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0616 MAIN STREET (HYANNIS)
.�� Y �— � _ �-`--+ i� �� _ ------ _ _ - i � IBC �'NLcu�- � . _ � , t A '�,. 1� I� II i� 'l '� � r�.__ ,.... ...._ t U� sachusetts ble 2-4038 REGULATIONS FORM ELECTRICAL WORK,. Date Received: 3/19/2019 Map.Parcel 039=098 Phone: (508) 771-7270 -%n I\,-. ,r,.. -- State Lic. No:. 17197 4 License Type: Master Electrician Class A I Town of Barnstable s '* Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date 9 Map s Parcel b/�Y Applicant Information Applicants Name C Q V, Applicants Address ' -J oN �B�tnail ddress (�1� l I10!I Telephone Number"' 7 - (p ( J Listed ❑ Unlisted ❑ Business Information New Business? Yes No Business is a registered corporation? ________________________. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes oNo Is the business a sole proprietorship or home occupation? ________C Yes No If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business S0ace- Business Address �p �Q S +`Ire'0l- Type of Business W GATI e 1J AL., Building Commissioner Office Use Only Conditions 1 Building Commissio Date q gq— Clerk Office Use Only I Any individual., partnership or corporation doing business undera name, other than their own name or:incorporated name; must file a Business Certificate. Any individual; partnership or corporation doing business under a name, other than their own name or incorporated name, must file a Business Certificate. The certificate fee .Is $40.00 and is valid for 4 years. The Business Certificate form is must be submitted to the. Building Division for review and signoff by the Building Commissioner. The form is then submitted to the Town Clerk's Office for processing. Town Clerk Building Commissioner Barnstable Town Hall. Town Offices 367 Main St, Hyannis 200 Main St, Hyannis 508.862.4044 508.862.4038 Under the provisions of Chapter 337 of the Acts of 1985 and Chapter 1.10, Section 5 of the Mass. General Laws,business certificates shall be in effect for four years from the date of issue and shall. be:renewed each four years thereafter. A statement under oath must be filed with the Town Clerk upon discontinuance or withdrawing from such business or partnership. Copies of such certificates shall be available at the address such business is conducted and shall. be furnished upon request during regular business hours to any person who has purchased goods or services fronn such.business. Violations are subject to a fine of not more than three hundred dollars, ($300.00) for each month during which such violation occurs. The issuance of a Business Certificate does not imply that all relevant licenses required to legally operate this business have been obtained or are current. This certificate only records that a business is being conducted. , 1 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 Y www.town.barnstable.ma.us Pre-application for Business Certificate Date Map`/� Parcel Applicant Information Applicants Name Applicants Address l ),as Aq 11 j ail ddress( , ,,( ram Telephone Number L.A J Listed ❑ Unlisted ❑ Business Information New Business? __________ Yes .No Business is a registered corporation? ________________________. Yes No If yes Name of Corporation. Does business operate under the registered corporate name? Yes CN)o Is the business a sole proprietorship or home occupation? ________(Des No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business Business Address 1 `( 1 �� > I �' �I L� �'C n m S Type.of Business �k C ATt n f� AL, 0 Qc 5TD 'G Building Commissioner Office Use Only Conditions r Building Commissio at '.�. Clerk Office Use Only Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language I V Assessing Division Property Lookup Results ® 2018 -7- 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< APrint h (� _.._..._....................._.........._....... .,.._.............................._............._.._..........._...............................__,_._............................................................_.._.._......................_....................................................._.........-.._.........................................I Q/ 4 PC- Owner Information-Map/Block/Lot 308/063/ Use Code:3250 �e Owner i r Owner Name as of 111117 CMSIX PROPERTIES LLC Map/Block/Lot GIS MAPS D �' 63 LAWTON STREET 308/063/ P i Property Address BROOKLINE,MA.02446 616 MAIN STREET(HYANNIS) Co-Owner Name Village:Hyannis Town Sewer At Address:Yes GIS Zoning Value:HVB Assessed Values 2018-Map/Block/Lot:308 1 063/-Use Code:3250 ........_..._.._...__......_..._..____..__.........................._..__._.__._._..._.......................-____._......_._..._......_.,..............__.......____,._,._...._........._...... ............._......_..m....._.......-......_.........................._.._......-...-.__........__..__............. ...._.-._-......-....-....._._....-._..........._..__._ � ........................._.._...._ ....._......._....._..._.....___._...__.._ f 2018 Appraised Value 2018 Assessed ValuePast Comparisons Building $235,100 $235,100 Year Assessed Value Value:.Extra $5,300 $5,300 2017-$424,500 Features: 2016-$393,100 2015-$363,900 "' 6 ` V 2014-$384,300 2013-$384,300 Outbuildings:$1,900 $1,900 ! �' 2012-$343,500 2011 -$343,500 E )� Land Value: $182,200 $182,200 I 2010-$365,900 OV" 2009-$403,800 2018 Totals $424,500 $424 500 403,800v " � � 2008-$ 2007-$403,800 ................. ........................... ............................. ................. .................... Glf ............................... Tax Information 2018 Map/Block/Lot:308 1 0631-Use Co de:3250 _..�..........._....................__. _.._..._._......._.... _..: mm.�.':..::'::::_ �_......_.__...� ._a...e.._.__ m ,.... Taxes Hyannis FD Tax(Commercial) $1,821.11 Hyannis FD Tax(Residential) $0 Fiscal Year 2018 TAX RATES HERE \�J( Community Preservation Act Tax $110.92 I Town Tax(Commercial) $3,697.40 Town Tax(Residential) $0 $5,629.43 .........._.................................-------... ........ ..._............... ............ .._...._,._.... ...... _ ....___......................... ..... . ..._....._.. ......._...._._._.._. Sales History-Map/Block/Lot 308/063/ Use Code:3250 http://www.townofbamstable.us/Assessing/propertydisplayscreenl 8.asp?a... 12/18/2018 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 History: Owner: Sale Date Book/Page: Sale Price: CMSIX PROPERTIES LLC 2008-02-26 22700/77 $1 FONG,MOY 0 1996-01-15 10024/140 $1 FONG,CHUCK D&MOY 0 1833/105 $0 Photos 308/063/-Use Code:3250 -ter: Sketches-Map/Block/Lot:308 1 0631-Use Code:3250 As t l � y 1 AsBuilt Card N/A Constructions Details-Map/Block/Lot:308/0631-Use Code:3250 i Building Details Land Building value $235,100 Bedrooms 00 USE CODE 3250 I Replacement Cost $383,609 Bathrooms 0 Full-2 Half Lot Size 0.2 i (Acres) i I Model Ind/Comm Total Rooms Appraised $182,200 1 Value Style Store Heat Fuel Gas Assessed $ Value 182,200 Grade Average Heat Type Hot Air Minus I I Year Built 1940 AC Type Central I Effective 35 Interior Hardwood 1 depreciation Floors 1 Stories 2 Interior Walls Drywall Living Area sq/ft 3,848 Exterior Walls Clapboard Gross Area sq/ft 4,412 Roof Gable/Hip Structure Roof Cover Asph/F I GIs/Cmp 3 http://www.townofbamstable.us/Assessing/propertydisplayscreen l 8.asp?a... 12/18/2018 Town of Barnstable Building ..: r�^ °Fw, %.' � ., °+ '.�+' -�.s��, ,u, .y'r,,,.: ` , � . '* Post This.CardSo Th.at it"is`\/isikile From'th�e`Street A , .rauedPlans Must be,Retained;on,Joband th�sCard Must be:Kept rr�gc a ��r PPS M" Posted Until Final InspectionsHas BeenMatle x ' ° W.here a Cert�ficate:of�O.ceu anc .,is Re ulred such.Bu�ldm shallallot be Occu ied un#rl a,Final Inspectionhas,been-rnade Permit Permit No. B-18-758 Applicant Name: CAPE COD REMODELING, LLC. Approvals Date Issued: 04/17/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/17/2018 Foundation: Location: 616 MAIN STREET(HYANNIS), HYANNIS Map/Lot: 308-063 Zoning District: HVB Sheathing: Owner on Record: CMSIX PROPERTIES LLC Contractor Name CAPE COD REMODELING, LLC. Framing: 1 Address: 63 LAWTON STREET , Contractor License 178816 2 � $ Q11 BROOKLINE, MA 02446 Est Protect Cost: $ 10,000.00 Chimney: x le Description: REPLACE 15 WINDOWS IN UPSTAIRS PART OFBUILDING n0 FRAME Pe'rmlt Fee: $ 160.00 ,z � . Insulation. CHANGES.All replaced with 6/6 double hung white vinyl harvey� Fee Paid = $ 160.00 industries classic windows 4 1 2 1 Final: 0 8 Project Review Req: REPLACEMENT WINDOWS ONLY k - ' r Plumbing/Gas i y Rough Plumbing: Building Official r Final Plumbing: ', Rough Gas: This permit shall be deemed abandoned and invalid unless the work a honzed.by this permit is commenced within six months after Issuance. g All work authorized by this permit shall conform to the approved application and the'approved construction documents+for which;thls permit has been granted. �� _: . 1 Final Gas: All construction,alterations and changes of use of any building and structures�shall�be m compliance with the local zoning>;byflaws"and codes. This permit shall be displayed in a location clearly visible from access street or toad and shall be maintained open fo publictlinspection for the entire duration of the work until the completion of the same. Electrical . '` Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided',on this permit. Minimum of Five Call Inspections Required for All Construction Work 1' Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONq,�L Map Parcel 0 Application Health Division &U//,Date Issued C/V,,� Conservation Division Appyication Fee Planning Dept. Tol�/V Np"rim it Fee 0� 1�y� Date Definitive Plan Approved by Planning Board q4p Historic - OKH _ Preservation / Hyannis Project Street Add Village oJ�SS Z/-ZC Owner q,-J,+ Adclress/zz_,(,��S� S'7`, Telephone L '1 .4 t. !4 &Z Permit Request 0 (.�a , v M Square Teet. 1 st floor: existing proposed 2nd floc exis ing propose Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio v Construction Type Lot Size At Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Familyc3❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 1` 1 Historic House: ❑Yes Alp 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 Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing Juli First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: 0 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size g 9 g — g — g Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial *es ❑ No If yes, site plan review# w i IJ u� ® A Current Use Proposed Use Y C_ l APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - � 0� S 7373 " - Name Telephone Number Address f �. �� �� License # CS — / Z �J17 C;�,td q Home Improvement Contractor# amz_ Email �( � �� ��' orke Compensation # ALL CONSTRUCTION DEB ESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION # _ I , DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE ` OWNER a _ DATE OF INSPECTION: FOUNDATION 5 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4 - ` DATE CLOSED OUT: ASSOCIATION PLAN NO. I �'L'r� �>�2��3IT�'�3ii`�?. ZYT��III�OI��II�C ��7'�'�n•• ��iIIlI�Y2I"5 - —----. AmE=flmrarm Fleasall YleaN • T�t3YLiP�#us��-�r�,;T,�;,��rr� � o 60yl6 40 rira gnu aser? appr ham Type of o e-ct Cr d). L❑ I am a emplay� 5 ❑l evir ma hmtka 2❑ Iam a sole psugHelas orpul=r- d oaths diache3 1 ❑R-- & 209 s3�alsaadf�a€fnempl s �e ca> xac ssf e 9. 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A If r■- !.�,.■■l■■�■ o t u r._ r - ■l■n- r,r r. /Inn r u •� .r; Y 1�r16 1 i ��...tinn•Iona �■ no ■ W9 IJ - a R. pFtHE Tp� IN r BARNSCABLEI .Town of Barnstable 39. - Building Department Services Brian Florence,CBO - Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section , If.Using A Builder I / , as Owner of the subjectproperty l hereby authorize /'lam 6 to act on my behalf, in all matters relative to work authorized by this bull g permit application for: (Address of Job) /z ,7 zo 17 Signature of Ow er Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WHHLESTORMS\building permit fomvs\EXPRESS.doc 08/16/17 I <.R • Choose your glazing package: Clear Insulated, Low-Lkor ENERGY STAR® • Optional ENERGY STAR®glazing surpasses ENERGY STAR®qualifications(U-Value 0.25) • DP50 upgrade available-includes sill rise adaptor,aluminum sash reinforcement and DSB glass • Multi-chambered extrusion enhances structural and thermal performance 20 YEARS' GM COVEPOA •Sound-reducing options available • Beveled master frame for trouble-free installation ` LIFETIME • Fusion welded frame and sash � + • Factory calibrated block&tackle sash balances never need adjustment or lubrication 3 `- • Fiberglass full screen standard on call sizes;fiberglass locking half screen standard on custom sizes • Double locks are standard on opening widths of z 30-1/4" • 3-1/4"jamb depth Exterior Pai 28Golor• Limit latches are standard;always active limit latches are available Optic • Integral L or J fin available E l INTERIOR COLOR OPTIONS HARDWARE S � a Extruded Vinyl BetterGrain®Anterior only) White a Almond Bronze Brushed Oily 'White Almond Bronze Red Cedar Dark Oak (Standard) Nickel Bro t _ (stand" t--'-: -- Hardware is color matched to window . (White,Almond,Bronze)unless another finish is selected. -`- _- Cam Loc GRIDS - x Contoured GBG Exterior Applied SDL i (Grids Between Glass) Grids (Simulated i 5/Bu 5/en j: i A Color-Matched Color-Matched mdudes r . v.. GBG,and a f Grid Con t • Colonk a • Prairie I a Color-Matched Color-Matched • Custom ' SCREEN OPTIONS •VIEWS screen(standard) -Newandimpmved! •Fiberglass wire ~ •Aluminum wire • � _• Product optonsE Pages 34-36 Current pricing available 24/7 on customer secure site.Visit harveybp.com to login. 32 Effe>R r •�`��e��rt�ururoecr�l�o���raauclzureL�� Office of Consumer Affairs&Business RegulaGoo HOME IMPROVEMENT CONTRACTOR Registration 178816 Type: Expiration: 5/22/20118 LLC CAPE COD REMODELINI ,LLG RICHARD AVERY I 39 FOUNTAIN ST MASSHPEE,MA 02649 � Undersecretary ' ' fAassach:asetts Department of Public Safety Board of Building Regulations and Standards � License: CS4084771 Construction Supervisor Ao RICHARD T AVERY PO BOX 2416 MASHPEE MA 0260 �•' �`�). �r��- Expiration: Commissioner 01/15/2019 i f '4 �® CERTIFICATE OF LIABILITY INSURANCE OATEP( 0°mm'' 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), AUTHORRED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT.- If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NA��Christian Barber, CIC The Oceanside Insurance Group PHO N (508)775-0500 FAX �.(509)790-7955 E-HAIL ADDS: 52 West Main Street INSURER(§AFFORDING COVERAGE NAICd Hyannis MA 02601 INSURERANapfre Insurance INSURED tmsuRER B Associated Employers Ins CO PA Construction Inc. INSURetC- 136 West Yarmouth Road INSURER D: INSURER E: West Yarmouth NA 02673 INSURERF: COVERAGES CERTIFICATE NUMBER-1=792705388 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 NDICATED. 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 CLANAS_ LTR TYPE OF INSURANCE iADDLISUBR� POLICY NUMBER POLICY EFF POLICY EXP LLYIIiS . $ COMMERCIAL GENERAL LIABILITY I ! ! EACH OCCURRENCE g 1,000,000 DAMAGE TO RENT® 500,000 A CLAIMS-MADE OCCUR t I PREMISES Fa acanrenoe Is j 8008030008733 8/22/2017 8/22/2018 MED EXP(Arty mle person) $ 10,000 ' EI PER�NALSADVIWURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ GENERAL AGGREGATE $ 2,000,000 POLICYElJECT LOC ! PRODUCTS-COMPIDPAGG $ 2,000,000 OTHER_ 1 Employmerd Prechces Lmbddy $ 10,000 AUTOMOBILE LIABILITY ? `: COMBINED SINGLE LIMIT $ Me accident ANY AUTO BODILY INJURY(Per perm) $ ALL OWNED SCHE AUTOS AUTOS ± BODILY IL'MY(Per accident) $ HIRED AUTOS AUTOS $ PROPERTY DAMAGE $ Peraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ DICESSLIAB CLAIMSMADEI j AGGREGATE $ DED RETENTION$ 1 $ WORIO=RSCOMPENSAiION ; g AND EI�LOYEI$'LIABILITY YIN; i STATUTE I PER ER ANY PROPMETORIPARTNERIDIFCUMIE OFT7(�R/ANEMBER IXCLUDFD? N NIA! EL EACH ACCIDENT $ 500,000 ! B (Mandatory in NM i !MM-500-5013784-2017A 8/24/2017 8/24/2018 EL DISEASE-EA EMPLOYE $ 500,000 DEIPi1ION OF OPERATIONS below 1{{ S EL DISEASE-POLICY LIMIT I$ 500,000 I i I t DESCRIPTION OF OPERATIONS I LOCATIONS I VBWA ES(ACORD 101,AddiionaT Re narlrs Sdmdot%may be attached 8 more space is regrdred) Insurance coverage is limited to the terms, conditions, exclusions, other limitations and endorsement of the policy. Nothing contained in the certificate of insurance shall be deemed to have altered, waived, or extended the Coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION rtavery@outlook.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Remodeling LLC THE ACCORDANCE WI DATE TH THE POLICYTHEREOF, NOTICE S ONCE WILL BE DELIVERED IN PO Box 2416 Mashpee, MA 02649 AUiHOR®REPRESEHTATIVE C Barber, CIC/MC 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2(14/01) The ACORD name and logo are registered marks of ACORD INS025(•mT4oi) KAM Town of Barnstable Building Department Services Brian Florence,CBO - Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403& Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize /•Grlk to act on my beh2X in all matters relative to work authorized by this buil - permit application for. ,.� A✓ s (Address of Job) 7 z� i, Signature of Qw er Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse-side. • - t a , t i3 3 LAB y � E.. a5 b � [ . `•g�I gyp;, ���. v � _?` ry,a ��'' ���❑ �` - 3 00 e 5 ]j � � � � � �� � � y t � �, � �'� rA .. ..ya,+• � ""C�a�-+yw � Rom.^. �� �hhh_�v �., 'y 6 �r �} 9"� , :+$ �� "� i sx II � ;::arm � tx � '" " "�, .� r 4 4'�.- � •. :4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' I ec-Map Parcel a u, / ion #` `� Health Division Date Issued Z _ S Pr Conservation Division Application Fee Planning Dept. Permit Feel k �3 7 57) Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis 600�__lv k &" b tv Project Street Address S� Village��r�/,v i'� Owner C/11X Q �j', L c Address �P 3 �a,,, �oN $-�+ & L Telephone Permit Request Rec oN 4r,Gt/Au 4r_A w)-kV 4 S a,r4 e t d WrS �t &Ji}vr.Qo-w S C ew 5 fywc t- g 1'1twJ oA k� o F ! '4yw A Square feet: 1 st floor: existing ,proposed /6b152nd floor: existing proposed Total new Kv Zoning District Flood Plain Groundwater Overlay Project Valuation ADa Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full . W<rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.. Number of Baths: Full: existing new Half: existing neva> a Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: W'Gas ❑ Oil p Electric ❑Other r-- Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove 0 Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Rt�19r� Proposed Use •e i � APPLICANT INFORMATION - - - . (BUILDER OR HOMEOWNER) Name laaj S�a Telephone Number Ste$ q"-:J --_p O Address 41�n PT- License # D 65 3 _C6�6 1 ' Home Improvement Contractor# Email 441 /V1(o7y NC. . C0YY'\ Worker's Compensation # yitu/oy is 0 ALL CONSTR(UC ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ► )r SIGNATURE DATE FOR OFFICIAL USE ONLY . APPLICATION# k DATE ISSUED MAP./PARCEL NO. ' ADDRESS VILLAGE OWNER Y i DATE OF INSPECTION: FOUNDATION FRAME INSULATION e, FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL e GAS: ROUGH FINAL FINAL BUILDING t i DATE CLOSED OUT ASSOCIATION PLAN NO. Tfy,-Com_yno.-ritwalth of Massachuseffs Depaphnent efludkstr al Accidents Office Of InVeS4.atlons 600 Waykington Street wrttw masmgof:tdia Worlcers' CampensaiiiDnInmrance Affidavit:Piriiders/Conti-actorsMectricians/PTumhers Applicant Information Please Print Legibly Name{Brtssine�lOrganiza�ou(fndividnaq= ��"' ?�- C_ City/state/2ip= AreZma* a employer? Check the appropriate box Type;of�j�(r� 4_ l,_ employes with_ 4_ ❑ I any a general contractor and I 6- ❑New constn on. employees(full and/or part-#ime).* have hied the sub-co ractors. 2._❑ I am a sole proprietor or partner- listed on the attached sheet 7- ❑Remodeling ship and hate no employees These sub-contractors have g. ❑Demolition working for me m any capacity employees and have workers' _ ❑Building addition [No workem' comp_insurance Gomp-�-t required] 5_.❑ We are a corporation and its 10.[]Electrical repairs or additions officers have exercised their 3_El am a homt3ou�ner doing all work 11_.❑Plumbing repairs or additions urf self [No workers'comp- right:of exemption per MGL 12-0 Roof repairs c_ 152, insurance required.]f §1(4),and we ha%m no employees_[Na workers' 13_.❑Qtllef comp_insuranm regwredi•j *limy appbomt that checks boa t1— also U out the section below showing their wodeie compensation polity iufumutima_ T Someawners who submit dais affidavit hb izstkg they are doing aR ivat aaxd then hoe outside contractors nmst sctbutit a new a dsrit indicating Bach- =Cautcacrors thst check this bmc mast sttached an addition2d sheet showing the name of the uth` and state whether or not those entities have employees. If the sttb"coutcactots have employees,they mast provide their workers'comp.policy atrnber I am an empkb w that is prmiditrg workers'conilmnsntion irmwarrce for my effqikyem Belau is the pDUcy and job seta information- Insurance Company Flame: G _ Policy or Self ins_Lim �CUod g9 a to C� Expiration Date: Job Site Address: L Alloy CitylStatel : f 1*44— Ai#ach a copy of the workers'compeusati,on policy declaration page(showing the policy numb and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.OD and/or one-year in3prisonmenf,as well as civil penalties in the font of a STOP WORK ORDER and a fine of up to S250.00 a.day against the violator_ Be advised that a copy of this statement maybe forwarded.to the Office of Investigations of the DIA liar insurance;coverage verffication_ - I da hereby c fy rirrder t e n and Snutft&S Djfperjury thatfhe in ormafian prated abase cs hW and/c�or"r"e�ct Siena Date_ /! . Phone#: l3Xidol use only. Igo not write in fiats area,to be completed by cft}v or town Df ficiaL. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department I CitylFown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person. Phone#: 6 Information and 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 implied, oral or written." An employer is defined as"an individual,PartnershiA 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 Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority" Applicants Please fill out the workers' compensation affidavit completely,by checking 'the boxes that apply to your situation and,U necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their c:er-incatc-(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of inS11Mce coverage. Also be sure to sign and date the affidaNrit 17he 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. Seli insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addi'dou an applicant that must submit multiple permit/licen.se applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be tilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: `F`h�Commonwealth of Massachusetts Department of Industrial Accidents Office of Imvestiptioas 600 Washington Siz-t-;tt Boston,IAA 02111 Tel.A 617-727-4.M W 406 or 1-977 MASSAFE Revised 4-24-07 Fax#617-727-7-149 www.snassgavldia f From:dJnderwri Da Fax:(07y409-6501 jT6:j5q88330909@&rcfNax.co Fax.:ct15089330909 IPA e 2 f 2 10/871�014335 THIS CERJCATE IS ISSUED ABA{NATTER OF INFOtMAMONONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT. AFFIRMALY OR NEGATIVELY AMEND, EXTEND OR ALTER 7HE'COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONUTE'A.CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, ' IMPORTANTr K the certificate holder Is an ADDITIONALINSURED,the'policy(ies must be endorsed. 9SUBROGATION IS,WAIVED,subject to the terms and conddidris of the poll certalri pol(cles may require an endorsement A statement on Is rtiticate does not confer rights to the cerifficato holder In Ileu of such endorsements(s) PRODUCER CONTACT PHONE. - FAX. ' InsLuarice gency Of-Cape Cod,Inc- rvC,No.Ext): (800)649-8889' ac No.: (508)833-0909 E-MAIL PO BOX 94 iO ADDRESS EaSt-Sand ICh,11�A r.. 02537 PRonUfFR _-MSTO aea Ina. INSURERS AFFORDING COVERAGE NAIC R INSURED INSURER A Atlantic Charter Insurance_Company: VDAC' 44326. INSURER B APCON, INSURER C 4830 Route 28 . INSURER a Cotuit,...... 02635 INSURER.E INSURER F: CO RAGES:' . CERTIFICATE NUMBER: REVISION NUMBER: THIS IS .CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I IND[CA D-NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFFI ATE MAY BE ISSUED OR M HE AY PERTAIN,T INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, . . FECCLU NS AND CONOM014S OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY.PAID CLAIMS. IN9R ..RIPE OF INSURANCE' : AODL BUBR POLICY NU HER - POLICY EFFECTIVE POLICY EIPIRATION ..LIMITS. - LTR MR WYD � � �Q TMYalfld) GENERAI!LIASIUTY rn EACH OCCURRENCE . DATE MM": DATE(PRAODI . CCIALGENERALUABIUTY - OoMAGETORENIEDPREMISES CLA ISIMDE a OCCUR I F - . h1E0 DP(At!yDne penan) $ .! . PersoruLaaovlwuRY $ I GENERACAGGREGATE E - .. fNL GATE LIMIT APPLIES PER .. .. - 'PRODUCTS•COMPA3P AG0 5... I . Y PROJECT.a LOC. ..... ....... ...... .. _..., AUTO LE LIABILITY ".. COMINEOSINGLEUMIT.',:,.: AM AUTO Awltlerr}.:. .. "_-----................. ..._........_...____..__. ._ - `. ------._......._. _.._...._.-........_. _ IEgAVTGS. '' : BODILY INJURY _.. (Ea Aaltle�p $ HIRgD AUTOS PROPERTY DAMAGE- narowNOED AUTOS _ : lEaAcctdwt} - SLAY '. .. EACH OCCURRENCE $ !! I ..EX UiB❑ CLAIMS MADE. AGGREGATE $. DEFUCTIBLE >. L-J $ I ORHER COMPENSATIONAND .. '. ._ OS/14/201.4 OS/14/20i5. .. STATUTORY RY o�niERA oYE LIABILITY WCvo0892104 X LIMITS'_ . f :.: PNY ET ORiPARTNEReMCUTNE YfN Policy Coverage State:MA EACHACaDSPIr. :. OFFCERERIXCWDED7. .� N NIA.� _ ... .. _ � ;� 1,000,000 . .�. MantlaOory NH .' ..._...—it-Y25,,dRtE.UWEISPECUV.PRCMSlONS teIUx- - _ . t ... . —-S—l;oaooaa—_�—� . _ DISEASE-EACH EMPLOYEE 1,000,000 _. ._-. .O. R I----._..=--- - - - - ------ - - - _.... ;._..._ ..w._.-_._._v_..__ _. _._._.-__- - --- ---—-- - -- - ._ -- --------------- . _ Df9CRIPnON PERATRIN&LOCATIONSIVEIBCLEe(AIIachAWRD101.AddttlOnmR9pLlkSSd10tlW41ro!orOspAeelsfegNre6}:..-.'_.:_...:::._.:.....:.......t:_..._........................__....... :, ._..-_:--._Y:,:, c.--,.�_•.Y_.�...- `_--__-_' - SHOULD ANY OF.THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE I TOWII O Bainstable Buil Dept. EXPIRATION DATE THEREOF,THE ISSUING COMPANY.WILL ENDEAVOR TO MAIL w_ dT.�, DAYS WRRTEN.NOTICE TO THE.CERTIFJCATE:H.OLDER.NAMED TO.,THE.LEFT .._-200'IJla�Stieet.......�..;... .. : . _u,....:._. __� .� j. Hy MA 02601 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ............. . _......_..._. .. - ... - - -- . .... . . _... ... T ....... _... _ _ ..... ........... .. .....UTHORIZEDREPAESEN ATME ._../� Pays.I.of.1. CER nFICATE HOLDER COPY '':. ®lase-loos AcoRD.eoRroRAroN AN rtptas reserved. . Massachusetts-Department.of Public Safety Board of Building Regulations and Standards Construction Supervisor ; License: CS-065318 MI fir_ ,,, CHAEL A WOOS ; 4830 RT 28 = z Cotuit MIA 02635 0`� Expiration 01/28/2016 Commissioner Commonwealth of Massachusetts �8l Department of Public Safety Hoisting Engineer License: HE-163806 NUCHAEL A SA14TOS 4830 RT 28 Cotuit MA 02635 Expiration: Commissioner 01/28/2016 1 9 Office of Consumer Affairs&Business Regulation. 0ME IMPROVEMENT CONTRACTOR egistration: ' 27 1241 "r--�. Type: . xpiration: 2fh,20 6- DBA Apcon t Fx - . Michael Santos ° € 4 z� 1A�lri, ; 4830 Route 28 ;• FL COW,MA 02635 ±y W ,�..<1. Undersecretary Initial,Construction Control Document IA- _ To be submitted with the building permit application by a Registered Design Professional for work per the 8 h edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Retail Store Date:1-20-2015 Property Address: 616 Main Street,Hyannis Ma. Project: Check(x)one or both as applicable:New construction �es Existing Construction _yes Project description: Renovate exterior wall and window framing.Floors,walls and ceilings remove and replace. Replace first and second floor framing with new footings columns and beams.Add handicapped ramp for access to upper level. New stairs to second floor all finishes alarms stem. I Doming Daveta MA Registration Number: 3528 Expiration date: 08/31/2015 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': X Architectural Structural Mechanical X Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction C col Document'. Enter in the space to the right a"wet"or � o p a F. 'Qb electronic signature and seal: / F Phone number: 617-666-9840 Email: davarchQcomcast.net Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised If`other'is chosen, provide a description. Version 06 11 2013 62 . 5 LOT SIZE ASSUMED O 9170 S.F. ►`� rn PROPOSSED 00 ADDITION 178 S.F. 0-) Ln I--- I N � 16'-11" I o - Ln I c�1 I I I c o I RENOVATION RENTAL UNIT SITE PLAN II N 616 MAIN STREET I I N HYANNIS, MA. DAVETA ASSOCIATES I ARCHITECTS 31 UPLAND ROAD SOMERVILLE, MA.02144 DWG. SCALE NTS 55 . 961 SK- 1 .1 DATE 1-26-2015 � SCHEMATIC SITE PLAN SCALE NTS r +M9 Town of Barnstable Growth N,anagement Department. Hyannis Main Street Waterfront Historic District Comm r111: 2 www.townbamstable.ma.us/hyannismamstreet. Decision-Certificate of Appropriateness Fong et al - Michael Santos°, Apcon, Inc.'r.616 Main Street,,Hyannis The Hyannis,Main Street Waterfront Historic District Commission,pursuant'to the Code otiet otT[tit+IRlr'LE � Barnstable Chapter 112,Historic Properties,Article III,Hyannis Main Street Waterfront Historic District, �' hereby approves a Certificate of Appropriateness for the,following property: Property Address: 616 Main Strect Assessor's Map/Parcel: 308/0633 t The public hearing on this application was opened on November 5,2014. After.consideration of the testimony given and materials submitted by the applicant and members of the public, the Commission found the t renovations to the.building will appropriately contribute to the historic.character of the Hyannis:Main Street Waterfront Historic District. The Commission considered the.materials,;design, color,.size, and context of the proposed renovationsrenovations and found it to be appropriate for the protection and. preservation of the district. Based onahese findings,;the Commission voted to,grant the certificate of appropriateness subject to the following conditions: I. Replace existing entry door with ADA,compliant out swing door(natural wood),. 2. Remove and replace:all exterior.wood trim and replace with PVC composite°trim:painted white.. 3. Remove and replace all exterior windows with new windows(same size as existing). 4. Replace dormer adjacent to window on second-floor rear.of building: : 5. Replace single pane picture,windows with insulated mulled units. 6. Construct a 13 x 14 addition on rear of building for ADA compliant bathrooms. 7.. Replace gutter,and downspouts. 8. Storefront paint color to be painted Ivory(off white color)and rear to be painted:Gray.. ; 9. Panelunder large plate glass window will be divided/split{vertically. 10. Storefront knee wall o be replaced with PVC'composite(suggested granite or.marble.tile. =� inlay) 11.Permits from the Building Division are required prior to commenCingL work. Present and voting in.the: affirmative to grant.theL certificate of apprgpriateness were: George 7essop, Paul Arnold,Bill.Cronin,Marin&Aja4s,,Brenda Mazzco,and Taryn Thoman`1 Opposed:None George Jessop,Chair i Dat IIyannis Main Street Waterfront ic:District'Commission cc; 'Michael Santos,Apron,.lnc.(for Applicant) I,Ann Quirk,;Clerk of.the Town of Barnstable,Barnstable County,Massachusetts;hereby certify that'twenty- (20)days have elapsed since,the Hyannis Main Street Waterfront'Historic District Commission L filed this decision and that no appeal of the decisio has been filed inahe:office of the'Town Clerk. Sighed and sealed thi day of ��%finder the' airs and penalties ofperiluy. l 11,,�& Ann_Q , k) uir TO WA Clerk - Town of Barnstable Hyannis Main Street Waterfront Historic Distract Commission Application Certificate of priateness Application is hereby made for the issuance of a Cerlificate of Appropriateness under M.G.L.Chapter 40C,Th1.e Historic Districts Act for proposed work as described below and on plans,drawings or photographs:acoompanying thi&applicationfor. 2 � Assessor's Map No. 3 Parcel No. b Address of Proposed Work G l.� ,/12du i Applicant Name Applicant Mailing Address 'yam 0 ee*-- cl P Town/State0p Cm 04 ®'I r:Is Applicant Phone Number MJF Applicant E-Mail /1lio e-v.�+•� Property Owner Name Ge Pam- Owner Mailing AddressRO .e4L Djown/State2p 11 Ji<,. a 6'�/ Owner Phone Agent or Contractor Name.. -c M4tAag&jIS Agent or Contractor Address Z IF Town/State/Zip �t., Agent or Contractor Phone -5'o — �✓�® � ,c.� t Agent or Contractor E-Mail /�Z<,# PROPOSED WORK Please check all categories that apply, Building Type: [Commercial ❑ Residential ❑Accessory EI :Other f Work Proposed: - 1. Building Construction; ❑' New Building.Q�ddition, Alteration 2. .Exterior Alteration: Siding ❑Roof J[[Windows (Doors:: ❑. ER'Other aj"MI 3. :ExteriorPainting:< 4. Signs: g. ❑ New sign ❑ Alteration to existingsign 5. Accessory Improvement:. ❑ Fence ❑ Parking Lot ❑ Outdoor Dining. ❑;Awning/Canopy 6. Other: Page 1 of I I I I Hyannis Main Street Waterfront'Historic``District Commission DETAILED DESCRIPTION OF PROPOSE'D WORK • Provide detailed specifications of the proposal. • Include a detailed description of changes to existing conditions,if applicable. • Describe proposed materials to be used,desired colors, manufacturer's specifications,;etc.. • In the case of signs,give.locations of existing signs and proposed to(cations of new signs. Attach an additional sheet,if necessary; i k )h I e!2d lifiJs4" bt)A//J a. W t 44& i?bv a e - - L Signed Applicant-Ag nt Date 1..;1111f . I Page 3 of 3 i I i I i Town of Barnstable Hyannis Maim Street Waterfront Historic:District Commission www.tow n.barnstable.fra.uslHy;anni.sMa;inStreet CERTIFICATE OF APPROPRIATENESS APPLICATION SUBMISSION REQUIREMENTS ❑ Application—3 Copies Complete, all sections and provide,a detailed description of the proposal.. ❑ SupporUng Materials-3 Copies ❑ Samples Material samples for all changes to exterior materials. Color somples.(point chips)for changes to exterior colors. Manufacturers specification sheets for fixtures,furniture;fences,etc. (Note:If-sample' s' aretoo large to.submit with:the application,theymay be brought-to the hearing.) ❑ Photographs Include:pictures of the.affectedi area.. For new construction,redevelopment,rehabilitations;or additions: ❑ Plot Plan/Site Plan A,plan showing all structures on the lot and d all additions or changes. Elevations Detailed elevationsof:all-building facades,including dimensions and material specifications. Landscape Plan Detailed plan showing types,sizes,and quantities ofpiant material. $75 Filing Fee TheV&fee%must be submitted with the,application. Checks should be made payable to the Town:of Barnstable.-We are unable to accept creditldebitcards. Postage Stamps Contact the Growth Management Department>for the number.of required stamps: Stamps are required for abutter notification. IMPORTANT IRFORIVIATIO All decisions of the Commission are subject to•a 20 day appeal period. Approved applications maybe picked up at` 200 Main Street after the appeal period has ended.`Please;speak with staff'for'more information on the appeal period. • Review the-Historic District guidelines for informationon recommended designs,materials,colors,etc. • Providing all requested information with the;applicationwrill prevent delays in,processing and hearing yourapplication. • The applicant ora representative must be present at the scheduled hearing;delays)or a denial may otherwise:result: Approvals from the Historic Commission are required beforeyou can apply to the Buildmg;Divisionfor>required permits: If you have any questions,please call-the Growth,Management Department at (508) 862.4665 or:contact,Elizabeth Jenkins at elizabeth.ienkin96town.barnstabla.ma.us. Growth Management Department • 200 Main Street • Hyannis, MA • 02601 i f Hyannis y nis Main Street Waterfront,Historic:Cistrict Corn mission° BUILDING MATERIAL SPECIFICATION SHEET Please complete this sheet only if new building construction;or alterations to an existing building are proposed. FiR out all sections that are:applicable to your project. Include materials,specifications,dimensions andlor colors to be:used: FOUNDATION SIDING TYPE Ce A . S ilvo, c COLOR. CHIMNEY TYPE COLOR ROOF MATERIAL COLOR ROOF PITCH VA i x C DOORS W f�[?rtl_ COLOR WINDOWS iNv, 1 /� COLOR_/ SHUTTERS /v COLOR. TRIM Z P_h COLOR IAIAl'4e GUTTERS _ IV PNO Y PATIO/PORCH/DECK GARAGE DOORS COLOR OTHER Page 2 of 3 I I i . - LIg i E j DAVETA ASSOCIATES ARCHITECTS o o 616 Main ST, 617-666.-9840 A davarch@comcast.net � ' ' Zf 71 �r V ' f yw aU JI o � o + ' DAVETA ASSOCIATES N :HYANNIS STORE ARCHITECTS �\`Y o FRONT DESIGN. 617-66.6-9840 y f A dovarch@comcast.net i f Town of Barnstable R •" Regulatory Services ` 6i48& Richard V.Scall,Director Budding Division Tom Perry,Sodding Commissioner 200 Main street,Hyannis,MA 02601 www.towmbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Mwt Complete and Sign This Section If.UsinEr.A Builder L fi�tlt�J ,()� ,as Owner of the subject prop rtv hereby authorize,0,G .111A) r,,xv. -5 .-t- to act or,mybehaHl, in all matters relative to work-authorized bythis building perry it application far. r Via.A.1 + (Andress:of Job.) "Pool fences and ala= are the responsihiRtyof the applicant. Pools are not to be filled or utilized before fence is i�istalled and all final inspections are perfonn-ed and accepted. Id let ma ' s Print Name Print Name Io f Date -- --_-_.. I Q:FOR ,S:0WN&RPErU,4ISSIONTOOLS I 'I f I ,I Via Town of Barnstable -. b"a n s Ca rd M u st . Building Post This Card So That it is Visible From the Street° Approved Plans Must be Retained onyJo d thi be Kept , � � « • PostedUntl Final,Inspection Has'BeenMade.'. Permit. ��ml� earl VNhere a Certificate of Occupancy rss Required,s!Tr B(ding shall Not be Occupied until a'Final Inspection hassbeen made. liJll . Permit NO. B-16-1002 Applicant Name: CMSIX PROPERTIES LLC Map/Lot: 308-063 Date Issued: 05/04/2016 Current Use: Zoning District: HVB Permit Type: Sign Expiration Date: 11/04/2016 Contractor Name: Joseph Palino Location: 616MAIN STREET(HYANNIS), HYANNIS . Est. Project Cost: $0.00 Contractor License: Exempt 123 Owner on Record: CMSIX PROPERTIES LLC Permit;Fee:" vt $50.00 Address: 63 LAWTON STREET ., Fee Paid. � .$50.00 BROOKLINE, MA 02446 -Date: ��.� 5/4/2016 Description: One hanging sign 7.1 sq ft.for Country Soul ..� t `f Project Review Req Zoning Enforcement Officer This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withiri sixmonths after issuance. All work authorized by this permit shall conform to the approved application a4the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall-be in compliance with the local Toning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open�forpublic inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until-all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 'r 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulations 7.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. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT . 'DUILE)/NG D EP7; °FI+E r� Town of Barnstable APR 2120 ° Regulatory Services TOWN OF 16 �rrsT" E MASS. $ �(� Richard V. Scali,Director BARNSTggLF 1639. �pTEDMpI�`e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit#J�--J (a — i 00 Z' Building Official approving Application for Sign Permit Applicant oe'r le —e 0 r-� C'• AssessorsNo.0/d9h .30t /04��P/ OG3 Doing Business As: CO U14 I r-sl Soo/ Telephone No.C1? SSy 9e/ Sign Location Street/Road: Zoning District- Old Kings HighwayP --Hyannis Historic District? (&YN0 Property Owner Name: Cdli/f S!X (Y. Telephone: 617 -2 3 c��7o2 Address: 3 Aw/Oti S y-f- �3noo i e - 1tiJ�9 CO a YYC Sign Contractor ' Name: v4 I�K'a Telephone:5-0 Mailing Address: 'Dyh CAS !/1 Q t,J `R c-/ GL(rq Q.;z 6 3 c9- Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes6) (Note:ffyes, a min gpernzitis required) of Width of building face R x 10 = x.10 Check one Reface existing sign or New ' Total Sq. Ft. of proposed sign (s) �- Ifyou have additional signs please attach a sheet listing each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of fl §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorize Date SIGNS/SIGNREQU revisedl 10413 oFtHE r Town of Barnstable Regulatory Services STAB ' * Richard V.Scali,Director - 1639. �Fo +" Building Division Thomas Perry,Building Commissioner f 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 50$-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which'has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall, hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3., A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 'S. The width of the building face or.the leased area. w 3 NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revisedl 10413 a -- �,.., 11_J_1.1.L.L.r BARBER SHOP 1 now WP mm � r °Ilk� ; ■!� n " �t}.Ij i iAyt'�•�m i �v 1 P'1 1. :r�i ^_rE.'�,N1t�•",','F-t !S� U��m5. •*�f lun la Nyp vilftq r t r prnmf r .. mpg Mm! !P+ �r+..�Aw+; � •+�.�.r.+.•.4-, '• ...�.. Gam.: p .,,,.--.._. _...� .�.z� I Town of Barnstable Growth Management Department Hyannis Main Street Waterfront Historic District Commission www.town.barnstable.ma.ns lannismainstreet George A.Jessop,Jr.AIA,Chair Jo Anne Miller Buntich,Director Acknowledgment of Twenty Day Appeal Period Required by Section 112-33 of the Hyannis Main Street Waterfront Historic District Ordinance 7lrc;'� (:'Applicant"), acknowledge that the Certificate granted by the Hyannis Main Street Waterfront Historic District Commission is subject to a twenty(20) day appeal period, pursuant to Section 112-33 of the Code of the Town of Barnstable. Within 20 calendar days after the date of issuance of a Certificate, any person(s) aggrieved by the determination of the Commission may appeal the decision to the Historic District Appeals Committee. The Appeals Committee, after an evaluation of all pertinent evidence, may uphold, overturn, or remand'a determination of the Hyannis Main Street Waterfront. Historic District Commission. Decisions of the Historic-District Appeals Committee may be further appealed to Superior Court. Any subsequent permitting or licensure conducted in reliance of the Certificate granted by the Commission is contingent on the validity of said Certificate at the conclusion of any appeal. The Applicant shall be required to fully comply with any decision of the Historic District Appeals Committee or, upon remand, revised decision of the Hyannis Main Street Waterfront Historic District Commission. igna re. Applicant Date o 2 .o Print Name Address.of Proposed Work / 200 Main Street,Hyannis,MA 02601 (o)508-862-4665(f)508-862-4784 i Town of Barnstable: Hyatnn'is Main Street Waterfront Historic District:Commission Appmeati`on, Certificate of Appropriateness for Signage Application is hereby made far the issuance of a Certificate of Appropriateness under'MGL,:Chapter 40C,The Historic;D*&Gts Act,for proposed sipage as described.betow end on drawings or photographs aecompanying this application CHECK ALL THAT APPLY: 1. Business Sign 2. opervacr 'Sign. . t,- 3. Trade Flag, c,— i. 4. Trade Figure or Symbol 5. ration Hardship Sign ti Assesso?s ft No. Parcel No. Address of Proposed'Work �,�ro/ Appticant- d PR r� LC C Tel# _16 7`'S ?Y 9 7 Applicant Mailing Address. TowidState/Zp:;U..D&,'2'/-'r �� :.a2w_1? Appicant E:MaitAddress,> ,6zeQ14 tap Z) Ps/nri� P�9 ,Cow Property Omer em. Tel# Gr7 ;?3X- 79Z Owner Mailing Address •3 cy l©y� Townl$tate/Zp Oa y y� , Agent or Contractor cls e, — Tel# S'O d�- 3 Malting Address Town/State/Zip Agent E-Mail ;Signat�ie of" ❑ For.location Hardship Sion&freestanding-_TEade Figures or Symbols to tie located an rivate PROVED Check box'rf property owner has.granted permission to locate Sign orFigure on their property abutting the:building front: APR 0 2i016 TOWN OF BARNSTABLE ! HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMISSION I Business Sign 1: Size of Sign x Materials)of Sign, A.cJdD' c/ Material of Lettering(if different)> Will the sign be illuminated? :Yes/ ` If yes,what type of light fixture Location of Fixture Pa c) Business Sign 7.: Size of Sign x '�gt�i 2�C/�:,'X o ;�r �j4 C�Gvwt o<acv 2 l`/K Materials)of Sign %// Material of Lettering(if different) f Will the sign be illuminated? Yg./No If yee,what type of light fixture Location of Fixture Open/Closed. Size of OW/Closed.Sign x /O Sign: Material of Open/Closed Sign."__1;�Fe!A/ t l If Neon,indicate color(cirde one option): Red/Red&`Blue Color of Open/Closed Sign: ti t .Trade Flag: Site of Trade:Flag: 3 r x _ Material of Trade Flag; Trade Figure Dimension of Trade Figure or Symbol: x. x Or Symbol " Material of Trade Figure or Symbol:: ,f I i Location, Size of Hardship Sign: x Hardship Sign: Material of Hardship Sign.{0. O Y,/ S® Lettering Color'and Material: 2 2U,,: Page 2 of 2 TOWN OF BARNSTABLE HYANNIS MAIN ST WATERFRONT - HISTORIC DISTRICT COMMISSION f y ,y v , t PC pe (; 1-. � ,�, � � � A�to�t•• ,.� ' '� .�,� " - � � `"� Li TOWN OF BARNSTABLE HYANN18 MAIN ST WATERFRONT HISTORIC DISTRICT COMMISSION S (;i1c�sJ erg co)eor . rr z; t x s s F k f p Y t q a VED 'J k.H.j TOM OF BARNSTABLE WANNIS'MAIN ST WATERFRONT . HISTORIC.DISTRICT COMMISSION !G � S%rc-ems' s R a F y r < r E E J- �;� � X,i t - 5 j''.�' k� x •�'nniTwM"i s - i Ilk VED APR f . 2. TOWN OF SARNSTASL� HYANNIS MAIN ST WATERF130 HISTORIC DISTRICT COM NT MiSSf . C�J r 7 So�1 `t �' —�W+Y'..+fe-.Y N•4~j.l �* Y���...«•.-+n"." '`rip..- ��fF' a htl — — : f F. Ali Y J ti 4 d - •�y-i ( s \ � Q DR TOWN OF BARNSTABLE HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMiSSiON I e , off 7*0 e. - _ ' VED . APR 2. " TOWN OF BARNSTABLE HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMPASSION C P r sS-d 4 r 17-1 aA4a .* x ; Ag r z 3 6 ... {[. • w r r a+•Px � �but � ,� .,�.�.•_�_ �� � .�E TOWN OF BARNSTABLE HYANNIS MAIN ST WATcu-ciol HISTORIC DISTRICT COlVVVjj;:Sj0N I Lie JAM �Al AWI My pt . N S�0 UL RN 3 a �, APPR E® Wuocj Cprrecl oZ SICe `eq9 140 eX/e-Q'iv -APR TOWN INSTWAT WATERFRONT HYANNIS MAIN ST�lVgTER�RONT HISTORIC DISTRICT COMMISSION YOU WISH TO OPEN A BUSINESS? " For Your Information, Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FL, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is req u i red by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S: c7"cney/4 BUSINESS YOUR HOME ADDRESS:' �f i7��t��,� (/i�� TELEPHONE # Home Telephone Number CA12 57 V 9P/7 NAME OF CORPORATION: 117 c,0e e LJ NAME OF NEW BUSINESS D S r.l ps%e�� weoo r TYPE OF BUSINESS o �' SSo/iPS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER 7 (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 COMMI SIO ER' FF Eany This individual h b e infor d er it require en that pertain to this type of business. Auth ed i na u COMMENTS: I `�UTI�- 9&4 { 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. COMMENTS: Authorized Signature* Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 BUILDING DEPT. Project Title: 616 Main Street Date:01/14/16 Permit No. Lel y C 89 qL FEB 012016 Property Address: 616 Main Street-Hyannis,Massachusetts TOWN OF BARNSTABLE Project: Check(x)one or both as applicable: X New construction X Existing Construction Project Description: Renovations and Addition to Existing Retail Space I,Richard J.Dempsey MA Registration Number: 29173 Expiration date: 06/30/16,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural X Structural Mechanical Fire Protection Electrical Other: Describe for the above named project. 1,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge, information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. �H OF lyq Enter in the space to the right a"wet"or electronic signature and seal: n RICHARD J. / DEMPSEY vl STRUCTURAL No.29173 Po Phone number: (508)543-5499 Email: tdgstructural@comcast.net �Fss ION -�6`�w� Building Official Use Only Building Official Name: Permit No.: Date: T Version 06 l 1 2013 R TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION • r k Map Parcel V Application # .Z '/(a C Health Division Date Issued -1 Conservation Division Application Fee' ' (0 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board e m aded Historic - OKH _ Preservation/Hyannis Project Street Address Village f Owner C"1'�'I S/X Ll �` Address G 3 ��c�1�i�d1 ,S�• G8�!!r�P _ Telephone Q/7 s9 5� c,>V17 Permit /Request 0# 4e61 uAl 4 �Q Or1b/)"a m�S -"j- y��"��f Aq rr AIL A911 Cl/ ��ti ✓J M9f 2�/ou/ �' � e i v, s �e�. �" r.J 2sl CJe (C ry Square feet: 1 st floor: existing/proposed 0 2nd floor: existing — proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation- 75Ov,06 Construction Type G/ve 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 g.No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfirli hed Area(sq.ft) Number of Baths: Full: existing a new T Half: existing new Number of Bedrooms: existing —new A Total Room Count (not including baths): existing new O FirsFloor Room Count Heat Type and Fuel: W Gas ❑ Oil ❑ Electric ❑Other Central Air: KYes ❑ No Fireplaces: Existing New Exisf ng wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION — _ - — (BUILDER OR HOMEOWNER) --- Name-J0.f-Pf4 4 P-. Rui lrIer-, ;w BNe le,, Telephone Number 5 d �3�'S 6/SS Address c7 �Uw PS V 0U,1,,,e UaG3 rr-License # S - 0 // O S j Home Improvement Contractor.# /791 9G Email_ r �J Qo,a &I,-4-1011,eem - OoA" Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO� ��� SIGN - - DATE -� -/ FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED t MAP/ PARCEL NO. e ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL FINAL BUILDING /-7 I DATE CLOSED OUT ASSOCIATION PLAN NO. I the CammampeaM ofMaurfc rusef Deparbnent efludushid Accidezat&- 600 Wasiinom,Street _ Boston,MA 02111 kVlV1TL7ilElS��Y�[�ifl Workers' Compensa ffou Iusurance Af Edavi±-B.mtdersdCuntractarsMectdcLin fP!m nbers AuuUcaut Infarmafgn Please FFint Tv Nw= f,h CitglStaW h t 0 3 Phone� SO fs SeT (o' /S S Are you an employer?Check the appropriate bom Type of project(required)•- 1.❑ I ant a employer with 4. ❑I amp a general confractar and I 6- ❑New const mCtim employees(full au&br part-time)* have hiredfhe sob-conftat-fon Z.gI am a sale propsietot orpartuer- listed on the attgched sheet 7. ❑Remodeling sfi£p and have no employees These sub-contactors have & ❑Dem aou woddng for me in any capacity employees andbave walkers' 9. R ' additioa [No wart mw comp.irnsumuce comp-ksarant�, ❑ us1 required-] 5_ ❑ We are a corpm-atifln and its 16-❑Electrical repairs or ad4tions 3.❑ I am.a bomeoumer doing all Mork officers ham exercised their 1L❑Plumbingrepairs or adcli isms myself[No workers'damp- ziOt of esempfiou per M(M 12.❑Roofrepairs incnranc81 d-]t c.152,§1(4),andwe have no employees.[No workers' 13. Other. coq-msm==required-] • aPpfi last chedx box ffl mast elsa fiIloutths sectEoabeTowshcndag theaamoic�s'compersatiotspoIi�y iaformsCia� I submit dnzT3dzvj1nuMc&Uqr they Rm Agin;O wa l cad&m bim aomulle coat mcims— submit s nem affidaVk iadifXhr saclL FCaatcacins$zzt cttw1 Ws boa mffi aitarhaeT additiaaal sheet sbaarsagthea of the �hd state whether or not t3ese ems hsee employees.If the shave emplayers,ffiey=isr pmi&ffies ssodren'tn'p.pGRU a—bm I act.art.euipIaer flint is prauiding rvorkets'caerrpertsafian irt.suratt.ce far enrpfnj eea �BeIory is ffte ptrficy a jab sits irt.ftarraafion ' Insurance Company Name: Paficy or Self-ins-Iic-t: Fpitaa Date Job Site Addre Qj� Bch a copy.of the workers'comrpensationgolicg declaration page(showing the poficy,amTber and espi mtion date). Failure to sew coverage as required under Section 25A of MGL c-1527 can lead to the impositioa of criminal penalties of a fine up to$1,S4a G andfor one-yearimpsisonrae4 as wren as ciO penalties im the fora of a STOP WORK ORDERand a fine of up to$250.DO a day against the violator. Be advised Hunt a copy of this statement may be forwarded to the Office,of Itavestcgaiions of the DIA for insura*+m cm mrage verification- Ida hereby. mr jFy ue at7t.s ar alms ejedury that die infbruzad=prmwW about is bus mid correct phMe OjoWidumanly. Do not mite in fft.fs area,tit be evinpWad by city artetcn*jg7crat City or Tawu: PernRT!cease;9 Issming Autharfty(caeele one): L Board of Red& 1 Buffirmg Deppatmnt 3,Cdyfrown Clerk 4.Electrical Inspector 5.Plim-bimg Inspector b.Other Comtact Person Phone#- formation and. lascticas C,eaal Laws chEg. e 152 re lm=all=qIoy=In PVnEIC 'compensation far ihei=eozpIoyeeS- this ,an=Tkyee is defined a&, .every persoam ffie se-vise of another under any,contact ofhfir, , MqM- ss or implied,o:ml or wriHz:� Aa employer is defined as"an mflvicbzal,partnership,associafian,corporation or oiher legal entry,or any twa or mare of the fior,going em�d m a Joint uprise,and mcladmg tine legal repres3fiyes of a deceased employes,or filc. receiver or trustee:of an.mdividuml,per,assocataon or other legal entity,amploymg employees- However the owner of a.dwelling house having not more than three aPathneats and who resides therem,or the occupant oftbe - dweUmg house of another wbo employs persons to do mace,canstr'action or repair work on sach dwelling house or on the grounds or'bu?7dmg aPP�� th=tD shannotbecame ofsach employm.eatbe deemedto be an employer. MGL chapter 152,§25C(6)also sites that aevmysizte or local liceasmg agency shall withhold ffie issuance or renewal of a HceBse or permit to operate a business or to eonstmat buildings k the commoaePealth for any thin 4ncaranm covexa r table evidence of con fiance wifh � egnn e� applicant who has not produced.accep P _ P aPP nor any ofits political subdivisions shall �q.�onags..MCrL chapter 152,§25C(7}sfates fiTeifhe:rihe _ P enter into any coafxart for the p�'fT"'"a" ofpnbhC wo�m�I acceptable evidence of compliancewith the msorEuce•. ierhave been �dto fiie cor��a aothodty_" dents of ibis chap p�eni A-PPliraais Please flI oil the workers'compensation affidavit conrpletely,by d=Jd g the boxes that apply to your situation and,if s mm� s, es and envmb s along with their cert a-cate(s)of necessary,supply sob-fir() �) ( ) ph°n er() surance. Limited Liability Companies(LLQ or Limited Liability Partnambrps,(LLP)withno employe in es other fhan the members or parfn=s,are not req<mrd to cosy worke a comPeasatinn woe. If an LLC or 112 does have employees,apolicy is regard. pe advicedfadffiis a$fdaykmaybe snlsniUDd to the Depa-finent of IudvsirW Accidents for confhmatinn of ice coverage. Also be sere to sign and date-the affidavit The affidavit should be rst�ed toe city or town that the application for the permit or license is being requested,not the Department of Tr _ ai A=denim Shouldyou have any quest cans r g the law or ffyou am rega>red in obi�in a workers' compensationpohey,please call the,Depar(mentatfhen=bcr1LtEdbelow. self-fi nredcomPanies should en;nrtheir self-a=mce license number an the appropriate Ike. City or Town Of icWs Please be sa=that the affidavit is complete and prhted legmly. The Depa tnenthas provided a space at,the:bottom of the affidavit for you to fib out in the event the Office ofj-mvestigaiions has to contact you regard ing the applicant_ Please be sure in fill in the pem�>t/Ifcense mmber which wM be used as a mfe=ce comber. In addition,an applicant that must sabmft mult�Ie pem itllicense aPpliiafions in.any giveiu year,need only submit one affidavit indi cafiag current p olicy info=3ation.Cif necessary)and under"Job�e.A_d m&*the applicant should wr>i-"all locations in (�Y or town_"A co of the-affidavit that has beea officially stamped or marked by the city or town may be provided to the copy applicant as proof that a valid affidavit is on file fur foiure permits or licenses. Anew affidavit must be fiIled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commea cW 4=3tnz Cie_a dog license or permit to bum Ica=eta.)said person is NOT rid to complete this affidavit The.Office of Inyestio .ten would 111Cz to thank you m advance for your c Dcpeaaiion and should you have any questions, please do not heshzIm to give us a call i The Deparime fs address,telephone and faxmtmber: ThD Co�lh Of� t Departamtc&hidd Aocidtnt% Office Of Dme&tiotio= Bagb n,MA Edi II Ta.#f 17-7 -4 'eft 406 or 1477-1&k&& Fax#6I7 727 7M Revised 4-24-07g Construction Supervisor Restricted to.- Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubiF meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS Office of Consumer Affairs&Business Regulation License or registration valid for indrvidul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Vejistration: A._70968 Type: Office of Consumer Affairs and Business Regulation a4piration:w 9[25�20a6, Individual 10 Park Plaza-Suite 5170 r -lf. Boston,MA 02116 1 ;i, JOSEPH R. PALINUj, e_=..'r - JOSEPH PALING i3 bUNES VIEW RD t +DENNIS, MA 02638 Unde_rsecretary Not valid without signature ill Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-011059 ' Construction Supervisor € JOSEPH R PALING 9 DUNES VIEW RD DENNIS MA 02638 rj Z;U7 Expiration: Commissioner 03/12/2018 ze 1pomz�noouuecrl�o�C �a�uaeCli `;• Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration fi7gggg Type: Office of Consumer Affairs and Business Regulation ,•' xpiration: 9125%2016 Individual 10 Park Plaza-Suite 5170 j Boston,MA 02116 Jos R. PALINo'i," JOSGPH PALING ;!J 6UNES VIEW RD PEKINIS, MA 02638 Undersecretary Not valid without signature i COMMERCIAL LEASE 1. PARTIES CMSIX Properties,LLC,hereinafter called the LANDLORD,of 63'Lawton Street,Brookline, `Massachusetts 02446,which expression shall include its successors and assigns.where the context so admits,does hereby lease to DJ Western Wear,LLC of 9 Dunes View Road,Dennis, Massachusetts,02638 hereinafter called the TENANT,which expression shall include its subsidiaries,affiliates, successors and assigns where the context so admits,and the TENANT hereby leases the following described premises: 2. PREMISES Approximately One Thousand Six Hundred(+1,600)square feet(the"Leased Premises")as shown outlined on Exhibit A attached hereto and incorporated herein being the first floor located at 616 Main Street,Hyannis,Barnstable,Massachusetts 02601,together with the right to exclusive use of one bathroom and one parking space in the rear of the building and in common with others the rear entrance and hallway to bathrooms. The second floor space is not included in the Leased Premises. 3. TERM The Lease Term shall be for three(3)years commencing from April 1,2016 through March 31, 2019. The Tenant shall have access to the Leased Premises prior to the Lease Commencement Date upon the execution of this Lease by the parties,payment of all deposits, Tenants' insurance is in place,and all utility accounts have been established in the Tenants' names. The TENANT shall also have two(2)options to extend of five(5)years under the same terms and conditions hereof except rent,provided TENANT gives notice of its intent to so extend to LANDLORD in writing not less than one hundred twenty(120)days prior to the expiration of the original term and provided that the Tenant shall not be in default of any of its obligations hereunder including the payment of rent and having never defaulted under the terms of the lease at any time during the initial term. 4. BASE RENT The TENANT shall pay to the LANDLORD an annual fixed rent for the first year of the Lease Term beginning on April 1,2016 of Twenty-Seven Thousand,Six Hundred and 00/100 Dollars ($27,600.00)payable in equal monthly installments of Two Thousand,Three Hundred and 00/100 Dollars($2,300.00). LANDLORD agrees to waive payment of rent for the month of April 2016 and the month of March 2017. The TENANT shall pay to the LANDLORD an annual fixed rent for the second year of the Lease Term beginning April 1,2017,of Twenty-Eight Thousand,Four Hundred,Twenty-Eight and 00/100 Dollars($28,428.00)payable in equal monthly installments of Two Thousand,Three Hundred Sixty-Nine and 00/100 Dollars($2,369.00). 1 If the TENANT fails to perform these obligations and the LANDLORD makes any expenditures or incurs any obligations for the payment of money in connection therewith, such costs incurred, shall be paid to the LANDLORD by the TENANT as additional rent. 14. MAINTENANCE—LANDLORD'S OBLIGATIONS The LANDLORD agrees to maintain the Building over and within which TENANT has rights herein in the same condition as they are at the commencement of the term or as they may be put in during the term of this lease,reasonable wear and tear, damage by fire and other casualty only excepted, unless such maintenance is required because of the TENANT or those for whose conduct the TENANT is legally responsible. LANDLORD also shall maintain the foundations, roofs, gutters, downspouts, HVAC systems, plumbing and electrical systems and equipment, structural columns and beams, and exterior walls (including the exterior finishes thereof and excluding the interior finished surfaces of the Premises) in the Building in good repair, all subject to reasonable wear and tear. 15. TENANT'S IMPROVEMENTS TENANT shall have the right to make the following improvements(non-structural)to the Leased Premises subject to the written approval of the LANDLORD,which consent shall not be unreasonably withheld: a) Construct a private office in rear of space as shown on Exhibit A; b) Construct a dressing room in rear of space as shown on Exhibit A; c) Paint interior. Colors to be approved by Landlord; and d) Purchase and installation of carpeting and/or flooring. Carpets and/or flooring to be approved by Landlord. LANDLORD shall provide TENANT with a TENANT Allowance in the amount of Four Thousand, Four Hundred and 00/100 Dollars($4,400.00). All other improvements must be approved in advance in writing by the LANDLORD. All contractors used by the TENANT shall be licensed,bonded,and insured. TENANT must obtain all necessary permits prior to commencing any work. All alterations,improvements and additions made by TENANT as aforesaid shall remain upon the Demised Premises at the expiration or earlier of termination of this Lease and shall become the property of the LANDLORD upon installation,with the exception of trade fixtures. Tenant shall have no authority to create any liens for labor or materials on or against the Premises. Tenant may contest the validity of any lien filed against the Premises for any work, labor, services or materials claimed to have been performed for or furnished to Tenant or any person or entity holding the Premises or any portion thereof by,through or under Tenant,but Tenant shall cause any such lien to be discharged or removed by deposit or otherwise within thirty (30)days after Tenant receives written notice from Landlord of the filing of the same. 5 312212016 2:08 PM I Section may be relied upon by any prospective purchaser or mortgagee of the Premises,or any prospective assignee of any such mortgage. 40- TENT M-)3 PERSONAL PROPERTY All of the fimahings,fixtures,equipment,effects and property of every kind,nature and description of TENANT and of all persons claiming by,through or under TENANT which, during the continuance of this Lease or any occupancy of the premises by TENANT or anyone claiming under TENANT,may be on the Premises,shall be at the sole risk and hazard of TENANT and if the whole or any part thereof shall be destroyed or the 1 y damaged by fire,water or otherwise,orb y leakage or bursting of water pipes,by theft or from any other cause,no part of said loss or damage is to be charged to or to be borne by LANDLORD,except that LANDLORD shall in no event be indemnified or held harmless or exonerated from any liability to TENANT or to any other person,for any injury,loss,damage or liability to the extent prohibited by law. 41. SIGNAGE The TENANT will be allowed suitable signage on the leased premises with approval of the LANDLORD,which approval shall not be unreasonably withheld. All such signage shall comply in all respects with the Rules,Regulations,and Ordinances of the Town of Barnstable with respect to signage. The installation of signs shall be at the sole cost and expense of the TENANT. IN WITNESS WHEREOF,the said parties hereunto set their hands and seals this day of March 2016. CMSIX Properties,LLC By Its Manager, Emma Fong c• �. .__ soseph R.Palino,Individually i ebra Palino,Individually 14 312212016 2:08 PM YOU WISH TO OPEN A BUSINESS? For Your Information:. Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. ttl �i t��7" Y DATE: Tuk,l V7. ZO ly Fill in please: �' k3 � yF APPLICANT'S YOUR NAME/S BUSINESS YOUR HOME ADDRESS: 2- \ -� TELEPHONE # Home Telephone Number�5c� NAfiIIE QF CORPO 4ATION NAME OF tlIEW BUSINESS 5 l �u S .�� TYPE OF BUSINESS '�jcrzCzr Sties � IS414 S NO:- ADDRESS.OF QUSINESS .1 it1 h weviviS C��C�O 1 iVIAp PARGEL NUMBER�� = .�.> '1 / (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 O F This individual has been in d of any er it requirements that pertain to this type of business. Au prized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has b n info red f the er mit requirements that pertain to this type of business. Authorized 'gnature** IUSTCOWLYWMALL COMMENTS: HAZARDOUS-MATERIAL S__REGULATIONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY] This individual he �en,klormed of the licensing requirements that pertain to this type of business. Authorized ignature** COMMENTS: IM 3 LXLAL I - TOWN OF BARNSTABLE BUILDING PERMIT_APPLICATION,, S : Map Parcel':- �'".(!✓ ,Application 4�0 '`�' L � Health Division Date Issued106 Conservation Division Application Fee Planning.Dept: Per it Fee :3 Date Definitive:Plan Approved by Planning Board f � Historic OKH _ Preservation / Hyannis ✓' ' G`��1 Project Street Address y M S Village Owner GP V/�'1 Address 0 M Telephone — 7 0D Permit Request Q,�v�� rC�0 t •� �v �-. rc�c� •.. ;�LQ e ��. ;,dw.1:feu. ti¢r±urdf�:yyr3 ( t •�'' d ' '•7rwy !i t r . r Square-feet: 1 st floor: existin proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay fv Project Valuation 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 new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑ Yes ❑ No Fireplaces: Existing New Existing wood/coal stoves ❑Yes ❑ No Detached garage: ❑existing Li new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing new size_ Attached garage: ❑existing ❑.new size _Shed: ❑ existing ❑ new size _ Other: Cr: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ v , Commercial U-<e's ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Poo cj lsC 6 � ,�s,c i S_ U^ •-�- C Telephone Number Q 7 Address ' 1,,- Q.r License# Home Improvement Contractor# S Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ctl� r✓-,oti � v \ GQ �(�C� Sti � ��S fry 4 SIGNATURE -----DATE FOR OFFICIAL USE ONLY E `APPLICATION# DATE ISSUED MAP/PARCEL NO. '# ADDRESS ' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN'NO. I: c The Commonwealth of Massachusetts Department of Industrial Accidents UTOffice of Investigations 600 Washington Street Boston, AM 02111 www.mass.gov/dia Workers' Compensation Insnrance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information + Please Print Le 'bl Name(Business/organization/Individual): A�\ Address: �� �—c- ^ City/State/Zip: `—� S�" 2 ( `{ 2 Phone.#: S� f�S (-E ( �' Are yoq an employer? Check the appropriate bog: Type of project(required): 1.M I/am a employer -3 4. [] I am a general contractor and I mp yer with 6. ❑New construction. . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Q Demolition working for me in any capacity. employees and have workers' 9 0 Building addition comp.ins [No workers'comp.insurance urance.$ required ] S. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions. myself. [No of exemption per MGL [No workers' comp. 12.[]Roof repairs cc requiml]t c. 152, §1(4),and we have no 13.❑ Other insuran employees. [No workers' comp.insurance required.] *Any applicant that checla;box#1 must also fill out the section below sbowing their workers'compensation policy information. t liomeowne3 who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet sbowing the name of the sub-contractors and state wbethcr or not those entities have employees. If the sub-conhactors have crnployces,they must providh 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: J �' k_1 j- A ) CD C Policy#or Self-ins.Lic.#: �/` . S� 'c7 —yG Expiration Date: S r G / n,, \ Job Site Address:�3—�'` 'l-�_ City/Sb&zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certE&under the pains and penalties of perjury that the information provided above is true and correct. Signature: ZT Date: U Phone# � _Y�6_ ( J l Official use only. Do not write in this area, to be completed by city or town offx- w City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructions '} Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this.statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing.cngaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,artnershi , 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, y work on such dwelling construction or repair house or on the grounds or building appurtenant thereto shall not because of such employmentbe deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has no -t produced evidence of compliance with the insurance coverage required." Additionally,MGL chapter 15 2, 25 7 states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract form the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants PIease fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, i.f 1 sub-contractor(s)names address es and hone numbers) along with their certificates) of necessary, supply � ) ( )� ( ) P insurance. Limited Liability Compaaies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Bp advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. _ City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or w ton)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The C6mmonwWth of Massachuse tM Dq)artmetnt of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4-06 or 1477-MASSAFE Fax# 617-727-7749 Revised 11-22-06 . www.mass.govldia j f ,,pper� fee i�omnzarwieai a���craaac�ucaella �\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registra-00,11. 125654 EX-p- W---- -/f12/2010 Tr# 263874 ]ypg -Frigate Corporation ALL ROOFING&COti} A_TI1+1G INC ANDREW WILLIAMS ._ 25 KERRY EASTHAM,MA 02642 "' Administrator - Page# of pages rr 15 oo Andrew.Williloins ALL Roofing & Contracting 25 Kerry bane #1 64 Eastham IV -A' 2 w, f Pr op osal`�§ubmitteclz •,_ �.. , r J(Zb NameJ., Job# C) Address Job Location Date bate of Plans Phone If Fax# Architect We hereby submit specifications and estimates for _._.._ __ _ __"_ __._-___- ._. �,�1...c , 0 Ci V�o� Tom` .,..!_s.....-_..t.._ S_: .A.S_�(pP�`I—_.0 _ r^ R-✓� F....._...._ _0_._6 C) C 1. �C f' U v L $ 4 C. T r v C/I r X } U ( S c�c (c _�-_ —_ ' B ------------- ___ -.--- -_ .___. _ U 2J C4 .r F_ ci .__ Imo_ S _ _ C-�' �'c'tee, L c c \ _�2c s Gar c c s ( ( E d1 ,-77 Y I ' c) "V? CAS k > S - - - - --�- _ - - V e,, --��_ .. -_ We propose hereby:io furnish material and-labor . complete in accordance'with.the above specifications for the sum of- Dollars with payments to be made as follows: �� fir Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order,and will become an extra charge over and SUbfTlltt2d above the estimate.All agreements contingent upon`stakes accidents or delays beyond our control.:. ;Y Note=thlsproposal may be withdrawn by,us rf not accepted within days �ccetattce, of ra oaf V The above prices,specifications and conditions are satisfactory and are Signature hereby accepted.You are.autfiorized3o do the work as specified. Payments will be made as outlined aboue: Date of Acceptance l Signature -s NC3819 . �.. ._- �,r.. ' - • r�.T -'a :..r-.. ._,...� -- .:P __ r+.rr ;"irCa; - .a.l^s' "1'=f.:yra�,,ywF...r E'_r. TOWN OF -BARNSTABLE BAR_w 464 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager.%. ak , Address of Offender J 1 MV/MB Reg.# Village/State/Zip U /" ...11 p� �I 1 Business Name ,�► am/ .m on 20 Business Address� 1100W Signature .q/Enforcing Officer V Village/State/Zip Location of Offense 4�J � 1 ���; 131-ac, • Enforbing Dept/Division Offense �, �� '"���/ � N FactsJ�.. /'`� This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-,ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF :BARNSTABLE BAR-w 4643 Ordinance or Regulation WARNING NOTICE Name of Off ender/Manager".&JRo4,K.-��,-V,- A-,Jk,(--) Address of Offender MV/MB Reg.# Village/State/Zip Business Name S am/pm on4',- 19 2 01 Business Address��4 S-r-4� k' U;AjJ-Ul�fy" """""" Signature of/Enforcing Officer Village/State/Zip Location of Offense (0 0 % Enforbling Dept/Division Offense fl YO (0/(A f N Facts 'HnuLct This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-w 4643 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager,,. Address of Offender MV/MB Reg.# Village/State/zip Business Name am/pm, on 20 Business Address 11 L4 %-W Si:gnature of,.,Enforcing Officer Village/State/Zip Location of Offense P, Is f Enforbling Dept/Division OffenseSje/l -7, 01 t UL.( Facts 4 This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices -:'are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD)REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. lip �•,. rmusetts ®u1u1o�n�.ealt ®f a sheMet�ll�&AVf er gt map parcel G(3TOWN OF BARN STAB a Qi t..E Date: Permit# a,0 b Estimated Job Cost: $ K Permit Fee: $ 1 G 0 Plans Submitted: YES NO X Plans Reviewed: YES NO Business License Applicant License# S7) Business Information: Property Owner/Job Location Information: . P Name:�` o Name: CM S%.)c Street: "', rp �1 re i Street: t la +'j f> Cit)gown: City/Town: A-u f, y,n a `. 1-1 8 Q A Telephone: S 0 - 13--V c 3 - Telephone: (, = 616 Photo I.D.required/Copy of Photo I.D. attached: YES`,-:::f NO stanniasi J-1/M=1-unrestricted4icense J-2/M-2-restricted to dwellings 37stories or less and commercial up to 10,000 sq.ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Eire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000•sq. ft. Number of Stories: Sheet metal work to be completed, New Work:. Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney!Vents Air Balancing Provide detailed description of work to be done:: A 9 - U�t tl N 1 cly F W C t'on C 44 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 M"No❑ if you have checked Y&I indicate the of coverage by checking the appropriate box below►.- { A liability insurance policy Other type of indemnity .❑ Bond ❑ ! OWNER'S INSURANCE WAIVER:I am aware that:the licensee dolM not havethe insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application Wive this requirement. Check-One Only Owner ❑ Agent ❑ i Signature of Owner or Owner's Agent ; d k By checking this be hereby certify that all of the details and Information i have submitted(or entered):regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the.permit issued for this application will be in compliance with all pertinent provislon.cf the Massachusetts Building Code and Chapter 112 of the General taws. Duct inspection required prior to Insulation installation:YES NO I Pro=ss IngRections Date Comments i Final lnsg.Ution , Dane Comments 1 I i Type.of license: i 3y Master 1 Title ❑master-Restricted i :ity/Tovm ❑Joumeyperson Signature of Licensee ❑Joumeyperson-Restricted License Number =ee$ ❑ Check at www,rnass.aov= j nspector.Signature of Permit Approval The Commonwealth ofMassachuseM Depar<wgjt oflndustrial Accidents ®Bare of Investigations 600 Washington Street Boston,MA 02111 fs►ww mass.go ldia Workers'Compensation Insurance Affidavit-Builders/Contractors/Electricim/Plumbers Brant Information Please Print Le 'bl Name(Budnesstorgmintionllndividud): C4 k n e Cc,&. s Address: r4 r-..rw.� i4 z . City/State/Zip: "� i�w,.�-�� I'w� Phone*: vxv* P t c'Are yott ployer?Check the appropriate box: .— TYPa of pioject(required): 1. am a employer with A% 4. I am a general contractor and I : 6. New eonsttticiion - employees(full and/or part-dine).*. have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on-the-attached sheet. 7. MlCgodehng ship and have no employees These sub-mu tractors have 8. Demolition ,workingfor me in any aCl employees:and have workers' YP ty 9. ❑Building addition No workers'WIMP,insurance- comp:insurance:t, required.] 5. We are a corporation and its ME]Electrical repairs or additions 3.[] I am a homeowner doing all work officers have exercised their 1 l:d Plumbing repairs or additions myself[No workers'crimp. right of exemption per MGL 12.n- Roof repairs t c.152,§I(4),and we have no insurance required] employees.[Ne workers' 13.❑Other camp.insurance required.] *Any applicant that cheeks box R must also fill out die section below showing dmc works'compensation policy information. t Homeowners who submit this affidavit indicating 8iey 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 a ntitirs have. employes. if the sub-contractors have employers,they mustprovide their workers'comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below.' ?he policy acid Job site information Insurance Company Name: NO 1`��`�- 4- Policy#or Self-ins.Lie.# C,_ 3,0 Expiration Date 11 of 1 P. Job Site Address:t� i(y `AI e ry cityistatelzip: �—` — �- u/ Attach a copy of the workers'compensation.policy d-eciaratioat.page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 rani lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year mvmomnmit,as well as civil penalties in the form of a STOP WORK ORDER and fine - of up to$250.00 a.day against thq violator. Be advised that a copy-of this stateme*may.be.forwarded to the Office of Investuations of the DIA for insurance coyeraae verification. I do:hereby certify under the pains•and penalties of perjury that the`information pr'ovaded above is true arid correct Si lure: Date: Phone#• S-u C."'a V 3CJ-)0_' UfJ"le. use only. Do not.write In tliis area,to be conrpieted by city or town o,ffrciaL City or Town:. PermitlLicense# ,Dsu rug Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other ' t Contact Person: Phone#: i i r Town of Barnstable Regulatory Services Thomas F.Geller,Director ibsa � r+ +' Building Division. Tom Perry,Building Commissioner 200,Main Street,Hyannis,MA 02601, www.town.barnstable.ma.us Office: 5084624038 Fax: 508-790-6230 Property .Ovmer Must Complete and. Sign This Section If Using A Builder as Owner,of the subject property hereby authorize ✓a to act on mp bebaliy in all matters relative to work authorized by this building permit. (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence°is installed and pools are not to be Isigna ed until all final.inspect ons are performed and accepted: s � e of e , Siguatuze of Applicant Print Name- - Print Name Date Q:PORMS:OW NERPER WSS IONPOOLS � a t, .Z Y 9"•�.ub•.w�zt ::vfear" :-fyG�;.,'r. "n�a Y"".u.�.3x 'xI MgR .t.' go RINI- v wg y:..!F..,'t'.. • • ' ku Sf3iA�p L7F 3 �f v S1iE ?17`AL INORKEKS } x; 1S5t1ES Th1E FOLLOVVIA4GLL;#CEtYSESAS A £9¢ S(DNe K HORTONF F rF.. 8 FRUEAiWA mCIE t �� YARMOUTIi F F 2 MA �5/97�20q� w - •� ,x �, y .< 552 .. . ., � Ro® CERTIFICATE OF LIABILITY INSURANCE 1A20M2015w) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such erfdorsement(s). PRODUCER NTACT NAME: Michael Edwards Lawrence Carlin Insurance Agency PHONE (508)540-7100 NC No:(508)540-8426 230 Jones Road ADDREs:Michael@lawrencecarlin.com INSURE S AFFORDING COVERAGE NAIC# Falmouth MA 02540 INSURER & Dedham Mutual Ins Co INSURED _LNSURERB.-Technology Insurance Co Cape Cod Mechanical Systems Inc. INSURERC: 8 Fruean Avenue INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:2013 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY) (MM/Mr(Ml LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE RENTEDPREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY (Ea accident)COMBINED GL SINE LIMIT 1,000,000 AJANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 91275445A 12/22/201412/22/2015 BODILY (Per $ AUTOS AUTOS ( ) HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ Uninsured motorist combined $ 50,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ ENTION DED RET $ $ B WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory lnNH) C3067846 9/21/2014 9/21/2015 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If D ES yes,desCRIPTION OF OPERATIONS below cribe under E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, -MA 02601 David Lawrence/MEDWAR ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 rgmnnsi n+ Tho Af'npn nnma onrl innn nro ranictararl mnrirc of Ar npn i BARNUABM Town of Barnstable Growth Management Department Hyannis Main Street Waterfront Historic District Comr i�4io,R www.town.barnstable.ma.us/hyannisma►nstreet 1. pt1� 4� Decision—Certificate of Appropriateness Fong et al - Michael Santos, Apcon, Inc., 616 Main Street, Hyannis The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code a ft_po �1l Barnstable Chapter 112,Historic Properties,Article III,Hyannis Main Street Waterfront Historic District"�t1+��EF'k; hereby approves a Certificate of Appropriateness for the following property: Property Address: C616"1VIain_Street7 Assessor's Map/Parcel: 308/0633 The public hearing on this application was opened on November 5, 2014. After consideration of the testimony given and materials submitted by the applicant and members of the public, the Commission found the renovations to the building will appropriately contribute to the historicl character of the Hyannis Main Street Waterfront Historic District. The Commission considered the materials, design, color, size, and context of the proposed renovationsrenovations and found it to be appropriate for the protection and preservation of the district. Based on these findings, the Commission voted to grant the certificate of appropriateness subject to the following conditions: I 1. Replace existing entry door with ADA compliant out swing door(natural wood). 2. Remove and replace all exterior wood trim and replace with PVC composite trim painted white. 3. Remove and replace all exterior windows with new windows (same Size as existing). 4. Replace dormer adjacent to window on second-floor rearlof building 5. Replace single pane picture windows with insulated mulled units.' 6. Construct a 13 x 14 addition on rear of building for ADA1compliant bathrooms. 7. Replace gutter and downspouts. 8. Storefront paint color to be painted Ivory(off white color)and rear to be painted Gray. 9. Panel under large plate glass window will be divided/split'l vertically. 10. Storefront knee wall to be replaced with PVC composite(suggested granite or marble tile inlay) 11. Permits from the Building Division are required prior to commencing work. Present and voting in the affirmative to grant the certificate of apprpriateness were: George Jessop, Paul Arnold,Bill Cronin,Marina Atsalis,Brenda Mazzeo and Taryn Thoman I Opposed: None George Jessop, Chair Dd e Hyannis Main Street Waterfro istori District Junniiission cc: Michael Santos,Apcon,Inc.(for Applicant) File I I,Ann Quirk, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty (20)days have elapsed since the Hyannis Main Street Waterfront Historic District Commission filed this 4^� decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this\���J day of under thei ains and penalties.oiezr ' : 4 Ann Quirk,Tow Clerk do v l Town of Barnstable Hyannis Main Street Waterfront Historic District Commission Application Certificate of Appropriateness Application:is hereby";made.for the issuance of a Certificate of Appropriateness under M.G.L.Chapter 40C,The Historic Districts,Act'for. proposed work as described below and on plans,drawings:or photographs accompanying this application for: Assessor's Map No: . 3 �j 3 Parcel No: Address of Proposed Work Applicant;NameG'�i . s Applicant Mailing Address W`ta oe-r-- �_ Town/State/Zip ads— Applicant Phone Number . JW- fd o 9�Oct Applicant E--Mail Ni We r Property owner Name d ' i7coj` Owner Mailing Address Rp Townlstate/Zip j I J 1.0 i f ®a os Owner Phone Agent or ContractorName e- lk7li I = S` Agent or Contractor Address.. Town/State2piw,' �} ®a �., Agent or.Contractor Phone otP=`q�)D — 1a o,o Agent or,ContractorE-Mail PROPOSED WORK Please check all categories that apply; Building Type: [Commercial ❑ Residential ❑Accessory Lj Other_ Work Proposed: 1. Building Construction: ❑ New Building E]A dition Alteration' 2. Exterior Alteration:` R Windom [+Doors ❑ Siding ❑Roof Other. 3. Exterior Painting: [v] 4. Signs: ❑ New sign ❑ Alteration to existing:sign 5. Accessory Improvement: ❑ Fence ❑ Parking Lot: El Outdoor Dining. Awning/Canopy 6, Other: APPROVED Page 1 of 3 NOV — 5 [aS i$ TOWN OF BARNSTABLE HYANNIS MAIN ST WATERPRONT HISTORIC DISTRICT COMMISSION Hyannis Main Street Waterfront Historic District Commission DETAILED DESCRIPTION OF PROPOSED WORK Provide detailed specifications of the proposal. Include a detailed description of changes to existing conditions.if applicable. • Describe proposed materials to be used,desired colors, manufacturer's specifications,,etc. In the case of signs,give locations of existing signs and proposed locations of new signs. Attach.an.additional_sheet,if necessary: R p lt9 g. . 4- RAOhQU 9A lL,, — .eat av. a l L ,wad_ W &0. &AJCP v O , ei `.es 5Aep Signed Applicant-Ag nt. /w . Date Z7i APPROVED NOV - 5 2014 Page-3 bf 3 TOWN OF BARNSTABLE HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMISSION ToWn of Barnstable Hyannis Main Street Waterfront Historic District Commission www..town.Barnstable.m,a.us/HyannisMaih.Stree;t CERTIFICATE OF AF"PROPRIATE'NF-SS PPLI -XIAN SUI3MISSION REQUIREl1��NTS ❑ Application 3 Copies Complete all sections and:proVlde a detailed description of the proposal, El Supporting Materials-3 Copies El Samples Material samples for'all changes to extedor'materials. Color samples(paint'chips)for changes to exterior colors: Manufacturer's specification sheets for fixtures,furniture,-fences,etc. (Note: If samples are too large to.,submit with the application,they may be brought to the.,hearing.) ❑ Photographs Include pictures ofithe'affected area:. Fornew:construction, redevelopment,rehabilitations,or additions: ❑ Plot PlanlSite Plan A plan showing all structures on the lot andgall additions or changes: ❑ Elevations Detailed elevations;of all building facades,including dimensions and material specifications. ❑ Landscape Plan Detailed plan showing types,.sizes,and quantities of plant material. [ Filing Fee The$15 fee must be submitted with the application: Checks should be made payable to the Town of Barnstable.We are unable to accept credit/debit cards: Postage stamps Contact the Growth Management Department forth number of required stamps: Stamps are required'for abutter notification. IIVIPORTA T IItII;ORMATION • All decisions of the Commission are subject to a 20 day appeal period. Approved applications may be'picked'up at 200'Main;Street after the appeal period has ended. Please speakwith staff for more information on the appeal period. • Review the..Historic District,guidelines forinformatiomon recommended designs,materials,colors,etc. Providing all;requested information with the application will prevent delays in processing and hearing your application. The applicant or a'representative must be present at the scheduled hearing;delays or a denial may otherwise result: Approvals from the Historic Commission are required before you can apply to the Building Division for required permits.. If you have any questions, please calf the Growth Management Department at (508) 862.4665 or contact.Elizabeth Jenkins at elizabeth.jenkins(a town.barnstabl&Map®VE® Growth Manag'ement;Department • 200 Main Street Hyannis, MA 02601.: NOV — 5 TOWN OF BARNSTABLE HYANNIS MAIN ST WATFR='FONT HISTORIC DISTRICT COMtv9iSSlON Hyannis Main Street Waterfront Historic District Commission BUILDING MATERIAL SPECIFICATION SHEET Please complete this sheet only if new building construction.or alterations to an existing building are proposed:. Fill out all sections that are applicable to Your project: Include materials,specifications,dimensions and/or colors:to be used:. FOUNDATION ( nee y SIDING TYPE a 4Y A-Anlo .0 c COLOR g CHIMNEY TYPE COLOR ROOF MATERIAL TPA,&]�I�U �j�j.n y,_ COLOR ROOF PITCH - DOORS.,� )nno. COLOR #. / . WINDOWS i N 0 hn hy0 COLOR_1„A SHUTTERS /v COLOR TRIM Z P COLOR_ GUTTERS �urrn jhry M PATIO/PORCH/DECK GARAGEDOORS COLOR OTHER` APPROVED NOV - 5 201 Pa 0 60 TOWN OF BARNSTFIBLE HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMUSS(ON K•0 i APPROVE® N 0 V - 5 12' it TOWN OF BARNSTABLE HYANNIS MAIN ST WATERPRONT HISTORIC DISTRICT COMMISSION DAVETA ASSOCIATES A ARCHITECTS � " 616 Main ST. 617'-666-9840 " davarch@comcast.net �, s >> F . s Si q t . rm APPROVED 0 � NOV - 5 2014 TOWN OF BARNSTABLE HYANNIS MAIN ST WATERFRONT HISTORIC DISTRICT COMMISSION DAVETA ASSOCIATES HYANNIS STORE ARCHITECTS sT FRONT DESIGN 617-666-9840 davarch@co,mcast.net ..,. a i=+ x „ a. a'. a^ a ni'i'0^ ! �y � � � � "'u` g�r�p--� ��v�'�•- Y'$��5�y�,�, R � r—+1M'. _ � �� A�GT. `� a +^s�' ��, p.4 �.'."' �4 i�` rA'€"4e•r — Y .� y� �. t "r yFl e aF'"+a ... ...«e t,,,h,y,�,�y.^t,�, � �. 'w�? ,� "i.l xa� e�•'r.yw^' �' 7 w - 4 '' - Y 07 KY x 4:e— �.��8 x'«'mom � "�^ `� e+�" w„•yfiJ�^"�°� _ s - . �$JI-G�w ^ :...`�,i, '�.r 'e* s ♦ „«a� ItP„,,'. �Y�.r',..'.` * .b:." '!{ q-,g3X.S °",.f c.. .y ,� -a 4. I. STRICT COMM►SSION �y��, �/ ��.ri. `1:a._♦•' � '�' ter.' � � •�'�� 9 2-Mawfi, I My Ml a e i — — .. � t. a �e x �`w'f a ''.;, *.se c • n 1 ® n � �'1 ' ;y-p •� • ^'Ro i :''" .'. ,. +,:- "' � �+�, _k.,.rea'"•�:. �, ...:: "�` `.ass' :.s., zf.'a� A "� R 'ti7toca At Jill 7777 :YR�M'TAf�..w..� >y.+�M8'wSar3✓.+.n. .-i�+_Yu £� b T.'G.+"0cn`TA u&C Sl 3$.� Gq' 5C' .��}ni wr �i f r- . WOO fi+i m �....+��-...._,.,..4.,.. �a- •.^��y,,:-.^+a# t „ter,.�: .c � <, ' � �� --�' "�"ya':..c. _.•�: _`.-.. J -_`..� a�s...r:x '��,^+�v� a .,pu '��,_,,,.ae .1rS'3p�a-',.�.�'-'�TM�� � ....a. a+n- �"_" _ -__ _ _ _ . y � - ,, v _^ =`.r'� ..., '3 _-.., e > -a;,..- '�-y....y'.�.,r su,1.,T''` i.�. amT�^.°-a= � a' .q'' +" 'b`�„y,. t,•� � � w�G r a 19 29 _ a f SW 61,26 } SW 6,196 Navaio White Frosty White rwu SW 6127 t `SW 6197': ivoire Aloof Gray; e Y SW 6126 9SW 679$' Blonde r r Sensible Hue SW 6129 SW 6109 �estroinO G91s _ Rate Groy SW SW 000 ane Gins Grey: Of PR �7 ctb1` Al �.itarkt NOV - 5 TOWN OF BAR r v HYANNIS MAIN ST W HISTORIC DISTRICT i PROJECIV NAME: ADDRESS: C �s PERMIT# r- PERMIT DATE: a 13 I M/P• 30 otQ 3 LARGE ROLLED PLANS ARE IN: BOX 1 �� SLOT 'D 2— Data entered in MAPS program on: BY: q/wpfiles/forms/archive v it TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel _ � Application (�C ��p Health Division Date Issued d Conservation Division Application Fe Tax Collector Permit Fee Treasurer Planning Dept. 1 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address � � Api Village �5 Owner ei D Address Telephone f - Permit Request \ Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 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: M/Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full 'Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: V Gas ❑Oil ❑Electric ❑Other r c Central Air: ❑Yes U No Fireplaces: Existing New Existing wood/coaljstove: ❑,Yes a U No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑-new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: _ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial U/Yes ❑No If yes, site plan review# Current Use Proposed BUILDER INFORMATION Name �,I a�.�(, r—,. phone Number, 4112 �70-q�v b M� Address License la, Xfm.4L ; #)A zo2-03 Home Improvement Contractor# Worker's Compensation# ALL CQNSTRUCTIONDEBRIS-RESULT--ING FROM THIS PROJECT WILL BE TAKEN TO �w�F ���»•��'^ �� / Lool -SIGNATURE--z FOR OFFICIAL USE ONLY .APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS_ VILLAGE - OWNER ' k . DATE OF INSPECTION: FOUNDATION FRAME INSULATION , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:_ ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. k The Commonwealth of Massachusetts Department of.Industrial Accidents I Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orgmization&dividual): -� Address:---- q,,o3 h - L k- (��,� City/_State/Zip: 1,,y. e�✓r►'la �. Phone A: dl7 �-j o.-1,'v-6 &P S'08 77)-13eV Are you an employer?Check the appropriate bog: :Type of project(required):. 4. ❑ I am a general contractor and I 1.❑ I am a employer with 6. New construction . employees(full and/or part-time).* . have hired the sub-contractors listed on the-attached sheet. 7. ❑Remodeling 2. I am a'sole proprietor or partner- These sub-contractors have /1 ship and have no employees 8. ❑Demolition working for me in any capacity. employe and have workers' 9 ❑Building addition COMP. t [No workers' comp,insurance co insurance. 10. Electrical rep l airs or additions required.] 5. ❑ We are a corporation and its ❑ 3.❑ I am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs c. 152, §1(4), and we have no / insurance.required.]t 13. they a e,, employees. [No workers, ���•�+� r 8- comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowmrs.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContraetors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains•and penalties ofperjury that the information provided above is true and correct. Phone# rOfficiEluse only. Do not write in this area, to be completed by,city or town offciaLor 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 Phone Contact Person: #: r ram- S --A _F� .d `.- #4a +"°' � _ , '•°' �� w s , C#M Rwht r Trust T 63 Lawton Stroe9t Br OUne,MA 42446 November 4,2007 Tovvn ofBamstable BWdb*Dqwmaxt Barnstable,MA RAK 6I4-616 Main Street repairs To BUMUble Bwlft Uep t: As requested,ft WW wit serve to oodkm the approval of the repaua and eaaace at 614-616 Mast Street,HyandL R Raymond Fond T e Andy Fong ee r f SP=09411--0069 94-10-•19 110S #91495 ACCEW"CE QX"TMME RAYMUND W U FONG and ANDY WAI FONG, named as successor CO- %%'Mtee® in Article SiXth of toe C & M RFAWY TRUST MHq= ONE under declaration of trust dated September 27, 1993, hereby accept the office of Truste& to fill the Vacancy caused by tho death of CWCK D. FONG. Fdr Trust instnume4t; see Book 8851, page 233. ' E1MCOTRD muier seal, this 10*"day of November, 199i. FORN T G.+ CIM AN WAX-PONG r-- COHMNWRKLTH OF MASSACHUSETTS *' + ,$$• NOVembar tQ, 1993 Than grid adhanpersonally appeared P.4y m %a FONG and ANY WAz ToNd ledged the foreqoing to be their free acts ar4 deeds, before me, Notary 4001 my commission expix��T CIC NUY O, FONG, Trustee or the C & M RULTY TRUST hereby acknowedgegs receipt Of the foregoing AcceptanceIlk RAYMOND WAI ANDY WAIF G •y'' '�`M�q '�' '' �., FOND and Q�T .s. ,. OY O. �\ � ��� ���� �t ., ��`� o�� ���� Hyannis Main Street Waterfront BARNS•„�, : Historic District Commission C`t:n=` : `._"LE a•''r�SS• v `""S& 230 South Street e �� H annis Massachusetts 02601 r' M � '�" o• y r f 1 ,, 31 TEL: 508-8624665/FAX 508=862-4725 ApPI cation to ,. . ? JG Z s:,l --?t1.`,. .i :•-t {t - (. .:_.{..,, .,L. tt. _ ..t.., 1 ..Y.i. ?. f..i.'__i:z #'.:'Lw l?'2 -. =Hyannis$Maiw reet WaterfrontH storic'Distr ct�Comm scion In the-Town'of"Barnstatile`for•a'�•I ; �.: •- ,�,,,v -- _u, CERTIFICATE OF APPROPRIATENESS.. , r i i 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 -10 'i Z G. ,,,: and,on plans, drawings or photographs accompanying'this`application for. PLEASE CHECK ALL CATEGORIES THAT APPLY: Exterior Building Construction: ❑ New Building.. ❑_. ddition Alteration ❑.,, , Indicate_type of buildi g:: '❑ House ❑ Gauge Commercial ❑ Other 2. Exterior.Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ElRepainting existing sign 4. Structure: 0 Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot: ❑1`New Bolding'' ❑' Addition ❑. (Please see the guidelines for explanation and requirements) 4 Cti..t.,,.. z - TYPE-OR P-M-T LEGIBLY _. ._..__ . *_. _._._._~.___..._..DATE--��I 2 3 d_ _. J063 ,f t ASSESSOR'S MAP NO. d 8 ASSESSOR'S LOT NO. 0 63 APPLICANT in a y>1 TEL. NO. APPLICANT MAILING�ADDRESS b_3 LC w& A 13Y,bDk/1_1P ADDRESS OF PROPOSED WORK y ►^�C fj �_ �jyl _l�i,ah_n;S_ ,,,, ,,OWNER '',[° o r TEL NO. �/? 131-772r OWNER MAILING ADDRESS 3 L FUEL-NAVIES-ANDMAI ING ADDRESSES OF ABUTTING OWNERS Include name of adjacent property owners across any public street or way. This information is best obtained at the Town d Assessor's'Office'. -(Attacfi additional sheet if necessary). IPA �G,me>�I. ( - P e�cs� Ste.__c� .�td_ �n � AGENT OR CONTRACTOR J NeB Pal✓.4l� 0, TEL.NO. S Ld' 77I-Z?D 2- ADDRESS 2 o,. TI 16( u7, Im, M11 1,63e w,0n 4X 4J _ f 5 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;.,ifspecifications do;not accompany plans. In the case of signs, give locations.ofriexistm' -signs,and;-proposed locations of new signs. (Attach additional sheet,if necessary) , oI: .S ✓� �u►'� jparnf? (.+� � �S GvJre�� �laln-t��! . °ba t tid' a i noif -_5-.B '. Wt 'fu*t �j gr- P&��� � !i tr, 6r.�c .�r. — 66�� �,,, ya�n�s. yt � ih� �dlhG�ol,�l �aoi ✓�.ner a ,rlm A,e.i� c/J �nr,! • _..._�nJ���1!',�y I�{/57 i'r-L ��C,�f �Pl��fe�� S.� 3CWv[dI a?, ...bc x..i� Signed ` in Owner Contractor Agent SPACE BELOW LINE FOR COMMISSION USE ' ' Received by HMSWHDC Kit�.�''•,.l,f Date_ Time-' This-Certificate Is-hereby ' By- .. .. Tio.A LOF' a�, RN',T '�J.lf� _.._. Date HISTORIC PRESERVATIONIaiXI Signe' HvTORTANT: If this Certificate is approved, approval is'subject-to the-20-day ' e '1"p rp^` d in Cite Ordinance. , o' CONDITIONS OF APPROVAL: -rT 2, .,.ti t: .•Y, �. ./L}l.itj - 1. :� ;f.,..'... , 1 , 4 r' 2 W w 4 2 n salisbury green 2 � n o philadelphia cream HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION *** SPECIFICATION SHEET ADDRESS OF PROPOSED WORK (�l — b 6 01,'n FOUNDATION I SIDING TYPE ce a a.r COLOR re x 1A.)CX.Sh CHIMNEY TYPE COLOR ROOF MATERIAL COLOR 5lcfin �lV and 2./$ C -13 9 WINDOW COLOR L-. i�e TRIM COLOR 61 tF 1n it �' _ .`H L"? 616 M .s(• = H C-3-O MV DOORS COLOR SHUTTERS GUTTERS DECK GARAGE DOORS 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. 0 IA)Nef 3D - — m .. -Ter1` � n �1 l�/lsI �.._.LI Df4'h "11!161!i ✓S �jG�C 1�O 1. n,s 14 DZba1 _ b / /D j �4jr S r, � b b U 1' I 1 -_-- _-------- - - - _.----- ......-- --- - _ - -- - - -- �_ __ z ��w 0 ,�nrT�� A 5 ��.����a�� - a w G ��_�gal� i 2•.�.�1.>� _� f J ._--'- --�--'-=----=='_ V 1 �J 'L�n N�� � N)�'1U� /1^.-i�\�� �.!t t't.1"'� 1 1'ji /•i J�Jg�`� 1 Cj ��,� 0 \ � •I eN �. $ N�0.7(�, �'trRAC•'� til.g��,o����l� V a NJ Z t\ } � �asd Hyannis Main Street Waterfront j nnarrsr� i Historic District Commission t `"Aeg t65¢ 230 South Street �O fn +� Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725 I PLEASE SUBMIT THE FOLLOWING INFORMATION AND/OR MATERIALS WITH YOUR APPLICATION TO THE HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION THREE (3) OF EACH: APPLICATION: All sections must be completed j SPEC SHEET: Complete applicable information PLOT PLAN: Show all structures on the lot and any proposed additions/changes. Certified Plot plan for new homes only DRAWINGS: All Elevations and please include Landscaping plans for changes in existing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBMITTED: PICTURES: Of area(s)affected. Street view for additions/changes. SAMPLES: Of materials/colors(i.e. color chart) **AN APPLICATION MAY BE DENIED IF ANY OF THE ABOVE INFORMATION IS NOT PROVIDED WITH THE APPLICATION.** THE FOLLOWING FEE(S)MUST BE SUBMITTED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE I CERTIFICATE OF APPROPRIATENESS $25.00 CERTIFICATE OF DEMOLITION OR REMOVAL $50.00 CERTIFICATE OF NON APPLICABILITY $25.00 ###iittit###tttt#ttkiit#iii#ttti##kikti#t#rt#rti#t#ki##itttrt#i#t#krtittt#rtti##rt##siii##t i PLEASE NOTE: f If the applicant or a representative is not present during the scheduled hearing, the application i may be either continued or denied. #####it#tt#ti##it#it#t#####tt#tt#itttt#t##k###rt#kti#tt##ttt#####kkrtii#t#trtrt##ttitt#it APPROVED PLANS Please be advised that applications approved by the Hyannis Main Street Waterfront Historic District Commission can be picked up in the Historic Preservation Office. There is a 20-day appeal period after a decision has been made by the Commission. Approved applications can be picked up after the appeal period has ended. The Certificate of Appropriateness is valid for 60 days after approval is given. A permit to complete the work applied for must be obtained from.the Building Department within the 60-day period. If this is not possible, an application for extension can be obtained in the Historic Preservation Office. The extension will last for 60 days, therefore extending the approval period to a total of 120 days. IF YOU HAVE ANY QUESTIONS REGARDING APPLICATIONS,PLEASE CALL THE HISTORIC PRESERVATION DIVISION AT 862-4665 BETWEEN 8 A.M. AND 12 NOON M-F. Hyannis Main Street Waterfront e i Historic District Commission t6J¢ ►rug" 230 South Street Hyannis,Massachusetts 02601 i IHearing Dates and Corresponding Deadlines for Application Submission for the Hyannis Main Street Waterfront Historic District Commission 2000 j ' 'APPLICATIONS SUBMITTED ONA DEADLINE DATE MUST BE RECEIYED BYNOON' ' f Deadline for Application Meeting Date 4 December 20, 1999 January 5 January 3 January 19 January 14 (fri) February 2 January 31 February 16 February 14 March 1 February 28 March 15 f March 20 April 5 i April 3 April 19 April 14 (fri) May 3 May 1 May 17 May 22 June 7 Jura 5 June 21 I June 19 July 5 July 3 July 19 July 17 August 2 July 31 August 16 j August 21 September 6 September 1 (fri) September 20 September 18 October 4 October 2 October 18 October 16 November 1 October 30 November 15 November 20 December 6 December 4 December 20 ..fit.>>..a.......I� ............... . B LD ::: :::......<..:........ < .: : : :: ,:;::.:::;:<:..7TH HEAVEN ...... •.......:. f..... ..tea:......:: .<x. MAIlV���y S HYANNIS :: . N.Tw:`. to.:j'.':'::_.'.:ti.`•4iy:'. .{j'; ;`.'::`. +M1ti l'y;`:2% .j`:`: %:``..;`: `' ':`: `i 't.Y .,:'t•M1••t :5;:`.`.'i . . .,ti,?.'.'::.`M1`.`` tM1: .� � �� � U»> ........... . . ............... . ...............::::..:::..:.............. . ....:.:::::. ? ?»< ?<< �.•:%}ti}}}icy:n^v .. Yw. B PAINTEDPPPw:��vv nv r'�. . .. ......................:... WILL CHECK a ,a G - x> Assessor's office(1st Floor): [ < Assessor's map and lot number Board of Health(3ed floor): Sewage Permit number • Engineering Department(3rd floor): ;ssaa9rsnia ryes House number _ , °° i679' A, Definitive Plan Approved by`Planning Board 19 o��r . APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF . BARNSTABLE BUILDIIJ INSPECTOR APPLICATION FOR PERMIT TO ow TYPE OF CONSTRUCTION �jtlpa jj 'FQ MI9 3 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to t e following information: Location "J T NAI I'S Proposed Use �U irYl Zoning District 13K7/NKS5; Fire District Name of Owner Cpc.LiL � A( Address 4/0 806' a Dzln73'. Name of Builder D1 6 N /!2294 o7'L Addressr2i;`21 4111W Name of Architect Address Number of Rooms /" Foundation Exterior Roofing fir 4-41 Floors Interior Heating Plumbing FireP lace Approximate CostT AreaA��9z&L CAW67 Diagram of Lot and Building with Dimensions Fee ®®� �' 4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta a re arding the above constru �I Name Construction Supervisor's License ©�� �! FONG, CHUCK. D. No 33844 -Permit For Re Roof Exist. Bldg. Y Commercial Location 616 Main Street p Hyannis Owner Chuck -D ong F - .. r - Type of Construction FRame - y 0-lot Lot ' Yi ti Permit Granted July 6,, 19 90 Date of Inspection 19 r _ Date Completed 19 a V w •r J • � O p c �r115, X3 (1 0 c� v C Ir 1� vsj J oH � v �„� �i, 3w•,�% 3 s 4:3 N � y Z A3 i I � l x N i O — 3 N � N I I I I I a Q J tC� vl 1 V IT J y � v t t � Z • b �36 3 � o 0 r i Of ° rs lEtclard Y:Scala;Di'recfor .wilding ivrs �a . a . , 3'otn,Y ecry. 3uildxng,CommiSSloner 200 MainYSgp t;Hyannis;MAx.02603 t�wvr favcra;ktarnsta'tIe aaaa us , Office 508<�62=4038 W Fax: 50-8 79C?=6Z` X9 ~ orrzplete 'ricl 5 �� T"hzs ;Sc, oi , If Utng ABiAdex ANj �✓ ;as.OG�rzero{th SLtt3 CCt rQ IT, �� ..6k)6- PM hEreby authorize � U; - - ' - � =,1 -:c<. _t act.Qzxrnt-bE �.` 1n::all matters r latz�e to wor)L:authorzzed liythis uil"ding pemut apt lwaaon,for. f f } _- (Address of f Qb .. 'sv 1'6al>fences and:,alarms are the°respar�si�x--y.af t ie:applicant areenot to Uc,flll,``cd or utdlzcd Uefore fence is uisxalled and a11.f� o nispecti h aie;6A6tined and accepted: y Srgna of mazer k t:•-rzature.of:ApPhcant c � ,- Print Dame, -Print Name /© 7 i�- . D . ", 4:QIFCRMSQVri4'�T.C7'r'Eil:9JSSC�h'7'OOJS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9,- �crz I Map �� Parcel Application # Health Division :`(� Date Issued Conservation Division Application Fee Planning Dept. ,. Per 5 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis " Project Street Address Village Owner Fay/ Address Telephone — /'G4.✓5 Permit Request Lt © ry L l Square feet: 1 st floor: existing propos d 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 KUM Ln Number of Baths: Full: existing new Half: existing new a .:� OD Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Rom Cou at -+ w . Heat Type and Fuel: 216as ❑ Oil ❑ Electric ❑ Other F,. Central Air: ❑Yes Qk No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use l2 61-Z Proposed Use ?C4 24tv APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name OuM C.,4051 Telephone Number Address ::Y630 —/-) I a d17 License# r,4:vd , ZRI*— Home Improvement Contractor#Aa o? Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE A/ ti a FOR OFFICIAL USE ONLY j APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE _ OWNER ` r DATE OF INSPECTION: s - i a. vrFOU:NDATION"t.r+-. g„ A 1 FRAME 1 x t INSULATION., -4 t i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 s GAS: ROUGH FINAL FINAL BUILDING. DATE CLOSED OUT ASSOCIATION PLAN NO. - r 27kH C0117.7f1airn of—Massachusetts Department ofIndust ial Accidents QKwe a flnvesti-.ations 600 Wks-hington&reet BastarFy MA d'?LII wFkm1 massSgo4Mia Workers' CampensatianInsumance Affidavit Builders/tents-actors{EAectricianMumbers Applicant Informatian Please Print,LegibTy Dame os�e�/6aniz�ionldi fnvidnat�= {B Address: ` 9'3 0 tqr City/Statelzip. � 0 6 3 '—Phone 47 O Are y ZM employer?Checic the appropriate box; Type o#project requretil: 1_ I employer with_ 4_ ❑ I am a ge al contractor and I 6_ ❑New consfructiorz employees(full and/or part-time)* 1havehirr the sub-contractors. 2_❑ I am a sore proprietor or partner- listed on the attached sheet 7- ❑Remodeling sInp and haze no employees These s;e snb-contractors have S. ❑Demolition w fur me in an capacity employees and have workers" orl{sng y�P`a t3 _ 1 9_ ❑Building addition Wo workers' comp,irmz ance. comp_insurance_ 5-❑ We are a corporation and its 10.0 Electrical repair or additions 3_❑ I am a homeowner doing all work officers have exercised their 11-0 Plumbing repairs or additions right of emotion.per MGL myself [No grorkers'comp_ IZQ Roof repairs inmarance required-]1 e_1.52, §1(4),and weh�weno employees [No workers' 13_❑Other comp_insurance required.] *1Yrcy spplirsmt that cheeks boa rl oust also fill out the section below shnvring Their woQkers'co�se�ati ou goiirp infurmaf2aa 1 Homeowners who subrsit d715 afirdsvii in&,X ztg they are doing all wr and 3iea hug oatzide contrsctm-s must sabmit a trees affidavit indir�mrTi =Cantncturs that check this box mast attached as additinn o sheet showing the name of ibe suds--cam scA Et—,whether or not th—en ities have eaplayees- If the sszb{onwictors have employees,thV must pmvide their workers'comp.policy aumbez I am an employer ihat isprmidLV workers'congmnsation impiraatce for err}emtpiayem Below is the pa8cy anal job site informalian- 1 Insurance Comp any Name:'% /�7✓ C �'�✓�� Policy f4.-Or-Self-ins-Liic*1 ExPirationDate: job Site Address: !D/�I � �� -54 City,/Stawzip: I✓/S Attach a ZopY of the wGrkers'compensation policy dedaration page(showing the policy aura er and e3zpi afiidn date). Failure to secure coverage as requiredundea Section.25A of I-GL c. 152 can lead to the imposition ofcsiminal penalties of a fine up to$1,500.00 and/or one-yearimpHso t,as well as civil penalties in fie,form of a STOP WORK ORDER and a fine ofup to$-50-DO a day against the violator_ Be advised that a copy of this statement maybe forwarded to the office of Imestigations of foe DIA for incrirance coverage verificatitn I der hereby cerfi ruler the ar pan of perjury fhat the information praiidedabmeis free and correct SiQnaturE' Irate o /V Phone 9: ya o-9 Do 0 (lffuzal use atrI?u not tvrft�ire flzis areal bs r�utgleted by city or fafs -afciaat -- - -- City or Town: PermitUcense# 5 Authority{circle one}: 1.Board of Health 2.Building Department 3.Cit0'FGwn Clerk 4.EIectrical Inspector S.Pfumbmg Inspector 6.Other Contact Person: Phone 9- 6 �L J Information and 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 implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in ajoint 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 ocumant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for Pay applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.-"' Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any con tact for the ptn or!r ance of public.work until acceptable evidence of compliance v ith 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-coatractor(s)name(s),address(es)and phone number(s)along with their c:erf-Ificaie(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not req>>il-ed to carry workers' compensation insurance_ If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit maybe submitted to the Department of industrial Accidents for coaf=ation of ins-sancr coverage. Also be sure to sign and date the a,$davit 'I e a.adavit should be returned to the city or town'uat the application for the permit or license is being requested,not the Departn.ent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtail-r a workers' compensation policy,please caLe Depa-rtinent at the number listed below. Self-insured companies should enter their self-7ns=ce license number on be appropriate line. City or Town Officials PIease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In add tion,an applicant that must submit multiple perniJlicense applications in any given year,need only submit one affidavit indicating current policy information (if necessary-) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is oa file for future permits or licenses. A new affidavit must be tilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number. Tie Commonwealth of Massachusetts Department of Industual Aeci:dtDts Mee of avestigation! 600 wasi z gtaa Sit Boston,MA 02111 Ttl.4 617-127-49-00 W 406 or I-&77 MASSAFE Revised 4-24-07 Fax# 617-727-7-745 V1WW. dia 10/7l'2014vW THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY40R 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. IMPOR`'ANT: If the certificate holder is an ADDITIONAL INSURED,the policy(es)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(s) PRODUCER - CONTACT - NAM Insurance Agency Of Cape Cod,Inc. (AIC,No,Ekt): (800)649-8889 1Afc No.:) (508)833-0909 PO Box 960 A DRIESS: East Sandwich,MA 02537 PROnIICFR CUSTOMER ID tt INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Atlantic Charter Insurance Company VDAC 44326 APCON,Inc INSURER B: INSURER C. 4830 Route 28 INSURER D: Cotuit,MA 02635 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 CONTRACTOR OTHER DOCUMENT 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 BY PAID CLAIMS. - INSR - TYPE OF INSURANCE ADDL SUER POLICY NUMBER - POLICY EFFECTIVE POLICY EXPIRATION LIMITS - LTR INSR WVD . DATE(MMIDDIYY) DATE(MMIDDIYY) - On Thousand ) GENERAL LIABILITY - EACH OCCURRENCE $ COMMERCIAL GENERALIJABIUTY - - - DAMAGE TO RENTED PREMISES El Ea occ (n $ CLAIMS MADE ❑ OCCUR1-1 - MED EXP(Any one person) $ PERSONAL BADV INJURY $ . - GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMPNP AGG $ POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ - ANY AUTO - - - (Ea Accident) BODILY INJURY $ All.OWNED AUTOS (Perperson) SCHEDULED AUTOS ❑❑ - - BODILY INJURY $ . - - - (Ea Accident) HIRED AUTOS -' - - - - - PROPERTY DAMAGE $ , NON-OWNDED AUTOS (Ea Accider¢) /UMBRELLA ❑ OCCUR - UABILfrY - EACH OCCURRENCE $ EXCESS LA B❑ CLAIMS MADE . AGGREGATE $. DEDUCTIBLE $ ❑❑ - - $ RETENTION $ - WORKERS COMPENSATION AND - WCV00892104 05/14/2014 - 05/14/2015 X STATUTORY OTHER A EMPLOYERS'LIABILITY - - LIMITS - ANYPROPRIETOR/PARTNER/EXECUTIVE YIN - OFFlCER/MEMSER EXCLUDED? F N. ❑ PohCy COVOrage State:MA EACH ACCIDENT - •g 1,000,000 Mandatory in NH -If yes,descrbe until SPECIAL PROJISIONS belay -DISEASE-POLICY UMIT $ 1,000,000 DISEASE-EACH EMPLOYE $ 1,000,000 OTHER El 0 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) "Nd Pls I LA 30 - - - - - - ���T1FiCATE C.�(NCI=LLA7j4iLI = SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable Building Dept. EXPIRATION DATE THEREOF,.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 200 Main Street 12 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. H annis,MA 02601 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY } OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. rTHORIZED REPRESENTATIVE ACORD 25(2009109) Page 1 of 1 CERTIFICATE HOLDER COPY ©1988-2009 ACORD CORPORATION. All rights reserved. J Massachusetts-Department.of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-065318 ``` MICHAEL A SANDS 4830 RT 28 Q a Cotuit MA 02635= Expiration Commissioner 01/28/2016 Commonwealth of Massachusetts Department of Public Safety Hoisting Engineer License: HE-153806 :r NUCHAEL A SA1T00S�<�_ 4830 RT 28 l Cotuit MA 02635 10 Commissioner Expiration: 01/28/2016 ,f., V/�e rpn»m�e�uaeall�cf.'C��uuccc�catellJ ^t Office of Consumer Affairs&Business Regulation = OME IMPROVEMENT CONTRACTOR egistration: `124127 Type: xpiration:�2/71201:6 DBA Apcon Michael Santos 4830 Route 28 Cotuit,MA 02635 Undersecretary J I Town of Barnstable Regulatory Services Ttichard'V.Scan,Director s6�5e. ��� .,,96 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,IAA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Most Complete and Sign This Section If.Using.A Builder I, AIUj>1 6A)61 ,as Owmer of the subject proprrr r herebyauthorize lC g s ) ►.-� . J. c- to act on my belie`, in all matters relative to work-authorized bythis building permit application for. (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. �"Id4 � __. . .. Print Name Print Naary /4 7 -� Date Q:FORMS:Ow ti&RPER1:4ISSiC)\TOOLS r 'IMHE r Town of Barnstable Regulatory Services 9�MS. � Thomas F.Geiler,Director �Epa�O Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Ovimer Must Complete and Sign This Section If Using A Builder as Owner of the subject property herebyauthorize f_i J CLU S l kc- to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signa e of w r Signature of ApplicanJ�4 k A V)UY _r Print Name Tint Name Date QTORMS:OWNERPERMISSIONPOOLS 6/2012 Mass. Corporations, external master page Page 1 of 2 . v William Francis Galvin Secretary r b� of • • of Corporations Division Business Entity Summary ID Number: 000969281 ; Request certificate f New search Summary for: CMSIX PROPERTIES, LLC The exact name of the Domestic Limited Liability Company (LLC): CMSIX PROPERTIES, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 000969281 Date of Organization in Massachusetts: 01-18-2008 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 63 LAWTON ST. City or town, State, Zip code, BROOKLINE, MA 02446 USA Country: The name and address of the Resident Agent: Name: MOY 0. FONG Address: 63 LAWTON ST City or town, State, Zip code, BROOKLINE, MA 02446 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER MOY 0. FONG 63 LAWTON ST. BROOKLINE, MA 02446 USA MANAGER RAYMOND WAI FONG 63 LAWTON ST. BROOKLINE, MA 02446 USA MANAGER ANDY WAI FONG 63 LAWTON ST. BROOKLINE,.MA 02446 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 http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=00096928I&... 10/7/2014 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 MOY 0. FONG 63 LAWTON ST. BROOKLINE, MA 02446 USA REAL PROPERTY RAYMOND WAI FONG 63 LAWTON ST. BROOKLINE, MA 02446 USA REAL PROPERTY I ANDY WAI FONG 63 LAWTON ST. BROOKLINE, MA 02446 USA r r Confidential 03 Merger r Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS r Annual Report Annual Report - Professional Articles of Entity Conversion 4 k Certificate of Amendment View filings Comments or notes associated with this business entity: New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=000969281&... 10/7/2014 f eDEP -MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System UsemameAPCON Nickname:APCONMIKE My eDEPI Forms of My Profile m Help I Notifications LI Receipt Forms Signature Payment Receipt Summary/Receipt _ print;recelpt Ezlt Your submission is complete. Thank you for using DEP's online reporting system. You can select"My eDEP"to see a list of your transactions. DEP Transaction ID: 691881 Date and Time Submitted: 10/7/2014 7:24:34 AM Other Email DEP Transaction ID: 691881 Date and Time Submitted: 10/7/2014 7:24:34 AM Other Email : Form Name:AQ 06-Construction/Demolition Notification Form Name:AQ 06-Construction/Demolition Notification Payment Information DEP code: 99538 Date: 10/7/2014 7:23:56 AM Amount($): 100 Payment Detail: SANTOS MICHAEL--AccountType—AccountNumber ****5263 Confirmation Number: My eDEP MassDEP Home Contact I Privacy Policy MassDEP's Online Filing System ver.12.9.7.00 2014 MassDEP https://edep.dep.mass.gov/Pages/PrintReceipt.aspx 10/7/2014 Remove existing Walls Remove existing Floor Remove existing Drywall and drywall ceiling Ceiling this area this area Notes: All interior finishes to be removed APCON, INC, All interior walls to be removed 4830 RT. 28 1st floor to be removed front area. Cotuit, MA 02635 All existing insulation to be removed Wong Building All work is interior only 614 Main St Hyannis, MA. 12 14 SK- 10/08/ / ,�+' :.+"%r:....s.,*si+'16�`%�?'ti:_.r.'rr;�� >>_._.,��.s...�!"'+�:?°P�"fi"�i.h'.� r._.�.;ii.t.�,fiN..c,o.'iN'-�'.,.nai6+n :+�:;;n .n v F fi�""''e'.i• i� � .,j,'w � y�s A..:: .. Assessor's office(1st Floor):. Assessor's map and lot number O `5 V Qyo� Tod` Board of Health(3rd floor): Sewage Permit number l sAaasrsntt Engineering Department(3rd floor): MAea House number °4 i639• Definitive Plan Approved by Planning Board 19 A, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION /j1Jp� �QfI N4C`� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� ✓��A i^/ ST /�yl4 N f"S Proposed Use Zoning District �K SiNE��S Fire District �• Name of Owner J�JJ Ur-/4- � rAf Address YO 166t, Name of Builder Db q-/-D a7L Addressf'12, � r f Name of Architect �v' Address t/ Number of Rooms �` Foundation ~� �61 Roofing /D� �4 Exterior. g Floors_ Interior Heating �� Plumbing Fireplace Approximate Cost Z©� Area dAL14— c //w� Diagram of Lot and Building with Dimensions FeehMa st~� t e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ,J 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin/g1 the above con ties. Name I Construction Supervisor's License 001!570 .-/ A FONG, CHUCK. D. A=308-063 30t J3 No . 3384.4 : Permit For Re—Roof Exi 7t. Bide. Commercial Bldg. Location 616 Main Street Hyannis Owner Chuck D. Fond Type of Construction Frame Plot Lot Permit Granted July 6, 19 c'0 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED tl- Gj Assessor's map and lot number14 ..1!JS..✓� ..��...L.. �� ry Sewage .fermi number .................:. ..................... _ °`'T"Er°�° - TOWN- OF BARNSTABLE 039.1a BUI.LUNG INSPECTOR O 1 MPY p ti APPLICATION FOR PERMIT TO ..Cow f 7...t ......................................�4 .............................................. TYPE OF CONSTRUCTION .. .9J4aGA................................. ..................................................................... Y .............:......!S/2%...........19.& TO: THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according to the following information: Location ...../ .eL!........f`......... �..J..e*- , .......................................................................................... Proposed, Use ......��:.e.!�. .......L"q.........G.!?....�..�...li....a:�c�......��..r-/=..�..!%...................I......................... Zoning District -a• r rc ............Fire District ...........................:_............................................... Name of Owner e� ._•_J=OHO /�®B .................................. Address ..................................................................... .�®......... Name of Builder ..� / .F. `1. '....C.".-f ::........Address ... ........... .... ............ ..... ... Nameof Architect .........:.........................................:..............Address .................................................................................... Number of Rooms ........Foundation ..... ... Exterior ......13�oel< Roofing ........ a-�" !'................................................................................................... ...................... Floors • Cti/.t G ! Fd"/= �C �� .��f•�fl�a.S� ..... .........................................................................Interior ............................... ..... ........ �.........Feating Plumbing —rCav .N r Fireplace ... ...............:.......................................................Approximate Cost .......del.Gam ....................... .. Definitive Plan Approved by Planning Board ---------------______•-_-_______19________. Area ...... ;;e, a... .................. Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH � n Z 37 / j/_7 . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....�o -✓r../�................................................... F Fong, Chuck D. ` 18751 - add to commercial : C. No ................. Permit+for .........................:.......... 'buildingM11_1.................... `t T, _ f �t� Main Street • Lac at?45n ........ .. �............. t Hyannis .. ....... ',....................................... ....`. .................. _ •,, n.. - F _'•i Owner ..................................Chuck D. Fong _ ;> ' ~' Type of Construction ...........................................masonry - •� � i r "Plot .................... ....... Lot ................................ IY, .r L . Permit Granted ......... ;Octoberi.21.. 19 76 ... . , .Date of Inspection ....... - 19 n f ^ L i Date Completed .................. 19 Mj t, •PERMIT;REFUSED _ /1 i - _ _ /�,, n • +�, � r • ram �. �' ................................ ...............l....... ......... ' •. �; '� t ems. n � .. 1. ri .......................... ........... .............:....... - ......... � A .! ,,. /• ^ - , '' .......................:............................................... ' •� .� f: �. Approved................................................. 19 f A '.....................:.......................... Assessor's ,, map and lot number ..:!��... ��...�..��.....�......� �� •ram/ if � , l� .r , "' . � �� .^� _ , a Sewage:Permit-number .............. OFTHETO TOWN OF BARNSTABLE 1 5TABLE. "b BUILDING INSPECTOR r c � r _ APPLICATION FOR PERMIT TO ............................................................................................................................. �. TYPE OF CONSTRUCTION ....... ?1 OG !�� ....................1���/ 19.7W TO THE INSPECTOR OF BUILDINGS: , �~ The undersigned hereby applies for a permit according to the following information: Location ..... !ti. '. .....��? :.......... ., .`../.;;................................................................................................ Proposed Use ...... a.C.C4........ ..........C.�?....�. .� .�......cl�r�......F4'.�! .. y........................................ Zoning District . ........ ............................................ L............Fire District .............................................................................. ... Name of Owner U��.....f,' �aN9 ........Address ....!5?� /,f.04 .. 1 riUrZ L..< Name of Builder ...... .......Address �O CSoX ��j 7 V4!!Fl/,^/f �Ot Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation � .......Z............... ................ WCi 4 Exterior .......W.0e-k............................................................Roofing .......... Q ,- 0 ........................................................ Floors C'G.0 c l F�/a K��"^.... 14 Interior ........... ...... ..v....................... .............:........... Heating ...........Plumbing .......�CGo;i 19')7 •�•IV �dt.'ll F y ............................................................ ................................ Fireplace �`r' .........................................Approximate Cost ��� ���...................... .. Definitive Plan Approved by Planning Board _______________________________19________. Area _2 Diagram -of Lot and Building with Dimensions Fee ......... ��!:.:... SUBJECT TO APPROVAL OF BOARD OF HEALTH Aso r 37 tr'3 76 ' $�•r9 God/ ?-,q ��� G.� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. >r Name .... . . � 6i.. ............... a tY ' Fong, Chuck D. A=308-63 l07�l ad� �o cmouuar�1al No -----.. pennitfor ---- -------- � ............ ^ ` ��� Main Street --- _------,-------------- . - . , ' ----° 10 ---- -----------------. ' ~ ' . � � Owner ---..Chuck.. . . ----. — --- Typo of Construction ---.������Y............... � .............''.,.............................................._.............' � . . Plot ............................ Lot ................................ . � ' �otmbar 2l �6 - - Permit Granted .-------------lA � Date of Inspection V 19 ` � . . . ' —' .......................................... 19 `_ .—.----°--. —^_---�---..��~�`.°`.--. . � . _ -------..------------------. � . . ^ . . --------.---.--.—..--~—.---.—.. . � . . ...........................'��'�������',������'�, . . ^ � Approved ---------------.. lg . . ----------------.~----~---. . � � ---------------------.......—. � � � � 11A N AAMPII AIM-Tv sliydl-=�Ql VF io wm;, aw SWI. --ga MIR -ow. 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