HomeMy WebLinkAbout0569 MAIN STREET (HYANNIS) (7) Sf /lUnif
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t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map F Parcel �l � � 00 Application #
Health Division Date Issued CDCD
Conservation Division Application Fee
Planning Dept. Permit Fee 7 "
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/Hyannis
(w
Project Street Address -S 6�1 �Mi4;`4) St U� j.Y0
Village t S Owner )M j CA4 bg JAm(6s Address
Telephone ," QQ
Permit Request �1/ e- -r
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation d Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
UAge of Existing Structure Historic House: Ll Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 1�
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood%coal stoves ❑Y ❑ No
Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size — Barn: ❑ existing ❑"Rew ' ze .
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 e, d Ta S Telephone Number
Address 4, Lo FT- Q License#
l A __Home lmprovement.Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE '3Ilk
t
FOR OFFICIAL USE ONLY
APILICATION#
r .
WE ISSUED
MAP/PARCEL NO.
• e
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL = �
PLUMBING: ROUGH " FINAL
GAS: ROUGH FINAL t"
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
f
The Comtrtomvealth ofAfassachusetfs
Department of Industrial Accidents
Office of Investigations,
600 Washington Street
Boston, MA 02111
.�• www.rrcass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print.Legibly
Name (Business/Organization/Individual):�� e�W� �v
City/State/Zip: Phone.#:
Are you an employer? Check the appropriate bog: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).
* have hired the stab-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partoer-'
listed on the attached sheet. T. ❑Remodeling
ship and have no employees These sub-contractors have g. '❑Demolition
working for me in any capacity. employees and have workers' 9 El Building addition
[No workers',comp.•insurance comp. insurance.$
5 10.❑Electrical repairs or additions
• required . BWe are a corporation oration and it.s
3.❑ I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions
myself. [No workers' camp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t a 152, §1(4), and we have no
employees. [No workers' 13.0 Other
comp.insurance required]
*Any applieant.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.
XContraetors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. if the subcontractors have employees,they must provide their workers'comp.policy number.
.ram an employer tliat is providing workers'compensation insurance far my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.M Expiration Date:
Job Site Address: City/Statdzip:
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 crimirial penalties of a
fine tip to $1,500.00 andlor one-year innprisonment, 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 certify rind the pains anal penalties of perjury that the information provided above is true and correct;
Si attire: •.Date: � �h _
r
Phone#' �02P- '(C)
Official use only. Da not write in this area, fo be completed by city or town offlciaL
I
.'City or Town: Permit/License #
Issuing Authority(circle one):
1.Board of Elealth '2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.,Plumbing Inspector'"
6. Other
Information a:nd Instructions 41
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 tiustee 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."
MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or
renewal of a license or perm operate
it to o Aerate a business or to construct buildings in the commonwealth for any
is ce ith the insurance coverage required."
• of produced table.evidence of compt� n w g q
'cant who has n p .
applicantP shall .
Additionally,MGL chapter 152, §25C(7)states"Neither the Commonwealth nor any of its political subdivisions
enter into an contract for the performance of public worn until acceptable evidence of compliance ttzth the insur
Y ance
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-contiactor(s)name(s),-address(es)and.phone number(s) along with their certificate(s) of
e ary
insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, ate 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/licease number which tell 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" (he.applicant should write"all locations in (city or
town).".A copy of the affidavit that has been officially'stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions,
please do not hesitate to'give us a call.
The Department's address, telephone-and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of lavestigati.ons,
600 Washington Street
Boston, MA 02111
D-,L # 617-727-4900 ext 406 ar 1-877-MASSAFE
Fax# 617-727-7749
Revised 11-22-06
vrvvw.mass.gov/dia
IRE Town of Barnstable
d .l
Regulatory Services .
Thomas F. Geiler,Director
Building Division
Torn Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601 .
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790•
Property OwYie r Must
Complete and Sign This Section
If Usiny A Builder
, as Owner of the subject.property
hereby authorize ].'r o f 5�,. _ to act ou my behalf,
a- •
in all matters relative to work authorized bytbis building permit application for:
�Adssb)
tgnature of Owner ate
Print Name
. P
If Property Owner is applying for permit please complete.the
Homeowners License Exemption Form on the reverse side.
1 �
1
Town of Barnstable 4 -
w�op THE
Regulatory Services
Thomas F. Geiler,Director
Building Division
"rEn!may Tom Perry, Building Commissioner
200 Mairi.Sireet, -Hyannis, MA.02601
www.town.barnstable.ma.us
Office: 509-862-4038 Fax: SOS-790-6230
I301 MOWNER LICENSE EXEMPTION
Pleare Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRFSS:
city/towel state Zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellinis of sic units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor,
DEFINTTFION OFHOMFOwh'ER
Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to-
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeov�ner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,Hiles and regulations.
The undersigned"homeowner"certifies that.be/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that be/she will comply with said procedures and
requirements.
Signature of Homcowncr
Approval of Building Official
Note_ Thrce-family dwellings containing 35,D00 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER,,EXEMPTION ,
.The Code states that "Any bomeowncr performing work for which a building pcmrit-is required shall be exempt from the provisions
of this suction.(Scoticn 109.1.1 -Licensing of construction Supervisors);provided that if the homco,%,ncr mgagcs a parson(s)for bin:to do such
work that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the rzsponsibilitics of a supervisor(see Appendix Q,
Rulcs&Regulations for Licensing Consbvction Supervisors,Scction 2.)S)'This lack of awareness bftcn results in serious problems,particularly
when the homcowacr hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it Would with n liccnscd
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the hammvmcr is fully swans of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that hclshe understands the rcrponsibilitics of a Supervisor. On the last page of this issue is a.form currently used by
several towns. You may care t amend and adopt such a fonn/ccrtification for use in your corrmrunity.
Q:forms:homccr:cmpt
Message Page 1 of 1
r
Roma, Paul
From: Shea, Sally
Sent: Wednesday, March 24, 2010 8:19 AM
To: Roma, Paul
Subject: FW: 569 Main St
-----Original Message-----
From: Lt. Don Chase [mailto:dchase@hyannisfire.org]
Sent: Wednesday, March 24, 2010 8:00 AM
To: Perry, Tom
Cc: Shea, Sally
Subject: 569 Main St
Hi,
Plans OK for the install of a new hood and suppression system @ 569 Main St, Hyannis.
The system will need to be monitored by an alarm company.
Don
Lt. Don Chase, Jr., FPO
Fire Prevention Officer
Hyannis Fire Department
,
3/25/2010
[TOWN OF BARNSTABLE]
My File Edit Tools Help
x.
--- - -Year/Type/Bill No. Customer account information --
.................................. _.._
History 2009, RE R } 24162 � 292894t C3
SANTOS,MICHAEL
Detail
Property information 4830 FITE 28
0rig Bill Parcel ID 308.111 000 COTUIT,MA 02635
Alt Pare
Effective Date
Prop Loc 1569 MAIN STREET (HYANNIS)
Lien/Sale 23 Special Conditions/Notes
Scan Bill
Quick Entry Int Dt Billed Abt/Adj Pmt/Crd Interest Unpaid bal
08I02108 � 318.19 � 00 318.191 00 .00
Utility Acct 11 f04108 r 318.1$ 00( 3181$ 00 00
„�.____ �w _ --- � -
Customer 02I03109 �425.50� .001f 425.5D — 000, � .00
05l02109 , 375 48 ... M 00 320 43' 3.70° 58.75
Name _ ..5 __.__ __.__., ..- ___ - r___�._ _
_ .
Fees/Pen 00 5.00 5 00; 00 .00
t Parcel Totals 1,437.35 5.00 1 387.301 3.70' 58.75
..�w �.v.,. !
Prop Code
Notes/Alerts Due 03/19/2010 58.75
Billing Dates
Per Diem .02
JAN 1 Owner: SANTOS,MICHAEL -
BillAudit ! IntPaid 24.83
Reprint - - - _..
L�btiesw�pnor unpau1 bEli-
Preferences
Diagnostics
1 of 1 ® ®(
CASHCHECK
IDisplay transaction history for the current bill. MAR 9 2 ,O —
°
PER N bFBARNSTABLE•.
BEEEg R E- t 8
14 M;tssuchusettS - Department of Public Safety
> Board of Building Regrulations and Standards
Construction Supervisor License
r License: CS 65318
Restricted-to: 00 "
>Sz s
o
MICHAELA SANTOS
4830 RT 28
A .s
COTU IT, MA 02635 rex
o--
J " Expiration: 1/28/2012
('unmrisionrr Tr#: 18416 t
✓lzeomvynonu, a
Board of Building Regulations' and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 143064
Expiration.,6/15/2010 Tr# 276305
Type: Private Corporation
APCON, INC.
MICHAEL SANTOS
4830 RT 28
COTUIT,MA 02635
i Administrator -
New Equipment Existing Equipment
Cash Re ister
2 cr is Cone Box 2
3 rink Cooler 3
Dipping Well €
5 offee Maker 5
6 6 Exhaust Hood System 6
3 bay sink w droinboords
Shelving a 40'-4" -
5 sWall mounted ou ees an a n a
,o 1oMenu Boards
it
Cleaning Solvents
2 2 Laminated Counter 0 '— 0 _ S O a
3Freezer Chest 13 a
•Refrigerator freezer 1
15 Frozen yogurt freezer 15 1
16Stove 16 f"
17 1] Mop Sink O
B Dry Storage/Shelvinge j q
15 9 Coat rack I� 5 Salad Sandwich Pre 21 ain ess rep a eBi Di er GRD23 Stainless Steel TableN w cabs e s w laminate to w1�
Scope:lnstall new kitchen exhaust
fan/hood system, GIRD & owner supplied
equipment. All existing interior finishes to
remain.
Total Sq. Ft. 585 =
Indoor Seating:6
Outside Seating in Common Area: 12
Bathrooms:2
onre yldlo
1
Town of Barnstable
Building Department - 200 Main Street
EARLE
► " , * Hyannis, MA 02601
9 MAS
1639. . 1508) 862-4038
RFD MA'S A `
iOccupancyCertif catef o
Application Number: 201001174 CO Number:. 20100071
Parcel ID: 308111000 CO Issue Date: 05/17/10
Location: 569 MAIN STREET (HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST
Proposed Use:
Village: HYANNIS
Gen Contractor: SANTOS, MICHAEL Permit Type: CC00 . :
CERTIFICATE OF OCCUPANCY COMM
Comments: CAFE SAMEDY
f '7 — ry
Building Department Signature Date Signed
TOWN OF - ARNSTABLE ing
�tHE, � .Bdd
14;1�11:!
Application Ref: 201001174 •
BARNSTABLE, * Issue Date: 03/,26/10 Permit '
9 MASS.
�ArFO 39�-�A� Applicant: SANTOS,MICHAEL Permit Number: B 20100498
Proposed Use: Expiration Date: 09/23/10
[Location 569 MAIN STREET (HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION
Map Parcel 308111000 Permit Fee$ 50.00 Contractor SANTOS,MICHAEL
Village HYANNIS App Fee$ 100.00 License Num 065318
Est Construction Cost$ 5,000
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
TENANT FIT OUT WITH MINOR ALT-FOR CAFE SAMEDY THIS CARD MUST BE KEPT POSTED UNTIL FINAL
ADD HOOD EXHAUST WITH ANSUL SYSTEM INSTALL NEW GR INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: SANTOS, MICHAEL BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL_
Address: 4830 RTE 28 INSPECTION HAS BEEN MADE.
COTUIT,MA 02635
Application Entered by: PR Building Permit Issued By:
THIS PERMIT CONVEYS NO:RIGHT TO'OCCUPY ANY STREET ALLYOR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARIL`'YDR PERMANENTLY:
ENCROACHEMENT3 ON PUBLIC PROPERTY,NOT SPECIFICALLYTERMITTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION.
STREET'ORALLY GRADES AS WELL AS DEPTH AND LOCATION OFPUBLIC SEWERS.MAYBE OBTAINED FROM'THE DEPARTMENT OF PUBLIC.WORKS.
THE ISSUANCE OF.THIS.PERMIT DOES,,NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE.SUBDIVISION RESTRICTIONS,
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5.INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DAT&THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
;t
N r v
777,.7M., WooT"- v;a.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 t Q,4 0-r P �'��^- � � 2.. �3 / )
o LL
3 �� Oe 1 Heating Inspection Approvals Engineering Dept
Fire Dept 2 Board of Health
� I
YOU WISH TO OPEN A BUSINESS.i z`
1"
For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town
(WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the.necessary signatures on this form
at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1' Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get
the Business Certificate that is required by law.
N DATE: 0yl jyl 2olo
Fill in please:
r r w APPLICANT'S YOUR NAME: JEN E Cc- f}jnEj y
BUSINESS YOUR HOME ADDRESS: ft1hJbI j� �IyPrNNi.Si h'1(} 0'ZC01
TELEPHONE # Home Telephone Number:
NAME OF NEW BUSINESS CI)F S�1h D� TYPE OF BUSINESS F004 - V+rC
IS THIS A HOME OCCUPATION? YES X NO
Have you been given approval from the building division? YES NO
ADDRESS OF BUSINESS S' �t n �n� :,, MAP/PARCEL NUMBER
When starting a new business there are several things,you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of,
Yarmouth Rd & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this
town.
1. BUILDING COMMISSIONER'S OFFIC
This individual h b e in4orm �,rm- rements that pertain to this type of business.
ut orized.Signature*
COMMENTS: , ®`
2. BOARD OF HEALTH '
This individual has-been infor d ofe permjq require ents that pertain to this type of business_
Authoriz=11gnaure**
COMMENTS-.
.3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has Ip9en informed of the licensing requirements that pertain to this type of business.
J)aWti(,t --
Authorized Signature**
COMMENTS: IV e ells �'��t P,ton Vl
b .
Sign '
BARNSTABLE PermitBARNSTABLE, TOWN OF
MASS.
9� 16
�FG�A� Permit Number.
Application Ref: 201001944
20070445
Issue bate: 05/03/10
Applicant: SANTOS, MICHAEL
Proposed Use:
Permit Type: SIGN PERMIT
Permit Fee$ 50.00
Location - 569 MAIN STREET (HYANNIS)
Map Parcel 308111000
Town HYANNIS
Zoning District H V B
Contractor PROPERTY OWNER
Remarks
5.25 SQ FT SIGN ON AWNING CAFE SAMEDY
Owner: SANTOS, MICHAEL
Address: 4830 RTE 28
COTUIT, MA 02635
Issued By: PC ��--
�FQST T IIS CARD SO TIIA.T IS VISIBLE FROM THE STREET
I
�p1HE r Town of Barnstable
Regulatory Services 1 ,g' L "
, gLE
* BARNSTABLE, ; TO t I OF t i '�
Thomas F-.Geiler,Director
En i orate` Building Division ?
. :,,
' Tom Perry, Building Commissioner k
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us —�
Office: 508-862-4038 Fax: 508-790-6230
t 4 Permit# ao .�
l7
Building Official approving --
Apphcation for Sign Permit
�] ��//
Applicant:_` f V`�-- ---- h1 �_L-------------Assessors No. — --------
Doing Business As:__ e
— -----_ i � ---- ---Telephone No_
Sign Location
A w
1
Street/Road: �I St ! 7� 2601
Zoning District: —� --
Old Kings Highway? 'Yes/No Hyannis Historic.District? Yes o
Property Qwner
q
Telephone:-- 0� y �lZ
Address:
Village:---�—_k4--�
Sign Contractor ,
Name:------- 1 — C --=-----Telephone:___ 1�. CIE
Mailing Address `lPON�—t' — '—I'— --02 01. _
Description
Please follow the cover.directions.,You must have an accurate rendition of sign with dimensions and
location. Y
Is the sign to,be electrified? Ye No (Note:If yes,'a wiring permit j' requrretl)
Width of building face', I ___ft.x 10= tso_x .10
Check one.Reface existing sign_ a or New__- Total Sq.,Ft.,of proposed sign (s)'" _
ITyou lea ve additional sighs please attach a sheet listing each one with dimensions
If refacing an existing.sign please provide a picture of the existing sign with dimensions:
I hereby certify that I am the owner or that I have the authority of the owner to make.this application,
9 that the information is correct and that the use and constriction shall conform to the provisions of `
r`§240-59 through §240-89 of the Town of Barnstable Zoning Ordinance.
I a E
- Signature of Owner/Authorized Agent:--- --- ---- --- ------ Date f ---__ —
f-
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t' SIGNS/SIGNREQU. f revisedl03009 i
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REVISIONS
New Equipment Existing Equipment
1 Cash Register 1 '_
2 4,crylic Cone Box 2
3 3 Drink Cooler
4 q Dipping Well
5 5 Coffee Maker N
d
6 6 6' Exhaust Hood System Q o
7 3 bay sink w/ drainboards
Q
8 g Shelving 40 - 4�� w
9 y Wall mounted touchless hand sink --- -
cc now- 0 o
10 10 Menu Boards N
Q
11 Cleaning Solvents
2 12 Laminated Counter j 1 " --- 3--- ------- -- -------------' 7
8
--
- -
.. :.. ... ........... ..... ..... ............ .....
21
3 3 Freezer Chest 3 3 z
14 12" Fryerlator 14
15 15 Frozen yogurt freezer ;1
6 Verticle Cooker 16
17 17 Mop Sink O i,
0
18 1,5 Dry Storage/Shelving i 4
19 19 Coat rack 9 O 23 2 2
� 19 a �
20 „ 1
20
21 21 Stainless Prep Table 17 000 20 L
22 22 Big Dipper GIRD I IL
23 Steamer _ 23 __- --- p —
UE51GNFf
24 Salad Bar 24
� COTUIT,
MASS. pG�
Lek OF 19& /
Scope: lnstall new equipment under
existing fan /hood. All existing interior
0
finishes to remain .
Tonal Sq. Ft. 585
Indoor Seating: 6 Y
Outside Seating in Common Area: 12 4
Bathrooms: 2
f
Q A- 1
DATE 3/12/1 1