.2 6 Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. . Is the sign to be electrified? YA� (Note:Eyes, a wiring permit is required) Width of building face - fL x 10=- y x..10= Check one Reface existing sign or New Total Sq.Ft.of proposed sign(s) Ifyou have additional signs please attach a sheetlisling each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this,application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through_§240-89 of the Town of Barnstable Zoning Ordinance. S' ture of Owner/Authorized Agent / �� 1I1 Date SIGNS/SIGNREQiT Town of Barnstable Regulatory Services '"LABIA ' Thomas F. Geiler,Director 1 Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma-us Office: 508-862-4038 Fax: 508-790-6230 y. SIGN PERNUT REQUEREMENTS 1. A photograph showing the existing.facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket. A scale drawing indicating dimensions, color, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including-scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU- L - : 9ARN31'ABLE,� - �� i V OF BARNSTABLE _ . Town of Barnstable r�"a;P,�N CLERK % MIAIN STREET Growth Management Department ;v�a,N,'wIS, MA 02601 Hyannis Main Street Waterfront Historic District Commission2010 �Uc 10 Hrt9c5� www.town,barnstable.ma.us/hyannismainstreet Decision —Certificate of Appropriateness Enrique Valdovinos d/b/a Mi Pueblo Magico Business Sign and Location Hardship Sign 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: 459 Main Street,Hyannis Assessor's Map/Parcel: 308/083 At the August 7, 2013 hearing, after consideration of the testimony given and materials'submitted by the applicant and members of the public,the Commission found the proposed designs for one Business Sign will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the materials, design, color, size, location, and context of the proposed signage and found it 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. Design of the business sign is approved as submitted with the exception of removal of the proposed background and shown in the application received and dated June 12,2013: i. Sign shall be high polish,white 24 x 36, made of aluminum clad exterior grade plywood high with adhered vinyl lettering and hung on existing brackets 2. Sign lighting has not been approved at this time. 3. A-frame style location hardship sign has not been approved at this time. , 4. Sign permits from the Building Division are required prior to installation of the signs. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop,Marina Atsalis,Joseph Cotellessa,Bill Cronin and Brenda Mazzeo Opposed:Paul Arnold Abstention:Meaghann Kenney George A.Jessop,jr,Chair Date Hyannis Main Street Waterfront Historic omtissio cc: Enrique Valdovinos.,Applicant Tom Perry,Building Commissioner File I,Ann Quirk,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 thi� �day of under the pains and penalties of perjury. Y .�✓ _ '' ' . A� �yx Ann Quirk To Clerk �f Y. t K14 'fit i1"'L 4 ` UARL. :Town of Barnstable Hyannis Main Street Waterfront Historic District.Comlmission Application Certificate .of Appropriateness for Signag'e Application is hereby made for the Issuance of a Certificate of Appropriateness,under:MGL,Chapter 40C,;The Histonc Dikicts A 'or � , Proposed signage as described below and on drawings or photographs accompanying this application. ' ' CHECK ALL THAT APPLY: 1. Business.Sign 2, Open/Closed Sign. .3. Trade Flagg. 4. 'trade Figure or Symbol w 5. Location Hardship Sign: Assessor's Map Na Parcel No.., Address of Proposed Work J 9"'"i3` /a,.A 17110 . Applicant ! Tel# p Applicant Mailing Address J U, ay t rt�i5l`e/ J'fl&J` jTown/State/Zl �t"'tc9y Ci . PCr Applicant E-Mail Address '/17lc u V 7 a m4i 1; Cam, Property Owner Tel#,5a S 7�?a "2 41 l q3 F4 otoU` Yd VAftC .Znd is 00 i Owner Mailing Address Ccn4elp,I lema oZI32, a own/State/Zlp,Ce4l i trf ,' 6. a Agent or.Contractor fiel`# Mailing Address Town/State/Zip Agent E-Mail.Addn:ss -APPROVE®. Signature of Applicant „ ;r ,I -Date AUG.O 1' 2013 �- TOWN OF BARNSTABL IiYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMISSION W For.Location Hardship Signs&freestandin Trade Figures or Symbols to be located'�on rivate ro ert` 9 9 Y P p P Y.: Check.box'if property'owner has granted penissionto Iocate.Sign or Figureon'their property abuttingfhebuilding:front Ibwe� s� � � _ Exhibit# Exhibltolb _ Date. 13rem HHDC HHDC 42 ` OOWD rt e, J 77 x r , M n_ r" 4} � W 4 _ T a� t a — „�x - w k as '#' T * $. •-°�"� � "y :.M =a'#,u`"^� + ^C... .M M"4nf- t•-� g "W' ry"• /4 Sri 2aq 1 �Z-' 0 �Do Z-n T o-4 D _ .A®J O D Z w m CO 0 Oz a v s� w 1 T "9r 6 ;; ,. a. n r s d } F tb I x AA yc � t ?� A n APPROVED AUG 0 7 2013 TOWN OF BARNSTABLE HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMK41SSION d� m, m� A , 1,�,�VF• V ➢hYm,una'vov,, ". n� ,N ay rev• '- `�""'� ,,,..>E. ,qq_..-„, ,� .. .�,. I,..V;�Ow l fir ip p .E [ t I a ! r p a k j'. 8° A y� .w { W22f13 LusterBoard l Luster acard l Omega Lusterboard l Lusterboard Signj Laminators Inc. OMEQAPANEL PRODUCTS Q Search AMINATORS 1E INC. �..a t It: r . 3 aK architectural panels sign panels t<l} cornpany'Info contact .: . E Home.»Sign Panels i> Products SIGN PANELS_ k 3 Products _ ; LusterBoard@ Alumalite R61 ted'Product'.Si npl i i Econ,ofite Painted alurriinuKn bonded to both sides.of afurniture-grade { D-Lite exterior plywood core i Pro-Lite` I Construction:; { Ofnega Terra Max 1: Qmega-Bond ® Hardw000.core is;composed of a premium, exterior,furniture= s { grade plywood, featuring smooth, tight, sanded veneers=for _Omega SignBoard optimam starface-beauty LusterBoard ® Factory baked polyester,painted,aluminum surfaces cover 66ih sides of`the hardwood core, creating aan oofh, glossy _SignPly finish , Edge Cap and Extrusions Colors Benefits: ApplicatiorEs l c Light,yet rigid construction, allowing,for easier han'tliing':and= +. f Sign Selector Tool_ installation 1 e Available" in 12 c+alors, LusterBoard sColorfast surface is: ' Equipment Partners warranted not to'fatle, fla(ce, or peep Proiect Portfolio o Easy to.,fabricate.with standard,carlaentry,tools FAQs o Str"onger.an:d lighter than V1D0 panels Downloads fiie:///CJUserslOwner/DesidopILusterBoard_Luster'Board_:Omega Lusterboard_Lusterboard sign_Laminators"Inc.htm 1/2 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission.to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:© 7 0 6 j3 ,� 1 Fill in please: ' APPLICANT'S YOUR NAME/S: �n yi' vc, V4/dv u I h o5 BUSINESS YOUR HOMEADDRESS:__1 ®vccr cyrlcxS��r yot,� Soc�-{1� �/4rnacau ti. 'Sod,' �711575 r'JA o Z6Gy TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS 1 PLJ e In 10 TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES _t,�NO ADDRESS OF BUSINESS q517—6 m-aia si N 021 MAP/PARCEL NUMBER_ (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSIO ER'S OFFICE This individ al h s ee i a y pe t re u entsl at pertain to this type of business. Aut o ize&Sfignat COMMENTS: j 2. BOARD OF HEALTH This individual ha been inf �dof e p r t Eequi a ents that pertain to this type of business. Authorized nature* COMMENTS: 3. CONSUMER AFFAIRS (LIq�NSIN AUTHORITY) This individual has be(/e l info,, t licensing requirements that pertain to this type of business. orized Si na re** COMMENTS: c4 cue r "of �� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Tale the completed form to the Town Clerl<'s Office,.1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: A-[q(o�(�J Fill in please: wF APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: I08,4 N Z WQL I HAP<0�.. TELEPHONE # Home Telephone Number -zk O 011 NAME pF CORPORATIQN NAME OF NEW BUSINESS QU V TYPE OF BUSINESS7. ISTI-IS A HOME OCCUPlq�I N? YE . NO , r�G APDRESSOF BU511�ESS� M MAR%PARCEL NUMBER " Q [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need.. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSIO R'S OFF! This individu ha' ee infcrrme o y rm' equirements that pertain to this type of business. uth rized Signat re* OMMENTS: J 2. BOARD OF HEALTH This individual has Jaeen.informed h errrjt r L4reme is that pertain to this type of business. Autho ed 5igna re* COMMENTS: MUST ye NlPLY VVITH ALL 3. CONSUMER AFFAIRS LICEN G UTHORITY) This individual ha ben i or the licensing requirements that pertain to this type of business. t n thorjze Sig tur L rn Ikzkd� &C�?COMMENTS: [[//>�, ct l Sign TOWN OF BARNSTABLE Permit * fARNSTASLE. MASS. 6� s'OrE MA'S Al Permit Number: Application Ref: 201302967 20070856 Issue Date: 05/07/13 Applicant: Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 459 MAIN STREET (HYANNIS) Map Parcel 308083 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks NEW 6 SQ HANGING SIGN AJ MART CONVENIENCE STORE Owner: BOSWORTH, WARREN C JR Address: P O BOX 685 CENTERVILLE, MA 02632 Issued By: p xxx— POST.THIS CARD SO THAT IS YTSIBLE FROM THE ST ET _.«c"ter:� .--•--.-,_:�.........no.,......—:-�. .....� t � PERMIT PAYMENT RECEIPT )TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/07/13 TIME: 13:26 -----------------TOTALS----------------- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 2554 Town of Barnstable 30 � Regulatory Services � ' t Thomas F. Geiler,Director 9 i6gg. `b� n 39. � Building Division Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 www.town.barnstable.maxs : C- - -T. Offtce: 508 862-4038 Fax z5, 8=790-6±Z- Permit# r_1. Building Official approving ,e Application for Sign Permit Applicant Q P'Vl a1 Assessors No. �� v Doing Business As:— \ 1 Telephone No. ��g' S�j� - Ct l 3 Sign Location n Street/Road: Zoning District:_Old Sings HighwayP Yes/No Hyannis Historic DistrictP Property Owner Name: . . �'�On a Vyof- 1�f. lz�C (C '�'1 A C Telephone Address• Y l �k —Village: Sign Contractor Name:. �. Telephone:_ Mailing Address: 15p P CA nt S Description . Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign.to be electrifiedP Y�r/s (!Vote:Ifyes,a wiiiagpermitis•required) Width of building face . l q ft�z 10= X.1 0- Check one Reface exist sign 'or.New Total Sq.Ft of proposed sign(s) Ifyou haveadditionalsigaspleaseattachasheethis each owewith,dimensions. If refacing an existing sign please provide.a picture of the existing,gin with dimensions.. I hereby certify that I'am the owner or that I have the autlioi ty of the owner,to make:this application,. that the information.is correct and that the use and.constriction shall conform:to-the provisions of i giZ§240-89 of the Town�of Barnstable'Zoning §240�9 throw b �jl • f<t r 1 }1 fe:,.,y c t ! nkr ..r x'nc e ,��1 � i �:. ly r Signahn a of Owaer/Aiithonzed Ajmti a_ P: IRD k 3 f, _1 t �11 .r t,�. , ;�y k k .,, '�:4'rl�,��'� :1`, .i�,� w,,. rr+.' .t,-..,,iM ➢r.YAP' jt7,# 1 "�'.9'�,If r, f; fir' �, 'Z .f" T d ',Q r �y# ::`k f � '.#a 1 r i F'6;�t)>^1n .P s"3a.'$� o tf r l I '�aAl:V�. `,5: (';. kp '.t d; lY`�r 4 't a'�Y:I•�, z k.:S '. s, 0.t S.. 1 FF, .rt+t4 l.. '��'.�jT1+.�, �,;;:a s qd•1: ,� r,�,-al, ,w d i � F�' ,1 F S ji R � k+r.1,s P, .r, `•..tw' "7 ,�(¢¢ ¢�� ., 4 iI „a � ,� ,a GhIS/.SIGNREQU , ¢, G r . \ 7 1 rr •� evLsed12110 (. 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CHECK ALL THAT APPLY:' ` ' ` 1. Business Sign y � 2. Open/Closed Sign 3: Trade Flag Qa•I.Q?V4��'F NIA'i1ta�+:M��i' V 4. Trade Figure or Symbol 5. Location Hardship Sign Assessor's Map No., Parcel No: a Address of Proposed Work Applicant A sI m ti A—M 4�t. `Tel# - 6& S34 1 q Applicant Address t-�5 GLt Town/State/Z►p L 6_4\.r i S=5 Applicant E-Mail Address Mai, Property owner-f�YQ(,) ur yl t4 lQ _ I Tel# Owner Mailing Address TownlStaterziP ��► - -r� h ��gyp' p Agent or Contractor. a4DO d Tel# ,-Lit Mailing Address Town/State/zip. Agent E-Mail Address CC: c _,o Signature of Applicant; Date ❑ for-Location Hardship Signs& reestanding'Trade Figures or Symbols to be located on private property: Check box if property ownpr has-granted permission-to locate>Sign,orfigu're'on their property;abutting the building front Exhi bit Date:- y-i .HHDC t` Business Sign, Size`of Sign _x Maferial(s)of 8igt� Mafenai of Lettering`(if different) Will`the signbe Illuminated? If yes,what type of light fxMre. Location ofFbdure Business Sign l: 'Size Of Slgn,._x Materials)of Sign Matenal of lettering(if different) Will the sign be illuminated? Yes f No If,yes,what type of light fixture Location of Fixture OpenlCiosed Size`of Open/Closed Sign x. _ Sign: - Material of Open/Closed;Sign: 1f Neon,indicate color(circle one option): Red aged&`Blue Color of OpeNClosed Sign:' Trade Fiag: Size:ofTrade Flag:. X.- Material of Trade Flag: Trade-figure Dimension of Trade Figure or,Symbol: x. x Or-Symbol: Material of Trade Figure or Symbol: Locabon Size'of'Hardship-Sign: x .Hardship Sign: . Jai ceps Material of Hardship Sign Lettering Colorand Material:' f� Page 2 of 2' f 0 . v • v s i t t t{atr a ..s h i� :'.;;a' ;y. 3'a'ya�at,:s? $�?$.��:..;.,R'rs:5:::2:�. \'�.•�7r9 'rk''<,r'.:•r»:• .:< �t t \ X\aka � ✓y��i \ - r i-� `:7:. \ ( i 'K^y,S:>'r{r b t✓i�+%3:c:w'i:�. 5\ .+�� a, rf• iC?�ts...vi� yy.£��yr ��i��'� L ,``�. `n ttu��t{ y \rt ✓ Y �^ s2�,s� ye X .ylsagb s s t'v {{{�t } � ✓tr < 4�v< �'�'^t�kY � AA ♦v, -.�t� W \ ;. � \ o ikt o+'Yk}°:•i,';ti<�r 'SSk� 'x r2ykyc`�,�.o '�'Z <C _ 6F tYt'�,`', t` 4k' \ "%,dipfac "+ £ ✓ ,vl?stt�''"a.. 'rw`Y-a y- � �{�.rt✓.y,:r.xt�•✓:urx;. Ar:s;,c✓' ,s�.'�� Y.,�r,;,; t t ..,�. t �£,:�it✓.i:>;:;�'e'<:+ti F+\'•': .r j�`\� fr.�„�,u�,{tt y�cy v� a :n:.at,.,.:r.•r1:':.. 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Ck .t •ky3.,t�;)�✓,v'.?.�,irr�t+;'�a�;;>;r;;. r.t;rhy,'�r.;,�; .......... ,�; .�,a• ,'b.{xis �>Sxs�t,rr,�� w Y, ,:fi.45:.LAA45he S!a^r::.Sr: :;',+%.ti:vkYv,:: .,y;x,V�' 1\ta{ r,�� `,UayLJWYk:�M,.::i\y:?rn+irY.•. //±:):r .:f:: :.:f{:.., �.!f.��::'':�: '.v.:':j..v;::.vnn:":'::::�:::��>:•:�ii�:::::..rv. �i�4:V.�v. :..q"ii: }r +r��.n�%: ✓r ,•+,Nyj�,c✓✓ � r ✓\>��X Wi�i Yr; ✓ �. }.l;�r.7a;..,.:;;y�. x;k `Y is P ti t i Alt— _f { Y n � W - � r r ' w i f� 1 y,. py Cp4,r\7F APR -2 Z013 wTMH IMt Town of Barnstable Growth Management Department Hyannis Main Street Waterfront Historic District Commission www.town.ba.rnstable.ma.us niannismainstreet George A.Jessop,Jr.AIA,Chair Jo Anne Miller Buntich,Director Acknowledgment of Twenty Day Appeal Period Required by Section 112-33 of the Hyannis Main Street Waterfront Historic District Ordinance A J 1, d� ("Applicant"), acknowledge that the Certificate granted by the Hyannis Main S eet Waterfront Historic District 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 the 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 be 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. X-3 ignature: Applicant Date S � Print Name Mai,r, 5� 4LOV-) KI C Address of Proposed Work 200 Main Street,Hyannis,MA 02601 (o)508-862-4665(0 508-8624784 l YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 3- 3 Filli please: I APPLICANT'S YOUR NAME/S: I .4/Yt4 ! SIB M (x, YA y- BUSINESS YOUR HOME ADDRESS: i TELEPHONE # Home Telephone Number NAME QF CORPORATION NAME QF;NEW pUSINESS l�T /Yla.f-� TYPE OF.BUSINESS Vf>°h rip IS THIS A`.HOME OCCUPATION? DES NO X ADDRESS OF BUSINESS _ vee.f 4 6 MAP/PARCEL NUMBER 36 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSIO R'S OF E This individ e i ed f nay it r qui a is that pertain to this type of business. A t orizedSignat * - I Ql PA DARD OF H LTH - This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission.to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall)and get the Business Certificate that is required by law. DATE: - Fill in please: �4�f APPLICANT'S YOUR NAME/S: ' it i V BUSINESS YOUR HOM ADDRESS: C1 6Vo / leD a' TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS 0 Al C_ TYPE OF BUSINESS rKi/C IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS_ u5 9 ,Vit/ts -/bfl d&AP/PARCEL NUMBER 30 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and.regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO IS R'S OF CE '� This individual has b iRfor ekki an pe it requirements that pertain to this type of business. . n ut prized Signat rw '"" COMMENTS: JVlal 2. BOARD OF HEALTH This individual he been infor e o e p r Paquir nts that pertain.to this type of business. A9 AA u prized nature* COMMENTS: 3. CONSUMER AFFAIRS(LI ENSING AUTHOR�TYJ This individual has bin' r e o the sin a nt hat pertain to this type of business. Authors ed Signatur COMMENTS: IRSTDGr DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE e CINCINNATI OH 45999-0023 Date of this notice: 05-07-2012 Employer Identification Number: 45-5215706 Form: SS-4 Number of this notice: CP 575 A BRAVI TOUR INC 459 MAIN ST HYANNIS, MA 02601 For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE.: } WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you` EIN 45-5215706. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no .employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information. is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form_(s) by .the date(s) shown. Form 1120 03/15/2013 If-you have questions about the form(s) or the due date(s) shown, you ran call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year) , see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your: representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure_ 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. IMPORTANT INFORMATION FOR S.CORPORATION ELECTION: If you intend .to elect to file your return as a small business corporation, an election to file a .Form 1120-S must be made within. certain timeframes and the corporation must meet 'certain tests. All of this information is included in the instructions for Form 2553,• Election by a Small Business Corporation. MA SOC Filing Number: 201285801120 Date: 5/7/2012 12:49:00 PM r The Commonwealth of Massachusetts Minimum Fee:$250.0 William Francis Galvin Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Y Boston, MA 02108-1512 Telephone: (617) 727-9640 Articles of Organization s, Chapter eneral Law .D Federal Employer Identification Number: 455215706 (must be 9 digits) ARTICLE The exact name of the corporation is: BRAVI TOUR, INC. ARTICLE II Unless the articles of organization otherwise provide, all corporations formed pursuant to G.L. C156D have the purpose of engaging in any lawful business. Please specify if you want a more limited purpose: TRAVEL AGENCY AND OTHER SERVICES ARTICLE III State the total number of shares and par value, if any,.of each class of stock that the corporation is authorized to issue. All corporations must authorize stock. If only one class or series is authorized, it is not necessary to specify p any particular designation. Par Value Per Share Total Authorized by Articles Total Issued i Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares CNP $0.00000 100,000 $0.00 100 G.L. C156D eliminates the concept of par value, however a corporation may specify par value in Article III. See G.L. C156D Section 6.21 and the comments thereto. ARTICLE IV If more than one class of stock is authorized, state a distinguishing designation for each class. Prior to the issuance of any shares of a class, if shares of another class are outstanding, the Business Entity must provide a.description of the, preferences, voting powers, qualifications,and special or relative rights or privileges of that class and of each other class of which shares are outstanding and of each series then established within any class. ARTICLE V The restrictions, if any, imposed by the Articles of Organization upon the transfer of.shares of stock of any class are: Ar' YOU WISH TO OPEN A BUSINESS? ` x�. iyyua�� For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 t0ain St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st A., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required bylaw. DATE: ) Z3 (� Fill in please: APPLICANTS YOUR NAME/S: A A /+ a BUSINESS YOUR HOME ADDRESS: o TELEPHONE # Home Telephone Number S a S 3 d l NAME OF CORPORATION: — A x P.a NAME OF NEW BUSINESS i- TYPE OF BUSINESS SN O IS THIS A HOME OCCUPATION? YES NO u ADDRESS OF BUSINESS L w n MAP/PARCEL NUMBER, yU _(Assessing) When starting a new'business there are several things you must do in.order to be in compliance with the rules and regulations of the Town of Barnstable. This.form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and,licenses required to Legally operate your business in this town. 1.. BUILDING.COMMISSIONER'S OFFICE This individual has be ' for ad of permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: C •-e 2. BOARD OF HEALTH This individual has Keen I'�.1'y�Ptprmod of the permit requirements that pertain to this type of business. 1. • uthorized i nature** COMMENTS: NIwN O(� 1 �/IS 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) : This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: ' I YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary . signatures on this fem at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. x Fill in please: Date: z APPLICANT'S NAME: i0`R( n a -5 i I.-o A y YOUR HOME ADDRESS' X 1�f D gT' �k�r �� "� L1 /�6Z t� (h 1M c"1 a ks BUSINESS TELEPHONE # O b� �- 1 �- HOME TELELPHONE #: 0 S NAME OF CORPORATION: M�!. �wk'!j �� vT Nc� FID # NAME OF NEW BUSINESS \A Yal R TYPE OF BUSINESS_ IS THIS A HOME OCCUPATION?, ' - YES >C NO ZZ ADDRESS OF BUSINESS - jo S MAP/PARCEL NUMBER-30,9 ((Assessing) s - / When starting a new busines.6 there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street).to make sure you have the appropriate permits and licenses required to legs y operate your business in town. 1. : BUILDING CO"ISNER'S OFFICE _ _This individ al Wasea.in r d f a permit requirements that pertain to this type of business. COMMENTS:AAuthorized SignoGre*" COMMENTS: _ 2. BOARD OF HEALTH MUST COMPLY M ALL This individual has,beer�iroun, phi of the permit requirements that pertain to this type of business. HAZARDOUS MATERIALS REGULATIONS Authorized Signature' COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has,been i rmed ofthe licensing requirements that pertain to this type of business. Authorized Signatu.r_e** . _ COMMENTS: T r R U Ubjl; Sign BARNSTABLE Permit BARNSTABLE. TOWN OF MASS. 6� iArE Permit Number. Application Ref: '201002433 20070462 Issue Date: 05/18/10 Applicant: Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 461 MAIN STREET (HYANNIS) Map Parcel 308083 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks - ANDREAS FAMILY HAIR CARE - WINDOW SIGN 10 SQ. FT. &AWNING LETTERING 3 SQ. FT. Owner: BOSWORTH, WARREN C JR Address: P O BOX 685 CENTERVILLE, MA 02632 Issued By: pg POST THIS CARD SO THAT IS VISIBLE FROM THE STREET .A °FZHE la,�Ak Town of Barnstable Regulatory Services * snaivsrABLE. MASS. g Thomas F. Geiler,Director n 9. & Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tow.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation maybe submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign (wall, hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1" = 1'. Minimum sheet size,.8.5 x 11". 3. A scale drawing of the bracket.A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum'sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including.scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face.' NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQLI revised 103009 Town of Barnstable T �l�a �_ ,�°FTHET°� �rs.i, '3� rah TA 8 � Regulatory Services _, *�'^R'",KASS.��,` Thomas F. Geiler,Director ` P11. 1: 05 �A 1639• �� ,.., rF1639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 DIVA www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit#cW I J,�a 11,33 Building Official approving__/ Application for Sign Permit �` p Applicant:_' _SLY RI�IDS--------Assessors No._-3 0487__6 03 � 0 -27y3Z.3 zzZ9 Doing Business As: AAD PY5 I MC Telephone Sign Location — Street/Road: --- STD-.------ q VI IS -------------------- Zoning District:_________ Old Kings HighwayP Yes/No Hyannis Historic DistrictP S/N.o Property Owner Name:_Ctlt►�c�e 1Z.1_�_tse�a 2-�-�_ ---------------Telephone _-770-_Zy � ( u I ------------------------Village:------ ----��5------- Address:_--( --- — --� — 1�� Sign ConyAc or Name:--t` -- qL -S__GrtA f 111 C_5-=-------- ------Telephone:_�O�=2— d Mailing Address:_--2� c l A yi , Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the'sign to be electrified? Yese (Note:If ycs' a wiri»P'permit is required) (/ , i Width of building face X_4__ft. x 10 - ____ _x .10 =_________ O Check one Reface existing sign -_ or New_✓_Total Sq. Ft. of proposed sign (s) If you have additional suns please attach a sheetlistvlg each one Mth dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am die owner or that I have die authority of the owner to make this application, that die information is correct aihd that the use and construction shall conform to die provisions of §240-59 through §240-89 of die Town of` testa e Z ij nce. Signature of Owner/Authorized Agent: _ _ '_ Date_—S j fL I Z� SIGNS/SIGNREQU revised.103009 Y .......................... 751 I1` � 1rA"ILT "AIR CAR ALL 0U T8 TR N DOLLAR 8 F 3 SId IL 4 y 1 i 1 C� r PETROS phone: 508-896-6784 adrress: 29 cranes lane brewsterma 02631 GRAPHICS cell: 508-2804786 e-mail: www.petrosgraphics@yahoo.com gCALE - + A P�>-oX UL7tND0 �pl� ►� i X bb In /AWNIVIIA-1 U-T1 E-RI 'NO, 3 F L L C U T S T E N D O LLI L A R S PE'rROS phone: 508-896-6784 adrress: 29,cranes lane brewster ma 02631 GRAPHICS E cell: 508-2804786 e-mail: www.petrosgraphics@yahoo.com Hyannis Main Street Waterfront Historic District Commission "IBM ' 200 Main Street puss. jL659. Hyannis,Massachusetts 02601 (Z) TEL: 508-862-4665/FAX: 508-862-4725 .7-;. Application to U) C7 "`?—i Hyannis Main Street Waterfront Historic District Co=-I§sion `�I as in the Town of Barnstable fora --=-----=---------------=----------- — ---.--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 ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ 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) a TYPE OR PRINT LEGIBLY DATE [s y t^t ASSESSOR'S MAP NO. ASSESSOR'S PARCEL NO. -0 S�op-JA--. TEL.NO. '�. � 2Z�1 J APPLICANT —1 �'7 7. 1 APPLICANT MAILING ADDRESS 10 `1 rngl✓1 S`i' r>c4c lO!- Q QFA►'ll_ tvw pZ(v7® ADDRESS OF PROPOSED WORK WIQ'I in tHqq n yi II 5. M A U4 0' PROPERTY OWNER 411VId (J©�� TEL.NO. Z Z OWNER MAILING ADDRESS 44 t O Il M q I✓1 5� 4q (A M B MA O Z(c t7' FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. This information is best obtained at the Town Assessor's i Office. (Attach additional sheet if necessary). DEECE UVA �J-MAR TnIAINi n`'nnRivSTABLE HISTORIC PRESERVATION AGENT OR CONTRACTOR TEL.NO. ADDRESS 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). Signed (Owner-C ntractor=Agent (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by H'lN WHD�C Date �D L This Certificate is hereby AN— Time �U MAR E9 2 Date By TOW dRnrsr Signed HlsroRlc PRsE�vAeoN IMPORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL: 4- , L _ Barnstable Hyannis Main Street Waterfront THE l Historic District Commission AII-AmencaCRY 200 Main Street r BARNSTABLE Hyannis,Massachusetts 02601 1 r MASS. g Phone: 508-862-4665 / Fax: 508-862-4784 i639• AtFo�,t A www.town.barnstable.ma.us 2007 George A. Jessop,Jr. AIA, Chair Marylou Fair,Commission Assistant SPECIFICATION SHEET FOR SIGNAGE • Prior to filing your application for a Certificate of Appropriateness, please contact Robin, the Town's Zoning Enforcement Officer, at 508-862-4.027 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 signage as previously existed on your building, the laws may have changed since that sign was installed. • Once you have applied to the Hyannis Main Street Waterfront Historic District Commission 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. • Please fill out all information requested below. . • If you are applying for Certificate of Appropriateness for more than one sign, please fill out ONE SPECIFICATION SHEET.FOR EACH SIGN. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign • color chips for all colors on your sign • a photo or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to light the.sign, are indicated • a scale cross-section of the sign; with dimensions, showing edge detail, • specifications for any light fixtures proposed to light the sign • a scale drawing of the sign,bracket, indicating dimensions, color, and material Size of sin Z LP VV/ L g Material(s) of sign f MAR 1 6 I TOWN OF BARNSTABLE Material of Lettering if different m� 1 HISTORIC PRESERVATION The,Sign will be (circle one): carved wood / painted wood vinyl letterin other (explain) Location in which the sign sill hang EID W 1 r1�005 Will there be exterior light fixtures to light the sign? 1 If so, what type of fixture? Where will the fixture(s) be located? - LU - � C/)Cx: LLJ w { CL o c' �Q f C�� C)C 7tBOOM_MW 1AL s G n F 1 w r ma 02631 PETROS phone- 508-896-6784 adrress:: 29 cranes lane bre ste , � CIRAPMICS ' SCA 11: 508-280-4786 e-mail: www.petrosgraphics@yahooxom. ido w W r. f asi U o s u�► VA� p EC EO VE —Zoi MAR 1 6 JEW HISTORIC OF BARN TABLE YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4,years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. -3�� — v DATE: Fill in please: APPLICANT'S YOUR NAME/S: a L) 0 � A,2vy ,sl ,,'-z,, S,9ATvS /yt 'f BUSINESS YOUR HOME ADDRESS: a � s S �` Pv /E y�= 67 of . C c /k C Y 4 ` � 569 -7- 1-0 63`� IV ,- o - — TELEPHONE # Home Telephone Number .L' ._� 0 3 Y NAME OF CORPORATION: NAME OF NEW BUSINESS n TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO p ,p ADDRESS OF BUSINESS /S W i✓ . " � ✓1 MAP/PARCEL NUMBER 3 0 00 (Assessing)' Hr �f When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to.assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSI ER'S OFFICE This individ al ha en #ord f n ermit requirements that pertain to this type of business. J u hor.zed Si a uce M * ✓/�`�� COMENTS: �/ 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORI j ] This individual ha n info4&Tof the-en:6r&u ements that pertain to this type of business. A thorize ignLAT11 * i C Lj �`-Q- sx- 4 &ot �VI(:X— COMMENTS: � YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS,NAME in town (which you must do by M.G.L.- it does not give you permission to operate) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,` 10 FL., 367 Main Street, Hyannis,,MA 02601 (Town Hall) and get the Business Certificate that is required by law. Fill in please: Date: —o 6- ' APPLICANT'S NAME: oS�i/�f Dui /�n ,fl�(/"e f •�1V r � ' ., YOUR HOME ADDRESS: ot� �� G✓FI� '� BUSINESS TELEPHONE# 5�,�?78�6G �'f HOME TELELPHONE #: 7'7L(- EIN OR . a 7 - / S 71 ,5-5 NAME.OF CORPORATION: L/l /2c`r.✓��✓ �`i`a� lVl />! C` FtD # 7' NAME OF NEW BUSINESS �s/C TYPE OF BUSINESS_/ IS THIS A HOME OCCUPATION? " YES NO 7 ADDRESS OF:BUSINESS`A/51 n/!'l6ti�✓ 6 f� ��i� /�'Ii�1 �.6�� MAP/PARCEL NUMBER ��. Assassin When starting a new'b'usiness there are-several things you must do to be in compliance with the rules and regulations of the.Town= of Barnstable. . This formJs to assist, you in obtaining the information you 'may need. -You MUST GO TO 200 Main St. (corn er .of. Yarmouth Rd. & Main Street) to-make sure_ you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING CO I NER'S OFFICE - v This indivi ua peen f r e of any permit requirements that pertain to this type of business. A horized S ure** COMMENTS: �O l 4 . 2. BOARD OF HEALTH- This individual ha, beet�informed"of the permit requirements that,pertain to this type of business: I� . ` Qr vl� Authorized Signature** K COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) , This individual h' een rmed.of the licensing requirements that'pertain to this type of business. Authorized igriature ; YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.-It does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's.�Office, 15' FL., 367:Main:Street, Hyannis, MA 02601 (Town Hall).and get the Business Certificate that is required by law. Fill in please: Date: - CJ APPLICANT'S NAME. U � -�/ - r<,r F YOUR HOME ADDRESS: ' Sh E' /_ V✓�f G /a GaG 7_ r BUSINESS TELEPHONE #. SQ S- 7-71 -7 0 6 HOME TELELPHONE #: -0 EIN OR 55-- 7 86 7 _ NAME.OF CORPORATION: ZV7� Cc,. �`CFID # s- 6 , NAME OF NEW BUSINESS) s .TYPE OF BUSINESS fllrwl IS.THIS A HOME OCCUPATION? - YES E NO ADDRESS Of BUSINESS Lf 51 rj24- -l' l ..a f/�,c ;�.�' /72Fl MAP/PARCEL NUMBER 301©83 (Assessing) 01 When starting a new business there are several things you. must do to be in compliance.with the rules and regulations of the Town of Barnstable. This.form is to assist you in-obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required- to legally operate your business in town. 1. BUILDING CO ISSIO ER'S OFFICE This individual ha epn it e f y.permit requirements that pertain to this type of business: u orized Sig re** M COMMENTS: o 2. BOARD OF HEALTH This individual ht!�beqnjppr d of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS:, 3.. CONSUMER AFFAIRS (LICENSING.AUTHORITY) This individual has bpee nfo ed.of the licensing requirements that pertain to this type of business. Vol I Authorized Signature** YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$qO.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you rate. You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. must do by M.G.L.-it does not give you permission to op-e j o Y g Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:- A 6 I f } Fill i -please: APPLICANT'S YOUR NAME/S: L� N M/I Iq '"a I �� y P RUSINE S YO HOME ADDRESS: G -r W ya O L9 - m 11O Z I TELEPHONE # Home Telephone Number( 509) 36 7 6 i ' NAME OF CORPORATION: NAME OF NEW BUSINESS `� I A-t 2- TYPE OF BUSINESStYES I q ADORES OOF BUS NESS UCCUPATI�N� 1N S`� E-(y` 5 ��OMAP/PARCEL NUMBER '�U ( DAssessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S O IC This individ al h s e niQf r o ny permit requirements that pertain to this type of business. Aut rized Sin re COMMENTS: 2. BOARD OF HEALTH This individual has ee ormed of the permit requirements that pertain to this type of business. � In . Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSI G AUTHORITY) This individual has b info ed f he licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Pig bif YOU WISH TO OPEN A BUSINESS? For Your 'Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, Vt FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. rrt Fill in please: Date: Ys APPLICANT'S NAME: YOUR HOME ADDRESS: v - BUSINESS TELEPHONE # 50%'7 3 6'C) - ej HOME TELELPHONE #: j FID # 01g r �_- C14Zy if NAME OF NEW BUSINESS' 42N L ,j =- TY ,-T14QFj MI/Va. TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES X.--NO ADDRESS OF BUSINESS 6{ �- t1 cr nil'; S MAPIPARCEL NUMBER �d (Assessing) V\ ion } '. s,1 a V r . - S .L.o When starting a ne bu iness there are sewer things you must do to be in compliance with the rules and regulations of the Town of. Barnstable:IThis form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING CO NER'S OFFICE , This individnial has ee.n;info e of ny ermitrequirements that pertain.to this type of business. V Au orized Signat r / _ COMMENTS: (� t.�l S �(�td 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature`* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years.. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1' FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter. ,. DATE: Fill in please: APPLICANT'S YOUR,NAME: AC CfY) ► 5 BUSINESS YOUR HOME ADDRESS: 1 017 Sl�fi� f; �--/i ZL J2—j m iv TELEPHONE # Home Telephone Number: 5O ?5 - NAME OF NEW BUSINESS -rP-6LO14 J IVAJ TYPE OF BUSINESS /-1 Utz IS THIS A HOME OCCUPATION? 5 YES NO < Have you been given,approval frouilding division? YES NO ADDRESS OF BUSINESS ",I MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You. MUST GO TO 200 Main St. = (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1 . BUILDING COJafli�liS NER'S OFFICF� This indivi al 1 a ee�_Jp me any permit requirements that pertain to this type of business. Authorized SigoalCure* COMMENTS: Au m 7V n - 2. BOARD OF HEALTH This individual has e Or prmit requirements that pertain to this type of business. ALwon ed Sinnat e* COMMENTS: P.9 , �= 3. . CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map'' At Parcel �� ® Permit# Health Division h _,vep-A pies 2, Date Issued Conservation Division ICY Feev`—® cam Tax Collector — ��— o?s �� 00 �D! � � l l P1M � � Treasurer �C '� ��.�"�� °--�L CO NC�rM BTAINASEWER ]— ENGIl�EE 0 PEAW-;FROM THE UV CONSTRO- 0N;B alt TO Planning Dept. 4hL,,� Date Definitive Plan Approved by Planning Board �`� �� Historic-OKH Preservation/Hyannis Project Street Address 9 (y --�c� - Village ✓1 Q Owner Address -'d, to— Telephone D _ `Z_ Permit . pquest f 1�/�'�1 JW 1 n ow J>E:L?'A, d- wid 40 0 Square feet: 1 t floor: existingS1' proposed 2nd for: existing proposed Total new Valuation �®-"� Zoning District Flood Plain Groundwater Overlay Construction Type ► Lot Size � � �I"' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) - C Age of Existing Structure Historic House: ❑Yes Cl No On Old King's Higtli�ay: ❑Yes O"No cry c n Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Inu 4- -Tr & Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) va Na r— Number of Baths: Full: existing new Half: existing new M 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 Cl No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number `��X Address i License# �Ar::w) 6? Z me Improvement Contractor# Worker's Compensation# ALL CONSTRU DEB ESU G FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS L VILLAGE 1 7 OWNER :l ' r DATE OF INSPECTION: • " ' ` - i FOUNDATION - FRAME I14 INSULATION , FIREPLACE ELECTRICAL: ROUGH '!FINAL PLUMBING: ROUGH i FINAL c GAS: ROUGH FINAL. f� y FINAL BUILDING _ DATE CLOSED OUT ASSOCIATION PLAN NO. r• i .c. 1''De artment o Industrial Accidents --- P 01�ce of/ov011tlaas 600 Washington Street Boston,Mass. 02111 Workers' Corn ensation Insurance Affidavit i/ rtion j. t� honePS P� ZZ I am er per.onning all work myself. I am a sole n r and have no one wbildn in ca ratify ///%//%/%%//%//%�%----- r b. to s woridn on this o 'on for J co ensati g em 1� er rovidin workers mp m5' an .......... ...... ........::::.�:.::•:.:::::::::::... x.x.:;{,<.K•}?};.::;;.�:;::}:::•;.:::.,,r.T'{.}}::?•:n.:.:a:r::.x:{.:::.t.:. .:. 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I miderrlmd that a :opy of this sta may e t the O!II vestigations of the DIA for coverage vetttimtion. do hereby erti t e axed en of edury that the information provided above is bw. r d correct i signature Date f Print name Phone# Jill j offldal use only do not writs in this area to be completed by city or town McizI city or town: perbnitfucense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Sellth ee a Office . _ ❑Hea lth De Office contact person: phone#; ❑Other — Information and Instructions ,+ sachusuas General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their [ovees. As quoted from the 'law", an employee is defined as every person in the service of another under any contract re, express or implied, oral or written.. !rriployer is defined as an individual;partnership, association, corporation or other legal entity, or any two or more of bregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or Lee of an individual, partnership, association or other legal entity, employing-employees. However the owner of.a lling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of her who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or ding appurtenant thereto shall not because-of such employrnent be deemed to be an employer. -L chapter'152 section 25 also states that every state or local licensing'agency shall withhold the,issuance or'renewal license or permit It operate a business or to construct buildings in the commonwealth for any applicant who has produced acceptable evidence:of compliance with the insurance coverage required. Additionally,.ireitherthe unonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until eptable evidence of compliance with the insurance requirements of this chapter have been presented to the ooatracting aority. plicants ase fill in the workers', compensation affidavit completely,by checking the box that applies-to your situation and plying.compan.names, address and phone numbers along with a certificate of?n � ce'as all affidavits maybe )witted to the Departmentof Industrial Accidents for confirmation of ms rance coverage: Also be sure to sign and. fe the affidavit. The affidavit should be returned to the city or tows that the application for the permit or license is ng requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you required to obtain a workers' compensation policy,please tali the Department attire number listed below. ty or Towns rase be-sure that the affidavit is'complete and printed legibly. The Department.has provided a space at the bottom of the adavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please sure to fill in the peinnit/lice' se number which will be used as a reference number: The affidavits-may be returned to Department by mail or FAX'unless"otliei`aii ements have-been.made: ie Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. ease do not hesitate to give us a call. ae Department"s address,telephone and fax number: " The Commonwealth .Of Massachusetts' Department of Industrial Accidents Office of Iovestigatloas 600 Washington Street Boston,Ma. 02111. fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406,'409..or.. 375. t Board of Building ReCq�ulations ` One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 09/22/1957 Number: CS 019611 Expires:09/22/2003 Restricted To: 00 WARREN C BOSWORTH 133 ASHLEY DR CENTERVILLE, MA 02632 Tr.no: 5486 Keep top for receipt and change of address notlflcadon. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 019811 � k `; Blrtlrda1s: 09122/1967 "ffuplrN:0912?J2003 _ Tr.no: 5486 Ratrictsd: 00'� WARREN C SOSWORTH—�J 133 ASHLEY DR ,� CENTERVILLE, .MA 02832 Ad.RW—.W I y 00-35.000 d enclosed iIww to-Mewnry ony 10-1&2 Family Homes Failure to possess a current edition of tiro Musechueetis state BuiWinp Code is cause for revocation of this license. DIG SAFE CALL CENTER: (888)344.7233 TO ALL NEW BUSINESS OWNERS Fill In please: r �,/,q D S A.PPLICANT'S ® ® ® �® YOUR NAME: BUSINESS YOUR HOME ADDRESS" ShP f 1 rvto _ SS G (,� -7(( TELEPHONE Telephone ber (Home) -SO e �Gi 4 G1 NAME OF NEW BUSINESS PE OF BUSINESS IS THIS A HOME OCCUPATION? / ADDRESS OF BUSINESS , in S-f arl n c MAP/PARCEL NUMBERC.� ' l When starting a new business there are several things youlatust do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hail). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has be informed of any permit requirements that pertain to this type of business. Aufhorized6sigd4ture 0 OMMINTS: S ' 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual heen informed the ermit requirements t at pertain to his type of business. -�— Authorized Signa ure COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 A ......-..I n h,vcsnaac rnr#iur�nfp ONLY REGISTERS Yn1 IR PA n AW 1n the town (which you must do by M.G.L. - it does not give you Spoke to applicant on 2/22/02. I was advised that they were taking over adjacent unit formerly an office use. They want to establish a Brazilian deli mostly to go orders but maybe provide a few table &chairs, no wait service. I advised that it is allowed in this zone. A change of use permit must be taken out, must take out all building permits necessary and satisfy Board of Health. Since the zoning change, parking has been relaxed in this area and is no longer an issue. Later, it was identified that the separate unit next is currently occupied by a barbershop. I am therefore not sure that I have correct address. Otherwise we may have a miscommunication. Again, in the event that they want to ADD a deli to the single existing unit, they need to satisfy Health, submit a floor plan to Ralph Jones, satisfy fire department &building codes, etc. Zoning would not be an issue with the relaxed parking. RCG ! i I OCV G� I I coAa p Lp��p Z[O 4"oN2 No 4LsVV S av s b �Z -.-a-a vi y ri�sl�3 q Q <<J1�tt95 hT11 14 M 11 M 7 Q'tc laVi/a�1 --vl Ctl. O > i I SV „huh N! O f - V J i - I V f Wd�1l �OQc� r 0r4 O V,1 P,1 (1 U1.3 .. i P 1\� i W tu.5 y59 ��1 EXi sTi�9 Cm�v,orfior�s -y�Joo/L,,�l'�/ �l- W/1�' ►S'��1 �� 5 ©i Gi Go 0✓1 S tic `1JIl� Mo oY cr giN � � .D �l�✓ ��orz cs I L ; e j Gc ekS i E-- .57 --1YL�t1.T' �tl>'N1GY�WS—� HSq .�i�►�in! 5`F T ann,S � �j(�I i�/j+9�nI 5TRA—,Gr t77 n yW 5 I - SSE •D AR�� A SHELVES NOT AN NC. 10%3� EGRESS 9'-11" y 18-512' - DOOR ? SARM E, v i SHELVES j • `�` - C 0$' PC "? b a q I � STORAGE AREA STORAGE I - FREEZER FREEZER FREEZER FREEZER I • FREEZER FREEZER REFRIGERATOR I NOTAN 8'11 STORAGE EGRESS I �' DOOR • I ' � A OR - € I OFFICE _ r` raLEr a STORAGE 65 aI I aLEr 6-3' I n BarnstableBldg. a H h ° • II • ° > a 15 X� proved by: 85 55I r /'' Permit STORAGE Q / M i STORAGE m x 1 CIO Lli L-—-—-—-—--—-—-— —-— —-—-— II Z Q J, N. O II U W a W -� NO EXTERIOR CHANGES i i e W � N Q ARE BEING PROPOSED • NO HISTORICAL OR OTHER Q _Z REGULATOR?HEARINGS I I a'-� R ARE EXPECTED, I I = Q Cn h II w O -O } 'S 5 � b o � � � � LEVEL II ALTERATION ^ I I o 0 o s PER IEBC.CHAPTER 8 Cf.) ' DUE TO CHANGE FROM I I O _ s BUSINESS TOIMERCANTILE USE. I I cs � O 0 m 'ZT COMBINATION CARBON O I I DEEETECOR Q BASEMEN 1 m b O II LOTTERY to l7 1 _ •f RETAIL STORE o I I RETAIL STORE PnE; RETAIL STORE e ` 1.815 SQ.FT. I I 1,192 S9.FT: 3,007 SQ.FT. "M°MERCANTILE USE I I "B"BUSINESS USE EXISTING & "M°MER MERCANTNT ILE USE w � � m I I , a ' w ►I PROPOSED II FLOOR PLAN 0 o a a II a I I cs ® DATE ISSUED; 06.15.2018 3 II COMBINATION CARBON z c— ?REVISIONS: y MONOXIDE/SMOKE DETECTOR.TYPICAL O r p 6s -14 } EXIT EXIT 9 19'-1a• s-a• s•-0• 1a'-a• n (.� FREEZEREELER C= ° ICE ( C M � DRAWN BY: 4 8 .p. °da SK/KR DA. RAWING NO.: EXISTING EMERIOR �� I WALL TO REMAIN ,{/q�`/� l 1 G PROPOSED FIRST FLOOR PLAN 1 EXISTING FIRST FLOOR PLAN $= 1/4"= 1'-0" 1/4"= 1'-0" D At? NOT AN SHELVES EGRESS . 10S63 18�5 1rZ' DOOR 79-01, co SHELVES C) STORAGE AREA I STORAGE FREEZERI.E. I.E.R FREEZER F- ------------ FREEZER FREEZER REFRIGERATOR I II STORAGE EGRESS L DOORII r------------- 9-01 91-9. OFFICE STORAGE 0- TOILET Barnstable Bldcr.Dept. pr(wed by:--W— L4 B, 35 TOLET 71p Pernut#: STORAGE STORAGE DN U) Lu L---------- < Lu NOTE: NO EXTERIOR CHANGES Cr) < ARE BEING PROPOSED cf) NO HISTORICAL OR OTHER REGULATORY HEARINGS ARE EXPECTED, < 21 C) (2f LEVEL 11 ALTERATION Lu 'o PER JEBC.CHAPTER-8 DUE TO CH/,JNGE FROM 0 cf) BUSINESS TO,MERCANTILE USE. o CS Lr) COMBINAflCN CARBON 0 MONOXIDE/SMOKE DETECTOR(9)BASEMENT 0 II LOTTERY RETAIL STORE 0 F RETAIL STORE TITLE. RETAIL STORE 1,815 SQ.FT. 1 1,192 SQ,FT. 3,007 SQ.FT. M.MERCANTILE USE 'FMS-INESS USE M.MERCANTILE USE EXISTING & PROPOSED I II FLOOR PLAN II 0 c- 9 II z k II 0 DATE ISSUED: 06.15.2018 T-COMBINARav CARBON REVISIONS: MONOXIDE I SMOKE DETECTOR,TYPiCAL M C= " ILI 5--a- 5'-0" EXIT EXIT 13'-10 ICE CREAM FREEZER DRAWN BY: SK KR DRAWING NO,: 7 '\ EXISTING EXFEROR WALL TO REMAN Al . 1 PROPOSED FIRST FLOOR PLAN EXISTING FIRST FLOOR PLAN 1/4"= V-10" 1/4"= 1'-0" m ' /Yea C tot J� t ttt ` o f2y�l�r SoV Qvc'� A14 Plk pp?-,aOoo s ! PIA qoO wVA � 3 o" L qa Tv cd� M fa C6d E ,�5-tilt Qc,Ae jY I 5-�,,W less 54--eGC.- SG (A K fore l p L �3vP 200 - DES - lZS, s Pb 8 s l-4 sT4�c i I +e s � (Oros }ct**e K Dww P.►sr«my w � R 0004 Sr L AOM S R�oM PA Sfw ory 4 P. 0 y a � xs 5 JIHMt': SHELVES NOT AN 18'-51/2" EGRESS 9'-11"' 1 W 18'-51/2" do DOOR > -------------- w J 101-01, Lu SHELVES I � CD o o STORAGE o STORAGE AREA w CS CS I o w ' N Z FREEZER FREEZER FREEZER FREEZERLL_z — — — — — — — — — _ - - - - - - - - 8'-11" I I T AN FREEZER FREEZER REFRIGERATOR I I STORAGE EGRESS I I ' II DOOR ' 9'-8" , 777777 o ! > L cp STORAGE r— �,, TOILET OFFICE LOILET m 0 0_! o g 6'-3„ m I � 0 6'-3" 0 11 I 0 ol 4 cn cA � 4-6 L w w ( ^ 4'-6" O II O � N m � � � � 0 X g g O 1 W TOILET �¢ TOILET _ /• - ° o STORAGE S STORAGE c / ' 4 10 CS CS , DN I / DN L O / cn L---------- ------------ ------/• -------- II " - - --- z Q 8'-0° 12'-01 -------- N Icp O 1 1— °° I I v -- W LL' NOTE: NO EXTERIOR CHANGES � cn aC ARE BEING PROPOSED N I Lu Q z NO HISTORICAL OR OTHER REGULATORY HEARINGS I I 4'-3" w W W w w w ARE EXPECTED. N I Q J J J J �---- � z W J J p I U) � (nU) 0 �— z g N I w Q �o Q g g LEVEL II ALTERATION N 0 0 � II cn �r >' PER IEBC. CHAPTER 8 77 DUE TO CHANGE FROM N N O U, BUSINESS TO MERCANTILE USE. N N CS r) O � II O m —COMBINATION CARBON O MONOXIDE/SMOKE ^^ �/ ' w I I DETECTOR @BASEMENT r) W II O a m NI U— p c O w Z II 8 0 ° II � a LOTTERY Q w RETAIL STORE o I I RETAIL STORE TITLE: RETAIL STORE 1 ,815 SQ. FT, 0 N I 1,192 SQ. FT. 3,007 SQ. FT. N M MERCANTILE USE Z N I "B" BUSINESS USE EXISTING & "M" MERCANTILE USE o X N I W I I `° PROPOSED w w > > U J o N I FLOOR PLAN cn w N U c 0 0 0 0 NN I I Lu o I I I ( DATE ISSUED: w N I Cs 06 . 15 . 2018 I I REVISIONS: g COMBINATION CARBON O N I MONOXIDE/SMOKE CS I I DETECTOR,TYPICAL I I I I I NI 13'-10" 5'-0" 5'-0" 14'-0" ICE CREAM EXIT EXIT FREEZER � _ , - - DRAWN BY: SK/ KR DRAWING NO.: - _.A A®v EXISTING EXTERIOR �,i'r � O/I.' WALL TO REMAIN Al I PROPOSED FIRST FLOOR PLAN 1 EXISTING FIRST FLOOR PLAN 1/4" = 1 '-0" 1/4" = 1 '-011