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0599 MAIN STREET (HYANNIS) (5)
a ;j i �� n� i , y� i G. I _ .�w YOU WISH TO OPEN A BUSINESS? For Your Information:- Business Certificates cost $40.00 for 4 years.*A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). , You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law, DATE March .9, 2018 Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME Anejo, Inc. BUSINESS TYPE: restaurant/bar BUSINESS YOUR HOME ADDRESS: 599 Main Street, Hyannis, MA 02601 (508)776-6300 t97@gmail.com ' mall Address iamie.surprenan TELEPHONE Home Telephone Number 776 6300 NAME OF NEW$USINESS 599'Main Street H annis MAio2601 OR EIN g y 2 4660204 HaviYpsj e ou ti'een iyen aju di P'P s Y 9..: ADDRESS OF.BUSINESS 599,Main Street, Hyannis„MA 02601 ; .. .s . F ::.MAP/PARCEL NUMBER 308/,.1 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' OFTICE This individual has been i med an rmit requirements that pertain to this type of business. Authorized Signature`* COMMENTS: C40 C Awcov- 2. BOARD OF HEALTH This in hJA en informed f th it re irements that pertain to this type of business. rized Si nature"* COMMENTS: 4 W14 -F1-)bA QQZJ�nl 3. CONSUMER AFFAIRWsb ?V1 NSING THORITY) This individual lif e f licensing requirements that pertain to this type of business. COMMENTS: ` J w,1 e� .Town of Barnstable V Regulatory Services Sld'BARNSTAB j��� Richard V.Scali,Director Building Division ", APR 18 Torn Perry, Building Commissioner 1% 200 Main Street, Hyannis,MA 02601 OP www,town.barnstable.ma.us �; Office: 508-862-4038 Fax:. 508-790-6230 4 Permit# d Building Official.approving Application for Sign Permit h . Applicant Assessors No. . Doing Business As Telephone No. Sign hocatio Street/Road: 1 - Zoning District: Old Kings Highway? Yes o Hyannis Historic District? Prope Name ' elephone: Address: Village Sign C ` Name: / O elephone Mailing Address: OC-b /'✓l «f . . Nb D Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. ; Is the sign to be electrified?, Y (Note:Ifyes,a miingpermitisrequrred) Width of building fac ft.x 10— .10 Check one Reface existing sign or New Total Sq.Ft. of proposed sign(s) �" Ifyou have addidonal signs please aftach a sheetlisdvg each one isith dimensions " If refacing an existing sign please provide a picture of the existing sign with dimensions. TO 1441 I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of' , §240-59 through§240-89 of-the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agen Dat . ell P-01 SIGNS/SIGNREQU revise4110413 " 4 -& a��KE r Town of Barnstable Regulatory Services YsnMSTABLE, Richard V.ScaIi,Director 1619.v10%.�m. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wvnY.toiYn.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 SIGN PERMT 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 eleNlation 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 P— 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 II". 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 or the leased area. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU re-%risedl 10413 ��qn Nu"�o,1 � . 3ya� � CosF e t i w J zf .� z';5• �ti ` �'•.� � �,d{, { (. $ � ♦tom. 4 ;Tr ,. x` _ f LIM a. a v � M n, i "';!� �1 f i s � 1 E y �III t EXISTING PROPOSED' BEECII BAR „ - ', - D o .w , .E -� �l amei�g�o�nato t A - R � �' � �... �` a ,, �:, • a, ® ® • • � ® � ® • • � r r"r�fEa"'' p O ��� t " o � — � o � � • o CUSTOMER x. PERMIT No. DRAWN BY DATE: MATERIALS APPROVED BY LOCATION: ) P.OJ REVISIONS: �. ,g ,., �z� .. >.� � SCALE ,.a This is an orginal unpublished drawing, created by Plymouth Sign Company, Inc. It is submitted for your personal use in connection with the project being planned for by Plymouth Sign Company, Inc. It is not to be shown to anyone outside your organization, nor is it to be used, reproduced, copied or exhibited in any fashion whatsoever.All or any parts of this design (excepptin�registered trademarks) remain property of Plymouth Sign Company, Inc. Charge for design without permission of Plymouth Sign Company, Inc. is$500. o.. 1 i I - - - i i I l I Wes, -97 dan r _ a Sl MillA•` x . -, . -. s. u' � w t--. 1 ti:.A �' Y1 •. pas r_. .`. � . :E � �.d u„ FAa -commanw of:Massachasefts . Sh efaiAll Map 3 Parcels' Permit.# [1-7 -(a .� Date Z` R? �' , ig av Estimated Job-Post:S .0-1) Permit Fee: CD Plans Submitted.: 'YMS t)� NO�o Plans Reviewed.: YES .NO Business License# S C?C7 Applicant License# Business InfoMatiD= Property OWner job.•Lobat'otLinfoo0,Amation: Name: P ljlEt-ucy4rl�t�� Nznie C. l Su Street: �I n�i}�R � •Street - ,/�/'� City[lbwn: I L► I�Nti f S JC�1 Telephone: �� �l��f t( '��U Telephone: `� (��_ 0196 _ 7 Photo I.D.required/Copy of Photo.L D. attached: YFS , . NO J 1/M=1-unrestri.eted.lirense . .J 2 f M-2 restricted to dw6lliags.3-stories or less and commercial up-to 10;000 sq. f� %2-stories or less ResidentW-1-2 family Multi-family Condo/Townhouses Other .. i Commercial: Office Retail Industrial Educational Fire Dept.approval� lnstitu ional_ Other� µ Square Footage:`under 10,ODO.-sq.ft over 10,000 sq.ft. Number of Stories: i Sheet metal work-to be completed:- New'Wgrk: Renovation: HVAC Meta1'Watershed Roofing. Kitchen Exhaust System McW-Chimney/Vents Air' is*n.=Z Provide detailed description of work to be done: , - f i INSURANCE COVERAGE Y 1 have a current limbl1ity.insuranoe poiiry or its.egulvalent which meefs-the requirements of Ka-L Ch.112 Yes❑•No ❑ if you have checked Ygg Indicats the 4*-of ccvera}e.by checking the appropriate box.below: l . A Habiiity,insurance pd icy Other type of indernriity ❑ Bond ❑ OWNEWS INSURANCE WANEi2:-I am.aware,ttsat.the licensee cfoes.�hof have itre insurance coverage required by Chapter 11.2 of the Massachusef#s General Laws,and that mysignat up on'lhis-pennit application his requirement: Check One Oniy owner Agent ❑ ' Sgtrafute of Owner or•Own'e -s Ag ? 1 Sy checking this•box❑,I hereby cer8iy that all of the details and Information•(have submitted(or entered)regarding this application are bve,and accurate to the best of'my knowledge snd'thafall sheet rristal work acid instaitations.performed undeF the permit issued,fort da..apprrc�ori w II be In compliance with all pertinent provisibri'of the Massachusetts'Building Code and Chapter 112 of the General lays Duct tnspecdon required prior toinsulafiori Inst`a[lation:YES NO . :�rot�lress•.I>tzsnectians . ; .• . Date CG=Mts Final ln;Wect7on Date Co=ei is Type cifUcense: 3Y aster Me ❑Master-Restricted \ i 'ftY/To`^'n - - ❑Joumeyperso'n•. Signature of Licensee .❑Jmmeyperson-Resbicted Ljcense•Nurrit r 5 3 =ee$ Check at www.mass,Wddj2l nspector5ignatum of PermitApprovaC THE� Town of Barnstable Regulatory Services a f - _ KAM Richard V.Scali,Director. �¢ ►'� Building Division. Y Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 ` www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder I �� I( tit ��� , 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. �Q Gf 'l/ (Address of Job) **Pool fences and alarms are the.responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted' Signature of Owner Signature of Applicant w P4 ALtA s Print Name Print Name Date `. Q :FORMS:OWNERPE UMSIONPOOLS J. ' EASTCOA-03 KSCH U LTZ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 03121/2017 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 have ADDITIONAL INSURED provisions or 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: Mason&Mason Insurance Agency,Inc. PHONE FAx 458 South Ave. A/C,No,EXt:(781)447-5531 AIc,No):(781)447-7230 Whitman,MA 02382 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Admiral Indemnity Company 44318 INSURED INSURER B:Charter Oak Fire Insurance Co 25615 East Coast Fire&Ventilation,Inc. INSURER C:Navigators Insurance Company 21 G Patterson Brook Road INSURER D:Starr Indemnity&Liability Co West Wareham,MA 02576 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F OCCUR CA000024908-01 07/15/2016 07/15/2017 DAM MIS AGE TO RENTED 50,000 EES E occu rrence) $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑X JE LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BABB38945116AUF 07/01/2016 07/01/2017 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY Ix AUTOSBODILY INJURY Per accident $ X HIRED NON-OV D PROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accident $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE NY16EXC8778831C 07/15/2016 07/15/2017 AGGREGATE $ DED X RETENTION$ 10,000 Aggregate $ 2,000,000 D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE WCO849676 OO 01/06/2017 01108/2018 1,000,000 FFICER/MEMBER EXCLUDED? � NIA E.L.EACH ACCIDENT $ Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) The Town of Barnstable are additional insured for General liability for ongoing operations per the terms and conditions of form CG2010 04113.Completed Operations is covered per the terms and conditions of CG2037 04113. Waiver of transfer of rights of recovery in favor of additional insureds applies for General liability per the terms and conditions of form CG2404 05/09. Primary non-contributory for General liability applies in favor of additional insureds per the terms and conditions of form AD 0657 12103. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main St. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD. P _ i Offirld iey}a�� �j�j WMAiggfaW f.bVJfAFI l���LLL -. worms Cu alp lnscam ceAifEdagit Em-ld agtracbars/EfechacizmmT n, bexs Appli ant Infarmzd= Prase Primt F IbTa= FA 5. I CCU' �, C/t, pATFL� ,30,u Ma, . Q Eire y=m employer?(Mwk*e 2ppcuprialn btu Zy�of poiett Crud L zI am a employer vfa a5 4- ❑I a s l cm aad I ❑Ides atwdim em&yees(fizll aadtorpatt- -)* have the mb-c�S Z:❑ I am a sole propdi orparftmr- listed ou the steed.6act 7- ❑lzr dm g ship and have no employees The=rab-ooutrartarshave g- ❑77Psn�T;t�,., me m amy mpac ensFkye=md ham workers' g_ ❑ $ LNOuro=IMs'camp-mace comp- We ate a.cmpmafiama3:difs lf}-[]EhrEc l 1epgfi3 or adddions . 3_❑ I am a ham doing alI�orlc affi=-s hive ffi,ew ILQ Fkmbiog=pairs or adffihc'�s. . €[N=Yselo tea' - 1� °aperbfCzl- 12- Roofrepaits 1572, §1(4�mdwehm w -LNawad=& camp-m�reqpir�j dcbr�sb=,wlxmstaIsofa out tt--s belmrsh=dng ffidxvo� P.FF � H� r���ca�ffi�haeea�es�mk•ura�srs�d�tms�rTz _ �suh�t•dvs�d�igthey +�S �Ca9ssF eherJc i3xis t�mgst siter]cerI aa-��;n,•^�,�shtrcrmgt�er�eaf�e m3st� � �ies�isve e�a9lepees fft�s 7sas a MWJV s,8legmmmt px M&*Et WM&Eecamp POFLCY=MQf hum a�grr�glay�#hrd'fsprrr►�sg tt~irrl~ers'ca�srLSYdintr tzt�r�ce�'ar m}R e�,y� Bdat�is f3tega�c}*a�3 jnb sits . trt;�nrxrrQtirsst. '- � r Insurance Comp�s2tybI�me: iU ��i�/l ► _ Fofi�cg � ffT� TSB 44 UJ C- q K to U Iat Iobif t Cgr'�fafelTp= �cTit a'�y crf the tt�rkets'camprasatian pa&t5'dtxF�trsf�n prage(s ��.�gafi�i€mm�erl s�[d as�xt��. , Far-um to SecEmhsll of BlM r- M cm lead to t7�imp-1—OfcdnTinal ptmffim of a on f=up to SUDD_DD and/or one-years Rs wcn as civilPemd1im m$ie form of it SM?WORE€ORDES.and a fine nfup try$250-00 aF day agate ffie violdw- $e wised tlld s copy of Brix maybe ceded fa the OT=of 7ytvesfigrztzon.4°f the DT1�€or+*,�_�comae ve�txi_ - J&bane carfifp under•tbg} rir gyp ' fftst$sa u 'arn�a#iaa pray i£rzhave es hua�cf carrart �� I� _ _ � �1. ( R OURid art?}; Do nat w its ire tlsis area,tabs carrzgretetI by City a trr zt a i ia2 Cfty or Town: - i#/L�se - IssAn c'uffiasity(drele onc�-- L Enard.of lac l&2.BUffing I3el=tommt 3�atOTIawia Qerk 4_IIeddc I Inspector S.Mmxhmg ka=tr Car�atct Rtrsost: PIi� Information and 11hkructions hdasrachmsetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. this sttrrte, an mrpIopee is defined as`°_every person in the service of another under any contract ofhire, express or implied, oral or Wntten." An mnployer is defined as`pan individual,partnership,association,corporation or other I or legal entity, any two or more � of the inregoing engaged in a joint eniraprise,and inc3.uding the legal represeadatives of a deceased employer;or the receiver or trustee of an mdindw1 partnerhip,association or other legal entity,employing employees. gawf_-vet the owner of a dwelling house having not more fhan three apartrnends and who resides therein,or the occupant of the . dwelling house of anolher who employs persons to do mak tmance,construction or repair work on such dwelling house or on the grounds or buiilding appm tenant therein 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 permittn operate a business or to construct buildings in the commonwealth for aizy applicant who has not produced acceptable evidence of compliance with the insurance` s required_" eq uired Additional) ,MGL ter 152 25 states`Ntithesthe. Y � , § � commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic wank until acceptable evidence of compliamce with the inermmnm requirements of this chapter Dave beeam presented to the contraciing.anhority." Applicants. Please fill out the workers'compensation affidavit completely,by checldag the boxes that apply to your situation and,if necessary,supply sub-contracto s nam s address es and one numb s r() e(). ( ) along with they certifi s o insarance. Limited Liability Companies(LLC)or UnitedLiability Partnerships(LLP)withno employees other than the members or partners,are notrogahrd to carry workers' compensation inrnranm 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 confnmation of inset-ante Coverage. Also be sure to signu and date the ai$davit The affidavit should be returned to$�e city or town that the application fnrthe pe nnit or license is being regaiested,not the Department of Industrial Aceidents. Should you have any questions regarding the caw or if you are required to obtain a workers' compensation policy,please call the Department at the mmmber listed below* Self-insured companies should enter their mp self-.mete license number on the appropriate line. City or.Towa Officials Please be sure that the a,$da7h is complete and printed legibly. The Department has provided a space at the bottom o e affidavit outs f the affi vit for y fill out in the event the Office o f In ' ns has to contact you vestigatio y re the applicant' � leg Please be sure to fill in the pemaitllicense number Which will be used as a re.Lezence number. In addition,an applicant that must submit multiple pmmitllicense applitations in any given year,need only submif one affidavit indicate current Policy mfarmation(if necessary)and under"Job Site Address'the applicant should to" app ul wren all Iocahons in (city or town)."A copy of the affidavit that has-becn officially stamped or marked by the city or town maybe provided to the applicant as proof that.a valid affidavit is on file for bit=peimits or licenses_ A new affidavit must be filed out each year_Where a Dome owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit tp bum leaves etc.)said person is NOT required to completn fins affidavit The Office.of Investigations would hke to thank you in advance for your cooperation and shouldyou bave anyquesiions, please do not limitatte to give us a caIL The Department's address,telephone and fax number 'at Comma¢ tth of M=achusttfs Depalt mend Qf al caid�nts, Q�toe of�'cF� t�n� .• 1 as MA G211I Tel,A 6I 7 727-4 �Jft 4-06 or I4 MA_,�, � Revised 4-2447 Fax.9 6I7-727-T-749 w.mass-gaVdia `OMIMONWELTHOFNIASSAGHUSETT � ' SHEEN'ME.T. 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Corporations, external master page Page 1 of 2 Willia ro Secretarym Francis Galvin • r of • t of Corporations Division Business Entity Summary ID Number: 272121S96 Request certificate [New;search Summary for: BEECH TREE ALLEY, LLC The exact name of the Domestic Limited Liability Company(LLC): BEECH TREE ALLEY, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 272121596 Date of Organization in Massachusetts: 03-15-2010 Last date certain.. The location or address where the records are maintained (A PO box is not a valid location or address): Address: 766 FALMOUTH RD, D-20 City or town, State, Zip code, MASHPEE, MA 02649 USA Country: The name and address of the Resident Agent: Name: JAY R. PEABODY, ESQ. Address: 128 UNION ST., SUITE 500 C/O PARTRIDGE SNOW & HAHN LLP City or town, State, Zip code, . NEW BEDFORD, MA 0274or USA Country: The name and business address of each Manager: Title Individual name Address MANAGER WILLIAM D. PANE 2200 SO. OCEAN LN, APT. 1205 FT. LAUDERDALE, FL 33316 USA MANAGER PHILIP M. MILLER JR. 766 FALMOUTH RD., MADAKET„PLACE#D-20 MASHPEE, MA 02649 USA > In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY PHILIP M. MILLER JR. 766 FALMOUTH RD., MADAKET PLACE #D-20 MASHPEE, MA 02649 USA 'I SOC SIGNATORY WILLIAM D. PANE 2200 SO. OCEAN LN. APT. 1205 FT. LAUDERDALE, FL 33316 USA j http://corp.sec.state.ma.us/CorpWeb/CorpSearch/comSummary.aspx?FEIN=272121596&... 3/22/2017 Mass. Corporations, external master page Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY WILLIAM D PANE 2200 S. OCEAN LN. APT. 1205 FT. LAUDERDALE, FL 33316 USA REAL PROPERTY PHILIP M. MILLER JR. 766 FALMOUTH RD., MADAKET PLACE #D-20 MASHPEE, MA 02649 USA ❑ ❑Confidential ❑Merger Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report -'Professional -- Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entityA. • New search r http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=272121596&... 3/22/2017 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: _ Fill in please: APPLICANT'S YOUR NAME/S: .c7► �C BUSINESS YOUR HOME ADDRESS: g TELEPHONE # Home Telephone Number so—N— 56(QS_ q:g' ) NAME OF CORPORATION: NAME OF NEW BUSINESS Tl—k)15 I�j� T'�L r, TYPE OF BUSINESS f IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS tMY1 — � V 2 MAP/PARCEL NUMBER �n�S 9 l� [Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has brg er any permit requirements that pertain to this type of business. AutHoriize�d Signature** COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. , Authorized Signature* COMMENTS: - 3. CONSUMER AFFAIR LICENSING AU RITY) This individual ha ski o ip�ri�g requirements that pertain to this type of business. MOP Aut i d ign COMMENTS: �c• Commo.nwealth of Massachusetts Sheet Metal Permit ParcelL ~ Map Date: I Permit# Estimated Job Cost:.$ D MAY 62 2, 616 Permit.Fee: Plans Submitted: YES NOCN OF 84141 77-m Plans Reviewed:.YES NO Business License# - Applicant License# Business Information: Property Owner/Job.,Looation Information: ; Name: AffL_ (L"146VJ Name: Street: Street: '!;qq 0104lh S!Afti City/Town L'ty/�i�N City/Town: I ("AQ f-VI I S Telephone:e• 0 Telephone: .''��D <<� p Photo I:D.required/Copy of Photo.I.D. attached: YES NO_ staff Initial l S;1 nrestricted-license i .J-2/M-2-•restricted to dwellings 37stories or less and commercial up to 10;000 sq.. fft /.2-stories or less i Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail_ Industrial Educational j ]Fire Dept Approvals Institutional_ Other Square Footage: under 10,000 sq, ft. over 10,000 sq. ft. Number of Stories: i Sheet metal work to be completed: New Work: Renovation: F' HVAC Metal Watershed Roofing. Kitchen Exhaust System r j. Metal Chimney/Vents ' Air Balancing Provide detailed description of work to be done: . 5 tom. � ` �' � ,S►� INSURANCE COVERAGE: I have a current tiabilttv.insurance policy or its equivalent which meets the requirements of M,G.L.Ch.112 Yes❑• NoV If you have checked Ys&.indicate the of covera e: checking the appropriate box.below: Y type g b!' � i r i A liability Insurance policy ❑ Other type of indemnity ❑ "Bond '❑ OWNER'S INSURANCE WAIVER:`.]am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,,and that mysignature on this permit application.waiyes this requirement: s Check One Only Owner ❑ Agent� Signature of Owner orOwner''Agent w, By checking this.box[],I hereby certify that all of the details and information d have submitted(or entered)regarding this application are true and accurate to time best of'my knowledge and.that all sheet-metal work and Instaiistions.performed under the permit issued for this,application will be ` in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws., ` Duct trispecdon required prior to insulation installatlonc YES NO iPiogress Inspections I Date Comments Final lnsRection Date Comments i Type of License; ByWlaster Fide ❑Master-Restricted C1tylTown ' ❑Joumeyperson Signature of Licensee 'etmit.# ❑Joumeyperson-restricted License.Nurfiber =ee$ check at www,rnass.aovldnl k nspector Signature of Permit Approval �t��x1�a+;rra'f€r�a,f�assc�e>�us Deprtn mt nfhdasf.T-d 4cciderrtv Office Of hr•P €f3 aficas 600 Ww- gfaa,reef Boston,MA 02 WfoV 7fi=g dia Work-ere' C ampensaf anImmnanceAf davit SunldersfC-antractorsfElectricmnMumbers n T�armai�oYf Please print Name M sina s Ffnrkvi �_ ddret BIJJI �1�LAW tA, City/state) d24c b0 -88/5 Are you an employer?G%eck.the apprupriafn bow: T of ect Cr��p- 4. I ain at. confractor and I � �� � l ❑ I am a employer With ❑ � b_ ❑New constx�[oa employes(full an brpazt-fine)-* havehiredtlie mib-cDnhmc bn 2_�I I am a sole proprietor orpartner listed on the attached sheet. 7 ❑Rmandehag shift and hate no employees These sub coutrar�ors have 8- ❑Demolition woA ng for mein any capacity en�playees and have Woikers 9. 0 RUAdMg addition R�T{Y Wodams'COTilp_in�rirane a cord-rostra a--l mired I 5_❑ We are a corporation.and its 10-0 metrical repairs or additions 3.❑ I am a bomeommer doing all worlr officers hnm emrcised fheir I LO Plumiring repairs or additions. m�li= [No workers'aoanp- right of 1(4m and gm r Zvf ,n 12-0 Rinaf repairs. ati m�se required-]i �1.52, �1{4},anal tie hati�e urt �-- eivplayee s_[Na wars' 1 ],tther —��- `l �pll.. comp_msuraanm required-] (�iC-�[1p1� *Lint'svg thatchedssboxW1must also fillomithesectionbelowsha $Leinwo&eni7xomtmrompeasarirn�pcili�giufmm �Homeowner oche sabmit dais s$davif i�cstisg they aLe 3amg slTnmiC s�4I.then hfre tree cogtraetncs must seab�aue�s�ndzrit mti3r�ing scucl9._ [n=that rhxY ibis box mraggt attarbW sat ariditinnsi sbeet shocciugtbYe name oftbe sbV-O Da and stRhE whether acnaxihaSE Mfties have employees. Ifthe sob-cantractMs here employees,t$eg must Pnna6e ter wer11W comp policy avmhex- �min arz eFrigb�r•thmt ispruxdri�rzg tt�orkers'co7rctpetrsrrlintl inartrrutce far trry^employees. �eiaus is thepa&c}�curd job�rtir iri,�vrmtzti�n. ' Insurance GoinpatiyName: Folky or Self-irm-Iic- FxpirationDate: Ioh Site citgfstatelzip- A fach a copy of the,vmrkers'compeasat km policy dez1aration page(showing the policy iramber a-ad ex&z ion dxt-C). Failure to secure coveeraga as required under Section 25A of MGL c. 1U can lead tao the imposition of criminal penalties of a free up to$1-50U-m0 andlor one-gearimptisorsmen�as well as givil pessa% is the form of a STOP WORK ORDMand a fine ofup to,$250-00 a day against th violator_ Be advised that a opy of this statement maybe forwarded to the Office of Iuveftations of tie DIA fDr a coverage z ati I da hereby rcder ' s rrnrFpena "s f#atthe informatilanprmidzd ahave rs bar&and correct IiO Simature: Date- O Phone#- D 60 d,f F--im£u&e azify. Da not write in this area,to be completed by city at tawn O ic&Lr Gifu or Town: PermiiVLicense 9 Issuing c'inthosity(drde one): L 3aard of HeaI`th 2.Riffcfrng Department I�TFI awa Clerk 4-Electrical Inspector S.F•lumbb,- g Tvsperter .6.Other, Contact Ferran.: Phone#- 6 ]Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuautto 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 3efined 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." MGL chapter 152, §25C(6)also states that"every state or Io61 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, MCrL chapter 152, §25C(7)states"Neither`she commonv,%ealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliapce 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-contractnr(s)name(s),address(es)and phone number(s)along with their certificafe(s)of insurance. Limite-ri Liability Companies LLC or Limited Liability Partnerships �' p (' ) ty h�� (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. I 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 tell 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_as applicant that must submit multiple permftllicense applit.ations in any given year,need only submif one affidavit indicating current policy information(if necessary)and under"Job Site Address'the applicant should write"all locations in I(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be.provided too the applicant as proof.that.a valid affidavit is on file fur futurepermits 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 1\701 required to complete this a ffidaNdt The Office of Investigations would Oct to than you is advance for your cooperation and should you have any questions, please do not hesitate to give us a caIL t{ The Department's address,telephone and fax number ° 4 i n1G CoIl7mOnm?f,-altl.l of M&ssachusetts Depaitmeat of Industdal Acciae�n : - Qff ice of lavestigatiGm 600 Washington Su et Bastou,IAA 02111 Tel.thi 617- 7-49-QO Qxt 4-06 or I-�WTMASSAFE Revised 4-24-07 Fax# 6171-727-7749 ' www.�as�gov�dz'a - 1 . IKE Town of Barnstable Regulatory Services I .RAIR,M, ' Id 109 Thomas F.Geiler,Director 1651 Building Division Tom Perry,Building:Commissioner ` 200 M4in Street,Hyannis,MA 02601. - www.town.barnstable:ma.us Office; 508-862-4038 Fax; 5.08-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder VVVAQ4r— ,as Owner of the P subject roAY) P hereby authorize Note- k4t\—V1\y\ ;fit'% to-act.on my behalf, in.all matters relative.to work authorized by this building.pe=iit (Address of Job) ,. **Pool fences and alarms are the responsibility f the applicant. Pools are not to be filled before fence is installed and p is are not to be, utilized until all final inspections are performed d aecep ignature of Owner' Signature of Applicairt Print Name Print Name Ito Date .FORI4S:0WNERPERMSS10NP00LS , THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA t ASYS�US9EU: � 11 \ OMMASMH�I t' �C�: a BflAffiLi w©Fil �Kr 5 Alt r•. � F y x �r ,� t E �sa�61 � SkiEEf�A11E�AL WORKE# S ISSUES�TmA FO-LUWING LICENSE UNR�3TRICT.ED,, 6�CF{AELJ WELNINSKF �r F � - SZaoyr i `w PLANT RD F ANNIS,MAx 1. ' ,�-��9E74 11/28/2016 2U9 ice"" r �w r •Ccimmonwealth of Massachusetts op, Metal Permit Map s Parcel V Date: 0 w0 j. Permit# �S�v � Estimated Job Cost: $ J OVP e�11 Nnr Permit Fee: $ Plans Submitted: .YES .NO ' SZ3Vj4JOPlans;Reviewed: YES NO Business License# SC?f� Applicant License# 5-3 5 Business Information: roperty Owner I Job.,Location.Information: F Name: -i� 'Co A 5T T I Street: SQ. (� Street: ���� � ��f�.Xp`F�lr., City/Town:. I City/Town: UIC51E LAI-AM1144, Telephone: SD "�� Telephone: �'u '�` -qs D Photo I.D.required/Copy of Photo.I.D' attached.: YES NO sia'n initial J-1 -1-unrestricted.license 4-2/M-2-restricted,to dwellings 3-stories or less and commercial up to 10,000 sq.fft./.2-stories or less i Residential: 1-2 family Multi-family Condo L Townhouses Other I'I Commercial: . Office Retail Industrial Educational Fire Dept. Approval�'yL Institutional_ Other Square Footage: under 10,000 sq. fL over 10,000 sq.ft. Number of Stories: i Sheet metal workto be completed: New Work: X Renovation: HVAC Metal Watershed Roofing.. Kitchen Exhaust System.!!K_ Metal Chimney/Vents Air Balancing . Provide detailed description of work to be done: i I .INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No ❑ If you have checked Yg§,,:indicate the type of coverage:by checking the appropriate box.below: I A liability insurance policy Other type of Indemnity ❑ Bond ❑ I OWNER'S INSURANCE WAIVER:1 am.aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application-waives this requirement: Check One Only Owner Agent ❑ I . Signature of Owner or Owners Agent I . By checking this box[],I hereby certify that all of the details and information l have submitted(or entered)regarding this application are true and accurate to the best of'my knowledge and.that all sheet metal work and Installations.perfonned under the permit issued f r this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO j Progress Rispections Date Comments Final.IngRection ' Date Comments Type of License: ' 3y ICI Master a . Title ❑l Master-Restricted '1ty/Town ❑ioumeyperson. Signature of Licensee permit# ❑Joumeyperson-Restricted License:Number.. =ee$ Check at vrww.lrlass.dovldnl inspector Signature of Permit Approval 1 a *•.•§ £E _dry I SSUES J SS: CrIJ.F1i D DEiJrl:j:c <_ kl,S C 0 A S T FAR , I 3 J r',GlV Di I'C'{ RDA r . Cori Sol- it If`y_our license,is lost d needs to be corrected v s amapour weed or b slte at J.nass.aovydel.or instructions to ensure the properm b,s oat class p orate,or for Application and any'other correspondengce. Your Renewal This-license is,subiectsto Massachusetts General Caws and regulations. four license is a privilege,and cannot a - assigned to any.person or entity under penalty of law. A liconse on our lent or Y person.or posted as required by lay,and/ep,his regulations. T f , ShFE'T !iC ( al 4'ORKF�S- ( SSULS I:I E FOIL LOW P, u,: 1S y :SUS I IdFSS DGNiI D. ii }DEIdN(� y:`R E1tST C0Nq.T F i R.'L -.j�'r.(p :.V[NT( LAT I oit! € c:chlD i t K _RD:, SJ1T: 4. p 7 } ! III/�,0' ..�. V-v��Jf�o OJ yp, 4l i(: 41 hf x W Imo '� _ /n'COL,f [� JJ ji( t1Z1 T y 4N ROI Yf 1AAP0RTArqTif o �� „ Your license is lost, damaged or destroyed;0� =�1y{1; needs to be corrected,visit our web site at mass.00 Y Is inaccurate;or fy)€i y instructions to ensure the proper.mailin v/dPl for V � �� Application and an g of'Y,our Renewal 1 y other correspondence. This license is sub' to regulations.)'our license is Massachusetts General Lawsand assigned to an a Privilege,and cannot be lent or �t, III r ) Person or entity under license on your person or posted as required Penalty olalwv' Keep P this Y and/or "' �i€ " MON IF,'gLrH�OF$jjMASS/ ���� ,, � • CHOSE ..�, r M�SSUiESE �F AL �R, 6SAS ' A!,/4 E'R �uNR T'' DEN ` R I�D��- r r zti '11 `IN n Der c ;/r;`. _.. if f e� ate�'a�nr�or€rcEe���'?�as.�rtel�us�s Detaxhmmt of rud 3&_vd Accidents -- Office Gfrmlestkadans I • 600 ffigskingfon,&eet 'markers' CGmpensat€an Insm-anc� da'vit:B>Fi.Iders/Contra_ctorsMechicians/Plum'bers Apy, h-c2nt Infer tin Please Print,Legibly Name(Bus rw1O%wi-zafimffi fivif„an- t-s I'71 Addr �,( �7T���s� ,, �l�D(� &IL - C.tyfsta�zip_ W45 l� i�� ���,�. �ne g '-v -a q(--�(s o Are you an employer?Check tho appropriate boy:4 I Ica. confractor and i TYID of proiect r tq�4= -snployerwithh® Iama nlor1y havel the sub-con�ctos. 5_ Nsw sfr #os eployees(fullgait-#ime}*_ , 7❑ I am a sole proprietor osparfner- listed on the attached shoet 7- ❑Remodeling ` s and bane no employees These sub-coahmcfors have S_ ❑Demolifiba � �P Y w for nee in an c ci r employees and have,workers' �� Y � � 9-. ❑Building addition '[N•o•workers'comp_i ,lance COMP-insI MM 1 �- .We are a corporatibnand its 1C1_.❑Mee: cal repairs or additions �_❑ I am a homeorA ner doing all worle offiten have exerased fheir I1_.Q Plumbing repairs or additions € o workers, right.of eeimfo 3.tionper 1VfOl. l P 1 ❑Roof fqm=. + riance regnised j I r-15Z §I(4} and we have no employees-jNo WO&Ers' 1 _❑t7lizer comp_insarance require_] "O th�Fsaymgll�tatcbedmboaWl=A also fU out the sectiombelowch�rhea-wodcea'compensshoupA�F��� #ARi nos who submiit tins afdn-d MffcxtMg they are&Big sitrro*Md then birE M±nde Coutcae1U15 mast submit a 1L-W aJ5dTdt mebratM Md tc=tMomrs&n rhxY ttiis box nmst sttachPH a'4 additional sheet slanmIg the name of ffie sub-ccmt3cba and state whether Omer these wn%es.bsve an ph ees_ If the sob-contmctws hwe empIoyee-%they must provide ter,werkers'comp-policy number lam an errfpiayer thrrtis pvmid wort-ers'congm?mz6on insltrartc s far rliy Bj�IIpZ[1y�RS Hez!?1v is thepaTicy acid job site , irljorYrtaiiatry ,p� Inmirance CompanyNaoie= Policy 4 or Self ills Lim;P: H _5_b l 7 ( b q' j 5,- ExpiaationDate. Job Site Address. T� � G�/ �� CifyfStafe�Zrp= Affach at copy of the v rorkers'compensation policy declaration gage(showing f e pofic'number andd expiration date}. P•ailnre 5o secure•co-urrage as regtaredunder Section SA o€MG. L c. 152 can lead to the imposition of criminal penalties of a fine up to$1,5D0_DD and/or one yearimpxisonmevf,as well as civil penalties in the fb=of a STOP WORIK ORDPR-and a fine of up to$250-00 a.day against the violator_ Be advised that a copy of this statemmt riiaybe forwarded t a the Office of Imieg#ptions of i#e DIA fat insurance coverage v'erffitatitn- I ltti hirreby cerft,fp tinder&e " 3 1 d. a Wes afptdWy the inrormahFan prin i&d abi ne is ft=atrrl corrsct ,T)Signature: Date.: Phone#- -0 7 � _ ©fj Zciat usa on£y. Da not write in tiffs area,to be canfpTeted by Gity or fowls afficiaL City or Town: —Perna use# Iss-u'g Authority(drcle one).: 1.Board of Dearth 2.R u1`ding Department I Cityfr,avm Clerk 4.Elecbrical Inspector 5.Pllumbing Inspector 6.Other Contact Person: Phone#: 6 Information ancd Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or impliecT oral or written." An employer is defined as"an individual,partnership,association,corporation or oilier legal entity,or any two or.more of the foregoing engaged in a joint enterprise,and including the Iegal 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." 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--)ay applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally, MGL chapter 152, §25C(7)states`Wtither the commonwealth nor any of its political subdivisions shall enter into any contract for the pefiormanee of public work until acceptable evidence of compliance with the insurance requirements of tb_s 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 certificafe(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(L LP)with no employees other than the members or partners,are not required to carry workers' compensation inmrance. 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. AIso be sure to sign and date the affidavit alie 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 heir 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 pcimit/l icense number which w111 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 a,, davit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A co of the affidavit that has been officially stamped or marked b the city or to may be provided to e . PY Y P Y t5` town Y pr vz th applicant as.proof that.a valid affidavit is on file for futurepermits 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 affida-,it 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. nct Corrrmonw--calth of Massachusttts Depaittmnt of Inclust dal AGcide,: MCC Of favesti-ptio•us GOO Waishingtan Stet: &anion,IAA 4�I I l TeI,A 6I7- 7-49-GU W 406 or I-M-MASSAFE Revised 4-2¢07 F�x#617-7 7-7-149 www.mas&gav/dza 1-7 - IKE Town of Barnstable Regulatory Services nAIR s r r MASI Thomas F.Geiler,Director r Building Division Tom Perry,$uil`ding:Commissionu 200 Main Street,Hyannis,MA 02601. www.town.barnstablea na.us Office: 508-862-4038 Fax: 5.08-790-6230 Property Owner Must' ` Complete and.Sign This Section If Using A Builder I c . tam as Owner of the subj ect property hereby authorize-- FA 5 � TCZ�-ST �1,�fiy�,(p !�¢/ '''t a on inp behalf in all-matters-relative.to work authorized by this building.permit a (Address of job) **Pool fences and.alarms are the responsibility of the' applicant. -Pools are not to be filled before fence is installed and pools are not to be utilized.until all final inspections are performed and accepted. F f -U- P f Signature of Owner Signature:ofApplicant Print Name Paint Name 61 Date Q:F0RMS:0W7,ERPERMSS70NP00LS t. , •, .. ,,, s {. ' P 4 4 f I -- rT�"'WS.G,ERTIFICATE CERTIFICATE OF LIABILITY INSURANCE DATE04M/DDf 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE1 FERTIFCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE HOLDER. 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 and endorsement. A statement on this certificate does not confer rights to the Y certificate holder in lieu of such endorsements. PRODUCER CONTACT MASON&MASON INS AGCY NAME: 458 SOUTH:EVE PHONE FAX (A/C,No�Ext): (A/C,No): WHITMAN,MA 02382 E-MAIL 23%Xivt ADDRESS: INSURER(S)AFFORDING COVERAGE INSURED NAIC# INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMF•R CA EAST COAST FIRE&VENTILATION INC INSURER B: INSURER C: 21 G PATTERSON BROOK ROAD INSURER D: I WNR.LHAIVI,MA 02571 INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL CY PERIODnINDI BATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUPr1ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 PAID CLP,IMS. INSR LTR ADD SUB POLICY EFF DATE POLICY EXP DATE TYPE OF INSURANCE L R POLICY NUMBER GENERAL LIABILITY (MMIDMYYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY ACH OCCURRENCE $ I CLAIMS MADE OCCUR. DAMAGE TO RENTED I S PREMISES(Ea occurrence) { MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY F]PROJECT �LOC ENERAL AGGREGATE Is PRODUCTS COMP/OP AGG I$ pOMOBILE LIABILITY AUTOMOBILE ANY AUTO - COMBINED SINGLE $ ALL OWNED AUTOS OS LIMIT(Ea accident) I SCHEDULE AUTOS BODILY INJURY $ (Per person) I HIRED AUTOS (Per INJURY ��� NON-OWNED AUTOS (Per accident) J PROPERTY DAMAGE $ (Per accident) TAWORKER'S MBRELLA LIAB OCCUR XCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE EDUCTIBLE $ ETENTION $ $ COMPENSATION ANDOYER'S LIABILITY Y/N UB-56774704-15 01/08/2015 .X. WC STATUTORY OTHEROPERITOR/PARTNER/EXECUTIVE 01/08/2016 LIMITSR/MEMBER EXCLUDED? aNlAE.L.EACH ACCIDENTtory in NH) I S 1000,000 It yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS 1,000,000 T177S REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER CANCELLATION { EAST COAST FIRE&VENTILATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 21 G PATTERSON BROOK ROAD BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. WEST WAREHAM,MA 0257 j AUTHORIZED REPRESENT VE � ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Town of Barnstable Regulatory Service Director ®trTHE Tp� Richard Scali Regulatory Services Consumer Affairs Supervisor * BAANSTABLE, * Licensing Division Elizabeth G.Hartsgrove v MASS. 200 Main Street, Hyannis, MA 02601 prFi�639.'(A 1� www.town.barnstable.ma.us Consumer Affairs Administrative istrative Officer Assistant Telephone: 508-862-4778 Fax: 508-778-2412 Stephen o.Estey Margaret Flynn November 16, 2015 Beech Tree Cantina, LLC, Attn: Jared Pane, Mgr. 599 Main Street Hyannis, MA 02601 SUBJECT: SHOW CAUSE HEARING — NOVEMBER 16, 2015 Dear Mr. Pane: The Licensing Authority held an advertised show cause hearing, on November 16, 2015 for Beech Tree Cantina, LLC., d/b/a`V::e! . -r - Cantina, Jared Pane,'Mariager, 599 Main Street Hyannis for the following violations of the Town of Barnstable, MA Code: • 501-7 Section I. Alcoholic beverages sales and laws: for the sale or delivery of an alcoholic beverage to a person under 21 years of age. After testimony from Consumer Affairs Officer Steven Estey, the following motions were voted 3-0 by the Licensing Authority: • FINDINGS: To move that the Licensing Authority determine violation of Section § 501-71 of the Barnstable Licensing Authority Rules and Regulations was found; • VERDICT: To move that the Licensing Authority find Beech Tree Cantina at 599 Main Street Hyannis guilty in violating Section § 501-71 of the Barnstable Licensing Authority Rules and Regulations; • ACTION: To move that the Licensing Authority suspend the Annual All Alcohol Common Victualler License, the Common Victualler and Entertainment Licenses for five consecutive days (3 days are associated with action taken by the Licensing Authority on August 12, 2015, and 2 days are associated with this hearing)which you will serve the suspension January 2, 3, 4, 5 and 6th, 2016. The licensee has the right. to appeal this decision of the Licensing Authority to the Commonwealth of Massachusetts Alcoholic Beverages Control Commission within five (5) days of receipt of this decision as to the Alcohol License and the Barnstable Superior Court within 60 days of receipt of this decision related to the Common Victualler and Entertainment licenses. Should you have any questions please contact this office. . Res ectfull , Eliza eth G. Hartsgrove Consumer Affairs,Supervisor Cc: Barnstable Licensing Authority, Regulatory Services Director Richard Scali,Barnstable Police Department,ABCC Massachusetts, Department of Environmental Protection Bureau of Waste Prevention • Air Quality 100105056 t BWP AQ 06 Decal Number Notification Prior to Construction or Demolition Important: A. Applicability When filling out pp y forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building,,or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten (10) days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. rat B. General Project Description 1. a. Is this facility fee exempt-city,.town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?❑Yes ❑✓ No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order 2 Facility Information: to comply with the y Department of BEACH TREE ALLEY Environmental Protection a.Name notification 599 MAIN STREET requirements of b.Address 310 CMR 7.09 I [N60 H annis MA 02601 c.Cit /Town d.State e.Zip Code 5085391124 1 iJessica@millerstarbuck.com f.Tele hone Number area code and extension .E-mail Address(optional) 2 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ❑✓ ;Yes ❑ No k. Describe the current or prior use of the facility: APARTMENT I. Is the facility a residential facility? ❑✓ Yes ❑ No m. If yes, how many units? 1 �o Number of Units -° 3. Facility Owner: =N PHILIP M. MILLER, JR. -o a.Name -o P.O. BOX 729 b.Address FALMOUTH 'IMA 02541 10 c.City/Town d.State e.Zip Code =0 15085391124 1 Phil@millerstarbuck.com f.Telephone Number area code and extension .E-mail Address o tional , C7 PHILIP M. MILLER, JR. �Q h.Onsite Manager Name ag06.doc•10/02 _ BWP AQ 06•Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality 100105 156 s � BW P AQ OO Decal Number Notification Prior to Construction or Demolition General Statement: If B. General Project Description (cont. asbestos is found during a Construction or 4. General Contractor: Demolition MILLER STARBUCK CONSTRUCTION, INC. operation,all a.Name responsible parties must comply with 1766 FALMOUTH ROAD, UNIT D-20 310 CMR 7.00, b.Address Chapter er7. 2 and MASHPEE MA 102649 Chapter 21 E of the �...__.��� I General Laws of c.City/Town d.State e.Zip Code the Commonwealth. 5085391124 Jessica@millerstarbuck.com This would include, f.Telephone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an PHILIP M. MILLER, JR. asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. IMILLER STARBUCK CONSTRUCTION, INC. a.Name 766 FALMOUTH ROAD, UNIT D-20 b.Address MASHPEE MA 02649 c.City/Town d.State e.Zip Code 5085391124 1 ijessica@millerstarbuck.com j f.Telephone Number(area code and extension) E-mail Address(optional) PHILIP M. MILLER, JR. h.On-site Manager Name 2. On-Site Supervisor: PHILIP M. MILLER, JR. On-Site Supervisor Name 3. Is the entire facility to be demolished? Yes ✓� No N -0 4. Describe the area(s)to be demolished: o NO DEMO- REMODEL ONLY N �0 -0 5. If this is a construction project, describe the building(s) or addition(s)to,be constructed: REMODEL KITCHEN AND BATHROOM ONLY. NO ADDITIONS �0 �a �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection ■ IT I Bureau of Waste.Prevention • Air Quality 1100105056 Decal Number BWP AQ 06 Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No If yes, who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 5/15/2010 � 7/1/2010 7. Construction Or Dem011tl011: a.Start Date(mm/dd/yyyy) b End Date(mm/ddlyyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, p ❑ wetting ❑ shrouding leasespecify: ✓❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? , a.Name of DEP Official b.Title c.Date mm/dd of Authorization d.DEP Waiver Number , D. Certification I certify that I have examined the IJESSICA STEIGER' -o above and that to the best of my a.Print Name o knowledge it is true and complete. liessica Steiger The signature below subjects the b.Authorized Signature -N signer to the general statutes OPERATIONS MANAGER _o regarding a false and misleading c. osi.on e =o statement(s). JPHILIP M. MILLER, JR. d.Representing 5/3/2010 �co e.Date(mm/dd/yyyy). ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ f -7 m j �,( v L � � be as follows; a minimum of one (1) naissance Style Lighting Assemblies. t . ntioned vegetative buffer and fence the Louis Street properties as shown, soaping and drainage facilities for the under continue to be exercised. r land surveyor shall submit a letter of ordance with professional standards that h the approved site plan (Barnstable bmitted before the issuance of the final I�r to permit the inspection of the ealth,building and fire safety personnel. `water use and shall minimize the use of d Infrastructure Plan. nd other water conservation measures roj ect. r � ; Z4- t -7, �- 1 . RhISTAL'LE' LAND GQURT REGISTRY' I�! IS nd between the applicant, 46 North n of Barnstable("Town"), a municipal Section 240-24.1 of the Barnstable de; ntribute public capital facilities to serve d uses, densities, traffic, parking and ithin the Development, duration of the agreed upon between the Applicant and lopment rights in the property for the e subject to subsequent changes in local s necessary to protect-the public health, reement pursuant to Chapters 168 and oFtHE rQ,,, Town of Barnstable Regulatory Services MMSMBLE, v . �, Thomas F. Geiler, Director �p a639• �� tFDMA'�A Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: -508-790-6230 April 25, 2011 r Mr. Phillip Miller 766 Falmouth Road, Bldg. D Units 20, 21 Madaket Place Mashpee, MA 02649 Re: 599 Main Street, Hyannis, MA 02601 Dear Mr. Miller, On February 8, 2011, a permit was issued for extensive renovations at the above referenced site. Since that date, several revisions had been submitted to Hyannis Main' Street Waterfront Historic Commission but not to this office. On April 22, 2011 revised plans were submitted to the Building Department. They confirmed concerns about accessibility, fire separation, and window protection which we had discussed several times during the previous weeks. Once again, please review 521 CMR 3, 17, 20„24, and 25 and 780 CMR 7th or 8th Edition 5, 6, 7, 14, and 16 with your construction control engineer, Mr. DeAngelo for necessary compliance and submit to this office how it will be-achieved. ` Thank you for your cooperation. Sincerely, nn Paul Roma Local Inspector f - fir c } oFt Town of Barnstable Regulatory Services * BARNSTABLE. 9 MASS. Thomas F. Geiler,Director �A 1639. ♦0 Building Division Thomas Perry, CBO ' Building Commissioner 20.0 Main Street, Hyannis, MA 02601 www.town.barnstabli.ma.us Office: 508-862-4038 `Fax:,, 508-790-6230 April 25, 2011 Mr. Phillip Miller 766 Falmouth Road, Bldg. D Units 20, 21 Madaket Place Mashpee, MA 02649 Re: 599 Main.Street,.Hyannis, MA 02 0 1 Dear Mr. Miller, On February 8, 2011, a permit was issued for extensive renovations at the above referenced site. Since that date, several revisions had been submitted to Hyannis Main Street Waterfront Historic Commission but not to this office. On April 22, 2011 revised plans were submitted to the Building Department. They confirmed concerns about accessibility, fire separation,,and window protection which we had discussed ' e times during the previou v ee s. Y' e4,t- 9 ,z Once again, please review 521 CMR 3, 17, 20, 24, and'25 and 780 CMR Th or 8th Edition 5, 6, 7, 14, and 16 with your construction control engineer,Mr: DeAngelo, for necessary compliance and submit to this office how it will be achieved. Thank you for your cooperation.. Sincerely, Paul Roma C-cy''wc>2-✓' Local Inspector May^ 24. 2011 3: 26PM MILLER STARBUCK CONSTRUCTION No..7650 P. 1 OW A Miller Starbuc' k r 131 E 4 AY 24 Pil 3: 50 x. to xis }tdWzl - i. FACSIMILE TRANSMITTAL SHEET TO: �'�l_ 1�M d� FROM: COMPANY: �{l(. L(�`Y� SC -Q ( C.UI�I�.DATE:, FAX NUMBER: TOTAL#OF PAGES INCLUDING COVER: RE: f c ez ❑URGENT *OR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE'RECYCLE NOTES &COMMENTS: Miller Starbuck Construction Inc.. P.O.Box 726 Falmouth,MA 02541 Tel; 508-539-1124 Fax: 508-539-1125 May. 24. 2011 3: 26PM MILLER STARBUCK CONSTRUCTION No• 7650 P• 2 DWI) ENGINEERING, INU. a 1141(' JAF.0 FJOAV FAST'RR?p:vF,WAT)=R, MA n7333 F;'.X t�0$1$?$.29:;2 ;508)378.9602 1 May 9, 2015 Mr. Phil Miller Miller-Slarbuck P. O, gox 726 Falmouth. Mai 02541 ` RE: Exterior Well Fire Resistance Requirements 599 Main Street-Hyannis, MA Dow Phil, Thi; office has reviewed the requirernenta reoncormng the exterior wall fire rosislanee recioirenlent3 at the above. referenced site. The anaiysis i,, l;�i;ed or) the r"' Edition o: r1tie k4assechusctts State Building Code which was in effect at the liine of permitting. The particular area of concern i5 the distance betweer, the restaurant acid thu building bohind it vrhere the separation petwe;:rr tYle buildings is greater than three feet but im Viart fen fuei, Thc: folio vmg is a sUrn.ni4on of my observation,, The type of construction foi,'Ilse buildings at 349 Main Street K1ould be ;onsi(iered Type 5-Prolectcd, Table 602 Fire-Resistance Rating Requireriiont5- for Exterior Walls Based on Fire Separation Distance in Chapter 6-Type5 of Construction indicotes that where ttte fire separation is less than 10 feet a one hour fire rated assembly is required. Section 704 Exterior Walls of Chapter 7-Fire Resistance Rated Construction speoifies the, requirements of exterior 'wall consrmc:.ion in relation to fire resistance. Section 704.3 Buildings on the Same Lot st3ies "F6r the purposes pl(teterr)'lir)irig the required wall and opening pr'utection and roof-covering requiramenls, buildings tin the same Jot shall be assurne(f to i)7vo ar, imagrtiE4ry lire between then?". 'Furlherniore, Section 704.5 Fire-resistance Ratings- %_,alas that "Fxt,rior walls sha;l be fat'®-lesisfarce rati;d k) acuorda nce with Tables 609 arm 602. Thu r'ire-resi;tarlce rating Ci tt)C OXicrfGr y'E))ir lNftl) a lire srwparalips (fitita;?CC of grooter IP/? fiVH lFNt.`';Tt:::i, );) rf7iGC' for C:xpost're to file tr't7rr? iho ,'?side. Thr"i !'rp t,usi,-janvo rating of cxterior wekq With a fire' .riep"?.'ration uslancry of fi'Ve feel Or 1C35 sl ol) f�Y r3leCl f(71' cx`osurs to `ire kom loth sid(an,". Fir'rr.illy SrcRipn 704.8 Allowable Area of Openings states that 'The !naxirrun) ,)rcu :)f !17)f?r'fJ1C'Git�C? or proic(,'lud opcn;ngs port-wrieCJ in ,v) exterior ",vuY irl ;')r'!y Story shai.,not excel' d tho bvVc,,S $C)i iortt? in 18,1e 7�?4.8': For fire than 3 feet and up to 5 fPel v.,here the c• th, opening is no May. 24. 2011 3: 26PM MILLER STARBUCK CONSTRUCTION No. 7650 P. 3 I openings are allowed. Where the classification of the opening is'prolected (lire-rated exterior doors, etc.) the maximum allowable percontago is 15%. Based on my review of the Code it is my professional opinion that the exterior waits of the restaurant and the building behind it need to be protected on both sides of the wall where the fire separation distance is less than five.feet, Where the distance is greater than five feet only the inside portion of the walls need to be protected. In order to meet these requirements Table 720.1(2) Retod Fire-Resistance Periods for Various Wells and Partitions indicates the materials required in construction. For an exterior wall that needs to meet the fire-resistance requirements qrl both faces Item#15-1.1 states that `'Exterior surface with 'a"drgp siding over Y2" gypsum sheathing on 2x4 wood studs at 16"on center, interior surface treatment as required for ono-hour rated exterior or interior 2x4 wood stud partitions. .Gypswr sheathing nailed with 1,34" by .No. 11 gage by 7/1622 read galvanized nails at B" on center. Siding nailed with 7dgalvanized st»ooth box nails". For exterior walls rated for fire resistance from the inside only in accordance with 730 CMR 704,5 Item #16-11 states that 2x4 wood studs al,16"on center with double top plates, single bottom plate; interior side covered with 518" Type X gypsum well board, 4'wide. applied horizontally unblocked, and fastened with 2-114" Type S drywall scrows, spaced 12"on renw, wallboard joints covered with pap$r tape ar)d joint cot»pvvnd, fasfenar head$ covered with joint compound. Exterior covered with 318"wood structural panels(oriented strand board), applied vg'tically, horizontal joints blocked and fastened with 6d common nails (bright)-12"on center in the field, and 6°on center panel edges. Cavity to be filled with 3-112"mineral wool insulation. Rating established for exposure from the interior si0o only". If you have any questions or if I can be of further assistance please do not hesitate to contact me. 4 erely,; x. ome 1 w Presidents;.i May, 24, 2011 3: 26PM MILLER STARBUCK CONSTRUCTION No, 7650 P. 4 DWD ENGINEERING, INN. \uCHAci, OAr) r:Asr BRIDGEW TER, Id)A 02333 fA*X(�C18;$'Is-2922 May P, 2(,)1 t r ir. Phil Miner i?l��f-it?r'bUCk P. ©. Box 726 c:almouth, .10A€32541 RK: Accessibility Requiro, into. 599 Main Street-hlyannis_ MA Dear Phil, 1 his office has reviev ed the rr;auirpments concerning accessibility requiremen,g at the above reterenced ae. l he i'lal)/.iS is bc3Se?Ct or 521 CMR: ArCFllt6'C:I,(ral Access BUctrd The fUIIUb:'InQ'- cl slrrr+mation LET my observation:. For exiMing buildings Section 3.3.1 indicates that "If the work costs S100,000 or more, then the work being porformed is rGquirG(l o u)inply with,527 CMR, In acidi0on, 117 3d(llWon, an arcesSi1)le,pubfi(, 6?r)lran(;e -vid far, cdGGu-'.�SiUI�! toilet room. telephone, drinking fountain(tf lr,Ilet'•s, tclol:!)orres, and drinking fbtmtairls are provided) shall also bo provided jR t pr771`I1,31?CP with 521 CPAF1"_ Under Section 5 Definitions Accessible Route. A continuous, ano»si,urled 1)(3111 Ctimg all �-Icco siblo r lc)rrao( arrrl trll(llir) ar b0wo r) I;(UiN r7gs or l.at:iNir S• lr+l(;Jri FJCGGSsk).1Q Pao), fnwlC7de floors. romps, alvvatol-s, lifts, and clear floor space at FXtures_ Exterior accessible roures inaly jr7.^,1rjd(, oar:k:.ng, r;urb cuhs. tmsgw,.,)1ks of vehirt.rlr, way,, v-";kS, rerT)ns. and lift.. Chapter 17 Restaurants:This chapter indica'e r, thot a 36":aide: accessible, routc. is roquirc,,d. Chapter 20 Accessible Route; Section 20,21 states Dal 'Ail least orle accessible roule srziqll coorocl rat:rr;ss'tJ1G 1,.);.7dCiny. , fr3CrlifiN��. Fr�lc:fflFirii�ti, �7r1<1 Sl)r1t;t;'$that am'on, tho soalG slto'", in. the 7+" Eeitio;l of the lvld�s�t.chl:s _ls.State E3uilciirly Code Chapter 10 Means of Egress indicate wtlat I. rtl(JUired 'ear exterior me.,jns of ugTess. Se-ction 1022 Exterior Exit Ramps and Stairways h�a; r'-.o -Vquirernenl that the means of egress be covered. In addition Suction 1001.3 Maintenance-General 11001,3.2) only statcs that all exterior s alr.vlays _lno escapes shall be kepl free;of SOW d ir,., Based on my review of the Cody it is my professional opinion that 'he ramp t,aiog the r;;(�u-rCn)onts of (:MR 521 Art,hwter;!t;,ral Access If YOU have any quest:!cm; or it' ! Clan bo Of fUrthcr.. a5Sistancc p?rwa8r--do not hesitate to writ?GI me.. 11 Strl,Cerely, �• 6�'Izlz 1-1 I7r�?SIC':•f�?i1t Town of Barnstable' Regulatory Services swsrtsrea�. MAS& Thomas F. Geiler,Director i639 ♦� ' ,,,or► Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 May 8, 2012 Fine Line Architectural Design 8 West Bay Road Osterville, MA 02655 RE: 599 Main Street, Hyannis To Whom It May Concern: Recently I received a set of floor.plans for 599 Main Street Hyannis that were drawn by your firm. The plans were done in order to establish the standing capacity for the business. In reviewing this I cannot see where these standing room numbers can be supported given the table and chair placement and the egress paths and that must be maintained. Please review this and get back to this office with a detailed break down. Respectfully, Thomas Perry, CBO Building Commissioner „ Qum 1 � , O _ VI L k) O -QXt� i JOB: 1002 DRAWN BY: KN REVISED: 3/14/11 DATE: 2/21/11 JOB L✓F.`�'.tr4 ��(r `/ TAYLOR'DESIGN ASSOC., INC. SHEET NO. ' FF OF P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY C? Y DATE Tel./Fax; (508) 790-4686 C� f N CHECKED BY DATtIF J 1 H A-f 1Q ! �'T��/�1V L J i .SCALE V ,H ` ... ......... T YL...... AL ... co to . h'<a , T3���� �w �., 7 LatT� F � 1, .Aa,.�c c _ eo ►� � ..a.c.._.. ML .............. ..._.......;....._ _ .................. I ' . (�,a►�c,-Q. P .F . rk ... m Ccw cc... ...._ .... . 4 v 4.cr R. Z. 22 . � . e �t / ty 4 _t..... ..... ............... . ...... ..._.. ..-��� 1� ..... ..... ............. ... ..... .. I ....... _..... .. :. :........... .. .. .......... .. .............. ... ...... ... .. .. .. ... ..... -..... .. .... .... - It�. .f'c, g _. t4 a. 3g?s _ .. . ..... .. . . I JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. � OF 2 P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY Or r DATE 10 Tel./Fax: (508) 790-4686 �{,,/ CHECKED BY DATE � l--Ya..� S !wv( SCALE IL ... -ros Cr 4. �: ... T7'T c- _® 7�4 - 4, 'moo. .. st._ .... � . 4•_®Qo . - ._............. 4 ........ ... . . ... _- t T��. z -. ... 40 o t o 7., do;. . iN- ......... _� ... . ..... . ..... Ztttn; ...... ... 3 fit. .. r- - -o _.PS441 .... ............. ...... .: ......... ,�f. .... '� t$ : r''l «� rS .. .' ............ Over .. .x4. ...... . ...;_... . .. Z� S. .. i JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 Cr DATE I®- Forestdale, MA 02644 CALCULATED BY Tel./Fax: (508) 790-4686 /� CHECKED BY DATE M A.-/V 5-r A&e .^JjVL% �1T^SCALE .... .-.. .. `�. ..... N . . ,rt...... PJ(>>e,ram?. 1�..'. .. ... ...... .......... ................ o.� ts -� Z L.a P c.v�_. ... 9 P I► .... ... ... .... .. :.......................... -..... .... .... .... ..... .. o k .. .. . . gat I . ..... .. ... `7i - `�C ►� 3, 1%40 r ... __ .... ...... .. ..... P t4Q Pcr ®e c �j +�Ot.R.r _..-- S�.�q.. .w ..... - I w ... ... c..r J- -T s..ca a...�z�,r,,7- .__ ...._.. T'Q ......... cr._s. -�a q' ...... { I ?.gO ....... .. ^J F t0....444....... �. . .._ �.•... 7;.._.. ®!...k, .. ._cvlz.t+ .......... ...... .Sf.a°7tI -kErKt''+ T.... 3�- L4 �'�._.. _( +a.se.+ +�.R.C. G. i�(�:.......t�,t�f-....tsrtiC� �lassachusctts - Department of public ti;if'ct� Brt;rrd g Buildin Of <, �! Rc�ulation.. :tntl Stand:uds Construction Supervisor License License: CS 43338 Restricted to: 00',- PHILIP M--MILLER' gg PO BOX 726. rk1 FALMOUTH;, MA 02541 + Expiration: 3/14/2011 ( -I lilt sou°�.i. Tr#: 11806 Restricted to: 00 ()0- Unrestricted 1G-1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass-Gov/DPS i 9 le owvmmaAeal!uo „�ia-64 aetla 'office of Consumer Affain&B mess Regulation License or regi§t�ation valid for ndrdidul use only oHOME IMPROVEMENT CONTRACTOR" g beforettie expiration date if found return to: Registration �110373 Type. Office'of Consumer Affairs,and Business Regulation Expiration: r10�20F201.2 Private Corporation 1,0 Park Plaza-S.u�te 517,0 l L 5 11400;MA 02116, F MILL R STARBUCK CONSTRUCTION, INC.: PHILIP MILLER J , 7" 40 MILLPOND 1/VAY-W EAST FALMQUTH MA,0253fi-'%� — ��,w Undersecretary Not,valid without signa e" Hyannis Main Street 'Waterfront Ag Historic District Commission 200 Main Street Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725 Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a ----=------=------=------- ------ - ------—- -----CERTIFICATE OF-APPROPRIATENESS. Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic-Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building [ ddition [Alteration Indicate type of buil 'ng: ❑ 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) TYPE OR PRINT LEGIBLY DATE 1 (• Z`'f • {U ASSESSOR'S MAP NO. �� ASSESSOR'S PARCEL NO. APPLICANT- M P�11 L �' . TEL,NO. Z VIA 2. APPLICANT MAILING ADDRESS I • ®., PDX 72 6 s ADDRESS OF PROPOSED WORK Ili N till PROPERTY OWNER ��L�M. Mtl.�:Q f� TEL.NO. 00ZI2 t 2 T OWNER MAILING ADDRESS . FIJL AMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include n e of adjacent r owners across any public street or way.,This information is best n t t wn Assessor's. Attach additional sheet if necessary). f BPRNS�P �oN To�N oFQ��SER� OR CONTRACTOR QZ,•5 $k4Z 60All EL.NO. �0RtG N1S ADDRESS 766 LMOJN yMI1� 59p6$ . M4 . 67 b�q HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION *** SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK FOUNDATION C®AI GRGj P� R 5 SIDING TYPE P� �. ��dal('1.� . �Z�9 C��1�S/Z COLOR CHIMNEY TYPE ' (:`�. COLOR rf ROOF MATERIAL_Aft. MPAAd 6E 146G.g COLOR Ck7M PITCH ✓A1121617 ��Z. rM-Q014 JAd1-. WINDOW 12c rz�eIJ 400 591US COLOR 6R66'J TRIM COLOR. AM4 Ali 46170 (P 69 DOORS , �J�I.j����.l�I . COLOR SHUTTERS 69d 6 d fO W lfl ' y-pa-5 � Idld q#W5 GUTTERS At-011IN UA4 1 DECKN GARAGE DOORS N% COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans,when applicable. The Plot plan need not be"Certified",but should show all structures on the lot to scale. Iry 2 4 201a- TOWN OF BARNSTABLE HISTORIC PRESERVATION 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). �x�y� ��� i7aoeS AA, L41d.942Nl; PegZ rAAA1 , A�fl (04r p01�(iM�' p�R Fc.A-! , �ooy uGtU 2E rJ`?`rz►�+ �o Mare-j+ r;xdy�')�� STR�GiV(td • =t�q b`x 2�' A��0,J�fi GA A9�7 t I k a;J W6 YPr'�-a+ 1-1 4 � pjrLA- i'j R6J1R9,? , Signed__A '1 Owner-Contractor—Agent (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE s Received by HMSWHOC �7 �� � Da D @ 0 0 y . 19 This Certificate is hereby Ti Date NU� 2 4 ZyN O�� Signed (J � " B .. TOWN OF BARNSTABLE HISTORIC PRESERVATIONv IMPORTANT: If this Certificate is approved, approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL: St H,, ,v"'an.n,,i b° r i 1 - - \ ,. a•ar ...- � \., ,. d ., ♦ r � � j, - • 'a 1 , a, _.:mod,= _ Y _ � �� _ _�� � ■ „z,..^., r a , ? y ° { j y, itt� 'Y' '. •.ram•.".` .. t � _.: .;.r,. .,.,� ...�+ '4^�.,_ ,. , 4 lit x n -, � • ^�. �.k �p -` Gam.. ... � �`''�':�'! + �p qw A t � Hyannis Main Street Waterfront �xti � District Commission , Historic D><str ? uxNsreai 200 Main Street ► `�� Hyannis,Massachusetts 02601VLU 1 D � TEL: 508-862-4665/FAX: 508-862-4725 Application to l- mmission erfront Historic District Co (, - Hyannis Main Street Wat j� wn of Barnstable t in the To ,for a p OF-APPROPRIATENESS TI FICA Application is hereby made, m triplicate, 5or 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 CATEGORIZES THAT APPLY: 1. Exterior Building Construction: ❑ New Building [vl ddi ion [Alteration Other Indicate type of building: ❑ House ❑ Garage Commercial ❑ — 2. Exterior Painting: L ❑ Repainting existing sign 3. Signs or Billboards: ❑ New sign ❑ Existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE I • Z`� • 0 ASSESSOR'S MAP NO. '/mil ASSESSOR'S PARCEL NO. APPLICANT Nl�LIC . . TEL.NO: 5d g. 53� . ( t Z APPLICANT MAILING ADDRESS P. tg, (�oX '— At,-. ADDRESS OF PROPOSED WORK PROPERTY OWNER M• M�rt�::R ✓R _TEL.NO. OO OWNER MAILING ADDRESS NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent V �jlic street or way. This information is best obtained at the Town Assessor's p oviners across any pub 0 Attach additional sheet if necessary). O NSA �pV`t �GP Sti AGENT OR CONTRACTOR NI��/L'ER'•�l� ITEL.NO. B ADDRESS 76b 1'a�Mro�1 3 i IIYANI`lIS MAIN STREET WATERFR ONT HISTORIC DISTRICT COrgMISSION *** SPECIFICATION SHEET*** 5 OF PROPOSED WO RK ADDRESS FOUND ATION COIJG�G n COLOR -- — -... SIDING TYPE W �'' tA 1 �A��OA�GS COLOR CHIMNEY TYPE C!� AR G� COLOR - ROOF MATERIAL PITCH I�h tCa.f l> (, COLOR �R � WINDOWS�— TRIM COLOR QR � COLOR DOORS t o SHUTTERS 6M�N GUTTERS, LtJM1�lI DECK - - � COLOR GARAGE DOORS d maierials/colors W-thethree copies including measurements an along completely' lication, NOTES: Fill out comp aired for submittal of an vPh n.applicable.The Plot plan nee Three copies of this form are.rea lan and elevation plans,. each of the plot plan,landscap p ' not be,,.Certified",but should show all structures on the lotto scale. D NOV 2 4 2010 Li TOWN OF BARNSTABLE HISTORIC PRESERVATION DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: win w and foundation, chimney,paint color,olor�including fing, roof materials to btch, sash e used, specifications codo or not ccoames,tr mpanyuplans. leaders,roofing,and p In'the case of signs, give locations of existing signs and proposed locations of ew si (Attach additional sheet,if necessary). R 1" �Xlry( �►JG gmo�S anl9 W . 9 S Q P'�"� yt �pn� UGfU 0-4 y/ �141POI� � P�iZAT)v 4 ,r G��/'1 10cr0d • n�� b`- Z4' A��� ---- -- - ...- o - - A4r7 t &a►,J � parE� $-J Signed /� ' ` Owner-Contractor—Agent (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC This Certificate is hereby ae{� Date r ' _ _- Signs NO TOWN OF BARNSTABLE HISTORIC PRESERVATION ate is approved,approval is subject to the 20-day appeal period provided in IMPORTANT:If this Certific the Ordinance. 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C + s r , I b � "Jr y r `J t � , s r F - - a` Air J r _ tT , 4 u. w . y t�a _..._---,� ...•mow' �. , .un s .+r , -"�' �, `'tip..�.,;� „�.r �.. �r 1 .y+ "�.• �� 41 Qa�. 1 • „ C f,+4 w - i ^ 'r v v ^ R'.M.n.r.$ M. _ x• :.._�- a; °I'lR.� Ti:.. — - _ .�_n�.-.i.+i� yf s...+ � ryc.■ s a , yy . "Np'..' M1• • „ n ` W r R a a a, r b K M c r • L Jr tµ: ya � n nAis; � � � �� �..��,,�� �/ � `4/8%P1 ={ � • �� � � y� i J _ movi Milo I •t t •t F w s 59 4/ _ ' P y = d — r` CIS It � ff y 5 y �� KK r " r " R � 6 x 11 r s ' ! 1(f 1 sa a a - {{ , «e ' F 1 1 l 1 i ii •� C i i _ IN 4, 1 All JI .r Ely r a • r ti � 2 y' - a:• '_ ram" .�.,. �'+'�'� ,��: `«"��• -`�" . .-�� i� the,yyr '.�..� .r. �.,�� ` ,.� -'s•,� - ,*. s+ ��+ ���' "`' _ '" "` `'�� �. *... +.�. �� ., "' moo"-.'•a• AIM«. # w +r< i Mp� JRTM r` { r Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality , 100119455 BWP AQi 06 Decal Number Notification Prior to Construction or Demolition COPY Important: A. Applicability When filling out pP y forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or, to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not (DEP) B y g use the return , Bureau of Waste Prevention-Air.Qualit Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten (10).days prior.to any work.being performed. The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1. a. Is this facility fee exempt-city,-town, district, municipal housing authority, owner-occupied ° Instructions residence of four units or less?❑Yes a No 1.All sections of b. Provide blanket decal number if applicable:this form must be Blanket Decal Number completed in order to comply with the 2• Facility Information: Department of Environmental Beech Tree Alley Protection a.Name notification 1599 Main Street requirements of b.Address 310 CMR 7.09 H annis MA 1 102601 c.Cit /Town d.State e.Zip Code (508) 539-1124 phil@millerstarbuck.com f.Tele hone Number area code and extension .E-mail Address(optional) 6,800 2 h.Size of Facility in Square Feet, i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: mixed use; retail, restaurant, apartment I. Is the facility a residential facility? ❑ Yes ❑✓ No o m. If yes, how many units? Number of Units —�0 3. Facility Owner: �N Beech Tree Alley, LLC �o a.Name o PO Box 726 b.Address c.Cit /Town d.State e.Zip Code �o (508)539-1124 1 1phil@millerstarbuck.com �a f.Telephone Number area code and extension .E-mail Address(optional) _� Phillip M. Miller Jr. Q h.Onsite Manager Name ag06.do&-10/02 BWP AQ 06•Pag e 1 of 3 E Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality 100119455 A BWP AQ 06 Decal Number Notification Prior to Construction or Demolition p C� Op General B. General Project Description.. cont. Statement: If � p (cont.) asbestos is found during a Construction or 4. General Contractor: Demolition operation,all Miller Starbuck Construction, Inc. responsible parties a.Name must comply with 766 Falmouth Road, Unit D-20 310 CMR 7.00, b.Address err and Chapter MA � 02649 �--�Chapter 21 E of the Massh ee General Laws of c.Cit /Town d.State e.Zip Code the Commonwealth. (508) 539-1124 phil@millerstarbuck.com This would include,but would not be f.Tele hone Number area code and extension .E-mail Address o tional limited to,filing an Philip M. Miller Jr. asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of release of a C. General Construction or Demolition Description hazardous' substance to the 1. Construction or demolition contractor: s Department,if applicable. Miller Starbuck Construction, Inc. a.Name 766 Falmouth Road, Unit D-20 b.Address Mash ee MAC`„�. 02649 c.Cit /Town d.State e.Zip Code (508) 539-1124 phil@millerstarbuck.com f.Telephone Number(area code and extension) g.E-mail Address(optional) Philip M. Miller Jr. h.On-site Manager Name 2. On-Site Supervisor. Philip M. Miller Jr. On-Site Supervisor Name 3 Is the entire facility to be demolished? ® Yes ✓� No �0 4. Describe the area(s)to be demolished: Remove windows, doors,replace some roofing &sidi -� 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: o Q , ag06.doc-10/02 BWP ACI 06-Page 2 of 3 I' r 4` Massachusetts Department of Environmental Protection ■ ~�-- Bureau of Waste Prevention •Air Quality 1100119455 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition p C. General Construction or Demolition Description-. (cont.) 6. a. If this is a demolition project, were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No If yes, who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 01/15/2011 06/01/2011 — ') 7. Construction or Demolition: �........._.,,_:_..�......_._..:.._....� �s a.Start Date(mm/dd/yyyy) b End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used:. ❑ seeding ❑ paving ❑ wetting ❑ shrouding b. If other, please specify: ✓ covering ❑ other 9.f For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title i c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification I certify that have examined the JlPhil Miller o above and that to the best of my a.Print Name _o knowledge it is true and complete. 1113hilip M. Miller Jr. The signature below subjects the b.Authorized signature —N si gner to the general statutes —�— President _ =o regarding a false and misleading c:Positiont I itle O statement(s). IMiller Starbuck.Construction, Inc. d.Representing 01/14/2011 . e.Date(mm/dd/yyyy) ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ i Town of Barnstable Pagel of 2 —Back Building Style Stores/Apt Interior Floors Wood Pine/Soft Model Commercial Interior Walls Drywall 4� 4-1 Grade Average Heat Fuel Gas Stories 1.75 Heat Type Hot YP Air Exterior Walls Clapboard AC Type None Roof Structure Gable/Hip Bedrooms 01 Roof Cover Asph/F GIs/Cmp Bathrooms OFull lI 'Ira, Replacement Cost $231296 living area 2510T' Depreciation 32Year Built ' 1920 Total Rooms 1' Building Style Store Interior FloorsVinyl/Asphalt Model Commercial Interior Walls Drywall .Q Grade Average Heat Fuel Gas , Stories 1 Heat Type Air otS Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 01 Roof Cover Asph/F GIs/Cmp Bathrooms 0 Full Replacement Cost $222537 living area 2740 Depreciation 32Year Built 1920 , Total Rooms Building Style Stores/Apt Interior FloorsVinyl/Asphalt _ 6 Model Commercial Interior Walls Drywall S Grade Average Heat Fuel Gas Stories 1.5 Heat Type Typical Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 01 - Roof Cover Asph/F GIs/Cmp Bathrooms 0 Full Replacement Cost $114219 living area 1093 - Depreciation 32Year Built '1920 �P ; Total Rooms ' Building Style Recreat Outbldg Interior FloorsVinyl/Asphalt Model Commercial Interior Walls Minimum http://www.town.bamstable.ma.us/assessing/2011/print06.asp?mappar=308118' 1/6/2011 Town of Barnstable Page.2 of 2 Grade Average Plus Heat Fuel None Stories 1 Heat Type None - , Exterior Walls Wood Shingle AC Type None t + 17 Roof Structure Gable/Hip Bedrooms 00 BA.�$ 1 3 Roof Cover Asph/F GIs/Crop Bathrooms _ l Replacement Cost $39931 living area 234 ? a Depreciation OYear Built 2000 . Total Rooms r 9 a http://www.town.bamstable.ma.us/assessing/2011/print06.asp?mappar=308118 1/6/2011 REScheck Software Version 4.4.1 Compliance Certificate Project Title: MillerStarbuck Construction Energy Code: 2009 IECC Location: Construction Type: SinglerFam Family Project Type: Addition/Alteration Building Orientation: Bldg.faces 270 deg,from North Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 599 Main ST MillerStarbuck Construction Colony Insulation,Inc Hyannis,MA PO BOX 726 28 Jonathan Bourne Drive Falmouth,MA 02541 Pocasset,MA 02559 508-539-1124 508-563-6049 i Compliance:15.6%Better Than Code Maximum UA:45 Your UA:38 The%Better or Worse Than Code index reflects how close to compliance the house is based oncode trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. NONE= OEM! MEEMMEM OEM Ceiling 1:Flat Ceiling or Scissor Truss --- --- --- -- - Exemption:Framing cavity filled with insulation. Floor 1:All-Wood JoistlTruss:Over Unconditioned Space Exemption:Framing cavity filled with insulation. - Wall 1:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Window 1:Wood Frame:Double Pane with Low-E 20 0.300 6 SHGC:0.50 Orientation:Front Wall 2:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Wall 3:Wood Frame, 16"D.C. Exemption:Framing cavity filled with insulation. - Window 2:Wood Frame:Double Pane with Low-E SHGC:0.50 100 0.300 30 Orientation:Right Side Wall 4:Wood Frame, 16"D.C. Exemption:Framing cavity filled with insulation. -- Window 3:Wood Frame:Double Pane with Low-E 8 0.300 2 SHGC:0.50 Orientation:Left Side Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been design e eet the 09 IECC requirements in REScheck Version 4.4.1 and to comply with the mandatory require s ' ted in the R check Inspec on Checklist. Name- • e i u're Date Project Title: MillerStarbuck Construction Report d Data filename:C:\Documents and Settings\JUNE.colony\My Documents\REScheck\MillerStbckl-5-11-599MainSt-Hy.rck-Addit on.arck 01Page1 1 of .. REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss Exemption:Framing cavity filled with insulation. Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: I ❑ Wall 2:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 3:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. 1 Comments: ❑ Wall 4:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space Exemption:Framing cavity filled with insulation. Comments: Air Leakage: (j Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed-with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk. . between the housing and the interior wall or ceiling covering. Project Title:MillerStarbuck Construction Report date: 01/05/11 Data filename:C:\Documents and Settings\JUNE.colony\My Documents\REScheck\MillerStbck1-5-11-599MainSt-Hy.rck-Addition.rck Page 2 of r ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. Lj Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: r° Lj Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ! ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Cl Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Lj Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ All ducts and air handlers are located within conditioned space. Temperature Controls: ❑ At least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heating and Cooling Equipment Sizing: Lj Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. , 0 Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Project Title: MillerStarbuck Construction Report date: 01/05/11 Data filename:C:\Documents and Settings\JUNE.colony\My Documents\REScheck\MillerStbck1-5-11-599MainSt-Hy.rck-Addition.rck Page 3 x of Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. ❑ Pool heaters operating on natural gas or LPG have an electronic pilot light. Fi ti Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: 0 A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement V). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: MillerStarbuck Construction Report date: 01/05/11 Data filename:C;\Documents and Settings\JUNE.colony\My Documents\REScheck\MillerStbck1-5-11-599MainSt-Hy.rck-Addition.rck Page 4 of � I 2009 IEC,C Energy Efficiency i i Ceiling I Roof 0.00 Wall 0.00 Floor/Foundation 0.00 Ductwork(unconditioned spaces): Window 0.30 0.50 Door Heating System: Cooling System: Water Heater: Name: Date: Comments: . TOWN OF BARNSTABLE;BUILDING PERMIT APPLICATION Map 3 0$ Parcel 118 `Application # Health Division Date Issued Conservation Divisionw Application Fee Q Planning Dept. Permit Fee of �p Q_.. Date Definitive Plan Approved by Planning Board U Historic - OKH Preservation/Hyannis OA ll /I Project Street Address ��q MA Il4, z2f, Village Owner b6dG IT-46 Au6y LL d Address O�X 70 fAL. MA. 02 5-41 � Telephone 500 Permit Requet`$� &L25 RgWaJAq%novAl cgPieSL Vs � Avg- y1x10' uM?o✓rA.*DQ Alfer31A, 429 ZDx2#'Wow 6rPt4ru"F0&& or( coa6•Pte-RS g4t'w, �-�6`W Ai1_VF- Lrr►d26L, 2 �5 B_L26 C'AXQ 5r�llles ryK110_To6 (Af#ux *zto') l vele��ca69 W 90w5 7o005 ALL OtA.91Af65, , Square feet: 1st floor: existing". 5 25C12nd floor: existing LDO� proposed IC Total new Zoning District Flood Plain NIA Groundwater Overlay Nla Project Valuation 60100 Construction Type-_ AM� p►6R. lzpN, Lot Size 33 Grandfathered: ❑Yes )d-No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Z APAY-T' 1'S Age of Existing Structure I Q 3 0 Historic House: ❑Yes JYNo On Old King's Highway: ❑Yes X No Basement Type: Full Xcrawl ❑Walkout J�R(Other SLAMOA 6kApe Basement Finished Area (sq.ft.) zov S f Basement Unfinished Area (sq.ft) �t� Number of Baths: Full: existing ?i new Half: existing new Z Number of Bedrooms: 3 existing �new Total Room Count (not including baths): existing T new First Floor Room Count Z Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air: .XYes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes No Detached garage: ❑ existir604new size—Pool: ❑ existing ❑ new size _ Barn: ❑ W49 O,new�isize_ ` Attached garage: ❑ exisMA0 new size —Shed:/existing ❑ new size _ Other: = =: Zoning Board of Appeals Authorization Appeal # Recorded ❑ Commercial XYes ❑ No If yes, site plan review# at QU6Rt9 Nit -FoA rPdPX_y °p Current Use 90AV yt?AMT, RpnRfMal-r.64961rilAXProposed Use 668d A, APPLICANT INFORMATION -� (BUILDER OR HOMEOWNER) /VIt�L�� StA-R►3U�t< WA15r, IAIG. Name PdIl4 to P AA M►1-cafe, JX Telephone Number 5 • 53 R � 11 Z4 Address 76f,�wocRlT3L6; "-License U41rS U.21 N49Aaf t!LAGJ� Home Improvement Contractor# I I o 37 3 WC.Fake WG Z2oq+5 Jv%�F�p�_N�!. 02 6 Worker's Compensation # 0OV-2-0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ]�oVpWeg SIGNATURE DATE I • I l t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0, — ADDRESS VILLAGE t OWNER b DATE OF INSPECTION: FOUNDATION' !: FRAME ` INSULATION,! FIREPLACE ,4 ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS s ;ROUGH ` .d :°? FINAL .E FINAL BUILDINGF �t �R13 4 �1 - DATE CLOSED OUT ASSOCIATION PLAN NO. { .4 .REScheck Software Version 4.4.1 Compliance Certificate Project Title: MillerStarbuck Construction Energy Code: 2009 IECC - Location: Hyannis,Massachusetts Construction Type: Single Family Project Type: Add ltionlAlteration Building Orientation: Bldg.faces 270 deg.from North Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 599 Main ST MlllerStarbuck Construction Colony Insulation,Inc Hyannis,MA PO BOX 726 28 Jonathan Bourne Drive Falmouth,MA 02541 Pocasset,MA 02555, 508-539-1124 508-563-6049 - Compliance:15.6%Better Than Code Maximum UA:45 Your UA:38 The%Better or Worse Than Code Index reflects how.close to comppance the house Is based on code tradeoff rules. _ It DOES NOT provide an estimate of energy use or cost relative to a minlmumcode home. Gross-[-��m Co elazing UA • or Factorir Door Perimeter Ceiling 1:Flat Ceiling or Scissor Truss Exemption:Framing cavity filled with insulation. -- -- -� Floor 1:All-Wood Joist/Truss:Over Unconditioned Space Exemption:Framing cavity filled with insulation. Wall 1:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. Window 1:Wood Frame:Double Pane with Low-E 20 SHGC:0,50 0.300 6 Orientation:Front. Wall 2:Wood Frame, 16"o.c. Exemption:Framing'cavity filled with insulation, �- Wall 3:Wood Frame, 16"o.c. _ Exemption:Framing cavity filled with insulation. Window 2:Wood Frame:Double Pane with Low-E SHGC:0.50 100 Q.300 30 , Orientation:Right Side Wall 4:Wood Frame,16"o.c. _ Exemption:Framing cavity filled with insulation. Window 3:Wood Frame:Double Pane with Low-E SHGC:0.50 8 0.300 2 Orientation:Left Side i Compliance Statement: The proposed building design described here Is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed bullding has been deslgne Bet the 09 IECC requirements in REScheck Version 4.4.1 and to comply with the mandatory require s ' ad in the R check nspe o Checklist. Name- e I rB - bale i f P _ I Project Title: MIIIerStarbuck Construction Report Data filename:C:\Documents and Seftings\JUNE.colony\My Documents\RESchecklMillerStbck1-5-11-599MainSt-liy.rck--Addltionack 01Page1 i 1 of i T00 O Hnngjv3S-13iTTK N.011wifISNI ANO'IO2� LTT9b99809 XVd TZ:.9T TTOZ/SO/TO REScheck Software Version 4.4.1 Inspection. Checklist .Ceilings: ❑ Calling 1:Flat Ceiling or Scissor Truss i Exemption:Framing cavity filled with Insulation, Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 2:Wood Frame, 16"o.c. ll, Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 3:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation, i Comments: ❑ Wall 4:Wood Frame,16"o.c. Exemption:Framing cavity filled with Insulation. i Comments: Windows: f ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: f #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor.0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No . Comments: ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: I #Panes Frame Type Thermal Break? Yes No I Comments Floors: ❑ Floor 1:All-Wood JolstlTruss:Over Unconditioned Space ! I I Exemption:Framing cavity filled with insulation. Comments: i Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are iI sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or I t solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and In openings between window/doorjambs and framing, ! 1 ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. j I Project Title: MillerStarbuck Construction i Data filename:C:1Documents and SettingsWUNE.wlon Report date: 01/05/11 y1My DocumentslRESchecklMlllerStbckl-5-11-599NIainSt-Hy.rck-Addition.rck Page 2 of Zoo In 31nngau4S-13TTTK NOI,LV'IfISNI NNIMOD LTT9b99962 XVA ZZ:9T TTOZ/9O/TO ' - i Access doors separating,conditioned from unconditioned space are weather-stripped and Insulated(without Insulation compression or t� damage)to at least the level of insulation on the surrounding surfaces.Where loose fill Insulation exists,ai baffle or retainer is installed to maintain insulation application. O Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: Cj Building envelope air tightness and Insulation Installation complies by either 1)a post rough-in blower doc r test result of less than 7 ACH at 33.5 psf OR 2)the following Items have been satisfied; (a)Afr barriers and thermal barrier:Installed on outside of alr-permeable Insulation and breaks orjoints in the air barrier are filled or repaired. (b)Celling/attic;Air barrier In any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is Installed In substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (a)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit arounc wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (0 Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed In accordance with the manufacturer's installation.instructions. 0 Insulation is installed in substantial contact with the surface being insulated and In a manner that achieves the rated R-value. Materials and equipment are Identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided, 0 Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. I Duct Insulation: 0 Supply ducts In attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. I i Duct Construction and Testing: Building framing cavities are not used as supply ducts. j Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteiers are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. l Exceptions: I Joint and seams covered with spray polyurethane foam. I i Where a partially Inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 In.w.g.(500 Pa). 13 All ducts and air handlers are located within conditioned space. li Temperature Controls: 1, O At least one programmable thermostat is Installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. JI Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial I Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are Insulated to R-2. Circulating service hot water systems Include an automatic or accessible manual switch to turn off the circulating pump when the f system Is not In use. i } Project Title: MillerStarbuck Construction Report date:01/05/11 Dala filename:C:1Documents and Seltings\JUNE.colony\My DocumentslRESchecklMlllerStbck1-5-I1-599MadnSt-Hy.rck-Addifion,rck Page 3 of coo10 313ngs$1SJaTTTK NOIZV'TIISUI AN0100 LTT91i95809 XVd ZZ:9T TTOZ/90/TO Heating and Cooling Piping Insulation: r HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are Insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Lj Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present, Exceptions: ' Where public health standards require continuous pump operation. Where pumps-operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. i Exceptions: i Covers are not required when 60°k of the heating energy Is from site-recovered energy or solar energy source. I Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp.wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 i Other Requirements: o Snow-and Ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: Ej A permanent certificate is'provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. 1 NOTES TO FIELD:(Building Department Use Only) i i ii I' I 1 Project Title:MlllerStarbuck Construction Report date: 01/05/11 Data filename:C:1Documents and Settings\JUNE.colony\My DocumentstRESchecklMlllerStbck1-5-11-599MsinSC-Hy.rck-Addition.rck Page 4 of too Kongju SJaTTTX NOI,LH'IRSUI XN01I013 LTT9b99809 XVA. ZZ:9T TTOZ/90/TO 2009 IECC Energy • Efficiency Certificate Insulation Rating R-Value Gelling/Roof 0.00 Wall 0.00 Floor/Foundation 0.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 0.50 Door I Cooling Heating System: Cooling System: Water Heater: i Name: Date: Comments: I, ' I i V l i I i SOO KonQjE:jS-TaTTTK NOI V IRSUI AM0,100 LTTMS80S XM ZZ:9T TTOZ/SO/TO. i Town of Barnstable Geographic Information System January 13,2011 308061CND if 4 a i 300073001 #592 �,. r ..a� �. Q te�`�, : �t e F�� c :� ?r r'� f, y�* ,ay 3.� � ar+" ✓ 'L x f w {s t' + r to ..*�.. #606 .« _ : d.s.-, `z'� r+� � -�i' 308111 CN D xtHt; 308063 #616 <c „1 302115 308 13 N r a u #585 #577 tin 300013 A .A �+' 0. zks 308116 3082n85402 u 308119 - *< 308114 308053 t + ez ;r y c #605 .4- 4 q�tf #583 #640 +8 g � fr y `v illy � a 308118 308117 < :y, t 308126 #599 ` #597 7F 414_ 3fd`j'.� 'rpi�`"` a•�� C+ �' 001_OCND 308125 #420 - �tT '.tt fx 308131001 r a & t5r� 3#41 Sri 4; °t>ics #627 308120001 ns 5 t 308131002 308122 � ' X. dw 3U81 1 #450 #.438: y „c'f`.'' ' ', v`*i "s, +t>,„ y p 0 �33y,�� Feet S t x:` 08193 3081 £ `, #429 t ti �. .:3, s' DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:308 Parcel:118 s H boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel Owner:RAPOSO,GIL&MARIA TR Total Assessed Value:$593400 O �, 1"=100"may not meet established map accuracy standards. The parcel lines on this map - n SM, " are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:%BEECH TREE ALLEY LLC Acreage:0.33 acres Abutters VJyt E boundaries and do not represent accurate relationships to physical features on the map Location:599 MAIN STREET(HYANNIS) r - such as building Iodations. Buffer 'd f - t:- , HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 HAROLD S.BRUNELLE,CHIEF FIRE PREVENTION BUREAU LT. DONALD H. CHASE,JR. LT.JOHN COSMO Inspector Inspector January 11, 2011 Tom Perry, Building Commissioner 200 Main St. Hyannis,MA 02601 Tom, Received plans for proposed changes to 599 Main St.group of mixed retail and assembly structures. On first glance, I found the following; Both sets of floor plans do not match. Permit app. designates buildings as "A /"B"P'C" however, not marked as such on plans. There are options for retail and assembly that are not on both plans. The smokes/alarm system will have to be correctly designed through an alarm company. Smoke detectors are shown in the kitchen. Need to be heats. Probably should be pull stations? All kitchen suppression needs to be monitored by an alarm company. Bedroom shown above restaurant with no fire protection. (I drew them in on the plans) Thanks, - Don Lt. Donald Chase,Jr., FPO ` Fire Prevention Officer Hyannis Fire Department 508-775-1300 x 106 Tel. 508-775-1300 Fax 508-778-6448 Emergencies 9-1-1 r . 4 Parcel LookupM I f9`' :fi4 l-v— -f tL V&Jt, Page 1 .of 1 =`n. Pam, LL . f •,_ �/ /y� , V t1S t rJ %1i' rz Logged [n As: + st Parcel Lookup Tuesday, September 28 2010 Road Lookup Condo Lookup Multiple Address Lookup Reports Search Options hk searcn By Street + Street# 599 Street Name main. .... Village Hyannis D 2Sgaroh <Prev Next> Page 1 of 1 F308-T ation Rows/Page: 10 Owner Village Index Map MAIN STREET(HYANNIS)-Multiple Address RAPOSO, GIL& A1 MAIN STREET(HYANNIS)-RESTAURANT) MARIA TR HY 0952 308118 MAIN STREET(HYANNIS)-Multiple Address 118 (599A2 MAIN STREET(HYANNIS)-2ND FLR APARTMENT RAPOSO, GIL & L/S) MARIA TR HY 0952 308118 308- 599 MAIN STREET(HYANNIS)-Multiple Address 118 (599B1 MAIN STREET(HYANNIS)-BAR(2ND BLDG L/S RAPOSO, GIL& ENTRANCE)) MARIA TR HY 0952 308118 308- 599 MAIN STREET(HYANNIS)-Multiple Address 118 (59982 MAIN STREET(HYANNIS)-RETAIL(2ND BLDG RAPOSO, GIL & CENTER ENT.)) MARIA TR HY 0952 308118 308- 599 MAIN STREET(HYANNIS)-Multiple Address 118 (599B3 MAIN STREET(HYANNIS)-GALLERY(2ND BLDG RAPOSO, GIL & R/S)) MARIA TR HY 0952 308118 308- 599 MAIN STREET(HYANNIS)-Multiple Address 118 (599B4 MAIN STREET(HYANNIS)-GLASS WORKS,(2ND . RAPOSO, GIL& BLDG R/S)) MARIA TR HY 0952 308118 308- 599 MAIN STREET(HYANNIS)-Multiple Address 118 (599C1 MAIN STREET(HYANNIS)-SHOP(REAR BLDG RAPOSO, GIL& L/S)) MARIA TR HY 0952 308118 308- 599 MAIN STREET(HYANNIS)-Multiple Address 118 (599C2 MAIN STREET(HYANNIS)-APARTMENT(REAR MARIA & BLDG R/S HY 0952 308118. 308- 599 MAIN STREET(HYANNIS)-Multiple Address 118 LOT)) MARIA MAIN STREET(HYANNIS)-TIKI BAR(R/S REAR RAPOSO,TR & HY 0952 308118 http://i ssgl2/intranet/pro'pdata/lookup.aspx 9/28/2010 vdo�o 4 eRt . e ��� � � ODD nV ✓QV a � oa a � ' 0 0 o Q °° • � � � 'C 0� p� o ked o o F7 EASAN M L NEB VIn �^ F � p ° Beys �� Pod U Q � 40 D ® W � oG CCo o� Q❑ � ° Q � ^D Q o P � ❑ a c. k �o��Kelp Town of Barnstable Regulatory Services MANSTASLM Thomas F. Geller,Director MAS& t6"¢ •�� Building Division. 9',,reo MA't a Tom Perry, Building Commissioner` 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508.79.0-6230 Property Owner Must F Complete and Sign This Section If Using A Builder as Owner of the subject property ' hereby authorize "I I i 1� s-r���vel� C�,LL-:S-r _ to act on finny behalf, in all.matters relative to work authorized by this building permit application for: 5�� h✓t� � ref Si; (Address of job) A 4 7 4Si .at Irc- Date t.i - . Print Name ;-- If Property Owner is applying for permit please complete the Homeo.vmgrs License . Exemptions Form on th'e reverse side. W�= y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Al)plicant Information Please Print Legibly Name(Business/Organization/Individual): f Address: Po , yjl .D� City/State/Zip: ,l�L J Phone#: Sd g-' S 3 /J 2 L/ Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with � 4- ❑ I am a general contractor and I have hired the sub-contractors 6. ❑ New construction employees(full and/or part-time).* 2.❑ I atn a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. E D molition working for me in an capacity. employees and have«corkers' Y P Y 9. Building addition [No workers' coiiip.insurance comp.insurance. required.] 5. We are a corporation and its IO.VElectrical repairs or additions 3-❑ I am a homeowner doing all work officers have exercised their 11.2Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]` C. 152, j 1(4),and we have no employees. [No workers'- 13.❑ Other � camp. insurance required.], *Any applicant that checks box#1 must also fill out the section below showing their w9rkers'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: �A%/Z, l ✓/�-- /l) Policy#or Self-ins.Lic.#: 4)C OZZ Oci 115 Expiration Date: 3'Z?• 1 Job Site Address: q MAIM. SI- City/State/Zip: HgQ/JAJ �J IVID� 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 certify under the pains and penalties7ofpoerjury that the information provided above is true and Correct. Si ature: A� Date: _ Phone#: 1<7J 9 Official ntse 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# C ACORD CERTIFICATE,OF LIABILITY INSURANCE DATE(MMIDD/YYYY) TM 01/04/2011 PRODUCER 781.447.5531 FAX 781.447.7230 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Masan & Mason Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 458 South Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Whitman, MA 02382 Gwen Vosburgh INSURERS AFFORDING COVERAGE NAIC# INSURED Miller Starbuck Construction, Inc. wsURERA: Main Street America Group PO Box 726 INSURER B: Star-Insurance 000204 Falmouth, MA 02541 INSURERC: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DD/YYYY DATE MM/DDIYYYY GENERAL LIABILITY MPF1100Y 12/01/2010 12/01/2011 EACH OCCURRENCE $ ' 1,000,000 DAMAGE TO RENTE X COMMERCIAL GENERAL LIABILITY PREMISES Ea occur ence $ 500,000 CLAIMS MADE T OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY P J ECTRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NbN-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCO220915 03/27/2010 03/27/2011 wc TATU- - AND EMPLOYERS'LIABILITY TORY LIMITS ER B OFFICER/MEMBER EXCLUDED ANY ECUTIVE" . E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Dperations: carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE David H' Mason ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2009/01) f ACORO® c DATE(MM/DDIYYYY) . CERTIFICATE OF LIABILITY INSURANCE 8/19/2010 THIS CERTIFICAT= IS SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOS T AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS C RTI ICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIV - PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT Zach L nkiewicz NAME: y OE Murray & MacDonald Insurance Services,, Inc. PA/CNNo Exc: (508)540-2400 FAX No: (508)289-4111 550 MacArthur Blvd. ADDRESS: PRODUCERLIST ERID00063498 Bourne MA 02532 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER AArbella Protection Insurance 41360 INSURER B:Technology Ins Co Colony Insulation Inc. INSURERC: 28 Jonathan Bourne Road INSURERD: L i INSURER E: Pocasset MA 02559 INSURERF: COVERAGES CERTIFICATE NUMBER:10-11 Master GL 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. ILICY EXP LT R ADDLITYPE OF INSURANCE INSR SUER POLICY NUMBER MPOLICY I DNYYY MM DDIYYYY LIMITS � LTR I,. GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A. CLAIMS-MADE �X OCCUR 8500028928 8/18/2010 8/18/2011 MED EXP(Any one person) . $ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 7X POLICY PRO- 7JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO A ALL OWNED AUTOS 49692400002 8/18/2010 8/18/2011 BODILY INJURY(Per person) $ X BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS Underinsured motorist BI split $ 20,000 PIP-Basic $ 8,000 X UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $_ -- A X RETENTION $ 10,000 4600028929 8/18/2010 8/18/20111 $. B WORKERS COMPENSATION X STATU- OTH- AND EMPLOYERS'LIABILITY YIN TOWC LIMITSE ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NIA - (Mandatory in NH) C3250647 8/18/2010 8/18/2011 E.L.DISEASE-EA EMPLOYE $ 500 000 If as,describe under DESCRIPTION OF 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) Miller Starbuck Co., Inc is. additonali nsured with respect to general liability form CG2010 (10 01) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miller Starbuck Construction Box 726 Falmouth, MA 02540 AUTHORIZED REPRESENTATIVE Douglas MacDonald/CLF ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. 1Nt025(200909) The ACORD name and logo are registered marks of ACORD i i I I Aco CERTIFICATE OF LIABILITY INSURANCE °A '"°"'°°"�"'"' 7/28/10 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 E REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. j IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to i the terms and conditions ofthe policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs). PRODUCER CONTACT C i NAME: i United Insurance Agency, Inc. • PHONE I FAX No: 199 Main Street E ADD DREDRE SS: P.O. Box 1013 PRODUCER 6281 Buzzards Bay, MA 02532 INSURE S AFFORDING COVERAGE NAIL# INSURED INSURER A:Commerce Insurance Co. Zachary A. Caradimos I NSURER B:AE IC I 8 Downey St INSURERC: Plymouth, MA 02360 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: I 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. LT R TYPE OF INSURANCE ADDL SUER POUCY NUMBER POLICY MMtD OU DIYEYJYCY LIMITS LTR GENERALLIABIUTY EACH OCCURRENCE $ 11000,000 6/23/10. 6/2.3/11 DAMAGE TO RENTED A X COMMERCIAL GENE PAL LLABILITY BCNBMS e $ 100,000 CLAIMS-MADE a OCCUR ME EXP(Arty one person) $ 5 000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $ 2,000.000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ AL L O WNE D AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (P er accident) NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION WC5008772012009 12/17/0912/17/10 X WCSTATU- I I 0TH- AND EMPLOYERS'LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 It yes,describe under 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 regui red) Electrician fax# 508-539-1125 Certificate Holder is also listed as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ` THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miller Starbuck Construction ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 726 Falmouth, Ma 02540 AUTHORIZED REPRESENTATIVE Tammy Buckley ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD r - , ���Vmr,,,,,,',,,''��� # 9/13/2010. 10:30, Bryden & Sullivan Insurance Donna Seviour-o-Laura 1/2 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE OP ID - DRT1 09 13/10 ?RODUCER T CERTIFICATE IS ISSUED AS A M R OF INFORMATION ` ONLY AND CONFERS'NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR I 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA' 02601 Phone: 508-775-6060 Fax: 508-790-1414 INSURERS AFFORDING COVERAGE. NAIC# i INSURED - INSURER NGM Insurance Company 14788 I " • INSURER B:' Associated Employers Insurance Duarte Plumbing, Inc. ` INSURER C: 37 Collins .Ave INSURERD: Centerville MA 02632 - INSURER E: COVERAGES 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 i POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD TYPE OF.INSURANCE POLICY NUMBER DATE MM/DD/YYYY) DATE MM/DD/YYYY EACH OCCURRENCE $ 1000000 , GENERALLIABILITY - - I A COMMERCIAL GENERAL LIABILITY 14PI608 OO 08 $ 500000/O3/lO O8/O3/11 � PREMISES(Ea occurence) � i El OCCUREXP(Arty one person) $ 10000 CLAIMS CMS MADE. OCCUR. - - }{ Business Owners PERSONAL&ADV INJURY. $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO: $ 2000000 PRO- LOC iPOUCY JECT AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT - $ (Ea accident) ANY AUTO ALL OWNED AUTOS - - BODILY INJURY - $ " { - _ (Per person) - �. SCHEDULED AUTOS HIRED AUTOS BODILY INJURY - $ (Per accident) NON-OWNEDAUTOS - 1 PROPERTY DAMAGE $ - (Per accident)- - - - - AUTO ONLY-EA ACCIDENT $ ' GARAGE LIABILITYEA . ANY AUTO OTHER THAN ACC - $. AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE - AGGREGATE $ HDEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION C STATU- FOTH- li RY LIMITS ER AND EMPLOYERS'LIABILITY _ YIN B ANY PROPRIETOR/PARTNER/DCECUTIVE WCC5006318012010 _06/23/10 06/23/11 E.L.EACH ACCIDENT: - $ 1000OO OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $ 100000 (Mandatory In NH) - Ilyes,describeugder ' E.L.DISEdE-POLICY LIMIT _ $ 500000 SPECIAL PROVISIONS below - OTHER " DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE6,/EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS amed insured as provided for.by the terms and Operations performed by the n conditions in the policy. Certificate Holder is included as an additional insured if required by a written contract, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION .MILLER/- DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN - NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL - IMPOSE NO OBUGAT16N OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. I 'Miller/Starbuck Construction - FH—ya0_iRRED REPRESENTATIVE Rt 28 Madaket Place s Office sh ee MA02649 ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ■■UCT-12-2010 08:54 From:O'Dono9hue Insurance 7816591205 To:15085391125 Pa9e:1/1 ■ r f ACORQM. DATG(MM/DDlYYYY) CERTIFICATE OF LIABILITY INSURANCE ■'' 10/12/2010 ■■ 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. j 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 pollcles may require an endorsemont A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT .Paula Lind NAME: _ O'Donoghue Insurance Agency, Xnc. ac"N E,t1-781-659-9988 jac,'Nap781-659-1205 2117 Washington Street E-MAIL PRODUCER — Hanover, Ma 02339 INSURER(S)AFFORDINGCOVERAGE NAICA. I INSURED INSURER A: . Hartford Fire Air Doctor- Inc INSURERS: 3 Abbey Lane Unit 4 INSUIL Middleborough,. MA 02346 INSURER D: INSURER E I -. INSURER F: ... . . _ COVERAGES CERTIFICATE NUMBER:Miller. Starbuck REVISION NUMBER: i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED.TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIT)ISTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT-1.0 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 SUCHROLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. "SR TYPE OF INSURANCE ADDL SUER " POLICY EFF' RO XP LTR INAR WVD POLICY NUMBER MM/DDIYYYy) (MMIDD/YYYYI LIMITS j OENERAL LIABILITY 08 SBM VV44 10/03/201 O 10/03/2011 FACM OCCURRENCE 5 1,Q00 r QOQ I X COMMERCIAL GENERALLIABILITY DAMAGE TO VENTED PRFMISF.3.(Ea occurrence $ 300�000 CLAIMS-MADE 7 OCCUR MCD CXP(Any ono parson) E 10,000 A PERSONAL A ADV INJURY 3 1,000,000 GENhKAL AGGREGATE $ 2,000,000 GCN'L AGGREGATE LIMOOff APPLIES PER VKUDUCTS-COMP/OP AGG $. 2 a 000,0Q0 POLICY JFCr El LOC ' g I AUTOMODILE LIABILITY COMBINED SINGLE LIMIT $ j ANY AUTO (Es accident) ALL OWNED AUTOS BODILY INJURY(Par person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ _ PROPERTY DAMAGE HIRED AUTOS lPer accldanl) 5 NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRCNCE $ EXCESS LIAe CLAIMS-MADE, AGGREGATE $ nEDUCTIBLE S RETENTION S 3 WORKERS COMPENSATION YIN N 08 WEC TU118 S 10103/2010 1010312011 r C STATU. OTH- AND EMPLOYERS'LIABILITY ft ANY PROPRIETOR/PARTNER/EXECUTIVE A OFFICER/MEMBEREXCLUDED9 a N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) E.L.DISEASE:EA EMPLOYEE S . S00 OO It yes,desoibe under C:L DISEASE-POLICY,LIMIT $ 500 QQQ TTI F D ES CRIPTION OF OPERATIONS below. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addlflonal Remarks Schedule,If more space Is required) lease note that Miller Starbuck Construction Inc: Northwest Starbuck; Mill Farm LLC are listed as dditional insured per written Contract for the General Liability policy only CERTIFICATE HOLDER CANCELLATION FAX: S08.539.112S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miller Starbuck Construction Inc THE EXPIRATION' DATE THEREOF, NOTICE WILL BE DELIVERED IN Northwest Starbuck ACCORDANCE WITH THE POLICY PROVISIONS. Mill. Farm LLC PO BOX 726 AUTHORIZED REPRESENTAT M 766 Madeket Place Falmouth, MA 02541 ®1988-2009 ACORD CORPORATI , All rights reserved. ACORD 26(2009/09) The ACORD name and logo are registered marks of ACORD r ACORDr. CERTIFICATE OF LIABILITY INSURANCE �tiioi20�0�' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dovblin(g'&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 9 y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO.Box 1990 j Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Mutual Insuranc" •.I Joshua B.Bassett INSURER B: Associated Employers Insurance I P:O.BOX 128 INSURER C: West Hyannisport,MA 02672 INSURERD: iINSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDT POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER T MM D D A GENERAL LIABILITY MPJ2966M 03/11/10 03/11/11 EACH OCCURRENCE $1000000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY $500 000 CLAIMS MADE FE OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 I GENERAL AGGREGATE s2,000,000 HGEN't.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ i SCHEDULED AUTOS (Per person) HIRED AUTOS , BODILY INJURY $ NON-OWNED AUTOS (Per accident) " I PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ i $ DEDUCTIBLE $ RETENTION $ $ TATTB WORKERS COMPENSATION AND WCC5007858012010 01/04/10 01/04H 1 X WC s''M OTH EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $5OO OOO OFFICERWEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate'holder is named additional insured for general liability as required with written contract. Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Miller Starbuck Construction, DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL __�UL DAYS WRITTEN Inc, NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL P.O.BOX 726 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Falmouth, MA 02541 REPRESENTATIVES. AUTHORIZED ACORD 25(2001/08)1 of 2 #S75542/M75541 LS1 © ACORD CORPORATION 1988 . �t"le)t.,� Town of Barnstable Building Department - 200 Main Street ELARNST"LE, * Hyannis, MA 02601 MAS&9$ 1639. .�' (508) 862-4038 Certificate of Occupancy Temporary Application 201100203 CO Number: 20120023 Parcel ID: 308118 CO Issue Date: 03109/12 .z Location: . 599 MAIN STREET (HYANNIS) - Zoning Classification: HYANNIS,-VILLAGE BUSINESS DIST x Owner: RAPOSO, GIL & MARIA TR Proposed Use: MIXED USE RETAIL & RES 104 GOOSE POINT RD CENTERVILLE, MA 02632 Village: HYANNIS Gen Contractor: MILLER STARBUCK CONSTRUCTION Permit Type: CTCO COMM TEMPORARY CO Comments: 60 DAY TEMPORARY 3 //Zl 05/09/12 Building Department Signature 7Dat/Migned Expiration Date �1HE TOWN. OF BARNSTABLE Building' Application Ref: 201100203 ' r BAMSTABLE, Issue Date: 02/08/11 Pe I It MASS A 039• Applicant: MILLER STARBUCK CONSTRUCTION permit Number: B 20110217 TFB WIA�s Proposed Use: MIXED USE RETAIL&RES Expiration Date: 08/08/11 Location 599 MAIN STREET (HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308118 Permit Fee$ 910.00 Contractor MILLER STARBUCK CONSTRUCTION Village HYANNIS App Fee$ 100.00 License Num 043338 Est Construction.Cost$ 100,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BUILDING A'ADD 6'X25'BUMP OUT ADD ON CONCRETE PIERS,AE D THIS CARD MUST BE KEPT POSTED UNTIL FINAL `4'X10'BUMPOUT ADDN.AD 20'X24'WOOD PORCH.,BUILD B REMO ELINSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: RAPOSO,GIL&MARIA TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 104 GOOSE POINT RD INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: PR Building Permit Issued By: �'�---- THIS.PERMITCONVEYSNO RIGHT TO OCCUPY ANY STREET ALLY,OR SIDEWALK OR ANY PART THEREOF EITHER TEMPORARILY:OR PERMANENTLY. ENGROACHEMENTS ON P[JBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUST BE APPROVED BY�THE 7URISDICTION. STREET OR ALLX GRADES.AS WELL.AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED;FROM THE DEPARTMENT QF P.UBLIC WORKS THE:ISSUANCE OF.TIiIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF,ANY APPLICABLE SUBDNISION;RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2. ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6. FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). • 8 ® 8., a .O B ® 8 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 �+ Srl Utz Ce�GFt 2 2 : , 2 40 3 �� 1 Heating Inspection Approvals Engineering Dept .. e- C-1 Cy 0 Fire Dept/��onG 2 Board of Health ( THE 1� TOWN OF L1, IRNSTABLE Building. 20,1103499 :� P BARNSTABLE, ' Issue Date: 07/05/11 a rm a t 9 MASS. . . �p s639- Applicant: DENNIS,DONALD A TFD�A Permit Number: B 201116.6,�• ;. Proposed Use: MIXED USE RETAIL&RES Expiration Date: 01/02/12 [Location 599 MAIN STREET (HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308118 Permit Fee$ 154.70 Contractor DENNIS,DONALD A Village HYANNIS App Fee$ 100.00 License Num 5351 Est Construction Cost$ 17,000 I Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INSTALL A KITCHEN EXHAUST HOOD AND FIRE SUPPRESSION SY THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A. CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BEECH TREE ALLEY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 766 FALMOUTH ROAD INSPECTION HAS BEEN MADE. MADAKET PLACE/D-20 MASHPEE,MA 02649 Application Entered by: PR Building Permit Issued BI Y THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.-:STREET-OR ALLEY-GRADES'AS WELL AS DEPTH AND LOCATION OF PUBLIC"SEWERS: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 CONSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE-FIRST-FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX.MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING'WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO,GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 2, 2 2 3 1 Heating Inspection Approvals ` Engineering Dept Fire Dept O 2 Board of Health 3 PROJECT NAME:- ADDRESS. 5q 9 �(h khmt 5 PERMIT# -20 l( G6ZO2) PERMIT DATE: M/P: L . LARGE ROLLED PLANS ARE III: BOA Z SLOT Data entered in MAPS program on BY: .. n/zzirr�'rAc/amhir�a , PROJECT NAME• ADDRESS:s��'J PERMIT# Q10 (/ PERMIT DATE: 3 M/P: � 4 LARGE ROLLED PLANS ARE IN: BOX 16 SLOT Data entered in MAPS program on: BY: q/wpfiles/forms/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �� 22 Map pp J� Parcel I Application Health Division Date Issued 7 Conservation Division Application Fee too y Planning Dept. Permit Fee r Date Definitive Plan Approved b Planning Board f%'� °� pp Y 9 �' Historic - OKH _ Preservation / Hyannis Project Street Address N A w Village \.A N A_1 A) 0 AAA A•Owner Address _1) oeo 33o — 6() q3 C to Telephone Permit Request �h1 �1 � -C,` A) ��, 1� 5�� ►� , Stagy S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 174 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing newt 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 Li Yjes ❑ No U, ,,- Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing 'S ne\V1 size_ Attached garage: ❑ existing ❑ new size _Shed: 0 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) o .. Name e A ,4./- 9 Telephone Number Address QQ__ License# ' 14 H 41 44 g�T Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 'x r - �$ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER `+ DATE OF INSPECTION: � FOUNDATION R FRAME INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL ,k PLUMBING: ROUGH FINAL GAS: ROUGH FINAL~' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts w; Department of Industrial Accidents Office of Investigations 1 i�/cif i 600 Washington Street Boston, MA 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly I T le (Business/Drganization/Individual): A-5 e.(' � � ' fi(� �,C {, to t .Tl� Address: ll0 "Enk1(Yl Ia. City/State/Zip: Phone Are you an employer? Check the appropriate box: Type of project(required): 1. ❑ I am a employer with is 4. ❑ I am a general contractor and I 6. ❑New construction employees(fu11 and/or part-time).* have hired the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 1.1.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' C q ] 13.[kOther [Ju00 t/4A6i.1 C _.�_ comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homcowncrs who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContnctors that check this box must attached an additional sheet showini'the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: obQ g MU/V luratre Policy#or Self-ins. Lie.#: 02)61 C0%6�L 1( 16q Expiration Date: 01 /Z Job Site Address: 5 1 u 1f`A « St JZEC— I City/State/Zip: U(4AV,.V15 -M• Q1001 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 a 152 can lead to the imposition of criminal penalties of a fine up to$1,560.00 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 insu-anee coverage verification. 1 do hereb VVrtify under t pains penalties f pe 'ury that the information provided above is true and correct Signature:��J . ! Dater P 1 Phone#: 5-0 of l 1Official 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 CERTIFICATE OF LIABILITY INSURANCE Dare pmvDD;YYY�� 6/1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS HIS 011 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: It the certificate holder is an ADDITIONAL INSURED,the policy(ie 5)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). PRGDUCEn CONTACT I NAME: Mason & Mason Insurance Agency, Inc. PHONE alc,No E.,,. 781.447.5531 FAx -, 458 South Ave. I (ac nof.781.4:}r .12�0 E-MAIL - Whitman, MA 02382 ADDRESS;. - - PRODUCER _CUSTOMER ID H: INSURED INSURER(S)AFFORDING COVERAGE East Coast Fire & Ventilation, Inc. INSURER A: Seneca Insurance Company I00324_ -- - 16 Kendrick Rd. wsuRERe: Travelers Indemnity Of Conn _ _2S6S2 Wareham, MA 02S71 INSURER *- Associated International Ins. I INSURER: Hartford Ins Co of the Midwest 120605 1 INSURERE: - I --- --I COVERAGES INSURER F: CERTIFICATE NUMBER: 10/11 he built REVISI — THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA ABOVE FOON R THHE POLICY PEHiC, INDICATED. NOTWITHSTANDING ANY RECUMEMENT,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 TERt iS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRR�— —' ADOL SUER LTR: TYPE OF IrJSURnNCE INSA WVD I POLICY NUMBER POLICY EFF POLICY EXP _ i GENERAL LIABILITY i MM/DD MM/DD/YYYY LIMITS , SG1_300096 07/01/2010 07/01/2011 EACH OCCURRENCE l X !COMMERCIAL GENERAL LIABILITY 5 1,000,000 i DAMAGE TO RENTED I i oEaCLAIMS-MADE REh1ISES -curre��OC _ 50,000 A ! I 8 MED EXP(Anyone person) $ 1,OOO PERSONAL£:AUV INJURY 000,0( - II GEERALAGGREG/ATEGEN'L AGGREGATE LIMIT APPLIES PER: }$ 2,000, 00OI PRO- 2,000,0OI POLICY PJECT LOC CMPUPAGG 01 PRODUCTS I AUTOMOBILE LIABILITY BA3182MS4610SE 07/01/2010 07/01/2011 COMBINEDSINGLELITil j X ANY AUTO (Ea accident) 1,0OO,000! i ALL O'A'NED AUTOS ! BODILY INJURY(Per person) B fL�SCHEDULED AUTOS I I :BODILY INJURY(Per accidentl Y, I HIRED AUTOS PROPERTY UAMAGL ---�- `—� I '(Per accident) I NON-OWNED AUTOS UMBRELLALIAB - �I I-S I -- occu� I CUBW312331107101/2010 07/01/2011 EACH OCCURRENCE s I _ i EXCESS LIAB CLAIMS-rn.4DE' i 1,000,OOOI C �- -- t- I I AGGREGATE I 1,0 00,000� .. L_J DEDUCIBLE - 1 I x RP T ENT101d $ 10,000I I I ! I ---- i — I WORKERS COMPENSATION I � AND EMPLOYERS'LIABILITY Y/N 08WECL1616 01/08i2011 01/08/2012 I l+C Sraru- I OTH l !-.NYPROPRIETOR!PAR1'NEn/EXECUTIVE I I' �.:.iTORY LmtITS_ E f _� D I OFFICERh,EMBER EXCLUDED? �!N Y A (Mandatory in NH) I E.L.EACH ACCIOENT I s 1,000,000 I .__ If ves,describe under I E.L.DISEASE•EA EMPLOYEE S 1,000,000 !DE LR!PTIO:d OF OPERATIONS below ! I - i I E.L.DISEASE-POLICY LIN41T S 1,00O,00O! 1ESCRIPi10rJ OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)77 - CERTIFICATE HOLDER CANCELLATION ti , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. East Coast Fire & Ventilation,- Inca —Attn: Beth Toth AUTHORIZED REPRESENTATIVE 16 Kendrick Rd Wareham, MA 02571 i David H. Mason ACORD 25(2009/09) - `Jc 1988-2009 ACORD CORPORATION. Ail rights-reserved. The ACORD name and logo are registered marks of ACORD ff 3" � 9' 9.00'Nom./9' 9.00'CD 7' 0.00'Nom./7' 000"OD fi. 3 3' Field Cut Fleld Cut a 10" X 23' 10' X 16' • c:- Exhaust L----� Exhaust -——_-——J .. - Riser Riser 54.' U,L, Listed'Incandescent Light c U.L. Listed Incandescent Light 54' ' "^- Fixture-High Temp Assembly - Flxture-High Temp Assembly - "w - yr. ,,.• __ 1161 1 Al .. .:.1 "'` 2�.•}. 2" - 22" y s e I Non./10' 0.00'OD 7'.0,00'Non./7' 0.00'OD PLAN VIEW — Hood #1 PLAN VIEW — Hood #2 _ 9' 9.00" LONG 5412SND-2 7' '0.00" LONG 5412SND-2 ' `WITH -226M'ISC—PSP FRONT WITH 226MISC-PSP- FRONT f SUPPLY PI ENUM 'SUPPLY' PLENUV a - LOB CA nnis, MA ♦% Am TIO ��AW� DATE 6/21/20.1 JOB �% 1354870 w®- DWG 2 DRATIW BY PWB-32 - REV. SCALE 1/32 HOOD INFORAL4 TIO V MAX EXHAUST PLENUM SUPPLY PLENUM i HDDD CONFiG. HOODI RISER'S) P.:SER:S) HEGD NC. MGDEL LENGTH COO{ING TOTAL - TOTAL I CGNSTRUCTICN TEND TO ROW EMP. EY.H. CFM WI OTH I..ENG. DTA. CFM S,P. SUP. C:=M WIDT1,' LEND, DIA, ( CFM S,?. END 1 5412 I 9' 9.00, 450 2436 10, 23 2438 -0.527' I 430 SS i� SND-2 Des' 0 I Where E posedl LEFT i ALOIJE 5412 7' 0.00' 450 IV 16' 1750 -0.454' ' _� 430 SS 2 1750 0 ------ RIGH7 ALONE SND-2 Deg' I I iWhere Exposed 226 10, 0.00' 430 SS 3 MISC-PSP 300 Deg, 0 I 1970 Where E.xPosed 226 7' 0.00, 430 SS ALONE I ALONE q 300 Deg: 0 1380 I ALONE ALONE MISC-PSP I � Where Exposed HOOD IV ORALAT 0 FILTER(S) LIGHT(S) UTILITY CABiNET(S) FIRE HOOD HOOD - - FIRE SYSTEM ELECTRICAL SWITCHES NO. TYPE OTY.HEIGHT LENGTH OTY. TYPE WIRE ,OCA7iON SYSTEM-IANGIN1 GUARD- TYPE SIZE MODEL QUANTITY LOCATION PL ING WGHT 1 Atun Baffte w/ Handles I 5 16' 2p• 3 Incandescent Light Fixt NG I NO 353 LBS -2 At— Baffte w/ Handles 4 16' 16' 2 Incandescent Light Fixt NO NO 271 1 16' .20' - LBS 3 0 NO 93 LBS 4 0 NO 70 LBS HOOD OPTIONS HOOD OPTION NO. - t SHOP WRAPPER 3,00' �Hlgh Front LEFT END STANDOFF(FIN/SLP) 3'Wide 2 SHOP WRAPPER 3.00' High Front, Right - - - - PERFORATED SUPPLY PLENUM(S) • RISER(S) - -rl�IDpOS. ,LENGTH WIDTH HEIGHT TYPE WIDTH LENG, DIA, CFM S.P: Front 120' 22' 6' MUA 12' 24' 9840,249'MUA 12' 24' 9840�249'Front --64' 22' 6' MUA 12' 16' 1 690 0221' 1 x+, f - . 4' MUA 12' 16- 690 0.221' - - JOB HEATHER'S LOCATION Hyannis, MA WAWML�__ DATE 6/21/20ll JOB # 354F370 ® --- DWG 1 DRAWN BY PWB-32 REV. SCALE 1/32 • • i - INCANDESCENT LIGHT FIXTURE-HIGH TEMP ASSEMBLY,INCLUDES CLEAR THERMAL AND SHOCK RESISTANT CL03E(L55 FIXTURE) 5e FF FIELD CUT EXHAUST RISER0. 3'TOP STANDO ,jg HANGING ANGLE SUPPLY RISER (FIELD CUT) —r HOOK -- ---- --- 16'ALUM 9AFFLE W/HANDLES AND F �EILING ---- 3' INTERNAL STANDOFF _ 23.5Z OPEN • STAINLESS STEEL • PERFORATED PANEL Ii IS'THE RESPONSIBILITY OF THE ARCHITECT/OWNER TO - ENSURE THAT THE HOOD CLEARANCE FROM LIMITED-EDMBUSTIBLE _�27• N. --I AND COMBUSTIBLE MATERIALS IS IN COMPLIANCE WITH LOCAL CODE REOUIREMENTS. - 90, GREASE DRAIN ♦ WITH REMOVABLE CUP - 78'AFF TYP. EQUIPMENT - BY OTHERS - d SECTION VIEW - MODEL 5412SND-2 WITH 226MISC-PSP FRONT SUPPLY PLENUM JOB HEATHER'S A00% _ = LOCATION Hyannis, MA �10AVM —=_____ DATE 6/21/2011 JOB # 1354870 j w® DWG # 3 DRAWN BY PWB-32 REV. SCALE 1/32 ErH'UST FAN INFORMATION ! FAN UNIT. FAN UNIT MODEL q MODEL TAG CFM S.P, RP'i 11. A VOLT FLA WEiGH7 (LBS.) N0. 1 NCAI4FA NCAI4FA 10' HCCD 2438 0.650 1212 1.000 1 209 7.0 i28.14 2 NCAI4FA NCP.I4FA 7' HOOD 1750 0.600 997 0J50 1 208 6.0 128.14 HEATER AfUA FAN INFORMA 0V FAN UNIT - FAN UNIT MODEL # BLOWER HOUSING TAG CFM S.P. RPM H.P. 0 VOLT FLA WEIGHT (LBS.) NO. 3 DMUAISFA .DMUA-I8-W DMUA-18 10' HOOD 1970 0.40D 1100 0.333 ,1 I 115 4.5 69.40 4 DMUAIBFA DMUA-I6-W DMUA-18 7' HOOD 1380 0.400 1100 0.333 1 115 4.5 69.40 FAN OPTIONS FAN UNIT .OPTION (Gty, - Descr,> - N0. 1 I - Grease Box • 2 1 - Grease Box -_ - CURB ASSEMBLIES NO. GN. .. WEIGHT ITEM SIZE FAN - 1 # 1 36 LRS Curb 23.000'W x 23.000'L x 20.000'H 8.000Q2.000 Pitch Vented Hinged 2 # 2 ' ' -36 LBS Curb 23.000'W x 23.000'L x 20A00'H' 8 00042.000 Pitch Vented Hinged t' 3 # 3 31 LBS Curb - 24.500'W x 24.500'L x 18.000'H 4 # 4 31 LBS Curb 24.500'W x 24.500'L x 18.000'H JOB HEATHER'S A*% — �s� _� a ___ LOCATION Hyannis, MA u WAR DATE 6/21/2011 JOB # 1354870 -- -- DivG # 4 DRA11'N BY PWB-32 REV. SCALE 1/32 FANS #L.#2 NCAI4FA - EXHAUST FAN - 33 3/4' + FEATURES / 23' • -ROOF MOUNTED FANS 23' RESTAURANT MODEL - ' WSE UL705 AND UL762AMCA SOUND AND AIR CERTIFIED • ^ VENT'cDWIRING FROM MOTOR TO DISCONNECT SWITCH CURB WEATHERPROOF DISCONNECTHIGH HEAT OPERATION 300'F(149'C)GREASE CLASSIFICATION TESTINGNORMAL TEMPERATURE TEST 20 GAUGE 30 1/2' SL - STEEL WHILEEXHI S EXHAUSTING AT FAN MUST OIR ATT 300-F T(]1490C) - CONSTRUCTION UNTIL ALL FAN PARTS HAVE REACHED THERMAL EQUILIBRIUM,AND WITHOUT ANY➢ETERIORATING-EF-ECTS TO THE FAN WHICH 3' FLANGEWOULD CAUSE UNSAFE OPERATION.GRAIN ' ABNORMAL FLARE-UP TEST e • / d v / /�'E%HAUST FAN MUST OPERATE CONTINUOUSLY ROOF OPENING WHILE EXHAUSTING BURNING GREASE VAPORS_ / DIMENS7ONSi AT 600'F(316'C)FOR A PERIO➢OF ' / 20' -. 15 MINUTES WITHOUT THE FAN BECOMING 20' - 14 7/8' . DAMAGED TO ANY EXTENT THAT,COULD CAUSE 17 7/8' 35 3/4' AN UNSAFE CONDITION. ` - 20' ❑PTIONS - PITCHED CURBS ARE AVAILABLE + g' 1 ' 2a 3/a• _ .FOR PITCHED ROOFS. ' 34' GREASE BOX ' - - SPECIFY PITCH, 12, - x - EXAMPLES 7/12`PITCH 30' SLOPE - - - - I ' �DICTIIR� BITIIIN - - EXHAUST RISER.ON•-HOOD AND FAN BY OTHERS) - - JOB HEATHER'S + _ �A -� _ __= LOCATION Hyannis, MA DATE 6/21/2011 JOB I 1354870 — -- DWG f 5 DRAWN BY PWB-32 REV. SCALE 1/32 +s i FANS #3 #4 DMUA18FA — SUPPLY FAN FEATURES 2' 24 1/2- - - FOOT MOUNTED FANS 24 1/2' , ' 33 9/16 - THERMAL OVERLOAD PROTECTION - STANDARD BIRD SCREEN - SAFETY DISCONNECT CURB " 20 GAUGE STEEL la 3/B CONSTRUCTION .. FLANGE , / z ROOF OPENING o - ��� / 20 DIMENSIONS 26 JOB HEATHER'S AO% ��� _� _ ___ LOCATION Hyannis, MA �AVM— — =— DATE 6/21/2011 JOB # 1354870 S We- DWG # 6 DRAAW BY PWB-32 REV. SCALE 1/32 _:. ,� ✓/xn Z�ommxoncvea�.o���vcaa62c�itt�ell.`t" - FIRE EQLM MENT rmrma.Av=of COMPETENCY Issued To.- Donald A...Demft 30'tOtt d.fty Drive CbWk—..VA 02636 /SS17e Osete. 3J08 Sw ador►Die. 5/t8>"1011 CC 04 . Reafttedto. 46,47,48 f 3M ire arrier Duct WrA 1 Duct Wrap Fire Protection Systems for Commercial Kitchen Grease and Chemical Exhaust Fume Ducts SQ,sslf/ �6oA pdy 4 O 6 O a 9 NFPA 96 Complies with Complies with fn� (�t �t [. j�,/�r■ c i Compliance International standard Y O YS V ®i. Uri o �,y ®`���. C 1998 Edition Mechanical Code Mechanical Code RAIFSANDBLAKKnS wm WRW IMEERNLS ..o. CAmp�nte - - FORU%NFwF.RESGINE MSDAMS rBRUSEm HR0UG1wn+EM V4 - � FS 1161 Report 2132A Sn UL1) mRYe`PRGLR1mS FKSIop"sEEeffi ProductData QRE6N�wmcE 9 ELIoRYLLf� CV1110F SE OpdEC OPYS . WG9 . 1. Product Description 4. Typical Physical Properties 3MTm Fire Barrier Duct Wrap 15A is a fire resistant wrap Blanket Color: gray/green consisting of a patented inorganic blanket encapsulated Weight: 1.38 lbs./sq.ft. (6.73 kg/sq.m) with a scrim-reinforced foil. It is used to fire rate com- mercial kitchen grease ducts and is a proven alternative 5. Performance to 1 or 2 hour fire resistant rated shaft enclosures. This 3M Fire Barrier Duct Wrap 15A has been tested in• mold resistant", non-absestos wrap contains a safer accordance with the following: fiber construction"and installs easily because of its high ASTM C 411 ASTM C 1338 flexibilty and strength. 3M Fire Barrier Duct Wrap 15A is ASTM C 518 ASTM E 136 a single layer,fire resistant wrap that has passed the ASTM E 84 . ASTM E 814 UL1978 test which simulates a grease duct fire..With its ASTM E 119 UL_1978(Sections 12 & 13) excellent insulating capabilities, it is an ideal choice for Surface Burning Characteristics (ASTM E 84) tight spaces because it protects combustible construc- tions at zero clearance throughout the entire enclosure Foil Encapsulated Blanket: system. 3M Fire Barrier 1000 N/S, 1003 S/L and 2000+. Flame Spread:0 ; Silicone Sealants used in combination 3M Fire Barrier Smoke Developed: 0 Duct Wrap 15A provide an effective firestop when the Blanket: duct penetrates fire rated walls and floors. Flame Spread:0 Features Smoke Developed:0 e One.layer wrap,for grease ducts rated as a shaft alter- Thermal Conductivity native per UL 1978 Temperature'F(°C) btu•in./hr.•ft'• e Zero clearance to combustible throughout the entire b00 era o.a17 enclosure system for congested spaces 1000(537) 0.922 . High flexibility for installation ease 1500(815) 1.69 . Foil encapsulated with unique center overlap seam for 1800(982) 2.27 blanket protection, less dust,and high wrap strength o Widest range of penetration seal systems . Stitched edges for technical data and properties of 3M Fire Barrier . Safer fiber construction" 1000 N/S, 1003 S/L and 2000+Silicone Sealants see e Mold resistant in accordance with ASTM C1338-00"" separate product data sheets available from your 3M "Has been demonstrated to be soluble in the lungs according to EU representative or go to www.3m.com/firestop. A guidelines 67/548/EWG,Note Q for bio persistence. Grease Duct Listings "Standard Test Method for Determining Fungi Resistance of Insulation Materials and Facings ire Enclosure System Omega Point Lab.Design Nos. Resistive Duct System Through- 2. Applications' Rating Penetration 3M Fire Barrier Duct Wrap 15A is an ideal fire System resistive enclosure for commercial kitchen grease ducts. 1 or 2 hours 1 layer of 3M Fire Barrier GD 532 F 15A FS 557 W It is a proven performance alternative to a 1 or 2 hour Duct Wrap 15A,3 in. GD 538 F 15A FS 558 F fire resistant rated shaft enclosures and provides zero (76 mm)perimeter and GD 547 F 15A FS 559 W clearance to combustible construction throughout the longitudinal overlaps GD 548 F 15A FS 560 F entire enclosure system. 3'M Fire Barrier 1000 N/S, GD 549 F 15A FS 561 F 1003 S/L or 2000+ Silicone Sealant is used in combina- GD 556 F 15A FS 562 W tion with 3M Fire Barrier Duct Wrap 15A to firestop the GD 557 F 15A FS FS 563 W duct when the duct penetrates fire-rated floors and walls. FS 579 W 3. Availability Product Unit Size Units/ Wt./ ctn. _ On. 3M Fire Barrier Roll 1.5 in,x 24 in,x 20 ft. 1 53 lbs. Duct Wrap 15A (38mm x 60,9cm x 609 cm) 24 kg 3M Fire Barrier Roll 1.5 in.x 48 in.x 20 ft. 1 . 106 lbs. Duct Wrap 15A (38mm x 121 cm x 609 cm) 48 kg KITCHEN MISTER - RESTAURANT FIRE SUPPRESSION SYSTEM Open flames; red-hot cooking surfaces, SYSTEM CYLINDERS and a heavily.grease-laden environment The models BFR-5, BFR-10, BFR-15 and BFR-20 cylinders are combine to make the modern designated by flow point capacity(so the BFR-5 supports five(5)flow commercial kitchen a potentially points)instead of the amount of agent they hold. dangerous fire hazard. Kitchen fires Recharge is available in 5 and 10 flow point containers spread quickly and have proven to so there's never a chance of error. be very difficult to extinguish, making them the leading cause of structural fire damage in the United States. 9. Protecting the modern commercial kitchen from the ever-present danger of cooking oil and grease fires is the reason we developed The Buckeye Kitchen Mister TM System. Utilizing state of the art misting technology,the Kitchen Mister System has proven to --; be the most effective fixed kitchen fire extinguishing system ever developed,extinguishing potentially BFR-5 BFR-10 BFR-20 BFR-15 deadly kitchen fires fast, before they can spread That's why the Kitchen Mister BUCKEYE SHIELDED CABLE System is quickly becoming the The Kitchen Mister Shielded Cable Interface is used to connect Buckeye preferred choice of fire protection Shielded Cable to any standard 1/2 inch conduit connection device. The use of professionals throughout the world. Buckeye Shielded Cable instead of conduit and corner pulleys for connecting the gas valve, So before fire strikes... remote pull station, and fusible link line to the DON'T TAKE CHANCES- Systems Releasing Module reduces installation DEMANDIHE BEST! time by up to 50%. LISTINGS AND APPROVALS <_ Listed to Underwriters Laboratories, Inc.Standard U L-300 01 Listed to Underwriters Laboratories of Canada, Inc. M Approved by the New Also available: r :_ York City Fire Department COA#5550 K Portable,used in conjunction vvith the e' . Complies with NFPA-96 and Kitchen Mister System. NFPA-17A Standards LISTED BUCKEYE TESTED & LISTED TO UL-300 DISCHARGE NOZZLES All five(5)Kitchen Mister nozzles come equipped with a color identification band ' red, blue, green, white and yellow.This allows for easy identification of the nOZZIE even when it's installed in difficult locations such as a duct or plenum area. The 4 nozzle is also stamped with its model number. NO CONDUIT& ONLY ONE ANCHOR NO CONDUIT BRACKET IN HOOD O NO CONDUIT REQUIRED REQUIRED By using Buckeye Shielded Cad no conduit is required for syster inputs/outputs.Buckeye Shield( NO CORNER v Cable is Listed for the gas valve PULLEYS REQUIRED - detection line,and pull station. © NO CONDUIT&ONLY ONE 'oo ANCHOR BRACKET IN HOOD The Kitchen Mister System " eliminates the need for conduit i the plenum and requires only on S—E \`\\ anchor bracket in the exhaust J � hood. ( s • © NO CORNER PULLEYS COLOR-CODED �� REQUIRED NOZZLES Buckeye Shielded Cable eliminates the need for corner - pulleys,making installation easy and fast. OCOLOR-CODED NOZZLES All Kitchen Mister nozzles have a unique color band for easy identification. SIMPLICITY OF DESIGN FASTER INSTALLATIONS DEALER FRIENDLY FEATURES The constant changes and By eliminating the labor-intensive task • Uncomplicated system design complicated requirements of most of installing conduit, corner pulleys, eliminates design and restaurant systems have made design and detector brackets, the Kitchen installation errors. and installation errors a concern of fire Mister System dramatically reduces • Installation time significantly protection professionals globally. installation time. reduced. • Innovative design eliminates The uncomplicated design of the The Kitchen Mister System is approved conduit and corner pulleys. Kitchen Mister System all but for use with Buckeye Shielded Cable or • Advanced detection system installs eliminates design and installation errors traditional conduit and corner pulleys quickly and easily. MV I by combining common sense features for all system inputs and outputs. • Color-coded p coded nozzles for easy and eliminating confusing design This, combined with the elimination identification. requirements. of conduit and fusible link brackets in • Flexible piping requirements allow the plenum area, makes installing the for unlimited system configurations. Kitchen Mister System quck�and`easy. ` ` • Best coverage in industry. 9 Online&face to face traininn i , COMMONWEALTH OF MASSAQHUSET'i S SHEET METAL WORKERS AS A MASTER-UNtQESTRICTD ISSUES THE ABOVE LICENSE TO 60I4ALD A DENNIS W 361 COTUTT BAY DR C0:TU11 MA 026354; 91:0 5351`: 05/28/1.2 .961951 g -. CONTROL# I 1 1 9 6 1 J IMPORTANT It this license is lost gi destroyed, notify your Board at the: Division of Professional Licensure, 1000 Washington St., Suite 710,.Boston,MA 0 110-61W If your name or address shown is changed, notify your board of correct name or address to insure proper mailing of next Renewal Application. Always refer to your license number. This license is subject to the provisions of the General Laws as amended. It is a personal privilege;and must not he loaned or assigned to any other person. Keep this license on your person or posted ys required by lava. I I THE Town of Barnstable Regulatory Services puAaq � Thomas F. Geiler,Director Braiding Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable ma.us Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder k I, U vh ?GtIIJ9 ; as Owner of the subject.property hereby authorize eA �l l'OST J I RE4-V4!/7/ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) IA-1 41 �2� Signature o er ate -Print Nz= If Property Owner is applying for permit please complete.the Y . Homeowners License Exemption Form on the reverse side. alth of Massachusetts William Francis cialvin -... rage i of.. The Commonwealth of Massachusetts William Francis Galvin f: Secretary of the Commonwealth, Corporations Division 7 `Q One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 EAST COAST FIRE & VENTILATION, INC. Summary Q Screen Help with this form Y}�:�Request a Cettrficate �m .W� The exact name of the Domestic Profit Corporation: EAST COAST FIRE & VENTILATION, INC. Entity Type: Domestic Profit Corporation Identification Number: 200442572 Old Federal Employer Identification Number (Old FEIN): 000855560 Date of Organization in Massachusetts: 12/08/2003 Current Fiscal Month / Day: 12 / 31 The location of its principal office: No. and Street: 16 KENDRICK RD.. UNIT 4 City or Town: WAREHAM State: MA Zip: 02635 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State: Zip: - Country: Name and address of the Registered Agent: Name: DONALD A. DENNIS No. and Street: 16 KENDRICK RD., UNIT 94 City or Town: WAREHAM State: MA Zip: 02571 Country: USA The officers and all�of the directors of the corporation: Title Individual Name Address (no Po Box) Expiration First, Middle, Last, Address, City or Town, State, Zip of Term http://corp.sec.state.ma.us/corp/corpsearcb/CorpSearchSummary.... 5/11/2011 ------------ OCCUPANCY/ SEATING ANALYSIS -► LADIES t z STORAGE i NOTE' BUILDINGS 1 &2 COMPRISE ONE RETAURANT; BUILDING 3 NOT IN THE SCOPE OF THIS ANALYSIS Z SPACE enrH BASE CODE: MASS. STATE CMR 780 NINTH EDITION a OCCUPANCY CLASS: ASSEMBLY RESTAURANT j OFFICE STUDIO APT. USE GROUP: A-3 w n o 389 SQ FT 350 SQ rT TOTAL BUILDING AREA FIRST FLOOR: 5,554 S.F. c o DRY GOODS TOTAL OUTDOOR SEATING AREA : 3.184 S.F. STORAGE ENS TOTAL OCCUPANT LOAD - ACTUAL NUMBER (1008.1.1) + NUMBER BY TABLE 1008.1.2 C 2 - .o", CRAWL ACTUAL NUMBER (1008.1.1): H SPACE MANAGER: 1 HOSTESSES: 2 BAR TENDERS: 6 WAITRESSES: 12 KITCHEN STAFF: 8 El 1 O ❑i KITCHEN TOTAL EMPLOYEES= TOTAL ACTUAL NUMBER = 29 PERSONS Q << NUMBER BY TABLE(1008.1.2) - ALL AREAS WHERE THERE COULD BE ADDITIONAL TABLES UJ _ AND CHAIRS/-UNCONCENTRATED-(LOOSE TABLES AND CHAIRS) a y CALCULATED AT 1 PERSON PER 15 SF - 816 SF/15 - 55 PERSONS IJ W ASSEMBLY WITH FIXED SEATS(1008.1.6) USE ACTUAL#OF SEATS- 277 PERSONS _ w • -r ASSEMBLY WITH FIXED SEATS/BOOTHS(1008.1.6) 24'PER PERSON = 32 PERSONS g BUILDING #1 SECOND FLOOR PLAN BUILDING #3 SECOND FLOOR PLAN TOTAL NUMBER STANDEES•5 SF/PERSON = 47 PERSONS a BUILDING #1 BASEMENT PLAN V N SCALE: 1/8 .1'-0" - SCALE: 1/8" = 1'-0" - SCALE: 1/8" = 1'-0" TOTAL OCCUPANT LOAD 440 PERSONS co DEOF In PERMITTTTEED TOTAL NUMBER OF POSSIBLE SEATS- 364 RESTAURANT W AREA ACTUAL TOTAL NUMBER OF SEATS = 309 Q o 5L199 MAIN ST •� H YA N N I S, MA ALL EGRESS PATH WIDTHS, LENGTH OF TRAVEL TO EXITS, EXIT DOOR WIDTHS, AND ALL _ OTHER REQUIREMENTS OF MASS. 780 CMR ARE MET BY THE EXISTING FLOOR PLAN —---- —- --------—--------— --—--— —— —---------------- — _ D . s -------------------------- ;; 1 I «.oE,_ E._ - ' l - c) 46 6A g g7 n� 0 i TA3LE r i� I i I MA USETT 1'i a 1s r ' I 1 I I .bow ItldL5l4 O O ccnq/+/may — — _ — I I 1j 1 77 "' 1 '(+ z'�nn:�`S —---vn}-or ruHF.s, $ ' 13 /�,W4/,a+ s• I. pF c1l H PAIIQ s❑' L...—_�__� IFT �- 1 ADIES \ 'ENSI L J I`T�I'7 Y' ILL J t ' ... LLI 2 io141.,5.5E4,s .:r�s, .a'�e,.4�E..F_sa 6 _ I 1 < F Wd -- N as ccau:, _ 11771 e�� Z O b kl 2R . I ❑ i' ; r'°__ecness— 8 I I Z Y IA N N s In ig LL EAA��.T.FN=A,A -,s -BUILDING#1 — 1 = EA*A"..,Eh BUILDING ' " ' N y o.R a _ --------- u --------- - w s wAnsrwnw A,f c.rrtw� s,onEo n.c. zo Ins I J1I g , •��:• j Ifig'; 5e"�1 IN E — --- -- _ E PEDESTRIAN ALLEY O BRICK kcu C{ i i 1 wirlFu r E ,e 1 -------------1 L------------- �i� /%�BUILQING#3 „ Q 1 f 1 I _- LLB c/ CD ED 1 I I Im, `REAAR`R-�TIO T- 1 - O1 LLJ'I LLB TI BAR' +� j ? i �`.` I 1�` _ 'I� cu � i I LL L.------J ! I Pei SHEET I ''r L----------- ----------- ------- —a--_----^J-----,— z tis _ - C ---- — '----- FIRE '---------------- L— FENE LO i------------------------------------- ------ Al G cu � EXISTING FLOOR PLAPJI FILE . JDs18O121 ;, U SCALE 11W.-f-O" A DATE:03 20 18 PROJ. MGR. JDS Q 1 a r � O QQ ui I cli v w PoRrm RESTAURANT N I 1 PROPOSED FRONT ELEVATION O Q sca :W! l-a rT, Is EE � ® 1 4~ z RESTAURANT ' O I APPROVED FRONT ELEVATION 24'-W i'-0' --CAL-:Va•_T-0° r� RECEIVED Q � � o APR 1 3 2011 rn Q TOWN OF BARNSTABLE Ln = a W HISTORIC PRESERVATION O� j Al ❑ o ~ ' EXISTING FRONT ELEVATION JOB, 1002 DRAWN BY. KW DATE: 4/13/11 L(1 - Ul ,m Fili ^� F1 rA� FEIF ,Yde rrae nran � T T W VW- - - - - - - - - - - - - - - - - - - -:- - -- - - - - - - - - - - - - o za-v se-u SAW L RESTAURANT CV �� cN ADmTW+ RESTAURANT RIGHT ELEVATION O Co- maw O rI I � � ®® .2•,24 msa,• ;� 2W-& 2W-& RE5TAURANT CO"oumPORC" /DD1T1ON APPROVED RIGHT ELEVATION z < z o0 Z wQ Ln a - 13 C3 R ECEIV D ®�T APR 1 3 201 ®T T WN OF RNST BLE HIS TION ' EXISTING RIGHT ELEVATION ` „fQB: 1002 DRAWN BY: KW DATE: 4113111 WNW Q WW ®® ® � FE ®WNW WNW a2laq- WNW w Iff w v- TL o � RESTAURANT "D°17ON PROPOSED LEFT ELEVATION w w z 3 ° r 12 � ,2,a,. ep a 82%dw `a—�� 2ESTAURAN'T 1 Z ADD171ON APPROVED LEFT ELEVATION O f SGALE i/A'=1'-0' 1 Q Z .(� L Z V 1 nW' O LL /L�� L W Q vl W l(1 = d w 0 rl ❑ RECEIVE®® f APR 1 3 2011 • TOWN OF BARNSTABLE HISTORIC PRESERVATION a, EXISTING LEFT ELEVATION SCALe 1/4=1-a .108= 1002 DRAWN SY- KW DATE, 4113111 zzNow, _ ■ ■ ME ■ - - - _■ - ■e ®� - �� ■� -- — � ■■ �®� ,�■ �i� its ■■ ■■ .. .. • EHII IS NO OW _- -- -------------- ----■� - ■ - - -- • E - ■■■■■■ E ■■■■■■ E u ■ '■■■ ■ '��� c= ■■ ■■■ ■■■SEE■■■ ■t� ■■■■■■ ■■■■■■ ■■■■■■ ■■■ ■■■ C� ■■■� ��.. ■■� ■■■ ■■■■■■ ■■■i ■■■■■■ • ss s • iii. iii0 s EXIST PIG ui �71l6' - W v to END BUILDING Q 0 PROPOSED FRONT ELEVATION CID WST 4 NDv ` 1 O O I • n ,2%W z r : ADDITON END BUILDING �r > APPROVED FRONT ELEVATON . �7 z � `// w O z O z w,nQ VI ® ill 7� Lil- END BUILDING EXISTING FRONT ELEVATION sca s:va=r o JOB, 1002 DRAWN BY, KW DATE, 4/13/11 STORAGE CRAWL Ci a DUTILITY BOOM cRAw ZN CAI 6i� it D > V-- U w PROPOSED RESTAURANT BASEMENT PLAN PROPOSED RESTAURANT SECOND FLOOR PLAN w ` . O O - lib'-O• , ��}II 24'-W 6q'-0' W-O' .11-O• X'-O' 17-0• w-& Q� >ZFououn BUILDING_fq BUILDING #2 O or wwv us CD 11^ ul w1l aka _ � 218.76' � ,n w IOJar e wv V I �—— revr war � I III I L_ LOCAIM EJ w Z I rvai Tana LOAMLLI IEN STOCK PM LL 1 p 1 it u LaI (�/ �D. __JL, ilp i0►1' i I RESTAURANT I 0 rn I I� ' itoLO I I awo�iiw �i mrw�n wrar�wb 'I J fSSgl,Lr I ,�.., �,� I sE 1 ice' 4C I COFFEE SWOP u n =rr NY►RA71p1 ---------------J r7� 2W-0 a'-W vg yA =MR®PORW ADDITIOIJ C -------------�y�rrr�mm mac►��.� PEDESTRIAN ALLEY .d 20'-0•Ax— ulna il7�IF•rllallnr ww+� Om= N36'43.21"W --- -----100.00'-- --Pwwrrw is----- '————i--------ulieWaw w- i N3�00W se'-o• 3 r------ � w a o � lP � .o�' tn' i4 Z 0. 10 z o ^ a I r------- I Z .•- � ei \ �� __r rrrrrrnrr ' � = Q w co_ _in I N I w l n �[ 'o I I I y�uuu R COURT YARD YARD ( Q z I I I I ' P.1r.coma"Ma Be r' u�,nli . ............ I 1 .TIKI at oa+RT rAlm aenM _'��°\q�L, ' ZMg TCML W M 92*A.10't � 4m n J L---- NGrm I r------------------------.------ w rt'-II• -i• L------� FIRE N Ia0 - 71Y-T LO w p1 t — — — — — — — — S35 23'10"E � — — 133.35' — — — — �ooa•w«pus a�o us J PROPOSED PLOT PLAN 70.91' J051 1002 DRAWN HY- KW DATE: 4/13/I I o � � U w RESTAURANT OL 1 PROPOSED FRONT ELEVATION Q O O . sCAL^:V4=T-0 (�1 `> ® � ® ---- ® RESTAURANT Q APPROVED FRONT ELEVATION 1. a-a scA�:vc=r-o 111 111 AMITION Z Z W Z W Q 0 Q • � OIL !5,. '�y� jQ [{{��of LiLiEXISTING FRONT ELEVATION A DRRAWN BY: KW DATE:. 4/13/11 a2 rnanco 1-11 b �H ' � w - ,Q,{{� ,�• 4rjcw .row , [tj w V— 4 V 1 sa-a %4'-u ans' RESTAURANT OC `^IYi C7VERM PORCH ''=rrW+ PROPOSED RIGHT ELEVATION Q 0 SCALE:1/4•=1'-C' w OL d- saw Y ® ® ®®WATM 1716Nmoom diN �15iN A14fs' �1'Yl!' ®®� d1EL/1lIDlIt ME=9MEM MOM - . 251-W RESTAURANT _ Z COVERED POWN "DD'TM APPROVED RIGHT ELEVATION O SCALE:va•_�-a Q zz z Q Q O 9 EXISTING RIGHT ELEVATION SCALE:V4'=T-0• - - JOB• 1002 G4 DRAWN BY: KW DATE: 4/13/11 Lo i---I (V ®® 4�• 4~ U w w � Iwo 1.0 RAM• O RESTAURANT U N "DD1T1ON PROPOSED LEFT ELEVATION w z RAMP =%:2w �. w mffw 'a�• RESTAURANT Z "DD1T1ON APPROVED LEFT ELEVATION �O( ZZ W Z pL O Z p QW 0 W a EXISTING LEFT ELEVATION SCALE:/4'_1-0 JOB, 1002 DRAWN BY- KW DATE, 4/13/11 • Ln Ln ON Ism E .I ■■ ■■I ■■. I , zL ■■ ■ ■■ ■■ ■■ �, e ■■ ■■ ■■ ■■ 1 � C1 Ln IBM __ • r erg - -- � ■■ � � � ■■ � � � ■ �� � ',� � � ■■ ■■ � � ■ ■■ • _ ► • ME MEN SEEN MEN IIIIIIN no MEN' ■■■■■■ ■■■■NONE■■ 5 ■■■ ■■■ ■■■� Fmis ■■■! : ■■■■■■!1 8 ■■■i ■■■■■■. MEMNON Sol - �■ ■■�rGi�■j iimonsm------mom::: mop -'��ii In/. / .. / �o �■ • u -+ 200 iiii►. iiiiiiiiiiiiii •' •• a 01 — � W 9� 9 V W AAW W V— 6l Q �( ' . END BUILDING O PROPOSED FRONT ELEVATION N ss E:va•=r-o' W 1 JC ri _ W END BUILDING Knorr ~ APPROVED FRONT ELEVATION scAlE:va•=r-o. - In zz z D O z o 1 Lf) = O W FA ®I t END BUILDING EXISTING FRONT ELEVATION gyp$: 1002 DRAWN BY: KW DATE: 4/13/11 Ln STORAGE CRAW ..•. cl i " OUTILITY ROOM 11CRAWL. Q � w PROPOSED RESTAURANT BASEMENT PLAN PROPOSED RESTAURANT SECOND FLOOR PLAN SCALE 1/8'=1'-O' • 2{'-0• 6•Y-O• E!'-0' 4'-0• 2i'-O• IZ'-0• 9N-O' � �'�l >ilolw�a�a BUILDING.41. - BUILDING #2 •• O �n wo ua• S35g0'S1 E ievr � r 218.76' — wa wM Pan Li ----- ----- wl•sM i(1ln� f..L.+ �1W1 LLI •'�iSA'4� i I® TM II ni° KITU IEN BTDGK RM w L====®vlq _ °1 I � I� RESTAURANT I _ � `>�R! I M T✓>RK i I ��I '/y�"��� I awr aana� Vn I III 1--- z S� I b� if— try �i�°{i i mar, ii —vE—d� ��—d I WIF Sop ii ii COFFEE SWOP GM �mfpr ml MYr RATYI ---------------J ®®•O aM7� • Q 46'-O• 10-W yA OVER®PORCH ADDITION c u -•, 1 I aaarwwwtr•es•tattsawTarw PEDESTRIAN ALLEY ---`--____-- '-o• 2o'-a' r-a ana0a aavr. wlolm�aa+w DRIIX - - T 1, N36'43'21"W la's• r-0' - - - - - - - - — 2'002 N3 1'W l ------ 1 T I 1 40.00� L—11 K--------— i L------------1 M�O UI I I bl _ W� �` �'' x Z Z D QZ r cd rnQ Wa 1 a w I I IcAmcrrOD up am i J ZIN I I I I ] [ REAR ODUR7 YARD I l I so rlr TIKI P.T.aaYAYARD WAYS BAR 70rAt araTe I ' GM� a aAv 1 I i I � _u`:u � raix i•. TALa p I —J L-----� ----------------- FIRE (! I r n 17-u• y s• N• �'-p �E i PiS3523'10"E Z' I ��i,Awr• I 133.35' - - - - - - _ — _ PROPOSED PLOT PLAN 70.91' SCALE:1/6'=1-0' JOB, 1002 DRAWN BY- KW DATE: 4/13/11 } ,. Z l(1 _ W LLI 2631 2631 2- 1 EfarRr . PORTICO (• It' K��_ W MIT FT-1f - Q _D�c / = O I ZS v �y C I o RESTAURANT _� Q � O PROPO�SEDFRONT ELEV-4i,U0-N c ^' . I' RAMP 3060 3068 3068 9068 �3060 9068ALE•Va'=T __ ll 0 m In. W W W z 3 °z 30 x4B 30'z46 .� O H LINE OF DINING PORCH - - - I 42'x6B' 42°x60' - Q RESTAZ-T � APPROVED F ONT ELEVATION 'n 24'_0. 5 E1/a'=T4VI O ' � ADDITION � V 1 -W Z Z Q Q 61 Q 13) . w �. 61 = W aw a rr _ Lt RECEIVED : JUN 3 0 2011 _ TOWN OF BARNS T ABLE FTT F HISTORIC PRESERVATK rA71 Ela REVISED:6/10/II JOB- 1002 EXISTING FRONT ELEVATION REVISED:4/30/11 DRAWN BY: KW scsaeva=ra DATE: 4/13/II 4° VL 0 Ln 42'xbe' ENMr °x4e' 3dx48 ' PORTICO W P4 RTICO— FlDE l� I 32 x29 32'SQ9 32'x29 -_ U w ■ ® ® ® �.xbg° 42'x6B' 42'x6B' 42'Y68' 42'x6B' 42'xbB' 42'x60' 42'x6B' 42'x6B' 42•Ybe' 42'x68' 42'x6B' t 1, 1 ------________________________— . 24'-0' :30-0' _ RE5T.AURANT Q O COVERED PORCH ADDITION PRO OSELZRIGHT ELEVA=FION� O (�� 1.L O PORCH 3O°x49 30k4B' 30'x4B ROOF w co ENTRY PORTICO ® ® ©® 32'x29• 32'x29' COVERED . SEATIN4 42°x68' 42'kbB' 42'xb8' 42'x6B' 42'x6B' �� - 64"x36' ��1 3'-0° SHELF UNDER WOODEN . STEP H.C.LIFT 20'-0' 2V-0• RESTAU T _ O COVERED PORCH ADDITION L - - APPROVED GHT ELEVATION �• - ,f-n- O 'n - I III Z t O Q Vz nw L ® U, nnQ VI aw a ®® El El RECEIVE® JUN 3 0 2011 LE 'TOWN OF BARNSTAB EXISTING RIGHT ELEVATION HISTORIC PRESERVATION gCALE t/4 Q FEV15ED:G/10/II : JOH: 1002 REVISED: 6/3/II DRAWN BY: KW REVISED:4/30/II DATE: 4/13/11 r .. ASPHALT 30'x48' 30'x40' H1 1'' J W11 PORTICO J ' FACADE � 1 EXISTING WINDOW AN 281 AN 281 TO REMAIN 346G G 3454 G 3456 G 3486 G W ' 48'xT2' 1,13 RAI'7P � r ` IANDIN4 v , a-z' RESTAURANTS RESTAUP.ANT ADDITION PROPOSED'LEFP ELEVATION O --sc—s,LE va•_r=o- �_yf r', O w 1 O L �T� W 12". B2.,2y. 321z29' co ENTRY J PORTICO 32'x29' 32'x29' 32'x29' 32',IV' COVERED SEATING 32'x29' - Z 10,_2. RESTAU O ADDmoN APPROVED FT ELEVATION Q 5• EV4'.1'-O' Z Z Q OW C a ® z 0 In El Lu .:r_ > zLUL,) mm CL ❑❑ ® 0 U- =D o z 0 LLI EXISTING LEFT ELEVATION SC.ALe V4'_1- a REVISED:6/10/11 JOB: 1002 REVISED:4/30/11 DRAWN BY: KW DATE:' 4/13/11 I Ln LO Ci CRICKET W o o � \ ®® ® ® nxa8• v- � W 2•x68 42'%68' o O FI F 21�-C° I 9-C• IG-O 28'-0° < \ ' RATED •' ` O . MIDDLE BUILDINGN�IIF3DLE SL�ILD�NG-�� O PROPOSED LEFT ELEVATION PROPOSED FRONT ELEVATION rTl (v SCALE:V4"=1'-C' - O� CD L 1 W w z z w co FTI R 30°zae• °x40' p ® arx69• a2'xGe• I 36'x02° 72•x82• 72'x82' 36•%B2• 11 12 x112 z O MIDDLE BUILDING MIDDLE BUI DING APPROVED LEFT ELEVATION APPROVED FJRbNT ELEVATION \Q\ SCALE:V4"=1'-0' In / _ U 1 V O 1 L Dt O / � z oQ W N � = O W a wUJ co m occ CO LL p di-M uj O to LEE 36•x82' MIDDLE BUILDING MIDDLE BUILDING EXISTING LEFT ELEVATION EXISTING FRONT ELEVATION SCALE V4"_T-O" SGfV..E V4'=1'-0" _ _ _ . REVISED:6/10/II JOB: 1002 REVISED:4/30/11 DRAWN BY: KW DATE: 4/13/I EXISTING ' - - 1``O CA .. .. 12 n 4v o FIRE SEPARATIONx WALL 42° 42'z6B' %6B' to 61 T T U p CV M xe2 36'x52' END BUILDING EXTERIOR BAR PROPOSED FRONT ELEVATION EXTERIOR BAR 5XMTIlqMPDEG<SIDE ELEVATION scsu.E.va_I� PR�JPOSED FRONT ELEVATION r sc,ALe va-=r-a suv..e va•=r-o O EXI5TIN6 NEW - CD Ln - W W O 'z4 O'x4B 'x40 0 Ell I I E-Ir Eli ® ! ® V 2•x 42'x6B' 2'x6 42'x68' ��P z 0 M z82 3G'xB2' r- . ADDITION END BUILDING APPROVED FRONT ELEVATION N W 7 - lfl = � W LLJ- LL rm LEI Pli L-1 1 11 1111 T I 36'xB2' BOX82' .13'-O' �IB'-°• L END BUILDING EXTERIOR BAR REVISED:6/10/II PBY: EXISTING FRONT ELEVATION EXTERIOR BAR scsvEva-=r-o EXISTING.FRONT ELEVATION EXISTING DECK SIDE ELEVATION srsuewa=ra sr-ALE. -=i-a Town of Barnstable Geographic Information System March 19, 2010 .'"'. -. ,;.��, w• ��LLf - .. - �. ,,. _ `�` . .�:�� c -,, . 3080t390Q2 _ ., �'»� `' 308103 ��,;. ,. 308060 ,, � � ,� ,� .o � � 308069001 f, #578 a , R 308104 �• a " #547 ,, 32 x,• � � _ " 308073002 :, ;�., � �#•, tag ;. ,.. 072 308068 r # 86 308130 , s,4"•. 308065 308044UND 308073001 a G #541 - ;� 308061 CND , ;� r , +'" ,.. ,�,�+�' '• � � `, a f ck #4 w 4 v, 308105 ' ^ ; #606 `.: ` ` , 308054 „ -620 #17 '".,ai �' ,..b Fes, ,.± e> ,.. es- i ...,r ,. -•:..a »a r;x $�',, ,', i,, a �j S ' l o , n ° ,w 1 ° g 308053 p 85 ; ` r } 5 b ~k - y 308118 r^ r 30811.7 i But #597 k` +F 3 a i =r_ 3082130 # 420 .. s a'r x; + t y• #434 r �' 308124 e � r #627 , , „ • .. 3081`2000.1 a , ,M 4 c. s e 308131002 09-4391 >= 221 Am MW 308121 " r yw f 4 s . b , e ° r #649 655, . .. 31?8122 J,; ��• " +r 308193 308135 ','. e �•. �. .: ^ � .„ - 'F'< �� � ";' , Via,"M :, #645 c> y Ya R .. , ,.. ,.-.Mv, r . . y i W.R. Y.. "` ,-:»'."„ •,"' ,.` 2 ,�Fw'. ,,, -• ' «�� 308141 ,,�.; ,,; .. . : ,,., �r,,i "�;' 308194 �a " ,> � �.• 308191 •�� t #4$8 w� #439 �#17 , 30827 0 308195 �, •° `� 30822 •�` ;,. t: ` F 197 308196 1 #445 308 a , : • . 59 DISCLAIMERS:This ma is for planning purposes only. It is not adequate for legal Map: 308 Parcel' 118 P P t P P Y• q 9 -1 Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner: RAPOSO, GIL&MAFIA TR Total Assessed Value: $876800 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage: 0.33 acres Abutters r ` boundaries and do not represent accurate relationships to physical features on the map Location: 599 MAIN STREET(HYANNIS) +" such as building locations. 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