HomeMy WebLinkAbout0700 MAIN STREET (HYANNIS) (7) `tin��,:fi.o � .. .�_,-f-�-�.�.��-5 .,�.
�..
f ,
1 z
y
� 1 a
Tao
, .
VIPs
�re SPA&
One Professional
FITNESS Hour Massage.
"�N t
SERVICES* Manicure, FITNESS 6
TANNING
Martint:....S5d NAILS 3
3.7• 90.1 Z1 Z MASSAGE_,•lrr rp=ru•I,nAry lisnor" .. ,:. �•
NTUITION
iihonfitnessandspa.com i FACIALS ;
1 w.�,... 508 790 1212
508.790.1212
s a
f
, . . „ . . s 7
r� MAIN STREETtj
r
INTUITION FITNESS & SPA
508-790-1212
�;'�, 4, IBYtlN.�:SS• _ 0.GGiW.i+ea.'a," .2#'ail 6,..� -.+I._ •,MK .Ci1frFr.ua.,Y a?)4.+.i��'3 .Ake ame.i•.v,u.�Wux4SY41v.� '.aKH2'^=5i1
a as + w« ,•r
I • Y-.J� 4 61F. S4. a5i1 .c4NlkAl
- � 'q� 9fi@Ri .,4 r�x T1.tlA. 9r' 84.5i:•nwtl� k 1
CON
;i,�.-,. - .. .; 1 ' i I ' /YYa am ...- 3�.. .w.. •S �.yam
.�---•— t, R 1 .-.: mow.. ..ac u _nrb. .r#
T.l
µ�
I
_ — PRI)VH.1111)NNI'.I)5.11:\N�:WI11111:1.1)\UYNI - p
k.NMIIVFOR\I•\IION 181.848.8"
.yy
Ak
-+�"' •+h rs ,jl�^,®y�I��'�►.;.. �r die 31,�1'- k.
o: .. , i.. I , '-• - .. ..lP3 . _moo,` ,. �� 1' -'"�' '.,.�_ .�6•`r j' .
`I'
<$
a
r
r
Pw
Manicure &Pedicure SPA &
- g y Olga s
,. FITNESS �NTUf 10N
SERVICES* —1 �i
. sn,�
508-790-1212 �p,mn•nMr�
'let yoiu'bodif"Ste"
{
t 508.790.1212
www.intuitionfitnessandspa.com
M
x, SP 7
,
at
.i
f
_ �-•_.�.�- � a �.4"� ..:- "" a ..
700 Main_S#-, rr is i -
6r13/1-0
r
l/
f
dr WWW in
/UU " d
MAIN IN S STREET
Im
^$fi-="!l' t tax «.e►R � .. l''r�t—. `_ 1 �A y�/ ^�
/�'ti°1.e. � i���I/������1f,
• �.. / °'^ i "x-` ',may �, +, Y a+'c �� -xz+ `• .=�"":`-v�
��tt . t L
du• � 1'�
In-
,
► i i.. t
c
77
h
7 00--Main St tr
I'
q 700
_ Y
Y
i
. rFf
� 1 508.740e1212 w
Town of Barnstable
o�
Building Department - 200 Main Street
BARNSTABLE, * Hyannis, MA 02601
9 MASS. (508
1639' ) 862-4038
�
ArfO��A
Certificate of Occupancy
Application Number: 200902606 CO Number: 20080380
Parcel 10: 308004001 CO Issue Date: 07109109
Location: 700 MAIN STREET (HYANNIS) Zoning Classification:
Proposed Use: RESTUARANT & CLUB
Village:
Gen Contractor: ADVANTAGE CONSTRUCTION Permit Type: CC00
-- CERTIFICATE OF.000UPANCY COMM
Comments: INTUITION FITNESS
°7-9
Building Department Signature Date Signed
ILIA �, TOWN OF BARNSTABLE Bin.
CF SNE T
�°► Application Ref: 200902606 m•
* BARNSTABLE, * Issue Date: 06/11/09 Perl , I It
9 MASS.
�ArEI,3�A�� Applicant: ADVANTAGE CONSTRUCTION Permit Number: B 20090975
Proposed Use: RESTUARANT&CLUB Expiration Date: 12/09/09
Location 700 MAIN STREET (HYANNIS) Zoning District Permit Type: COMMERCIAL ADDITION ALTERATION
Map Parcel 308004001 Permit Fee$ 182.00 Contractor ADVANTAGE CONSTRUCTION
Village App Fee$ 100.00 License Num 019925
Est Construction Cost$ 20,000
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
TENANT FITOUT-REMODELING FOR NEW TENANT-INTUITION FITNE$jjIS CARD MUST BE KEPT POSTED UNTIL FINAL
PHASE II INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: CIP HYANNIS, LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: TWO ADAMS PLACE STE 100 INSPECTION HAS BEEN MADE.
QUINCY, MA 02169
Application Entered by: PR Building Permit Issued By: AJ
THIS PERMIT CONVEYS NO RIGHT TO OCCUPYANYSTREET ALLY,OR SIDEWALK'OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY..
ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED:UNDERTHE BUILDING CODE,MUST BE APPROVED BY;THE JURISDICTION.
STREET OR ALLY GRADES AS,WELL AS DEPTH AND LOCATION OFTUBLIC,SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.
THE.ISSUANCE OF THIS PERMIT DOES:NOT RELEASE THE APPLICANT FROM HE CONDITIONS OF ANY APPLICABLE`SUBD[VISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5. INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERbIITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL.INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
gggj
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS EL,,ErrC1TRICAL INSPECTION APPROVALS
1 / '0rC
3 ( C 1 Heating Inspection Approvals Engineering Dept
I
C- U --
Fire Dept 2 Boa Health
711m1 /�r
��ttpw�o� Town of Barnstable
Building Department - 200 Main Street
BARNSTABLE, * Hyannis, MA 02601
MASS. (508) 862-4038
16g9. ��
ArFO MA'i A
Certificate of Occupancy
Temporary
Application 200902505 CO Number: 20080342
Parcel ID: 308004001 CO Issue Date: 06/12109
Location: 700 MAIN STREET Zoning Classification:
Owner: FLAGSHIP ESTATES HYANNIS LLC Proposed Use: RESTUARANT & CLUB
2 ADAMS PLACE STE 100
QUINCY, MA 02169 Village:
Gen Contractor: ADVANTAGE CONSTRUCTION Permit Type: CTCO = -
COMM TEMPORARY CO
Comments: TEMP CO ISSUED FOR 30 (THIRTY) DAYS TO EXPIRE 7113/09
9
Building Department Signature Date Signed Expiration Date
�1"Er TOWN OF BARNSTABLE , � r in
ti .d g
Application Ref: 200902505 BARNSTABLE, Issue Date: 06/08/09 Permit
y MASS.
1639• A Applicant: ADVANTAGE CONSTRUCTION Permit Number: B 20090940
MA ArFO 'I
Proposed Use: RESTUARANT&CLUB Expiration Date: 12/06/09
Location 700 MAIN STREET Zoning District Permit Type: COMMERCIAL ADDITION ALTERATION
Map Parcel 308004001 Permit Fee$ 136.50 Contractor ADVANTAGE CONSTRUCTION
Village App Fee$ 100.00 License Num 019925
Est Construction Cost$ 15,000
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
TENANT FIT OUT FOR INTUITION FITNESS THIS CARD MUST BE KEPT POSTED UNTIL FINAL
INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: FLAGSHIP ESTATES HYANNIS LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL .
Address: 2 ADAMS PLACE STE 100 INSPECTION HAS BEEN M DE.
QUINCY,MA 02169
Application Entered by: PR Building Permit Issued By:
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY:OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.
ENCROACHEMENTS ON PUBLIC PROPERTY,NOT:;SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.
STREET:OR ALLY GRADES AS.WELL AS DEPTRAND 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 CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5.INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.l_42A).
'lug'
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
T'b
3 1 Heating Inspection Approvals Engineering Dept
P(*
-To
Fire Dept I(e 2 Board of Health
1Z•Svr'�
�,
• . ,�
c
_,
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
X 6'Applicatioh #_2
Map — Parcel :Application do-L
co .
Health Divisi6n Date Issue. i,
Conservation Division
:Ap �licatio
Cons Application Fee
Planning, 2 Cb
Dept. Permit Fee,
Date Definitive Plan Approved by Planning Board
Historic = OKH L Preservation Hyannis
Project Street Address 7d6 A e
Village zt-14110V
Owner Address
Iva
Telephone 7 V_
,�EL— JnZ2��— J!�7e7 0:2 iti
401-
Permit Request AP!�'` Ie/,�
760 f
Qn is e-S 51
Square feet: 1 st floor: existing, proposed 5 .2nd floor: existing 4q-,;6 proposed (b Total new,
Zon' ing District Flood Plain lVe Groundwater Overlay
Project Valuation i/Me Construction Type
Lot Size attach Grandfathered: Ll Yes LJ No If yes, aft h su pp ing dogume'b ation.
Dwelling Type: Single Family _.LJ Two Family LJ Multi-Family (# units)
Age of Existing Structure 2,no-7 Historic House: Ll Yes U-<o On Old King's High ay: Ll Yes U<O
Basement Type: 0 Full L] Crawl El Walkout Ll 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
u Heat Type and Fuel: Zas ❑Ll Oil LJ Electric Ll Other
Central Air: Ll Yes U No Fireplaces: Existing New Existing wood/coal stove: U Yes U No
Detached garage: Ll existing Ll new size—Pool: Ll existing Ll new size Barn: 0 existing Ll new size
Attached garage: Ll existing Li new size —Shed: LJ existing LJ new size Other:
Zoning Board of Appeals Authorization Ll Appeal # Recorded Ll
-Commercial Wr<es Ll No If yes, site plan review #
Current Use /?r- Ia Propos6d'Use co?" Z15, Z
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name
Telephone Number
Address 1, 10V License #
Home Improvement Contractor#
Worker's Compensation # DUD 9 Iq Cq 0 6 Ylq-
ALL CONSTRUCTION DE/BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE e /9,A
r
�? FOR OFFICIAL USE ONLY
,A
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER'
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
t
w
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
}
FINAL BUILDING
1
s
R
t
•� DATE CLOSED OUT
ASSOCIATION PLAN NO.
" The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Q4 S www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeLribl
Name(Business/Organization/Individual):
Address: � �
City/State/Zip: r Phone.#: 7eJ ?4'S'-X7 J97
Are y p an employer? Check the appropriate box: Type of project(required):
1.VI am a employer with 4. ❑ I am a general contractor and I
�— 6. ❑New construction
employees(full and/or part-tim.e).* have hired the sub-contractors
2.El 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
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'.comp.insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.0 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
employees. [No workers' 13.El 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.
xContractors 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 �Snj�cr�, cnuUK�,� � � F
Policy#or Self-ins. Lic.#: -"S k \'-14 - Expiration Date:
Job Site Address: 7��/L��.��y°yta rao� � 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 DIA for insurance coverage verification.
I do herey�ert%fy u. ,er _e pains and penalties of pe;fury that the information provided above is true and correct
Si ature: Date: s� ' -0�
Phone#: "M An
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
L
hority(circle one):
health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
son: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
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-contractor(s)name(s),-address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or
town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where'a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone-and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of InvestigatiQns.
600 Washington Street
Boston, MA 02111
Tel. #617-727-4900 ext 4.06 or 1-877-MASSAFE
Fax# 617427-7749
Revised 11-22-06
. www.mass.govldia
srati Town of Barnstable
' Regulatory Services .
9BARN B9"BLF, Thomas F.Geiler,Director
0.10. 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 subject.property
hereby authorize c to act on my behalf,
in all matters relative to work authorized by this building permit application for:
7V G 71,
(Address o Job)
T
Signature�of er Date
0
ri /
Print Name
If Property Owner is applying for permit please complete.the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:O WNERPERMISSION
Town of Barnstable
Regulatory Services
RASrAE Thomas F.Geiler,Director
RNLFMA S. . �*
0.19. p,0 Building Division
rfD � Tom Perry,Building Commissioner
200 Mairi•Street. Hyannis,MA.02601
www.to wn.b arnstabl e.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMMOFVNER 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 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.
DEFINPTION'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-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 thatbe/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.
HOMEOWNER'S EXEMPTION
.The Code states that "Any bomeowner 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 assurning 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.
Q:forms:homcexempt
♦ l0/ii� DATE M� D5 YYYY)
A CORDry � "�C � O C�'N 06 03 2009
_ w y .._. . .
rxoDAonR Risk Services, Inc. of Massachusetts THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
One Federal Street AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
Boston MA 02110 USA CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
PHONE- 866 283-7122 FAX 847 953-5390 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Travelers Property Cas Co of America 25674
Advantage Construction, Inc. INSURERB: Travelers indemnity Co of Ct 25682 w
TWO Adams Place ..
Suite 100 INSURERC: The Travelers Indemnity Co. 25658 d
Quincy MA 02169 USA
INSURER D: i.
'O
INSURER E: O
a,v petite rm's.:an eon..k?,t
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED
INSR DD'
LTR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE(MM\DD\YY) DATE(MM\DD\YY) LIMITS
c ERAL LIABILITY DTC0464D1464IND08 06/20/08 06/20/09 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300,000
OCCUR PREMISES(Ea occurence)
CLAIMS MADE
® Any one person $5,000
O
PERSONAL&ADV INJURY $1,OOO,000 6�
GENERAL AGGREGATE $2,000,000 O
00
GEN'L AGGREGATE LIMIT APPLIES PER: I*
PRODUCTS-COMP/OP AGG $2,000,000 m
El ElEl JECT
O- LOC O
A AUTOMOBILE LIABILITY DTA0810464DI476TIL08 06/20/08 06/20/09
COMBINED SINGLE LIMIT Z
ANY AUTO (Ea accident) $1,000,000
y
ALL OWNED AUTOS R
BODILY INJURY �
SCHEDULED AUTOS (Per person)
tL
X HIRED AUTOS d
BODILY INJURY (�
X NON OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT -
ANY AUTO
H
OTHER THAN EA ACC
AUTO ONLY
AGG
A EXCESS/UMBRELLA LIABILITY DTSMCUP464D1488TIL08 06/20/08 EACH OCCURRENCE $15,000,U
aOCCUR ❑ CLAIMS MADE AGGREGATE $15,000,000
®DEDUCTIBLE
RETENTION $10,000
B DTEUB4 D 44 X WC STATU- OTH-
WORKERS COMPENSATION AND RY LIMITS
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1,000,070
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000
ITyes,describe under SPECIAL PROVISIONS E.L.DISEASE-POLICY LIMIT $1,000,000
below
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Job: Jeopstoy Spa Tenant Fit Up. Location: 700 Main Street, Hyannis, MA.
Town of Barnstable is included as Additional Insured with respect to General Liability where required by written -
contract. ' A,I-
U,I `s u 'i T/vfs
TOwn Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
368 Main street DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Hyannis MA 02 601 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, _
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE J4'ova (� GLe Lv y �` L�
Massachusetts- Department of Public.Safety
Board of Building: Regulations and Standards
Construction Supervisor license
License: CS 19925
W11-LIA'WGMELCYly
PO BOX 395 '
S DENNIS i�lA Or b wr
c Expiration: 6113I2010
(o�mrissiuncr Tr#: 27346
Shea, Sally
From: Dean Melanson [dmelanson@hyannisfire.org]
Sent: Wednesday, June 10, 2009 9:10 AM
To: Shea, Sally
Subject: 700 Main St
Hi Sally,
We are OK with the 2nd phase of fit out. Application # 200902606
Deputy Chief Dean L. Melanson
Office 508-775-1300
Fax 508-778-6448
din elanson@hyannisfire.org
1
B2 F9 vc�s
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map &b. arcel "`Application # UZ-
Zto
Health Division 026°i "'Date Issued
Conservation Division Appliication A 166
Planning`:Dept: Permit Fee fo
Date Definitive Plan Approved by Planning Board F � Z�_ :7
Historic - OKH Preservation/ Hyannis
Project Street Address _700 �14. 320 ZT C9
Village /7iiwo�s�oS,, A�IAF
Owner ° Address ��i�/��, ��c, ,�/oC
r
Telephone r M 7
Permit Request in - r a cs' �
IP,T low
Square feet: 1 st floor: existingproposed 0 2nd floor: existing6ope proposed 10 al new _(�
Zoning District Flood Plain e4/�? Groundwater Overlay
Project Valuation /_�tea,, Construction Type �i�.�,✓�r�.,.4. ,�,
Lot Size /�, cif S' s��� ' Grandfathered: ❑Yes ❑ No If yes, attaIsuppting documentation.
Dwelling Type: Single Family -0 Two Family ❑ Multi-Family((## units)
Age of Existing Structure _SOD 7 Historic House: ❑Yes B'No On Old King's Highway: ❑Yes ❑'I o
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other SL�4z de,
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: d Uas ❑Oil ❑ Electric ❑ Other
Central Air: e'1 es ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Zlo
Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing q new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial OYes ❑ No If yes, site plan review#
Current User. N�r�dWe�eT ce Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name r9 low%- � T" c Telephone Number 7,S/ PAI F' .4-76 '7
Address ��v "&a 5 /®"; c%,Ti /D® License# G
Home Improvement Contractor#
Worker's Compensation n-OK
ALL CCONSTRUUCTION�DEBRIS RESULTING
/FROM
�THIS PROJECT WILL BE TAKEN TO
�J/1Gl�l�f,�sN��!/ �� � L �'IJ'C/� �f✓A'c 7B ��i'� ��
SIGNATURE DATE
ol FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
'.' -DATE OF INSPECTION:
FOUNDATION
FRAME
a
INSULATION
FIREPLACE'
ELECTRICAL: ROUGH FINAL
ti
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
't
ASSOCIATION PLAN NO.
f
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 1 Please Print Lef,,ibly
Name(Business/Organization/Individual):
Address:
City/State/Zip: e Phone.#: r7,P7
Are an employer? Check the appropriate box: Type of project(required):
1. I am a employer with . %Z 4. I am a general contractor and I
employees(full and/or part time).
* have hired the sub-contractors6. ❑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,-V)Demolition
workingfor me in an capacity. employees and have workers' -
Y P t3'• # 9. ❑Building addition
[No workers'-comp. insurance comp. insurance. 10. Electrical repairs or additions
required.] 5. ❑ We are a corporation and its ❑ P
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
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.
xContractors 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: //^�dde_ le'll s /`�e��e,,Ti/ L�t�1�/�`�/ _Z V,5 � c
Policy#or Self-ins.Lic.#: d��"lilf�-�i'��,/.�l S/y-O Off Expiration Date: �o
Job Site Address: 7� /�i,Yiy�CT//^�cT City/State/Zip: ,� L_L�f/�
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 here y certi rr eZll�f ains and penalties of perjury that the information provided above is true and correct
Sip-nature: Date:
Phone
Official use.only. Do not write in this area,to be completed by city or town offrciaL
City or Town: Permit/License#.
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions r
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express*or implied,oral or written."
An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
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-conti actor(s)name(s),address(es)and_phone number(s) along with their certificate(s)of
insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are-required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would 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 1-877-NIASSAFE
Fax# 617-727-7749
Revised 11-22-06 '
www.mass.gov/dia
r
Sr�ti Town of Barnstable
Regulatory Services .
vKAS& �; Thomas F.Geiler,Director
E1619. 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 bier Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject.property
hereby authorize /������ - 1'r',to act on my behalf,
in all matters relative to work authorized by this building permit application for.
ZV X. V Ti^PP
(Address of Job)
of r ate
Print Name
If Propedy filer is applying for permit please complete.the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:O WNERPERMISSION
pfr THE 1', Town of Barnstable
� y `•
Regulatory Services
Thomas F.Geiler,Director
HA &
i639. gym$ Building Division
A Tom Perry,Building Commissioner
200 Maii.Street,_1yannis,MA.02601
ups ww.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOI%1EOWNER 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 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 OF HOMMOWNER
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,toles and regulations.
The undersigned"homeowner"certifies thathe/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.
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 1 D9.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they arc 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 hues 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 responsmbilitics,many communities require,as part of the permit application,
that the homeowner certify that hdshe 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 formlcertification for use in your community.
Q:fomu:homcexempt
DATE(MM/DD/YYYY)
ACORDTM CERTIFICATE OF LIABILITY~=INSURANCES '' 06/03/2009
PRODUCER Aon Risk services, Inc. of Massachusetts THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
One Federal Street AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
Boston MA 02110 USA CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
PHONE- 866 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Travelers Property Cas CO Of America 25674 7..
Advantage Construction, Inc.Two Adams Place INsuRERB: Travelers Indemnity Co Of Ct 25682
+%
suite 100 INSURERC: The Travelers Indemnity Co. 25658 d
Quincy MA 02169 USA °
INSURER D:
M
INSURER E: .
CO E E . qSIR-applies per terms an 'con itions7o '•t e o 71s
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED
INSR AD
D'L POLICY EFFECTIVE POLICY EXPIRATION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DD\YY) LIMITS
ERAL LIABILITY DTC0464D14641ND08 06/20/08 06/20/09- EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300,000
PREMISES(Ea occurence)
CLAIMS MADE OCCUR MED EXP(Any one person) 5,000 O
PERSONAL&ADV INJURY $1,OOO,OOOEJ Obi
GENERAL AGGREGATE $2,000,000
00
GEN'L AGGREGATE LIMIT APPLIES PER: - - - -
- - PRODUCTS-COMP/OPAGG $2,000,000 m
❑ POLICY X❑ PRO- ❑ LOC - - -
JECT
an
A AUTOMOBILE LIABILITY DTA0810464D1476TIL08 06/20/08 06/20/09 COMBINED SINGLE LIMIT 0
ANY AUTO - - - (Ea accident) $1,000,000
d
ALL OWNED AUTOS - -
- - BODILY INJURY u
SCHEDULED AUTOS _ - - (Per person) 1�'+
X HIRED AUTOS - -
- BODILY INJURY U
X NON OWNED AUTOS (Per accident)
PROPERTY DAMAGE - -
(Per accident) . . _
GARAGE LIABILITY - AUTO ONLY.-EA ACCIDENT
H
ANY AUTO - -
OTHER THAN-. EA ACC
AUTO ONLY:
AGG
A EXCESS/UMBRELLA LIABILITY DTSMCUP464D1488TIL08. 06/20/08 06 26 09 EACH OCCURRENCE 0 0
ElOCCUR ❑ CLAIMS MADE AGGREGATE - $15,000,000
®DEDUCTIBLE
RETENTION $10,000
B DTEUB464D144 8 06/20/08 X WC STATU- OTH-
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? - -- . . - _ E.L.DISEASE-EA EMPLOYEE $1,000,000
Ifyes,describe under SPECIAL PROVISIONS - E.L.DISEASE-POLICY LIMIT $1,000,000
below
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - - -
Job: Journey spa Tenant Fit Up. Location: 700 Main Street, Hyannis, MA.
Town of Barnstable is included as Additional Insured with respect to General Liability where required by written -
contract.
ERTIFICATE HOLDER ''.,CANCELLATION
Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
368 Main Street DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL'
Hyannis MA 02601 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE f..1a %�
O -tSGE
C RD 25 20 1 08 x Ski /cAc7Ca0 CORPORATION 1 8
_ Safety
Massachusetts- Department of Public
Board of Building Regulations and Standards
9-afstru6tio4.Supervisor License
License: CS 19925
Ro1'icted iq• 00
WILLIA- _ RELIY~ ^<
PO BO)C9 `
SDENNIA
��. Expiration: 6/13W0
Commkskmev Tr#: 27349
1
William G. Kelly
Superintendent
74DVAN'TAGE
Construction,Inc.
Two Adams Place
Suite 100 Tel.7B1.848.B7B7
Quincy, MA 02169 Cell 774.268.1 21 3
bkelly@condyne.com Fax 781.848.3774
• 5 +
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 the Town
(WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form
at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get
the Business Certificate that is required by law.
DATE:
�0//lo s
�r Fill in please:APPLICANT'S YOUR NAME: ,i4 IU� cI7�ll�, 4,
BUSINESS S YOUR HOME ADDRESS: dco
TELEPHONE # Home Telephone Number: 5V6 77 d N'7Z
NAME OF NEW BUSINESS :T_( k kAcvn TC- kr --3 — Sp-_ TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO ✓
Have you been given approval from the building division? YES NO
ADDRESS OF BUSINESS �'jCC7 fr\a4 SQL, f� MAP/PARCEL NUMBER Sj L� 0
When starting a new business there are several things you m -st 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%SIOR'S O4CEThis individuip4or permit requirements that pertain to this type of business.
zed S 1
COMMENTS:
c/ '
2. BOARD OF HEALTH
This individual as b nformed owe p requirements that pertain to this type of business.
Authorized Signaatt/re"
COMMENTS: Q,CdS �{�1�� r U (t It Q{�I���C•�f���
3. CONSUMER AFFAIRS (LICENSING AUTHORI
This individual h s e�� ed of the c s6ig e �rements that pertain to this type of business.
Aut/o�rized Sig-nature** `
COMMENTS:
1 I i 1 MECH.
LL
Rc—c pan8ions ST9RAG
shown dotted. --�,\\� Ii rrnsl.
CIYM
Msld!/MONnp woad//oorinp system
' • lArou,MaA Gym area.
Wintam existing MEP A fire p.-mion system smd devices "r � Point walls tArou�ioul Phase/.
thrWO-A.A*A—iaiog swspeoded-ding gtid,sp.*Lc heads, w I' WOMENS4
lightfog ssad dura woh sue..to mo6xm wa &prop h tosed fa-up work. LKKKER RM.
k
Ra,locrte ec. i � - 'o rialPiFi
Y
E f If"i i FGRESS VESTIBULE V. Q �' 4,�.1t; --- Al
i--JAI 1j 1.—.'' �_�li Imo- .1�
R.,no``''ff Eeavooms - Q t"s
^r shown - S_0't V]
ALL* �I \ r_�f" / 11 HWH HCP O [C4] LI.1
,
RECEPT. o h,
� e CORRIDOR o
r
OC) 8 L L 1
�-Reowve partition N A NT
T� r--t
shows dolled- b u
A I rGr4
6=0" a�OhK
♦•-O, a 9'On j,6•
rz
f0"fAL S.F.= 2,430 S.F.
OFFIC
\ CLQ ,j'!LRED ARiREATmEC/
o BRIAN ti
A .�rr R.
4, SALUTI
w�d«kd', `oo .ti w 41 C No. 7442
_ i 2 WEYMOUTH,
ZTy F.t,,
t� ME ? 4
S a'
6ALlm
No.7442
EXISTING/DEI+riO FIRST FLOOR PLAN id- o_ PROPOSED FIRST FLOOR PLAN 114 o• aH ��
Shaded walls represent new partitions with
rn 3 56• etal studs and•S'B�sheetroat both sides. - �.!..IL.0 _Archhsec�lne.
Install moisture resist.sheetroc4 Mrouphout tnthroom areas.
165 Co&.biat Street Wepnouth.Ma.
" (781)331-9844
e
I
4 f
}
Ap
U
f
4
� � r
MECIL
pwtitions��\\ STORAGE
shown dotted.
GYM s:a..
Install floating wood flooring system
NUfM Ihrouphoul Gym area.
•
i Maintain existing MEP&fire prevention system anddevices Point wolfs throughout Phase/.
throughout.Adjust existing suspended ceiling grid,sprinkler heads, _ I.• �'I —\ /OMENS/,
fighting and ductwork etc..to conform with the proposed fit-up work. `
\ LOCKER RM.
le� ►ly
q' By /or.
Relocme elec. II 1/eh. o �r
panel. b vinyl. Ior.
I
\\ Renwve bathroom. L. Y. -
\ if i t
E i i r -; i i EGRESS VESTIBULE E V. EQU 9' a* s w w e
I. u
..._._ Reemovlf Lathrooms
shown(1¢tted. 51-O-? 7-6� W
if' �\ I up AT
HwH HCP 1W
r L L_i j /sEx v W U
+: con (A -
RECEPT. CORRIDOR w
0
o
4 z
_-_----_-_-_-- _-_----- -- --- p ono
Remove partition —---
showndotted. T EN 1. TREATMENT.2 � ~" Q
N TAB x
m o
H -__ C
TOTAL S.F.= 2,430 S.F. W '
OFFICE - y c7 `
R R �d f
RE � EDq c
o x ( y
w. \ w ��� BRIAN
mve
Reo partition R.
�shown dotted. ' SALUTI , ►
-_--=__ No. 7442 cn�
�I s k•w/
WEYMOUTH,
MA. V�Jo
LOUNGE WP OF MA
ME� �p®+! 4
t �pED
SRIR.
Alt rFA
eALLUn
:S No.7442 �
EXISTING/DEMO.. FIRST FLOOR PLAN
.4• o" PROPOSED FIRST FLOOR PLAN /14 /= o' In OF
Shaded wells re/resent new partitions with .
3�W metal studs and"'sheetroa both sides. Brian R.Saud-Arcld�ect./nc
.Install moisture resist.sheetrock throughout bothroam areas.
165 Columbian Street Weymouth.Mo.
(981)331-9844
t