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Home My WebLink About0640 MAIN STREET (HYANNIS) --------------- o� CA f 1 i 1 ' f �_ �_,�__ w _� -- __- __ .� I a.� �� Sfk F i . j � �� . , �� . .,� - '�. - �„_ u�;,/ r: .ter,,,,.. '�"`'r� �, ' _.ram ,�=i�, � �, r ��1+ 1_ _ �� - r l� Hyannis Main Street Waterfront Historic District Commission saBrsT BLK , MASS. $ 200 Main Street g 1639' A`0 Hyannis,Massachusetts 02601 6 Fo TEL: 508-862-4665/FAX:508-862-4725 Application to too ? Hyannis Main Street Waterfront Historic District Commission � in the Town of Barnstable for a r— CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate,for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition �teration Indicate type of building: El House ❑ Garage ❑ Commercial ❑ Other mbk a,G6n"�' A 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting e '�sign 4. Structure: ❑ Fence El Wall ❑ Flagpole ❑ Other kh 64-CX 5. Parking Lot ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) Q v qt±P 2 6 y007 TYPE OR PRINT LEGIBLY DATE `1 afe 01 TOWN OF BARNSTABLE ASSESSOR'S MAP NO. 3 o ASSESSOR'S PARCEL NO. 0 3 HISTORIC PRESERVATION APPLICANT }-1 Q �ft e- 0, TEL.NO.SC9,F S 417 APPLICANT MAILING ADDRESS . + ' e- -C. ADDRESS OF PROPOSED WORK o' J� (4- PROPERTY OWNER a[ d 4e— l.0- TEL.N.O. OWNER MAILING ADDRESS1(1 FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way. This information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary). AGENT OR CONTRACTOR TEL.NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors,window and door frames, trim,gutters leaders,roofing and paint color,including materials to be used,if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). Signed 1 Owner Contractor—Agent (C]R dEGE � � � I�'" SPACE BELOW LINE FOR COMMISSION USE Q 17 l j TOWN OF BARNSTABLE Received by HMSWHDC HISTORIC PRESERVATION Date This Certificate is hereby Q IV . Time Date ko�) % By Signed WORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. COivDITIONS OF APPROVAL: • ,srd=ms7rmoimuaacsmu.� _—— .. � �. LLJ MR- i— • Hu- Lj if ' ,yau...a:,A..nMs.,,.n,�rur, - ,��,"��...:.......... •1....A..nm a:.-.-- • nt] El 1 f s t _ 1urtn.aaxs��- �• � I r+a aolwd• - — 1 wma+.w.�...... it fb i f. t 4 i • ' , I '01 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission too Business Certificates are available at the Town Clerk's Office, 1"FL., 367 operate.) Main Street, Hyannis, MA 02601 (Town Hall) Y DATE: -02-2-O( x, r; `4 Fill in please: °• . APPLICANT'S YOUR NAME: KY I S �f TY�/Il Sl Yv �. ' :, r. BUSINESS YOUR HOME ADDRESS: "3 ShR(�Pr;Ad �d y ' TELEPHONE # Home Telephone Number —G 2 NAME OF NEW BUSINESS CQYnerTYPE OF BUSLNESS on V(�/nG'd'l c� IS THIS A HOME OCCUPATION? YES ,,'NO Have you been given approval from the building divisi�]n? YES ' NO.— JOB — _1J ADDRESS OF BUSINESS 6 0 ►"'1A+ f� MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONE OFFIC This individual has beep 'nfor any m re it ments that ertain to this type of business. Author* ed Signature COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* 6 COMMENTS: f YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L:-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02,601 (Town Hall) and get the Business Certificate that is required by law. DATE: fill in please: n y f APPLICANT'S YOUR NAME/S: 9 29;I R-C44 ' BUSINESS YOUR HOME ADDRESS: C��h �S'o O1 Y OLL TELEPHONE # Home Telephone Number 4 q NAME OF CORPORATION NAME OF NEW BUSINESS " TY PEOF BUSINESS IS TH15 A HOME OCCUPATION? YES NO s QDDRES9 OF BUSINESS' .`�. aci .. YL�ef- MAP/PARCEL NUMBER [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFI This individual has been inf r r�i of any pe m' requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has een ormggd f the permit requirements that pertain to this type of business. �rV Ayt orize Sig atur-e** n COMMENTS: VVP-�0 ��AI��O/� ��I � �� Ct. Ry Vol 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h s formed o the licerisin a uireme is that pertain to this ty e o usiness. no ,�, Authoriz d ignature* COMMENTS: YOU WISW TO OPEN A BUSINESS? r, 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 opera e. ou must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law.%. DATE: I LI ill in ple se: APPLICANT'S YOUR NAME/S: 4�: BUSINESS vy YOUR H EyADDRESS: �a ; TELEPHONE # Home elepho- Number �JL-'21yt�JM. aru;ra:.;:.:re;rrr;i;•+;1 #: E-MAIL: Cd NAME OF CORPORATION: NAME OF-NEW BUSINESS G OF BUSINESS 1V6LV q IS THIS A HOME OCCUPAT N? . Y .ES NO � , ADDRESS OF BUSINESS. . _ fl MAP/PARCEL•NUMBER OR— [Assessing) When starting starting a n 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. b Main Street) to make sure you have the appropriate permits and licenses required to legally operate your Mess in this town. 1. BUILDING CON V ISSI ER'S OFFICE This individ al s n of n per it re uirem n s that pertain to this type of business. COMMEN Ahoriz Signa * , T `S I 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS.[LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . } YOU WISH TO OPEN A BUSINESS? For Your Information: . Business certificates (cost$40,P0 fc�r_;==). 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 SighW.Lires on this form at. 200 Main St.; Hyannis. Take the completed form tO the -['Own Clerk's Office, 1 sl Fl., 36 plain St., Hyannis, N1A 02601 (Town Hall) and get the Business C:ertific<Ite that is required by law. DATE: Fill rq please: APPLICANT'S YOUR NAME/S: M,9 R A T I W r,OgJ YA,,l BUSINESS YOUR HOME ADDRESS: 36 0 LVIEAIS S i HY4^1^11 AA,4, 0 2 6 d/ 74y7s77 ' r TELEPHONE # Home Telephone Number S O S - 6 0- 6 ,2,2 5� NAME OF CORPORATION: NAME OF NEW BUSINESS Dk'o TYPE OF BUSIN_ ESS SS11,'ir=/h- -r't9/-/ci_7 IS ME THIS ADDRESS OF BUSINESS A6 oN/h m/ S.T YES _wVx, iN��c ��J� �MAP/PARCEL NUMBER: '�bc� 6 c� (Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO_200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ION 'S OFFICE This individual ha b nfor-n 1 o a p rmi reuiemants that pertain to this type of business. utho 'zed Si nature COMMENTSJV O LS 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: M a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p . pp� Il � �� Ma � Parcel A lication Health Division Date Issued �' 6( 13 Conservation Division Application Fee a - UO Planning Dept. ermit Fee Date Definitive Plan Approved by Planning Board `(-Q 3 Historic - OKH _ Preservation / Hyannis P-roiect-Street,'Acicl ss �/� l"��l�l�7vtt+ Village- r v�,�� Owne__.`-ram-,- idyY�� Ik .... �- Address Telephone.7 u Permit-Re est"' S \� �— h b i r n � • q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District C Flood Plain Groundwater Overlay Pr_ojeValuation .J 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/c©a'ia tove: CrN'es ►No i Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑exist' g ❑ n'L srze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: - ' ;:0 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# sv rn Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name. -- rZkkca Vv`v 4 N,(d Telephone,Number - S'O� 13 7- r-Addfass `License#,C_S.- b ffl S-fo So- \ ,,q,�iN.c i k, _AA d z& Home Improvement Contractor# � y �...� ,.. sat WG6!3 3 Worker-ker s-Gompen ion-# ALL CONSTRUCTION DEBRIS-RES6LTING'FROM THIS PROJECT WILL BE TAKEN TO E - _- . SIGNATUR DATE" t 1 f . FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PARCEL NO. t ADDRESS VILLAGE ti OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION "r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' Y Fg ' GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. y r S '.#' r il�,,Q } l r �• 1 li a,,,zi...w r 1• N. to 41 f i e h I A'. til 'B: ,{ s �, Ted ' p:,:a f, it t€ ,M SiYrtl E i E 1� a# ;,r�t �. t 1i •} n h ria pv'r sl` 4 i ti' !e '�.� ,t "�c �:.' r.E � r•' E' t 4e P E:' t +t �#rk t''t t "/ � � € y° � ? � ti T.; ".wl . #`:3monwealtli fM .tn r--*• x '�1 . ,fr..r .A..a. +i�f,h "ro � �` • '� 7.�!'a. �I*� The Coinoassachusetts Department of.Industrial Accidents a Office of Investigtions Of 600 Washington Street Boston,AM 02111 -www:mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: 10a��n S� City/State/Zip: ✓l 5 p7i(Q6 Phone#: b �"� ( l C)C( Are on an employer?d4ck the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P n'• � 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no p employees. [No workers' 13. Other 1 comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - Insurance Company Name: Dau D'Vy51,1, - lJl. Policy#or Self-ins.Lic.#: � ' 12—o 13 Expiration Date: 312,011`f Job Site Address: 90 S- "WAk-S City/State/Zip: Attach a copy of the workers' compensation olicy declaration page(showing the policy num er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided abov�is true and correct- Si ature: .i P t Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i ,' �` Ry'"�. f� i' Rr I ��tL t'c�„< � "r r � j,�le�'�; e r 9,' � a 1� i ��,g y � � t �1 aY� �'�'�tl I"� � st ._ ,�•. 4i'� W ^� � �'"M iiIT r In-lornllation 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'ordmplied,oral of written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or pen-nit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,MA 0211.1 Tel, #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia 3/27/2013 b:26:U9 AM Y51' (UM'1'-ti) I!NUM: LUUU VD-IU; 1DVnr10141D AG R CERTIFICATE OF LIABILITY INSURANCE DATE(MMI`DDfYYY'n 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 endorsemen s. -0011cm DOWLING&O'NEIL INSURANCE AGENCY INC CONrn NAME: 973 IYANNOUGH RD PHONE A/C o HYANNIS, MA02601 L ADDRESS; INSURER 9 AFFORDING COVERAGE NAIC 0 NSURERA: (IPt;:R1Y MUTUAL INSURANCE INSURED NSURER S: 640 MAIN STREET 680 MAIN ST NSURERC: HYANNIS MA 02601 NSURERD: I- I —::d NSURERE: NSURERF• COVERAGES CERTIFICATE NUMBER: 15845436 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. L� TYPE OF INSURANCE SUER POLICY NUMBER POLI Y EFF M�AfIUDD EXP LIMITS GENERALLIABnfTY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ee occurrRENTEence CLAIMS-MADE OCCUR MED EXP(An onePer5Dn) $ PERSONAL&ADV INJURY S GENERAL AGGREGATE $ GEN'LAGGREGATELIMTTAPPLIESIPER: PRODUCTS-COMPIOPAGG $ POLICY PRO LOC $ ALn01111013ILE LIABILITY a Dees soil(NGUELI I $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS8 AUTOSU�D BODILY INJURY(Per accidonl) $ HIREDAUT09 NON-OWNED POPE° AMAGE AUTOS Peracoder# $ $ UMBRELLA UAa FT:00CUR EACH OCCURRENCE $ EXCESS LIAS MS-MADE AGGREGATE $ DEDL_J RETENTION$ $ $ $ A wORKERBCOMPEf1SATION YIN WC5-31S-389812-013 3/21/2013 3121/2014 OCYTA 8 %1: AND EMPLOYERS*U nY ABIL ANY OFFICEW RIETO�EMBEREXAC UDECUTNE�ED? Y NIA E.L.EACH ACCIDENT $ 500000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE = 50000 It yes,desaae under DESCRIPTION OF OPERATIONS balow E.L.DISEASE-POLICY LIMB $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(ARachACORD 101,Additional Remarks Schedule,It more apace to requlred) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER. CANCELIATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. BARNSTABLE MA 02601 AUTHORS=REPRESENTATIVE , Jeff Eldridge 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 15$45436 Didi Dangas 3/27/2013 5:22:22 AM Page 1 of 1 I , IKE BARNBrABLF 039. Town of Barnstable prFD µA'�A Regulatory Serviees Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,' Hyannis,MA 02601 www.town.barnstable.ma.us ' Of5ce: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , x I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: Atki VLW— jHAIA 14 YLA (Address of J010 Signature of 6V.MerQ Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption.Eorm on;the , reverse side. QAWPFII:ESTORMS\building permit forms\EXPRESS.doc IKE r° Town of Barnstable Regulatory Services BARNSTABLE Thomas F. Geiler, Director 1MA89. � ,E16:59.. & Building Division Tom Perryf Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellinu of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OFHOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner."certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and,requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner — Approval of Building Official Note: Three-family dwellings containing 15,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. 0:\WPFILES\FORMS\building permit forms\EXPRESS.doc Massachusetts -Department of Publi Board of 8uildin c Safety g Regulations and Standards Cotnstructiun Super is„r License: CS-068561 BRUCE E MONAO ' 16 HEMLOCK AVE J6�'�South Yarmouth MA G� " Expiration Commissioner 10/01/2014 . I 640 N1& Shea M e April 3, 2013 To Whom It May Concern: This letter is to inform you that Bruce Monaco is an employee of 640 Main Street LLC and is covered under the Worker's Compensation policy. He is authorized to take the necessary permits the Town of Barnstable requires to replace eight windows on the property. Any further questions,please let me know. Sincerely, J Kelly(Ayer) Borsatto President, 640 Main Street LLC. 6�0 M&Said 7Ka4eae�Odom �601 (509) M-0109 Town of Barnstable Building Department - 200 Mai Street BAMSTABLE, # Hyannis, MA 02601 9 MASS 1639. . (508) 862-4038 RFD MA'i�` Certificate of Occupancy Application Number: 201005357 CO Number:. 20100150 Parcel ID: 308053 CO Issue Date: 10/14110 Location: _ 640 MAIN STREET (HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Proposed Use: MIXED USE RETAIL& RES Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: Building Department Signature Date Signed �I"E' Town of Barnstable Building Department - 200 Main Street ELARNST"LE, * Hyannis, MA 02601 M.,9. (508)� 1639- 862-4038 9 ArFD MA'i A Certificate of Occupancy Application Number: 201005357 CO Number: 20100150 Parcel ID: 308053 CO Issue Date: 10114110 Location: 640 MAIN STREET(HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Proposed Use: MIXED USE RETAIL & RES Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: ' CC00 CERTIFICATE OF OCCUPANCY COMM Comments: LAFEMMENA Building Department Signature Date Signed TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � f Map r Parcel � Application # b q-S ' Health Division Date Issued Conservation Division Cr Application Fee Planning Dept. �� .�- d�-21 0 Permit Fee Date Definitive Plan Approved by Planning Board 44 Historic - OKH ►�P _ Preservation /.Hyannis Project Street Address (�4O a�u cr4r`c `i�s rr Village 14te&ry v4 I T Owner Address Telephone -111� Permit Request G _J fr rn � i nt i � pZe6C Square feet: 1 st floor; existing—proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 'roject Valuation OOC? 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 2, Heat Type and Fuel: �8 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes QCNo 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 O Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ Name CMA Telephone Number -Address O License # 7 s l z�UYV Home Improvement Contractor# Worker's Compensation # hS /3-h27S P77 lD ALL DCONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �9t n SIGNATURE �c�-.�- DATE �r °--7 G �l ti FOR OFFICIAL USE ONLY ,. APPLICATION# `i DATE ISSUED a f ` MAP/PARCEL NO., ADDRESS VILLAGE '? OWNER s - 4 DATE OF INSPECTION: -i FOUNDATION,' " FRAME INSULATION.- °Y = FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 4 - - S GAS: —_ ROUGH :'4% FINAL FINAL BUILDING�Z; -KS 3 F DATE CLOSED OUT f ASSOCIATION PLAN NO. j F ;t ,7 1. /l The Commonwealth of Massachusetts t Department of Industrial Accidents Office of Investigations 600 Washington Street �M�'� Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information- Please Print LeZibly Name (Business/Organ ization/Individual): V z t=t Address: 0 takew"-L - tk , �� - City/State/Zip: Phone #: Z 74 21:::,R TJ Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 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. $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] ` officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4), and we have no 12.XRoof repairs required.] t employees. [No workers' ' 13.06 Other'Tr 4W ^G VL rr/' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1/� �t7 (, K S . Policy#or Self-ins. Lic. #: 6S6y4lB- 42 7.3-A77 —6 —1y Expiration Date: 06 �� Job Site Address: 9/_�V NO(l " � �� City/State/Zip: /"GY nµy 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 STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify und�Iandpenalt' s per ry that the information provided above is true and correct. Si a e: n Date: 0 t- Z lzpt 0 Phone#: . Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: r 1 µ • r of THE Tr1- RARNSrAHLE, • ' p "SS Town of Barnstable f6J9 �� plfD hIAY A ` Regulatory Services Thomas F. Geiler, Director . Building .Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 w,,vw.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 Property Owner -Must Complete and Sign This Section ff Using A Builder as Owner of the Subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: ko W"+ 1, A IA I A (Address of Job) G Signature of wrier Date I'rinr Name rf Property Owner is applying for permit, please complete the Homeowners License Exemption Form 'on the reverse side. QAWpFILESIFORMSIbuilding permit formslEXPRESS.doc Revisers 072110 r Town of Barnstable�o oky Regaiatory Services y arsrAB[e,lA3S. Thomas F. Ceiler� Director $ l619.. a` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta b le.ma.its Office: 518-86274038 Fax: 508-790-6230 ---------------------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "1-IOMEO WN C-P" name home phone H work phone N CURRENT MAILNG ADDRESS: city/town stale zip code The current eXeinption for"homeowners" was extended to include owner-occupied dwellin of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- fatnily dwelling,attached or detached structures accessory to such use and/or farm structures, A person who constructs more than one home in a two-ycEr period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the E uilding Official, that he/she shall be responsible for`all such work performed under the building permit (Section The undersigned"homeowner"assumes responsibility for compliance with the-State Buildirfg�Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. y I frOME iOwNER IS EXEMPTION # The Code states that "Any homeownerperforming work for which a building permit is required shall be exempt from the provisions of this section(Section 109.I.1-Licensing ofconsiruction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work, that such Homeowner shall act as supervisor." Many homeowners who use(his exemption are unaware that they are assuming the responsibilities of supervisor(see Appendix Q,Rules&Regulations for Licensing Construction supervisors,Section 2.IS) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannorprocced against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. f To ensure that the homeowner is fully aware ofhis/lur responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she*understands the responsibilities ofa Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certiFicalion forusc m your community. Q:w✓PFILESIFORM'Slbuilding per'mit,forms1EXPRESS.doc. Revised 072110 ` 1 IViassuchusctts- Dcpa►-tmcnt of Public SafctN Board of Building- Regulations and Standards Construction Supervisor License License: CS 104769 PAVEL ZYBAILA T 10 AFT ROAD YARMOUTH, MA 02664 Expiration: 8/1/2014 ('unuuissi rnc� Tr#: 104769 4. j r� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 3 Application # (O c>S 3 Health Division "Date Issued2`5 Conservation Division ;..Application F Planning Dept. Permit Fee' Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address Village y S o Owner E,•� �� Address 0 Telephone a y, Permit Request PEG — OO& 12_" ( F►Cr`1 TD �- tU2 T t Cal =G1\lvwQ1N MA N ! � bnA r CO M Square feet: 1 st floor: existing proposed 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 (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 0- <4'D66LS 04J Telephone Number Address e�� i�l� �`/�( �j'' License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE 10 i 'Z 5 r FOR OFFICIAL USE ONLY � d j 4PLICATION# t DATE ISSUED t MAP/PARCEL NO.-..-- i ADDRESS VILLAGE .S ' OWNER DATE OF INSPECTION: Q/FOUNDATION j*F.`.`, r� ` FRAME `INSULATIOKfi FIREPLACE . { ELECTRICAL: ROUGH FINAL ly PLUMBING: ROUGH FINAL ;GAS. ; r,,ROUGH FINAL F _ -FINAL BIJI:LDING Y :;� 3:jy _ ASSOCIATION PLAN NO. �y� 31 Sfo�C�/U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ` Application Health Division Date Issued 1Le 1,15 Conservation Division Application e Planning Dept. Permit Fee, Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis P,-roject-Street,Addresss (o L/d tj Q�✓1 S i-�-��-�' '�G(0✓t ��(A Village ,,..�-��l 0 n n `� Owner, Address &L/o (10_,^5l-- �yan��S , ��Go% Telephone_ 09 ' 7'2Y- 73'8 Perms mit Requestor n ec..� �vS /i ao 00-eAi/1Q J/ Space a 01C_J AD 16 poZ7C. Square feet: 1 st floor: existing proposed 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(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) .Name--M-o:.- 10due- /EAU Ky co,-► lephone Number _ -- ba EA►4 �_-y License# -7 2 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE~SIGNATURE '' �� Z�Zg I < FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION . FRAME '-;INSULATION ,FIREPLACE ""ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL z,-,-GAS: ROUGH FINAL FINAL BUILDING DATE•CLOSED OUT: A$SOCIATIQN PLAN'NO. i IRE Town of Barn-stable r Regulatory Services . • RA1tN5iABL.B, v • eiAav_ �, Thomas.F. Geiler,Director i 6)5 9�6. A. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623( Property Owner Must Complete and Sign `Phis Section- If Using A Builder V° j, �-e X Co w�a , as Owner of the subject property hereby authorize 11_�I o t--Id�S L o to act ou my behalf, in all matters relative to work authorized by this building permit application for: Gqo t10 „ S 1_. yGMts , (Add.ress of Tob) Nx) f_)c>V- q0J✓/G OC-1 C i tgnature of Owner Date iAte 50/4V C 0 If Print Name If Property Owner is applying for permit please complete, the Homeowners License Exemption Form on the reverse side. Town of Barnstable �aF��r�ti o Regulatory Services BARNStABLE, Thomas F. Geiler,Director Building Division ��rED 'y Tom Perry,Building Commissioner 200 Main.Street,._HyaLmis, NIA.02601 www.town.barnstab1e.ma.us Office: 508-862-4038 Fax: 509-790-6230 EfOMMOV NER LICENSE ExEMTTION Plcare Print DATE: JOB LOCATION: number street village 'HOMEOWNER' name home phone# work phone# CU RRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include o`vner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINMON OIL HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.L1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"bomeowner"certifies that.be/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requixements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S E)M?v TION .The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption an unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bften results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responnbilitics,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilitics of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt svch a form/certification for use in your community. Q:forms:homccxcmpt .- ...•: -.. _: .. .. , -..r�..w--r..r -"--F.-�.,.,s z_._,.__...yam Y.. _ti.,.•_� . ,..,,,,5 'R.....-...^r{.yr;,.,.,..w.� Go"-..tw.e�`F'..,y.,.f axe -.�"•. .. -.. TOWN OF BARNSTABLE BA,R_w 4616 Ordinance or Regulation j WARNING NOTICE Name of Offender/Manager ` Address of Offender MV/MB Reg.# Village/State/Zip Business Name �. t `. � �`` ) '[`� fam/pm, on 1 2010 �`� c� Business Address �`'�-•�' ? kt�PI�A "V)W�Otvlls�� /� Signatu=�of Enforcing Officer Village/State/Zip r,%t,1k.� , � `X Location of Offense1 Enforc g Dept/Division Offense 4;", � Facts t �11 �1 _ "" ;n f k) Ju/j. -"This will servelonly 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. a YOU WISH TO OPEN A BUSINESS? 4 For Your Information: Business certificates (cost$30.®®forears). A business certificate ONLY REGISTERS YOUR NAME in town (which YOU must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 2 10 ill in please: , ?� o APPLICANT'S YOUR NAME/S: _ '• �f ' �{#� � � BUSINESS YOUR /HHOME ADDRESS: TELEPHONE # Home Telephone Number - NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS I 15 THIS A HOME OCCUPATION? YES NO Z MAP/PARCEL NUMBER y� (Assessing). ADDRESS OF BUSINESS F I i 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 COMMISnzMedSiQnature;**t This individual ht requirements that pertain to this type of business. COMMENTS: -�� 1., EJ/✓v� 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) 4Teleph r� ill in please: APPLICANT'S � ��'�Ke� �/t'�Yr"531kf st,:f j g�g-:17 t O � %�-'C • Q,y-- 2"' BUSINESS RESS Z p TELEPHONE # Number Lg- Ut NAME OF CORPORATION: 1O NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION'?___>_1f_YES NO 7� ADDRESS OF BUSINESS % h ct z�. .-3 —MAP PARCEL NUMBER U (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 this to clOor" � r 5 1. BUILDING CO ISSIO Ly�ii 'S OFFICE This individual ha b d f y p 'rm• requirements that pertain to this type of business,UST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Aut sized 5iQnatu * -`� COMPLY MAY RESULT IN FINES.. COMMENTS: S 2. BOARD OF HEALTH This individual h en i or of t rmit e pertain to this type of business. ut size' ign ture*�1 COMMENTS: ti°1lVi� S� 1'(7O 'j" CEO (�i�n�U� S 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has n inf e of the licensing requirements that pertain to this type of business. AJ Authorized ignatur COMMENTS: ! D no 7-�i 1 — { Town of Barnstable oFiHe ram, Regulatory Services Thomas F. Geiler,Director Building Division . * BARNS FABLE, MASS. .7 Tom Perry,Building Commissioner $`tfn�pt0. 200 Main Street, Hyannis, MA 02601 www.town.harnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: o�s• _ Permit#: HOME OCCUPATION REGISTRATION Date: Naiiie: I'q4l (fie�r/�/� Phone#: Sj$ 3 3✓ 9J 2 / Address: D y /wa.fIR 5 7,< 7 _Village: Name of Business:-- _v_A-- -C% Q x --af?a/ -- (hype of Business: Map/Lot: t 360y 0 53 INTENT: It is[lie intent of this section to allow the residents of the Town of Barnstable to operate a home occupation �i ttliin single finiily dwellings,subject to the provisions of Section 4�l./t of the/`oiiiitg ordinance, provided that the actin ity sliall not be discernible from outside the dive.11ing: there sliall be no increase iri noise or odor;no Visual alteration to [lie premises which would suggest anything other than a residential use;no increase in traffic ah.ove normal residential volumes; and no increase in air or grounchvater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right Subject to the following Conditions: • The activity is carved on by the permanent residetit of a single family residential chvelling unit, located within that dwelling unit.. • Such use occupies no more than 400 square feet of space. • "There are no external alterations to the dwelling twhich are not customary iu residential builcliugs,and there is no outside eWlence of'such use. • No traffic call be generated in excess of.nornial residential volumes. C • The use does not.involve the production of offensive noise,vibration,sux>ke,(lust or other particular matter, O odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • "I'liere is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not eiithiu the required front yard. • hliere is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet iii lent,li and not to exceed it tires,parked on the same lot containing the Customary Home Occupation. • No sign sliall be displayed indicating the Customary Home Occupation. • If the.Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation rt•Iro is not a pennauent resident of'die chvelling unit. I, the undersigned, have read and agree mth(lie above restrictions for my home occupation I am registering. nit Applicant: ✓ - L Elc�mcoc.d<u• Rcc.01/;i/OR Town of Barnstable ram, Regulatory-Services oFtHe ti Thomas F. Geiler,Director Building Division * BARNSTABLE, ' - y MASS, mQ Tom Perry,Building Commissioner �ptF1. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: _ Permit#: C HOME OCCUPATION REGISTRATION Date: Q L� a Nance: !� /4- /Y {c.' l��i /� Phone #: O j� 3✓ �/ / Address: 6'� ,O /7-1 of R 7 7-15• 7 Village: Name of business: V -- C1 R I'a S' ��l G?/ L% r S ---- -- --- — — --- ------------- — ----------- Type of Business: Map/Lot: e 361 0 53 _ . .. INTENT: It is lfie intent of this section to allovl,the residents of the'rmvn of Barnstable to operate it horiie occultation w1diin single family chvellings,subject to the provisions of Section 4-1A of the Zoning ordinance,provided that the activity shall not be discernible from outside the dvifelling•: there shall be no increase in noise or odor; no Vlsual alteration to the premises which would suggest anything other thim a resicleutial use no increase in traflic above normal residential volunies; and no increase iii air or groundwater pollution. After.registration with the Building Inspector,it custoluary home occupation shall be permitted as of rig it su t,tect to the ` following Conditions: • 'hlie activrity is cam'edl on by(lie Pennanenf resident of a single(amity residential chvelling unit, located witliiii that dwelling unit. • Such use occupies no more than 400 squiu-e feet of space. - - • There are no external idterations to the dwelling ivliich are not customary in resicleiitial buildings,a1ld there is mo outside evidence of'such use. • No traffic irlll be generated iu excess of.aornml resicleutial volumes. The use does not involve theprod uction of offensive noise, Vibration,smoke,(lust or other particular matter, O odors,electrical disturbance,heat,glare, hunudity or other objectionable effects. • 'I'll e.re is no storage or use of toxic or hazardous iaterals, or flammable or explosive materials, in excess of normal Household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within file required front yard. • There is no exterior storage or display of materials or equipment. A. "There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20.feet in leugtli and not to 'h exceed 4 tires,parked on the same lot containing the Customary Horne Oc•.cupatioii. No sign shall be displayed indicating the Customary I Ionic Occupation. • If the Custoni,uy Home Occupation is listed or ach•ernsecl as'a business,the street address shall riot be included. • No person shall be employed in the Customary Home Occupatiou whit is not it per-mauent resident of the ctVvelling unit. I, the undersigned, have read and agi-ee V6th the above restrictions for my[nine occupation f am registering. Applicant• ✓- G/ �� Dat . w �5 �l� t-fonicoc•.doc Rc�,01/a/OR YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which. YOU must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE ill in please: APPLICANT'S YOUR NAME S: BUSINESS YOUR HOME ADDRESS �� / �/' 4� TELEPHONE # Home Teleph ne Number 3 NAME OF CORPORATION: G.l anol LT iPtS NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? _YES NO - "7� hr ADDRESS OF BUSINESS �/ /J a 2� -3 MAP/PARCEL NUMB (Assessing) (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO R'S OFFICE C[0orb goof This individual ha b n i d f y p rm' requirements that pertain to this type of businessMUST COMPLY WITH HOME OCCUPATION Auth rized natu RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. COMMENTS: (141MA (A S 2. BOARD OF HEALTH �- This individual.h en i ormed of t rrmit e pertain to this type of business. ut rize - ign ture* COMMENTS: �gU n U5 3. CONS UMER AFFAIRS (LICENSING AUTHORITY) to this e of business. requirements that ertam p This individual has n inf e of the licensingp type q C� /J A Authorized igna COMMENTS: 17 5tur is - . YOU WISH TO OPEN A BUSINESS? 9 For Your. Information: Business Certificates°cost $40.t}Q for..4 years. A Business Certiftate ONLY REGISTERS YOUR NAME in the Town(WHICH:YOU IVIUST DO according to M.G.L. - it does not.give`you permission ta.operatej : You:must`flrst ofitain the necessary signatures on this form at 200_ Main.St.,,Hyannis.. Take the completed form to the Town CierWs'Office;.'1St.FL,367 Main.St:, Hyannis, MA 02601(Town'Hall)-and get the Business Certificate that is required by law: DATE Fill ira;please : APPLICANT'S' YOUR NAMEICORP(ORATE NAME. C P NTC R PIQ 1�F 1AI C . BUSINESS TYPE: R E r/I IL t3V Y sC LL BUSINESS YOUR:NOME,ADDRESS: c, ;� M rn/ sT , HYAn/1t.IiS', TELEPHONE # Home,Telephone Number NAME OE:,NEW BUSINESS e—ASH 1001A1 T OR Eft -- 12 S'S?9s' Have you:been given approval'frpm the building di n? YES 1i.NO �O�( ADC)RES8.OF BUSINESS M ni S? /3 /.S O �1- ® MAPIPARCEL NUMBER t� When starting anew: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 farm is intended;to assist you in.obtaining the. information. you may need: You MUST GO TO 200 Main°St — icorner.of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and license,required tq legally operate your basins,, in this town, 1. 'BUILDING CO%MISSIR'S,O ICEThis indivin._hfc d f,a. yp emit require ents:that partain,to this type of business. zed Sign a**. t lu COMMENTS: /U L it �C� 2. BOARD.OF HEALTH This individual has been informed of the permit requirements that pertain to this type.-of business.. Authorized Signature** COMMENTS, 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This.individual has been informed of the licensing requirements that pertain to this type of business.. Authorized Signature COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.] You must first obtain the necessary signatures on.this form at 200 Main St., Hyannis. Take fhe completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., :Hyannis, MA 02601 (Town Hall)and get the Business Certificate that is required by-law. DATE: 2 Fill in please: APPLICANT'S. YOUR NAME/S: c e BUSINESS YOU HOME ADDRESS: get nqncc of u2 l n 7 TELEPHONE # Home Telephone Number NAME OF CORPORATION: t NAME OF NEW BUSINESS ` ''h >,f 0 TYPE OF BUSINESS z " IS THIS A HOME OCCUPATION? - YES N ADDRESS OF BUSINESS k C' MAP/PARCEL.NUMBER.: O6' U . (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 Yar uth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. ` Authorized Signature COMMENTS: 2. BQARD OF HEALTH This individual has been informed of the permit requirements that pertain.to this type of business. . Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: --- -at }::.+....Y-•.�.<-ia:.. .._N:,..�.-•''i-•..r.�-�....., ,.-...:..._"r "i.F �.-r--1:.:may a.,r�.'G .....t 'F.=.".s+.<}.-.,-•-.•�`YY-•• -•�,q7�.r.-.,.•r,.f.r•--•.rw.r.,i-,.-orb-<.� a 2/x� _ "r .. TOWN OF.''BARNSTABLE BAR-W 5652 Ordinance or Regulation WARNING. NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip / Business Name a,t je o (5r) �, °rn wk/'Y� 'Qm pm,. on 20 { r Business Address �'"'T�"�' 1 t l ./irt._1 `�. tf'�� [ / 17��t,lJ1 1Jt'k'� -S'ignature df nforcing Officer Village/State/Zip Location of Offense U (0 Tq (Xkt'U."S 'V` 1( Enforcin"Q� Dept/Division Offense Facts U1U�u-Kcs� TIJ61 ' t 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. N -:: .. .- _.. ....-, p.. . _z�.,...,..,rw.'_wa'_..,:...a*-n.r.n.y-i��.-'�+.r'�.�y;�--wry-"-•.r-...:✓:tn�,.-.�r*.n,-.. ._.. j.�.r.. v... TOWN OF BARNSTABLE B;�R_W` 4631 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name { t� t f � G i �.� ambjpm, on 2010 Business Address Signature _of`"EnforcCi�ng Officer Village/State/Zip Location of Offense Enforcinq�Dept/Division Offense !!JJ Facts f 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. Giangregorio, Robin From: Dean Melanson [dmelanson@hyannisfire.org] Sent: Thursday, March 06, 2008 9:08 AM To: Perry, Tom; Giangregorio, Robin Cc: Don Chase; Eric Hubler Subject: c--644--M8in-Str_eet--7 Hello, last night we went out to this plaza for a fire alarm activation. This is the commercial building with apartments above on the croner of Sea Street extension and Main Street, where Ardeo's is. The alarm was for the 2nd floor hair salon. The guys found that the 2nd floor salon has recently been modified to add a 4th apartment. In doing so they installed the cook stove directly under an existing smoke detector. I don't know how we missed this on the plans????????? The Lt. that went out also questioned the availability of a second exit for the hair salon. It appeared to him as though this new apartment may have taken the access to the 2nd exit away when it was installed. If the apartment is legal and proper we will work with the owner to adjust the detection equipment. We will wait to hear from you as you may want to remove the apartment from under the smoke detector. Deputy Chief Dean L. Melanson Office 508-775-1300 Fax 508-778-6448 dmelanson@hyannisfire.org 1 Board of Building �Regulations One Ashburton Pface, Rm 1301 Boston, Ma .02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 018599 Expires: 03/29/2008. Restricted To: 00 JOSEPH DALUZ 90 MITCHELL WAY HYANNIS, MA 02601 t ;: • �` Tr.no: 16438 Keep top for receipt and change of address notificz DPS-CA1 0 50M-04/05-PC8698 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street' Boston,MA 02111' www.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .Please Print Legibly Name(Business/organization/Individual):,�` P Z— •Address: City/State/Zip: Yi Are you an employer?Che k the appropriate bog: :Type of project(required):. 1.❑ I am a employer with 4: I am a general contractor and I * have hired the vub-contractors 6. ❑New construction . employees(full and/or part-time). i Remodeling 2, am a'sole proprietor or partner- listed on the:attached sheet ❑ g ship and have no employees These sub-contractors have g, ❑Demolition 'working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp,insurance.$' 5 ❑ We are a corporation and its 10.❑Electrical repairs or additions . required.] officers have exercised their 11.❑Plumbing repairs or additions '3.❑ I am a homeowner doing ill-work . • myself,[No workers'comp right of exemption per MGL 12.❑Roof repairs insurance.required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeovrim.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1contractors that check this box must attached en 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 providb their workers'comp.policy number. I4M 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: Jab 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby certify nder the atns•and p nalties of perjury that the information provided above is true an'd correct Si ature• Date: Phone# —�-� 5-Z6 Fonly. Do not write in this area, to be completed by.city or town officiai n: Permit/License# hority(circle one):Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: L TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION.; Map a D - Parcel 7 Application# 6 ��3 Health Division' Date Issued Conservation Division �[,�/l i Application Fee :` Tax Collector Permit Fee ( 5 Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis i Project Street Address aC ' 1 J - h Village 444 ot V)h 1 Owner R)-P X 6 1laC. Address Telephone Permit Request hoo e M �— Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new 4 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 06 OJ — 'r i ell Lot Size— Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Fare y�(#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 stopve: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑newer size;7L. Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ � Z Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use �I BUILDER INFORMATION Name S N�Z—� Telephone Number' Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �Y I . 1 r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED i MAP/PARCEL NO. If ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL A PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL a nt FINAL BUILDING X DATE CLOSED OUT ' 4. ASSOCIATION PLAN NO. iR t �4f THE 7� 'own of Barnstable. Regulatory Services Thomas F. Geiler;Director suss. ' Bifflding-DMsion TomPerry, Building Commissioner 200 Main Street Hyannis,1vI 02601 w��.fown,barnstable.ma,us •. Office: 508-862-4038 Fzx: 508-790-6�30 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize . / act onrnybehalf, in 01 Z-atters relative to work authorized bythis bililding permit application-for; (Address of Job) • Signatur of Owner Date L Pr Prat Name OrG-r�JS:OV+':?E�rY.1tiiI:5I0i� . s. ------------ PERMIT PAYMENT RECEI:Pf TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA i02601 DATE: 05/02/06 TIME: 15:26 PERMIT $ PAID 75 00 AMT TENDERED: lb U0 AMT APPLIED: (l)-00 CHANGE: 00 APPLICATION NU B[R: 64.-40 PAYMENT METH: ,Hh'N PAYMENT REF: ��r� �t"E' ti Town of Barnstable Building Department - 200 Main Street 9 MAC.BAMST"LE, Hyannis, MA 02601 �A 1639. a• (508) 862-4038 rFu� Certificate of Occupancy Application 84340 CO Number: .20060005 Parcel ID: 308053 CO Issue Date: 05102106 Location: 640 MAIN STREET (HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Owner: COLELLA, ALESSANDRO TRS Proposed Use: 65 HOLLIDGE HILL LANE MARSTONS MILLS, MA 02648 Gen Contractor: ARVANITIS,CHRISTOPHER Permit Type: CC00 33 POTTER ST. CERTIFICATE OF OCCUPANCY COMM HYANNIS, MA Comments: � Building Department Signature Date Signed i LN7 �a�� s f�i •. h' M �. I' > c .5 r�p< . + Ytill > +'.a 1 1„ Iy } d- py n .. fr yy,,1 ikk 4 ;v 22 > ♦,h fh �y..u..� � C 'l Lt� 7 13<.w `'9,'yC who x A� � 1, � i ra � x ♦ u � .... P. >ti r,5-i. +..°.Mp. lam. ''� y,)a ,✓_',+ d t 1 f r fJ`Vf 5"tT F t, aU V)iaeY �. 4'N a J,rty 5 n4 r c ff�� C ,/ y kk++ r-+ra till Y v -y. i c i 1f 1'1 • , i e",y.<,�5..:. .rr�' Q., l.��i,'}rk Tq'f'' .�i �['r r-<; a•,�{ ,'i. �.k r ,;. . hi•Y KEr_ + a .F:, OF y j sKfD a ,�..i� • .��s°4 c � ° _ � a.:y;)f'✓17 $ r •f t ) � $ °r f [r { •if�a q',+. h t Nf ', r •r`k-�+ w-..t• Si -n.: a f r• a_ ,,`�' ry y.ta by ,r< )1 r tF\ ..Y of _fr `.P+r w sy f i r s �y :S } J. x s 11� ��v 5 ..+id�'4"l/i !_'. ) _.�,r �+, ♦ Y �f'tj 2..Y�tyf iy. r��r 1] , t F _}G. 'kl .h F l! {N � 33.e 4 T --.tjf t ^ h+•"1r{ 1 p•�• -lam ♦-a`• '.`• T^c+- I lf, 'r � Y 1 A§f. aT'!.Nt4'A�' 1 fR- ♦� ..i' xt�p it lr ¢ 1�k�.dx ,�rfi , cL.f.l `'�•.��•� ah if s�t'r 'u f F `' o �Ya -3rp h"4..'S tl t f l a .L +�', , "sf r.,l tYL�ya^, 1,Lf'.sr ,� 3. • {� f � r ,:, i fe `i' ,••� ra t .0•, t x .F � ,') � K r ax � xi.N �� w Y,T i'io�. .(< � � Y.}.s 4 ♦ ✓, � , ',v Regulatory Serviees r In, .' ! , a'�{ ', � i . i ., r T r :5 `f t{ r , , � ,'-'• 4_ rr,: ��I�E ` c �' ry•st4.T <Na th',:,t3 ` sk 5�14 Y rt ), '� r' '.M ~ • ,` rt •.r ti. ,' I r r. r �. r , ., f ? ! . 1 f rt'. . 7 PJ �<J �J • �' ' �� s. YIJ s , a " �, �t "E;t .•� f.a a s'.R ,,�;kz, y't.� r frn�a.is f._ � t'..-, �, . � .r � , tl ` t r . ' � F r Y • SARNSPABI.M • y t { r kC r ,1"'• � 4 rr. a v y. �' i,'• •.J:,'f -.''G " _ s t a• BUILDING DIVISIONr k • r `_r „ s 'P, al 1 y Y w -.-BY till It 4-^ ,+.+y�7 ' _ ~ ♦ry r off; - - TOWN OF BARNS'TA.BI E BUILDING PERMIT PARCEL ID 308 053 CEOBASE ID 22025 ADDRESS :S40 MAIN STREET:,4 FIYANNIS „` PRONE HYANN I Si; Z I P LOT B& UNNU BLOCK :-LOT SIZE j DBA DEVELOPMENT DISTRICT HY PERMIT 84340 DESCRIPTION ENOrvATE SWEET`WATE�{S TO ARDEO-S PERMIT TYPE BRE14ODC TITLE COMMER,C CAL ALT/CONY CONTRACTORS: ARVANITIS,CHRISTOPHER Department of ARCHITECTS: Regulatory Services TOTAL FEES: $1,770»00 BOND w $.00 CONSTRUCTION COSTS $200,000,00 437 NONRES./NONHSKP ADD/CONY 1 PR yATE -*O_ F * iK STABLE' * 39. V t6,.y < .»r ... O BUILDhNG DIVISI© r BY . DATE ISSUED 05/23/2005 EXPIRATION DATE '= THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE QFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL-INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 A ✓�a �/Lty, 1 2 . 2 I ob l 6[ 3 1 • HEATI G INSPECTION APPROVALS ENGINEERING DEPARTMENT_ 4A CAs a 2 BOARD OF HEALTH OTHER: SOT SITE PLAN REVIEW APPROVAL tJPP Sw OX (dZWOO ff h WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- -MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i ` l- 1 =1 r BUILDING r 1 t Department of Regulatory Services * BAMSPABLE, • MM s639. 1 BUILDING DIVISION BY h . TOWN OF BARNSTABLE BUILDING PERMIT I PARCEL ID 308 053 . GEOBAS.E ID. 22625 ADDRESS 640 MAIN STREET (HYANNIS "; PHONE HYANNIS ZIP LOT B&c UNNU BLOCK �'� LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 84340 DESCRIPTION RENOVATE SWEETWAT"ERS TO AEDEO'S PERMIT. TYPE BREMODC TITLE COMMERCIAL ALT/CONV �� CONTRACTORS:, MOUDOURIS, GEORGE 'Dep art ment of I ARCHITECTS: Regulatory Services TOTAL FEES: $1,720'.00 BOND $.00 p1G 3 i CONSTRUCTION COSTS $200,000.00 I i 437 NONRE S./NONHSKP ADD/CONV 1 PRIVATE 0�w____ +► jai& TABLE, * I MASS. i 1639. BUILDING'DIVISION BY " L� DATE ISSUED 05/23/2005 EXPIRATION DATE i I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPRlVED BY THE JURISDICTION.STREET OR y ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED-PLANS'MUST BE RETAINED ON'JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS'CARD.KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS-BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE 3.INSULATION. ''OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE_. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. e BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INS ECTION AP ROVALS /0 E ' I 2 2 2 I I I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING-DEPARTMENT I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL 4 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i I I i I M I I! I I _ t I I I I I I I Iy M, I *p • I h BUILDING 'ERMIT PARC;Ef:, Ill 308 053 GEOBASE ill 22025 ADDRESS 640 MAIN STREET (HYANN I S PHONE HYANNIS ZIP - LOT I3& UNNU BLOCK LC')`' SIZE D13A DEVELOPMENT DI.9".I'R1gr I-3Y 1 ERI III 82727 . DHSCRTPPION 1NTE"RIOR BATHS BAR PETITIONS (SWECrWiJERS) ERMIT. TYPE BDEMO TITLE DEMOLITION PERMIT CONTRACTORS: R.I:CHAR..D E DESMAHAIS ARCHITECTS: Department Of Regulatory.Services TOTAL FEES: $75.00 8OND $.00 CONSTRUCTION COSTS $.00 649 ALL OTHER BLDG DEMOLI`I'f ON I PRIVATE * aa>Ewsrna>L�, MASS. 039. A� I BUILDING DIVISION BY r / •',' '� � DATE ISSUED 03/141/2005 EXPIRATION DA`I'E �U' -�( THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.r ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. 1*613 b 1 0 1 21M=k 9 UNNE19;U41 L la I ij BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I BUILDING PERMIT TOWN wOFBARNSTABLE ; � � � REGULgATORYSERVICES ,, s � �> BUILDING DIVISION r 1� s r 3r _.� ,w,N �aakxs k �^ r;_r �. T... .K� f y�'f$ �`y •6' ,Y � r�� m. - ,�.'+'y THIS STRLTCTLJ,RE�AND/ORPREM -SES HAS BEEN `s 5' e"..R i,Aq .A"t'yd e sm p .•s t^'X„c'"„xY a3t '$ r ro-4�. k k.,✓a �INSPECTED�` THE FOLLO� INGVIOL�ATIONS�� . `✓ 1:.;h' fir+'' 7+ � x't"'k" 4'+k.! '�'3„ 'u4 t»»u�"'. "`,�,{E'.7's"L �'^�:i"�"'sc` '�''..3 `i `+x'Y. *�",ys.",+' FT BUILDING CODE AND/,OR LZONING : �RDINC NFO zr9m.,rt�n:igar;c,mar.-- `�«mm 'ra �.«,�,r�;k«�.+;�*' ��•sk �.sm-;aw.z.� .�.�.,n , F 15 O.r +c. , �'r�ga,w,NO, 5 _ e>,�s�x^�...��) i�s4v.+r+�.s�s -+i sue$$+�'€l>•r»F� l�+d�rw�'w.•i�' '�ir'�'�""�'�Y�+ �e a.a*� F -� �-rc >, LIE r"o�'�' `" ' 4 ^' ^� C'S`a".., k'• .. "�e�r � � YOIT�AREHEREBYNOT�IFIE=D THATx� � > NO ADDITIONAL WORK SHALL BE'UNDERTAKEN UPON THESERREIVIISES'ORrTHEPREMISES �nASi +e OCCUPIED UNsTIL THEABOVE VIOLATIONS - n S ""t v f c a" z"`*y""'"`" `"'' `i'`;, *".s• ' "" "% w,.�* r i.,. w 'a ''w*' r r`7 .z: asp.-a;.r .b" .cl .. -,�.-%.J.a, dG^k�«w."�+F�.�*'+�,� '�-.•: e •�+rt�eww'"kr «ara.w"_c 1.r aMM . .:., � s,.lta r•e ��f°E'�- � � c "�azaA.�:,�...� `' a.Mx s+sy�., a.�m:.x:�.�.�. ANY PERSONA RE-MOVING THIS NOTICE WITHOUT'a - �3.,.-yy +•�.""""1'_ "` .-w'^aFY -'.s4 ,s w t of N c s'�E.� m �,r'.f w'ti PROPI;RAUTHORIZATION SHALL BE LIABLE . „� ��PTO A FINE OF�NOT�LESS�THAN FIFTY�NOR� j" � ;�"�' «3 +�' ,�r�w�i. -gar,�` 'aiir"�aa�.,a�«r,��k�` "v.%�xF�..��F''7" iw�„h �^5 w"..`;'�i."w••q'�t.r�o ad. in �r S 'a5AN"� ° - .,. n:u-..:.t r_ � �.-f..,V�.f�..'�"As,�'"'Crt.�..'^�'7• ...s: i-„J'n...,.ws;:.. �i„•+,�..x.,x,s..•-.... ....,. ,r ,I .._-.ter:. - �Date r c+ Building ., --ems. •tea_ ==-- j '"*l w • .. wa + t F_J� I�+�r't�Fr�+' f�tf�� f�—�------ram.-. �y 'Pl� - � ' . I r .t.e�ra�ax r�:m;,.�•.: ....�a.�3R-;� ..., +�, �I I' �. � _v 5 1 sQ � 4Y dr i' • 1 , r'T �� a k -' _.. ar, 1 , _ c J ar _ t - � � �►".F'�3 � x ��— pig' - v -- f _ a• _. .ate —s ,_,,._� ,._T• "�.��.+r — At f '�` <'?',- � Imr. ^cap � f"�al��R�wra�f'_..�e3ra®rs.�,rnrs�•� c.dss• ,`...�..�....` .�'��'._ .._. a ,>_.• +' _ y ml immomp 'i won r Mll 41 - X 1 p p '7 +.F• w 6e7 a lA w � Y YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4.years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does-not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA.02601 (Town Hall) ' aT` R `.. ;r 2. DATE: �0 U $�PC— Fill in please: �- Na APPLICANT'S YOUR NAME: QY�GI �� BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number �78 NAME OF NEW BUSINESS e.Yo of e-Y1 TYPE OF BUSINESS IS THIS A HOME OCCUPATION?. .. YES O_ Have you been given approval from the buildin: i ision� YES NO ADDRESS'OF BUSINESS Q MAP/PARCEL NUMBER When starting a new business there are several things you must do in order.to be in compliance.with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST, GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street],to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMM NER'S OFFICE This individu h b n itnfo d y permit require is that pertain to this type of business. Out p ize�LS COMMENTS: 2.. BOARD OF HEALTH This individual has b en in rmed f the permit requirements that pertain to this type of business. uthprized Signature* COMMENTS: . 3. CONSUMER AFFAIRS (LICENSING AUTHORI ) This individual has beet ed f the li e re ements that pertain to this type of business. horized Signature. COMMENTS: Ox. Oard Ofbui+ld'n g Regn"ationSl��' and Sta�nd�asds aVEN1ENT ONFt2gCTOR Reg�str�atio ,z 1.07239 r � OOfi RICHARD s �u ual DESK .al,, Richard a " • 11g Desrn�r.• �� __ OLD TOWN H SOUTH YAR MOUTH 02964 Ad nj-,7t-or s y , w T ' �le�o�inzoouu¢ � i $,QAl •D OF%VgILDIN;G REI5;ULATIONS License: CONSTRUCTION SUPERVISOR Number 049883 i r ER`res� 6 Tr.no: 87356 Rd CHARD E ©•-S, 115 OLD TOWNHO S YARMOUTH, MA 0• •4�- j Fsw'.JSI^Q Actmg a .`mis oFfer h I • I The Commonwealth of Massachusetts __. Department of Industrial Accidents Office of/aVgstiggtions . 600 Washington Street - Boston,Mass. 02111 �-5 Workers' Co m ensation Insurance Affidavit i name: ll location: ha city hone# 5��! ❑ I am a homeowner pe orming all work myself.. ❑ I am a sole r rietor and have no one worki>1 in an ca achy ❑ I am an employer providing workers' compensation for my employees,working.on this job. ... ::•:::::::::: ::...:.::..::.:::::.:::.::::::::..:. a Tess:>:.;:::;:;;:.;':: :::.;::::::; ... ...:.....:. ::.;: ..:.;..: .:.::. one :city ah of # 1nsur an66 co: ::..; ......:. . :....... ....... %/ am a sole proprietor,general contract, or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: :comnanv name- 3'5. ryt � ' X. c ii:'ii:i:'f:vv�i y:;: vi::iiiii �i::vi�'::::�:::'::< ;:.;:.:::...::....: . :: Durance co.::::>:;..::.>:>:':::: � ' < MEE:... Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date /4-- Print a S P J2 Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑BuildinAwl g Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) . i Information and Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their " n ' the service of another under an contract employees. As quoted from the"law", an employee is defined as every person m Y q of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to 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,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. i Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peimit/license number which will be used as a reference number. The affidavits may be returned tr+ the Department by'mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents office of invesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 L n ' Affidavit of Substantial Financial Interest of on oath depose and sl6te follows: 1. I am an applicant for a building permit for the property located at Map d Parcel �3 The address of the property is ( /0 `146 S - Q 2. 1 have % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragra h 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or a able interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is , I have had a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: f Map/Parcel Address 5. Within this calendar year, I have submitted 0 building permit applications for property in which I have a 1% or greater legal or equitable interest. 6: Within the last ten days, I have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted' building permit applications for property in which I have a 1% legal or equitable interest. 0 building permits for property in which I have 8. Within this month, I have received 9 p P P Y a 1% legal or equitable interest. Signed under the pains and penalties of perjury, this _e day of , 200_� i 1 2001-0050/affin Q/LOTTERY/AFFIDAVIT L Christine Ade Tel:508-862-4674 Administrative Assistant-Licensing FAX 508-778-2412 t $a 'y YOU WISH TO OPEN A BUSINESS? /ty@f rya 4 IRM TOWn Oft;Bamstable ates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town Regulatory Semces does not give you permission to operate). You must first obtain Co ision the necessary signatures on this form n'sumerAffairs'Dw pleted form to the Town Clerk's Office 1 1' FI. 367 Main St. Hyannis, MA 02601(Town Hal! and et b iy law. 200 Main Street, Hyannis, MA 02601 email:christine.ade@town.barnstable.ma.us / q DATE: 1 2 -- APPLICANT'S YOUR NAME: "4 BUSINESS YOUR HOME ADDRESS: �! .�..m..� Mfg- c/I TELEPHONE # Home Telephone Number: 2150--© S�4/0- NAME OF NEW BUSINESS 611Y ky 6vMa1V1Y DSfl el)(4 Kz/ 5Tyj6 TYPE OF BUSINESS 5"-4Lol-). IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YES NO '1 ADDRESS OF BUSINESS 6Vz, A-1,4/N ST- J-jpr- ( S MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO R'S OFFI ..� This individu I ha b en inforrm d "f 'n er it require�t pertain to this type of business. Aut ized-Signatur * �� COMMENTS: t7ni .- ' 2. BOARD OF HEALTH This individual has ee i formed of t per r uirements that pertain to this type of business. Authorized Si ature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.OQ for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street; Hyannis,. MA 02601 [Town Hall) DATE: (9 SI 01 Fill in please: MVqR-! � � � � r . APPLICANT'S YOUR NAME/S:_ RA 1 f fC�iy'�q,y yam{ BUSINESS YOUR HOME ADDRESS: ,3 St- gc-1 z Y149/y0 y?N /t-f/9 669 3b1i-a92-6373 TELEPHONE # Home Telephone Number � - 192- 63 -73 NAME`:OF CORPORATION: .NAME.OF.NEW BUSINESS TYPE OF BUSINESS rYSiGfi/ Lii_r1T SHoi� IS THIS A HOME OCCUPA ION? T YES ENO! ADDRESS.OF BUSINESS PLC !/+(:Si !!"/�i�r✓/S �l.�? C�Z �/` MAP PARCEL NUMBER S . �, [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 OFTidof E This individual ha en infor any permit requirements that pertain to this type of business. igna . COMMENTS: J L_ 2. BOARD OF HEALTH This individual has e n informed of the per it requir ments that pertain to this type of business. COMMENTS: Authorized Signature* 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business•. f ut1h rized 1 , COMMENTS: /L1 6 v4 '� .� V� b �o /5 �ti �� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: _ USS Fill in please: H APPLICANT'S YOUR NAME/S: crf- i, c BUSINESS YOUR HOME ADDRESS: Aar: 3 3 TELEPHONE # Home Telephone Number NAME OF CORPORATION: - - c - F `c�I'm NAME OF NEW BUSINESS I411 t'r:. xfefJyf 7��.�,,-�:�r.li n TYPE OF.BUSINESS e �oi,sfirwGfii o-1 IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS Ag-. 3 MAP/PARCEL NUMBER_ (Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has begninformed of&permit requirements that pertain to this type of business. h rized Signatur ** UST COMPLY.WITH HOME OCCUPATION COMMENTS: o v RULES AND REGULATIONS. FAILURE TO COMPLY 2. BOARD OF HEALTH This individual as - � ormed of thp�� rm re ements that pertain,to this type of business: ' SN011M7f103Z1$'1�131y{IY$nOQHy�,y Authorized Signature(** 11b H11M kjdW00 isnvv COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has b informed o e licensing requirements that pertain to this-type of business. \' Authorized Signature COMMENTS: ti ft� Town of Barnstable F��r Regulatory Services Thomas F.Geiler,Director o� Building Division s.&xx:rrwBM y HAS& Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Pee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: A' E is �l d Phone#: / 7H -7a a-ems a s Address: C e-/U ►NI ct)YI 5- 41 t 3 Van 5� Name of Business: 4 -isvi'n�. Type of Business: Cn V)- - '"C'1; Cwl Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space; • There are no external alterations to the dwelling which are not customary in residential buildings, and there is' no outside evidence of such use. •. No traffic will be generated in excess of normal residential volumes. • The use does riot involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no-storage or use of toxic or hazardou$materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be me-ton the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one ton.:capacity,and one trailer not to exceed 20 feet in length and not to pick-up-truek-got-ta•exceed•one exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. . I,the undersigned, ave read Acethetove r 'ctions for my home occupation I am registering. Applicant Date f I fj r-- - -- -� j PHILBROOK ENGINEERING & CONSTRUCTION GINEERING DESIGN&INSPECTIONS t 107 BEACH STREET DENNIS, MA 02638 T.VARNUM PHILBROOK, P.E. 1-508-385-8682 MEMBER-ASCE PHILBROOK ENGINEERING & 107 BEACH STREET CCONSTRUCTION '+ �+T �+T p� DENNIS, MA 02638 O N�7 1 R U�+ 1 I O�t1 1-508-385-8682 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS 27 April 2006 70 To: Town of Barnstable Attn: Mr. Thomas Perry r s Building Commissioner Hyannis, Massachusetts 02601 t T` re: Renovation/Rehabilitation - ARDEO'S II 644 Main Street, Hyannis, MA Dear Sir: In accordance with Paras. 116.2 .2 and 116.2 .3 of the State Building Code this letter shall servetas doc- umentation of compliance by the general renovations to plans prepared by TriMark United Easte and Philbrook Engineering. The Fire & Structure Review was stamped and dated by myself on 8 MAY 2005. Construction items pertainng to the finish have been completed. The Town of Barnstable Plumbing, Electric inspections are done. The automatic fire alarm system has been inspected and is operational. Step ramps and missing handrails have �( now been addressed. �- I have performed site inspections during the con- struction period from MAY 2005 thru APR 2006. I certify that the Restaurant Renovations/Rehabilitation and the related. construction have been accomplished IAW the Mass. State Building Code, 6th ed. , and will be suitable for its intended occupany, Use Group A-3 (Restaurant) . Respectfully submitted, V9 G f A14, vrvmm (o T. VARNUTA ` PHILBROOK T. VARNUM PHILBROOK, P.E. l o P,gECHANICAL ' No. 30690 �SSIONAL �� firs ■ HILVR®®K f ENGINEERING & 107 BEACH STREET i{ CONSTRUCTION DENNIS MA 02638 1-508-385-868282 ENGINEERING DESIGN • CONSTRUCTION INSPECTIONS • BUILDING, ALTERATIONS & RENOVATIONS 27 April 2006 To: Town of Barnstable Attn: Mr. Thomas Perry Building Commissioner Hyannis, Massachusetts 02601 re: Renovation/Rehabilitation - ARDEO' S II 644 Main Street, Hyannis, MA Dear Sir: In accordance with Paras . 116.2 .2 and 116.2 .3 of the State Building Code this letter shall serve as doc- umentation of compliance by the general renovations to plans prepared by TriMark United Easte and Philbrook Engineering. The Fire & Structure Review was stamped and dated by myself on 8 MAY 2005. Construction items pertainng to the finish have been completed. The Town of Barnstable Plumbing, Electric inspections are done. The automatic fire alarm system has been inspected and is operational. Step ramps and missing handrails have now been addressed. I have performed site inspections during the con- struction period from MAY 2005 thru APR 2006. I certify that the Restaurant Renovations/Rehabilitation and the related construction have been accomplished IAW the Mass. State Building Code, 6th ed. , and will be suitable for its intended occupany, Use Group A-3 (Restaurant) . Respectfully submitted, fb5 V9 1 f 7/. ;,� �v S� Nzy T. VARNU10, T. VARNUM PHILBROOK, P.E. 4 C(D PY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map &) Parcel 0,53 Application # Health Division Date Issued 10 �- Conservation Division Application Fee l t-0 Planning Dept. __ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH -- _ Preservation / Hyannis - Project Street Address ro �f M(a C (' ya /I f) Village� j DwnerC'/� 7 P/ /�'a�v�S Address Telephone Requester . Square feet: 1 st floor: existing 7lgroposed O 2nd floor: existing7l6 proposed Total new Zoning District Flood Plain Groundwater Overlay _.�ProjectrValuation: _ ✓Construction Type Lot Size a re 5 Grandfathered: Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 2� Historic House: ❑Yes C No On Old King's Highway: ❑Yes O(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 c�;i nes Number of Bedrooms: existing _new ; Total Room Count (not including baths): existing new First Floor Room Countfi_.j ' Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air: , Yes ❑ No Fireplaces: Existing New Existing wood/d,oal stove?❑Y s ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing Ld newt` ize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial AYes ❑ No If yes, site plan review# Current Use- Proposed,Use APPLICANT INFORMATION _(BUILDER OR HOMEOWNER) Name l Telephone_,Number k LA i - - � y Y� Nddress� P /l License# C 1 {�A`J O c_.4_ jC C4 Home Improvement Contractor#, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATES �� } FOR OFFICIAL USE ONLY ` APPLICATION# DATEISSUED MAP/PARCEL NO. I ' ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING i i DATE CLOSED OUT ASSOCIATION PLAN NO. > Town of Barnstable Regulatory Services " snaNaLE. " Thomas F. Geiler,Director 16yg. �� Building Division ABED MA'S� Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 October 4, 2012 Mr. 'Charles Tringale 9 Riesling Road Plymouth, MA 02360 Re: 640 Main Street, Hyannis, MA Dear Mr.Tringale, On September 26, 2012 application was made to work on an.existing handicap ramp at the above referenced address. The construction drawing accompanying the application lacked sufficient detail to issue the permit.A call was placed and message left requesting greater detail. Today, another drawing was dropped off at this office. It also lacks sufficient detail for a permit to be issued. Please be advised that for the application to proceed, clear plans complying with 521 CMR 24 must be supplied. If you have any questions,please contact this office. Sincerely, Paul Roma Local Inspector r WWW.m=gW/d4a Workers' Coup=Ition&g=nce AMds li=t�i€oi�afion guitders/Coatractai- Iecfriciaus/Pin ers Name organiatu�: • Please Prig L G`ziy Sta el p l n rit e Phone#-. ire Y�- PB3�r?Check the appropriate bow 1 ❑ I am a employer wish -4. [(I BMa general m and I Type of project(required): /1=Play=(frill amd/ar have hired fi [ Nrt caasirnctim . 2• I am a'sole p� listed an Jhe• 7. t ship and have m a These hope ❑ =nffi bng �g for me is any caps city; euPlayeea-and have.warl=' 8. ❑Demnh� o ' [N worker cazng.ms comp,iasarance.# 9: ❑lag addrban 3 ❑ I homeowner 5' ❑ We are a corporation and ifs 10-0 .1 repaas or adat om• doing al-work of cars have exercised 11[]p mks or Sal£[Na.workers' mP moons comp• �°f Par MCA,bmmce d•]t c•152,§1(4), and we have no 12•0 hoof repairs =P .:[No wudcars' . 1.3.Q Other .�.msor�ce regaited.] k&UY 17PP&cantfimtcbecJ.baa ir1 mast also fiE out am se 6=belOw f Hom awn=wlio submit ffiis dfndavit in�they acs doing aII work and hm hh pt'W& . ,. �sprovidt cm&wtam ou subt awf @se drzk This box mah n��d�t&min � mtomarat 9cheroloyees $ have r mad stale whtd,armt ffiaso eadffiGs Kaye camp.palicyaotabm lam ¢n employer that is providing workers campensadan insurance r it tot on, f° ?a;Plvye=.Below is the pn.&7 Cam site -tnsnrsnce aay 2�Tame: • Policy#or Self ins"Lic #� _ BXPn Dare: Job sitr Address --------------------- A±Lach a - p fe__Ut ' � fh _ scompeasatinnpalicy decarafinp�a(shoe the policy number and Farfore•to secure ca as aapII.'afian date), - versge. required Under S=tian25A ofm-GL C. 152 can lead to fare hmposffiM oi. a1 peTtAlllPn ofa 2ne rip to$1,500:00 and/or one-year imgris as wen as cir11 if np:to$250.00 a day agaiast$ie violator ,Be Fps in tbe.foim of a STOP WORE ORDER and a�e r<vve of the IDIA for>asm�nce copy n be d to he Ofce of -do hereby cerfifj,. •� P�7ury that the irorneation provided above is.frae and rr co Dam. Official use only Do not wrote in-this area to be=npleted by cgy or.totPn o�tcirrL -City or Toren: IsSaingAuffiority(circle one):..: . I.Board afHealth Z.StulcficngDeparbmeaf 3, ``ouffi.ct P.ersan: - oQther wn Clerk �CtiaFnsPec fnr 5 Plmbng inspector or Phnne i ct, I: #: Town of Barnstable Regulatory Services Fn � Thomas F.Geiler,. Director i6;g t0 39 Building Division _ . Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA.02601 www.town.barnstable.maxs Office:. 508-862-4038 Fax 508-790-6230 Property Owner.Must Complete and Sign This Section If Using A Builder Ayer X66 K S w11`�/ i^� 1` ,as Owner of the subject property hereby:-authorize - _ , to act on my behalf, sn>all tdatters.relative to work authorized by this building permit , G �D 1720 s a��1� (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and acce ted. Signa of&ner of plicant Print Name Punt Name Date QYORMS:OWNERPERMMtSSIONPOOLS ` .ri ........... Massachusetts -Department of Public Safety Board of Building Regulations and Standards Canstruction Supervi.wvr License: CS-044441 CtURLIES P TRIN.G Iv, 9 RIESLING RD t A7 PLYMOUTHAlk Si i4t Expiration Commissioner 09/25/2014 q 2q1Z MIN I . sun, mans-sm--- muumuu n a a Inns [ 10 a sm m a MR unn M mul m us as m a Run un xx xx a sf � ■ %�/�� .■ � � �.� �� .. ':: �M � ,,i �� i ii ■ � ■ ■ � � �� i �i . a ,,, �..:; . . � � �o�� . :� ;�,� � .. - � . ci (e-5 /V 6 Z- oZl_ �'' 6v M i N 54- y 65 « SS °cleAK- csN sS"C co -34 f 6 0 aS� 521 CMR: ARCHITECTURAL ACCESS BOARD mvs--"k� 521 CMR 24.00:. RAMPS O kc ' a,, ) 24.1 GENERAL Any part of an accessible route with a slope greater than 1:20 (5%)shall be considered a ramp and shall comply with the requirements of 521 CMR 24.00 24.2 SLOPE AND RISE Ramps shall have the least possible slope. 24.2.1 The least possible slope should be used for any ramp. The maximum slope of a ramp shall be 1:12 (8.3%). (There is no tolerance allowed on slope,Refer to 521 CMR 2.4.4d) 24.2.2 The maximum rise for any run shall be 30 inches (30" = 762mm).- See Fig. 24a. 1 2 Surface of Ramp . R � Level ; Horizontal Projection of Run. Level Landing LandIn Ramp Slope 9 Figure 248 Exceptions: A slope between 1:10 (10%) and 1:12 (8.3%) is allowed for a single rise of a maximum three inches (3" =76mm). 24.3 CLEAR WIDTH The in clear width of a ramp shall be 48 inches(48"= 1219mm),measured between the railings. See Fig. 24b. L. 48" :clear 219 Ni— Wall clear 1219 ..........• �r ........................ ..:...... .. Ramp Width and Handrall Height figure 24b 1/27/06 521 CMR;� 09 o s C ZM 71 , , M 521 CMR: ARCHITECTURAL ACCESS BOARD 24.00: RAMPS 24.5 HANDRAILS Handrails shall be provided at all ramps. Handrails shall have the following features: 24.5.1 Location: Handrails shall be provided along both sides of ramp segments. 24.5.2 Heights: Handrails shall be provided in pairs, one at a height between 34 inches and 38 inches (34" -3 8" = 864mm-965mm),and a lower one at a height between 18 and 20 inches(18"-20" =457mm - 508mm), measured vertically from the surface of the ramp to top of handrail. 24.5.3 Continuous surface: Handrails shall be continuous without interruption,except by doorways and openings, so that a hand can move from end to end without interruption. 24.5.4 Extensions: Handrails shall extend at least 12 inches(12"=305mm)beyond the top and bottom of the ramp and shall be parallel with the floor or ground surface(See Fig. 24d), except where the extension would cause a safety hazard. T In`:: 211 to .. _ 30 30 - Level Level Landin L ndin _ g Handrail Extensions e 9 Figure .24d 24.5.5 Size: Handrails shall have a circular cross section with an outside diameter of 1'/4 inches(32mm) minimum and two inches (51mm)maximum. 24.5.6 Shape: The handgrip portion of the handrail shall be round or oval in cross-section. See Fig. 24e. 24.5.7 Surface: The gripping surface shall be free of any sharp or abrasive elements. 24.5.8 Clearance: When a handrail is mounted adjacent to a wall,the clear space between the handrail and the wall shall be 1'/z inches(P/2"=38mm). Handrails may be located in a wall recess if the recess is a maximum of three inches (3" = 76mm) deep and extends at least 18 inches (18" _ 457mm) above the top of the rail. See Fig. 24e. 1/27/06 521 CMR- 111 521 CUR: ARCHITECTURAL ACCESS BOARD 24.00: RAMPS 24.4 LANDINGS Ramps shall have landings for turning and resting. At a minimum, landings shall be located at the bottom and the top of each ramp and each ramp run,and whenever a ramp changes direction. The maximum length of a ramp run between landings shall not exceed 30 feet (30' = 9m). Landings shall have the following features: See Fig. 24c. 60" min NOTE: 'See Figures 26d. and 26e 1 S24 1--: ? .'^'r? '^!sp'^'i..^'�1:c':,,• 'F.,W....."".�e•"s"r-.r,-..-�,,,i!�,^:.: Est ' 1 Level Landing'' i Level 1 Landing i �. ..................................... L 60 min L 30' max . 1 52.4 9.1 m. NOTE: See Figures 26d and 26e i Level Level - Landin ............. ...... 9 ................. Lan g 60" min 30' max 60" min 30' max 1524 9.1 m 1624 9.1 m Maneuvering Clearances at boors . E Level :•::•:;•:•: a. :::::.�g Landln :i i......:. w �L 6� O"ruin 30' max 1524 9.1 m Minimum Landing Size for Change of Direction Figure 24a 24.4.1 General: Landings shall be level and unobstructed by projections and door swings, except as permitted by 521 CMR 24.4.6. 24.4.2 Width: The landing shall be at least as wide as the ramp run leading to it. 24.4.3 Length: The landing length shall be a minimum of 60 inches (60" = 1524mm) clear. 24.4.5 Dimensions for turning: If ramps change direction at landings,the minimum landing size shall be 60 inches by 60 inches (60" by 60" = 1524mm by 1524mm). See Fig. 24c. 24.4.6 Doorways at Landings: If a doorway is located at a landing,then the level area in front of the doorway shall also comply with maneuvering clearances in Fig. 26d and 26e. 1/27/06 521 CMR- 110 • i 521 CMR: ARCHITECTURAL ACCESS BOARD 24.00: RAMPS 1-1/4 to to t to 1 1/2" L. 1-1 12L: 38 'z Handrails 3- max . Figure 24e 716 24.5.9 End condition: Ends of handrails shall be either rounded or returned smoothly to floor,wall,or post. 24.5.10 Handrails shall not rotate within their fittings. 24.6 CROSS SLOPE The cross slope of ramp surfaces shall be no greater than 1:50 (2%) 24.7 SURFACES Ramp surfaces shall be stable,firm,and slip resistant. Ramps may be carpeted only if carpeting is installed in accordance with 521 CMR 29.3, Carpets. 24.8 EDGE PROTECTION Ramps and landings with drop-offs shall have edge curbs, walls,railings,or projecting surfaces that prevent people from slipping off the ramp. Edge curbs shall be a minimum of two inches (2" =51 mm)high. 1/27/06 521 CMR- 112 i 521 CMR: ARCHITECTURAL ACCESS BOARD 24.00: RAMPS 24.9 OUTDOOR CONDITIONS Outdoor ramps and their approaches shall be designed so that water will not accumulate on walking surfaces. If gratings are used to disperse water, they shall comply with 521 CMR 22.00: WALKWAYS. 24.10 CIRCULAR RAMPS Circular ramps are not permitted, except with the approval of this Board. 1/27/06 521 CMR- 113 I t ' TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 053 GEOBASE ID 22025 ADDRESS 640 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT B& UNNU BLOCK -LOT SIZE C DBA DEVELOPMENT DISTRICT HY PERMIT 63310 DESCRIPTION PERFECT IMAGE NAILS/4 SQ - •_. PERMIT TYPE BSIGN TITLE SIGN PERMIT I CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE BARMABLE Mass. 039. �FD MA'S A ILDI G,DIVIS O ' DATE ISSUED 08/26/2002 EXPIRATION, DAT C - Town of Barnstable �pP IME 1p� yP ti� Regulatory Services Thomas F.Geiler,Director • SARNSTABLE, b'9 ,0� Building Division arEo Mp`1 a Tom Perry, Building Commissioner . 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector 0 < Treasurer Application for Sign Permit Applicant: a '/ pp � � �o'er Assessors No. OP -0 ,�r ,3 Doing Business As: *1If Telephone No.✓ ']°�`✓�-�07�� Sign Location Street/Road: All O to O Zoning District:_�j_Old Kings Highway? Yes/No Hyannis Historic District? � To Property Owner Name: �S3uA(�vd CEO/�iC� Telephone: Address: 2� l Zda1 Village:&67l'/, /V '// /Vf1., 0�6� Sign Contractor Name: Telephone: Address: Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/&e (Note:If yes, a wiring permit.is required) 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 Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized n• •.pate: �-'�/ Size: PermitFee: Sign Permit was approved: Disapproved: Signature of Building Officia Date: v� off. 'O� I Signl.doc rev.122801 b 957j- /c2Gf i�? o �d�S�1r� Awl eo l �"de cSG � 1 P l� 7la� �T I ka ♦ A:� L F ` r [A FEMMINA OUTLET EOLISH TEN salon for NAILS A SALON FOR klDS �•M LL � I Evil IA1r a p - f f I� FXConcs�e'rvation sor's Office eIst floor Map, 13t7 an �j Permit Office Oth floor n--t.r 2f Date Issued 27— �ICBoard of Hcalth Ord floor ' EnRinecring Dept. Ord floor) House# °R o. Planning Dept. (1st floor/School Admin. Bldg.): Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m. & 1:00-2:00 p.m.) TOWN OF BARNSTABLE / /' Building Permit Application Pro'cct Street A dress/ U ' IA �T��% Village / Fire District I It Owner (; T 7�iQ /ILL Address 6 V /a/N (I ally' Telephone 7�S-33a� Permit Rcquest: -8 oA r b06P, MgA)6d5—: (-)/� J1 01A) '— Zoning District Flood Plain Water Protection Lot Sizc Grandfathered Zoning Board of Appeals Authorization Recorded Current Usc Proposed Use Construction Type Eaistine Information Dwelling Type: Single Family Two family Multi-family Age of structure BasergenWW Historic House A ' h d Old Kin g's Highway wished Numbcr of Baths o. of Bedrooms v Total Room Count(not including baths) First Floor Heat Typc and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other ' Builder Information Name /-/ Al K o,S4 Telephone number �2 4/ 3� 3 Address License# 0 3 5-3 P ' //- C ' "y Home Improvement Contractor# AZA—(-az -r-c�A Worker's Compensation # (,.,IG/ T " A NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO V 4-kn vim,/t' Project Cost 22 C)Cx.).CV0 Fee 4'*'1egy'C'z SIGNATURE o� Z 42 A(, .- DATE_ IZ25—I`� —� 11 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 4 CC) V FOR OFF ICE -LY 1/27 '95 37- 9 308.053 ADDRESS 640 Main Street VILLAGE Hyannis Baja Inc/dba Sweetwaters Grille OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED ASSOCIATE P 01/27/1995 12:14 5694772969 WINDOW WISE, INC. PAGE 01 ***COVER PAGE TO : w m. eedss�� FROM : WindOw VMi s® ,`Inc . _ Pax : 5084772969 Te1 : 5089772969 ..� PAGE $) TO POILOOV r 01/27/1995 12:14 5084772969 WINDOW WISE, INC. PAGE 02 s Wausau Insurance Companies INFORMATION PAGE WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY FEIN NO.. 04-3231909 RENEWAL OF: NEW Policy Number 1515-00.097158 DOWLING B ONEIL INS AUCY INC 222 W MAIN ST PO BOX 1990 HYANNIS MA 02601 I. Insured and MailiriR Address WINDOW WISE, -INC. Insured is: CORPORATION 6 MAIN ST MASHPEE MA 02649 Other workplaces not shown above: Sec Extension of Information Page 2. The policy period is from 06 04 94 to 06 04 95 12:01 A.M.,standard time at the insured's mailing address. 3. Coverage: A. Workers Comppensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: SEE FORM WC0021, EXTENSION OF INFORMATION PACE B. Employers Liability Insurance: Part Two of this policy applies to work in each,state 1lsted in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident •100,000 each accident Bodily Injury by Disease $500,000 policy limit Bodily Injury by Disease 6100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states listed here. 4. Premium.711e premium for this policy wil] be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and strange by audit. Premium Basis Rates Estimated Classifications Code Total Estimated Per$100 of Annual Number Annual Remuneration Remuneration Premium See Extension of Information Page Minimum Premium:Workers Compensation $500(MA) Total estimated premium Premium will be biped: ANNUALLY 07,456 DEPOSIT TAX & ASSESSMENT: $233 Deposit Prer uum 07,436 3 D. This policy includes at its effective date form WC0022 Extension of Information Page and all endorsements listed here: Symbol Endorsements: Other Endorsements:SEE FORM WC0021, EXTENSION OF INFORHAATION PAGE Issued by: EMPLOYERS INSURANCE OF WAUSAU A. MUTUAL COMPANY FORM WC0040/WC 00 00 OOA Regional Office MM 911"D 2401011AL OFFICE PC 1t08 Use BURLINI7nn, MA 01EtD3-eggg U Countersigned by Authorized Representative MA W00020 Issued 07-12-94 (11-05-92) WC OD 00 01A Copyright 1987 National Council on Compensation Insurance 3� 3 99 01/26/1995 15:31 FROM MAH/WRT 1'AR 503 760 1667 TO 7906230 P.02 " e qT F C.. A E [ 0tJ26!4'i -F ^: IIYFORIAiION-"INLY AND CONFERS; .S `JPCN irc PVFTIi"A'E �I Vrahoniy kV""hi - 'i'fi0 i' AVEN' E.Y.;ENl .`f 1 T[4 -'E �CltiBf[ y.'-C vE� 4Y 'tiE P�_'i'ES BF�ON 1 1 Vne Ati51ii" ''ic. "----- — ------ •-- •----i $, Y?'I�Out,. 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ENDEAVOP TO MAIN STREET i �A:L ;T J...Ys WE Ti"t Fi�E ;G 'ur C:'T'FiCATE H%DER NAMED TO THE f 3ARN$TABLE, n4 a2riSZ `_`T, ZD` '+'IVRE !C MA':L S'J ° U T�CE Sr!fiLL 'VOSE NO OBLIGATION GB 1pg' iTY CF C,NY BIND ',DPO� _ ^ CCM�RVY, .i5 AGENTS GF RE7?eSENTATf�rfS i J ,ITT. RA;uy -----------^-------- -- a -----------------------------------------� I �i�T�d,'kiLEL nE;'R�SEa''rA• �ME 1 l I ° i TOTAL P.02 - i r 1 ,4 - m C , w 9� Y--Y } X Q J a 0 w --' 0 COMMONWEALTH DEPARTMENT OFPUBLJC �dJrr�fop: .. .�acyrfr OF ONE ASHBONTON PLACE 7 t 'COO�fsmeu.�fsra jay MASSACHUSETTS r 60STpn.MA®2f0i �NfurN_ CENS ExPiRArOtaPA7E ' CONSTR ISIJPERYISOR I CAUTION ( 6/3 0/19 9 5 rr r�y FOR PROTECTION AGAINST i 7 (, EFFECTIVE DATE UC-NO. 1 RESTRICTIONS 1,1_� : 0 r THEFT,PUT RIGHT THUMB I NONE "06/30/1993 035390 1 PRINT INAPPROPRIATE BOX ON LICENSE. !MARK R GUSTAFSON ISOUIRREL ISLAND RD y,:% BLASTING OPERATORS v WAREHAM MA 02576CD � CV MUST INCLUDIlE++PHOTO, � _ �� MDT VALO UNTIL SKiKD SY UCEl16EE NOOFFKtAl1� � 7+`; � Lo = HEIGHT: I sawvEn-on-ScrskiuREOrTr%co►a=DNM r a Lo %%i� ✓j i v LYE DOC6AAEM WAT BE 1 woo 1 Lj t,, •: rJUiNFUONT/1E'VERSOMos OF I/DFNWE S y 33 r-/ I T-F HOLDER WHEN FY(- G ' DLFE16 fO(,HT TNUNB Rw.n 1J ,rPo: NsaccUPaAOra O-I c-1 lD CV 1 m Permit#: LARGE ROLLED PLANS ARE IN BOX FOR ARCHIVING. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel � _ ; Permit# [ F/0 'j,b 1 Health Division LE Date Issued Conservation Division 2 A,� g; 34 Fee nl Tax Collector Treasurer T^-�'V1s --� Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 6`1Tme\V-\ Village Owner �l�-� m 1�� Address 4,Q Bmr�,Y_n t Telephone Permit Request� � a & aa , s Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation e!�M(YtO.00 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) r Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type` S'-Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) j Number of.Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fu . ❑Gas ❑Oil ❑ Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No p g 9 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 7Y. peals Authorization ❑ Appeal# Recorded❑ Commercial ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name A _� � ;Li Q Telephone Number 5�93 G O C1 C-7,0 Address �� 1z,.1� (`. License# CS 0 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FBQM THIS PROJECT WILL BE TAKEN TO SIGNATURE a�. DATE ° / - , 01 1 I r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS �-t VILLAGE Ij OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , -� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel Permit# 2 Health Division TC, Uf- BARN STABLE Date Issued � / " 6 S Conservation Division 2905 MAR 14 An 11; 30 F4� Tax Collector � . Treasurer M DIVISION Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address qo Village S _ Owner // �► Address Telephone �lQ� LA k1i Permit Request l� cIt- � Square feet: 1 st floor: existing3cw— proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type G _ver� 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: Urf ull ❑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 inclu ing baths): existing new First Floor Room Count Heat Type and F I. Gas ❑Oil ❑ Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ZoningBoard yApsaIs Authorization ❑ A eal# Recorded❑ ppCommercial ❑No If yes,site plan rev'ew# i Current Use Proposed Use J�f I BUILDER INFORMATION _ Name �C !^l Sg/ J�� Q Lq-2 �� , �,Y`Gt,/� Telephone Number Address,cS��7./o1u&Llite License# 0 c9S3 Home Improvement Contractor# I7�13� Worker's Compensation# ` ALL CONSTRUCTION DEBRIS RESULTI IFROM T IS PROJECT WILL BETAKEN TOP,,h>j/4,,,a,(en c SIGNATURE DATE f FOR OFFICIAL USE ONLY A PERMIT NO. s ' DATE ISSUED 1 MAP/PARCEL NO. 1 ADDRESS 'VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL'i PLUMBING: ROUGH FINAL" GAS: ROUGH FINAL FINAL BUILDING i i DATE CLOSED OUT ASSOCIATION PLAN NO. ' , �-- The Commonwealth of Massachusetts Department of Industrial Accidents — MCOOI/WSM9M — ' 600 Washington Street r� Boston,Mass. 02111 Workers'Compensation Insurance Affidavit-General Businesses name:/Urs h�^`C� ✓/C�J �.�'�/S �G/ . G-i.�- address//S^ o� �fi✓ OOS�° C'� state: a hone 4,99 rQ �� work site locehon full address: ❑ I am a sole proprietor and have no one Business Type: ❑Retail urant/Bar/Bating Establishment working in any capacity. , ❑Office Sales(including Real Estate,Autos etc.) ❑I am an em to er with em to es(full&Dart tine). ❑Other ./ %//////%%��%% /////////////%//////// I am an employer providing workers'compensation for my employees working on this job. com an name: City. phone insursnce.co+`: .:'. / / / / / am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: coin`-'an` name :..ti.J, ,,:A;.�;':•'r•:•�:r-. 24 aildress6 � " c r /�/�/ liofie 34 insurance co. A. co m any DeIIi2E address cif• .. .. •• � . , " ..: phone#i ' _ a ,• iiisurenc co: DOlicv# Faiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that p copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby c under the p nd penalties of perjury that ffie information provided above is true and correct 5i�ature Date Print name T l(�(.1/j l^�' L L t2r�1��S Phone# - � —C— g official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office j ❑health Department contact person: phone#; Mother (revised Sept 2DM) - Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as_every person in the'service'of another under any contract 1�. of hire, express or implied, oral or written An employer is defined as an individual,"partnership,.association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,'and including the legal representatives of a deceased employer,'ofthedreceiver 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 I building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or 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,neither the commmonwealth 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all.affidavits may be submitted to the Department of Industrial Accidents for confirmation-of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or,town that the application for the permmt 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' c6m&nsationpolicy,'please call the Department at the number lisiabelow: City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernrit/license number which will be used-as a reference number. The affidavits maybe returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. s FEA The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents on of Im8t19adons 600 Washington Street Boston,Ma. 02111 fag#: (617)727-7749 phone#: (617) 727-4900 ext.406 Town of.Barnstable _ ti °^. Regulatory Services snxr�sres - Thomas F Geller Director bum Building Division Tom Perry; Building commissioner 200 Main Street, Hyannis,.MA 02601 WWWAown.barnstable;mama Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using ABuilder I 6 ,as owner of the subject property. :hereby authorize k t�. r� �- � S to act on my behalf, in all matters relative to work authorized by this bunding permit application for; 2, TJ (Address of Job) 3 . 0 �5 S' O f Date Print Name Results Page 1 of 1 .v • Licensed Contractor Look Up Select the search method: I License Maximum number of matches 2573 Enter Search terms separated by spaces. 149883 Select Search type: t—i, AND C- OR Search` Search Results i City/Town Name FLi Lic. # Restriction]Expiration Street State Zip S 1 DESMARAIS, 115 OLD { CS ,[49883�11[ 00 [03/31/2006, TOWNHOUSE MA 02664YARMOUTH RICHARD E __. [ Total of 1 Records matched a Back to Home Page BBRS Private Statement http://db.state.ma.us/bbrs/contract.pl 3/14/2005 �� s 1 J '� w ^ � V 1 7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map • SOS Parcel ti 3 Permit# $Ll WO Health Division Date Issued Conservation Division Fee Tax Collector Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 6 a/c) MA rO ST Village kYA N N►.> J OG ��1Mt2L 62 e� AMry Wiry WPS7rYl� Owner Address o26Z3 Telephone 5-D g- -7 7 1- Do`{ Permit Request �}RDea S c�a r ie�J Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 1-OD1b0O. DO Zoning District Flood Plain Groundwater Overlay 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: Mull ❑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: a Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial &rle's ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name C kets�opke f_ 44 . AXuAL 1 TiS Telephone Number Address LI ARipSe woap AJ C_ License# C S b 7.7 VI �� MA 2 6 D Home Improvement Contractor# � �` ��J�OX�� ;� tea- oz6o/ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l7z /0 S— FOR OFFICIAL USE ONLY PERMIT NO. DXFE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL:, • z GAS: ROUGH FINAL FINAL BUILDING DATE'CLOSED OUT ASSOCIATION PLAN NO. i ✓�ie T�omvnzon�uea o�, oeacfivael2 MAR RIQF4BiOJLAL DIN;G.REGN NTIO'NS License OOMI STRUCTI[«'N SUPERVISOR Numbg _&'. 022,876 ��M •— y :7 no: 2104.0 CH, 34 POTTER ST HYANNIS, MA 0260 Commissio'n`er °FIMMEr . Town of Barnstable Regulatory Services r a EAMnA si.E Thomas F.Geiler,Director 039. th Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, ® �CYI l , owner of located at property `fg CA.s A S.� UU C•l.4' K S , hereby certify that s e! 6-�UC(93 (GI S LL is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# Vq 3 , issued on - 200 I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. PRO Y O DATE q/forms/newcontr reference R-5 780 CMR rev:080102 �OF'It NE i Town of Barnstable Regulatory Services ]UMMB9 I'E Thomas F.Geiler,Director qjp 1639. tfD MA'1 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, CAA rs►5P h6L A . M 0641Tl s , Construction Supervisor License. #C S 0'2Z'01 (0 , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# %434 n , issued to (property address) 6 4 O mis w)on 5-11 3 , 200 The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) Z6 a 57 CL 4LCENSE HOLDER DATE gdorms/neweontrb rev:080102 The Commonwealth of Massachusetts Department of hidaz Ii aF Accidents ' office of Investigations' ' 600 Washington Street Boston,MA 02111 .i www.mangov/dia Affidavit: Builders/Contractors/EleetiiciaiislPlu Lbers NVorl�ers' Compensation Insurance licant Information Please Print Le 'bl Name p*ess(orpizatlotandividual): Cie.tST�O�ii2 ft Ait VAN t'r/1 Address: R o-L wno lotJ� /State/Zi N Y�M>`I S i�1 r 0%.60 P]ione#� 7?.y— t/'�7- Z `� City P��" _ • sire you an.employer? Check the;appropriate boa:. ;.Type of project(required): Z am a ea�Ioyer with 4. I am a general contractor and I .6• construction. employees (full and/or part-time).* have hired the tached sheet 7, Remodeling ,•�1 sm•a soleproprietor or parEaer- listed'on the attached sheet$ , andhaveno employees These sub-contractors have .S. Q Demolition ship workers' comp.insurance. g, [] B ding addition %working for me in any'capacity. (No wo&6W comp•insurance 5• ❑ we are a corporation and its 1Q. El' 'cal repairs or.additions required.] • officers have exercised their right of exemption per MGL ll. Plumbing repairs or additions_ 3.❑ I am a homeowner doi_t�g all.work . a 152, ' 1(4); and we have n4 12.❑ Roof repairs myself.(No workers comp. o workers' insurance regained]t employees. 13,[� Other camp.insurance required.] �y applicantthaf checks box#1 must also fill out the secdon•below showing their workers'compensation policy iaforrnatioa: $ Homeowners who submit this affidavit indicating they ate doing all'work and thenhire outside wattactnrs must submit a new affidavit mdi � Comtraators that check this box must attached an additional sheet showing the name of the sub-contractors andtheir warkere- dui' [am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site. Information. ' [nsurance•Company Name: Policy#or Self-ins.Lie.#• Expiration Date•' job Site Address: City/sta*zip: Attach a eopy of the workers' compensation policy declaration page(showing the policy number and-expiration date). Failure to,secure covemgo as required under Section 25A of MGL c. 152 caii lead to the imposition of penalties of a fme up to$1,500,,Op and/or one-year imprisonment, as well as,civil penalties in the form of a 8TOP'WORK ORDER and a fine of up to$250.00 a day against the violator. 13e advised that a copy of this statemmi may fie forwuded to.the Office of .' Investigations of the DIA for insurance coverage verifieation. I do h ere by ce fy under t pains and enaldes of perjury that the information provided above is true and correct Si mature: Date: 2126�d Phone official use only. Do not write in this area,to be completed by city.or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6,Other Contact P arson: Phone i[ reformation and Instructions. ter 152 fequires all emp Yens Pm compensation for their employees. to to vide workers' comp' contract of'hire, Massachusetts General Laws chapter is defined as"...every person in.the servide of another under any Pursuant.to this statute, an employee , express or implied,dral or written•" legal entity, any two or more "a4�diviPA pa�R441'.associati. eMrporation or other or the An employer is defined as; and inchmmg the legal representatives of a deceased employer, of the foregoing•engaged m a joint enterprise, grer: e he receiver or trustee of an individual,partnership,association or other legal entity,employing employees-aho resides thereint or t nt of the owner of a dwelling house having notmore than o maiateriacice apartment�cownstruction o repair woik-ou such dwelling house dwellinghouse of another who employs persons . to er. or on the grounds or building appurtenantthereto.shall notbecause of such employmeatbe deemed to be as emp y chapter 25C(6)`also � t"every state,or local licensing agency shall withhold the issuance or MGL chap § ern&to operate a buslness or to const- met buildings ln'the kommonwealth for any renewal of a license or p a gc�t who has not produced acceptable e�dence of compIfance with the insurance coverage required." Pp all MGL chapter 152,125C(7)states"Neither the coasmoawealth nor any of its'Political subdivisions shall Addition Y� erfonnance of public work untiY acceptably evidence of complimcewith the insurance enter into any contract for the p 1eq�eID•�of-this chapter have been presented tD the contracting authority." Applicants davit c letely,by checking the boxes that apply to Your situation and,if Please fill out the workers' compensation affi ddress( and phone numbers) along with.their certificate(s)of necessary,supply sub-contractors)name(s), with,no employees ether than•the insurance. Limited Liability Companies(LLC)or Limited Liability Partaerships(LLP) or LLP does members or partners; are not required to carry workers amp avit y b e n�itted to the D epCartment of Industrial - . employees,a,policy is iequired. Be advised that . . The aifiidavit should from of insurance coverage.. 'Also be sure to sign and date the affidavit: artmezit of Accidents for confa=�• that the lication for the permit.or license is being requested,not the DeP bereturnedto the cityor.town aPP Industrial Accidents, Should you have any questions regarding the law er if you are required to obi lease call at the number listedbeloW, Self-insured companies shonid-cnftx thei conpensationpolicy,p riate Pine. self insurance license number on the approp City or Town Officials ace at the bottom Please be sure that the affidavit is complete and printed legibly. The Department has provided a space affidavit for you to fM out in the event the Office of Investigations has to contact you regarding the applicant of the tense number which willbe used as a reference number. In addition, an applicant Please be sure to fill in the pen given year,need only submit one affidavit indicating current that Vast submit multiple permitllicense applications in any gi Yin oli information(if necessary)and under"Job Site Address"'the applicant should write"all loco be s ovided to the or P cY"A of the•affidavit that has been officially stamped or marked by the city or town may p. tov�n). c0pY applicant as proof that a valid affidavit is en file for;future pet not related to anyamess or comet venture ape year.where a home owner or citizen is obtaining a license o p (i.e,a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit k ou in advance for your cogperation The office and should you have any questions, ce of Investigations would Ii'k.,to than._y please do nothesitate to give us a call. TheDepartment's address,telephone and,faxmimber: The C=Monweaith of Massachusetts . Iepanent of IndustrialAccidents Office q$Iiavesigations r .600•Washington Street :{? Boston,MA 02.11I `Tel.#617-727-4900 ext 40.6 or-1-877 MASSATE Fax#617-727-774 u pnr;em 5-26-45 www.mass.gav/dia f �_..... I +� � I r °FSMEToy, Town of Barnstable Regulatory Services vBARMABLE, Thomas F.Geiler,Director O°A i639. a Building Division Tom Perry,Building Commissioner - 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT P Construction Supervisor License #o4 hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # P14 issued to (property address) 6:1 1 on S23 , 200 � I also certify that on \6 , 200 ,I notified the property owner,that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. 0 hx 7' LICEN6rLDER AYE q/forms/newcontr reference R-5 780 CMR Y J r Town of Barnstable Regulatory Services t.snar�a . Thomas F.Geiler,Director � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 i Property Owner Must { ' Complete and Sign This Section F If Using A Builder C ry' I J-0e- �f4y�lc��. ,as Owner of the subject property hereby authorize Ci121 5.,9P4e/L /9<h/Zd4dj i i S to act on my behalf, in all matters relative to work authorized by taus building permit application for: (Address of Job) 9IZ6/as igns of Own Date Toe I e t Print Name QTORMS:OWNMERMISSION Hyannis Main Street Waterfront _ Historic District Commission 16=�.��o� 230 Soudi Street' Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725. �1 N Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness 0 under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for. PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition j8 Alteration Indicate type of building: ❑ House ❑ Garage Commercial ❑ Other -�2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repaintin existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other H 5. Parking Lot: ❑ New Building Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE 22 ASSESSOR'S MAP NO. be ASSESSOR'S LOT NO. d �J APPLICANT_ 11 f!C S S(Gr\ of ►-0 e AIL' I 1 a— TEL.No.6DF,'�'7 I—��J APPLICANT MAILING ADDRESS rn ST- �Ch n r S ADDRESS OF PROPOSED WORK Cv M q rrS 6?n n r� PROPERTY OWNER es S Ct \01 ra (�b 16 I R TEL.NO. 50 OWNER MAILING ADDRESS r Aare - GrS'Tp),s ) IS FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent �. property owners across any public street or way. Phis information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary).* — .. ...... ....... ..... _. .__ ....... ,�......___...... .. .._ .... . _ AGENT OR CONTRACTOR 1-/ee— �azjd — TEL.NO. a ADDRESS (� {![/� G"n ri i �a l—_ DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including 'detailed data on such architectural features as: foundation,chimney,siding, roofing, roof pitch, sash and doors,window and.door frames, trim, gutters- leaders, roofing and paint color,including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). Cc, C`/l ! e �d .�s�ed o�'►-rn9�-g � . .��j(�91�i CZ� . Signed Owner-Contractor-Agent SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date / Time This Certificate is hereby- c By JAN 2 9 2002 •�' { ` Date - �` TOWN Or 93.4P S..; HISTON,P-.Sl q A 0,C Si%20-day IV RAPORTANT: If this Certificate is approved, approval is subject to the 'fal-pegod._provided in the Ordinance. CONDITIONS OF APPROVAL: 8Y�'1 f ocr � lirJ D O vt � � �� Ace HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION *** SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK !'Y?Cc i✓1 - ( S FOUNDATION �i/n M 4 SIDING TYPE �L rle Az, COLOR CHIMNEY TYPE COLOR " ROOF MATERIAL PITCH WINDOW COLOR TRIM COLOR DOORS [C['S S. COLOR SHUTTERS <1 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. TOWN OF BARNSTABLE BUILDING PERMIT i PARCEL ID 308 053 GEOBASE ID 22025 I ADDRESS 640 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT B& UNNU BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT. HY PERMIT 91681 DESCRIPTION Ardeo on Main Free stand 14 sq PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 i BOND $.00 �tNE i CONSTRUCTION COSTS $.00 i 753 MISC. NOT CODED ELSEWHERE } * sntivsraBM * i Mara 1639. I B ILU DINna,�- G DIVISION BY� 5?ht 3r.Gj DATE ISSUED 04/20/2006 EXPIRATION DATE i 06)P4mww& sign Cu� Inc.COMPLETE INTERIOR & EXTERIOR SIGNAGE DAVID J. NOONAN (508)398-2721 63 OLD MAIN ST. (508)760.3130 Fax P.O.BOX 134 plysigncom@capecod.net S.YARMOUTH MA.02664 w".plymouthsign.com r Town of Barnstable Regulatory Services t Thomas F.Geller,Director 1'' '' '•i r ;j j ;e • BARNBTABLE. 9� MASS. Building Division '100111 %a3q. iOrFOW,A't' Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:, 508-862-4038 Fax: 508-790-6230 Permit# Application for Sign Permit Applicant: —�`�"`�� Assessors No. CS Doi Business As: Telephone No. Sign Locdtion a Street/Road: NV Ipro S1�41.nLS Art>S Zoning District: '(1 Old Kings Highway? Yes/No Hyannis Historic District�- esNo Property Owner la(4C11A— ) ( r Name:- 71 Telephone: Address: , Village: Sign ContractoP Name: \ J `< CL' Telephone: ?� 2 ( Mailing Address Ccjo t4)0 <�JAMJ�AA , nat5'C 62—opq Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yote:If yes, a wiring permit is required) Width of building face �� ft.x 10 � x.10= 15— I hereby certify that I am the owner or that 1 have the authority of the owner to make this application, that the information is correct and that the use and c .on shall conform to the pr ` ions of§240-59 through§240-89 of the Town of Barnstable Zoning Ord' ance. Signature of Owner/Authorized Agent: Date: O Size: Permit Fee: Sign Permit was approved: Disapproved: iaJ Signature of Building Official: Date: a1 Q:IWPHLESISIGNSISIGNAPP.DOC 1(O( 1 J IA. MEMO M 9 � �s � M `q, Al DA r I THE Ti_KEFI �1�FDiTEKR § •; ..^�, xn.N� a��+ � 'S��..�'�„r,c^3r_.=."i<� `f 8. %Sfi'a.':z�u''°f�-,�a.�:y `.�g3 ��'.�_" �.'� �.::� � M_. �"�: >�`�,�=-e; ,��>. �,. k. -ate �.� s.� � �a ^iy �,��c �•s- � �.!. ;(D _ -s,.,�� - �•�„t- �. �h�sr,��;r,A. > �; *,„.'S �.. .c: ?' h3` vim,;✓.Z r ,*,yr L ,; 4� t (? 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(^`J•n.•x::A:;::<y�-at.'7.H�.T%U6Vo',h.:f��Y::.v.��l::,:./rN':-,:.,:::-�.f:_•.::• V. a : y � n t ' f 4tL . �►�t.r,.Fi.y�Y�rrsa• 1r� -?,.Fuca si T�;r ftF;E'aF"4E MmCTMA1:[AN J. ' 4 F . . 42" ,C 48�y FEB 1 3 '2006 TOWN OF ARN STABLE HISTORIC PRESERVATION y �I a J f r wr,.. RAI 1 t 7ol�hR PMMIT Wa. u►ts Nmeby LiDC1l0I� P.QI RE11�lSi0Plg:• � � � � � �i 'YJ4YKda:R�'159�`kV*dRS1M�t�'lK1F:iW'!?I�1'�MT.:7-'N:fi%/:MMe:�'C727�w•i'L:AA/fY_!:•iF•.Q`�4✓�'1,::A•a.h'r.i.6h:MF.10'.�\F�•N.i'.Oft�RRT(YAliM��%F:Td.'fif'M:� `.'.t'47�1n';h:7�TNZ'.t.N17A':r.AF,••:�TF:,i NRG6fA!^'+t/rPiV.P:J:Mh1aa:K.Aft�1R'iNA�NC4�;fY:7t f- f 1 O Hyannis Main Street Waterfront Historic District Commission SPECIFICATION SHEET FOR SIGNAGE Prior to filing your application for a Certificate of Appropriateness, please contact the Building Inspections office, at 862-4038 to discuss the amount of signage allowed for your building, as well as any other Town Sign Code regulations which may affect the sign(s) you propose to install. Even if you are applying for the same amount of signage as previously existed on your building, the laws may have changed since that sign was installed. Once you have applied to the Hyannis Main Street Waterfront Historic District Commission for a Certificate of Appropriateness for signage, you may apply to the Building Department for a temporary-sign permit. The Building Department can, provide all information regarding the temporary sign permitting process. Please fill out all information requested below. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign • color chips.for all colors on your sigft • a photo or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to light the sign, are indicated • a scale cross-section of the sign, with dimensions, showing edge detail • specifications for any light fixtures proposed to light the sign • a scale drawing of the sign bracket, indicating dimensions, color, and. material If you-are applying for a Certificate of Appropriateness for more than one sign, please fill out ONE SPECIFICATION SHEET FOR EACH SIGN. Size of Sign 14 Z X f Material(s) of Sign CeJar Material of Lettering (if different) The Sign Will Be (circle one): carved woo / aimed wo / vinyl lettering- o explain) Location In Which the Sign Will Hang CD Will there be exterior light fixtures to light the sign? If so, what type of fixture? �y (p FEB 1 q r ub0 ` TO'.,:!:. i': ;:-VARASTABLE Him';` ±i: ` ESERVATION ' �FTNE ram, Town of Barnstable Regulatory Services • an MASS. E, Thomas F.Geiler,Director 9�''OrE1639. 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 Property Owner Must Complete and Sign This Section If Using A Builder } as Owner of the Pe roect subject property 1 hereby authorize i S C,S to act on my behalf, in all matters relative to work authorized by this building permit application for. qq 1 n 'I� (Address of Job) r. 7- 0 V S1 re of?wner Date c Print Na <e Q:FORMS:O WNERPERMISSION The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name (Business/oroanizatiowlndividual): �— Address: City/State/Zip: ��(1 rJ��- Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑Ne I am a sole proprietor or par�er- construction e art-time to ees full and/or .* have hired the sub-contractors y ( p ) listed on the attached sheet $ 7 emodeling 2.❑ ship and have no employees Th se sub-contractors have 8. ❑ Demolition working for me in any capacity. 4orkers, comp. insurance. 9. ❑ Biding addition [No workers' comp. insurance 5. e/ We are a corporation and its 10.,u�/El trical repairs or additions required-] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.. . Plumbing repairs or additions myself. [No workers' comp. c. 152,§es. [ and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other, comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who-submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u er theo tOpm44t of perjury that the information provided a ove true and correct. Signafore: s Date: ! 0 Phone M F) uu only. Do not write in this area,to be completed by city or town official. Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the ow welling house of another who of a dwelling house having not more than three apartments and who resides therein, or the occupant of the d hoemp employs s persons to do maintenance, construction or repair air work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affiidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street . Boston,MA 02111 Tel. #617-727-4900 ext 406 or 17877-NIASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia COMMERCIAL.BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 Alterations/Renovations $100.00 Building Permit Amendment $ 50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet X$96/sq.foot= X.0081= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprolcost Rev;063004 l ' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS O47919 '�'# Expires:03f0,9l2006 Tr,no: 1823.3 Restricted: 00 JAMES K STERGIS 106' TONEHENGE OR BREW. TER, MA 02631 Aciing.Ca mis iirie'r ��,rcR.SZ AjsrAsor's Office(Ist floor) Ma ��' w Permit#_ ' Conservation Office 4th floor s Date Issued (o / ;W - � r 8 t Board of Health-Ord floorva En rneerin Dem.- 3rd floor House# � Planning-bept. Utt floor/School Admin.Bldg.): MAW Definitive P1an.Approved by Planning Board 19c ,,�'� A licat,w' ssed 8:30-9:30 a.m.& 1:00-2:00 .m. Q,13M com TO J TOWN OF 'BARNSTABLE c°rr, rtci� Building Permit Application' Project Street Address Village Fire District Owner Address Telc hone G' Permit Request' d5aea a,=I� Zoning District Flood Plain Water Protection Lot Size Grandfathered Zonin Board of Appeals Authorization Recorded Current Use'" Proposed Use Construction Tyne Existing Information Dwelling Type: Single Family Two family Multi-family Age'bf structure Basement tvm Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Bam None Sheds Other Builder Information Name Telephone number B G -7 fL' �7 .2 ddress License# tl lam' i� C C Home Improvement Contractor# /6' Worker's ComMusation # WC 2 0 O SRO j' NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 13 Project Cost IIVW Fee SIGNATURE DATE G/!3 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T ��0 l FOR OFFICE USE ONLY ADDRESS (O O VII.LAG OWNER y' i DATE OF INSPECTION: T FOUNDATION ro,. FRAME INSULATION r ` FIREPLACE d, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL FINAL BUILDING: d ' �'�' • �, t DATE CLOSED OUT: ASSOCIATE PLAN NO. 11;02'94 17:02 '$8177277122 DEPT IND ACCID Q 00 ' -y Conunoizituea tli o Iljaljaclzusettj ' oUaPa�fntenf o��nc�uafriai✓ttccic�enfl 600 Mlnyloa Jhf t Dolton �awitlf� 02 f f f James J.Campbell , ae1ac Commissioner Workers' Compensation I surance Affidavit l' r (RoenteMpetmateej with a principal place of business at: Ole do hereby certify under the pains and penalties of perjury, that: l am an employer provid'mg workers' compensation coverage for my employees working on / this job. Insurance Company Policy Number I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contra or homeowner (circle one) and have hired the contractors listed belo ve t e o owing workers' compensation policies: Contractor Insurance Company/Polity Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number )w l am a homeowner performing ail the work myself. I t d:rstLnC t`.t copy of d is sltement will be fon e.arded to the Office of investigations of the OTA for ccnerage verification and that failure to secure cove-age:s ree:i;ed under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisan¢of a fine of up to S 1,500.00 and/or cr,� years' imprLcr.ment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this 2' 6:!fe ay of Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TnT. \,T nT RARNqTART.F RTT T)TTT(. PFRMTT .# F-O -1- -too( - ---- ' ( I �'L•F��GL:RA'f E . LrgN?�i,Jlo 1 ( r �EF('��GCkAiU2, � - AD�t7l0w+41. . �TQJhN1- �aG�C� ` D� r 3 STAtQS vO rAG _ I i , A�iDiTivaA� t 9PAeF ¢ t - - - All. --------1- - - - -� 7AU-65 O AQU% I, - - � — -- - - 'TAQ r�e� — �,�LIJ�� PRc�oscD �xPA,Jsio�l "�atluatoPoX303Sacurreoot � I - COMMONWEALTH I DEPARTMENT OF PUBLIC SAFETY `�MOIL I' usattsStaaBuftdfra0 OF ONE ASHBORTON PLACE• �assacA Godolscaasotorrevocation MASZAGHUSETT BOSTON,MA 02108 A p�=piall000�• I ;s CAUTION ( EXP RATION GATI:'/ '=i'': L.IPEF;J i FOR PROTECTION AGAINST<, � ,. RESTRICTIONS EFFECTIVE DATE LIC-NO. ; THEFT, PUT RIGHT THUMB } ,II_)M ti•)I•.. ;:::;,;�.. ,_�.r,. ; 1•;,- - I PRINT IN APPROPRIATE ( o (-''`` f-' f.,k BOX ON LICENSE. i BLASTING OPERATORS4, , ]. :i.iR;:_ t 4 MUST INCLUDE PHOTO -•,PHOTO(BLASTING OPRONLY) FEE: %Y�•1'•dN 1: :E•° (�Irj !)�;'/,/,,;' cp l �� 11Mf�11J■ � �� ,I•I)(-7„ (_1 t? NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER Ji JUL 0 71993 . I h:IS DOCUMENT MUST BF SIGN 11��GG1I000G��v,FULL GNATURE Y CARRIEDON THE PERSON OF -SIG R FL E SEE ��\ O L �. .- THE HOLDER WHEN EN- ^, 11��) `I��u-�F]J - Ca OTHERS•RIGHT THUMB PRINT GAGED IN THISOCCUPATION • � i 3 �. tfr ' o>eu�ll�4 ✓uamac�ruae!!a � F r)'`-HOME IMPROVEMENT CONTRACTOR Registration 104499 Type - PRIVATE CORPORATION • ; Expiration 01/14/96 _. -- Art Dolgoff Building/Remgdeli , Arthur L. Dolgoff ;! ' - •(�ie�n eo��. 9 McCormick Dr. , , r• ADMINISTRATOR { W. Barnstable MA 02612 I I i I i I 1 � The Town of Barnstable • a►RNRrABIZ • 9 ' ®� Department of Health, Safety and Environmental Services En " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 9, 1995 Stephen C. Jais Ba a . Inc../Sweetwaters Grille Main Street Hyannis, MA 02601 Re: Site Plan Review Number 40-95 Sweetwaters Grille 644 Main Street, Hyannis. Dear Mr. Jais: The above referenced site plan is approved. Please be informed that you must complyy with any conditions listed on the Certificate of Review and that a building permit is necessary prior to any construction. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner RMC/car enc. S01095C : . . : The Town of Barnstable ib M&. Department of Health, Safety and Environmental Services c Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner SITE PLAN REVIEW CERTIFICATE OF REVIEW I certify that Stephen C. Jais, for Sweetwaters Grille, has submitted a site plan SP-40-95 pursuant to Barnstable . Zoning Ordinance, Section 4-7, and that such site plan has been reviewed and deemed approved. Building Commissioner May 4, . 1995 date of action S010191K 1 TO ALL NEW BUSINESS OWNERS DATE: 05(03 105 aim® Fill in please: APPLICANT'S YOUR NAME: -M A GOLD tQC Y,'1' BUSINESS YOUR HOME ADDRESS: A00 (.! 8o t?S` 2S 3 Z � A('# 3 1VY1f1v,--/3 /!A OX 6 o/ TELEPHONE - Tele hone Number Home Is o 9S 5Z NAME OF NEW BUSINESS I1,4uI'•S Aooicovc TYPE OF BUSINESS Roo FrNc IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YES=NO ADDRESS OF BUSINESS S'C' /Y*, 47- AP cr z of MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply fora business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St.—(corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S/QFFICE This individual has , i formed yb any permit requirements that pertain to this type of business. Authorized ignature'`* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature*" COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: Business certificates (cost$30.00 for 4 years). .A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. —SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. ` 640 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS,MASS.02601 HAROLD S. BRUNELLE, CHIEF FIRE PREVENTION BUREAU LT.DONALD H.CHASE,JR. LT.ERIC HUBLER Inspector Inspector TO: Building Commissioner FR: Fire Prevention SJ: Building Permit DT: 6/4/2002 Property: LaFemmina— residential 2nd floor Dear Sir, We have reviewed the plans for the above named property, per the building code, and recommend that the building permit be issued. Thanks, Fire Prevention Officer Hyannis Fire Department 0 Page 1 TO ALL NEW BUSINESS OWNERS Please Fill in: �1 APPLICANT'S NAME: Sc;utO HOME ADDRESS: 6;), Co1b,4N L_ ctk,s `?A TELEPHONE NUMBER: Sak (Please give us a number where you can be reached) NAME OF NEW:B �� ,w . � � `la�a�. ., , . ., : �r . :� xIS,THIS A HOME:OCCUi?ATI.ON?Fay . � NF ,�. �., - s �9_ R, �., ,,:.,x '.°fir Y `"' <-.�.<: ._a .z n.y.:,: .r- ._. _: : �.. _...., ._,,,:, ., ... „_.,. „ .« ,�,,,.,; «:�>x-,.�> ,a� rs i'.� �'"a, '�.;�P e._....,a.a= 9 ..... �.€. ,.?•a.<.:-y, :.. g .¢¢.F�,.,.. ..: `'.., .... ._, 3.. ::.. °^�°EW j,"';-;� ��"� &, ,<✓1 d,�.�.:�> t-: z w .. ;;k,. ..a.4t,P .,r.':'�. .`?"."- s =` ?:mi ,�E " .> a�. Y�"`E �k.•:'2'^ > .. � :r��x _.< •::a .<ar;.':�*- ps. ..y,,s:=. �.'. � '€�, kr '"�g.... � '_. MAP/PARCE - ,EL;aNUMBER.a k✓ a ,';I .., :t .tA % n.. ..:n. x_<9 .. J 3,. R,-«r 5 a,� .. 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual h s een informed of any permit requirements that pertain to this type of business. Au horized Sig e COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has V616n.informed of t r requirements that ertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual h been infor ed of he licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for 4 years). A business certificate ONLY registers your name in the town of Barnstable - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. 0 • . l TO ALL NEW BUSINESS OWNERS Fill in please: r` a APPLICANT'S +� ; YOUR NAME: I—ItAg AC,7t C/C 6Z. oN t7 7 BUSINESS i A ' YOUR HOME ADDRESS: '�Tfi� �� 1�i,4 d Z G 7/ -� T..le hone Number H o TELEPHONE TYPE:OF NAME OF NEW BUSINESS s'l�F'i LLG BUSINESS rr2 4t/-1 IS THIS A HOME OCCUPATION? 0 3 - S 3 ADDRESS OF BUSINESS -- ---i'j✓a �` � si MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, B Town Hall listed below, you may apply for a business certifica te at the Town Clerk's Office Ist floor- To ). 1. GO TO B I G INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individ al as een-i rm of any permit 11 requirements that pertain to this type of business. Au rized na r COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual=hasben.informed of Z e permit requirements that pertain to this type of business. �� .�,�� I 1 13 0l Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you n;ust return to the Town Clerk's Office to obtain your business certificate (cost$20.00 ME in the town which you must do by M.G.L. - it does not give you R NA ( for 4 ears). A business certificate ONLY REGISTERS YOU F departments involved. Y various completion of the processes from the permission to operate -you must get that through p f Address: Awa, 5T Permit t Date: NVP: LARGE ROLLED PLANS ARE IN BOX FOR ARCHIVING. Date: L'� ,4 '2- (�I lit Pt nr� I �i 640 Main St., Hyannis 4/19/2010 Rn 19 avQl. � R � 640 Main St., Hyannis .4/19/2010 YOU WISH TO OPEN A BUSINESS? For Your information: Business certificates (cost$30.00 for years). A business certificate ONLY REGISTERS YOUR YOU must do by M.G.L. -it,does not give you permission to operate.) Business Certificates.are available at th Main Street, Hyannis, MA 0260.1 (Town Hall) NAME in town (which e Town Clerk's Office, 1" F.L., 367 _ APPLICANT'S DATE: , 5 YOUR NAM Fill in please: N BUSINESS RESS: G -7 Y R HOME AD Home Tele ho v:N:y P ne Number NAME''OF CORPORATION: ti.: ... NAME OF.NEW.BUSINESS'... . IS THIS A HOME OCCU-PATION? YE5 NO TYPE OF BUSINESS ADDRESS OF BUSINESS — MAP/PARCEL 1Vl1MBER When starting a new business there' several things you must do in order to be in,com lion (4ssessing). Barnstdble. This form is intended to assist you in obtaining the information you may need. You fV1US Rd. & Main Street) to make sure you have the appropriate permits and licenses compliance with the rules and regulations (c the Town of T GO T0.200 Main St. (corner of Yarmouth required'to legally operate your business in this town. 1. BUILDWG CO qA ER'S OFFICE This individ n iftf e ti any emit re uirements that pertain to this type of business . aa 11 9 orizad Si'g ure** COMMENTS: PAZ20, ` C� 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. CO MMENTS* MMENTS: Authorized9 Si nature g"".SSY 'PS�@n' HIVF g . ° 8d y 5 R - y rS�SS�BC.gE6��6 SCrGe3"�•��H °S Cc E�m G^�� : & c z °Y � �>0i=acaia"; om�lcs,a »cY s� €e cf \ z god >da°z assGpsgs �a Z \- o 0 O P r iA ERR CH 21 UUq lu n J s r 9 'g _ L (� Z Z O o. •� F an r41 N� StJ $ mil\\\, y _m �� Aa o 'PROJECT: ARDE05 II(5WEETWATER5 GRILLE) `a y R E V 1 5 I O N 5: Commercial o $ e ,� m "' a Kitchen and j A €fin S -Z 644 MAIN STREET w ThMark OJ qa.6 ete. - 1YANNI5 MA. r7 InteriorDesigtJ a m ro°a� D _ 0 Phone:S"9.6000 "°° �� - United fast gIs m SHEET TITLE: A A Fae; 508-761.3600 =P a www.trimarkusa.com PRELIMINARY FURNISHINGS PLAN FoodserviceDesign,Fquipment and Supplies. 505couimsn"t � jig e soomncu"noo,ntnono3 °z Serving the Foodservice Industry.Since 1947. i; ;. xr \ } to-T bNb rt1fE{<jaa C } + PI�I�pS A f:$�j}OI��n4. Q Q a� PA�c lot 4.r 11 PA 74.to' fir- -1 r' U1K tart 1 Pi TL>1 +til t i f}iN .u, \ - ,LD r a �J C/) Cl } _ 7 c __� �. 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SCALE: 14"-1'-�,• oo --- l - - .� ._ HERBERT E.OLSEN JR. A.I.A. �.-1. L<1: © ' P.O-BOX 1297 _ g MAR MILLS, MA 0264 M 71) DEC 14 A,�i IC: 15 .. ..,.,biVISION 00 00 � U 4� M � W aw 0 C/) U C0 We � 4-j 10-27-05 PROF05ED CHANGE5 TO RE5TROOM5 PEP, REQUE5T OF OWNER. RE5TROOM5 WERE NOT BUILT TO • W '� u, ■ �, Olr� �l N A L PLAN N . 2'-4"X2'-4" AIR HANDLER MECHANICAL W1 P.0.5. STATION ON TOP ABOVE FIRE EXIT O MECHANICAL NLY GATE O ABOVE (/1 m 00 I MECHANICAL 30" U ABOVE � X 30" 31 Q� 0 m I 36 3E )u tj I II I x x 36° 30' 0 00 N N W X X �� Oo 30" I I z X 30" DATE DESCRIPTION 30. 36 REFER TO KITCHEN PLAN ( 36" x Cr) M I I 3G" :1 z 12/12/05 REVISED SEATING 1— J 3, 6„x�,0" 30" — — — — 7/29/05 BAR DIMENSIONS X 30" �� (n 7/29/05 BAR t- DIMENSIONS OCuuuuu LOUNGE DINING 7/15/05 DIMENSIONS z o a w 7/07/05 OOTHS/BANO. BAR CHANGE DOOR IF POSSIBLE x G/28/05 KESTRMS/SEATING LEAVE 18" ON PULL SIDE KNEE WALL 42" A.F.F. N DATE: 05/20/05 f DRINK RAIL DRAWN BY: SES/JS/RJH Q O 3'-Ux7-0" Q 30" 24" 30" HOST X X X 48" 30" 48" WALL 1 REFER TO KITCHEN PLAN NO' 5HFLVING TBD AMP DOWN REFER TO KITCHEN PLAN ROUND 30" 30" 30" X X X 48" 48" EXISTING 6o,. O WALK-IN (.00LER FRONT DINING Z Q REFER TO KITCHEN PLAN 30Xg8" Q .� 30" t(1 >7 X 28 28 28 28" V J LL Go,. —X — - 48" 48" 48" 48" 1 2 1 1 1 1 111 OQ � z NOTE: O > Z A5-BUILT PLAN REFLECTS CHANGES MADE BY HANDLEERR MECHANICAL W Z 2'0"x FAIR CONTRACTOR FROM ORIGINAL DRAWI NG5. Q W ABOVE n/ n / ALL FABRIC5, CARPETING, AND WALLCOVERING �_ SHALL MEET FLAME5PREAD SPECIFICATIONS FL: ~ A5 REQUIRED BY NFPA,THE STATE OF o w MA55ACHU5ETT5 AND THE TOWN OF BARN5TABLE. a- C/-) 11 CAD FILE NAME: PLAN NOTE: TRIMARK UNITED EAST KECCOMMENDS THAT ALL FURNISHINGS, FINISHES, AND CONSTRUCTION MATERIALS SHALL MEET ALL FOR PERM ITTI NG 12- 12-05 N 0 T E FEDERAL, STATE OF MASSACHUSETTS, TOWN OF BARNSTABLE, NFPA FIRE CODE AND REGULATIONS FOR SPRINKLED AND SCALE:%4"= 1 '-0" SEATING CAPACITY: THE`-E PLANS ARE FOR PRELIMINARY UNSPRINKLED FACILITIES; NEW CONSTRUCTION AS WELL AS & REFERENCE USE ONLY, AND SHALL RENOVATIONS. OUTDOOR DINING NOT DE USED IN ANY MANNER REEIWIN6 FRONT DINING FAPRIWATION OR 66N5TRUWTION. ALL LOUNGE INFORMATION DEPIWTED ON THESE WAWIN65 BAR AREA 15 SUWT TO 6HA46E PA60 ON FINAL NOTE: 1 ST LEVEL TOTAL = 99 PRO'05& AGGEPTED & APPROVED PY CONTRACTOR SHALL FIELD VERIFY EXISTING These Drawings are the sole property OWNER. 6ENIERAL 66NTMTOR AND ALL CONDITIONS, DIMENSIONS, ETC., AND SHALL of TriMark United East and are not to RESPEWTIVE TRAW5 TO VERIFY WITH OWNER INFORM DESIGN OR ENGINEERING OF ANY be used in whole or in part without PRIOR TO INITIATION OF WONSTRUWTION. DISCREPANCIES. the written consent of TriMark United East. TRIMARK/bNITED-EAST (AN NOT ff- HELP CONTRACTOR SHALL BE RESPONSIBLE FOR LAYING Owner and all Contractors to check RE13PON5IDLE IF THESE PLANS ARE OUT THE WORK ON SITE. AND SHALL INFORM and verify existing dimensions and USED FOR 6VW-, UWTION. UNITED EAST OF ANY DISCREPANCIES AFFECTING conditions in the field before starting COMPLETION OF CONTRACT WORK. construction and to notify TriMark United East of any material or detail changes. CONTRACTOR TO NOTIFY TRIMARK UNITED EAST * OWNER OF ANY MATERIAL OR CHECKED BY: DETAIL CHANGES, UNLESS PRIOR APPROVAL S.S. RECEIVED. SHEET N0: DO NOT SCALE OFF PRINTS --1 D