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592-596 MAIN STREET (HYANNIS)
1 � n 1 + -S�`--I �� g \� ` g� 3 i Town of Barnstable iPost This Card`So,That it is' ible From the Street Approved Plans'IVlust be Retained on`1v, and,this Card'Must be Kept ' Sign Permit �n�nsrwetE r " t� Posted UntJhFinal Inspection Has:Been Made rs i63p �0 e iWher"e a}Certificate of Occiapancy..is Required,such Building shall Not be Occupied until a Final Inspection has been made x �.nq r ._._ �.�.. - Permit#: B-19-4100 Applicant Name: Plymouth Sign Approvals Date Issued: 12/09/2019 Current Use: Structure Permit Type: Building-Sign Expiration Date: 06/09/2020 Foundation: Location: 592 MAIN STREET(HYANNIS), HYANNIS Map/Lot: 308-073-001 Zoning District: HVB Sheathing: Owner on Record: 592 MAIN STREET LLC Contractor Name:. Plymouth Sign Framing: 1 Address: 22 COMEAU STREET Contractor;License:. Exempt 122 2 WELLESLEY, MA 02481 Est Project Cost: $0.00 Chimney: Descri tion: 2 SIGNS FOR MOONSHINE LEATHER Permit'Fee: $ 100.00 p �. Insulation: ONE HANGING 10 SQ FT Fee:Paid $ 100.00 ONE WALL SIGN 12.6 SQ FT Final: 'ate: 12/9/2019 Project Review Req: x ` Plumbing/Gas 3 ` Rough Plumbing: 44, w _ Zor�iing Enforcement Officer . _ Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within siz months after issuance. All work authorized by this permit shall conform to the approved application.and the!approved construction documents for which this permit has been granted. Rough Gas: n with the local zonin` ib -laws and codes. All construction,alterations and changes of use of any building and strudures�'shall be in compliance g y Final Gas: maintained open for ublic inspection for the entire duration of the This permit shall be displayed in location clearly visible from access street oFroad and shall be a p p, F , work until the completion of the same. x Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on,this permit. Service: P q Minimum of Five Call Inspections Required d e for All Construction Work:,,, 1.Foundation or Footing Rough: 2.Sheathing Inspection Ins � ,;: ,.,..� - -�• •' = 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy tow Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: � All Permit Cards are the.property of the APPLICANT-ISSUED RECIPIENT 1 y` Town of Barnstable YHE - Building A Department OF Tp� -Brian Florence,CBOT y BARNSTABLE M� Building Commissioner 9 MAW. �°' 200 Main Street, Hyannis MA 02601 �p 16g9. �0 ea3-toi. i0rev nn ° www.town.barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 Sign Permit Application Zoning District Permit # qj6D Historic District �� ��- �V-e�� k a J � kc� Location b q D. �\i� '5•� ' ; �- 1< � ���9=5 ��5 Y Street address and village Applicant ACON �N �.-e��- flap & Parcel Q)-7 3 pC) C Telephone Number 3 Email Sign #1 Sign #2 Wall Wallr�J���`�'� Freestanding X= Freestanding , 0 Electrified* 0 Electrified* 0 Dimensions Sign #1 Dimensions Sign, #2 c)k y Square feet V Square feet I0 Reface Existing Sign New/Replace Sign Width of Building Face ft. X 10 = �- X .10= *Lighting Type A wiring permit is required if sign ' electrified. ._ ature of n prized Agent Mailing address - e _ • � NjObrishin n ,0"W"s ltti�e fe�s1 true ir. 2 OwO o �� • _ • • • CUSTOMER PERMIT No. DRAWN BY JSP T DATE: MATERIALS APPROVED BY LOCATION: P.OJ REVISIONS: MOONSHINELEATHER_SIGN_SKT SCALE This is an orginal unpublished drawing, created by Plymouth Sign Company, Inc.It is submitted for your personal use in connection with the project being planned for by Plymouth Sign Company, Inc.It is not to be shown to anyone outside your organization, nor is it to be used, reproduced, copied or exhibited in any fashion whatsoever.All or any parts of this design (exceepptin�registered trademarks)remain property of Plymouth Sign Company, Inc. T LCharge for design without permission of Plymouth Sign Company, Inc.is$500. 0. WA s�. ice, Town of Barnstable Building 'Po si Th�s.Card,SoThat itsis UisibleF...rom the:Street-A ravedPlans::Must be=Retained onJob and this,Card Musi be?Ke t - flARNf3I'ABL�, 'Posted,Uri`.tFinal,fns cti' e �: :�� �. � � •on Has Been Mad R W,here a Certiffcate;of.Occu an <�s Re uiredsuchBu�ltlm ahall;,Not be Occu ied;until a;Finalln5 ection has been made Permit Permit No. B-18-1665 Applicant Name: Approvals Date Issued: 05/25/2018 Current Use: Structure Permit Type: Building-Sign Expiration Date: 11/25/2018 Foundation: Location: 592 MAIN STREET(HYANNIS), HYANNIS Map/Lot 308 073 001 Zoning District: HVB Sheathing: Owner on Record: 592 MAIN STREET LLC Contractor Name Framing: 1 Contractor license Address: 22 COMEAU STREET y 2 WELLESLEY,MA 02481 ; Este Protect Cost: $0.00 Chimney: Description: 36"X36"SIGN FOR BUMBALINAS Perin"t Fee: $50.00 '� Insulation: Fee Paid $50.00 Project Review Req: Date 5/25/2018 Final ' 3 g ` V _ e Plumbing/Gas E Rough Plumbing: Zoning Enforcement Officer Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzedby this permit is commenced within six months aftefissuance• Rough Gas: All work authorized by this permit shall conform to the approved applkat&and thefapproved construction documents`for wh ch this permit has been granted. All construction,alterations and changes of use of any building and structures shall e`in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access streetWr,roaf(And shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical * The Certificate of Occupancy will not be issued until all applicable sign- - tures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction.Work: k 5, s 1.Foundation or Footing - Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT e* �y .. 4dr,• -w ..►y?..�tym:.a"I.16.�i '`,y�1,ice,.+a i�"+1 �N�f �l t r p V kp .a r v 5 Jy ya a - aft f P� .I Y. Y,''�t.FOrd .�A.F�*n r- ------------ Zf � �, xa....... ,� a ..' ��, ,�n� r��n.•.q �. fir �w�►ti �">�o_'^ t�""._..`;:. '1- � e h: rh.ts�� ;r"rg:�" z;tr^ °..� �-•� n �y. ! c-fi � tx;< a 'tu 1 r a y� w . 1 1 h ! rd< + vv y p �1� �ypl "T ry j r �� ,'ATE # J •� Sw •; �1 /l —,iJiCt _ ° Iwo r_y a 'e., ,..'..W. .�. ..x .—.*�t .air... ,,,... '.. ''.�. y�. '..•. ., ..i:aa. :_ $`•`. .`".ki- �"". „r.aiv.,,. .��: ,h.m'�'�m,;>. 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'� �_ u9��� :�.x, Sk�ib,*., � ., �,:1 �',,,�"� �� � ,.,,�n ia•n�rN•: p�,. :,;. t�:�" >w :;,w R � r._ " "9 i.� . 0.za � e'S ,'�'rsa� s {{'`-.,'' ��; ji�,.;s:.. y��;, ��"`�'"�.k+r r-...$ '�'`"S�v u,'T r`,'S3t« '.�'..4. ,,•,e,.aa.,,,. '.�—.mss,.,.,.w,._..o....� ��... •'� �. ���z a 'sue a �r�` , 'tv. �' ��'�" � - ;�.; �. ,n :" 3d s•'n= .:' 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, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. Ela4Wpm`I " ' DATE: a � � Fill in please.: I � APPLICANT'S YOUR NAME/S: - BUSINESS YOUR HOME ADDRESS: TELEPHONE # _ Home Telephone Number /U a- SQ E-MAIL: I�-1 NAME OF CORPORATION: h NAMEOFNEW BUSINESS t h, /j TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO 22,�,, �j ✓ ADDRESS OF BUSINESS i.� MAP/PARCEL NUMBER�J �/ (Assessing)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 &76� 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 CMA R'S OFF CE ` This indiv -�� e o an pe it requirpments,that pertain to this type of business.. iz d'�ign t 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: INE Town of Barnstable Building Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02601 MASS 9�A 1639. . (508) 862-4038 rF0 Mld A - Certificate of Occupancy . Application Number: 201403039 CO Number: 20140123 Parcel ID: 308073001 CO Issue Date: 09111114 Location: 592 MAIN STREET (HYANNIS) Zoning Classification: HYANNIS VILLAGE BUSINESS DIST Proposed Use: RETAIL & SERVICE STORE SMALL Villager ' HYANNIS Gen Contractor: PRCHLIK,RICHARD ANDREW Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: TUMI CEVICHE BAR RISTORANTE r Building Department Signature Date Signed t"� TOWN OF BARNSTABLE BU I I'ding 201403039 BARNSTABLE, Issue Date: 05/20/14 Permit MASS 9� 039. �� Applicant: PRCHLIK,RICHARD ANDREW Permit Number: B 20141190 prFD MA't A Proposed Use: RETAIL&SERVICE STORE SMALL Expiration Date: 11/17/14 Location 592 MAIN STREET (HYANNIS) Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 308073001 Permit Fee$ 418.60 Contractor PRCHLIK,RICHARD ANDREW Village HYANNIS App Fee$ 100.00 License Num 80591 Est Construction Cost$ 46,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND FIT OUT OF TENANT SPACE TO CREATE A RESTAURANT.WORK THIS CARD MUST BE KEPT POSTED UNTIL FINAL INCLUDES DEMO OF EXISTING SPACE&BUILT TO PLAN-INT ONL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: 592 MAIN STREET LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 22 COMEAU STREET INSPECTION HAS BEEN MADE. WELLESLEY,MA 02481 Application Entered by: PF Building Permit Issued By:THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY-6'ab ALK'OR"ANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY ENCROACHME ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE'BUILDING COOE`MUST BE'APPROVED'BY THE JURISDICTION' STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE ., OBTAINED FROM THE.DEPARTMENT OF PUBLIC WORKS THE ISSUANCE'OF THIS PERMIT DOES NOT'.RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION. ' RESTRICTIONS t ` MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. 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). r BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 ' ^�� I ( 2l'GC C/ 3 1 Heating Inspection Approvals Engineering Dept Fire Dept Z� / , 2 b �,A Board of Health Commonwealth of Massachusetts Sheet Metal Permit Date: 3-Z�" S Permit#C�o �3 qb Estimated,Job Cost: $ 3 Sd '' Permit Fee: $ _ �Q� Plans Submitted: YES NO 'K— MAR 2 O,2015 Plans Reviewed: YES NO Business License # 1 TOWN OF BAWA, pal anyt icense Business Information: Property Owner/Job Location Information: Name: PM( 1tAE.cKA-nl t c e4t. Name: R Rvt k Sa &,j S Street: PO 106-�f `7 17 Street: .<12 M 111 City/Town: City/Town: -,.,A, s Telephone: ;SD 9- �R�6 S- — -1 L( Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail_ Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: J Z- Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: iv s��Il N e t.v 6 4S �'.,.� •-CU 0-M A-« =k-t A it ' INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity,❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. }• Check One Only Owner Q Agent E] Signature of Owner or Owner's Agent e By checking this box[],I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. e Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments y Type of License: By Ailaster F Title ` El Master-Restricted (11 City/Town ❑Journeyperson Signature of Licensee Permit# `I❑Journeyperson-Restricted License Number: 7 (� Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval I s ACOR& DATE(MMMD/YYYY) `,,, CERTIFICATE OF LIABILI INSU E 3/20/2015 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 endorsement(s). PRODUCER CONTACT Hiedi Bergeron NAME: 4 Eastern Insurance Group LLC PHONE (800)572-4538 Fay ,.�ei-586-8244 233 West Central St A4,WDRks,selectwork@easterninsurance.com INSURERS AFFORDING COVERAGE NAIC# Natick MA 01760 INSURERA:Travelers Indemnity Co 2RA58 INSURED INSURERB:Trav Ind of'CT 25682 Ping Mechanical Systems LLC INSURER C: P.O. BOX 797 INSURER D: INSURER E: Forestdale MA 02644 INSURERF: COVERAGES CERTIFICATE NUMBER:CL3531954877 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDLSUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE Fx_1 OCCUR 680157SB816 /15/2015 /15/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY JFCTPRO- LOC1 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED X71 SCHEDULED BA159SB298 /15/2015 /15/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Pe, .dent Underinsured motorist BI split $ 500,000 X UMBRELLA UAB OCCUR EACH OCCURRENCE $ A EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION UP8587W106 /15/2015 /15/2016 $ B WORKERS COMPENSATION X WC STATU- OTH AND EMPLOYERS'LIABILITY � — ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L EACH ACCIDENT $ 500,600 OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) 1987B208 /15/2015 /15/2016 E.L DISEASE-EA EMPLOYEE $ 500,000 tf yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ` ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Sohn Tm"01/mn ACORD 25(2010106) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25 r2mnnFi m Thu Annon n2ma 2nr4 Inn^era raniatararl marira of arnon The Commonwealth of Massachusetts Department oflndustrialAccidents - I Congress Street,Suite 100 Boston,MA 02114-2017 ,M www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plt tubers. TO BE FILET)WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual): PMG Mechanical Systems, LLC Address: P.O. Box 797 City/State/Zip: Forestdale, MA 02644 Phone#: (508)888-1745` Are you an employer?Check the appropriate box: Type of project(required): 1.[D I am a employer with 3 employees(full and/or part-time).* 7_ []New eonstructidn 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition In I am a homeowner doing all work myself.[No workers'comp.insurance required.]' 10 Q Building addition 4.n I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE)Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.M I am a gencral contractor and I have hired the subcontractors listed on the attached sheet. 13:QRoof repairs These sub-contractors have employees and have workers'comp.insurance. 6.❑We are a corporation and,its officers have exercised their right of exemption per MGL c. 14.[:]Other 152,§1(4),and we have no employees.[No workers'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 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 thepolicy and job site, information. Insurance Company Name: Travelers Ins. Policy#or Self-ins.Lic.#: UB198713208 Expiration Date: 3/15/2015 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify d r the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: "Phone#: 508-873-9657 Official use only. Do not ivrite 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#: - n IN-TRAINING F PARTICIPATION ACKNOWLEDGEMENT O of Viega's installation instructions Name-. Pains in product Line: MeQ�fens Mike r: L_ aM ounta District Manage Date: 11912014 Credential# 14414 Note CredanUal vn ��exp,re 2 years from date of training -LT $ ��e}r�` �� aw^ � ��t .�Y� �a�,�«�s� � sk. ✓• '�;v^� jg .�' f G .F �S;y-. F- s '7f� r - + sir a " v 7 rs nc 5 3t > `v 4. a by �,F ,- 5 r ? � . , s• `5x"3 {•. s a_ i 1 •�'� ' i 'w, _ 5 WWI '9114 JEF& 1" T$40 av G1'Il'fCfari�TYP ✓ i�� s � t fie r r s a {} 4T1932 11123Ti302 a nit �.�.�►�,� '"^""mW�"� T""rer"."`�`"""'�'+�"..s.+ f a"`x� -6F.zMASSACHUS TTS..` �y_COMMONW.EALTH OF MASSAC�1t3SETTS . . . • e BQAI3130F, �t� ET f'11 ETA L IWORKE RS PLUMBERS AND G'iASF1TT, RS AS A LICENSE TO lIRAST K UNRCENSET.l D r iS �JtS THE`ABOVE IS SUE-S--'.-T-HE A OLLOW NG L!CENSE s LIGEtSEI3 AS A JOURN€YMAN%PLUMB€Rk a PAUL' P1 GE,tIS F`RI#L M GENS , F`At _��EI Hti141C At SYSTEMS P t] F,C3 JC :7 9 7 Pa BOX '797 }� 1 t3f CaTD;ALE NA 02644-,0704 11 4684 09/23/14 245467 F(#REST;DALE MA 0264.4 Q704 ' c��M.oNw�,4�TH®F`� �Nus�rs. - _' a,.. eOr=.'1fTiG''S'vVG'.p'€� ..s :�Jt'l�- �r_'.l`'�SPtiS „, � S • _• � e SHE f T ,BflAR4'OF 7epar s:, r,r o p:. .?c Sa, R b r` "4fTAL` WORKf RS l PipetittcrJourneNman sr4 # i SSU�S THE; FOLLOWING L 1 CE:NSE _:sense: PJ-030149 AS =A BUSINESS} a •• r sx ' PAUL GENS ' X PAUL M G€N-S� . . P.O.BOX 797 � y Y = '� }AG Aif C}fA(d I CAL SY5TfhtS FORESTDALE MA 02644 a Wt C� BOX 793 .. 9. r'i 4 +RESTDALE y MA 026fon 4.4 # C:ar,-r;�iss t:s 09/0612015 6 3 t 5 04/Q]j = 4606 fi COIUIMONIIUIEALTH OF;MACHUSETTS COMMONWEALTHOF.(UTASSAGHUSETfS • • • • • • e • • • • • BOARD OF BOARD DF PLUMBERS._APID GAS F I TTI RS'. PLUMBERS ANE) GASFITTERS ISSUES THE FOLLOWING<LlCECJSE ISSUES JK J OL.LOW I NG L,I CENSE REG!S�ERED::AS A PLUMEi I NG.:C.ORP _..:: w L ;CENSED AS A MASTER PLUMBER 'a PAUL M GENS' PAUL M GENS PMG ME:CHANI Al SYSTEMS L' CIF- TO BOx 797 - J � F�RESTDALE MA Q2644 0704 ����' #=0I2ESTDG�LE MA 02644-0704. 3329: ° o51ot/t6 ,:;2o26Q3 h= - R The Commonwealth of Massachusetts t City\Town of V. J Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR, Chapter 1 (The Sixth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to TUMI CERVICHE BAR RISTORANTE - 304-2014-159 Identify property address including street number, name, city or town and county Certificate Expiration Located at 592 MAIN STREET 12/31/2014 •HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Patio Use Group A2 Entertainment Classification(s) Hours 7-10 p.m. Seats 80 Seats 76 19 Allowable Standees 4 Standees 5 - Occupant Load Employees 14 Employees 14 - Total Interior 98 Entertainers 2-3 Total Interior 98 A. This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted"in a conspicuous place thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal arold S. BrunelleT Name of Municipal Thomas Perry ate of ' Fire ChiefBuilding Commissioner } Inspection 9/11/2014 Signature of Municipal Signature of Municipal 7 Date of Fire Chief Building Commissioner ssuance 9/11/2014 c;®ffim®�weaat� of massachusetts 7 19 Sheet Metal Permit Map Parcel PERMIT 114 C�_- Date: I.&A rr�� Permit# jUL d 203 f Estimated Job Cost: $ 1,20,poo Permit Fee: $ 1 �eo d0 (Y' Plans Submitted: YES qO0 OF BARNSTARLE Plans Reviewed: YES NO Business License# Applicant License# y� Business Information: Property Owner/Job Location Information: Name: (the Ce,A V414_4 A, .Zn e Name: S 60 t� I\C.�k S O S 101 Street: (a `/ A-i Y'Le Street: 0 ma W-1 City/Town: (Zc ,-Jo l P k PA City/Town: H Vcw o i f Telephone: ( I a 0 1- 7 9 7�— Telephone: 09 3 t2 y S a Photo I.D. required/Copy of Photo I.D. attached: YES? _ NO Staff Initial -fl / -unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval - Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System X Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: ��ts-�-•+/1��/un ��' C�ocmrn���c�4 I �•'c ��� �Uv� -SyS-4zM S I INSURANCE COVERAGE: I have a current liabil€ts insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes�g7No ❑ If you have checked Y L indicate the type of coverage by checking the appropriate box below: - A liability insurance policy (' Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only 4 Owner ❑ Agene ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO - Progress Iaaspections Date Comments Final Iaas ectien Date Comments Type of License: 3y Master . . title ❑ Master-Restricted 'Oiry/Town ❑Journeyperson Signature of Licensee permit# ❑Jourheyperson-Restricted License Plumber: e =e $ ❑` y w, .a Check at wrnrv+r.mss.g vg !deal .' nspector Signature of Permit Approval N The Comynarrycte�of Uassachrrses Department of1m6rsb Acadenty -- O,Tce of firrprs4afions 600 Washrri<gton Street Boston,MA 0-7111 "'ttr. nass.gomldia ' artsers' Compensat onlnsarance Affidavitt:Butilders/ContractorsMectricians/Mumbers Applicant Infarmati m / Please Priaf Legibly Name(,BL S n% 'on&dividua�:�� �G// f �!/5 T<y Address: l/6' 12d City/SIatelZip: Gn /t-�W Phone9- 2`' 7 Are you an employer? Check rI&appropriate box.: T_ atrns . ccmftor and - 3�of project(required): 4 I am a employer with I 6- ❑New cctnsfturction employees(full audtorgart* )* have hired the sub-contractors. 7_❑ I am a sole proprietor or partner listed on the attached sheet. 7_ ❑Remodeling ship and bane no employees These sub-contractors have g- ❑Dem,alition w for me in an c cr �. employees and have workers' Y � l 9_ ❑Building addition [No:WQrIreiS' comp-*in�iranre Comp.tnstrrance_ 5_❑ We area corporation and its 10-0 Electrical repairs or additions Wired-] 3_❑ I am a homeowner doing all work officers have exercised their I I_.Q Plumbing repairs or additions myself [No workers'comp- right of exemption per MGL 12.E]Roof repaas i mn-anrerequired]F c_152,§1(4),and we hna eno _ employees_[No,wmke-s' 1 t?tber y comp_insurance required./ *Any apphomt brut checks boa fl tmst also fill out the section below showing i3iea wa kers'rnaapr�se�o�psrii��t #HomeownetS olio submit Ibis E udxvb i„m �a they ase dnmg s1T trrnic ami then hug autzide co�fracsnzs zest sa7u�xit s aew ad�rit mr snrli Contractors that rheck this box Est stiache d an additional sfieet shbccmg the nee of&e sda-ems and ststE vrhetlm[ornot ibnse eirtities fiavg employees_ Ifthe sub-contmctars h.ve employees,they must pmvide their workers'comp.policy uombi!r_ I am an employer Mat ispmiding worke-rs'corttpmrtsation irm4rance far my emp&yem Halotr is thepaHcy and,}ob site information. ff Insurance CompanyName: YW� AJ �J` 1 — Policy 4 or Self-ins-Uc-� C.a 3 S - 3 6 g '� 70-vpr>lion gate: y/��3%aois Job Sites Address: ��9 t� ft-r4(PA f4 Cilyl s tatelzip- Ha 4,,7,,7 i s 144 Attach a copy of the markers'compensation policy-declaration page(s1wwIng the policy number and e piration date). Failure to secure coverage as requxireduuder Sections 25 A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1.500.0(}and/or one-year impHsonsaent,as well as civil penalties in the f nm of a STOP WORK ORDFPZ 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 i Imr-estxgataons of the DIA far ivatm=e coverage Lrerffi cn- I do hereby ceorender the pains and penaWas ofpedury that the inforrardian protrzde£above rs true and correct Signature: Bate: 7' Phmm9- (0(7 ay/ 797 a,' 00 cra£use ortly. Do not write in this area,to be completed by city or town OfficiaL City or Town: PermitUcease# Issuing Authority(d3rde one): 1.Board of Health 2.Building Department I Cityfrawn Qerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person. Phone 9- 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an employee is defined as"_every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,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)sates"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 numbers)along with their ceri:ficate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with ao 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 Deparbnent of Iridusir-ial Accidents for confirmation of insurance coverage. Also be sure to sign and date the a,$d2vit "llze a,.adavit 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 Towa 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 submitmultiple pernitllicense 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 busis-ress or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidav-it. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Depazuneut of Industaal Accidents Qffiee Of Ittvesfiata>�s 60O Washington St=t Boston.,MA_02111 TO.A 617-727-49-QO W 406 or 1-9 MASS AFE Revised 4-24-07 Fax A' 617 ` 27-7-149 va .mass.gov/dia , CERTIFICATE OF LIABILITY INSURANCE DA06/24/201 Y, `-� 06J2412014 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(les) 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 endomemen s. PRODUCER CONTACT WM.F.Borhek Insurance Agency Michael J Cali PHONE Fax 311 Plymouth Street No Ex1;781-293-6331 A/C No):781-293-2171 Halifax,MA DES; J Michael Calill E-MAIL meal!@borhekinsurence.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:XS Brokers INSURED One Call Ventilation,Inc. INSURER B:Liberty Mutual Scott McQuade 277 Washington Street INSURERC:Arbella Mutual Insurance 17000 Weymouth, MA 02188 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR X CBP10000132801 06/15/2014 06/15/2015 PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PELT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000000 Ea accidente C ANY AUTO X 1020030167 05/30/2014 05/30/2015 BODILY INJURY(Per person) $ X ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB N OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE X XLSOOSS913 06MW2014 06/15/2015 AGGREGATE $ 1,000,0()0 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE X ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WC2-31S-388470-0112 01/18/2014 04/18/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED4 �N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 UIf yyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Pollution Liabilit X 13CBCPLO1202. 06/15/2014 06/15/2015 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is requlreM CERTIFICATE HOLDER CANCELLATION TUMIRES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE -TuTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 660 Restaurant Pitchers Way ACCORDANCE WITH THE POLICY PROVISIONS. - 60 Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Michael J Cali 01988-2014 ACORD CORPORATION. All rights reserved. •nnr�w wr.iww••w��♦ a. •rti_ •�nnn�__._ __�i._... _.._ .._�e_a_.._.a___. _a awn.... Mass. Corporations, external master page Page 1 of 2 William Francis Galvin Secretary ,4L oftheCommonwealth ofMassachusetts Corporations Division Business Entity Summary ID Number: 001069614 Request certificate New search Summary for: ONE CALL VENTILATION, INC. The exact name of the Domestic Profit Corporation: ONE CALL VENTILATION, INC. Entity type: Domestic Profit Corporation Identification Number: 001069614 Date of Organization in Massachusetts: 01-13-2012 Last date certain: Current Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 277 WASHINGTON ST. City or town, State, Zip code, WEYMOUTH, MA 02188 USA Country: The name and address of the Registered Agent: Name: SCOTT MCQUADE Address: 277 WASHINGTON ST. City or town, State, Zip code, WEYMOUTH, MA 02188 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT SCOTT MCQUADE 277 WASHNGTON ST. WEYMOUTH, MA 02188 USA TREASURER SCOTT MCQUADE 277 WASHNGTON ST. WEYMOUTH, MA 02188 USA SECRETARY SCOTT MCQUADE 277 WASHNGTON ST. WEYMOUTH, MA 02188 USA DIRECTOR SCOTT MCQUADE 277 WASHNGTON ST. WEYMOUTH, MA 02188 USA DIRECTOR KEVIN LYONS 50 BOYLSTON ST. MALDEN, MA 02148 USA Business entity stock is publicly traded: r http:%/corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001069614&... 7/15/2014 Mass. Corporations, external master page Page 2 of 2 The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and Class of Stock Par value per share outstanding No.of shares Total par No. of shares value CNP $ 0.00 275,000 $ 0.00 0 1:�.1 0-Confidential r Merger r Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Administrative Dissolution Annual Report 4 Application For Revival :4 4t�h Articles of Amendment View filings Comments or notes associated with this business entity: v, h News http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001069614&... 7/15/2014 I ' OMMWE�►tTH ON OF MA55ACHlJSETTS:;> :>>:'> � ceaxto�C- e C-�i�r�eoes �• � , ., o • . . ® 0 • EitJJAFf SHEE1 ETLIORI(ERS HC-000260 A ISSUES THE F0LLOW ENSE P Y MASTER UNRESTR I CTED s # Hood Cleaning Certificate of Com etenc ¢ ` b pp ~I Scott J McQuade` iCOTT J MCQUADEti 10 Roberts Street e QuincyMA'02169 277 WAS#il.NCTON xpptcetion.D.Ite 4 ► ,7��,`'. I= 'kt M(}�JTH ..:......:: _.:MA .02188-150$ 0StateFire Marshal 14 120 y 9 � Massachusetts - Department of Public Safety Board of Building Regulations and Standards r Construction Supervisor ; Certification Number:800920-09'. Expires: 04 24/201 + ' License: CS-091282 Scot.McQuade r SCOTTJMCQUADE T Call Ventilation 277 WASHINGTON ST`. s WEYMOUTH MA 02 277 Washington Street Weymouth, MA 02188 `r +' 11, a Expiration Commissioner 03/15/2015 { • • 1-800-(483-6845) ,�� + • .. . www. • VentilationNEW INSTALLATIONS HOOD CLEANINGS'FAN REPAIR 24 Hr. Full Service Restaurant � A f Scott ` jU :'Y:1•5, 2014 I Sett Ravell.wn, r 592 W:in SUwt DI , owner of,5 0%59 ' Main Staff Ryarmis-Ma 6 1. l:am' Westing•his leatai-to la th.c Build in a6 Fire 19"lment.know that:gOnwCaiII Ventilation ha.S Sri-Sion t"Mit..2nd -InS l.aeay taur t pow- in rnry buildiox VCTY '.Fruly Vo mm.. e • n + 4 �R r i .. Mass. Corporations, external master page Page 1 of 2 , William Francis Galvin Secretary of the Commonwealth of Massachusetts Corporations Division Business Entity Summary ID Number: 000980930 Request certificate [ New search Summary for: 592 MAIN STREET, LLC The exact name of the Domestic Limited Liability Company (LLC): 592 MAIN STREET, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 000980930 Date of Organization in Massachusetts: 06-26-2008 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 22 COMEAU STREET City or town, State, Zip code, WELLESLEY, MA 02481 USA Country: The name and address of the Resident Agent: Name: SCOTT C. RAVELSON Address: 22 COMEAU STREET City or town, State, Zip code, WELLESLEY, MA 02481 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER SCOTi C. RAVELSON 22 COMEAU STREET WELLESLEY, MA 02481 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 7/16/2014 Mass. Corporations, external master page Page 2 of 2 REAL PROPERTY SCOTT C. RAVELSON 22 COMEAU STREET WELLESLEY, MA 02481 USA r MA Confidential Merger FA Consent Data Allowed Manufacturing View filings for this business entity: - ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: q CNew search httpq://corp.sec.state.ma.us/CorpWeb/CorpSearch/Corp Summary.... 7/16/2014 Sign ,�,�, * TOWN OF BARNSTABLE Permit BARNRrMASS. 9� s6 �FG 39. A Permit Number. y' Application Ref: 201404365 20071007 Issue Date: 07/03/14 Applicant: 592 MAIN STREET LLC Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 592 MAIN STREET (HYANNIS) Map Parcel 308073001 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks 2 SIGNS TOTAL ONE ON THE BACK OF BUILDING 24"X12" ONE 26"X 24" HANGING SIGN FOR TUMI CIVICHE BAR RISTORENTE Owner: 592 MAIN STREET LLC Address: 22 COMEAU STREET WELLESLEY, MA 02481 Issued By: SS POST T. CARD SO THAT IS RISIBLE FROM THE STREET REST �oF rOw Town of Barnstable Regulatory Services �RARNSTABM�" Richard V. Scali,Director 39., Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# '�jS Building Official approving Application for Sign Permit -` .�� 1,5 G o'y5 Za Applicant u e2� Assessors No. Doing Business As: ITU rel <euAL &✓ lfIP Telephone No. Sign Location Street/Road:_5 42 _ evy'Pi $1�P� Zoning District_ ry(J Old Kings Highway? �o Hyannis Historic District? i VNo Property Owner � Name: 5 rn-)r 0l 0 Lie kpil Telephone: ^23L/0 Address: �u S Tree.— A. e � Z�B( . 7 Sign Contractor Name: 1 ('ice n �� 5��.�5 Telephone: 54- � 3-� �p Mailing Address:—Z,ra . �mSSrY_ u }27Z5 43 Description r . Please follow the cover directions.You must have an accurate rendition of sign with ihensions and location. " c Is the sign to be electrified? es o (Note:Ifyes, a wiring permit is required) ;:7- Width of building face ft x 10= x.10= Check one Reface existing,sign or New Total Sq. Ft. of proposed sign (s Ifyou ha ve additional signs please attach a sheet listing each one with dimensions t;` If refacing an existing sign please provide a picture of the existing sign with dimensions. L I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent J ! Date SIGNS/SIGNREQU revisedl 10413 oFTHE ra,,, Town of Barnstable do Regulatory Services y M g Y • BM MSfABLE, MASS $ Richard V. Scali,Director i639� �0 16.59. 1. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion bf adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. t 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall, hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum'sheet size, 8.5 x 11". 3, ,A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing itto the sign and to the building. Minimum 4scale 1"=V. Minimum sheet size,-8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revised 110413 LU IJ ..] P:l _.I Town of Barnstable ;;; �I Hyannis Main Street Waterfront Historic District Comm sion www.town.barnstable.ma.us/hyannismainstreet Decision Certificate of Appropriateness Jorge Siguencia d/b/a TUMI Business Signs, Outdoor Seating 592 Main Street The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code of the Town of Barnstable Chapter 112,Historic Properties,Article III,Hyannis Main Street Waterfront Historic District,hereby approves a Certificate of Appropriateness for the following property: Property Address: 592 Main Street Assessor's Map/Parcel: 308/073/001 At the June 18,2014 hearing, after consideration of the testimony given and materials submitted by the applicant and members of the`public, the Commission found the proposed design for two business signs and , outdoor seating will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the material, design, color, size, location, and context of the proposed signage and outdoor seating and found it to be appropriate for the protection and preservation of the district. Based on these findings; the Commission voted to grant the certificate of appropriateness subject to the.following conditions: 1. The design of the business signs shall match the renderings submitted to the HHDC file dated May 21, 2014. One business sign will be a projecting sign mounted on a bracket and one will be wall mounted. 2. . An open flag is approved; flag may be red/white/blue or colors that match approved sign. 3. The size of the signs shall not exceed 26"x 24"and 24"x 1219. 4. The sign material shall be luster board with stainless steel trim. 5. Outdoor seating shall consist of black metal mesh tables and chairs. The applicant intends to use table cloths on the tables. 6. Canvas,terra-cotta color umbrellas are approved. 7. Sign permits from the Building Division are required.. .. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop,Paul Arnold,Joe Cotellessa,Bill Cronin,Brenda Mazzeo and Marina Atsalis Opposed:None George A.Jessop,jr A Date Hyannis Main Street Water NAM storic District;Coimni ion cc: Jorge Siguencia,Owner/Applicant Tom Perry,Building Commissioner File 1,Ann Quirk, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20) days have elapsed since the Hyannis Main Street Waterfront Historic District Commission filed this decision and that no appeal.of the decision has been filed in the office of the Town Clerk. Signed and sealed this day.of under the pains and penalties of perjury: Ann Quirk,Town Clerk Town of Barnstable` Growth Management Department Hyannis Main Street Waterfront Historic District Commission wuno:town.Barnstable.ma.us/fii annismainstreet George A.Jessop,Jr.AIA,Chair "Jo Anne Miller Buntich,Director r Acknowledgment of Twenty Day Appeal Period Required by Section 112-33 of.the Hyannis Main Street Waterfront Historic District Ordinance 1, � ("Applicant"), acknowledge that the Certificate granted by thUfy6nis Mai Maili Street Waterfront Historic District Commission is subject to a twenty (20) ` day appeal period,pursuant to Section 112-33 of the Code of.the Town of Barnstable.`Within> 20 calendar days after the date of issuance of a Certificate,any person(s) aggrieved by the determination of the Commission may appeal the decision.to the Historic District Appeals Committee. The Appeals Committee,' after an evaluation of all pertinent evidence,,may uphold, overturn, or remand a determination of,the Hyannis Main Street Waterfront, Historic District Commission. Decisions of the Historic District Appeals Committee may be further appealed-to Superior Court. Any subsequent permitting or.licensure conducted in reliance of the,Certificate granted by the Commission is contingent on the.validity of said Certificate at the conclusion of any appeal. The Applicant shall be required,.to fully comply with any decision of the Historic" District Appeals Committee or,upon remand,revised decision of the Hyannis Main Street Waterfront Historic District Commission. r Si e: AppItcant. Date t ame �e(CiL Address ess of Proposed osed Work 200 Main,Street,Hyannis,MA 02601 (o)508-862-4665(f)508-862-4784 APPROVED EECEMD i JUN 18,"10111 Town of Barnstable "!AY 212014 Town of Barnstable' oldKing'sHighway Committee Hyannis Main Street Waterfront Historic District.Gommission GROWTH MANAGEMENT 3 Application Certificate of Appropriateness Application is hereby made for the issuance of a Certificated Appropriateness under M.G.L.Chapter 40C,.The Historic Districts:Act for proposed work as described below and on plans,drawings or photographs accompanying Phis application for: Assessor's Map No. Pa .rcel No . Address of Proposed Work n _ r(,A 5— Applicant Name r- v° o Applicant Mailing Addre s <s Town/State/Zip -1 /or�.�'( / ,q 02&) Applicant Phone.Number * - 2 Applicant E-Mail a AC-14 03 Property Owner Name . Of-C. l=b 1'e stA, Owner Mailing.Address 12. 6�ni p sv S ,e Town/State/Zip Wim (ko_ ie!4 f2 S( Owner Phone < 23 � Agent or Contractor Name Agent or Contractor Address S a TownlStatelZip r`w �i t � .��v t a-2 6 �3 Agent or Contractor Phone o1�� oS3, Agent or Contractor E-Mail P.ROPOSE'D WORK Please check all categories that apply: Building Type: ❑ Commercial ❑ Residential ❑Accessory. Other --A-,f�AA Work Proposed: 1. Building Construction:: ❑ New Building;:❑Addition ❑.Alteration 2. Exterior Alteration ❑ Windows,' ❑ Doors ❑,Siding ❑Roof` Other z n 3. Eztenor Painting; 4, Signs:' New sign ❑:Alteration to existing sign -5, Accessory.lmprnvement, ❑ Fence, ❑ Parking Lot [Outdoor.Dining Ej Awning/Canopy, 6. Other. ii A o7 w �u exhibit Date: &( cN Page 1 of 3 HHDc y APPROVED JUN 18 2014 Business Sign.1: Size of Sign ,x _ Town of Barnstable Old Kin Highway Oammittee Material(s)of Sign L Sfi-,( (�a�f c;� � (���n f�5 5 Material of;,Lettering(if different) Will the sign be illuminated? Yes l No If yesi.what type of light fixture N Location of Fixture Business Sign.2 Size of Sign _x Materials)of Sign "t' Material of Lettering(if different) Will the sign be illuminated? Yes/No If yes,What type of light fixture Location of Fixture Open/Closed Size of Open/Closed Sign x Sign: Material of Open/Closed"Sign: If Neon,indicate color(circle one option): Red/Red&,Blue Color of`Open/Closed Sign: Trade Flag: Size of Trade Flag:;._ x Material of Trade Flag: I v`C A c co t* V Trade Figure Dimension of Trade Figure or Symbol: x x Or Symbol: Material of Trade Figure or Symbol: Location Size of Hardship Sign: x Hardship.Sign: Material of Hardship Sign: Lettering Color and Material: Page 2 of 2 APPROVED JUN 18 2014 Town of Barnstable Hyannis Main Street Waterfront Historic District.COmmj4t91F1Highway ommrttee DETAILED DESCRIPTION OF PROPOSED WORK" • Provide detailed.specifications of the.proposal: • Include a detailed description of changes.to existing conditions;if applicable., • Describe proposed materials to be used,desired colors; manufacturer's specifications;etc. • In the case of signs;give locations of existing signs and proposed locations of new signs. Attach an additional sheet;if necessary." d f Vfi O `' rrTe AIL .�Y c..L7" .fir' �V _ 6.0 �tTQ Wkis Signed Applicant-Agent Date cr')`aI&, Page 3 of 3 r Fb VED `Town of Samstable Oid Kings Highway Committee. V V c.�' , .�e 3 � 1r *` 3 a` S L Exhibit# A � � HHDC Paruvoan: Raloan i SearingExpert.com-The Ultimate Quality Seating Experts APPROVED,.. Page 1.of 2 ` JUN 18 2014 4e ' 11 T'le .Towno 8arnsta ` lrl� St'Artl 3.L'lS . �, P, RUN., CHAIRS BAR EtDaTt LQUNGE TABLES HELP STDOt S x' Ft1RNf[1Jt s Alkali- laill CEMER• ,_.r B 4'R C OUTDOOR s CHURCH r 1' LOGO 1 tNI5t1E05 , CABINETRY SrPEG1AtS You have 0 items in yourquote. View Ouote Returning customer?Log in: User ID: ,,..:. Password:' Search cshl , Print Pace I Send to a Friend I Bookmark type keywordtT �.,. 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I,{� � t\a�� �. � L�t/� � .- -M31ti:iw.n �,�. «94�u�.,,,_• 7`���. =4 r - �� 1 �� l ��!��" �f j Il�;� 1 AI"l! 1—i�—.._•,_ ,1 �i Fa�ni . Y _ I ii( f j r I w .l . le � "� I1 "�,�i _..,s1 �/ .,.�( 1 �1 -� "' .. W fff ��'` ` .«,,- •',rt� q, K,�'�1 i � i�� 4"> NF �.Illra/P�r r,: 1 Exhibit w.f, Date: -.. _ �. DC r w r < 'k`•.t 11�� � �� ,Y. " 4444 z' cP l u, r t. �R T s , a .,f .•tea �, �- � - :.r r` APPROVED C y JUN 18 2014 Town of Barnstable Old King's Highway ammittee 24 x 12 F-V c DExhibit#r� (v , . ate: b 1►�� ��- HH®C s � << APP.., O'1lEQ . I, u W4 8 20 4 Town of Barnstable q � L roZ sO'a I(ing's llahj aa0i(NTlf�tl@87"7— ° 71 ,.q *Fx,'''#*^•,�r.+ :� .r.» w"a3`*„ �rwW;+� � o»...�- ;ss » ».a4e.,- � ,:.�..,� -: MAI f i it z. i w YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in 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. - OATE:t-,/, l( flIA Fill in please: APPLICANT'S YOUR NAME/S: ,,;'V f v2i-Zc� � cr BUSINESS YOUR HOME AD❑ ESS(. e TELEPHONE # Home Telephone Number NAME OF CORPORATION: `ice ��,i1nc4 I C NAME OF NEW BUSINESS TYPE OF BUSINESS_, `s`Lo"ru,1r- IS THIS A HOME OCCUPATION? YES NOSCc�_�7� ADDRESS OF BUSINESS Z a-Pn eQ 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 COM ISSIO ER'S OF CE This individu I he infor e a y pe mit requirements that pertain to this type of business. ut orized Si natuF COMMENT(. 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: �- .�-_ -._..___...// --a--� ___-__ ----- -- ��C(ll � ' � � i � � `'�-�- _ i � � , ,. ... _. -� �, r Town. of:Barnstable Regulatory Services TOW OF PARNST K E BARNBUBMMAM ` Richard V.Scali,Interim Director 6319. . Building Division 7 G 10 tP.R 11 A_ 10- 20 Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Qa Office: 508-8624038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, John P. Lyons , Construction Supervisor License # cs-076126 , hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # 201,402016 , issued to(property�address) 592 Main Street April 4 on , 201 4 . I also certify that on April 11 , 201 4 , 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. it J ICENSE HOLDER DATE q/forms/newcoatr reference R-5 780 CMR rev:103113 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 673 o Application # Health Division Date Issued Conservation Division Application Fee �6b Planning Dept. Permit Fee Date Definitive.Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address q) 4 .'L Village SDI p Owner ."C a 11 ;'\Gy 1/di6t_%, Address 0?2 - 66me4u hit s Telephone 7 7I 3 6 6?yyl Permit Request � t h. ,,, �.T Q . . �e r v d/�Q.7, ( (��-,, r ti Square feet: 1 st floor: existing—proposed srfmc 2nd floor: existing proposed Total new Zoning District :Flood<Plain Groundwater Overlay �vo�, ...,Project Valuation construction Type 6^*irjc i-rq f 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 J /� Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new c2 Half: existing new-2, — Number of Bedrooms: 1A existing _new / Total Room Count (not including baths): existing �_new / First Floor Room Count Heat Type and Fuel: dGas ❑ Oil ❑ Electric ❑ Other Central Air: P4es ❑ No Fireplaces: Existing New r Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existingi ❑ 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 ❑ $ y Commercial Yes ❑ No If yes, site plan review # .. ' Current Use Proposed Use fK� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 0 7 7 c� /�Telephone Number ! / /���3 6 3 5� _ Address Z.), 7 /1)1r 15 r � 114 License # C S— U 7 a fZ l (7 Home Improvement Contractor# Email Worker's Compensation # b Z 4 LO _6 b) ?).9- ' -3'13 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7,;79Y►s fP�' SIGNATURE DATE I FOR OFFICIAL USE ONLY E APPLICATION# DATEI9SUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION z. FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r Y" D�4TE�CLOSED OUT ASSQTION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 114 Map. j o ;� Parcel 073 6 0 f n Application # Health Division' Date Issued.--- Orr ' Conservation Division _ Application Fee 3# 1 6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis .x Project 7104ols et Addr� M-� / I G 1'L ��1�►is . Village p ^� Owner �C a '\q V d5o'l-1- Address O� l Telephone 7 7/ 3116 / �J I Permit Request � ✓it to, rti A S < �ti 4 RJ' �" _ �c r�!/r / V , Square feet: 1 st floor: existing`l9aproposed Sgmc 2nd floor: existing — proposed '- Total new / U Zoning District Flood Plain Groundwater Overlay Project Valuation ��1 Uo v r Construction Type c M,fc r q Lot Size , Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Sing3� 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 ea (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing o new -2 Number of Bedrooms: existing —new Total Room Count (not including baths): existing _J new First Floor Room Count jl p! Heat Type and Fuel: Gas ❑ Oil ❑ Electric , ❑ Other Central Air: �es ❑ No Fireplaces: Existing New '- Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_�Rool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size t. c� Attached garage: ❑ existing oE1 new' size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial Yes ❑ No If yes, site plan review# r. Current Use M � Proposed Use fi-f S J qLe-q�i •a ; APPLICANTINFORMATION (BUILDER OR-HOMEOWNER) Name �. 1 �77 - S3- 6- 'ts Telephone Number y � 3 S / i Address � l S/t t 1 14C �� License # C S- 0 79 /z C t Home Improvement Contractor# Email Worker's Compensation # 6 z U6 3-/3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO s j 3q, SIGNATURE - DATE / FOR OFFICIAL USE ONLY �3 APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Cartrrror wealth Of massadrmsetfs Department of Indus&ialAccidents — Office of•Investigations 600 Washington Street Boston,H4 9211.1 WMV ntam9outdia Workers' Campensation Insurance Affidavit:BtrilderslContractors/ElediLicians/Numbers Applicant Iufarmation / L Please P`xint Im6bly Name(Bushtee�l6�at�a maIn&vitmaiy CrCp A- Cics f �ia�'c✓I'PS �� C, all City/StatE-J p,_ Phan# 7 V- .,. 53 ` (a.3S AF u an employer?Cherie the appraprii e b Tape of project(required): 1.. am a employer with r 4. a general contractor and I b- ❑New construction employees(full anNorpart-iime)* have hired the sub-contractors 2.❑ I am a sole proprietor orpartner listed an the attached sheet•. 7- dew$ ship and have no employees These sub-oontractors have g_ ❑Demolition wcd ng for me in any capacity. employees and have workers' 9- ❑Building addition [No workers'Comp-insurance comp-insurance-: required] 5. ❑ We area corporatianand its 10-❑Electtcal repairs or additions. 3-❑ 1 am a homeowner doing all work officers ha-vm exercised their 11_.Q Plumbing repairs or additions myself[No worlmrs'comP- right of�e�ption per MGL 12.❑Roof repairs insurance required`]t c-152, §1(4),and we have no employees-[No.ems' 13-0 Other comp-insurance required-] 'AaYagplirsx�dixtchac sbox#1umst,alsofilloutth�esectionbelowshowingthenwudes''eompensatic�polic}'infutmadom Homeov,ners who submit dhis affidavit mkcating they are doing all work and dhm bum oatofie contractors omit submit a new affidasit indicating sa h- tConft:actors tbat rt+xY this bus mast attached eII additional sheet showing the mmme oftlre vah-cantrachws and state whether or not those m6ties here employees. Ifthe sub-contmctorshwe employees,they==pwvide their warL-e€s'comp.policy number. .Tam an eitiployer ilirrt is pproviducg workers'congm, ado uisrrrance for]rip.ampdoyeex Bdow is thapoucy acid job site informadviL Insurance Company Name: D e/1 C, C Cl rt, 4. Policy#or Self-ins.Lic-#: Zug =?-/3 Expiration Date: ifM Job Site Address. -S .Z I 1 a,1 S-4 CityfStatelZtp: 9 1-r OQ/ 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-gear imlttisonnumf 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 inset-once coverage verifitatitn- I do hereby fy rstr �r thepniri adgefiaiTties ofp�etlury thatthe infotmutimi prated u (��r" fine and correct: Sir e: Date- Phone #: �7/` S3 — 6Z3S - O ciad use only Do not write in this area,to be cvrnplatesd by cify or town offic&L City or Town: Pert itUcense# Issuing Authority(circle one): 1.Beard of Health 2.Building Department 3.Cit�Mwu Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Gtlter C*ntact Person: Phone#: 6 r4 - r LEASE COVER PAGE 1. The Parties; 2. 592 MAIN STREET LLC. with a business address of 22 Comeau Street,Wellesley, MA. 02481("Landlord")and,JDCAMAS,LLC DBA as Tumi Ceviche •bar •Ristorante with an address of 660 pitcher way Hyannis ,Ma 02601 ("Tenant"). 2. Premises: The 2,520 square feet ground level, more or less, as well as the exclusive use of 760 square feet + or - of the courtyard hereinafter called "the Premises"; a portion of the building located at 592 Main Street Hyannis Ma. 02601 sometimes hereinafter called "the Building". The Premises are shown as Annex 1,2;3 and the 760 square feet + or ' as shown on the plan attached hereto and.incorporated herein by reference. 3. Term; Five Years (60 months) from April 01, 2014. thru 03/31/19 Occupancy upon Lease execution. 4. Renewal Option: Renewal Term: April 01, 2019 through March 31, 2024. Tenant must give a written notice of intention to renew on or before 08/01/2018 5. Option to Purchase; Right of First Refusal: None 6. Rent Due: first day of the month. Rent through March 31, 2019, is a Gross Rent which includes "Base Year" Building Real Estate Tax, Building Insurance and Building Maintenance. Year I...04/01/2014-03/31/2015: $ 32,400 annually/$ 2,700 monthly Year 2...04/01/2015-03/31/2016; $ 33,600 annually/$ 2,800 monthly Year 3...04/01/2016- 03/31/2017: $34,800 annually/$ 2,900 monthly Year 4...04/01/2017-03/31/2018: $ 36,000 annually/$ 3,000 monthly Year 5 ...014/01/2018-03/31/2019`: $ 37,200 annually/$ 3,100 monthly *The additional Rent of$ 6,000 must be paid any time during the Term prior to the Commencement.of Year Five (04/01/18). +l 4 11.08 Entire Agreement; Captions; Governing Law Tenant acknowledges and agrees that it has not relied upon any statement, representation, agreement or warranty except such as may be expressly set forth in this Lease and it is agreed by Landlord and Tenant that no.amendment or modification of this Lease shall be valid or binding unless in writing executed by Landlord and Tenant: The paragraph headings contained in this lease are for convenience only and shall in no enlarge or limit the scope or meaning of the provisions of this Lease. If any portion of this Lease is ruled unenforceable by any.arbitrator,or Coiut of law, such ruling shall-not effect the enforceability-of the remaining portion of this Lease This Lease shall be governed by the laws of the Commonwealth of.Massachusetts,and any dispute if litigated shall only be brought in the courts within.the Commonwealth of Massachusetts 11.09 Guarantor: JORGE L. SIGUENCA FERNANDEZ.shall personally guaranty al-1 payments and obligations of Tenant under the Lease and shall execute a guaranty. prepared by Landlord in the form attached as Exhibit B. 11.10 Compliance with Laws The Lessee"acknowledges that no"trade or occupation shall be conducted in the Premises or use made thereof which will be unlawful, improper, noisy or offensive; or contrary to any law, Wile, regulation, order or any municipal by-law or ordinance in force in the city or town.in which the Premises are situated. 11.11Authority/Proof of Legal Status/ JORGE L. SIGUENCIA FERNANDEZ represents that he has the authority to sign on behalf and obligate JDCAMAS LLC as to each and every term under this Lease.Prior to signing the Lease. JORGE L. SIGUENCIA FERNANDEZ shall 'provide Landlord, with written proof identifying the type of legal entity and those'persons having authority to act on its behalf. The Cover Page attached to this Lease shall be incorporated as a part of said Lease. SIGNED as a sealed instrument this . day of Fe aYUVn , 2014. LANDLORD: TENANT: S92 MAIN STREET LLC JDCAMAS LLC By. SfU l; - a Bt IXJ �� SCOTT C. RAVELSON, JOis E SIGU NCIA FERNANDEZ Its managing member managing member 21 Page 1 of 1 Shea; Sally From: Deputy Dean Melanson [dmelanson@hyannisfire.org] Sent: Thursday, April 03, 2014 10:49 AM To: Shea, Sally; Barrows, Debi; Perry, Tom; Franey, Patrick Cc: Gorge Siguencia; Lt. John Cosmo; Norman Sylvester Subject: Tumi Ceviche Bar Restorante, 592 Main Street Hyannis I have met with the restaurant owner and reviewed the plans for this new establishment. We are Ok with a building permit being issued. Deputy Chief Dean L. Melanson Hyannis Fire Department 95 High School Road Extension Hyannis MA 02601 Office 508-775-1300 ' Fax 508-778-6448 dmelanson@hyannisfire.org 4/4/2014 Massachusetts -Department of public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-076126 JOHN P LYONS 72 HIGGINS CR(3W O W YARMOUTH ./,•G.� �y`_�r„ `� Expiration a' 0110612016. Commissioner Office of consumer Affairs-&B Nfiess Reg { HOME IMPROVEMENT CONTRACTOR Reglstration: 5166189 h Type: ... Expiration: 5n2014: LLC Ce ar Grest Proeg i� F' 72 Figgms Crowell .may d€ W trYarmoUth MA.02673 �y F UndersecretAry NICE 1 ; w NOTICE TO a TO A EMPLOYEES EMPLOYEES . The Commonwealth,of Massachusetts :r, DEPARTMENT OF IWJSTjU AL ACCIDENTS 600 Washington Street, Boston,Afissachusetts 02111 617-7274900 — http:/twww.mass.gov/dia As r uired by Massachusetts General Law,Chapter 152,Sections 21,22&30 ''v�you notice that . I�(we) have provided for payment to our injured employees under the tied chapter by insuring with: _ �i ZURICH-AMERICAN INSURANCE GROUP NAME.OF INSURANCE COMPANY P.O. SOX 1450 MIDDLEBORO MA 02344-1450 ADDRESS OF INSURANCE COMPANY (6ZZU8,.-6B18281-3-1 a). 08-26-13 TO 08-26-14 POLICY NUMBER EFFECTIVE DATES SOUTHEASTERN INS AGCY 641 MAIN ST , HYANNI S MA 02601 NAME OF INSURANCE AGENT ADDRESS PHONE# CEDAR CREST PROPERTIES LLC 72 HIGGINS CROWELL ROAD WEST YARMOUTH MA 02673 EMPLOYER ADDRESS g EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the , injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably, connected to the work related injury. In cases requiring hospital attention; employees are hereby notified that the insurer has arranged for such attention at the ADDRESS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel61 1 RNS.. 8'E Application # Health Division " 'UPj41 N��, � � Ri`� � �� ( Date IssuedS -zo� � PF Conservation Division w Application Fee l . .Planning Dept. Permit Fee Date Definitive Plan Approved Planning I� b a Board pp Y g Historic - OKH Preservation/ Hyannis Project Strut Address ���C ^=,� Village Owner Address 27- !k. "y"Ley Telephone 1'J 40 ,Per it Request Square feet: 1 st floor: existing2_60 proposed 2nd floor: existing proposed Total new n 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 O'Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Y new le Half: existing 2- new �- Number of Bedrooms: Y existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: dGas ❑ Oil ❑ Electric ❑ Other Central Air: ales ❑ 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 Telephone Number O�200. 29S Address OLicense # GS ' 025b7_1 1 Home Improvement Contractor# 161517 Email �e - 0 i ,G�1_ � (AYA Worker's Compensation # O ALL CONSTRUCTION DEBRIS ESULTING ROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE CR FOR OFFICIAL USE ONLY APPLICATION# 4 F DATE ISSUED MAP/PARCEL NO. t r t ADDRESS VILLAGE OWNER r t. DATE OF INSPECTION: 1, - '; FOUNDATION FRAME : INSULATION F FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL k ��,{ FINAL BUILDING ' DATE�'CLOSED OUT r AS$ - MON.PLAN NO. E f The Commonwealth a,f iassa usetts Departrnernt of Indarstrial Accidents O,,Q`ice of Investigations 600 Washington Street Boston,MA 02111 wwm mass gov/alga Workers'.Compensation Insurance Affidavit Builders/Contractois/Electiric ans/Plumbers Apphcant Information Please Print Legib Name(I3usmewOrganizatian/lndividoaU `sT -- LrLL Address City/St.&zig: e10 Phone# Are u an employer?Check the appropriate box: T of project r 4. I am a era/contractor and I }fie p ] (required): 1. I am a employer with� ❑ 6_ ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner-- listed on the attached sheet. 7- deg ship and have no employees 'These sub-contractors have g- A�mohtion w for me in an. employees and have workers' �� y capacity. I 9_ ❑Building addition. [No workers'comp.insurance camp.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 tiuorkers'comp- right of exemption per MGL 12.❑Roof repairs ium ancerequired_] t c-152, §1(4),and we have no employees-[No workers' 13.❑Other comp.insurance required.] *Any applicagr that checks box#1 mast also fill out the section below showing their woAere canipensation.policy informadom I Homeowners who submit this affids«t indicating they are doing all wank and dim hire outside contractors nmst submit a new affidavit indicating such ZCoutrsctors that check this box must attached an additional sheet showing the name of the sub-contras=and state whether or not those entities have employees. If the subtantmaoss have employees,they worst:provide their strorken'comp.policy number. lain an employer that isprmidfng workers'comperisadon insnrarrce for my enrpItoreos. Below is the policy arm job site information. Insurance_Company Name: AM A-tRi> Policy 4 or Self-ins-Lic.#: G 57 02-[(o Expiration Date: 2'b I6� . 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 o€MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500-00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the-violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify rurder the pains and penalties ofpeduty that the information.pranided abme is and correct Si tore: / Date: Phone#: AQ ' ' 2bg 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.l3uilding,Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: ���L ��- IKE •ntexsrns�:, ,. Town of Barnstable ,eIED MA'1 A Regulatory Services Richard V. Scali,Director Building Division Thomas Perry,CBO - Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, !co n c r,wyr:l L soy\ ;as Owner of the subject property hereby authorize I'ky)'Ow-o P V- I"94 4-IV, to act on my behalf, in all matters relative to work authorized by this building permit application for: Sq 2 S T eD-T I 1 A15 Y� . (Address of Job) Srd it 0- 5 11.z Signature of Owner Date sco rl C R 011-L"ScM Print Name If Property Owner is applying for permit,'please complete the Homeowners License Exemption Form on the reverse side. QAIATFILES\FORMS\building permit forms EXPRESS.doC Revised 061313 Mass. Corporations, external master page Page 1 of 2 William Francis Galvi Secretary of the CommonwealthofMassachusetts Corporations Division Business Entity Summary ID Number: 000980930 Request certificate New search Summary for: 592 MAIN STREET, LLC The exact name of the Domestic Limited Liability Company (LLC): 592 MAIN STREET, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 000980930 Date of Organization in Massachusetts: 06-26-2008 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 22 COMEAU STREET City or town, State, Zip code, WELLESLEY, MA 02481 USA Country: The name and address of the Resident Agent: Name: SCOTT C. RAVELSON Address: 22 COMEAU STREET City or town, State, Zip code, WELLESLEY, MA 02481 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER SCOTT C. RAVELSON 22 COMEAU STREET WELLESLEY, MA 02481 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 5/13/2014 Mass. Corporations, external master page Page 2 of 2 REAL PROPERTY I SCOTT C. RAVELSON 22 COMEAU STREET WELLESLEY, MA 02481 USA r r Confidential r Merger r Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional xk Articles of Entity Conversion >L a ti Certificate of Amendment 1- View filings Comments or notes associated with this business entity: TA rl ew search htip:Hcorp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 5/13/2014 -law- Massachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality h4ease=nfPr Beeal# BWP AQ 06 Notification Prior to Construction or Demolition Affix Notification Dual Here A. Applicability Important: When filling out A Construction or Demolition operation of an industrial, commercial, or institutional building, or forms on the residential building with 20 or more units is regulated by the Department of Environmental computer, opuler,use Protection(DEP), Bureau of Waste Prevention-Air Quality Division, under Regulations 310 CMR. onlY the tab key to move 7.09. Notification of Construction or Demolition operations is required under 310.CMR 7.09(2)ten your cursor.- (10)days prior to any work being performed.The following information is required pursuant to 310 do not use the CMR 7.09. return key. B. General Project Description 1. Facility Information: IS la fin P t r ,g FF 44 J� Instructions State. .I 1.All sections of this form must be Felephene Ntlmber I' ,' completed in E mailAddFess(eptianal)— order to comply �;A. with the Department of Size: Environmental Protection notification - Square Feet �� � ---Number of Fleers requirements of 310 CM 7.09 Was the facility built prior to 2.Submit Original 1980? es No Form To: Commonwealth of Describe the current or prior use of the facility: Massachusetts Asbestos ` T Program P.O. Box120087 Boston,MA Is the.facility a_residential facility? Yes N� 02112-0087 If yes, how many units? . 2. . Facility Owner: - Name ag06app•6104 BWP AQ 06.Page 1 of 3 z z NOTICE - r NOTICE ' . TO } TO EMPLOYEES ...-EMPLOYEES 4 1 / V\ The Commonwealth . .of Massachusetts 'DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: AmGUARD Insurance Company NAINIE OF IINStTRANCE COMPANY P.O. Box A-H 16 South River Street Wilkes-Barre, PA 18703-0020 ADDRESS OF INSURANCE COMPANY MAWC570216 .02/06/2014 02/06/2015 POLICY NG'MBER EFFECTIVE DATES AUTOMATIC DATA PROCESSING INSURANCE AGENCY, INC. 1 ADP Boulevard 800-524-7024 Roseland, N) 07068 NANI TE OF INSURANCE AGENTT ADDRESS PHONE Main Street Building LLC. 68 Pilots Way West Barnstable, MA 02668 EMPLOYER ADDRESS 01/22/2014 EMPLOYER'S WORKERS COMPENSATION OFFICER {IF A iT DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be liven to.the injured employee. The employee may select his or her owri physician. The reasonable cost of the ser vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention;employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Massachusetts Department of Public Safety Board of Building Regulations and Stand ards Construction Supervisor License: CS-080591 ' RICHARD A PRCJ#LII{ '- PO BOX 895 Barnstable MA 01630 �;,' Expiration Commissioner 06/28/2015 Office of ConsurAffairs&B�usi essulatone License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found.return to: j egistration: r,•135,897 Type: Office of Consumer Affairs and Business Regulation xpiration:.-5/17/2016, Individual 10 Park Plaza-Suite 5170 .:. Boston,MA 02116 RICHARD ANDREW+P,RCHLIK VEER RICHARD PRCHLIK 1- 2", r1 68 PILOTS WAY , W. BARNSTABLE,MA 02668'" Undersecretary Not valid without signature i 11.1HE t°w� The Town of Barnstable Barnstable Office of Town Clerk M-nmericacmr sA "ASLE, * 367 Main Street, Hyannis MA 02601 , r 9 MASS. 0,39, 'g www.town.barnstable.ma.us RFD MA'S a 2007 Office: 508-862-4044 Ann A Quirk,CMC Fax: 508-790-6326 Town Clerk January 9, 2014 Dear Mr. Wieden, According to the Building Department, 596 Main St., Hyannis, is a commercial property and is not a valid residential address. Please fill out the enclosed Voter Registration card with a valid residential address; I can then process your voter registration. If you or the property owner has any questions, please contact Robin in the Building Department at 508-862-4027. Thank you, Susan Greenlaw, Voter/Census Admin. Monday-Friday, 8:30am-4:30pm susan.greenlaw@town.bamstable.ma.us (508) 862-4048 ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION CO Map Parcel 1 Application Health Division Date Issued S 3 3 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 15 Y 1A� Village f7'C;(A /)YU/ S Owner 522- M Ai iN ��3L� Address Z2- CDA4 6AJ ST , Ly&%G.5L,6Y)VA Telephoned 1 20 -7/ Permit Request R -F cx6s /fix; ffc of Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 50�Project Valuation I.-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 Kin Highway ❑a ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other , Ci Basement Finished Area (sq.ft.) Basement Unfinished Area (S ) N) -n Number of Baths: Full: existing new Half: existing nWv Number of Bedrooms: existing _new 7 . . Total Room Count (not including baths): existing new First Floor Room Counl� ri 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) rTelephone Nu b f Address- �.vrUCjr)/ G/ (Liven' se# CS 03 51_3 17ELHAluc 03076--� H�ome_Impro�vement Contractor# 3 F-Worker's Compensation #_ 7/ !" ALL GONSTRUCTION DEBRIS RE LTING FROM THIS PROJECT WILL BE TAK N TO�� + 5/SIGNAT-URE--= DATE ze i FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED MAP/PARCEL NO. } ADDRESS VILLAGE f s OWNER r -DATE OF INSPECTION: 'C -FOUNDATION, FRAME I� INSULATION FIREPLACE _ ELECTRICAL: ROUGH FINAL PP x PLUMBING: ROUGH FINAL • I+ GAS: ROUGH F FINAL FINAL BUILDING ' y a CC { DATE CLOSED OUT N i ASSOCIATION PLAN NO. �•.++ c►r �t:.l:.,,I± ry � ' � ��d� �— _ - - _ _ _i� �� i i - � - - - � - - �_ i} , __ - - -: � s • ,i it ,� .. y ut• n t s .� I `L. 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/Organization/Individual): RbAjoEi u Zx eu ey, CoAAf !R ; Aft Tb BCK Address: City/State/Zip: 19of,:U1AA1 /U Z/ ®k74 Phone#: 2 Are you an employer?Check the appropriate box: Type of project(required): 1.L�I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/ p -time):* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P ty• $ 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 11.0 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.] *My 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. lContractors 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: &Au Z/i_uS Policy#or Self-ins.Lic. Expiration Date: �? Job Site Address: '2— MAI�57 City/State/Zip: �4)4 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 th violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA fo , ce co erage verification. I do hereby certify under pa' nalti f perjury that the information provided above ' true a correct Signature: Date: 5 Zia/ Phone#: 9 � � � 70 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#: 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 an contract of hire P Y , 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 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 Revised 4-24-07 Fax#617-727-7749 .. ' www.mass.gov/dia AC ° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDrC"Y) 111512013 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Cowan Insurance Agency,Inc.18 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 59 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill MA 01830 INSURERS AFFORDING COVERAGE NAIC# INSURED Rondeau Exterior Contracting LLC INSURER A: Continental Casual PO Box 958 INSURER B: Nautilus INSURER C: Pelham NH 03076 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE 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 INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADUL POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $1.000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY NN137861 06/2012012 0612012013ra) $100 000 CLAIMS MADE X❑OCCUR MED EXP(Any one erson s 5.000 X Blanket additional Insured PERSONAL&ADV INJURY 1.000 0O0 GENERAL AGGREGATE s2.000.000 GEN'L AGGRE A E LIMIT AP I S PER: PRODUCTS-COMP! GG $1.000,000 X POLICY PRO- IFrT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $(Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC s AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE RETENTION S S WORKERS COMPENSATION X WC STATU OTH- AND EMPLOYERS'LIABILITY Y/N RY1Wrp B ANY OFFICEOPRI BERREXCLUDED ARTNERECUTIVEE 28.80381-11171-943574 06/16/2012 0611612013 E.L.EACH ACCIDENT $5OO OOO (Mandatory in NH) E.L DISEASE-EA EMPLOYEE s 500,000 If es,describe under CI OVISI NS below E.L.DISEASE-POLICY LIMIT S 500.000 OTHER DESCRIPTION OF OPERATIONS l LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS General contractor. LLC member,Cindy Rondeau,have not elected to be covered by the worker's compensation volicv, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 592 Main Street, LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN 592 Main St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA IMPOSE NO OBLJGATIO BILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIV AUTHORIZED PRESE E ACORD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD License or registration valid for individul use only e (roan�sa�uuenll� az�a�ccre j j before the expiration date. If found return to" c . Office of Consumer Affairs and Business Regulation ', �\ Offce of Consumer A94. &Business Regulation -- OME IMPROVEMENT CO, i • 10 Park Plaza-Suite 5170 egistration 137434 Type. ,< Boston,MA 02116 xptrabor 1Z. -;0014 Private Corpgrabc ' RONDEAU CONSTRUCTION INCR j DONALD RONDEAU: 25 CHUCK DR.#4 Not va id wr on s gnature DRACUT,MA 01826 q Undersecretary s` WE- Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-035313 . DONALD G RONDEAU PO BOX 522 Y Dracut MA 01826 92 Expiration Commissioner 05/02/2014 i • of Town of Barnstable Regulatory Services MASH g Thomas F...Geiler,Director `rfn ram" Building Division Tom Perry,)WddingCommissioner_ 200 M2II1 SleeT,.Hyannis,.MA 02601 www.town barnsts.ble:ma s Office: 508-862-4038 Fay 548-790-6230 {{ Property Owner Must � Complete and Sign This Section If Using, A Builder I rn �+�► .r - a%t U` RZ 5 r..Q, �v2...E � l-LC I as Owner of the Si2bjq#pr6p6tiy.. rzexeby authorise- S � iL0'rt pQq,, to act-on my behally � I in.all matters relative to work authorized by t6 building petui t iL rv1wY„n s .. il7nn VIA► �Lv (Address of rob) Pool fences and alarms are'the res-porisibilitp of the:applicant. Pools are not to.be filled or utilized before:fence is installed and all`final inspections are performed and accepted. ►'�, •z or, S t z W,01yt:A car ULL signatuse of Owner Signaiute of Applif i • scan C�v? e�. ► P,nt Name Print Natne s1�st13 :Date I �:�oxMs:owr� sroriPoors 6rzou :: . f The Commonwealth of Massachusetts William Francis Galvin -... Page 1 of 2 The Commonwealth of r¥a Massachusetts William Francis Galvin of Secretary of the Commonwealth, Corporations Division * a One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 592 MAIN STREET, LLC Summary Screen Help with this form `°Request a'Certificfi'te .�� The exact name of the Domestic.Limited Liability Company (LLC): 592 MAIN STREET, LLC Entity Type: Domestic Limited Liability Company (LLC) Identification Number: 000980930 Date of Organization in Massachusetts: 06/26/2008 The location of its principal office: No. and Street: 22 COMEAU STREET City or Town: WELLESLEY State: MA Zip: 02.481 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: SCOTT C. RAVELSON No. and Street: 22 COMEAU STREET " City or Town: WELLESLEY State: MA Zip: 02481 Country: USA The name and business address:of each manager: Title Individual Name Address (no PO Box) First, Middle,Last, Suffix Address, City or Town, State, Zip Code MANAGER SCOTT C. RAVELSON 22 COMEAU STREET WELLESLEY, MA 02481 USA http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.... 5/20/2013 r The Commonwealth of Massachusetts William Francis Galvin -... Page 2 of 2 The name and business address of the person in addition to the manager, who is authorized to execute documents to be filed with the Corporations Division: Title Individual Name Address (no PO Box) First, Middle, Last, Suffix Address, City or Town, State, Zip Code The name and business address of the person(s) authorized to execute, acknowledge, deliver and record any recordable instrument purporting to affect an interest in real property Title Individual Name Address (no PO Box) First, Middle, Last, Suffix Address, City or Town, State, Zip Code REAL PROPERTY SCOTT C. RAVELSON 22 COMEAU STREET WELLESLEY, MA 02481 USA Consent Manufacturer — Confidential . • _ Does Not Require Data Annual Report _ X Resident For Profit Merger Allowed Partnership Agent — — Select a type of filing from below to view this business entity filings: ALL FILINGS Annual Report Annual Report-Professional Articles of Entity Conversion ' Certificate of Amendment �� View Filings`, w New Search < Comments ©2001 - 2013 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state.ma.us/corp/corpsearch/CorpS earchSum-mary.... 5/20/2013 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" Ff., 367 Main St.,-Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. a DATE: `�C1 er Fill in please: APPLICANT'S YOUR NAME: g A } BUSINESS YOUR HOME ADDRESS: x'�� ` TELEPHONE # Home Telephone Number: ��ll-�r.✓l Q�- 74 NAME OF NEW BUSINESS f' 7A (J/ TYPE OF BUSINESS -- L7- IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building divisio ? YES NO ADDRESS OF BUSINESS f� �.;,�% �J' MAP/PARCEL NUMBER r When starting a new business there are several things you must do in order to be in compliancewith 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 haveAhe appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has inf rmed of permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: S w& — l 2. BOARD F O HEALTH s This individual has e formed of th rmi 4ements th pert ' this type of business. COMMENTS: A t riz d Signature* ` Or� 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual hateen informed of the licensi equirements that pertain to this type of business. A t I horizeq Signature** / COMMENTS: SUS 1 vyl — aQ5 i"D f'u�l t �_AV1<;1-0 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: q So-to Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: � �771'3Ss5Sr- 0 aosq TELEPHONE # Home'Telephone p f1hone Number �C 1 ✓ l LA NAME OF CORPORATION: NAME OF NEW BUSINESS CS \ TYPE OF BUSINESS ±Cdy IS THIS A HOME OCCUPATION?? YE S NO 4 ADDRESS OF BUSINESS �UD ( g) MAP/PARCEL NUMBER Assessin � When st arting anew business there are several thins you must do in order r to be in compliance wit h ith the� p 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 ER'S O ICE This individ I h en-info m d f an pe it requirements that pertain to this type of business. Aut orized Signa ur ' COMMENT , --�j 2. OARED OF HEALTH This individual ha be med of the r it eff+eLts that pertain to this type of business. Authorized Sign re* f COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) ' This individual has been informed of the licensing requirements that pertain to this type of business. KA, ��� Authorized Signature* COMMENTS: 'Nn PP I 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 13Y.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. I' DATE: . Fill in please:: C S ! / , 1. APPLICANT'S YOUR NAME: 1 VI. (�U �I kit BUSINESS YOUR HOME ADDRESS: bLL TELEPHONE # Home Telephone Number: 2 NAME OF.NEW BUSINESS �� `, I Gg VI 2 VAL(tvPE OF BUSINESS (7 IS THIS A HOME OCCUPATION? NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS 2. J--� MAP/PARCEL NUMBER 001 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 ISSIO ER'S OFFIC This individ al h s b infor�ir -e an pe mit equirements that pertain to this type of business. �^ a V Aut rize Si nature** COMMENTS fill ✓ i 2. BOARD OF HEAL H This individual as be�n �e �th C/t it r it dents that pertain to this type of business. - MUST COMPLY WITH ALL . Authorized Sig re** FfA7ARDOUS.MATERIALS.REGULATIONIS 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: �- u'a Sundays 10am Divine Worship Tuesdays 10pm Prayer Line PH: 218-844-8230 Bridge 3732 36 '-esday 7pm Interactive Bible Study V QTV Channel 17 W `h Sundays 10:30pm &Fridays 2:30pm 4, Web: www.covrock.org Email: info@covrock.org ` j 6 &inslon 7rou .61 J asfor,7a4y_7z q 2f ---mMistry 70 'TAd 7vtae Malt-, 5�2 r1ti_Str_Q¢t !#ys ahis Mom;5Q,1-790_-1910 592 Main Street#3 — Hyannis MA 02601 MAPPED DIRECTIONS Y South Street a 0 0 N TUT., Se 0 259 North St Airport M Y To Route 6 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: Z Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: is TELEPHONE # Hortiotelephone Number `7-7 E , �' 7 yfl NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? S NO 22 ADDRESS OF BUSINESS �' MAP/PARCEL NUMBERJ06"07Z - DO I (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 ISS10 ER'S OFFICE This individ I ha e infer d any per it requir�that.pertain to this type of business.' n ut rized Signa u a N; COMMENTS: 2. BOARD OF HEALTH This individual has been 44Zrmed of the permit requirements that pertain to this type of business. Aut orized Signature* COMMENTS: 3. CONSUMER AFFAIRS [LICENSIW AUTHORITY) This individual has be&info f the licensing requirements that pertain to this type of business. KI Aut orized Signature** COMMENTS: O TO ALL NEW BUSINESS OWNERS DATE: tMONNIM. Fill in please: APPLICANT'S MIMOSA YOUR NAME: BUSINESS ' ` YOUR HOME ADDRESS:_C1 5P(2v\4 -V 6u (_011_�� ® ���. TELEPHONE Telephone Number Home NAME OF NEW BUSINESS d TYPE OF BUSINESS -!�2 Y)U C) IS THIS A HOME OCCUPATION? YES L j NO� Have you been given approval from the building division? YES=NO , �` ADDRESS OF BUSINESS V AP/PARCEL NUMBER ' 7 D 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) 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. BUILDINGWhonfzed IONER'S OFFICE This individual informed f any permit requirements that pertain to this type of business. Signature" COMMENTS: - 2. BOARD OF HEALTH This individual VAorized en ' for a of the pe mit requirements that pertain to this type of business. Signature" COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. r 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. �tnn i S r 1 r• i h _a r w a bwdy, 312vis q,, AO Noll a Est - L e Ss r >� - r a rr i x _ P i r NII0 d 4 :E I NV L Z 1310 OR s , 319visf- ' q Jo NlAoj Parcel Detail Page 1 of 4 ; � a a a i ErilllSCP1t# a ! > g a _. ..—...._-......--+.,�.+.,n.<.R..�.__.n..,w_w........m... ... nn...ed.2an+,�.<.s..,=.u` Logged In As: Parcel Detail Thursday, Aug Parcel Lookup Parcel Info Parcel ID 1308.07� Lot 3-0011 Developer LOT 5 I I Location 1592 MAIN STREET(HYANNIS) I Pri Frontage 61 _.. Sec ...___.. . -- - -..... _._ Sec Road I Frontage Village HYANNIS , Fire District f HYANNIS . ----..... -_....... Sewer Acct 0175 Road Index 0952 ,e Interactive Map Owner Info _. _ ...._ _ _..........----^..... ..----- —^ Owner:592 MAIN STREET, LLC Co-Owner! Streetl 22 COMEAU STREET Street2 city iWELLESLEY I State MA zip 102481 Country Land Info . _ Use _�TORE-MSRY FIRM Zoning Nghbd C109 Topography F Road ... ..... --_.._. — .._.....—-------- Utilities I Location Construction Info Building 1 of 1 Year Roof 1940 ----- --- -- -v Ext WOOD FRAME Built i I Str---1 v I Wall I Effect`7301 Roof AC HEAT ONLY _ Area I I I Cover — I Type Int Style jStOre Wall Rooms Bedi Model jCommercial I Int f6arpet - I Bath 10 Full Floor Rooms= Grade Average _._ _..._I Heat! _... I Total I` Type Rooms i http://issgl/intranet/propdata/ParcelDetail.aspx?ID=24919 8/6/2009 IParcel Detail Page 2 of 4 Heat @R stories Fuel IGas Found- Poured Conc. ation 48 Permit History Issue Date Purpose Permit# Amount Insp Date Comment: 10/13/2005 Repair Work 87526 $4,500 9/23/1998 Remodel 33526 $2,000 1/1/1999 12:00:00 AM INTERIOR Visit History _,._... .. Date Who Purpose 1/24/2006 12:00:00 AM Paul Talbot N/C-Cyclical Insp. 9/30/2005 12:00:00 AM Gary Brennan Cycl Insp Completed-Update 4/5/1999 12:00:00 AM Gary Brennan Meas/Listed-Interior Access 6/15/1986 12:00:00 AM Robert Whitty Sales History Line Sale Date Owner Book/Page Sale P 1 7/15/2008 592 MAIN STREET, LLC C186462 ; 2 7/21/2005 REVIS, ANTONIOS & FOTINI C177380 3 7/15/1982 DUCHESSI, SHIRLEY C89033 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2009 $441,100 $0 $0 $192,400 2 2008 $441,100 $0 $0 $192,400 4 2007 $441,100 $0 $0 $192,400 5 2006 $414,600 $0 $0 $192,400 6 2005 $382,200 $0 $0 $146,700 7 2004 $359,900 $0 $0 $146,700 8 2003 $259,400 $0 $0 $119,900 ; 9 2002 $259,400 $0 $0 $119,900 10 2001 $259,400 $0 $0 $119,900 ; 11 2000 $252,300 $0 $0 $91,400 12 1999 $252,300 $0 $0 $91,400 http://issql/intranet/propdata/ParcelDetail.aspx?ID=24919 8/6/2009 i Parcel Lookup Page 1 of 1 777— - f � �n Logged In As: Pa rce I Lookup Thursday, Aug Road Lookup Condo Lookup Multiple Address Lookup Reports Search Options Search By Street Street# 592 Street a Name m----"-in _.......__ .._- 1: Village JAII Villages f 1 Sea"fch�" ` <Prev Next> Page 1 of 1 Rows/Page Parcel Location Owner Village Index Ma 308-073-001 592 MAIN STREET(HYANNIS) -Multiple Address 592 MAIN STREET, LLC HY 0952 3W (596 MAIN STREET(HYANNIS)-) http://issql/intranet/propdata/lookup.aspx 8/6/2009 Parcel Detail Page 3 of 4 13 1998 $252,300 $0 $0 $91,400 14 1997 $258,800 $0 $0 $91,400 15 1996 $258,800 $0 $0 $91,400 16 1995 $258,800 $0 $0 $91,400 17 1994 $383,500 $0 $0 $115,100 18 1993 $383,500 $0 $0 $115,100 19 1992 $426,100 $0 $0 $127,900 20 1991 $525,600 $0 $0 $182,700 21 1990 $525,600 $0 $0 $182,700 22 1989 $525,600 $0 $0 $182,700 23 1988 $103,200 $0 $0 $108,200 ; 24 1987 $103,200 $0 $0 $108,200 25 1986 $103,200 $0 $0 $108,200 i Photos .......e".. yo, d f tii v Am n « " as �cad �; :'�.,di* „� ;•:+ `. � "' 4+ 3t.: r"•,�n „ ' ,1 - '� ed""''�suyt � - Vf :1 r ',:� -s"' `r •.,�" aas sk^'.✓ 4 '"r a `V3'a"E:'"�:.� �'� a< � j c".. e http://issql/intranet/propdata/ParcelDetail.aspx?ID=24919 8/6/2009 t a kv a 17/2009"_�. � � k 1 3kM� yi ws i*H,��" "'�U"4��C't"i0i. �wr ;�"+v.-•�-.W... � ���sam��. `�� , �. � � ri .,' STYLI.SI Ii.-1iAIR:"'(PAIs • • • •• . *.Tqpe M. I . • • • 11• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_- Parcel 61 6 v Permit# Health Division Date Issued Conservation Division Fee Di 06 Tax Collector L Application Fee o 190 Treasurer Planning Dept. Checked in By `� • Date Definitive Plan A ro ed b Planning Board Approved By PP S' Historic-OKH I Pee on/Hyannis Project Street Address n6) AJ Village NN Owner �tJ -�h �''/S Address 6191 CA-4 l P 13,4--11C41 Telephone gd g -7?'S'-- OL Permit Request i2 fz ?( &C;C S/ 1)IF t VAj L -7 P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ValuationO� Zoning District Flood Plain Groundwater Overlay Construction Type e•✓a o 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: Wull ❑Crawl ❑Walkout. 0 Other Basement Finished Area(sq.ft.) AfA Basement Unfinished Area(sq.ft) Number of Baths: Full: existing tJ A new Half: existing new Number of Bedrooms: existing µ4 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑ Electric . ❑Other Central Air: aYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:O existing ❑new size Pool ❑existing ❑new size Barn: 0 existing ❑new size Attached garage:O existing ❑new size Shed:❑existing 0 new size Other: _ Zoning_Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial WYes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �,�� ��� �Y(_ ? Telephone Number— Address L -2 c z,,\ij 8cr-e-Y i-A), License# © bo C� g� Home Improvement Contractor# 66dg163- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I� .i ,f FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP/PARCEL NO., _ r ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE ' ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL' FINAL BUILDING ? DATE CLOSED OUT ASSOCIATION°PLAN NO. J ya _. H _nnis Nan St>r•eet Warfront 114uvsTeeiE Historic District Commission 1�MASSa 230 South Street Hyannis, Massachusetts 02601 Phone: 508-862-4665/Fax: 508-862-4725. CERTIFICATE OF NON APPLICABILITY )lication is hereby made, in triplicate, for the issuance of a certificate of non applicability under M.G.L. Chapter 40C, The toric Districts Act, for proposed work as described below and on plans, drawings, or photographs accompanying this Jication. 'E OR PRINT LEGIBLY (14 y q 0 W 15 DATE 10 in � Q )RES$OR PROPOSED WOR14 ',S� _ IN&A I'N 5�� ASSESSORS MAP NO. 30:9 NER 1 C)to y . ASSESSORS LOT NO. � 0 1 IIE ADDRESS TEL. NO. =OR CONTRACTOR :Y_0 M#,T W AQj TYL 9-!2 RESS 1,37 eyA/t3rzeY L4 NC TEL. NO. 6'0 9 - q —'1 95-'? application is for exemption of proposed exterior construction on the ground that: (1)It will not be Visible from any way or public.place. . . . , -(2) It is within.a category declared entitled to exemption by The Hyannis Main Street Waterfront Historic District Commission. (Check applicable box) DOSED WORK: Describe and furnish plan of proposed.work,.showing location on lot,.and .if an ad ition is i dnvolved, ,ing.location of existing building. Y .r A(P . . V `►.. w 604� � XST ch . SIGNED )elowiine for committee use. Owner-Contractor-Agent -ed by H.D.C. The Ce if t e F v I Date b ed _a r_7 Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director 9� 1 9. at�� 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 i(IrTQ�/a :C--tz>,I ,as Owner of the subject property hereby authorize �j to act on my behalf, in all matters relative to work authorized by this building permit application for: S7Q. /7/ y.t/1" (Address of Job) /4�—y Signature of Owner Date A�o AJ1d /26'1e/ S Print Name Q:FORMS:O WNERPERMIS SION Barns'lable,Assessing Search Results Page 1 of 2 sKEp s a Z t 9 r M Home:µDepartments:Assessors Division: Property Assessment Search Results ............................................................................. 592 A ST (TIYAlvIvIS) Owner: DUCHESSI,SHIRLEY Property Sketch Legend Map/Parcel/Parcel Extension f 308 /073/001 Mailing Address 2 L 3 4 DUCHESSI,SHIRLEY 9 C/O GMP PROPERTIES PO BOX 5 .413 YARMOUTHPORT, MA.02675 2005 Assessed Values: 4 r Appraised Value Assessed Value ' Building Value: $382,200 $382,200 Extra Features: $0 $0 Outbuildings: $0 $0 Land Value: $ 146,700 $ 146,700 Interactive Property Map: ap requires Plug in: Totals:$528,900 $528,900 1 have visited the maps before Show Me The Map �.r�� April 2001 photos available imm In Sales History: Owner: Sale Date Book/Page: Sale Price: DUCHESSI, SHIRLEY 7/15/1982 C89033 $ 174,000 2005 REAL ESTATE Tax Information: Tax Rates: (per $1,000 of valuation) Land Bank Tax $96 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 Hyannis FD Tax(Commercial) $ 1,264.07 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Commercial) $3,199.85 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $4,559.92 Due to rounding differences these values may vary http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeS ervices/Finance/Assessin... 10/13/2005 ,Barnstable,Assessing Search Results Page 2 of 2 Land and Building Information Land Building Lot Size(Acres) 0.21 Year Built 1940 Appraised Value $ 146,700 Living Area 7301 Assessed Value $ 146,700 Replacement Cost$406,593 Depreciation 32 Building Value 382,200 Construction Details Style Store Interior Floors CarpetVinyl/Asphalt Model Ind/Comm Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Brick Veneer AC Type None Roof Structure Flat Bedrooms Zero Bedrooms Roof Cover Tar&Gravel Bathrooms Zero Bathrms Total Rooms 1 Room Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessin... 10/13/2005 KEnincering 1ept. (3rd floor) Map d Parcel - ! Permit#` House# Date Issue r Board of floor)(8:15=9.3 00-130) j "Ic4 Fee t Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) BIKE Definitiv Approved by Planning Board 19 BARNWARLE. TOWN OF-BARNSTABLE` f Building Permit Application Project Street Address —4 ad4l Sire ,gip/n/Ay.*Kees eG02.bS Village ,MINI S � 0.2 601 r Owner .10 P S;/®i4i C.iteek A)�- Telephone '779- Permit Request Remove lAlo elzrdx AelzrI r1oAl-t Lo cge✓o-6 e First Floor - square feet Second Floor square feet Construction Type C;ln 1 (6L,r,//, 4/aW( (eiwhL dll,,e 4e.i'l o,.f 0!! X 141 Estimated Project Cost $ ��0 f Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Typ . Single Family ❑;: Two Family ❑ Multi-Family(#units) Age of Existing Stru re Historic House ❑Yes ❑No On Old King's Highway,AFe CLI No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area q.ft) c�t/00 Number of Baths: Full: Existing New Half: fisting New No.of Bedrooms: Existing D New h .f Total Room Count(not including baths): Existing ew First Floor Room Count meat Type and Fuel: Gas ❑Oil ❑Electric Other Central Air Yes ❑No Fireplaces- fisting New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: Pool(size) ❑Attached(s' ❑Ba size) ❑ ❑Shed(size ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use S'7'0 kfiCC e Proposed Use ;b/S Pt,# (� Builder Information Name I 01 erk ��/i � hE/� Telephone Number 77r- Address ! 52- fi�/�.w b a.�r �/ License# -5'0 0 Ceiy►tw vj 02 y Home Improvement Contractor# Worker's Compensation# 000 0- 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 &:zrnsfa 5� SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) i FOR OFFICIAL USE ONLY r i"t e PERMIT N.O. DATE ISSUED ,, z MAP/PARCEL NO. tiv ADDRESS VILLAGE _ x' - OWNER. DATE OF INSPECTION:': � . , y • • , x — . a "'.• ' it FOUNDATION- FRAME r. µ r '' "•t INSULATION i FIREPLACE o - - - ♦ /r ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL J - • GAS: '. ROUGH t FINAL FINAL>BUILDING _ DATE CLOSED OUT r ASSOCIATION PLAN NO. T'he.*Commonweald z of Massachusetts s� N Department of Industrial Accidents . � _- : •�� Onlce ollmrestl�sUoas _, :' - ; 600 Washington Stred _ Boston,Mass 02111 Workers' Compensation Inwrance Affidavit WA 1 ta..itsueruuw....++• name: P-No i� P �n T e ��,r l� d-Ia c. Po��esr�m 1��It , location q,5�Z 5- d-d-ai-A/VtfIr" lVIr/ I?nvt CitV Ce4U r-e t V J LLe �'1;�-- 26 s 0110,e# ❑ I am a homeowner performing all work myself ' ❑ I am a sole 'etor and have no one world" in any------------------------------------------------- ecru ❑ I am an employer providing workers' compensation for my employees working on this job. coin env"nine. wYh t I Ci w i/'e- addresi: .. dtv insurance eo. I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the comaacmrs listed below who .nave the following workers' compensation polices: ... .. :om anv name. iddrets: ,nsnrenee cm .. •• .V'i ' .. • V�,ii.�. .J NMI �nnanv name. • - nd: rrsi• • "hose� . . . ....:.:,.. .:`�» ,..:.... ,�Y„ ,M we.�:;,�..;':... � ;✓.«;�;•. :•s�:.:':�bd6d... ley� ... .,. .••:.:..:i�;� :??': ..•�>°�"&'�+e�`v�'�"�y.: ;nscrance ro. aiitses to setaQe twverade ae teq=nd undw seedon 2M of 5IGL LU eaa lead to the tmpaeitlM ote=io M"pmaid"ota am up to SJJM tl Mower aw tom,bupslmmomt as well n eirll pmaitke is the Mona to SMP WORK ORDER and a Dan oMS OOM a dat ataimt me. I tmdenemd that a aPt of thb antemmt ant be forwarded to the Ottioe of ottha DL►tor t�onsap�dndoa. do hereby earnPmiury that d w infomudon provided above ics,JwR mid cm, Dam Priatname I ��� ! ';rC aM- c al Me oait do net write ht dhie awes to be eompiefed by dtt or town olOdai dtv or towns pee umctme o �Baildia;Department . 07.Icrosms Boatel ❑chedcif imasedLta tapes is repaired C3Sdeet:am'a Ouse (3Htolth Departtaeet watast pesSoa: - phone#. ❑Ouser�� {term 9/93 PJAJ rj TOWN OF BARNSTABLE Department of Public Works k: 367 Main Street Hyannis,MA 02601 !O N/A 9/19/97 VILLAGE ESZ CROSSSTREET AVISMAP UPDATE DATE EST BARNSTAB 2 SANDWICH TOW 111 1/16/96 RNSTABLE 1 111 1/16/96 ANNIS 3 GREENWOOD AV 288 1/16/96 NTERVILLE 4 SCUDDER BAY Cl 187 1/16/96 NTERVILLE 4 NATKA DRIVE 169 1/16/96 TERVILLE 4 EEL RIVER ROAD 116 1/16/96 ARSTONS MILL 4 WILLIMANTIC RO 103 1/16/96 NTERVILLE 4 PARK AVENUE 207 1/16/96 ANNIS 3 SEA STREET 307 1/16/96 NTERVILLE 4 FULLER ROAD 189 1/16/96 EST BARNSTAB 2 MAIN STREET/RO 108 1/16196 ANNIS 3 WINTER STREET 310 1/16/96 ANNIS 3 SEVENTH AVENU 246 1/16/96 RNSTABLE 1 BRAGG'S LANE 299 1/16/96 RNSTABLE 1 BOULDER ROAD IS16 sir 1/16/96 ANNIS 3 PHINNEY'S LANE 252 . ' . 1/16196 ANNIS 3 DALE AVENUE 286 _ c 1/1'6/96 ANNIS 3 SCUDDER AVENU r:•' 266 5/8/97 ANNIS 3 MARCHANT MILL 266 1/16/96 = NTERVILLE 4 CENTERVILLE AV 226 '1/16/96 NTERVILLE 4 FULLER ROAD 188 1/16/96 TUIT 5 SANTUIT-NEWTO 23 1/16/96 TERVILLE 4 BUMPS RIVER RO 120 1/16/96 ANNIS 3 WEST MAIN STRE 289 1/16/96 ANNIS 3 FALMOUTH ROAD 271 1/16/96 RSTONS MILL 4 SOUTH COUNTY 77 1/16/96 NTERVILLE 4 RICHARDSON RO 210 1/16/96 ST BARNSTAB 2 SANDWICH TOW 135 1/16/96 ANNIS 3 GOSNOLD STREE 306 1/16/96 RSTONS MILL 4 PRINCE AVENUE 76 1/16/96 ANNIS 3 SCUDDERAVENU 288 1/16/96 ANNIS 3 MARSTON AVENU 288 1/16/96 RNSTABLE 1 MAIN STREET/RO 348 1/16/96 JEST BARNSTAB 2 SHOOTFLYING HI 214 1/16/96 NTERVILLE 4 214 1/16/96 ANNIS 3 KENT LANE 291 1/16/96 ANNIS 3 AIRPORT ROAD 328 1/16/96 RNSTABLE 1 328 1/16/96 ANNIS 3 IYANNOUGH ROA 328 1/16/96 ANNIS 13 UNCLE WILLIES 292 1/16/96 TUIT 5 SANTUIT ROAD 71 1/16/96 ANNIS 3 SCUDDER AVENU 287 1/16/96 NTERVILLE 4 ROLLING HITCH R 193 1/16/96 e 23 .. , a ♦ 1 . ..' � 1r L' iv Y r ' r i ♦• ! t df et Ij I r s �F�34�iLM1YlS� BX�lY RT.7ffV.6Vi'>[,1� W1�Gi6�P�i 6A Dl G4f Z'Y'r� }•1 -�� � ' �ti�{ � �'t ,! �, .. -rvute�'�F' ✓� V0'I)7/I)ZlYltl!/CUGI/L O�✓I�CIl.QQ[�EUQC�.Q r �l' 1 r � '. ,f - y • { �x a'� DEPARTMENT OF PUBLIC SAFETY '. CONST T SUPERVISOR.LICENSE Expires: fl.' 86 E TiIELI R - >x Gee...+►7j�'� �.-,-�" �a ! �>. • f 45 ��fi�AWB�RRY HlLL RD' a CENTERVILLE, MA '02632 t. as:�•�.4s'�r.Y.dS�sf.�r�P'rai����lt !''+p'<'`'s"!.*?� 1:Re.,ryy'.a�n'rA: ��1 * t� �r'f h { a h{ � r + t t ;�•, r'-! i oF�►�, Town of Barnstable Regulatory Services Thomas F.Geller,Director FrOM Building Division ib g• ��� ED NIA Tomperry, Building Commissioner . . 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 C V 0 C� Date - Address To Whom It May Concern: Our attention has been alerted to the fact that you are flying illegal �.�7�� contrary to the Town of Barnstable's Zoning Ordinances.�Town po�oII sign i which t in motion by movement, including Section 4-3.3,prohibited Signs(1)"Any sign, including pennants,banners or flags,except official flags of nations or administrative or political subdivisions thereof." Please contact me at 508-862-4033 when these flags have been removed so that I can inspect the site.Thank you for your anticipated cooperation. Sincere David Mattos Biding Inspector , TOWN OF BARNSTABLE SIGN PERMIT 1 PARCEL-ID,-308 073 001 GEOBASE ID 22041, ADDRESS 592 MAIN STREET (HYANNIS PHONE HYANNIS _ ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 63203 DESCRIPTION KAFFEE WOLFGANG/ 16 SQ (1) & 4 SQ (2) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: r $25.00 BOND $.00 1 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BMWSTABLE, • Mass. ILD G NISI DATE ISSUED 08/21/2002 EXPIRATION DAT - - J Town of Barnstable F THE Regulatory Services Thomas F.Geiler,Director • BARNSrABIX • MAC'039. a Building Division '°rec►V1l+�° Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Tax Collector 6'X' Treasurer 1/. Application for Sign Permit Alpplicant:�"'� 4.L4 q T CU 14 ��( !j Assessors No. Doing Business As: K�• tt?� GVo Q q_______Telephone No. g--? 7 S 3(63 Sign Location rid 1 '041 Street/Road: `_( 6-t k, T Kee G1 Zoning District:_ j . Old Kings Highway? Yeslp6annis Historic District? (9NO Property Owner Name: ACOL Per k49 p cL Telephone: OR =�� /—��Q 8 Address: 2-� J FJ!0 G.� C'e Village: 14Va 14141 S Sign Contractor n Name: ��a S'S 1, J t��Q t� S Telephone: .15�0 77 / —2 Z2 0 Address: 5'Y 1 A /-(a 41 f j�fee r Villager 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/0 (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_ y Signature ofPrner/Authorize Agent: Date: s d V.� / Size: L� � Pe e: U Sign Permit was approve : - Disapproved: 4 Signature of Building c" r Dater ` Signl.doc f � � FAQ / i MAI N T Q - �J �J v 1-0 c4 T/ o ej ; ®VC 2 0,4i N CN;r� jcc� � Co o 2r fTo Nlc4-1 ttJ J"/ ��� IJ YA P aN ft4 r 7fC&f d? 960- P PO/276/' i�c " f ` ffl S r Y � X 36 ' w 22 ' �92 � Gross Square Feet cP �'" o - - 26 -4� --C , C« Itc 1 pcs 16 eJ 401 Annex # 1 23 ' X 20 ' Gross 231 460Grrs s' Square 1 -7 ��.�_ .�` � Feet TO AL N W BUSINESS OWNERS I DATE: 6 P Z. ftm Fill in please: W4NO � APPLICANT'S �Oc�t r YOUR NAME: G(/l� iL�k � BU INESS ' <, _.. n YOUR HOME ADDRES smog <- 3463ll , .: TELEPHONE ' d',' " Telephone Number Home o R- NAME OF NEW BUSINESS - Gj0cF i 4I 6 TYPE OF BUSINESS Co TELsd� �±2 uj[4;- IS THIS A HOME OCCUPATION? YES NO Have you been given approvalfrorp the b ild7 wisio YES NO ADDRESS OF BUSINESS 7�2 Hail, Pre2t kk e &® al y MAPIPARCEL NUMBER 90 00 O 73- O 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) 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' FFICE This individual ha bqo form formep o any permit requirements that pertain to this type of business. Au orized Signature** COMMENTS 2. BOARD OF HEAL H This individual has informed f t pern equiren)entp that pertain to this type of business.A111 7�2 hor' a Sign 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 $20.00 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. Raffn Molfgang 592,/T(ain Street Connection )1vannis, NA 02601 (508) 775-3963 Robin C. Giangregorio Town of Barnstable Site Plan Review Coordinator June 12, 2002 Dear Robin Giangregorio; This letter is to inform you of my intention to relocate my coffee house KAFFEE WOLFGANG to_therfollowing-address: 592_Main-Street Connection Unit 3--i Hyannis, MA 02601 Map: 308, Parcel: 073.001 This space was previously occupied by MAGAZINE EDITORIAL STAFF for Cape Cod Magazine under the management of Cole Blodgett. The public parking lot off North Street provides 200 parking spaces and is located in front of my store front facing North Street. Please contact me to inform me of any procedures I may have to follow regarding my relocating. Sincerely; Wolfgang Schutzinger f Giangregorio, Robin To: Sullivan, Barbara Subject: Kaffee Wolfgang Kaffee Wolfgang advises me that he is relocating to 592 main Street, Unit 3 (Hyannis). Although this is a change of use, with the reduced parking requirements, there is no trigger for Site Plan Review. The applicant is however, required to appear before the local historic for his sign and any other exterior renovation. He will also be required to obtain a sign permit and a change of use permit issued by the Building Division. 1 TOWN OF BARNSTABLE SIGN PERMIT ,, PARCEL ID 308 073 001 GEOBASE ID 22041 ADDRESS 592 MAIN STREET (HYANNIS PHONE HYANNIS ZIP _ I I I LOT 5 BLOCK LOT SIZE I DBA DEVELOPMENT DISTRICT HY i I PERMIT 37368 DESCRIPTION BELLA CESCA CONSIGNMENT BOUTIQUE PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 tME j BOND $.00 Ox CONSTRUCTION COSTS $.00 753 -MISC. NOT CODED ELSEWHERE * ' *. EBARNSTABLE. -MASS. 1639. Big, DIV B I Lr/J C � il/tl� DATE ISSUED 03/26/1999 EXPIRATION DATE I i L►atvsTAB�. Department of Health, Safety and Environmental Services SS 1619. `0$ Building Division - s 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector,/i:.. Treasurer Application for Sign Permit Applicant: rQ TNT C. ULG/.V'S Assessors No.----" 308 - 073 _00/ Doing Business As: 8e/1,9 Ce 5 ca 0/7 iCollM Pry/ Telephone No._,50k-790 Z/ �OU71/f�U� Sign Location U Street/Road: 592 mcLjn 7R PT i"011neCToA1 QVIu ,3 Mp OZ(ooi Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? es o Property Owner Name:_SNIPI Y Dtx:hp4n1 Mi1,j6(,%i0n Telephone: Address:_2_T .Snow r_ae'pI< bRillP AVQrr-)1 Village: 69ens p6/P Sign Contractor Name: F, D, L Winn Telephone: 7'7 l - 7(o 7/ • Address: P,n 57-R-e tf it Q n n 5 Village: 6/e Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of die new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes49 (Note:Ifyes, a wmngpermitis 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 Agent: l� e./E' � �� Date: Size: X 0 Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Ohic' &eO, _ Date: Signl.doc rev.8/31/98 i L I r I s I � o n '�, slhc) Red` boraer :fk.,\Cio"rck block 5 Shop WN.144 Coni , r lOeO a K r' r Brigham and Women's Hospital Printed for COLLINS-CANEPA,FAYTHE on 07/12/98 FERROSEQUELS (FERRO-SEQUELS) *Take/use as directed by your doctor, pharmacist, or the product manufacturer. *Inform your doctor and pharmacist of any allergies or medical conditions you may have. *Inform your doctor and pharmacist of all medications (including over-the-counter (OTC) medications) that you are taking. *Inform your doctor and pharmacist if you are pregnant or breast-feeding. r � *Discuss medicine-related questions (such as potential or adverse effects from this product, correct use, what to do if you miss a dose, and how to store this product) with your doctor or pharmacist. * Updated 02/11/98. 3 THE TOWN TOWN OF BAR.NSTABLE � i BAHHSTA33L4 i y MAO& OD Q1639. MAY Office of the Building Inspector ay 4 p 1944 PERMIT TO ERECT SIGN IS HEREBY ' y25'00 GRANTED TO ..........�A.ii ........��....:�'...Tr��.Ca'':...`..�.��...C:e......�sz...Lc..cct�i�c........................................................... ilb LOCATION .............................59............ .. S h......t9..�.�Ct.Did......................................................................................... ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT ✓), k Building�nspsdor • 1 "''•, TOWN OF BARNSTABLE 6�) SIGN APPLICATION 19 ,ego• � Owner's Name Address (� — Location A N yV b Q)/1 Q 1 Name of Builder ty) 0 w 1 Q,vl;�P'—. Address &A YU 0LL,b C 24 Type of Construction Free Standing or Ittacheda Zoning District Fire District I hereby agree to conform to all Rules and Regulations of the Town of Barnstable regarding the above construction. All permits subject to approval of the Inspector of Wires. Name Diagram of Lot and Sign with Dimensions to be placed on reverse si � 1 , �� �f ��aL �' l ��G�'1-i�'-dC., f _ SUBMISSION REQUIREMVNTS ' $tow �ev�EW for Gdv►r^�- �-t -- SIGN DESIGN REVIEW The Architectural Review 'Committee (ARC) requests that each business wishing to erect a sign, submit for review a photo- graph, scale drawings of the sign and bracket, and a Town of Barnstable Sign Application. Sign Applications may ob- tained from the Building Commissioner ' s office, 4th floor, New Town Hall. A business may, at its option, submit addi- tional information which may assist the ARC in reviewing the sign design. A representative of the business making applica- tion is required to attend the ARC meeting at which its sign will be. discussed. Less than the minimum submission require- ments will delay action until they have been met. 1. PHOTOGRAPH A photograph showing the existing facade, on which has been indicated the proposed sign location. The photo- graph is to include a portion of adjoining stores or buildings. For a proposed building or new facade, an architect' s elevation may be submitted in lieu of a photograph. 2 . SCALE DRAWING OF THE PROPOSED SIGN A scale drawing indicating 1) the type of proposed sign (wall, hanging, free standing) ; 2 ) dimensions of the proposed sign and any designs, logos, or let- tering; 3 ) colors; the drawing may be black and white, but color chips must be attached for colors other than black, pure white, . or gold leaf; 4 ) materials; what the proposed sign and letters are to be constructed -of; and, S) a cross-section with dimensions showing edge detail . Minimum scale, 1" - = 11 . Minimum sheet size, 81� x 11" . Two sets. 3. SCALE=DRAWING OF THE BRACKET Ascale drawing indicating dimensions, color, material, and_ method of affixing it to the sign and to the build- ing. Minimum scale, 1" = 1' . Minimum sheet size, 83� x 11" . Two sets. 4 . TOWN OF BARNSTABLE SIGN APPLICATION `_ 7C comp'l eted Sign Application, including scaled diagram �( � ) showing location of sign on building or location of free-standing sign. Show dimensions. L %May 16, 1983 ARCHITECTURAL REVIEW SIGN APPLICATION , DATE 1 J g y TELEPHONE NUMBER(S) (Ir]t --- 5 �s ADDRESS OF PROPOSED PROJECT a9'� �►�►ti S'� Yn�yYvl i m ) ci 9,C)1 OWNER MAILING ADDRESS �'�'1, l�iyy �"�' }� IMyu 0M. ®�C�o SIGN REVIEW/NAME OF BUSINESS_ C ELnL,192 LV-=�}�)� � AGENT OR CONTRACTOR M;elm ri [AIC)c-A ('be JZ-i2 ( ,��j�yA W)C 11 Myl AND ADDRESS DESCRIPTION OF PROPOSED WORK(Use back of form if more space is needed) •Please indicate dimensions,. colors, lighting, site location, and if-a sign methods of application. FOR OFFICE USE ONLY PLEASE DO NOT WRITE BELOW THIS LINE/CHECK EACH ITEM Sketch Attached- Photographs Dimensions on Sketch Distance from ground G Illumination Method of attaching - Colors Number of signs. Maximum of two al owable Application Received on Action Taken Date of Hearing Building Inspector Notified TO ALL NEW BUSINESS OWNERS Fill in'please: •b� �� r YOUR NAME: 1 APPLICANTS BUSINESS ! : �tHt,�� YOUR HOME ADDRES 1 \• , f- �ttY` Tele ho�' ----� ne Number Home -7 �� TELEPHONE NAME OF NEW BUSINESS•-Thy �'�" TYPE.OF : BUSINESS 3'Q't IS THIS A HOME OCCUPATION? NiAP/PARCEL NUMBER 3 U b ADDRESS OF BUSINES dZ t . When starting a new business there are several things you must do in order to bb 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 individu h ee Aformed of any permit requirements that pertain to this type of business. Aut orized Signature COMMENTS: n (h - to 2. GO TO BOARD OF HEALTH (3RD FLOOR TO1Nt� HALL) a This individual has been informed of the permit requirements that pertain to this type of business. 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 r-ust return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (Which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. l($}►annis Main Street Waterfront Historic District Commission NAM .f' 230SouthStreetva �: 13r,fS~ BL� Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725. Application to HY annis Main Street Waterfront Historic District Cornn ssign cn In the Town of Barnstable fora " ;�ilCli zCAI 0 +moo CERTIFICATE of APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriatenew under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described be ow and on plans,drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: o .c 1. Exterior Building Construction: ❑ New Building ® Addition ® Alteration Indicate type of building: ❑ House ❑ Garage ® Commercial ® Other 2. Exterior Painting: ❑ 3. Signs or Billboards: % New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot: New Building ❑ Addition ® Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ASSESSOR'S MAP No. ASSESSOR'S LOT NO. fI :Z APPLICANT 1 F TEL. NO. -56 i-- 72/-/V ' APPLICANT MAILING ADDRESS -XLd c) Cj& 1 7),f A4 i16)a8x / /q Q-2-6a' ADDRESS OF PROPOSED WORK /yI,A d S 1= 6,G PROPERTY OWNER F J,101A/ TEL.NO. ,jo -�,7//Staff' OWNER MAILING ADDRESS 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 neces i d AGENT OR CONTRACTOR' CL OSS)e 16 A) .TEL. NO. `7 71 22 Zo ADDRESS I A 9✓I c A r= Hyannis Main Street,Waterfront �enaNsr g Historic District Commission , � tV �F , i14 s TABLE 230 South Street Hyannis,Massachusetts 02601 r _ M. I!: 2-4 TEL: 508-86665/FAX: 508-862-4725 ?(v2 ° ' , SPECIFICATION SHEET FOR SIGNAGE .Prior to filing your application for a Certificate of Appropriateness, please contact Gloria Urenas, the Town's Zoning Enforcement Officer, at 862-4036 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 was previously existing 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. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign ' • color chips for all colors on your sign • 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 V • a scale drawing of the sign bracket, .indicating dimensions, color, and material Please fill out all information requested .below. 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 y / Material(s) of Sign Material of Lettering (if different) ' The Sign Will Be (circle one): carved wood / painted wood / vinyl lettering other (explain) cg ""e i,v,¢,-,oxi Location In Which the Sign Will Hang dal? Z:1 t-ix-1 8% A/yi�,cJ,t/ts Will there be exterior light fixtures to light the sign? //b i t X 3 Prt�t ' SG07 rA � ==4 (CO 1.L CT R ol L-PIUIO OIJ ofti4O6, KAFFE.F. WOLFGANG. 5AL41$Cff CENTER �y . O 4 I R WH ITS STYLLSTRC HAIR THE LOT ._S 5 r�E v►ew 31y" M Qo PW.yVJOGi> W r7'b-4 vo r Ng" 3®ane�L dw T/w ,� 'yp ���E V• R"'��Jd.V'r C�/ti�✓ ..� ��rl WY'►/r 7 gr �1•JD t {SlAV6�<,. �1►r9��J� �,IH `�` � 1 A�� ve/, 7'+-1 r `� �(Z M v4 �� �T: C 01J t�� �n� ;. � � � � � r � � � , � � � o � LL�4�-Fa� �_.—._.��-.� ...- - - __-� - i Q ABUTTERS LIST FOR 592 MAIN STREET 1) 308873002 .259 North St. Realty Trust 297 North Street Hyannis, MA 02601 2) 308072 Town of Barnstable 3) 308867 Aboudi, Judith TR, Dani Realty Trust 600 Main Street Hyannis, MA'02601 4) 308115 Mehta, Ragbir 585 Main Street Hyannis; MA 02601 - 5) 308116 Jeffries, William E. Jr. 110 Acorn Drive 4 West Bamstable, MA 02668 r Ely "annis Main Street Waterfront MRI-WARM Historic District Commission 230 South Street `'`�„ �Ar� �� v a Hyannis,Massachusetts 02601 t *I �!, TEL: 508-862-4665/FAX: 508-862-4725. Applicatlon to Hyannis Main Street Waterfront Historic District Commission- In the Town of Barnstable for a iJldO CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropria es�, under M. G. L. Chapter 40C, The Historic Districts Act for proposed wok as describe el and on plans, drawings or photographs accompanying this application for: 4 PLEASE CHECK ALL CATEGORIES THAT APPLY: > L Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration r Indicate type of building: ® Mouse ❑ Garage ® Commercial ❑ Other Q► 2. Exterior Painting: ❑ o t, 3. Signs or Billboards: Re New sign ❑ Existing sign ❑ s. � Painting existing sign 4. Structure: ® Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE � 5 a-Z ASSESSOR'S MAP NO. ASSESSOR'S LOT NO, APPLICANT. rA,( , � , /h r���L� � TEL. NO. _S-6 APPLICANT MAILING ADDRESS JC -XL d 71rF' /yj g (5 Z 46 ADDRESS OF PROPOSED WORK .S E G2.tray PROPERTY OWNER ��,� Ohl/ a-f s� TEL.NO. OWNER MAILING ADDRESS aj-S o aJ 4?1gz, 1��,Q. ��9.�✓,�i� /.,�c?L�ffi F[JLL 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. {Attaeh additional sheet if Hates ....... _-. - ._. . ...�.---��._....__.- saryy. 102, .AGENT OR CONTRACTOR CLOS-<)e 53 tit ADDRESS _ b ST` i-I yc4-%�✓ s r Hyannis Main Street.Waterfront Historic District Commission TOWN, R s' ° 6LE 9eb ,may, 1e� 230 South Street Hyannis,Massachusetts 02601 211nu7 AUG _s Am 11: 191 TEL: 508-862-4665/FAX: 508-862-472.5 SPECIFICATION SHEET FOR SIGNAGE DIVISION .Prior to filing your application for a Certificate of Appropriateness, please contact Gloria Urenas, the Town's Zoning Enforcement Officer, at 862-4086 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 was previously existing 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. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign color chaps for all colors on your sign • 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 Please fill out all information requested .below. 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 y. X y Material(s) of Sign ao ��yGriC�D��iP%�n'�611A A 7 Material of Lettering (if different) iC- The Sign Will Be (circle one): carved wood / painted wood / vinyl lettering other (explain) cO�rS i.v. r�ow Location In Which the Sign Will Hang Will there be exterior light fixtures to light the sign? A/b If so, what type of fixture? 1 X3 PjNt �� �/y �� oo � � LD►��oQry K-AOFEE W\ CIPGAN(G FOR P,HIrF ' Vltj�(L STYLISTRC HAIR SALON THE LOT ✓ice y9Gi l /tRo : 3�,y" �vr 00 ��.yr�G� �;.r►-M Tow �A�Et,.' Mr9�J1?- � �'✓� Mo9r� a/� ft,J�t t/(DV�3G.. fit.-rra�•1�5 `. '�/o� y` � ��.a+� v✓� r`a! . r cow ote cn nt i�- L E `ram C9 P " A( Q i 0 eR��nFRS LIST ��� v�3 MAIN STREET .� ; • . ' 1) 308873002 259 North°St. Realty Trust 297 North Street r Hyannis,MA 02601, 2) 308 072 Town of Barnstable 3 308867 Aboudi, Judith TR, Dani Realty Trust } 600 Mam Street. Hyannis, MA 02601 4} 308115 agbir 585 Main R Street Hyannis, MA 02601 5) 308116 Jeffries, William E. Jr. 110 Acorn Drive West Barnstable, MA 02668 d i 1 oFtNE, Town of Barnstable Regulatory Services + 3ARNSTABLE + Thomas F.Geiler,Director �A 16g9. �0 Leo ter" Building Division Tom Perry. Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 29, 2002 Gerry Angelini Center for Balance 100 Trout Brook Road Cotuit, Ma 02635 Re: SPR 045-02, 592 Main St.,Unit 2, Hyannis (308-073-001) Proposal: Establish massage and acupuncture services as additional services Dear Mr. Angelini; Please be advised that this application was approved at the Site Plan Review meeting on July 18, 2002 as presented and subsequently was referred to the Zoning Board of Appeals for a use variance. Sincerely, Robin C. Giangregorio Site Plan Review Coordinator RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Rear 593 Main St. 308 117 Hyannis H 1 LAND 7J BLDGS. OWNER oc /0/ 4o,,v "kAqX TOTAL RECORD OF TRANSFER DATE eK PG I.4.s. REMARKS: LAND BLDGS. TOTAL Sullivan, Anne L. & Maertins, Gustave R. & 10 18 72 1739 321 .23a LAND rn BLDGS. Willard, Priscilla M. TOTAL r� LAND ,'// 't 'LG^RD ^/ /S t-R 3%f R RD ` BLDGS. / '7QQ.78 M TOTAL LAND m BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: BLDGS. TOTAL DATE://3 l)� LAND ACREAGE OMPUTATIONS BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT p o 0,00 O 3 p �S �3 $p LAND CLEARED FRONT BLDGS. REAR / cy�. TOTAL WOODS&SPROUT FRONT LAND REAR 0) BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS, TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER 0) BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. � BLDGS. '- TOTAL ',one. Slab Bsmt.Garage St. Shower Ext. -`_-- ---�— PURCH, DATE ' Walls PURCH.PRICE - Brick Walls Attic Fl. &Stairs Toilet Room Roof RENT Stone Walls Fin.Attic Two Fixt.Bath Flo rs — 'iers INTERIOR FINISH Lavatory Extra 3smt. F O 1 2 1 3 Sink 1 1/2r/a Plaster WaterClo. Extra Attic + _ �y/U ,-XTERIOR WALLS Knotty Pine Water Only _ _ Z �cuble Siding sl Plywood No Plumbing Bsmt. Fin. I ii Tingle Siding Plasterboard Int.Fin. WO Shingles TILING I 1�J S ;one.Blk. G F P Bath Fl. Heat 3J C1 - <• 8 'ace Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit /U g B Veneer Int.Coed. V Bath.Fl.&Walls Fireplace So 'om. Brk.On HEATING Toilet Rm.FL Plumbing 0 ;olid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. Tilin c g- _ Steam — Toilet Rm.F1.&Walls g _ •__ B 'z-,� y y� 's.#�,,; 31anket Ins. Hot Water St.Showerea- y-` Total .+•^ ' toof Ins. Air Cond. Tub Area �fjt/��. �c�L,o��, Floor Furn. / G/45 ✓ ROOFING ILIA I U n ✓ COMPUTATIONS �cr/s9/�id� dpGc� U/ ksph. Shingle Pipeless Furn. 3 S.F. / 0 Y U Nood Shingle No Heat 3 b/ S.F. .�O .3 s0 4sbs. Shingle Oil Burner 3 S.F. p 3 S0 ;late Coal Stoker 3 y/� ile Gas S. F. OUTBUILDINGS - - ROOF TYPE Electric ;able Flat S.F. 1 2 3 4 5 1 6 7 8 9 10 1 2 3 4 516 7 8 9110 MEASURED iip Mansard FIREPLACES S.F. Pier Found. V Floor Sambrel Fireplace Stack I - Wall Found. 0.H.Door LISTED FLOORS Fireplace I Sgle.Sdg. Roll Roofing .one. LIGHTING Dble.Sdg. Shingle Roof Earth No Elect. - DATE ,- Shingle Walls Plumbing me iardwood ROOMS Cement Blk. Electric Vz ksph.Tile Bsmt. 1st TOTAL a3 Brick Int.Finish PRICED Single 2nd 3rd FACTOR REPLACEMENT �•,�74-1 OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL, Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. 3WLG.J`ffl/}7 .3/277" a/ / ' lG 2s - t Al b; /Ooa Xfo 2 - 3 / 4 5 + 6 1 7 8 9 10 TOTAL - sd`0 S ±'.n ,kn ✓��Y7d is a *r g 4il 't i;.� r@t ,Lrstar.tr �4 4•x " { =d^ �. F1 qa1 a i a- ;r a. 's Ittga The Town of Barnstable Department of Health, Safety and Environmental Services HAM �' Building Division �1" Ep fit• 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 1 -2� U 1�� 1� u S Building Commissioner U tt'�t Application for Sign Permit Applicant: e-i' 14 kfr Assessors No. JO Doing Business As:�T� Telephone No.- _ Sign Location StreeAoad: Zoning District: l� Old Kings Highway? Ye IDO Property Owne Name: J� � L`l a Y1 Telephone: Address:`� ��� Cfoe iekl _R Village: # Sign Contractor Name:— Telephone:a N 0 Address:1n �����"�� Village: r r 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,)(Note.ffyes, a wuingpermitif 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 Agent: Date: size: Permit Fee:-- Sign Permit was approved: Disapproved: Signature of Building Official: Date: b Z 1' 1 � r i C O C3 CM Cl O O CU d C, O O O O d O Cl d 0 v d O d C7 O O C7 t� CJ O ,.n d 11 anti[` j p I ! ! z.a r _ Hyannis Main Street Waterfront Historic District Commission. MAM 16yg. 230 South Street Hyannis,Massachusetts 02601 508-790-6270--FAX:508-790-6288- Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: X New signs ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot ❑ New Building ❑ Addition ❑ Alteration (Please see the-guidelines for explanation and /requirements) TYPE OR PRINT LEGIBLY DATE _ (%onpec4-lon tcru�s��a ADDRESS OF PROPOSED WORK Rd PhAi Wj ASSESSORS MAP NO. 50 /OWNER.L)e-irKa CV)Ri(3- \ ASSESSORS LOT NO. O ,00 V HOME ADDRESSSJ% SnDVJe_feekDr. 4VOAAI5 TEL.NO. SOBS - I)FV- Jy08 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way.(Attach additional sheet if necessary). AGENT OR CONTRACTOR C1 1 Q 5� i(" q TEL.NO. ADDRESS c\i t a (v O ��a MO j n'\�i* CO()NEC�o(I 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 In the case of signs, give locations of existing signs and proposed locations of new signs. plans. additio�� heet, if necess 1� (Attach Lt.ni �� L� �Vhr�e RI S.iq n W,-4-h roJ Vie._. 46mLe door. Sick\ 1 5"A 1 ['a 112 1 Sho ri�r -- OEMer ��i 5�•i�n �i�11) �j� I n or SYAIZ04 bw all3-P+ 71 gI��`� dco r S . �i irl 15 fe`x I' c}R,� CL=4 e ct e v-� �c;t.i��;;1 a lu. J Si Owner-Contractor-Agent Space her�.v RECEIVED ina- f^�Cviillll SIO(( SP Received by HMSWHDC JINN 0 9 1998 Date TOWN OF BARNSTABLE Time F I j RIC PRESERVATION DIV. The Certificate is hereby: Approved In Disapproved Date IMPORTANT:If this Certificate is approved,approval is subject to the 20 day appeal period provided in the Ordinance. . _ t: - TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 073 001 GEOBASE ID 22041 ADDRESS 592-596 MAIN STREET (HYANNIS PHONE Hyannis ZIP LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 16362 DESCRIPTION WRIGHT CREATIONS (20 SQ.FT. ) PERMIT TYPE BSIGN TITLE. SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND tME .00 CONSTRUCTION, COSTS $.00 753 MISC. NOT CODED ELSEWHERE + iARN3TABIF, + I OWNER DUCHESSI, SHIRLEY i6. A�O� ADDRESS %J DERHAGOPIAN 25 SNOW CREEK DR / HYANNIS MA BUILDING DIVISI N Y � C A- ) DATE ISSUED 07/08/1996 EXPIRATION DATE J/ �` a O�n I° �Y �� �1S��fal�rf .' , . . . �' t no. Department artment of Health Safe and Environmental Services 6 P ► Safety Building.Division 367 Main Street,Hyannis MA 02601 > k ^11VIV `�. Application for Sign Permit 30� - 673 : ✓o/ a.--= g��Applicant: LAssessor's no. DoingBusiness As: e' A © � Tele hone-P� 0a P Sign Location �/ � greet/road: 1 , l a; (1 Zoning District Old King's ffighway District? yes no Property Owner Name: f1 Telephone :Z ? - l LI C) Address: 5 �c2 /Y?a i, ) Oon nec•Ln or\-J, A • V"illage Sign Contractor Name: - Tel �/�2 - ��/ m 1 ..a . Addres � •. Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new to be drawn on the reverse side of this application. Is the sign to be electrified? yes no (Note: if yes,;wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make 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 Ordinances. 8 Date Signature of Owner/Au orized Agent F d7J Sue (sq. ft.) �O Permit Fee Sign Permit was approved: disapproved: nnta Signature of Building'O cial TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 073 001 GEOBASE ID 22041 ADDRESS 592-596 MAIN STREET (HYANNIS PHONE Hyannis ZIP LOT S BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 19146 DESCRIPTION NEW YORK UPHOLSTERY (5'X 8" ) &6"X 30" ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ' ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND .00 CONSTRUCTION COSTS $.00 753 MISC- NOT CODED ELSEWHERE * t * BABNSTABLE, + MASS. OWNER 163 A`��► ADDRESS %J DERHAGOPIAN25 HYANNIS OW CREEK DR MA BUILDING DIVISION DATE ISSUED 11/07/1996 EXPIRATION DATE T I The Town of Barnstable I! --7 �- 1 Department of Health Safe and Environmental Services NAM P Safety Building Division 9. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: L u is L a -zqNd Assessors No. �0,0 _6 �73 Doing Business As: i P�W J4 1 12Y Telephone No. 7lid Sign Location Street/Road: `�'J ��✓�/°'' / Cowl%n��' f c��✓ d�i0/S /l GZ_ D�:�c'f Zoning District: Old Kings Highway? Ye(e Property Owner Name: Z� �,X_ V2 �i r7 ✓� Telephone:�7 7/�" O Address. �;J�So✓tjt,� .� �i� U r/�--� Village: � �`�`� f s Sign Contractor 0 Name: 2 ✓� �L �_. _...,.p....__ .66-_31) � J C/ Address: C N, L Village: vtzZ,4fZ,,A_C q-y , Description Please draw a uiagraIn 0110i showing location of bU11lALib'J anu calJtiag SigclJ With t.1111 erisions, 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./ (Note:Ifyes, a wiringpermitisrequired) 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 Agent: VDate: $1Ze,CA X �' Permit Fee: Sign Permit was approved: Disapproved: �— Signature of Building Offici Date: `� �� i 3e-" �,, ,44l �r � TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 073 001 GEOBASE ID 22041 ADDRESS 592 MAIN STREET (HYANNIS PHONE HYANNIS ZIP i LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY I PERMIT 25851 DESCRIPTION STYLISTICS HAIR DESIGN (16 SQ.FT. ) � PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES. $25.00 BOND - -$:00 - - .. _ . I \ . . .. px TMIE � CONSTRUCTION COSTS $.00 4p�' 753 MISC. NOT CODED ELSEWHERE * + * BARN3PABLE, # MA83. OWNER DUCHESSI , SHIRLEY ADDRESS %J DERHAGOPIAN ED Mlr►I 25 SNOW CREEK DR : . HYANN I S. MA B ILDING D' VISI)ON j DATE` ISSUED 09/24/1997 EXPIRATION DATE r. �-- i • j -, I i 11 I . f t11 (�WA�LaK'-'INS�A�LWAYS1wELrGO1VIE� i t The Town of Barnstable z' —� s Department of Health, Safety and Environmental Services Departm KAM � Building Division 367 Main Street,Hyannis MA 02601 J. Office: 308-790-6Z27 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit APPlic nt:a Assessors No. Za L' ' G 1 ao� //J! ��S l/Z i�� Telephone No. -Ve'77/3�� Doin�:'Business As: � y - ,� ��_ c �� � Sign Location q « Street/Road: J'9av InAl.�Y Zoning District: Old Rings Highway? Yes/- '0 Property Owne .Name: Own I Telephone: Address:s��7` ��d4j221 Village: d�t�� ' Sign Contract r 69 , Tel Name: �Y� � Address: hl/ Village: Description Please draw a diagram of lot showing location of buildings and e:asting signs Aiith dimensions, location and size of the new sign. This should be drawn on the rei,erse side of this application. ti? Is the sign to be electrified? Yes/No Note:Yjrs, a rviringpc=itis requite I hereby certify that I am the owner or that I have the authority of the oRner 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 B table Zoning Ordinance. Si ature of Owner/Authorized Agent: - Date: 7 gn 0 Size: Permit Fee: Sign Permit was approved: Disapproved: Date: Signature of Building Offi 'al: Z I_ TOWN OF BARNSTABLE r BUILDING PERMIT PARCEL ID 308 073 001 GEOBASE ID 22041 ADDRESS 592 MAIN STREET (HYANNIS PHONE HYANN.I S ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT NY PERMIT 91238 DESCRIPTION 16s New King Worship reface org sign/same 1 PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services I TOTAL FEES: $25'.00 tME BOND $.00 Of CONSTRUCTION COSTS $.00 ' 753 MISC. NOT CODED ELSEWHERE snMsrnBLc, 0 9. Al FD M� (BUILDING—D' SION -- DATE ISSUED 04/04/2006 EXPIRATION DATE f U - -------- --- --- 3 i .I i Ott, I, a 1 I Town of Barnstable ,. �VEro, Regulatory Services nr �;� o* Thomas F.Geiler,Director lj� � �� WN ' Building Division MAM 9� 1639' `0$ BuildingTom Perry, Commissioner �fD MA'S A a 200 Main Street, Hyannis,MA 02601 � www.town.b arnstable.ma.us Fax: 508-790-6230` Office: 508-862-4038 Permit# r Appl'eatio for Sign Permit /Z �pY17 , �XAssessors No. d v� 0 7� A licant:i��- ' Telephone No. �� Doing Business As: / U g��3357 Sign Location Q�� 4111 � /¢ Street/Road: ' u ' //� �6bhe�TlM1 Zoning District: V 6. Old Kings Highway? Yes/No Hyannis Historic District? Ye o Property ner, �+ Telephone: Name: I n C ��,1 (���j Village: Address: p. Sign Contr or s elephone: Name: � /f � n/�/ Mailing Address: 3 Q �T 16AN f//f Qrld�� 9 Gam/ Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of Sl� the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes (Note:If yes,a wiring permit is required) '� � ell V ft.s 10 z.10 �w = Width of building face_2�Q�_-- 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 cons cti shall c o th ovisions of§ 40-59 through§240-89 of the Town of Barnstable Zoning Ord' Ce. �Ssdt2 Signature of OwAerlAuthorized gent: Date: ' Size: ff''�r J� � 2 �6 • Permit Fee: `l 2 Sign Permit was approved: Disapproved: Date:' Signature of Building Official: I WPFff.MSIGNS'I SIGNAPP.DOC � cam- �r ,� ' gd ew �� �nom Worsh�p Center� Lu Eixperience His Presence . . . - . . . "Where .the Integ��dty of'His Word & the Authority of His Kingdom Come Together" N 5 .a Hyannis Main Street Waterfront anst�resLs • Historic District Commission-- . P 230 South Street. Hyannis,Massachusetts 02601 TEL: 508-862-46651 FAX: 508-862-4725 D Application to 0 Hyannis Main Street Waterfront Historic District Commission ocr 1 in the Town of Barnstable for a to 182005 CERTIFICATE OF APPROPRIATENESS H�STOROPR5SNSTABC Application is-hereby made, in triplicate,for the issuance of a Certificate of Appropriateness ERVgTj N underU-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 ❑' Alteration ' . Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other -2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign Lt Existing sip repainting existing sign . 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parldng Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ASSESSOR'S MAP NO. ASSESSOR'S LOT NO.-I 00 1 223367 APPLICANT EJO 10 0 4,R361 &_kTEL-NO5Pe_ -1440 � `— APPLICANT NVIAILING ADDRESS 6'92-#t3 Ata s-r Qnnis Aw j Z pe L ADDRESS OF PROPOSED WORK � 1E ,/FS X-sOdr — PROPERTY OWNER TEL.NO. OWNER MAILING ADDRESS 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 As sor's Office. '(Attach additional sheet if necessary): -� GSS i?s .�. AGENT OR CONTRACTOR TEL.NO: enr�uFcc •' •" DETAILED DESCRIMON 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 frdmes,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). A Al �� AIN t loe- -�-Vaar P� laso AMC �Yv a141 Signed Owner-Contractor-Agent Q� SPACE BELOW LINE FOR COMNIISSION USE Receiv C E 0 V40 Date D _ Time O C T 18 2005 This Certificate is hereby By TOWN OF BARNSTABLE� �DatHIS I N 4ped ROPORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period•provided in the Ordinance. CONDITIONS OF APPROVAL: HYANNIS MAIN STREET WATERFRONT EaSTORIC DISTRICT COMMISSION **SPECIFICATION SKEET**'' ADDRESS OF PROPOSED WORK FOUNDATION ---- SIDING TYPE COLOR CHININEY TYPE COLOR ROOF MATERIAL COLOR PITCH WINDOW COLOR Q TRIM COLOR v Q DOORS COLOR wN 18200 - STAR/�pq�RN S�IU'ITERS SEq�q 8�F - N 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. Y Hyannis Main Street Waterfront Historic District Commission SPECIFICATION SHEET FOR SIGNAGE ?rior to filing your application for a Certificate of Appropriateness, please conta :he Building Inspections office, at 862-4088 to discuss the amount of signage �'Q illowed for your building, as well as any other,Town Sign Code regulations w nay affect the sign(s) you propose to install. C fi Q 1 82005 Even if you are applying for the same amount of signage as previously existe onTpwN H/ST� OFgARN Tour building, the laws may have changed since that sign was installed. RCP ERV Dnce you have applied to the Hyannis Main Street Waterfront Historic District RFs q BON commission for a Certificate of Appropriateness for signage, you may apply to the Building Department for a temporary sign permit. The Building Department can ?rovide all information regarding the temporary sign permitting process. I Please fill out all information requested below. BE SURE THAT YOU.HAVE INCLUDED WITH YOUR APPLICATION: b a scale drawing of the proposed sign R color chips for all colors on your sign- ► 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 [f you are applying for a Certificate of Appropriateness for more than one sign, .)lease fill out ONE SPECIFICATION SHEET FOR EACH SIGN. Size of Sign F� X F-r Materials) of Sign ,L ? Material of Lettering (if different) 1 �� j f(,ter Ah+%/y the Sign Will Be (circle one): carved wood / painted wood / inyl lettering other (explain) -jocation In Which e Sign Will Han Nill there be exterior light fixtures to light the sign? N6 Tso, what type of fixture? r � Barnstable Assessing Search Results Page 1 of 2 i RP 9i'4 Home: Departments:Assessors Division: Property Assessment Search Results t New Search 592 MAIN STREET (HYANNIS) Owner: 2006 Assessed j Values: DUCHESSI, SHIRLEY Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $414,600 $414,600 308 /073/001 Extra Features: $0 $0 Outbuildings: $0 $0 Mailing Address ° Land Value: $ 192,400 $ 192,400 DUCHESSI, SHIRLEY %REVIS,ANTONIOS&FOTINI g Totals $607,000 $607,000 109 ALLAN RD i W BARNSTABLE, MA.02668 , i Tax Information: Tax information is currently not available for 2006 Construction Details Property Sketch Legend Building Building value $414,600 Interior Floors Carpet Style Store Interior Walls Drywall Model Ind/Comm Heat Fuel Gas Grade Average Heat Type Hot Air 9 Stories 1 AC Type None a S Exterior Walls Brick Veneer Bedrooms 00 ,3y Roof Structure Flat Bathrooms 0 Full x 4 Roof Cover Tar&Gravel living area 7301 Replacement Cost $441053 Year Built 1940 Depreciation 32 Total Rooms , � 3u Land Lot Size(Acres) 0.21 Map requires Plug in: s http://www.town.bamstable.ma.us/assessing/assess06/displayparc*e106.asp?m,apparback=ad... 3/21/2006 Barnstable Assessing Search Results Page 2 of 2 Appraised Value $ 192,400 Interactive Property Map: I have visited the maps before' " Fir Assessed Value $ 192,400 Show Me The Map Cli April 2001 photos available Sales History: f Owner: Sale Date Book/Page: Sale Price: REVIS,ANTONIOS&FOTINI Jul 2112005 12:OOAM C177380 $640,000 DUCHESSI, SHIRLEY Jul 15.1982 12:OOAM C89033 $ 174,000 Extra Building Features x Code Description Units/SQ ft i Appraised Value Assessed Value 1 Property Sketch Legend r BAS First Floor, Living Area FIST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) " 4 t t r i i F http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=ad... 3/21/2006 `II Engineering Dept. (3rd floor) Map ®� Parcel ! -�""I .0rmit# i d C; T V House# Date Issued �. Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)61N S Fee gr6 . 0j Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) - Planning Dept.(1st floor/SchoolAdmin. Bldg.) ! tA�WER Se ' an Approved by Planning Board 19 THE A f TOWN OF BARNSTABLE J Building Permit Application �" t Address �7 4e" . Ircel vet! /h r1 Owner j,��/ �d e T De, AKOPI Address �o S^ .SAPLV—C ree,4t Or l�ME441e9t f Telephone Permit Request �e-N c V 1-1 d V 'Dt' 10//4t/��iei2 ('e co S fa rc_ A0 First Floor 7Z 0 square feet Second Floor 41111V�� square feet Construction Type fil/a-*%f �/'iti,� y/41dZr' 0411f Ylc:e r- t 4'e j 6 Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 fffrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil lectric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use / // Builder Information Name E�y�r 1��he Telephone Number '/ 7cf-- S 1 L 9 Address /�a //�r ��f!/� �®Q, License# �5©0 51 41 6f er yi l`e ®Z-b 3 Z.— Home Improvement Contractor# d 0 Ce,r,�,�;��k,of• /Sik Ge Y�o 1�dt,�.-t € , Worker's Compensation# 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 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY t PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. _ ADDRESS VILLAGE OWNER 4, DATE OF INSPECTION: a. FOUNDATION L FRAME .INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL w PLUMBING: ROUGH -FINAL-- GAS: ROUGH FINAL ~ FINAL BUILD list DATE CLOSED ASSOCIATION NO. r ' L The Coinnion►+•eahh of Afaysac•husetts Depart ojlndustrial•4ccidents Office ofinvestigations 600 1Vashi14 tittt Street _ Boston, Afav:v. 02111 Workers' Compensation Insurance Affidavit name: location: c city bIIJ r'l 1 P phone# ' 7/e �// 9, 1 am a homeowner performing all work myself. am a sole proprietor and have no one working in any capacity .•.:,.• •r---as• 7' •:: � r.z+.*L•FrF'.7+.-"q+ratr i'°8'�ix� •,,.«.r ..+,w.+gn��m-nss.p=..w'� .....,+«M..�'r.e." s.ro'1.,�..v-•«_....,. . ... ._..—..,..L.+:. ._..-.. ..,: <s.:.,.-.�►. .1 •r `vim--s.�:..�:._r.:... Y...�- ." �.:i..�ts��...�•.+.r.••....,+...�........_...._.....�.Y I I am an em 'lover providing workers' compensation for my employees working on this job. t company name: t } i address: city Phone#•= insurance co. policy# ' I am a sole proprietor• general contractor, or homeowner(circle are) and have hired the contractors listed below who have the following workers' compensation polices: company natne: address: city: phone#• insurance co. Policy# � .. ..!i•;:•+_.. 1`1r[.^.- r" '_S'. Y _ "_ .:c•'^^: : '•,�iT'.5+^.vw+++1-�r•�. .—_.T•R_'/ .p.y..;.R_�-..._ ._ _—..__._ ..... .._....�_�._...___ _I_L...as_�1'..rw..s — _.::I++iiL�'.rw....1aS,.�L.r..r+... r..—�L•:.3:Or®`' .a.�_�. company name: address: city: Phone#: insurance co. Policy# dditional sheet f .Anna Ch 8 i _ p _ Ir.- . R nw'.�..;v ...��' ,,.•<. c ,... _ - _ 't�J.i/.-•vY►Ji�� •'��,Kl•— _�.'i'- •—`�." `�L{i•�.�l�.�L..•S.•u w�li• Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1,500.00 andiur one years'imprisonment as%%ell as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement ma} be foci arded to the Office of Investigations of the DIA for coverage verification. 1 do herebt•certify it r cr the pa and jZenalti of perjure•that the information provided above is true and correct. �- 7- Si_naturc Date c� Print name dJJgf�' I�Gr/C�/ Phone# .�T rY�f�lY official use onh• do not write in this area to be completed by city or town official city or town: permit/license# rlBuilding Department [31,icensing Board check if immediate response is required OSClectmen•s Office f' 011calth Department contact person: phone#: nOther i f_ honed 3:nc 111:V i information and Instructions Massachusetts General Laws cha ter 152 section 25 requires all employers to provide wrn•kers- cc�m cnsatlon for their p q p p p employees. As quoted from the "law". an erntnloree is defined as every person in the service of another under anv contract of hire, express or implied. oral or written. Ail enzj& rer is dcf ined as an individual, partnership, association. corporation or other legal entity, or any two or more of the forcuoing 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 dwellino house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chappter 152 section 25 also states that even, state or local licensing agency shall withhold the issuance or renelval ol'a license or permit to operate a business or to construct buildings in the commomvealth for anv applicant who has not produced acceptable evidence of comlliance with the insurance coverage required_ Additionallv. neither the commonwealth nor ail,,, of its political subdivisions shall enter into any contract for the performance of public Nvork 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 and Supplying company names. address and phone numbers 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 Ilas provided a space at the bottorn 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. The affidavits may be 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. �..,.y.v. ..... . --- ..._-.,.—.,.v:....•.. ,_..r..r.w,•.v....:_.r. w...,-.......e-..,....+s�r4.�......'•!n..:.>.w....v a•.....:R.e+..+r..-+n-.w.nw -. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone -9: (617) 727-4900 ext. 406, 409 or 375 r .A The Town of Barnstable • �rrsr�. • Department of Health Safety and Environmental Services MAM 1659. fo " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: t`WQ j�1 Est.Cost dVv Address of Work: '� 41"h 51 m z-w Owner's Name Syf/7 n 4 er 1"-CO S Date of Permit Application: 1 - 7 " I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR I� Date Owner's Name - i � �� . P" P"4 r _ - 02, e. d� ra o DEPARTMENT OF PDBLIC SAFETY j CONSTROCTION SDPERVISOR LICENSE J , Nunber: Expires:: Restricted To: 00 ROBERT-6 KITCHELL. 452 STRAWBERRY HILL RD' CENTERVILLE, MA 0.2632 V � �/�e�iom�xaxwea��✓�ddaa6u°eaa HOME IMPROVEMENT�C0 TRACTOR i Reg stratian;f 9- k x TYpe r INDIVIDUAL', x Expiratton ��0106/98 a s._ 3 E '4 N 452 StraNberry�Ntll Roads 'K � 71 2632 TO R . ADM7RA INIS a -'4,<''�„-•S+�q � .. . (� �fee,i0ormaeom,�aen�i o�✓�aaaac/uraetta ` , HOME IMPROVEMENT CONTRACTOR Registration 121688 Type,- INDIVIDUAL Expiration `06/0408 CHARLES S.. BROWN 50 CASTLEW0 D CIRCLE --Z &eE%ANNIS MA 02601 ADMINISTRATOR . �t Ah Yf1l=,"_i,°1Taa ^ irq �:ba:j" t tLS,�:i1�j�,CC± +� j h� N y titi: ,•t1i ti` 'li} `� 5A\,r, ytS � _✓Re,TOomvtifvean�uere/Q�,e�./lud�lla �� _', ,rYUt�1f�"'. -� pB@A1RYf8u4 OE PoLIC SBPB4i C06S4RBCM SDPRRVISOR LICU R limber - Rapires: BirtDdate tei "''co Y__ ROBBRT I HIfCOLL S4RAhBRRRY BILL RD m4BRma, RA 02632 - �f SR _ ,• .� �� �ram. /r •t' ,+F lit °b1Y�RR�` � ., ' OPP ' 3 i� ' NOpE- IgPROVOENT CONTRACTOR Registrgtioa 121686- Type - INDIVIDUAL` '. Expiretioa _ Og/Q4%98 {r:' CHARLES W.. BROHp' 54 CASTLEHOOD CIRCLE_ ZAeMmo 7� ANNIS qA 0260.1 ADMINISTRATOR 1 i ` - yoFtaerowi TOWN OF BARNSTABLE BAH tro MPA = Office of the Building Inspector t 1op i6;q. 011�Y Date May 17, 1995 D© I Fee $50.00 Permit.No. 84 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO Jeff Grant Spinnaker Records Inc. DIBIA LOCATION 5M-596 Main Street Hyannis ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT rl BuildMg,Inspector The Town of Barnstable pert no. F Y . 0 Department of Health, Safety and Environmental Services s%71,c, Building Division date /g �►twss. i639. �`� 367 Main Street,Hyannis MA 02601 p fee 7 S- cl Application for Sign Permit (P/&�W- /V Av/laa� Applicant:_ Assessor's no._q/ Doing Business As: LCI—V/,A, Telephone Sign Location Ih� street/road: /W o � 5 ' ,nAp- Zoning District Old King's Highway District? yes no Property Owner Name: „- 0 Z)% r Telephone P Address: Village kg±M Sign Contractor Name: Ct-lac �,� S�` Telephone Address: Village Description Diagram of lot showing location of buildings and existing signs with dimensions, location and siie of the new sign to be drawn on the reverse side of this application. Is the sign to be electrified? yes no C (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 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 Ordinances. t/ o ���/ Date nature of Owner/Authorized Agent Size (sq. ft.) ),D 5ti del Permit Fee O'�G • �7 Sign Permit was approved: disapproved: Date Signature of h61ming Official 5 r-D' ROPERTY ADDRESS _ . ..,.. ZONING. I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE CLASS I PCS I NBHD KEY NO. 0593R MAIN STREET, 07 RB1 B 400 7 4 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS - Lan'ay/Date - Sz Di--ion vP UNIT ADJ'D.UNIT CRES/UNITS VALUE Descript JEFFRIES -'MILLI:AM'E:JR'"TR 'MAP— . . . . COD. E PRICE PRICE Aion•. -- CD. FFOe mtAtres LOC/YR SPEC CLASS ADJ. N ` #LAND '. - 1-`' 55,P900 - CARDS IN ACCOUNT''- 30:3SIT,E . : 1 10X-1, -.23 =100 270 60, 14 99 99.9 E 242999 9 .23' 55900: #BLDG(S)-CARD-1 ,1 i 36.300 01 ` of 01 #PL 593R,MAIN' STFHY BATHS 2:0 U': X1 C= 100 7000.0 7000 0 1:00, 7000 8. #RR 0952 '0010, MARKET A � N0` BSM7''. S: X`> t= 100 . 7.85-. T 85 309 2400-B- INCOME ATI1ATTIC'U, S-, X!£. C= 100 4:6 4.60.r ,'. 328' 1500 B USE D FIREPLACE.._" U X- C . 100 310D0 .. 3100.0 "—`N0 `HEAT; 'S` X+' f.OD. 31OD;8 APPRAISED'VALUE. _, " C= 100 2.3" Z. 3091 700-8 A.. 92:200 U -- PARCEL`SUMMARY' >s NAND 55900 T BLOGS ' 36300 M _ O=IMPS -....E. TOTAL: 92200 I _ : 4 NOCNST: " �N , � � - �, DEED REFERENC �-T ; Type /3P4ag0e1 10 _ Re-� PRIOR' YEAR`VALU E. 0. LAND 55900S 98Eri / 3= ` 3923D0 BLasS 3630D j - TOTAL 92200 -- -- BUILDING PIUMT-7 STRUCTURE RESEM— - I Nomlxir Data Tres Amount B L E S A: T 0 Y E R. LAND LAND—ADJ. INC ME SE SP. BLDS ; FEATURES : OLD-ADDS UNITS:' 55900, . 85001. Class Un t t Unils Base Rate Adj.Rate A wear Built Age: Depr. Cos'. CND. Lot. %R.G. Repl.Cost New Adj.Repl.Value Stories. HeIgM ! JPl- Rms Bathe /''Fix. P.tywall Fat. 02C+-.000- 100.. 100 . ; 75.60. 75.00 00 .60.,34 56 75.• 85-100 35.7 101666 36300 3.0 5� 2 2.0: 7490 Description gate .Square Feet _ Rept.Cost MKT.INDEX: 1.00. IMP.BY/DATE: .'ME." 5/88 SCALE: ELEMENTS- CODE 1 CONSTRUCTION DETAIL BAS '.10.0 M,00, 309 23175 €. :TWO MILY:DWELLIN6 " CNST-GP:OD 630`120 90.00 328: 29520. 7YLE: 10 LD STYLE 0. 2SF' i5.0:112 .50: 342• 38475 E fsA-A03�17' -00.;------------------6 FOP; 35- 26.25 38 998 ' EXTER.YALLS' 1OCLPB_D/SHINGLE 6.- ` FOP 35 26.'25 38. 998 THIS HOUSEiCONTAINS ANGLESOTHER''.THANtRIGHT R_EATIAC TYPE 01NONE _ 0 ANGLES AND :CANNOT 'BE'.VEC.TORED BY-TEE COMPUTER NTER FINISH, 01 ALL80ARD " 0. PLEASE`•ASK:FOR:>THE SKETCH" tARD`.IF<;:.YOU WISH "TO NTER:LAYOUT. _f3BELOV_ AVERAGE__ j SEE'BUILDING DIAGRAM: NTER:.QUALTT_:: 038ELOY"'EXTER- �. St-RUCT: a2YD'.JOIST78EAN 0. D FLOOR• COVERK 08 INE FLOORING---6 76"Bees. 651 SEE ABOVE .. - -- ----- - E Total Areas Aux. ROaF TYP�- -- Di GABLE ASPHH Q: r BUILDING DIMENSIONS` ( NOTE! : " LYCT,R3cAG „ 01 VERAGE --.------ (T q FBUNGATYSA T -D4 RfCK MALLS-_ z 4 � 01IWERCI HD j: IN "HYANNIS'NYD$' ' LAND TOTAL F" .MARKET' - PARCEL- 55900, 92200 - AREA- VARIANCE +0 +0 STANDARD', T j, Town of Barnstable Building Department ComplainVInquiry Report Date: , 9 G Rec'd by: Assessor's No.: 'YG� Complaint Name: . Location r Address: s v 93 �• i7� J 9� a WP Originator Name: Street: Village: State• Zip: Telephone: D/C Complaint Description: Inquiry 0 Description: For Office Use Only Inspector's Action/Comments Date: Z Inspector. Zeal aZ(-- Follow ups Action Additional Info. Attached Copy Distfi&don: %7,dw-Deparunent File Ile&iv-Inspector PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP- DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD PARCEL IDENTIFICATION NUMBERKEY NO. 0592 MAIN R T R i 220415 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ•D. UNIT' . LandB By/Date Size Dimension ACRES/UNITS VALUE Description DUCHESSI. SHIRLEYSHRL£Y �' �7AP. y LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE #L'AND .3 91,400 , CARDSINACCOUNT -0D. FF-De th/Acres E L 30 3SITE 1 61X ° .21 =i0 290 149999.9 434999.95 .21 91400 #6LDG(S)-CARD i °l : 3 258�800.' 01 OF 01 q _ IL' 592-0596 ` MAIN "S7'' HY . COST N STORE£ 3tDS U X _ 100 1.0 1,p 4386$2.011 438700 , 3 #DL LOT ; 5 MARKET D #RR 0952 0061 , INCOME 348000 �t . ' USE x q APPRAISED VALUE D A 350:200 q U PARCEL'' SUMMARY T LAND 91400 LA S i BLDGS 258800 T O-IMPSt M TOTAL 350260 F E N ' tNST N E T � .,j Book DEED,REFERENCE ge TYPe MO ATEYr. Recorded PRIflR� YEAR '1 VAfLU�E. ., A ! i. Inst. D - Sales Price LAND 914 0 0 T S C89033 1 1,07/82 174000 BLDGS 25880C D a ; TOTAL 350200 , R i 1 E + 1 BUILDING PERMIT LAND ADJUST; FOR , S i Number Date Type Amount TOWN PARKIN 0 .L IC T LAND LAND-ADJ ` INCOME SE SP-BLDS F£ATUR£ + SLD-ADJS UNITS : � *NOTE: '' REAR ADDN t 91400 438700 WAS. I'IQpSQpSED FOR Const Total •.Year Built Norm. Obsv. F II - F t 1 9 8 8.•.. 'Class 'Units Units Base Rate Adj.Rate AClul f'9 Age Depr. Cond. CND'. Loc. N.R.G. , Repl.'Cost New Adj.Repl.Value Stories. Height Rooms, Rms.Baths N`Fix. Partywall Fac. i 30C; 001 ' 1.1 7 n 118 40 75 19 79 . 80 59 438700 258800 ::1 .0 1 1 9.0 Description Rate Square Feet Repl.Cost MKT. INDEX: 1 00 IMP. BY/DATE: RW /.86": SCALE: 1/00.,1 9 ELEMENTS CODE CONSTRUCTION DETAIL S BAS : 100 .00 3660 . GROSS AREA 73 i STORE BUILDING CNST GP: 01 T fSI= 90 . 30 364 *--- 59----* STYLE _ _ _ 30STORE $LDG' 0. --- ------- -------------- I .sx' FSF 23'9 DESIGN ` AD.1I•IT 02DESIGN AD:lil$T 10. R ------ --- ---------------------- U *-26-* it EXTER.WALLS 03MASONRY/FRAME 7.5 GAS WAfiM A-.IR ".- 86 19 ll'. INTER.rfNisW 04DRYWA�L 0. T ------ --- --- --- ---------- ---- 1 * INTER.LAYOUT 1,2AVERs/NflRMAI ` 0. R uAcTY: 02 SAME AS FXTER. 0- ! 2.3 FLOOR. STRuCT: 04CflNCR€TESLAB--_- 6- q W ! _*---48- -* EFLU6R Cti-liftV -06 CARPET 4_VINYL' 0.0 E Total Areas Aux = Base.= 7301 . "*-*=-61----* : tiB_OF TYPE -�T()fL_A_T Tt1_'R_7__GR_A_1_I--_-__(S._0y BUILDING.DIMENSIONS EL1 C f R3CAL 01 AVE RAGE (Y 0 T SAS W61 = N60 FSF N86 E59 S23 W26 ! u FOUsADA716N-- - !71 j)-d RED x CO c----- 99. A --------- S14 W14 . S19 £20 FSF N0.3 E09 S03 60 BASE .. 60 ----- - --- ---------------------- E11 .. S23 W48 S07. W11 `FSF .. : BAS ! -----COm!#(ERCIAL -NSD IN HYAiNIS H-Y08 L E61 : S60 . .. .. t LAND ' TOTAL- MARKET PARCEL 91400 350200 *=---6i----X , AREA k ; VARIANCE +0 +0 STANDARD 50 [ ] .[R308 073 . 001 ] LOC] 0592 MAIN STREET CTY] 07 TDS] 400 HY KEY] 220415 ----MAILING ADDRESS------- PCA13251 PCS100 YR100 PARENT] 0 DUCHESSI, SHIRLEY MAP] AREA] HY08 JV] MTG] 0000 aJ DERHAGOPIAN SP1] SP21 SP31 25 SNOW CREEK DR UT11 UT21 . 21 SQ FT] 7301 HYANNIS MA 02601 AYB] 1940 EYB] 1975 OBS] CONST] 0000 LAND 91400 IMP 258800 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 350200 REA CLASSIFIED #LAND 3 91, 400 ASD LND 91400 ASD IMP 258800 ASD OTH #BLDG (S) -CARD-1 3 258, 800 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 592-0596 MAIN ST HY TAX EXEMPT #DL LOT 5 RESIDENT'L #RR 0952 0061 OPEN SPACE COMMERCIAL 350200 350200 350200 INDUSTRIAL EXEMPTIONS SALE107/82 PRICE] 174000 ORB] C89033, AFD] I LAST ACTIVITY] 05/02/91 PCR] N r R308 073 . 001 A P P R A I S A L D A T A KEY 220415 DUCHESSI, SHIRLEY LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=B 91, 400 258, 800 1 A-COST 350, 200 B-MKT BY 00/ BY RW /86 C-INCOME 348, 000 PCA=3251 PCS=00 SIZE= 7301 A JUST-VAL y= 350, 200 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY08 ----------------------------- COMMERCIAL NBHD IN HYANNIS HY08 PARCEL CONTROL AREA TREND STANDARD 301 30 LAND-TYPE 914001 LAND-MEAN +Oo 3502001 IMPROVED-MEAN +0* 5001 611 FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] I r R308 073 . 001 P E R M I T [PMT] ACTION [R] CARD [000] KEY 220415 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT r STAMP: s[c�uco owrL AS as Avmena� - . ' - i warat ni� rx w AS NEEDED FOR rA16 NO imArm n{]4 no aa o GO* woad _ o ama Allux VIM STM EE I I —65-- c— - Tav aLI �o auuaH nm e, O wavy i nm I mo�c aVp i pp� o 0 o O m wM L-----=1.��'�-------------J seat gq� s1otO a9.M4mio qwA ,� cTnDar.0 ARE1 KITCHEN El O - d� id _ O -. O .. .. 30 g ! a 0LJLJ 1 _ - - N Q W Z cr O O LLJ DINING ROOM PRIVATE RM. � ELECTRICAL SYMBOLS STAwo m DUPLEX RDCEPt LLX W O Q Uj no VOLT amm Of F— m Z 1 osaao raur wom=wcaraac C) li.l U QZ e rw oomar" m S a I s swu Faa swoop IL W ,rb s r1m 10,s„ra U (�. - iXIMna un-waAas akowOOM m+S. Doo srmw - - of —_ - i S. FOUR war swan - I - - S. TWEE war DMIEA swnw rgurm CAM r.ua TITLE: 1 - (Cfi V olomdta uomkc ELECTRICAL LAYOUT PLAN i - . -- DATE ISRUED: - 5/29/2014 . . - REVISIONS: �eG � �''�l �Je ®��, yC�aN. �w✓�e� dog Ce'a G% j ELECTRICAL LA OU AN L� Y\' DRAWN BY: PROJECT DRAWING NO.: i A 2 a w L J RECEVED ' 1 Z014 • GROWTH yANAGFMEN ; Y � 1 1 I I I I I I I I I � I I I I I I -- / > I I I I ❑� n ❑ J u ❑ ❑ � of , , I ffiI I I I existing I / v RIGHT SIDE (north)ELEVATION @courtyard V —I JLu o U m / Q o_a-o / o y } � o � auitDiNc /- In e�.i,uc ae / m E M N V f0 O \ EB o xisting W \ O FLOOR PLAN \ ❑ ❑ E ❑ 3/16"=1'-b" . ED existingW LEFT SIDE (south)ELEVATION @courtyard 3/16"=1'-0" I FA Ei El El EM 11 0 r �� 2 existing 0J FRONT(east)ELEVATION cl u QM O pp � Se in a � y Z axe = w FM FTTI FM ❑ W 1711 ❑ K a DATE: 04/03/2014 - - ❑ ❑ ❑ SCALE: AS NOTED DRAWING M existing RIGHT SIDE (north)ELEVATION 3/16"=1'-0" El - I r 7W 66 H t J team --4=,--2L-T Woocfgri� A 0 0 I 10 � c a 0 M,4il ISTORWE _evIc ;� T 1 4"'Ir+ .asking Entrar e T +� .12 bng wide anHca� � Cb • 111; Back door ' 1, Iai Entrance � EI �II� ibDINNING ROCM '— - L'e dFlay Foftre x8 Tr�fc�C c� 317€1!' c4'h Wag 21, 30'' M ( q (I Chemicals 42 7 :reing fad �' • - 42 ,�� �., patio - Ho�o�d fan rrentilatio�n 11'x4' and fire rl re k ;;,` ' ' suppression system to be instatled by J 7'"LTJ PATIO call rrntiCation companyice' , -Cape Cod smoke detector alarm system 42 40' 0 a MR - Stainless steel hood fan:n for wood grill 30 X installed by one call company T 42 TOTAL: 99 SEATS 1ri n F1 Egg:] —4" Ml 00 TUM] CEVCCHE BAR RISTORANTE W T U U U z z ; !i 3� 592 Main Street Hyannis MA 02601 TQ L W •� E4 T ZC3 ��1 t , 'I ., hl0l JINI 03. tYi 1 4' i I I I I j / I IX19�NG f U NG ---------- --—. ——_ I / / I / I / I nwNnxc aeD rJn911� / I I I FFRITO I I � azisEng / L RIGHT SIDE (north)ELEVATION @ courtyard 3116"=V-0" / I C, I Q � trn D6 C j N 7 E m wl'inG / ri m DiNG o eyifing r 1 r o 1 FLOOR PLAN , IILl E 0 E] existng LEFT SIDE (south)ELEVATION @.courtyard / M� W 1� r � rA Z /— ❑ ❑ a � co z existing V FRONT(east)ELEVATION u m f O in = z 0 N Z u~i r y X �6 S W w DATE: 04/03/2014 SCALE: AS NOTED DRAWING#: ;;sting RIGHT SIDE (north)ELEVATION El - 1 3/16"=1'-0" // ❑ _ - oW T 'P ���1j EXIT eL ANDwcn 1OP I ❑❑❑ MAcnINE I L J ill A DWASn,- VI(IODGRLL FRYER FRYER 10&1RNfR5/STOVE P(LA OVEN - pWpSn n sINR nnsNR 21 nN AEOve BAr PREP.swlc sBnr PReF.slNrs snwnsmNG AREn Hoop F I eu19onJc KITCHEN77 � STORAGE PREP TABLE awn T uX I AREA— O I �,L✓ sANpwcn job snupwlcn roP sANOwCn Top 4WOMEN- Y b 13 I I F CEVICHE — REFRGER—RIFREEZER g t I J _ BAR \� jj ENTRY ' ❑ M N X ExIT HC- r� r� s 2S O f F EL � _ rc REru10-ROOP o.n._1-- \PROPOBED ROOF/ a@+Z 2 ABOVE ENRTANCE 5 to a PRIVATE ROOM 3 5 0 13 SEATS v . DINING ROOM Q N I c 67 SEATS ro / -o fO PIAI.ITIIJG BED co N o N O Do I _ in a ao / o c o rn 4 p / 0 DO m l t / ° PATIO s-a Z } F111TUJG BED 195EATS / N 115 I�i TREE114 OI SI I I \ I I bl S I W / existing unit-remains unchanged21 / �I / 11 /; 4 W 2 6 dl H Z j f 2 / p . W 2 4 / LA = 6 Z l 2 4 1 2 / � W 2 I — a W_ F g D IXIBTING PLAIJTING BED REPLACE IXIBTIIJG FEIJCE-NEW DESIGN / z Q / NEW FENCE d C m N d i= U W J proposed a � FLOOR PLAN DATE: 05/06/2014 V-O" IXlsrwG wALLs DEMOUTION SCALE: AS NOTED NEW wAus DRAWING#: Al - 1