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Home My WebLink About0010 OCEAN STREET l0 � _\ �� ,� -- --- ,_ r r ;, �� f i ,�, ��-: ... - .. . ..,,.. �,-.wF,-.--.�.� .r .,.,�z ...-. —,...,..ter-...-....^.. ,. _:'r._:... �ti ...---•.... -...-,rr ----_..., - - TOWN OF BARNSTABLE BAR-W r 3229 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager ( c� � Q ~� Qt�� '_ „ Address of Offender. MV/MB Reg.# Village/State/Zip Business Names �' i�'1 E ' _. -' ti.. � , --~w,, am/pm, on 20_ Business Address 4 � Signature of'Enforcing Officer Village/State/Zip I +^tir 1 P 0 oz'-(-_ao r � , Location of Offense , %Af L")#A (''krfn' A ji l � 6 F ( � �k� _ � _K� $ o Enforcing Dept/Division Off en s e 11.1 . k i:�; I Y-,11,0�� ►�'�. ��" 1 �f�� `i��{ �L�� 1�� Facts -A ( :.fir (OL. 1� a- A ,"e Co r This will serve only as a #warning. At this time no legal action has bge,en taken. It is the goal of Town agencies t achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. `°FtHET ,. The Commonwealth of Massachusetts _ Town of Barnstable IARNSTABGE. • �- 2017 `. TfO MAC a - Certificate of Inspection F Ocean St. Cafe & Deli Certificate No. Issued to Freddy Chavez Type: Building -Certificate of Inspection IC-16-216 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-107 8/512017 in the Town-of Barnstable 10 OCEAN STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 46 Restrictions Under 50 5 Bar Stools 8 Counter Stools 4-1 Table 2-1 Table 24 Seats 3 Employees 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 conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly.prohibited. Name of Municipal Building Commissioner Paul Roma Date of Inspection 1/1/0001 Signature of Municipal Building r Date of Issuance Commissioner 8/5/2016 CL Q Q ~ z Q j W U - f- m W 0 i F 6-01/2" * A. 601/2" x Seating Chart Entrance/Ebt -0" Ocean Street Cafe&Deli = 10 Ocean Street Hyannis MA 02601 43 Seats F - ® 3 Employees rn of 1 2 r _ Effim 15 10 6 - - .r S+D - - m sko 5 §9E17 e 13 Z ' (� 9 FMI s Deck v 17'9'h" :a - n 14 i15 1i a, 5'10�/" -J 020 = �� 18 5 t1713 �', 12' i TOWN OF BARNSTABLE INSPECTION WORKSHEET4%se CERTIFICATE NO: CANCELLED: MAP: 327 DBA: OCEAN ST.CAFE&DELI PARCEL: 107 NAME/MANAGER: FREDDY CHAVEZ STREET: 10 OCEAN STREET VILLAGE: JHYANNIS STATE: FMA ZIP: . 02601- SEQ NO: 10 BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: ' STORY1: CAPACITY: USE1: A-2 Capacity Under 50: d❑ STORY2: CAPACITY: USE2: STORY& CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 5 LOC1: BAR STOOLS CAP8: 3 LOC8: EMPLOYEES CAP2: 8 LOC2: COUNTER STOOLS CAP9: 43 LOC9: TOTAL CAPACITY CAPS: 4 LOC3: 1 TABLE CAP10: LOC10: CAP4: 2 LOC4: 1 TABLE CAP11: LOC11: CAPS: 24 L005: SEATS CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: ree COMMENTS: a-It is -►oo��n9 _ _ ��_T,, -�V a C O I l y i i Town of Barnstable } ..: a :-r x r �,' sF 1 Aq 9 .. ;,:'� lfa'"SH v n; ` `� ; -.. , ..`. ,�+. '^' •> ..€ '" +,; x Building. ding - Post This CardSo,That it�is�visible Frorn the Street Approved Plans Must be Retained on Job and:3this Card IVlust�be Ke' �'.e pAR1"IFTtABL6. 1 y * " Posted Until Final Inspection Has i3een Made � � • 1Wherea Certificate of Qccupancy is Requited,such Bwldmgsh�ll Not b�Occupiednunti!a Final Inspection has been made �eY'1111� YL>h.,u...,.:,.x, Permit No.' B-16-2062 Applicant Name: Map/Lot: 327-107 Date Issued: 07/20/2016 Current Use: Zoning District: HVB Permit Type: Building-Precode-Certificate of Occupancy- . ._ Expiration Date: 01/20/2017 Contractor Name: No Construction Contractor License: Location:. 100CEAN STREET,HYANNIS , r Est Project Cost: $0.00 Owner on Record: HANNEY,WILLIAM,J TR Permit Fee $75.00 Address: 7 CENTRAL ST 5.00$7 SOUTH EASTON, MA 02375 5 Date: � z7/20/2016 , Description: Tenant Fit-Out for Ocean Street Cafe&Deli(no constru_etion). Project Review Req : Tenant Fit-Out for Ocean Street Cafe&Deli (no construction) , Building Official This permit shall be deemed abandoned and invalid unless the work authorrzed by this`permit is commenced wrthm six months after issuance. All work authorized by this permit shall conform to the approved application and theapproved constrictfon`documentsfior whlchthis permit has been granted. All construction,alterations and changes of use of any building and structuressha11 be incompliance with the local zoning bey laws and codes. This permit shall be displayed in a location clearly visible from access street oriroad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The.Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on,this,permit. Minimum of Five Call Inspections Required for All Construction Work: L•(/�(�C 1.Foundation or Footing 5 • `/ 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is,mstalled �Ci-l(�)2 /( 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection" 5.Priorto Covering Structural Members(Frame Inspection) pl 6.Insulation T 7.Final Inspection before Occupancy 1`�� I�V��t I'l Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). -rt �j i12Y1�'7 Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT C p 11 L 1t�A T of HEro Towne of Barnstable CK Building Department-200 Main Street ,F a`00 Hyannis, MA 02601 Tel. (508) 862-4038 vt. Certificate Of Occupancy Permit Number: B-16-2062 CO Issue Date: 2/10/2017 Parcel ID: 327-107 Zoning Classification: HVB Location: 10 OCEAN STREET, HYANNIS Proposed Use: Gen Contractor: Permit Type: Commercial - Mixed Use ; Comments: OCEAN STREET CAFE AND DELI Building Official Date: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 2 2 Parcel: 0:7 Application Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 10 OC6A IQ S72,6,E T gXgAmi/S MA [2,,2 i<01 Village N/A AJ nJ/ S Owner UJ ILL/ t,4 UA AhUF_y Address (f6AlT/1A L S i. S.6AS7'OA) MA Telephone C 14 - S Y 2 - 9086 Permit Request 6AJ - U 'N SI—I EC% C �� t, AX - AJO 0A1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay .' CD Project Valuation Construction Type -„ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup orting locum' tr ation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) cn Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's ighway: 0 Yew❑ No M Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new, size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION - - (BUILDER OR HOMEOWNER) Name C,UA VI Telephone Number S' e/3 0 2- Address • 6 S%/?D . License # S yl�Q M 0 0-1-1 Al A (22 6 4 Y Home Improvement Contractor# Email P-3— C-14AVF 7 eVAR00- 60m Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 n FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. e �'ADDRESS VILLAGE OWNER DATE OF INSPECTION: { 'r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL .PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING eJ Z �� ZK f? DATE CLOSED OUT ASSOCIATION PLAN NO. s t ,t 6-01/2" 6'01/z" Seating Chart Entrance/Exit Ocean Street Cafe&Deli r 10 Ocean Street Hyannis MA 02601 43 Seats 3 Employees rn of 2 3 ' 4 ( , S 10 in 6 s 00 >5 7 69) s a±6 8� 13 9 -- Deck - 17'9'/z" Exit 1 (J GO -. 14 510Y r — rn 1-. 020 16 9 5'61/2" 18 12' OCEAN STREET CAFE & DELI io Ocean Street Hyannis MA o26m Equipment Detail: l.-Refrigerated Merchandiser 2,Refrigerated Salad Bar 3, Stainless Steel Cabinet With Meat/Cheese Slicer on top 4,Refrigerated Sandwich prep table 5.- Prep sink 6, Charbroil Grill(exhaust hood) 7,Range/Griddle/Broiler combo (exhaust hood) 8, Stainless steel table/shelves 9,Trash Receptacles 10, Stainless steel table with coffee maker and espresso machine on top 11, Hand wash sink 12, Cash Register 13.-Under counter beer and wine cooler 14, Stainless steel table and shelves 15,Reach-in refrigerator 16.- 3 compartment sink 17,Under-counter bar glass washer stainless steel top and shelves for drying 18, Hand wash sink 19, Roll-away trash receptacles (fenced in behind building). 20,Floor drain -; ;1 j �4 i COMMERCIAL LEASE AGREEMENT THIS AGREEMENT made as of the 161 day of December, 2015, between 10 Ocean St. Realty Trust. As("Landlord")and-Feed-Pe t Deli Inc. And/or nominee, ("Tenant"). BAN 5772EET c!}�E bt WITNESSETH 1. Definitions: As used herein the following terms shall have the meanings set forth below unless the context otherwise requires. (a.) Landlord: 10 Ocean St.Realty Trust/Easton Property Management 7 Central St. South Easton,Ma 02375 OCEAN Sfa66-T 4AFF 4) (b.) Tenant: Food Pew Deli Inc./or nominee 125 Forest.Rd South Yarmouth, Ma 02664 (c.) Address: 10 Ocean St. Hyannis, Ma 02601 (d.) Term: The term of this lease shall be for sixty(60)Months 'Commencing on or before March 15, 2016 and,ending on March 15, 1021. (e.) Net Minimum Rental: Months 1 through 12 the net rent will be zero ($0.00) Dollars payable in monthly installments of$0; months 13 through 24:,the rent will be ($1,100.00) Eleven Hundred Dollars, with annual increases of $70.00 per month for remainder of lease. Tenant to provide build out cost to offset $13.750.00 in rent in year 1. To be approved by Landlord. (Within reason, tenant may approach Landlord with additional expenses to be paid by landlord at landlord's sole discretion). (f.) Common Area Maintenance, 40% of buildings Utilities, Insurance, Real Estate Taxes and all other expenses associated with the operation and upkeep of the subject property shall be the sole expense of the .Tenant. Tenant is required is to have a maintenance contract for the HVAC system(s). 1 r ,this Lease shall be binding upon Landlord and Landlord's successors only with respect to breaches occurring during Landlord's and Landlord's successors' respective ownership of Landlord's interest hereunder. In addition, Tenant specifically agrees to look solely to Landlord's interest in the development for recovery of any judgment from Landlord; it being specifically agreed that Landlord shall never be personally liable for any such judgment. The provisions contained in the foregoing sentence are not intended to and shall not limit any right that Tenant might otherwise have to obtain injunctive relief against Landlord or Landlord's successors in interest, or any other action not involving the personal liability of Landlord to respond in monetary damages from Landlord's assets other than Landlord's interest in this development. WITNESS the execution hereof under seal the day and year first above written: LANDLO : 10 can St. Realty Trust By: TENANT: Food Port Deli Inc. and or nominee By: PERSONAL OR: Fredy B Chav-ez _ - - B /lGU 15 ��-r � .Commonwealth of Massachusetts let Metal Permit Ma Parcel �(� here p PRESS PERUq Bate: f-/"�6ermit# :�? - � AUGA UG 1 5 Z016 om Estimated Job Cost: $ �000 TOWN OF gARNSTAg��erxnit Fee: $ f V76-6-Plans Submitted: YES No Flans Reviewed: YES NO Business License# S Applicant License# �?`d 3 Business Information. Property Owner/Job Vocation Information: Name: 2QC/o's sx-C' Name. On", sra& i 1--j" Street:(f-el ,t, V A- •,61,.-1 Street: r0 ST Ci /Town: A- Od 70 City/Town: 4/4-11uljl 5 : /77 1 Telephone: 5 Of-,ff 5 -99-111) Telephone: �.�O ?,A %ff 7 Photo I.D.required/Copy of Photo I.D. attached: YES NO Staff leadal a 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 i Residential: 1-2 family Multi-family Condo J Townhouses 'Other f Commercial: Office Retail Industrial Educational Fire DeptApproval Institutional_ Other z 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 i Metal Chimney/Vents Air Balancing,__ J .Provide detailed description of work to be done: r r� h2o,- r c/ 16USLrIl 1 Ar-e ern, 3 The Commonwealth of Massachusetts Town of Fahnouth—Inspectional Services State Board of Building Regulations and Standards 59 To-vvn Hall Square Massachusetts State Building Code Falmouth,MA 02540 For One and Two Family Dwellings (508)495—7470 Fax (508)548,—4290 Building / Sheet Metal Permit Permit# Date: Issued Date: j Estimated Job Cost: $ Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: Name: Street: Street: City/Town: City/Town: Telephone: Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO StaffInitial 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: 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: INSURANCE COVERAGE: I have a current liabilitV 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 IV 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 Massachuse General Laws,and th my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's.Agent By checking this box0,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 Inspections Date Comments Final Inspection Date Comments Type of License: By ZMaster (A)U064 Title ❑ Master-Restricted City/Town ❑Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number '9N'111-3 Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information /_ Please Print Legibly Name (Business/Organization/Individual): lLokacto s _TNc Address: City/State/Zip: �,� ®27,k- Q'c? 7'T Phone#: J`&4 '765 '9 9 � Are you an employer?Check the appropriate box: Type of project(required): 1.W'1 C�am a employer with f" employees(full and/or part-time).* 7. New construction 2.[]1 am a sole proprietor or partnership and have no employees working for me in 8.any capacity.[No workers'comp.insurance required.] . ❑Remodeling 9 3.O I am a homeowner doing all work myself[No workers'comp.insurance required.]t ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOf 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 the policy and job site information. Insurance Company Name: g,:wC Policy#or Self-ins.Lic.#: `-7 S9(o�f j Expiration Date: --/ -420/ Job Site Address: /0 ©Cya-A J/ City/State/Zip: Ce'Vali, 1AP 6a60� 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 u der the ns an�fies uty that the information provided abov is true and correct. Signature: < Date: / / Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5..Plumbing Inspector 6.Other Contact Person: Phone#: I AC'�® DATE(MM/DDNYY`r) �� CERTIFICATE OF LIABILITY INSURANCE F8/1/2016 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 Monica DaSi1Va NAME: O Sylvia & Company Insurance Agency, Inc. pHC No E : (508)995-4553 A/C No:(508)995-4.925 500 Faunce Corner Road E-MAIL p ADDRESS: roum mdasilva@sy g lvia co Building 100 Suite 120 INSURERS AFFORDING COVERAGE NAIC# Dartmouth MA 02747 INSURER A HartfOrd Insurance Company of the INSURED -INSURER B:Safet Property & Casualty 12808 Horacio's Welding & Sheet Metal, Inc. INSURER C AmGuard 42390 64 John Vertente Blvd. INSURERD: INSURER E: New Bedford MA 02745 INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 GL/BAP/UMB/WC 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 INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD MMIDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGA CLAIMS-MADE ❑X PREMIS OCCUR TO RENTED 300,000 PREMISES Ea occurrence $ OBSBAVX2433 5/1/2016 5/1/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS Ix AUTOS 6209916 5/1/2016 5/1/2017 BODILY INJURY(Per accident) $ NON-OWNED PROPERTYDAMAGEX HIRED AUTOS AUTOS Per accident) ccident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10 000 000 A EXCESS LAB CLAIMS-MADE AGGREGATE $ 10 000 000 DED I X I RETENTION$ 10,000 OBSEAVX2433 5/1/2016 5/1/2017 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A C (Mandatory in NH) HOWC759641 6/14/2016 6/14/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Job Ref: Ocean St Cafe & Deli 10 Ocean St Hyannis, MA 02601 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Maureen Armstrong/JK ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 rgtneon Town of Barnstable Regulatory Services , t ` Richard V. Scab,Director n,ua Building Division. Paul Roma,Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, IAuil.(.t 4114 (-OIUA(6�1, , as Owner of the subject property hereby authorize 140/wG10�S /NC to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools c_ are not to be filled or utilized before fence is installed and all final inspections are erformed and accepted. Signs oft S' e of Applicant w Print Name 'Print Name f Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division swaivsr Paul Roma,Building Commissioner MASS. M�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-ocgoied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with'the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,-Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a_licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page- this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 I f Fold,Then Detach Along All Pertoratlons FCOMMONWEALTH OFMASSACHUSETT • • • •• • ...BOARD O SHEET METAL ISSUES ISSUES THE FOLLOWING LICENSE MASTER-UN-RESTRICTED MICHAEL B TAVARES • o 8 PINECONE LN EAST FREETOYVNj MA 027171649.: 2423 " 07/2812018 89063 s: t S Fold,Then Detach Gdong Ail Perforations �x .00MI`MONWEALT H OF M ASSACHUSET T& D ® ® bm SW 1 _ BOARD'OF SHEET :NIETAL WORKERS ISSUES THE FOLL0W[k- LICENSE ::AS BUS MESS a - A9 t CHAEL B TAVARES HORA #0..:WEL0..1N;G AND SHEET METAL :N 64 JOHN;VERTENTE ;BLVD` ti�iL4J" jrli LP, hA 02715 °'=5 3 2i0.?/.1 6 , 358208 �* Y*►� B x ® ® yn .: SHE: ` :TAL h� (55t1S 'SHE t3.LLQtt$F-fir L t'CENS ' .arss � us t.cep ,. r y 4rt fiEl Tr4VARES P;xNEE L;N c 1 T FREvET Cat �tA 27 i 7 1649 HOOMMART iJOLJ V75 5 70;0 1=100C SHOP %o supply FOR MORE INFO: P.O.Box 1808 ^ Exhaust CAMBRIDGE,OH 43725 — Riser FAX:800-716-1214 10 TOLL FREE: 800-715-1014 0 www.hoodmart.com IJONT YP. WONT TYP. sales@hoodmart.com �O M BOX EXHAUST CANOPY W/ T ° Hanging Brackets REAR SUPPLY PLENUM Length of Hood General 'Specifications: o Constructed of 18 gauge steel O All joints are welded liquid tight, without seams by an automatic mig welder H O Hoods are built in accordance with NFPA 96, NSF specifications, and U.L. 710 ri O Grease trough is made to 6" to 23" receive grease extracted by the filters o Grease filters are 20" baffle type, they carry a U.L. listing and are Supply RiserV 100w Pre-Wired Lights constructed of a light weight aluminum steel 20" Baffle Grease Filter o Each grease trough is equipped with a stainless steel cup Stainless Steel Grease Cup 'e, ote: Factory does not cut holes 6" Rear Supply Plenum in hood Available In: , 0 Deluxe:All Stainless Steel En LISTED e Hybrid: Front and Sides are EKHAftXMOODS to FOR COMMERCIALStainless Steel and Top and Back COOKING EQUIPMENTare Aluminized - 3o063,CONFORMS TOOL$TO 710 e Economy: All Aluminized Y NA[A, ,OT7 �ourq one STOP N000 SHOP U L762 U PB LAST EXHAUST FAN BELT DRIVE 33 1/2' c C 27 3/8' 22 1/8' MODEL# HMEX28-B 2" E-----24"SO. r DIMENSIONAL DATA 23"SO.CURB PERFORMANCE DATA PHASE 1 VOLTS 115/230 AMPS 1 0.3/5.1 HP 1 3/4 000"S.P. .250"S.P. .50"S.P. .75"S.P. 1.00"S.P. 1.25"S.P. 1.50"S.P. 1.50"S.P. 2.00"S.P. RPM CFM Sone CFM Sone CFM Sone CFM Sone CFM Sone CFM Sane CFM Sone CFM Sone CFM Sone 1551 2229 16.3 2016 16.2 1788 15.4 1577 13.7 1333 13.2 - - - - - - - - 1785 2565 19.6 2381 17.6 2187 18.6 1993 17.6 1010 16.8 1599 16.1 1320 14.7 2055 2953 25.0 2793 21.0 2630 23.0 2457 22.0 2291 21.0 2132 19.5 1957 18.9 1772 18.3 1507 18.3 STANDARD FEATURES HEAVY GAUGE ALUMINUM HOUSING 90 DAY LIMITED WARRANTY ON ALL ELECTRIC MOTORS FACTORY SET DRIVE 9 �. BELT DRIVEN MOTORS ARE ENCLOSED IN WEATHER-TIGHT COMPARTMENTS FANS AVERAGE UNIT WEIGHT:101 LBS UL 762 AVERAGE SHIPPING WEIGHT:137 LBS HOOD MART,INC. P.O.BOX 96 GRAFTON,OHIO"0" 800-715-1014 1/12 AA jR vouR onz /61100D.SHOP PO BOX 96 GRAFTON,OH 44044 Ph:800-715-1014 Fax:800-716-1214 www.hoodmart.com MAKE-UP AIR FAN HMSF5 43.5" 2.50 22' 21.5" •\ •\ �RPM 225 \ \ 1400 RPM d 2.00 1.75 ��'4 yA bq 1300 RPM 'So 7 1.50 \� \ ; RPM \ \ INLET OPENING .\ DIMENSION: a- 125 \ \ \ it00 RPM \ �22"� 15.5"x 15.5" ~ \. 1000 RPM. \ \ �ry 1.00 .\ .\• 900 RP ♦ \ \ �•-11.5"-� .75 I------ 800 RPM \ \ T I I 1 5/8 .50 700 RPM \ \ 22" 13' I I 800 RPM- 25 AnnRPM -L.------J '00 0 2 4 6 8 10 12 14 1B 18 20 22 24 26 28 30 Volume(CFM In Hundreds) CURB DIMENSION:21.6"SQUARE FAN CURVE 1/3 HP SUPPLY FAN .1W'S.P. .2W'S.P. .500"S.P. JW'S.P. 1 1.00"S.P. 1.500"S.P. 2.W'S.P. 2.50"S.P. CFM RPM SHP RPM BHP RPM BHP RPM BHP RPM BHP RPM BHP RPM BHP RPM BHP 800 359 .04 483 .06 693 .12 857 .18 991 .25 1207 .39 1382 .53 1531 .69 900 369 .05 489 .07 687 .13 853 .20 990 .27 1212 .42 1392 .58 1546 .75 1000 381 .06 497 .09 683 .15 847 .22 987 .30 1213 .46 1398 .63 1556 .81 1100 395 .07 505 .10 1 682 .17 1 841 .25 1 981 .33 1 1213 .50 1401 .68 1562 .87 1200 411 .09 514 .12 687 .19 1 837 .27 976 .36 1209 .54 1401 .73 1565 .94 1300 427 .11 525 .14 694 .22 1 835 .30 970 .39 1205 .58 1399 .79 1567 1.00 1400 445 .13 537 .16 703 .24 838 .33 966 .42 1199 .62 1396 .84 1566 1.06 1500 464 .15 551 .19 710 .27 844 .36 964 .46 1193 .67 1391 .89 1563 1.13 1600 483 .17 566 .22 719 .30 851 .40 967 1 .40 1188 1 .71 1386 .95 1559 1.20 1700 504 .20 581 .25 728 .34 859 .44 972 1 .54 1184 .76 13801 1.01 1554 1.26 1800 524 .24 598 .28 739 1 .38 867 .48 979 .59 1181 .82 1374 1 1.07 1549 1.33 1900 545 .27 616 .32 750 .42 1 875 .53 987 .64 1182 .88 1369 1.13 1543 1.41 2000 567 .31 634 .37 763 .47 884 .58 995 .70 1186 .94 1366 1.20 1537 1.49 2100 589 .35 652 .41 776 .52 894 .64 1003 .76 1192 1.01 1363 1.27 1532 1.57 2200 611 .40 672 .46 791 .58 904 .70 1011 .82 1199 1.08 1365 1.35 1528 1.65 2300 633 .45 691 .51 1 806 .64 916 .76 1020 .89 1207 1.16 1369 1.44 1525 1.74 2400 656 .51 711 .57 822 .70 928 .83 1029 .96 1215 1.24 1375 1 1.53 1524 1.83 2500 679 .57 1 732 .64 838 .77 941 .91 1040 1.04 1223 1.32 1382 1.62 1527 1.93 2600 1 702 . .63 1 753 .70 1 855 .85 955 .98 1 1051 1.12 1 1231 1.42 1389 1 1.72 11532 2.04 STANDARD FEATURES HEAVY GAUGE ALUMINUM 90 DAY LIMITED WARRANTY ON ALL ELECTRIC MOTORS FACTORY SET DRIVE BELT DRIVE MOTORS ARE ENCLOSED IN WEATHER-TIGHT COMPARTMENT pU40 L VOLTS:116 AMPS:6.9 ..�...,T.so FANS GENERAL NOTE: ALL WORK SHALL BE INSTALLED IN CONFORMANCE WITH ALL THE GOVERNING CODES, REGULATIONS AND ORDINANCES. INCLUDING, BUT NOT LIMITED TO, NFPA 96, NFPA 17A AND UL 300 EXHAUST EXHAUST . U(D L ROOF ROOF-- 1-1/2"x1 1-1/2" ANGLE 1-1/2"x1 1-1/,2" ANGLE FRAME BRACKET TO FRAME BRACKET TO SECURE DUCT TO BLDG SECURE DUCT TO BLDG AIR INTAKE AIR INTAKE NSF EXISTING HOOD NOTE: 1. CONSTRUCTED FROM 18 GAGE, DOUBLE WALLED, TYPE 304 STAINLESS STEEL, NO. 4 FINISH 2. ALL SEAMS WELDED IN COMPLIANCE WITH N.F.P.A BULLETIN #96 3. 3" AIR SPACE WILL BE PROVIDED BETWEEN THE WALL AND THE HOOD NOTE: 1. DUCT WORK IS BEING FABRICATED SPECIFICALLY FOR THIS JOB 2. WILL INCLUDE ALL NECESSARY ACCESS POINTS TO FACILITATE ITS CLEANING AND MAINTENANCE H o ra c i o s STD MUA EXHAUST HOOD-EXTERIOR VIEW 3. IT WILL BE INSTALLED IN A WAY THAT WILL BE SAFE Welding & ST CAFE & DELI- 10 OCEAN S FOR THE CLEANERS TO DO THEIR JOB ON THE ROOF Sheet Metal Inc. OCEAN OCEANHYANN S, MA 4. IT WILL MEET ALL CURRENT CODES DESIGNED S MIKE TAVARES ALE: N/A DATE: 8/10/2016 DWG #1 f _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 32? Parcel /OQ' Application.# '" — 3 3 S Health Division Date Issued Conservation Division Application Fee Planning Dept. aPQ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address /c) OCFq lV STlLF EST 14YAAf1V l S Nl14 o=-6 0 / Village _ [-/O'AAfAl 15, Owner_ W 11-4l A M 1414lll/1/r Address 4 (ElYT�/ •l 5 S , E,4ST0n/ 23�s Telephone Permit Request 12 E/0 C A LSS 9XG1'5:� A16 f l/j AlD01A1 _ D(E AJ AAf D FR Q MF 1N 2 /VP W W I'/V Dn(Al S ?' X S�_1 2 6 PC C!S 160 FT. C(92 n/F_2 A 2 j- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: )U Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial II&Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name MFND6 (50IlSi 2 uC T-/ of\/ Telephone Number SC)'8 - q 2q - 3109 Address 32-0 aofyD ST• License# 06 2 3 S 0 F_ o (.�2 I D G F U/A TF_ MA 02%3 3 Home Improvement Contractor# Email_ M E/V DF S Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t 20:1-Ahj t2E6464- n/ G SIGNATU z DATE . �r FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 27ie Comarompeafth o,f-ifassadiusetts k r - txrkna t� industrial�e :der ep � a its 17f-ce of7nmsiigadam. 600 Washington Street Boston,41A 02111 - tt•=rvtr:niar mgovldia '"Turkers' tlampensafionlnsuranceAffidavit Builder-dCuntractGrsJElectricians,/Phimbers ' Applicant Infarmat an Please print LeQiUy . t Name IBns�esstOrga�atianfFut�i�nal� -'S+ S Mr !��1Gl��c�/�/ FA-NI!L Y GL C Address; STj MA city/st4& �V Phono 4_ Gib U ?2- — Oo O 0_ . Ai a yG employer?Checkthe appropriate box: T of project r . 4_ I am a eneral contractor and I 1 e ] { egion I. I am a employer u�iffi ❑ � G. ❑New construction employees(full andlor p timed* 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 smb--c=trac#ors have g_ 0 DeIIlOittIDil wodring far me in any capacity- employees afld have workers' [Noorkers'camp.insurance comp_insurant—1 9• ❑Building addition Workers' r lb, Electrical r ed_ �_ ❑ 1We are a�corparation and its ❑ repairs or a;3aious of .have•exercised their 3.❑ I am.a hameau*ner doing all work 1 L❑Plumbingrepairs or additions' . nVset€[No wo�' right of exemption per MGL Wig- 12_O Roof repairs • +nnxrzriceregniredj1 ` . c.152,g1(4),andwehaveno employees.[No,workers' 13.El other ` comp-insurance required_] 'A¢pappFi ffi-2tcberkss box Rmn;t also fiIloutthesmdonbeiawshasaingtheirum&eW compersati npariicyiaEormadoeL Mmeoaraem wbo subadt dais dddwt iadirximg tha-y are&iag all wcA iLn-d&m bite outside contmctorsamst submit a new affidavit indfg�such . _ fCon=ractors tbst check this bmc mast attached as additinaa2 shed sfioning the name of&a mib-cortrvctom and state whether or nut those entities have ` eWloyees.If the sub-coubactms lave employee%theymut. pmtidetIL&worker5'tomp.palicgauueber_ I ant art euipd �crr thatis prmziIir�g�vrrrkers'.cacrr�erisrd/crre ufsriranca form}*eacp£a}�ees $elo'v is fife policy and job site ir�trrmaliort - . Insurance company Name: /�1/S✓✓t niCF_ G L . Policy,;,L or Self-ins.Lic. he U MR !I Ad ( 14 F-ViratianDate: to—7 2 � Job Site Address: /O 06EApJ jr. fl eity/state/2.sp: Attach a cop} of the workers'compensationpolicy declaration page(showing the policy number and expi mtion date). Failure to secure coverage as required under Section 25A of MGL a 157 can lead to the imposition of criminal penalties of a fine up to$1,50a 00 andror one-yearimprisbzrmeut:as well as civil penalties in the form of a STOP WORK ORDERaud a fine of up to$250-00 a day against the violator_ Be adsdsed drat a copy of this statement may be forwarded to the Office of Investigatims oftiie DIA for insurance coverage-r-redfica ion I rio hersdiy certi under tILe pains andrpBrradties o pedut}�tl4att7ie injormati�wrrprini&dabm a is bus a?ud carrect Ss _ hate: phone lk 0•,0 al me anly. Do not avrke in tdds area,tit be cainpktcd by cite artetru 4afficzal City or'I'o-%�a• PermhffScense# ' IssningAniffiorfty(cirde one):' L Board of Health 2.I3uaI&V Department 3.CUy rown Clerk 4 Electrical F=perttor S.Plumbing Insimctor b.Other. . Can#act Person: Phone#: - � . - ormation and boLstrn .dons ; Massachusetts Geneaal Laws ffiVb a 152 reggaes all empIoyees to provide workers'compensation f ffieir employees. p this sfi�ote,an�Ioyee is defined as"_.every peascinm ffie service of another ender any con and ofhire, express or implied,oral orwnc�i " An mpIvyEr is de<fined as"an individual,ParfnersbiP,association,carp oration or other legal entity,or any two or more of the foregoing engaged is a joint enterprise,and including the legal relseseutaiives of a deceased employer,or the receiver or trustee of an mdivi&ml,pasinmsbiP,association or other legal entity,employing employees. However the owner of a.dwelling horse having not more than three apartments and who resides therein,or the occupant ofthe- owner er who employs persons iD do mat enao cc,construction or repair wofic on such dwDDing house dweffiag horse of ono emplaymeutbe dsemedtn be an employer." or on the grorm& or building appmteamtthereb shallnotbecanse of such MGL chapter 152,§25C(6)also sues that every state or local licensing agency shall withhold the issuance or renewal of a Ticease or permit to operate a business or to constmat br�dags in the commonwealth for any applic�a.ntwho has notproduced acceptable evidence of compliance with the uisurance coverage i egnired." Additionally,MCZ chaptrr 152,§25C(7)states¢Neither the commmonweahh nor iiq ofitspoIitical subdivisions shall enter into any contract for the performance of public W0�Until acceptable evidence of compliance with the,,,crrr�,ce. rtT lir gents of this chapter hate Been presented to the contacting an$iomiY-7 AppTica-nts Please fill out the workers'compensation affidavit completely,by chm g ae,boxes$at apply to your siinaiion and,if necessary,supply sob-contractor(s)name(s), addresses)and phone mmber(s) along with their certificates)of IDcn,-a„ce. Lfi itedLiabtiity Companies(LLC)or Limited LiabiTityPartnersbiPs.(LLP)R'rthn.O employees otiierthanth5 members or part aers,are not requmed to carry workers' compensation insurance If an LLC or LLP does have Toyees,a policy is regnired. Be advised that this affidayitmaybe submitted to the Department of Industrial eMP Accidents for confirmation of insnz =coverage. Also be sure to sign and date the affidavit. The affidavit should be r•eiirme:d to$e city or town that the application for the pemit or license is being regaestA not the Department of Lidastia1 Accidents. Shouldyou have any questions regardmg the law or ifyou are required to obtam a workers' compensationpoliey,please call the Department atthenmmberlisted below. Self-insuredcompames should enterlheeir self-;T, n ce license n=ber on the appropriate line. City or Town Officials t Please be sure that the affidavit is complete and primed legrRiIy. The Department hm 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. Pleas a be sure to fill is the perm Hcrose mrnber which wM be used as a reference number. In addition,an applicant that Me submit m_uYtiple permitllicense applications in any given year,need only submit one affidavit inffic Cull-eat policy filfbin ation[if necessary)and under"Job Site Address"the applicant should v u "all locations fa (�Y or_ ��)_'A copy of the-affidavit that has been officially stamped or maticed by the city or town maybe provided to the applicant as proofthat a valid affidavit is on file for fain .pemits or licenses. Anew affidavit must be:filled ov±each a license or permit not related to any business or commercial veatn' Y eat.Where a home owner or ciii'�en is obtaining p (ie. a dog license or pe nit to burn leaves eta.)said person is MOT required to complete this affidavit ThLo Office of Tnvesti g9d=would Irke to thank you in advance for your cooperation and should you have any question, please do not hesitate to give us a call- . i The Departments address,telephone and fax zmmber ry 'Ihe�O.=Ioawealft Of Massach�tf� Department cif Iadusidd Accidents (504-W �n. t Ta .4 617-'27-4 cxt 4-€6 ar 1-977 MA&,3AFE Fax# 617-727 7M R.evised4-24-07 ,tea39 90Zridia ry o t 4r 44 SHE k 9� 1 ,�� Town of Barnstable Regulatory Services Richard V.Scali,Director w Building Division Thomas Perry,CBO Building CommissionIer 200 Main Street, Hyannis,MA 02601 ' ' www.town.barnstable.ma.us Office: 508-862-4038 ,�r., Fax: 508-790-6230 Property Owner Must Complete and Sign This Section E If Using A Builder - I s , as Owner of the`subject property hereby authorize C,Pk 3T26cyOG✓ to act on my behalfy in aA matters relative to work authorized by this building permit application for: 10 aF AN s /f yA.w ✓1 s Nl!a 026 d 1 (Address of Job) -s. t Signature of O*nee, Date. - f Far-9Y C14AvF� Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the. ' reverse side. Q:\WPHLESTORMS\building permit fotmslEXPRESS.doc Revised 040215 f f/r r;,,3�1•»�>�r!Jl j 'l` ...! 3 1/ Massachusetts-Department of Public Safety Q!r!c of Consumer Affairs;&QusmesS N guiatiou Board of Building Regulations and Standards — = DOME IMPROVEM€NT CONT�R,'CTOR Construcdor�S-;;oc;.esr„ ;Registration 10982o TYH?: License:CS-06238O x OM 7Expiration 9t29�2016 DBA - , sue- •�, MENDES CONSTRUCTION �POBOX337 DAML S MEND�DANIEL MENDES E EMMEWATER P.O.BOX 337 EAST BRIDGEWATER MA 02333 c—� s �r�n?� Undersccretsry �,,�.,,�J Expiration ' OSNO12017 Commissioner J&sm(;-1 UP ID:GJG DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 02/1712016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER NAME CT Karen A Ferreira FBinsure,LLC DBA FBinsure arc°No Ext:508-824-8666 FAX No):508-880-0142 PO Box 509 E-MAIL ;karen fbinsure.com Taunton,MA 02780 ADDRESS INSURE S AFFORDING COVERAGE NAICft INSURER A:Everest National Ins Co 10120 INSURED AS McLaughlin Family LLC INSURER B:Safety Indemnity Insurance Co 33618 18 Reed St INSURER C: Taunton,MA 02780 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. ILTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MM POLICY EFF MPOMID Y EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE a OCCUR EF4ML05200151 01/3012076 01/30/2017 PREMISES Ea occu GE TO RENTED $ 60,00 X Blkt Addi Ins MED EXP(Any one person) $ 5,00 X InciS Poll Liab PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY JEC ❑ T M LOC -PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: BI1PD DED $ 2,50 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO 6223696 06/30/2016 06/30/2016 BODILY INJURY(Per person) $ 250,00 ALL OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) 500,00 X HIRED AUTOS X NON-OWNED FRarracadenDAMAGE $ 250,00 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE_-_POLICY LIMIT $ A Prof Liab EF4ML05200151 01/30/2016 01/30/2017 Ea Cl/Agg 1MU2M Claims Made Form RETRO DATE 1130114 Ded 2,500 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached M more space Is required) RE: 10 Ocean St Hyannis MA 02601 do William Hanney CERTIFICATE HOLDER CANCELLATION EASTON8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Easton Property Management ACCORDANCE WITH THE POLICY PROVISIONS. 7 Central St Easton,MA 02375 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 'q" �. CERTIFICATE OF LIABILITY INSURANCE DATE o2/17/2o1rcs 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 endorsements. PRODUCER NAME: Carla CafOSVenOr FBINSURE LLC PHONE 508)824-8666 aC No: E461AIL ADDRESS: Cgrosvenor@fbinsure.COm 128 DEAN ST. INSURERS AFFORDING COVERAGE NAIC II TAUNTON MA 02780 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B J&S MCLAUGHLIN FAMILY LLC INSURERC: INSURER O: 18 REED ST r INSURER E: TAUNTON MA 02780 INSURERF: COVERAGES CERTIFICATE NUMBER: 31180 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M D MMMD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per a.dent $ UMBRELLAUA13 OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION $ WGRKERSCOMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y/N A OF CEORIM PRIETORIPARTNER/MB REXC UDEDIX9ECUTIVE NIA NIA NIA 7PJUB9989M61715 10/22/2015 10/22/2016 E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA MPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has Hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensabonfiinvesfgabonst. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Easton PrOpeq Management ACCORDANCE WITH THE POLICY PROVISIONS. 7 Central St AUTHORIZED REPRESENTATIVE Easton MA 02375 " Daniel M Cro ley,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD B.1PN��iE,1 MKi i+" r Town of Barnstable ; Hyannis Main Street Waterfront Historic District Commission www.town.barnstable.ma.us/hyannismainstreet Decision —Certificate of Appropriateness Fredy B. Chavez d/b/a Ocean Street Caf6 & Deli - 10 Ocean St., Hyannis The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code of the Town of Barnstable Chapter 112,Historic Properties,Article I1I,Hyannis Main Street Waterfront Historic District,hereby approves a Certificate of Appropriateness for the following property: Property Address: 10 Ocean St,Hyannis Assessor's Map/Parcel: 327/�l DII At the April 6,2016 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 the exterior renovations and addition of the awning, as outlined, will appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the material, design, color, location, and context of the proposed renovations and awning 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. Restore storefront window on the north fagade. 2. The proposed awning will be continuous, with a squared/hipped corner, of striped canvas with black/white/blue and stripes continuing onto valance. 3. The building will be painted with Behr Simply Blue. 4. The corner boards will be replaced as needed and painted white. - 5. The exterior brick will be cleaned and the Board recommends either sealed with a clear sealant or whitewashed. 6. Black gooseneck lamps to be installed above awning as presented. 7. The side entrance'ramp will be reconfigured. 8. The final design of the hanging sign will be submitted for final approval prior to installation. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop; Paul Arnold, David Colombo,John Alden,William Cronin,Brenda Mazzeo,and Timothy Ferreira Opposed:None George Jessop Chair D e Hyannis Main Street Waterfron toric istrict Commission cc: Fredy B.Chavez,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 pedury. ?Quirk.Town Cl lc �� DECEIVED Town of Barnstable 2 LU16 Hyannis Main Street Waterfront Historic DistrictG TVINPRGEMENT Application UVV Certificate of Appropriateness . Application is hereby made for the issuance of a Certificate of Appropriateness under M.G.L.Chapter 40C,The Historic Districts Act for proposed work as described below and on plans,drawings or photographs accompanying this application for. Assessor's Map No. 3 2 Parcel No, Address of Proposed Work io OCEAN SMEE T pYAA/NI$ NIA 02601 Applicant Name FQEUy C14AVE7 Applicant Mailing Address 12 S FOI EST Qp. Town/State/Zip SOUTH YA4MOOf/-1 MA 02"q Applicant Phone Number (SO g}- 6 gs- y3 02 Applicant E-Mail FO_ "AVEZ &YAHOO - coM Property Owner Name LAI I GC I A NI N A n/A/E V Owner Mailing Address q CEN1`/1AL 57-. Town/State/Zip SOUiH EA 57—On/ MA 62Mr Owner Phone 6 0 - 8Cy 2- 9096 Agent or Contractor Name Agent or Contractor Address Town/State[Zip Agent or Contractor Phone Agent or Contractor E-Mail PROPOSED WORK Please check all categories that apply: Building Type: ["Commercial ❑ Residential ❑Accessory ❑ Other Work Proposed: 1. Building Construction: ❑ New Building ❑Addition [Alteration 2. Exterior Alteration: RWindows ❑ Doors ❑ Siding ❑ Roof EVOther rQA$4 P 3. Exterior Painting: [� - 4. Signs: [ New sign ❑ Alteration to existing sign 5. Accessory Improvement: ❑ Fence ❑ Parking Lot ❑ Outdoor Dining O Awning/Canopy 6. Other: �X7F/11n2 L16HTlN6 (SIr�/ 1 An F )VE APR 062 Page 1 of 3 6 T01JVN`0F BA,_NSTA.RL E NYANNlS MAN ST%fVAT FR1:R')N'T !-HISTORIC DISTRICT Hyannis Main Street Waterfront Historic District Commission BUILDING MATERIAL SPECIFICATION SHEET Please complete this sheet only if new building construction or alterations to an existing building are proposed. Fill out all sections that are applicable to your project. Include materials, specifications,dimensions and/or colors to be used. FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR - ROOF MATERIAL COLOR ROOF PITCH DOORS COLOR WINDOWS LAi D OD )c2 A M r COLOR &4c!c SHUTTERS COLOR TRIM. COLOR GUTTERS PATIO/PORCH/DECK GARAGE DOORS COLOR OTHER APPROVED ' APR 0 Page 2 of 3 TOWN OF Sa;K N• .;3�..Fa HYANNIS kgjAj Hyannis Main Street Waterfront Historic District Commission DETAILED DESCRIPTION OF PROPOSED WORK • Provide detailed specifications of the proposal. • Include a detailed description of changes to existing conditions, if applicable. Describe proposed materials to be used, desired colors, manufacturer's specifications, etc. • In the case of signs,give locations of existing signs and proposed locations of new signs. Attach an additional sheet,if necessary. 7 Signed l Applicant-Agent 0 Date .02)1'2Sh6 - APPROVEDAPR �..� TOWN OF HYANNIS MAIN ST Page 3 of 3 HISTORIC DIS I' ; •i::!; s r I Application r Certificate of Appropriateness Ocean Street Cafe & Deli Inc. 10 Ocean Street Hyannis MA 02601 Proposed Work: l.-To reopen boarded-up storefront window facing Hyannis Main Street: To reopen boarde-up wall section on side of property, where one of three storefront windows was previously located. To install new 70 3/4"x 70 3/4"x 0.5 " clear glass panel with wooden trim to match the other 2 storefront windows. 2.- Exterior paint for building and storefront: New paint will be applied to all exterior walls and trim of the building. (Color samples will be available at the hearing) 3.- New Sign: 4.- Sign Lighting: 5:- Recondition awnings: 6.-Recondition side entrance ramp:. PROVED a � .r�li 3� �1 a auinuu.. I z ,74,. La / a� i I` IT APPROVED APR b C' r A TOWN OF[?e,;2,;•••., HYANNIS M ffr ;'` ",-•... .- HISTORIC r 36 ",,ean Street N CAFE & DELI 4211 4 I VL, C Avell � f ,R 7 J �r o �, r � � b v �-y,fib: � •_ *^` *•� � �. f Silver Marlow WIOAIJ. •� = y" 'ra t' 0' r '.?,�i#� ,-�s, �",a*:rig � '- ^^e, :Y' Carbon N520-71 M$ £w . 3 _ - .. q V TOWN OF BARNS' BUILDING -PERMIT APPLICATION limed `1 Map- Parcel 1 � Application # Health Division qz) m Date Issued Conservation--Division a Application Fee Planning Dept. ,10 Permit Fee ��5 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address T� ®�'�,�.�4e:�Ayr 2 la yam,c Village Owner ti'm A,�4) Sddress ,Z �D�;tSo{ �j nh Telephone Permit Request r?erno%le ,fie"aga, P /6 �d 4gji2o e.� 1�� ►� a� 4d is y ` at_�U-11L kwolfizz,A�,, Avid ( _ o -ht Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Z�o►niin-g�District Flood Plain Groundwater Overlay Prol ject`Val o k , v z2 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: N(Full p Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 4 Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name m�� Telephone Number Address 4120y�� c� �,�i�r� d� p License #OZ 2 3 a Home Improvement Contractor# IFi�12� t�el.►4a. �A�L�JI_L� r3nl �� ,n(CT Email hht^N P Zd Workers Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURELJA,7,' DATE -021-1 FOR OFFICIAL USE ONLY APPLICATION # • 1 DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE r OWNER DATE OF INSPECTION: '> FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' e FINAL BUILDING h DATE CLOSED OUT ASSOCIATION PLAN NO. s ,t 4 ?lie Comm-rornveaUh o,—Massadirrsetfs Deparhnent&►,f rndustrial Acciderr#s f - O .ce o,f Imwtigations 600 Washurgion Street Boston,MIA#2111 Wmi.}masmgovfdia Workers' Compensation Insurance Affidavit:BuildersiCantractnrs/BlectriciansfPhimbers Applicant Infarmafian Please Print f eeriWy Waie(BusmesstY7r�Mintoubavidad c r�' Address: ,[� e Citylstatcl Phone-luk t, 0-07 Are you an employer?Check the appropriate box: T of project r I.'�-I nut a employer with�/_ � ❑I am a general contractor and I Type p ] (rupired). employees(full aridtor part-time).* leavehired:the sulr-contractors 6. ❑New conshucti4M 2.❑ I am a sole proprietor orpartaer- listed on the attached sheet 7. ❑Remodeling sl1 p and have no employees. These sub-contractors have g- ❑Demolition worming .or me in any capaLcity_ employees and have workers' INo Workm,comp.imsurance comp-msutants--1 9. ❑Euffding addition required-] 5. 0 We are a corporation and its 1�❑Electrical repairs or a dditious 3.❑ I am homeo-amer doing all work officers have exercised their 11_❑plumbing repairs or additions myself o-workers' uri t of exemption per MGL �` � �F- 113.111toafrepairs. insurance required-]i c.152, §1(4k and we have no employees.[No workers' 13J�]Other i GC comp_insurance required_) #Auy_WHc H-t cbedM box fl—st also M outthe sectionbeiowshmsiag their waziere compmsafionpo&7 informadoo_ t&ameowners who submit this diidaru indicating they axe rlaimS all we*and them hire outsidecontractorsmmst submit a new affidnit indicating such- ZCoatrscioasffid ehwk tLds box must atta_hhed as additional shw s'houtag theaaraeof ft sub-contrxcJlo-a and state whether arnat those mAideshwe employees.If the sub-coat actmshave employees,they=1srpm i&their workers'-momp.palicg number_ I am art empkIzer that is pro Ving itrarkers'congwisadmi hintrancefor my amplojwes. Below is i1Le policy tad jab site irformalion Insurance Company'Liam r z4Q S,944 ,)1 C Poficy,A,cr Self-ins.Lic-*: ;Z2 Expiration Date. 62,W Z Job Site Add- r IN d a� citylStatelzip yah o a 4P 6 V 1 Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL tw 15'2 can lead to the imposition of criminal penalties of a. fine up to$1,50a OG andfor one-y-ear imprisonment,as we11 as civil penalties in the form of a STOP WORKORDER and a fine of up to$250.DO a day against the-violator. Be adtdsed that a copy of this statement maybe forwarded to the Office of' Itavestigations of the DIA for insurance coverage verification. I do hereby cetli&randRr the pains andpenaIties afperjmy flrat the irrfbr7ria€n prarirled abmne is ft=and carrect Sitsaatu y,- I 2Z I}ate_ x Phone Oj j trim use arrt. Do not write in this area,to be campieted by city artown offi tat City or Tan n:: PermitUcense ff - Issuing Authority(, ircle one): L Board of Health ::.ceding Department 3.Ci#y1rown Clerk d.Electrical Inspector S.Plumbing Inspector b.Other Contact Person: Phone#: ormation and lastr.ctious hfassach=cas C=- eral Laws chapf!r 152 requires all employers'to provide workers'compensation for their employees. P tn this fie,an employee is defined as."-.every person ia the service of another under any contract of hire, d eacpress or implied,oral or wz nnf A An errrplayer is defined as"an mctividnA partnership,association,corporation or other legal entity,of any two or more of the foregoing engaged in a Joint eniurgnse,and mclndmg the Legal represont*aiives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a.dwelling house having not more than three apartments and who resides therein,or tine occapant of the - dwe,Ili ag house of another who employs persons t D do mai ak an ce,construction or repay work.on such dwDIli ag house or on the grounds or buddmg app thereto shall not becanse,of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sills 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 hmmxance coverage required-" Additionally,MGL chapter 152,§25C(7)status"Neither the comet cnwega nor a'ny ofits political subdivisions shall enter into any contract for the perf=ance ofpubhc work unh•I acceptable evidence of compliance with the, nsT-ance.. reclu mnents of this chapter have been presented to the contracting aafhoiity." Applicants Please fill out: the workers'compensation affidavit completely,by checking&e,boxes that apply to your sitnation and,if necessary,supply sob-contractor(s)name(s), addresses)and phone numbers) along with.their certrfrcate(s)of Tncr cz. Limitbd Liability Companies(LLC)or Limited Liability Parfnersbips,(LLP)witixno ezn.ployees other f m ffio members or partner are not regret ed to carry wormers' compensation hisarauce- Y as LLC or LLP does have employees,a policy is rmPfi- i Be advisedthat this aidavit maybe submittt:d to the Department of Industrial Accidents for confnmation of roan c4,-coverage Also be sure to sign and datettre affidavit The affidavit should be retuned to the city or townthat the application for the,permit or license is being requested,not the Department of Industrial Accidents. Shouldyou have any questions regarding the law or ifyou are required to obtain a workers' compmsationpoliey,please call the Department atthem=berlistedbelow Self-h=1--dcaupanies should eaterthtir self-mete license number onfha appropriate line. City or Town Officials Please;be sure that the affidavit is complete and pried Iegtbly. The Department has provided a space at the bottom . of the affidavit for you to fill out in thD event the Office of Investigations has to cozitact You regarding the applicant Please be sure to fill in the pezmMicense number which will be used as a reference number. In addition,an applicant that must submit multiple peMitlIicause applications in any grveai year,need only submit one affidavit indicating cu umt p olicy information.Cif necessary)and under"Job Site Address"the applicant should write"all 10cations m (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 proofthat a valid affidavit is on file for fatal pmmifs or licenses- A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete iffiis affidavit The Office of Investigatiow would at to thank you in advance for your cooperation and should you have any questions please do not hesitate to give us a call tel hone and fax number: The Departmeait's address, ep _ • - " The CG.MMMWattbE of Mas sachmetls Dtpart:nent of Indnsfdak Ac cZenta wee��tvesfig�tio� �4�asl�tan � Burton,MA E 111 Tf,-L 41' 617-'t -- '=t 4-06 or 1-977-MASSAFE Fay ff 617-'2"-7* Revised4-24-07 W W sna.-,- - �pFt11E Tn.�O� . • ' ' • 3ARNbTABLE, • MASS.1639. Town of Barnstable, 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 11V R tU-1 A Owner of the subject property �� hereby authorize �' �NNy e�t�act on my behalf, . in all matters relative to work authorized by this building permit application for: Oc Address ofjob) Signature of Date � LL`lA�► ��Nry t Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPHILESTORMS\building permit formAEXPRESS.doc Revised 040215 THE FOLLOWING IS/ARE THE BEST IMAGES. FROM POOR. .--' . QUALITY ORIGINALSmll/ \C& L DATA TOWN OF BARNSTA E BUILDING PERMIT APPLICATION q . Q Map v Parcel1"13 4? Application # Health Division Date Issued �7 Conservation Division Z Application Fee Planning Dept. ,10 Permit Fee �aS Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Village Owner ddress Telephone ��Loez T Permit Request &trnoVe O^A,CZ 4,46 s QL - ppi , � at�ll �1 Ze J,2 -Y x k 401 S(l;u S S�� { - -- r: existing proposed 2nd floor: existing proposed Total new CA I Flood Plain Groundwater Overlay g rn z �,2 70, Construction Type Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 0 , A.W Family ❑ Two Family ❑ Multi-Family(# units) 0 I e Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No O Crawl ❑Walkout ❑ Other r ►C s .ft. Basement Unfinished Areas .ft A '" n xisting new Half: existing new existing _new eluding baths): existing new First Floor Room Count p as ❑ Oil ❑ Electric ❑ Other ir: 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: - � 9 9 g — 9 iw ` Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ s. Commercial Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �sw- 01T 042 Address b�� r,��° f � �6�/ License# 3 9 �4- Home Improvement Contractor# IRS Q�� ,nr'CT Email me LA,, iQ N �`�"'��-��-�� P` N �cz►?.�nl Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ,f DATE i � �� t. �nn.�S MassDEP Home Contact Privacy Policy MassDEP's Online Filing System Usemame:ANTHONY550 Nickname:TYVEK My eDEP; FormscO My Profileus Help; Notifications Receipt J . Forms Signature Payment Receipt Summary/Receipt print receip F Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select"My eDEP"to see a list of your transactions. DEP Transaction ID: 817091 Date and Time Submitted: 3/14/2016 9:31:57 AM Other Email : — DEP Transaction ID: 817091 Date and Time Submitted: 3/14/2016 9:31:57 AM Other Email Form Name:AQ 06-Construction/Demolition Notification Form Name:AQ 06-Construction/Demolition Notification Payment Information DEP code: 121220 Date: 3/14/2016 9:31,31 AM Amount($): 100 Payment Detail: MCLAUGHLIN ANTHONY—AccountType—AccountNumber ****1652 ConfirmationNumber: My eDEP M(assDEP Home i Contact 1 Privacy Policy MassDEP's Online Filing System ver.12.21.6.00 2016 MassDEP M,q Epr row R 4?016 NOFegANsr Ag�F %I� �,rr,�L�,rrrc�r/tl ry�na,�.c/r��It Massachusetts-Department of Public Safety _ ;Uflic of C�nsumee-Affairs' 13usmes N su00_ , Board of Building Regulations and Standards UME IMPROVEVI€WT CtJNTRwCTOR �ua;.��c.�o�Cu. „A:101 f3 Registration e:10cs132o 'TYH' .z -.�_ - �: License: CS-062380 ra': Expiratlon 9l29/201DANIELS ME 6 MENDES CONSTR&ION r APO % i F t � E B EWATZR DANIEL MENDES P.O.BOX 337 EAST BRIDGEWATER,MA 02333r Ex i a i Undersecretary, Expiration Commissioner 05/10/2017 f *nr 0 BILL HANNEY President of Entertainment Cinemas 7 Central Street,South Easton, MA 02375 TEL:508-230-7600 FAX:508-238-1408 www.entertainmentcinemas.com f Pro ca rr-._�in± r 5 S y 6 .`'.....l.tU 1'.,,..+ 18 Reed Street Taunton,MA 02780 Fax: (508) 824-0024 Phone: (508) 824-0080 Contractor Registration #174271 For your convenience we will accept Visa,MC,and Discover William Hanne C/O Jim Griffiths Phone 1-617-842-8082 02/15/2016 7 Central St. Job Site 10 Ocean St. South Easton,MA.02356 Hyannis,MA. 02601 OUR WORK IS GUARANTEED TO PASS RE-INSPECTION SCOPE OF WORK Replace rotten sills and joists #1 Remove and replace 88' of With 4"x6"Pressure Treated $ 10,560.00 perimeter Sills Wood. #2 Sister Floor joists total 24 2"x6"x 12'And 4"x6"x12' $ 5,260.00 #3 Install 2 12' Center Beam. Pressure Treated wood, $ 1,920.00 #4 Install 8 new Footing and $ 3,400.00 Lolly Columns #5 Remove and replace Sub Total of[18] Sheets of/4" $ 1,710.00 Floor, Plywood. #6 Install heavy duty Metal For support $ 800.00 Hangers. #7 Install Galvanized joist Per building code. $ 300.00 hangers. 98 Remove and replace[1] 8"x8" 12'Beam,Pressure $ 1,800.00. Treated Wood. Town Permit Fee. This is an guessimate[subject to $ 700.00 change] TOTAL COST 1 $26,450.00 Safety precautions may require that we tape or scrape near floors,walls or wallpaper.All precautions will be used to protect these areas,but we are not responsible for damage to these areas.Preexisting,visible paint chips on the surface of ground will be cleaned up prior to re-inspection. We are not responsible for bum damage to lawns and outdoor plants due to covering them. Twenty Sig Thousand Four Hundred Fifty Dollars-----------$26,450.00 Payment to be made as follows:50%of total is due at start of work,40%is due at completion and 10%due after re-inspection All material is guaranteed to be as specified.All work to be complet a workman h e anner according to standard practices.Any changes from the above work involving extra costs will be in written fo I agreements are ingent on strikes,accidents or delays beyond our control.Owners are to cant'all necessary insurances.Our wo are fully covered s Compensation insurance.Owner agrees that J&S McLaughlin Family LLC can hold the deleading invo a from t inspect ce is paid in full. Authorized Signature for J&S McLaughlin Family LL (7 {* Acceptance of Proposal-The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the specified work Payments will be made as specified. i J&i...n M.`s.ae.�.E-Fi ge.:-0.1h1n, Fan f_l v IL,.€.....5,...� 18 Reed Street r Taunton,MA 02780 Fax: (508) 824-0024 Phone: (508) 824-0080 Contractor Ilegistration #174271 For your convenience we will accept Visa,MC,and Discover Signa a Date e: 1- { 1.8 Reed Street , Taunton,MA 02780 Fax: (508) 824-0024 Phone: (508) 824-0080 Contractor Registration #174271 For your convenience we will accept Visa,MC,and Discover William Hanne C/O Jim Griffiths Phone 1-617-842-8082 02/15/2016 7 Central St. Job Site 10 Ocean St. South Easton,MA.02356 Hyannis,MA. 02601 OUR WORK IS GUARANTEED TO PASS RE-INSPECTION SCOPE OF WORK Replace Gutters and Repair Rear Deck,And Roof Replacement. Remove and replace With all new stock and all down $ 1,620.00 approx.[88']White gutters spouts to move water away from building, Repair Rear porch, Dig new footing were needed, $ 2,800.00 and 4"x 6"P/T Posts to code. Roof Strip 16 SQ' owner to Replace rotten Fascia,Where $ 6,950.00 choose color needed,and re-flash Chimney Permit for the Roof $ 450.00 TOTAL COST $ 11,820.00 safety precautions may require that we tape or scrape near floors,walls or wallpaper.All precautions will be used to protect these areas,but we are not responsible for damage to these areas.Preexisting,visible paint chips on the surface of ground will be cleaned up prior to re-inspection. We are not responsible for bum damage to lawns and outdoor plants due to covering them. Eleven Thousand Eight Hundred Twenty Dollars----------------$ 11,820.00 Payment to be made as follows:50%of total is due at start of work,40%is due at completion and 10%due after reins action All material is guaranteed to be as specified.All work to be co leted in a wo an like manner according to standard practices.Any changes from the above work involving extra costs will be in written f .All agreemen are contingent on strikes,accidents or delays beyond our. control.Owners are to carryall necessary insurances.Our w ers are fully co byZbais pensation insurance.Owner agrees that Us McLaughlin Family LLC can hold the deleading in ice from the ins id in full. Authorized Signature for J&S McLaughlin Family L C W I-)/DOI 6 Acceptance of Proposal-The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the specified work.Payments will be made as specified. Lature Date 18 Reed Street Taunton,MA 02780 Fax: (508) 824-0024 Phone: (508) 824-0080 Contractor Registration #174271 For your convenience we will accept Visa,MC;and Discover II . J&bm(;.-1 UP ID:GJG DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F 1 02117/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CON NAME CT Karen A Ferreira FBinSUre,LLC PHONE FAX DBA FBinsure A/c No Ell:608-824-8666 a No):508-880-0142 PO Box 509 E-MAIL :karen fbinsure.com Taunton,MA 02780 ADDRESS INSURERS AFFORDING COVERAGE NAIC q INSURER A:Everest National Ins Co 10120 INSURED AS McLaughlin Family LLC INSURER e:Safe IndemnityInsurance Co 33618 18 Reed St INSURER C: Taunton,MA 02780 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. I�TR TYPE OF INSURANCE ADDL B POLICY NUMBER MP�pCY EFF MMI POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE TO RENTED CLAIMS-MADE a OCCUR EF4ML05200151 01/3012016 01/30/2017 PREMISES Ea occurrence $ 50,00 X Blkt Addl Ins MED EXP(Any one person) $ 5,00 X Incls Poll Liab PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: BUPD DIED $ 2,50 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO 6223696 06130/2015 06/30/2016 BODILY INJURY(Per person) $ 250,00 ALL AUTOS OWNED X AUTOSSCHED BODILY BODILY INJURY(Per accident) $ 500,000 X HIRED AUTOS X NON-OWNED PROPERTYDAMAGE $ 250,00 AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER TH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? F N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof Liab EF4ML05200151 01/30/2016 01/30/2017 Ea Cl/Agg 1 ML/2M Claims Made Form RETRO DATE 1130114 Ded 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE: 10 Ocean St Hyannis MA 02601 c/o William Hanney CERTIFICATE HOLDER CANCELLATION EASTON8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Easton Property Management ACCORDANCE WITH THE POLICY PROVISIONS. 7 Central St Easton,MA 02375 AUTHORIZED REPRESENTATIVE �iyL�lJ1.0. 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD A657R LY CERTIFICATE OF LIABILITY INSURANCE DATE("MIDO/YY") A 02/17/2016 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 endorsements). PRODUCER CONTACT NAME: Carla Grosvenor FBINSURE LLC PHONE 508 824 fis66 P�f No: EL ADDRESS: cgrosvenor@fbinsure.com 128 DEAN ST. INSURER 8 AFFORDING COVERAGE NAICS TAUNTON MA 02780 INSURERA: TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B J&S MCLAUGHLIN FAMILY LLC INSURERC: INSURER D 18 REED ST INSURERE: TAUNTON MA 02780 INSURERF: COVERAGES CERTIFICATE NUMBER: 31180 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 INSURANCE DL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MID LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREM PREMISES Ea occurrence) $ MED EXP(Any one ) $ N/A PERSONAL BADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:- GENERAL AGGREGATE $ POLICY❑JET LOC PRODUCTS-COMPIOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COM INEDSINGLELIMIT $ Ea a.d. ANY AUTO BODILY INJURY(Per person) $ A UTOWNEDOSULED N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Par..dent UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION X sraTtITE ER AND EMPLOYERS'LIABILRY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDEDT I WAI MIA NIA 7PJUB9989M61715 10/22/2015 10/22/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below F-.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) Workers'Compensation benefits Will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees In states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govliwd/workers-compensationrinvestgations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Easton Property Management ACCORDANCE WITH THE POLICY PROVISIONS. 7 Central St AUTHORIZED REPRESENTATIVE Easton MA 02375 Daniel M.Crowley,CPCU,Vice President—Residual Market—WCRIBMA ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD f Mass. Corporations, external master page Page 1 of 2 W; a � Corporations Division Business Entity Summary ID Number: 271302157 Request certificate I New search Summary for: 7&S MCLAUGHLIN FAMILY LLC The exact name of the Domestic Limited Liability Company (LLC): I&S MCLAUGHLIN FAMILY LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 271302157 Date of Organization in Massachusetts: 08-25-2010 Last date certain: The location or address where the records are maintained (A PO box.is not a valid location or address): Address: 18 REED ST City or town, State, Zip code, TAUNTON, MA 02780 USA Country: The name and address of the Resident Agent: 4 Name: ANTHONY MCLAUGHLIN Address: 18 REED STREET City or town, State, Zip code, TAUNTON, MA 02780 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER, ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA MANAGER ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA MANAGER ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA MANAGER ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA � I In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA SOC SIGNATORY ANTHONY, MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=271302157&... 2/23/2016 Mass. Corporations, external master page Page 2 of 2 SO C SIGNATORY JANTHONYMCLAUGHLIN 118 REED ST TAUNTON, MA 02780 USA SOC SIGNATORY I ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA REAL PROPERTY ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA REAL PROPERTY ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report ^' Annual Report - Professional ¢ Articles of Entity Conversion Certificate of Amendment ' ,i View films i Comments or notes associated with this business entity: i r New search } http://corpssec.state.ma.us/CorpWeb/CbrpSearch/CorpSummary.aspx?FEIN=27130215'&... 2/23/2016 Mass. Corporations, external master page Page 1 of 2 • i i " i '� a,.a�1 nb Corporations Division Business Entity Summary ID Number: 271302157 �Request certificate New search Summary for: )&S MCLAUGHLIN FAMILY LLC The exact name of the Domestic Limited Liability Company (LLC): J&S MCLAUGHLIN FAMILY LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 271302157 Date of Organization in Massachusetts: 08-25-2010 Last date certain: The location or address where the records are maintained (A PO box is not a.valid location or address): Address: 18 REED ST City or town, State, Zip code, TAUNTON, MA 02780 USA Country: The name and address of the Resident Agent: Name: ANTHONY MCLAUGHLIN Address: 18 REED STREET City or town, State, Zip code, TAUNTON, MA 02780 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA MANAGER ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA MANAGER ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA MANAGER ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA In addition to the manager(s), the name and business.address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY. ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA SOC SIGNATORY ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=271362157&:.. 2/23/2016 Mass. Corporations, external master page Page 2 of 2 I.SOC SIGNATORY JANTHONY MCLAUGHLIN 118 REED ST TAUNTON, MA 02780 USA I.SOC SIGNATORY I ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA REAL PROPERTY ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 USA REAL PROPERTY I ANTHONY MCLAUGHLIN 18.REED ST TAUNTON, MA 02780 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report ' Annual Report - Professional Articles of Entity Conversion Certificate of Amendment '` View filings Comments or notes associated with this business entity: . V (,New search, N i http,:Hcorp.sec.state.ma.us/CorpWeb/CorpSdarch/CorpSummary.as'px?FEIN=271302157&... 2/23/20.16 Office of Consumer Affairs and vutisiness Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - Registration: 174271 Type: LLC 7¢ } Expiration: 1/23/2017 Tr# 262160 J&S MCLAUGHLIN FAMILY LLC. ANTHONY MCLAUGHLIN 18 REED ST TAUNTON, MA 02780 Update Address and return card.Mark reason for change. Address • Renewal Employment Lost Card DPS-CA1 0 50M-"04G101216 �� TOd177/1YtOOER1�¢Q.U/L �✓(/Clldd�tttGe�6 . Office of Consumer Affairs&Business Regulation License or registration valid for individui use only — HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration ,==1.74271 Type: Office of Consumer Affairs and Business Regulation Expiration 1/23/2017 LLC 10 Pa -Suite 5170 ' ton, *Valilwithout - J&S MCLAUGHLIN-f-Off jQ6.s u ANTHONY MCLAUGHLIN 18 REED STTAUNTON,MA 02780 Undersecret»ry ature MA- - 0 4 s'�IC;t'f.,!i. _"..� �" :zii?:i.'_� ��S':i ,•-5;::��el-- f�ft,;lJ�? tll 4i; .3.+f;"<i i t'I!:rt:t;-T �,;4`:!'• it3t:3�::5�.'t: J 1f�`.-`Tl� :fti�'�fi3, ..!; tzr7 Jo =' AW 1 II .`�,Itt:TY7•t �tl,l�. `Y):��' .111f�t t-•?;�Lr f y"ri• `1rIC�. � .•, f ' C, l CFI,,,_,.{;Ctlltt� !.i")n*pi? C,'t)d:. Yti u l.itirub.11 1t 44 .lt+"iY.Wel'1"!my 14_.i 'TUi1f'{e.;.A .Its A A an t ,.5'i.:yr. ie J�It t :C1'-,tlt . ,yFTfl a f litr;J. ttR'r1. ,?fti2:.`1±;ttC '•i�."' 't.fii•.r•:+�,i 1!1 t..!'i;:) �,r.'4' ,0 ' ,. .St a a Y . �L 77.,St; i� �yt;t!';1a1' f... f�, � r') rl,, [,,• t �,.. u � h! 1 ' V I � � P Y i �� f 3 4' _ 1 'I UNITED STATES POSI&SERVICE, ail. .�. €�.1��.:��..��;"i" . t�€' r' :.4�,�" :. ' sta e. .. es P,3+d S and > 0 , • Sender: Please print your name, address, and ZIP in In this box 'OWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS, MA 02601 i USPS TRACIONG# I ! I till 1l11lliI)fill llr'/l11 � 9590 9401 0021 5071 1808 13 i ON ON DELIVERY ■ Complete items 1,2,and 3. A. Sig r ■ Print your name and address on the reverse X . 1- ZE ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. i G —.F, 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes ^ If YES,enter delivery address below: ❑ No 7 ' goowt 3. Service Type ❑Priority Mail Express® II�'I�I�I I'I I�I II II I II I I I�I II I II I I II I�I I�II ❑Adult Signature ❑Registered MailT" ❑Adult Signature Restricted Delivery ❑.Registered Mail Restricted �eu fled Mail® Delivery 9590 9401 0021 5071 1808 13 Certi❑Collect on Delivery Mail Restricted Delivery MerchandseReturn e ptfor _2._Article Number(Transfer from service lab>ef O Collect on Delivery Restricted Delivery Signature Confirmatict �—�- y ❑Insured Mail ❑Signature Confirmation f R I/ '' r��-� Restricted Delive 14 12 O O O Q 01 0 3 5 8 3421 Insured Mail Restricted Deliy?ry (over$500) fPS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Retu;.EAeceipt 1493 Page 2 of 2 Units for Map Parcel 327 107; 10 OCEAN STREET;,Hyannis;Pnnt corrections next to any incorrect information Unit number: Unit 2 Building number: Address: Check one: Single family dwelling unit: ❑ Apartment building/Condo: x❑ Accessory apartment: ❑ Duplex: ❑ Number of bedrooms: 1 Private drinking well? Yes No Dwelling constructed prior to 1979? Yes No Will there be any children under the age of six who will be occupying the rental unit? Yes No Occupant name: Jes4-6vmmirrgs-- On CCC eco -3145 Daytime phone: Cell phone : Email: Unit number: Unit 3 Building number: Address: Check one: Single family dwelling unit: ❑ Apartment building/Condo: x0 Accessory apartment: ❑ Duplex: ❑ Number of bedrooms: 1 Private drinking well? Yes No Dwelling constructed prior to 1979? Yes No Will there be any children under the age of six who will be occupying the rental unit? Yes No Occupant name: QCV J I 3146 Daytime phone: Cell p one : Email: k Town of Barnstable Regulatory. Services 9s"R`'',"ns.s" Richard V. Scali, Interim Director 16,19.i0rec r A Building Division . Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 June 5,2015 William J Hanney 7 Central St, South Easton,MA 02375 Re: 10 Ocean St. Dear Mr. Hanney The building department received notice.from the Barnstable police department on Friday June 5,2015 of a potentially hazardous situation at 10 Ocean St. in Hyannis. One of the storefront windows is broken and the glass is loose in the frame. Per the Massachusetts building code section 116.2 this must be made secure immediately. If you have any questions I can be reached at 508-862-4035.Thank you for your prompt attention to this matter. Sincerely, Patrick Franey i Local Inspector (j�2� _ TOWN OF BARNSTABLE Building * BARNSTABLE, * Issue Date: 11/03/11 'Permit 9 MASS. �A i639• �� Applicant: ANTHONY FOLINO J JR rFG N1A�A Permit Number: B 20112410 Proposed Use: MIXED USE RETAIL&'RES Expiration Date: 05/02/12 Location 10 OCEAN STREET Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 327107 Permit Fee$ 60.00 Contractor ANTHONY,FOLINO J JR Village HYANNIS App Fee$ 100.00 License Num 18514 Est Construction Cost$ 6,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REPLACE 2 INTERIOR SUPPORT POST WITH STEEL BEAM,MOVE ROTtWIS CArNHAS E KEPT POSTED UNTIL FINAL DOOR,REMOVE 2 WINDOWS,REPLACE CLAPBOARD,2 FRONT W aW&ECTEEN MADE. WHERE A CERTICCUPANCY IS REQUIRED,SUCH Owner on Record: HANNEY,WILLIAM,J TRS BUIL IOT BE OCCUPIED UNTIL A FINAL Address: 7 CENTRAL ST IN P TEEN MADE. S EASTON,MA 02375 Application Entered by: PR Building Perrnj Issued THIS PERMIT-CONVEYS NO RIGHT TO OCCUPY:-ANY STREET"ALLEY OR SIDEWALK•OR ANY:PART REOF,El RP.RILY OR PERMANENTLY ENCkOACHMENTSzON PUBLIC•PROPERTY,NO SPECIFICALLY:PERMITTED UNDER THE BUILDING`CODE,MUST BE APPROV.ED BY THE JURISDICTIO .. TREE AL Y?GRADES ASVELL AS,DEPTH AND.LOCATION OF PUBLIC SEWERS MAYBE' tEM OBTAINED FROM THE'DEPARTMENT'OF.PUBLIC WORKS.,THE ISSUANCE OF THIS PERMIT DOES NOT E APPLICANT.FROM THE CONDITIONS OF ANY APPLICABLE'SUBDWISION ` RESTRICTIONS; ,. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR A O UC WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT E FO IRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPL RI RAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READ O LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS A QUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE I PE R HAS PROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AN OID I CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISS AS N AB VE. PERSONS CONTRACTING WITH UNR ISTERE T ACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ffiffl BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health f 'dr FAX [DATE ' FROM. Tony Fodino ndan Corporation Number of Pages including Cover ?a Nantucket Street Hyannis. MA 02601 r PHONE: 508-77 1-7 711 FAX: 505-7_f 1-223 °= Q Ta W RETv ARKS Urgent For'(our Review Renly ASAp Please Comm j 01 ocxo /, A6 11 c� �7Gv�S /P✓�1/xr' �7/y'/� Gul avid,-I G�' --! /� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J Parcel �� 7 Application jd l l O q_� Health Division Date Issued I �J Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic.- OKH _ Preservation / Hyannis Project Street Address 10 Cf.Nr-> !7r Village h1Yd��15 Owner Mi.-T k<a-Er —Address, CJ-fQT-e&( t,;T, 5, EA5?©K1 Telephone -)?q y 6 ^ 1� j jl Permit Request got . Z&�X)fA �� V Gs% � i C � N��-(; H605. AS Square feet: 1 st floor: existing 4doproposed _ 2nd floor: existing proposed Total new Zoning District � � Flood Plain _Groundwater Overlay Project Valuation 4,, Construction Type ACTMa(ev_-_� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure k40" Historic House: XYes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: )4 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) f,l,C�IS = Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: JS Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes N No Fireplaces: Existing New Existing woold'bal stoves ❑Yew ❑ No Detached garage: ❑ existin ❑ new size Pool: ❑ existin ❑ new size Barrr. O'existin O�nevv�size 9 9 9 — 9 — 9 oa Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size � Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ co Commercial V'Yes ❑ No If yes, site plan review # 1 ' Current Use �5� u-'� _ Proposed Use . Ex6- +� APPLICANT INFORNdPATION -_T (BUILDER OIL HOMEOWNER) 1-7 Name tkQ o i+o► ' -,, 'r©` i i t D J(% Telephone Number 59b 7 Address im czl i Coe 6c;_-o i--� -License # -0 17A 6 26 7,S Home Improvement Contractor# Worker's Compensation # �G ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -�� DATE G �� t FOR OFFICIAL USE ONLY APPLICATION# ..,,MAP/PARCEL NO. ADDRESS VILLAGE OWNER • DATE OF INSPECTION: P= FOUNDATION _ 1 '[[ FRAME .F S INSULATION FIREPLACE 'ga ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: _. ROUGH FINAL rFINAL BUILDING.;- DATE CLOSED OUT ASSOCIATION PLAN NO. .r } F z w 10-11-11;03:25PM;united waste ; 1 617 427 0968 # 2/ 2 The ComrnonweaUh of Masswharetts ,_ Department of Industrial Accidents Off UT Of rnveV4040ns J Congress Street,State lop BostoN MA Q2114-AM7 www.mas&g ou/dia _ WOrk,--& Compensation Insurance Affidavit; Builders!Contractors/Electrieiam/Plumbers A nlicant.Wormation Mease Print L;eo'fbl°v Name(Businm/orgaaizationnndividual): N/�� J- C/fa i/d�p, ® cn��_o.9i Address: x1d1v City/StateJZip: ��a.�Vr� Phone 4: 06 f 77 Are 0an employer?Check the appropriate box: Type of project(required): L I am a employer with 4. (l I am a genml contractor and I T New jest(reqcons'tructuired): employees(full and/or parmiate).• have hired the sub-contractors 6. 3.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [] Remodeling ship and have no employees These sub-contractors have 8. Geemolitian working for me in any capacity. - employees and have workers' [No workers'comp,insurance comp.insurance x El Building addition . required.) j; ❑ We are a corporation and.its I0.❑Electrical repairs or additions 3,❑ 1 am a homeowner doing all work officers have exercised their l LEI Plumbing repairs or additions •myself. [No workers'comp, right of exemption per MGL. 12.❑ Roof repairs insurance required.]i e. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance reyuireda `Any applicant that ehwk3 box#1 must also fill out the seaion below showing their workers'compen=ion policy information. t Homeowners whosubmit this affidavit indicating they ace doing all work and then hae om8ide rananetots must submit a new c£Fidwv indieoting such, tContracton that check this box must atmchod an additional sheet showin;the name of the Sub-eontme ars and me whahei or not em entQis have employees. It the sub-conmictom have employees,they must provide their workers'comp,policy number. 1 am an empioyerY/W it pmvldin;foorkers'compensation insurance for my employees lfelow is tl:e pnlicp and job she Insurance Company Name � �r , Policy#or Self-ins,Lic,M 6/W`0 Expiration Date FjobSite Addt�ss: ' City/State/Zip: Attach it copy of the woKeno compensation po icy cleciaration page(showing the policy number and egpiratian date), Failure to secure coverage as required under Section 25A of MGL c.152 cast lead to the imposition of ct•imilial 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 agautst the violator. Be advised that a copy of this statement may be forwarded to the Office of - Investigations of the DIA for insurance covtaage verification. 1'do herebv certify under the pains and p of that the information provided above i true tmd correct 7� si�tattm: �� Date fc' A® Phone Of: Official use only, Do not write in this area,to be completed by city or town or law 3CIor Town_ Permit/License# Issuing Authority(circle one): 1.Board of HadthiZ30ilding Department 3.City/rown Clerk 4.Electrical Inspector 5.Plumbing Inspector - 6.-Other Contact Person: Phone M va,...i.,:-m ,x,.ac;;b.4>d a°�h'.+s,'. ...:..-�•tr..,,te Y.,;+::-.:.s , x'--.s ..r s _ �xC �..- �x.l;.,.,,. a..w'•..m �'{- .mr,: ,"—z" .s. ... _ .. ik. �-_�—s �. N TRe4�%�'LERS J `.' WORKERS.COMPENSATION -AND EMPLOYERS LIABILITY POLICY TYPE:AR INFORMATION PAGE WC 00 00:01 ( A) ' j POLICY•NUMBER: (6KUB-4362P78-0-11 RENEWAL OF' (GKUB-4362P78=0-10) INSURER:'. THE TRAVELERS INDEMNITY COMPANY ' 1' NCCI CO CODE: 11347 ' INSURED: PRODUCER: ADAN CORPORATION DOWLING & O .NEIL INS 24 NANTUCKET STREET PO BOX :1990' HYANNIS MA 02601 HYANNIS MA 02601 -6990 ' Insured is A CORPORATION y Other work places and identification numbers,are shown in the schedules) attached. 2. The policy period is from 08-14-1 1 to f 08-14-12, 12:01 A.M. at the insured's mailing.address! 3. A. WORKERS COMPENSATION INSURANCE: .Part.One of the policy applies to the Workers Compensation Law of the state(s) listed"here: MA 8. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under.Part Two are: Bodily Injury by Accident: $ 500000.Each Accident Bodily Injury by Disease: $ 1000000 Policy Limit Bodily Injury by Disease: $ 500000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, N any,,listed.here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A ~ D. This policy includes these endorsements and schedules: SEE LISTING, OF ENDORSEMENTS - EXTENSION- OF INFO PAGE_ 4., The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All.required information.is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 07-08-1 1 CB OFFICE: ORLANDO INDUS AFF '1 61 ST ASSIGN:. MA PRODUCER: DOWLING & 0 NEIL INS 776CW I The Commonwealth of Massachusetts William Francis Galvin Public Browse and-Search Page 1 of 2 The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth,Corporations Division One Ashburton'Place, 17th floor, Boston,MA 02108-1512 Telephone: (617)72779640 ADAN CORPORATION Summary Screen ' Help with this form * RegUe a Certificate ) The exact name of the Domestic Profit Corporation: ADAN CORPORATION Entity Type: Domestic Profit Corporation Identification Number: 043454385 Old Federal Employer Identification Number(Old FEIN): 000644306 Date of Organization in Massachusetts:. 01/12/1999 Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day:00/00 The location of its principal office: No. and Street: 891 MAIN ST.,RT 28 City or Town: SO.YARMOUTH State:MA Zip: 02664 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: Name: ANTHONY J FOLINO,JR. No. and Street: 101 IYANNOUGH ROAD,2ND FLOOR City or Town: HYANNIS State: MA Zip: 02601 Country: USA The officers and all of the directors of the corporation: Title Individual Name , Address ono Po Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code Of Term PRESIDENT ANTHONY J FOLINO JR NONE 139 BRENTWOOD LANE YARMOUTHPORT,MA 02675 USA TREASURER ANTHONY J FOLINO JR '139 BRENTWOOD LANE NONE YARMOUTHPORT,MA 02675 USA SECRETARY ANTHONY J FOUND JR 139 BRENTWOOD LANE NONE YARMOUTHPORT,MA 02675 USA DIRECTOR ANTHONY J FOLINO JR NONE 139 BRENTWOOD LANE YARMOUTHPORT,MA 02675 USA http://Corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 10/25/2011 The Commonwealth of Massachusetts William Francis Galvin Public Browse and Search Page 2 of 2 business entity stock is publicly traded: The total number of shares and par value,if any,of each class of stock which the business entity is authorized to issue: Par Value Per Share' Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares No Stock Information available online. Prior to August 27, 2001, records can be obtained on microfilm. 4 Consent _ Manufacturer Confidential Data Does Not Require Annual Report Partnership _ Resident Agent For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS I(= Administrative Dissolution l Annual Report ' Application For Revival - Articles of Amendment Comments O 2001-2011 Commonwealth of Massachusetts All Rights Reserved Helo t a http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 10/25/2011 � w iJ 4 Massachusetts- Dcp u-tmcnt of Public Safcch Board of Building Regulations and Standards P Construction Supervisor_ License , License: CS 18514 Restricted to: 00 _,ANTHONY J FOLINO JR 139 BRENTWOOD LN YARMOUTHPORT, MA 02675 j -7„G- � f� "` Expiration: 6/29/2012 +!a ('unmis.iunrr Tr#: 26453 r Town of B arnstable Regulatory Services g Thamas F. GaUar,Director Building Nyisioa Tam Perry,23U iag CO=31& +Dnar 200 Main Strcct,Hymrais,MA 0260I www.tawn.barnstable ma.us office: 508-862 03 8 Fax: 508-790-6230 Property Owner Must Complebe and Sign This. Section If Using A Builder AS a f 9Z_ , as Owner of the subject-property l�re6 az�orize � to ant ou my behalf, in all Mats rs relative to work aurborired by this budding permit application for. �o -0,-1 rZ'W S-- l YA�v�vrs (Adcnss ofjob) zod Signature of Owner Date J Print MEM 1f Property 0kner is applying for p ermit pleas e complete.the Homeowners License Exernptioa Form on e reverse side. Barnstable ° ., Hyannis Main Street Waterfront Historic District Commission tD MPS M 2007 George A.Jessop,Jr.AIA,Chair Marylou Fair,Administrative Assistant DECISION Certificate of Appropriateness 1 J Linda Hutchenrider, Town Clerk y Town Hall 367 Main Street t '. Hyannis,MA 02601 C Re: Certificate of Appropriateness4.for Oceans Harbors,LLC for Oceans 10, 10 Ocean Street, Hyannis,for Facade Improvements—wind Business Signage 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 grants a Certificate of Appropriateness for the following property: Property Address: 10 Ocean Street,Hyannis Assessor's Map/Parcel: 327 107 The Hyannis Main Street Waterfront Historic District Commission considered the above referenced Application on March 2,2011. A public hearing before the Commission was duly posted and notice sent to all abutters and interested parties in accordance with MGL Chapter 40C. At the hearing, after consideration of the testimony given and materials'submitted by the applicant and members of the public,the Commission found the proposed facade improvements and business signage appropriately'contribute to the historic character of the Hyaimis Main Street Waterfi-ont Historic District. The Commission considered the materials,colors, design and arrangement of the proposed facade improvements and business signage and found them 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 condition(s): The facade improvements and business signage displayed by the applicant shall be consistent in design,material, and color with the improvement and signage as presented to the Commission in the application dated February 16,2011 and as discussed at the meeting on March 2,2011. Specifically the facade and signage shall conform with the following: a. Existing clapboard will be repainted will be repainted B.M. Templeton Gray. b. Front brick may be replaced with clapboard and painted B.M. Templeton Gray or may remain and be painted Templeton Gray. c. Trim and gutters will be white. d. Two double-hung windows at the front door will be.removed and replaced with clapboard. R 200 Main Street,Hyannis,MA 02601 (o)508-862-4665(f)508-862-4784 e. Front door will be replaced and moved 8"closer to the street; door will be B.M.Van Deusen Blue; mahogany step-in added. f. Awning on the front will be replaced;new awning will span length of front faeade. Awning will be Sunbrella, striped navy and grey(#4902). g. Windows will be grilled and window-boxes will be added below lower-story windows. h. Storage area on south side of building renovated, entrance doors with porthole windows. i. New double-sided projecting sign on front,2' by 8', colored B.M. Van Deusen Blue with white lettering. j. Building address above addition on south-side; Van Deusen Blue background,white lettering. 2. Permits from the Building Division are required prior to beginning work on fagade improvements and displaying the signage. Present and voting in the affirmative to grant the certificate of appropriateness were: George Jessop, Chair, Marina Atsalis,Joe Cotellessa,David Colombo,Bill Cronin, Meaghann Kenney,Paul Arnold Opposed: None L George A.Jes hair Date Hyannis Main Stree r r Historic District ommission cc: Oceans Harbors,LLC,Applicant Tom Perry,Building Commissioner File I,Linda Hutchenrider, 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 Ol D / ,,under theains and penalties of perjury. r,. inda Hutchenrider, Town Clerk 200 Main Street,Hyannis,MA 02601 (o)508-862-4665(fl 508-862-4784 i Hyannis Main Street Waterfront Historic District Commission MAFa AB 200 Main Street � 't°'•�� Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725. Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF.APPROPRIATENESS. _ Application is hereby made, in triplicate,for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: p � g P. 9 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: Dd 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 Z-is• ASSESSOR'S MAP NO. ELT ASSESSOR'S PARCEL NO. /07 APPLICANT 0t"bwZ 4s►4tBOrRS TEL.NO.568-W.7 --44,613 APPLICANT MAILING ADDRESS-Jcr AJmrjt Cr�►�'►'�J2u�' t7�4.ct . J o ADDRESS OF PROPOSF�7` (ANQC SY'-� tY+fAl1�J�IS � - 0Zl�� o § PROPERTY OWNER{t.MMA ask ?�c�1f►F.E TEL.NO. 714'2I N (n I o ca lr'to OWNER MAILING ADDRESS I C6dnN1hL Sr f S.C".16a tiA OZZ75 U.0.v FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent w z IX property owners across any public street or way. This information is best obtained at the Town Assessor's t� p N Office. (Attach additional sheet if necessary). . o eTtov�t►Y �54�s Ta�G ,3N R''�AyJ �:� 1lYM�aLS� Nth, cZ(.oS it, 331 rtAga tee"; l� ae�l�S M�►► 02��1 \Phuipon. 9maq to OCAJA Sr., hla-gu PAIA,. OCC61 AGENT OR CONTRACTOR -%A*W 'GVA" TEL.,NO. 3;* ADDRESS. IJAZLSaP ME" L r DETAILED DESCRIPTIO\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,tfim,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). eta�e •v ari S aT > Z' *)Get is F M+£ 8°t rgw^RA— 'r SSr=p i'v 7. 77J ftitt AwNd�tG oN �" i Signed Owner-Contractor— LentCIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE R e D This Certificate is hereby Ti Date B Signed TOWN OF BARNSTABLE HISTORIC PRESERVATION IMPORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL: L -JI ? HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK_( 43 Sr. `E� � W• y2�"y FOUNDATION y SIDING TYPE C AeftAAW COLOR CHIMNEY TYPE AIA COLOR ROOF MATERIAL NA COLOR PITCH N�► WINDOW 6q1-Ux%? °COLOR NWtT*- TRIM COLOR 414%TF& DOORS � cad. �S tit. ) COLOR VA&I V&SIDS VL +E SHUTTERS GUTTERS DECK N� - GARAGE DOORS Na► 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. C� C� C� Dd � TEB 16 2011 TOWN OF BARNSTABLE HISTORIC PRESERVATION 'Vr s, J • lie JORM r �� F io `4t !p -^• ar... ' _itµ r it III I ". — mill .44*F a � O { -- �I SIGN s FEB1 , pp Ag 1 6 2011 TOWN OF BARNSTABLE HISTORIC PRESERVATION r ff a a s N"^�+ + * b . 77 try. - D :� Y FEB 1 6 IN TOWN OF BARNSTABLE ° HISTORIC PRESERVATION i Sign. TOWN OF BARNSTABLE Permit * BARNSTABLE, MASS 9� i6 ArFD MA'S a` Permit Number: Application Ref: 201101524 20070576 Issue Date: 04/06/11 Applicant: HANNEY; WILLIAM, J.TRS ` Proposed Use: MIXED USE RETAIL & RES Permit Type: SIGN PERMIT y Permit.Fee $. 50.00 Location 10 OCEAN STREET Map Parcel 327107 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks INSTALL NEW 16 SQ. FT. SIGN FOR OCEAN'S 10_ DOUBLE SIDED PERPENDICULAR Owner: HANNEY, WILLIAM, ] TRS Address: 7 CENTRAL ST S EASTON, MA 02375 Issued By: Pc.' POST THIS CARDSO THAT IS VISIBLE FROM THE STREET IME T Town of Barnstable °^ Regulatory Services 1, � BMWgrABLE; • °: .`f 2- - cs'3 7: ° .� MASSg Thomas F. Geiler, Director , 1639.rp�0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.batnstable.ma.us Office: 508-86274038 Fax: 508-790-6230 Permit#, Building Official approving____________ Application for Sign Permit A��licant:_Q�E9�14_ �4 - -----------------Asses 3 �O?------- Assessors No._ Doing Business As:_Q� — ---------------------'1'elephoue No. �_t} � Sign Location Street/Road: -- Zoning District:_ J�___ Old Kings HighwayP Yes/No° Hyannis Historic DistrictP Q)e /No Property Ownerat(teA �. �A!-Zq TR' Name: M11 _ ----—__TIES ----. - -----------__=-Telephone:_ny 21&-if(L Address:--j_C_1 _ &a- -----Village: OZJZ5-------------- Sign Contractor Name:---- �N— E---= --------- ---helehhone:5d8 XT_'_(1� Mailing Address:_I�o---- AQt01�_ 1�a��NRf�t =_C�Z �---_____ bescription Please follow the cover directions. You must have an accurate rendition of sign with dimensions and. location. Is the sign to be electrified' Yes (No f yfs,'a rirjg-permit is required) Width of building face: 24 ft. x to =_l� _ x .10=___367 5o.4 Check one Reface existing sign__ or New_ _Total Sq.Ft. of proposed sign (s) o .F.A•S�l IT you ha ve additional signs please attach a sheet listirjg-each 011e with dimensio»s If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am die owner or that I have die authority of the owner to make this application, that the information is correct and that die use and construction shill conform to dieprovisions'of §240-59 through §240-89 of die Town of Ban in r Ordinance. Signature of Owner/Authorized Agent: ______-__ Date z _�1 SIGNS/SIGNREQU revised 12110 i� k i s E I 3 1. w � 1 u s w f, 3 f i 1 k� t ,"1 �l S F g r, d tP ,t g S E � 1) � IF V � N f r .... .:. .. _ ... � it k 0 120d19 FEB 1 6 2011 ---� TOWN OF BARNSTABLE -T HISTORIC PRESERVATION CJ * ' �I w - QD Sim 0 INS-Im own R FEB 1 6 2911 TOWN OF BARNSTABLE HISTORIC PRESERVATION PEI r e. Front door will be replaced and moved 8"closer to the street; door will be B.M. Van Deusen Blue; mahogany step-in added. f. Awning on the front will be replaced; new awning will span length of front fagade. Awning will be Sunbrella, striped navy and grey(#4902). g. Windows will be grilled and window-boxes will be added below lower-story windows. h. Storage area on south side of building renovated,,entrance doors with porthole windows. i. New double-d projecting sign on front, 2 by_8-',_color-ed_B.M.Van Deusen Blue with t r--white lettering - . j. Building address above addition on south-side; Van Deusen Blue background, white lettering. Parmi+S f,raW the Building T);Uiczion are rarniirPrl nrinr to heginning work nn far,arie imnrnvPmPntc and displaying the signage. ,1 h ffi tiv * t tife rt' to to T ,. Present and voting in the affirmative to gram LIIV ccLLificaLL,of appropriateness George Jessop, Chair,Marina Atsalis, Joe Cotellessa, David Colombo, Bill Cronin, Meaghann Kenney, Paul Arnold Opposed: None -,, Z4 George A. Je Jr., ha Date. Hyannis Main Str erfront Historic 'strict Commission cc: Oceans Harbors; LLC,Applicant Tom Perry, Building Commissioner File I, Linda Hutchenrider, Clerk of t4ie 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. Linda Hutchenrider, Town Clerk 200 Main Street,Hyannis,MA 02601 (o)508-862-4665(f)508-862-4784 Barnstable °per Hyannis Main Street Waterfront All�MeflcaCRY (�r ( Historic District Commission .•,� 2007 George A. Jessop,Jr. AIA,Chair Marylou Fair,Administrative Assistant DECISION Certificate of Appropriateness Linda Hutchenrider, Town Clerk Town Hall 367 Main Street Hyannis, MA 02601 Re: Certificate of Appropriateness for Oceans Harbors,LLC for Oceans 10, 10 Ocean Street, Hyannis,for Fa�adejmi provements and.Business Signage The Hyannis Main Street Waterfront Historic District Commission,pursuant to the Code of the Town of Barnstable Chapter 112, Historic Properties, Article I1I, Hyannis Main Street Waterfront Historic District, hereby grants a Certificate of Appropriateness for the following property: Property Address: 10 Ocean Street,Hyannis Assessor's Map/Parcel: 327 107 The Hyannis Main Street Waterfront Historic District Commission considered the above referenced application on March 2, 2011. A public hearing before the Commission was duly posted and notice sent to all abutters and interested parties in accordance with MGL Chapter 40C. At the hearing, after consideration of the testimony given and materials submitted by the applicant and members of the public,the Commission found the proposed facade improvements and business signage appropriately contribute to the historic character of the Hyannis Main Street Waterfront Historic District. The Commission considered the materials, colors,design and arrangement ofthe,proposed facade improvements and business signage and found them 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 condition(s): 1. The facade improvements and business signage displayed by the applicant shall be consistent in design, material, and color with the improvement and signage as presented to the Commission in the application dated February 16,2011 and as discussed at the meeting.on March 2, 2011. Specifically the facade and signage shall conform with the following: a. Existing clapboard will be repainted will be repainted B.M. Templeton Gray. b. Front brick may be replaced with clapboard and painted B.M. Templeton Gray or may remain and be painted Templeton Gray. c. Trim and gutters will be white. d. Two double-hung windows at the front door will be removed and replaced with clapboard. 200 Main Street,Hyannis,MA 02601,(o)508-862-4665(0 508-862-4784 TOWN OF BARNSTABLEBUILDING PERMIT APPLICATION M, Map 3{- ParceL 167 Application # d 5 Health Division Date Issued l Conservation Division Application Fee l �� Planning Dept. " Permit Feed. Date Definitive Plan'Approved by Planning Board Historic - OKH _!Preservation / Hyannis Project Street Address 10 OG6A�A 1&'TR'kT". Village ty'1Q�11s Owner l MT 4 ASt D —Masses Address 7 CWTi2A/, S. EASUbO.,I`'(4,OZ375 Telephone `77q^Zl 8- 1Q _ Permit Request drtiRl hev -,, °` r/,a�n "r P_'1 Square feet: 1 st floor: existing oZ®proposed 2nd floor: existing proposed Total new 40 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Ac.Tr�ztdJ Lot Size Grandfathered: ❑Yes ❑'No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure r6c,t Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 2rFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) F,e.:�ao'= Number of Baths: Full: existing 2, new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: %Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes A No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: '=i 7 . Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ tp! Commercial ❑Yes ❑ No If yes, site plan review# 4 Current Use iFF-%ALu0,A% Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r s Name Telephone Numbers 36 Address /5e7 / AA W�4'4-� /'y License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO UA.6 A, ,�X 6 r• .y is ,t��` `v'c' �/�•�� t.61a C//.7 SIGNATURE DATE _/_191W/ FOR OFFICIAL USE ONLY ,? APPLICATION# A DATEI9SUED • MAP/PARCEL NO. 4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` f r , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED-OUT ASSOCIATION PLAN NO. f i The Commonwealth ofMassachusetts I Department of Industrial Accidents r Office of Investigations '" `' 600 Washington Street Boston, MA 02111 f www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information PIease P int Legibly Name (Business/Organization/Individual): ��///�� r �,r/ Address: City/State/Zip: / y/��'��✓/S /�7l�S 0;76"`1Phonc.#: Are you an employer? Check the appropriate b Type of project(required): ter with 1.❑ I am a employer 4.appropriate a general contractor and I p y 6. New construction employees (full and/or part-time).* have hired,the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. I Remodeling ship and have no employees These sub-contractors have 9. 0 Demolition working for me in.any capacity. workers' comp. insurance. 9. EJ Building addition [No workers' comp. insurance S. ❑ We are a corporation and its officers have exercised their ]0.❑ Electrical repairs or additions required.] - , 3.❑ .1 am a homeowner doing all work right of exemption per MGL 1 LE] Plumbing repairs or additions myself. [No workers' comp. a 152, §1(4);and we have no 12.E] Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. =-trHomeo-wners whosubmit-this-affidavit-indicating-they-are-doing-all-work-and-then ---outsidc contractors must submit anew-affidavit-indicating-such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information _ Insurance Company Name:- Z/57!�f✓'6A,1�511ZT Policy#or Self--ins. Lic:#:6htl -7 M;;) o Expiration Dater Job Site Address: A/ City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under.Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year-imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to MOM a day against the violator. Be advised that a copy of this statement may be forwarded to the Office,of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct '�Si: attu� at a Phone#' Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): . 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: lrre Commonwealth 0f:NlcssZcn11set>s Department of lndustrirLI Accidente _ Off!e oflr.`vestigatior_s 600 Washington Street ; Boston,hA O?111 f� www.mass.;ov/din .. Workers' Compensation Insurance Afndavit: Builders/Contra ctors/Electricians[PIumbers Applicant Information - Plt'?se Print Lea-ibly �I aM-_ Cz-usin:ss/Org-lia' 'otl,'Iaeividualj: ' / zddr:. r n C Z Cif}/S L3L'/GiD: ��`GL�� 'L Phant- C.,;`�' ` kre v an employer?-Check the anpropnatre-boy T�De ot-nrolect(required): 4. 1 t Lam 2 0—Mn.-al C=V_ZcL0_2n0 1 ��---?? I._Jyi a a ernDlov: wrtb ?view cOnSuLiCLlOn + _ _- ..-. _r,2Ve Rlr.^^ .n '^ OIiL'2CCOrS - CInDiov S (_lill?Ilf107 u r*c-._, W T_° _` i )Rzrnodeiitlg I j I am 2 sole prop,m-Lor.or par—e "hsmd on to ca c she i .S.T Bey These sub ca=aciors nave S. ir; D=olidon SilID'n=' n2Ve n0 C�,�iO;. S z'-1710V�w anr-, wor—s l !]- J Building adainOn wor�ir.; for the in:zv caoaciry. :+ a CoriD: �'1!iS�1CC.' ..No wor n..s' COLT D'. ins �-I::- 1 yl I— i-f,ti 2r"?cOIpOr2LlOn 2nC itSR i 1 ICC�?1CaI rcpalrs OF 20alLlOr ir„•^„- rept` -1 0 lc..,�i12V �ctSCd°!'Cl; ( ? i. PIi_-nDing r`D2IIS Or 30dIL Oi _ I { I aL:_bo:neoumz do, r. - r - ��n, i!P.00F'CDa1rS �r�r�01 rayse_ Iwo wort - °�G u ve Ilo 1^S��c repair i 1 o we:::__r;' ; i [! tag: /I I = nror^>_-or box il n IOW SOWina, w R .JRO S<::C J w SJDIIJI ii3t it 1w.._(d:vit indieadn s• '.:. om Wn-s who submit this afficizvilin zrz Doing zl]wor> ena t n _DL�:co Jnr^-:c t =�r-�`:or nol tndsc-ntitics n=v: =i his box mt - 3 =:-on..l-.,._:snoWin;tz_..—.._of tl::s�=-con=z7_on_..• • :antr=or•:.at -- =aJlovc�. ti n:sub on(n:Jr hsvc �iov nn-m(s:oroviac the;. we>~�'--ro ooiir, uroi>c:. r nr v:iiT:-Workers,co -Densador, irS2r 10:. .':V _^Dinve_•S. � 1_^w„!hERO! 'e^�lOD4-+:f.� a." an gt":CLOVer tll S.DrO •n comzanv Nam, Lit i� Policy f or ns. ;ic Job Site =each a copv of the workers' compensanon Doiici dedsratio pale(showing the potic� numo�r and a viration date}. a hire t0 secure COV_Taip 25: 'L '0 _-S 6On 25r of Iv!G- l sn 1 — CO theICJ^S+ lOa Oi�: llu2i ?.�P2iC S 0?a e zD to I,�OQ.OG and/or oa_ �.� nsc-=en+, as well as vil ptna_nes �a me fo u o*z •_p�:VJGP`K ORDER and 2 0?L'D LO�..`0.01]2 d2V ag'T_I1Si ^C v7t]lc*Dr: �C?DVISed that 2 co�_v 0°this s `aI ia��C ?urwJa`^ t0 ille GI:ICr DT- . i_^Vesti�atIOns oi:the DL41Dr'SL-2--CC cOvcraEe,VeP�cabOn. - e pa:t:s andDsnairies Of perjttry thr!!he informa�orr provieEd anove s'trrse and corrsC_ Lgn by c� �y�ic t . e. - - pfjlcial use only;'Do not wr Le in th s arEc,to be co Wed by c»y or!awn o jtciaL City or Town: PermiVticense Issuing Authority(circle one): 1.Board of Health :. BuiIdin; Devartment 3. City/Town Clerk ,4.Electrical Inspector S.Plumbing Inspector 6.Other Phone' Contact Person: _ : 3/8/2011 10:37 AM FROM: 508 880 2734 DGP Miles TO: 15087712230 PAGE: 001 OF 001 ® DATE(MMIDD/YYYY) A`oR�i CERTIFICATE OF LIABILITY INSURANCE OPID CAC 12/01/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS - CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: e certificate holder Is an ADDITIONAL INSURED,the po cy es must be endorsed. ,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 WN ' NAME: PHONE DGP-Miles Insurance Agency,Inc (A/C,No,Ext): 508-824-8961 (Arc,No): 508-880-273 EIWATE- 3 School Street P.O. Box 1018 ADDRESS: Taunton MA 02780-0957 CUSTOMER ID#: AMERI-7 Phone:508-824-8961 Fax:508-880-2734 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Star Insurance Company W.F. Sullivan Inc. DBA INSLRERB: 6ational Orange insurance Co. American Builders 98 Pond Street INSURERC: Brewster MA 02631 INSURER D: INSURER E: INSURERF: 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 TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 B X COMMERCIAL GENERAL LIABILITY MPS9793R 11/29/10 11/29/11 PRE'.ISES(Eaoccurrence) $500000 CLAIMS-MADE Fx_1 OCCUR MED EXP(Any one person) $10000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMf1 APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY PR 0 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 (Ea accident) B ANY AUTO - NIB0358S 11/29/10 11/29/11 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIREDAUTOS (Peraccident) X NON-OWNED AUTOS $ B X UMBRELLA LIAB X OCCUR CUS9793R 11/29/10. 11/29/11 EACH OCCURRENCE $3000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3000000 DEDUCTIBLE $ RETENTION $ - $ A WORKERS COMPENSATION WC0428725 12/11/10 12/11/11 X WC STATU- I AND EMPLOYERS'LIABILITY YIN TORY LIMfrS ER ANY PROPRIEfOR/PARTNERrEXECUTIV�IN I E.L.EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? I� /A (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE $500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 10 Ocean Street, Barnstable, MA Proof of insurance coverage subject to actual policy terms, conditions, limits, exclusions and definitions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Proposal Purposes Only AUTHORIZED REPRESENTATIVE ACORD 25(2009109) The ACORD name and logo are reg w - Hyannis Main Street 'Waterfront Historic District Commission 200 Main Street Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725 Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a 11�` -- ..------.------------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 tR Commercial ❑ Other 2. Exterior Painting: (S' 3. Signs or Billboards: New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Pence ❑ 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. i.T ASSESSOR'S PARCEL NO. 10*7 APPLICANT OegA,Q5 9^VS,%S TEL.NO.5Q*'XT -44,111 APPLICANT MAILING ADDRESS-A3•" /4 r16USc4 AAAk C. r, J�cc ' fit�4.a1riG - ADDRESS OF PROPOSEP WORK IO �' �7` � WIftWIS nA 0&-6 �� W tL.JaAM.� t�1A�lE PROPERTY OWNER f[nV ASA JkuaF4 TEL.NO. 774`219—QI - mOWNER MAILING ADDRESS 1 CS14UL Sr P S.f4s;m1 tIA "37S N U)cr c= z w FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent co "W property owners across any public street or way. This information is best obtained at the Town Assessor's U. Office. (Attach additional sheet if necessary). 02 '-�- O'1'�ov�t.�( I+ s4 T�.1c.. 314 CG►s�1 SE'� 'j1Y , t1A a24o1 ! � ~_ t WIC 44%" 11k. 331 lti4o sr.; 9YAu�W eS Mh. 026ts l \4UJA► A to cxg .j t�YI IIS f rj,4. .oEGa 1 AGENT OR CONTRACTOR tW Go*" TEL.NO. 3;* —36.7-tt4o3 ADDRESS.j(o t1,kztSoN lL�> 1 Ee,J1(c�, t`IA. c�2GsZ o -------—-- DETAILED DESCRIPTION OF PROPOSED WORE: Give all particulars of work to be done, including detailed data on such architectural features as: foundation, chimney, siding,roofing,roof pitch, sash and doors,window and door frames,trim,gutters - leaders,roofing and paint color, including materials to be used,if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs- (Attach additional sheet,if necessary). t�R�+`Wvrc`i�o �.b�jti w��tt�S aT �"Yce+�►t t")Oo6�i ',� .�St?[t mvp - - - - -- - 4 +« Aw&saJG oN i" 5 S(W xwa Signed Owner-Contractor— Lent CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC a —�0 �, This Certificate is hereb 'D Da � D FEB 16 2011 signed TOWN OF BARNSTABLE HISTORIC PRESERVATION. IMPORTANT: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 HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK JO UCFhb:! S" E-I`f hXWIS �W- 58- FOUNDATION SIDING TYPE UARVeXQ COLOR 1fiKf T0A A� CHIMNEY TYPE A. COLOR — — - rj ROOF MATERIAL NA COLOR PITCH N�► WINDOW 'd iuxx> COLOR %WMI TRIM COLOR. l4tT DOORS AA $141, ce, <tf sue) COLOR �A,a1 -V&jG1Fs% SHUTTERS-- J CA — GUTTERS W4bT'K DECK N A 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 lotto scale. [9 R. a d FEB 1 6 2011 TOWN OF BARNSTABL� HISTORIC PRESERVATION spy r 4' `. . E is "L tr� It+.. ! ;x ) �E t a '.,aLT'i�• i�i faS x ! 0 6 AG 8:/�2ZO 9 , p...� l Pill I I -M i pr FEB 16. 2011 HISOWN OF BAARNSTABLE HISTORIC PRESERVATION kk t F� zs V 1 T � S r f 7� f .v� .p F A 4 t A F I�fiwt5a ,.kn•"c:�'cS:d 1.,._9 tlh ,¢ �YY`•i X',• ofs"Eror�,� Town of Barnstable Regulatory Services - MAM Thomas F.Geller,Director Building Division Tom ferry,Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder f0 oceG'ut 5 ems ( 7-, v5 tot . r I, I/le / 14��Z v s fe e , as Owner of the subject.property hereby authorize - S��`w �' e v�r '��J lQ ', to act on my behalf, in all matters relative to work authorized by this building permit application for, ly Ot.AA&'.i- W. R�1fi�Kcg ( xe�ss of job) Signature of Owner 7'—�Us Date •�v ac��u sr� 2 �Q l Print Name If ProperiOwner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Nlassachuscttsl- Department of Public Sakti Board of Building Regulations and Standards ' ' Construction Supervisor-'License i f license:.CS 18514 ' Restricted to: 00 r ANTHONY J FOLINO JR R„ 139 BRENTWOOD LN 0 -�'s s 'YARMOUTHPORT, MA 02675 NAT Expiration: 6/29/2012 " ('unnuissiuncr. Tr# 26453 S } Massachusetts Department of Environmental Protection RIF AM Bureau of Waste Prevention • Air Quality ft /1, BWR AQ ®s Decal Number Notification Prior to Construction or, Demolition Important A. Applicability When filling out PP ty forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do return ref use the (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten (10)days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. rah B. General Project Description. 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?❑Yes X No 1.All sections of b. Provide blanket decal number if applicable: this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of � 2 Environmental �X'1 S 1 N Protection a.Name notification requirements of b.Address 310 CMR 7.09 A C-ZZO ) c.CitvTTown d.State e.Zio Code SO& 3(�7 --4yt3 f.Tele hone Number area code and extension .E-mail Address(optional) h.S a of Facility in Square Feet i.Number of Floors J. Was the facility built prior to 1980? \Yes ❑ No k. Describe the current or prior use of the facility: �il=.S�4ui�A;yT I I. Is the facility a residential facility? ❑ Yes F! ,No �o m. If yes, how many units? Number of Units —° 3. Facility Owner. �o a.Name �O S� at —� b.Address —1 FSr �AS'at� S a CitvfTown d.State e.Zjo Code o ..-17 'T' Z i - f.Telephone Number area code and extension .E-mail Address(optional) �Q h.Onsite Manager Name ® ag06.doc-10/02 BWP Ad 06-Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality ?o 6 B W P AQ 06 Decal Number Notification Prior to Construction or Demolition General statement~If. B. General Project Description (cont.) asbestos is found during a 4. General Contractor: Construction or Demolition operation,all Ac' C' responsible parties a.Name must.comply with 310 CMR 7.00, b.Address 7.09,7.15,and Chapter 21 E of the General Laws of c.City/Town d.State J e.Zip Code the Commonwealth. �5_0'3' 36 J 7 77 This would include, f.Telephone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an 1-3., asbestos removal h.On-site Manager Name notification with the Department and/or a notice of releaselthreatof release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. a.Name b.Address c.Ci /Town d.State e.Zip Code 36 / 7� T� f.Telephone Number area code and extension) g.E-mail Address(optional) h.On-site Manager Name 2. On-Site Supervisor: On-Site Supervisor Name 3. Is the entire facility to be demolished? ❑ Yes No N - _C 4. Describe the area(s)to be demolished: I o �'r:�-,�,v..u�. ,�• ��S% �'=/Jl-sic-;.�c� i='��` �%�.�� '.,r.�-s, , � o —� 5. If this is a construction project, describe the building(s) or addition(s)to be constructed: s ® ag06.doc•10/02 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection ' Bureau of Waste Prevention•Air Quality. 3 o 6 rc / Decal Number A EWP CC 06 Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s) surveyed for the presence of asbestos containing material (ACM)? ❑ Yes [ No I If yes,who conducted the survey? b.Survevor Name C.Division of Occupational Safety Certification Number 7. Construction or Demolition: >/'0J J a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding L paving wetting [7 shrouding b. If other, please specify: ❑ covering other 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title c.Date(mm/dd of Authorization d.DEP Waiver Number D. Certification I certify that I have examined the �o above and that to the best of my a.Print Name =o knowledge it is true and complete. The signature below subjects the b.Authonzed.15ignature sN signer to the general statutes =o regarding a false and misleading c.Position/i itle �o statement(s). G , d.Representing e.Date(mm/dd/yyyy) �O �Q ® ag06.doc•10102 BWP AQ 06•Page 3 of 3 I Hyannis Main Street Waterfront Barnstable 'THEE Tp� y�P ti� Historic District Commission All-AmericaCity Growth Management aARNS'fASLE, : � 200 Main Street 9 MASS. Hyannis, Massachusetts 02601 IfD�AO�a Phone: 508-862-4665 / Fax: 508-862-4784 2007 George A. Jessop, Chairman Theresa M. Santos, Staff March 5, 2008 Mr. Micah Power 10 Ocean Street Hyannis, MA 02601 ;x Re: The Black Spot Dear Mr. Power It has come to the attention of the Hyannis Main Street Waterfront Historic District Commission (Commission) that the sign you have placed for your business is not consistent with your Certificate of Appropriateness dated May 16,2007, nor do our records indicate the appropriate permit was processed through the Building Department We respectfully request you attend the next scheduled Commission meeting on Wednesday, March 19, 2008 so that we may resolve this issue, and avoid referral to the Building.Department for enforcement. Should you have any questions, feel free to contact the Commission Assistant, Theresa Santos at 508-862-4678. Cordially, all Y George Jessop, Chairman cc: Patty Daley, Growth Management Cynthia Cole, Hyannis Business Improvement istrict - Robin Giangreggorio, Enforcement Officer YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00.for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME i town (which you must do by M.G.L. - it does not give n you permission to operate.) Business Certificates are available at the Town Clerk's Office, 15t FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter. � DATE: i Fill in please: ' APPLICANT'S YOUR NAME: ky YO R HOME ADDRESS: i TELEPHONE # Home Telephone Number. , ;l'� $ IQ 2 NAME QF NEW BUSINESS S ,,, TYP j E OF BUSINESS h �+ � IS THIS AHOME OCCUPATION? e you been given approvalafrom; 'e' bur din i : ? 3 s_ d vision YES NO � ADDRESS OFBUSINESS B� ,` , :' �^ �E J- MAP/P,ARCEL NUMBER When starting a new business there are several things you ust o in or er 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 aac ER'S FFI E This individ al �-inf r d o any ermit requirements that pertain to this type of business. Aut rized.Sign a** 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 ha. Peen infQcmed of the-licensing requirements that pertain to this type of business. 4 Aufh razed Signature*" TO COMMENTS: i' ' ;' `� ( HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION a.• HYANNIS, MASS.02601 HAROLD S.BRUNELLE,CHIEF FIRE PREVENTION BUREAU LT. DONALD H. CHASE,JR. LT.JOHN COSMO Inspector Inspector { December 23, 2009 Mr. Tom Perry Bld. Commissioner Barnstable Building Dept. 200 Main St. Hyannis, MA 02601 , Dear Tom, At the request of the tenant located at 10 Ocean Street, I recently met with his property representative to discuss various issues in and around the building. As you might recall, this was the location of the former"Black Spot" coffee house and,prior to that, the "Island Merchant". While inside, I was shown different light circuits which operated, not by switch,but by banging on the wall in several places. There were signs of water leaks in several locations from restaurant fixtures that were in place during operation. Also wiring and piping that had been run through walls without protection. Ingress to the building was made handicap accessible by the installation of a ramp into the right side doorway. The floor appeared to be soft in numerous spots questioning the integrity of the floor and underlying structure. Outside, there appeared to be recent repairs made to the outside egress stairways from the second . and third floor. These seemed to be patched together and do not look like they would support much weight during an emergency. Some of the stairway risers are not equal leading to a possible trip or fall hazard. There is also a question, on my,part, as to the 3rd floor apt/room and the square footage of it. I don't know if this is a legal 3rd bedroom or if the property is supposed to have just two apts. In my opinion, I would suggest that any and all possible violations of building, electrical, plumbing and zoning be corrected by the owner prior to allowing a new business to occupy the property on the first floor. I have included a couple of photos of the stairs for reference. Thank you for your time. Regards, Lt. Don Chase Lt. Don Chase, FPO Fire Prevention Officer . Hyannis Fire Department 508-775-1300 x106 Tel. 508-775-1300 Fax 508-778-6448 Emergencies 9-1-1 k, Assessor's map and lot number ... .......... � �OfTNE � MUST CONNECT TO TOWN SiER �P ✓Sewage Permit number ........................................................ .. w �� Z BARNSTADLE, i House number ............. ..../D...................................................... roo 1639. ♦� . o mxf TOWN : OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ................. .......Q:�4�.... ... . u t^(„ l r ............................................ " TYPEOF CONSTRUCTION ............................ .............:..... . ........................................................ .... ..19...3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: a Location 5V .............................. . ProposedUse ................................ . .... .. ...... . ........ ' Zoning District ............ .......................................• ....Fire District .............14�.. ......................................................... Name of'Owner ..... :: ... .. ......... .....14.. .'.... .. . . . .Address ........�a.... ............... . ��✓ Name of Builder .................... ..f�,.— .. ....:...................Address ......................��q!?^-L ........:................................ f n r Nameof Architect ....................................................:.............Address .................................................................................... Number of Rooms .............Foundation ................ .``t :.!r1 ��G::!� ................ Exierior ........................................................:................... .` :Ro fing .................. ..................................... Floors ................. ......... Interior Heating ...............D..<(.............................................................Plumbing, t4. . ...k' ............................................ 1 Fireplace ........................................................... ............�.^...............................`.....................A rozimat. .Cgstt! r .. ....p pP r /` ki Definitive Plan Approved by Planning Board;______ ______________-________19 __ Aea ... .p: .. ..... .... t Dia ram .of Lot and Building with Dimensions g g ............................ SUBJECT ,TO APPROVAL OF BOARD OF HEALTH n 4 e _r�+. @.-- __ .. .. �-.-• _ — -- a -. -_ •. ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulation's of the Town of Barnstable regarding the above construction. Name ... ........................................ Constructi ervisor's License HOFFMAN, JEFFREY A. 7, t No ... Permit for ... .............. -.. OFFICE/APARTMENT 7 t ......................I........................................................ Location ...1.0...Oq.ea.n...S.t.re.et........................ .. ..... .... .. .. .. .... .... .................H.YA;xq i S............................................. Owga . Jeffrey A. Hoffman Typ=pf Construction ....Frame............... .. ... .. .. ........... ............................................. ........ L Plotis......................... Lot ................................ May. 25- Per rfl Granted ........................................19 83 l5ate�f Inspection ...................... ..........19 Date Completed ........ 1:1.............19 k4 4IC' _I TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 327 107 GEOBASE .ID 24210 ADDRESS 10 OCEAN STREET PHONE Hyannis ZIP LOT y BLOCK SLOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 9671 DESCRIPTION HANDICAP ACCESS RAMP/DOOR PERMIT TYPE, BCOO TITLE, , CERTIFICATE_ OF ocDegartment of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: TOTAL FEES; BOND $.00 ' CONSTRUCTION CON,TS $.00 i ! * L►RNSTABLE, MAS& 039. 1®� OWNER HANNEY, WILLIAM J TRSED A ADDRESS 807 WASHINGTON ST . . � . STOUGHTON MA DATE ISSUED 08/11/1995 EXPIRATION DATE B DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED.BY EACH DIVISION HEAD UPON COMPLETION BUILDING: DATE: 'COMMENTS: ` lP,LUMBING: s_. s.J. DATE: . COMMENTS:' � r i ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING.COMMISSIONER AFTER ALL SIGN-OFFS AR COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED ATTHAT TIME. ; � TOWN OF BARNStABLE CERTIFICATE OF OCCUPANCY 1 RARCEL ID 8V, 107 ,, GXOBASE ID 4 10 ADDRESS 4�O OCEAN STREET PHON1s' Hyannis ZIP. h LOT BLOCS LOT SIZE DBA. DEVELOPMENT DISTRICT HY PRRMjT 9871. DESCRIPTION HANDICAP ACCESS R_A P/DOOR REFIT TYRE BCOO TITLE x CERTIFICATE OF OdNpa lent of Health, Safety CONTRACTORS: and Environmental Services ARCHITECT£ Ty�OTpy�A.L FEES: yy�0 CONSTRUCTION COSTS $a 00 � �► MA$$. ti f 16gq O A iER" ;IHA�TN�Y; &JIL3.,I.I�M ..,.5 TRS � EpMI`►l -� . j, ADDRESS 807 WASHINGTON ST STOUGHTON MA BUI � IV �. DATE :ISSUED THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL.INSPECTIONS REQUIRED" FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS: HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READYTO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. STREETPOST THIS CARD SO IT IS VISIBLE FROM BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD.OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID.IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR:BY VARIOUS STAGES OF CONSTRUC- , MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION." 508-790-6227 BUILDING PERMIT TOWN OF BARNSTABIJE! BUILDING PERMIT n 2� 1.C7 GEO3A2ARCzL ID a �10 1 _ EDRESS 10 OCF:A � ST E '!' f .i F FHONE H ��nnis, ��. ,j rt 9' Z,.P' "BLOCK �Ta SIZE -- DLUELOPMENt i i DISTRICT FFY —. ;.ERMIT -4-848 F"ESCRIF'T iE W;I;. . ;. ' �1STALL: HAND:IcrAP ACCE S FAMP & DOOR !l'LRMIT TYt E RMMODC TITLEE COA1F-ACiAf.; AIJ CONV`- -`0NTPACTO-Tt.*: 0 R0.bRKE BLE`3 / 'DTAL FEES= `$100.00 Department of Health Safet ;y �., :d Envi ronimentai Services `>j�15TRUr�TION COSTS $1 0Q0".00 437 NQNHES /r OAtH;�KP AOT� 'CQNV -)'v1NF.R 'ViNNE`r' WILLI_AM i TRS j v ADDRESSe 807 W.ASHINGTON ST: a I� STOUGF TON MLA ,r Ltil�TE ISSUED (rov09/1995 _ E'XB.iRATI.OIN •DATEa3 fr/ 1 • n.`nN • - r BUIL1) SI N DIVISION APPROVALS FOR CERTIFICATE OF, OCCUPANCY TO_BE SIGNED BY.EACH DIVISION HEAD UPON COMPLETION BUILDING DATE: G c fOMMENTS3 --�A PLUMBING DATE:" COMMENTS:��^ =3 a<; ELECTRICAL: DATE: COMMENTS: GAS: DATE: S COMMENTL/ opt : C SERV ON: ATE COM NTS: 1 ; OK DA OM ENT _ 7MINTEV FIRE DEPT.: SATE: Lr COMMENTS: 0T E D j OM ME S: - TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED ATTHATTIME `OF114E TO The Town of Barnstable BARNSTABLE.p• Department of Health Safety and Environmental Services 9 MASS. 0 f639' �0 "rF03 . Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice ` Type of Inspection P ��y > �y�Lp ` 1� G Location [ 6 0 G� ` - Permit Number � Cj Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Please call: 508-790-62}2.77 for reeinspection. Inspected by Date 1 �; -. pTME 1pk� The Town of Barnstable o� 7 BARNSTABLE.�! Department of Health Safety and Environmental Services MASS. �''�f0 MAC pie Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection NAti�Q Location 6 Cr—� S k - Permit Number 9 6 —7— 1 Owner tAj Builder f One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Please call: 508-790-6227 for reeinspection. Inspected by Date � � ' ' BOSTON SAND & GRAVES. CO. 227-9000 FAX (617) 523.7947 , f t # t � S t , t t t , t r ' i ! � r •� � f i t , t k j f f i f , , r t j : j t [ t J 1 � �� - , i �`✓yam.._ LLLJJJ q V t t $j 3 3 i d i f : t i ._.............. �f !. } = t 3 f "FIRST AND FINEST" MASSACHUSETTS UNIFORM APPLICATION 7ERMIT TO 00 tiASFiTTINO (print or Type) S'l • , TOWN OF BARNSTABLE Date ` 1 � �� 19 Hyannis, Massachusetts Permit 0 9 Owner'ih AT: Location O An Name t AAjNj\W Type of Occupancy: AQ)-rgT-p^m T- QJoZu iw� New ❑ Renovation [v� Replacement❑ GPlans Submitted Yes ❑ No [� a a bs a a v a ►e- adt I' W W s O toi o 1M- _ s a Z O M ` 6 i O O = !ZW- aa w < a o s s o > W � a w s_ u s a s w ¢ d ►- a ►- i O p• Z ,� M- ►• Iw. 3. al ® Z O Z O a to e °u °s > o s 1.b1- O sus—esMT. BASEMENT 1ST FLOOR 2No FLOOR SRO FLOOR 1 4TN FLOOR ITN FLOOR ITN FLOOR 7TN FLOOR STN FLOOR (Print or Type) Installing Company Name Check One: Certificate_ i�j�Q,�� '�� ❑Corp. Address GO ?A4SQr\ `�tl'T\ ❑partnership 1rcI�5 i �{°�rri®aj'�0 ❑Firm/Company__ Business Telephone 'X6-)L3&y Name of Licensed Plumber or Gasfitter f`��➢�ire �'7.`��C� t busby artifr flue stl of the deeds and Infermstbn I have wbmltted for Mend)In above epplkstbn see true and semate to the ben of or kaorbdge and flat all plUmbltq reek and Installations performed Under homlt homed for thh appdsntlen wW be in aompoarm With s11 pervaattl pro.Wons of the blarachusatb Slab Gas 086 and Chapter 112 of the General Lars. I have informed the owner or his agent that 1 .do not have liability Insurance including completed operations coverage. Signature of Owner/Agent I have a curren liability Insurance policy to Include completed operations coverage. By TYPE LICENSE: P um 6 er Title Gasfitter Signatyre of Licensed City/Town: Master Plumber or Gasfitter ourneyman APPROVED (OFFICE USE ONLY) License Number BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES _ PROGRESS INSPECTION -�•`�' FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME A TYPE OF BUILDING LOCATION OF BUILDING t V PLUMBER OR GASFITTER LIC. NO. DLk'A PERMIT GRANTED DATE l z d 19 95, GAS INSPECTOR - .+'^+i-v^•-rS:ti:�.:,.r'v'L..-r..��;.�•ts.a�r�.rr.�"r✓',5=.. �� •t-. �r;�..TH'+f.ra�1.``'�''r'�.",'�y,Y.^�i^"17^'F1'K�."P"!^^'^.-'s.-+I..'r} • .. Y !`Y'•' ,r A.r�..r.-ay.,,'*�u'rru-r--•�„-.••.:�vr;..r�k. w,.,t•_ LT 6�yOfTN to��a ✓�,��'/ , 7, TOWN OF BARNSTABLE t aeaasrAU J MASSACHUSETTS Solid Fuel Stove Permit DATE OF APPLICATION ........... G .................................................... FIRE DEPT. ISSUING PERMIT t1�Il .....5................ ................ .......... NAME (owner) J 2 o t C' .. . (� ��( NAME (Installer) .. .........0 Irn n.�.--�.....( ........4.................. .. ADDRESS ........�(�..... CP_,.(1 �t .................................................... ADDRESS �_ rc�-,�z Tt�;`l i !y{ten c J f) .............. .................... ........................................................................................................................... STOVE TYPE ........U.A.nr) 4.......................................................................... CHIMNEY: NEW ......................... EXISTING....... ........................ Manufacturer .................................................................................................................... CHIMNEY: Masonry ............................................................................................. Mass. Approval ............................................................................................................... CHIMNEY: Metal ............. ........................................................................... This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with an application on file with the ..................................................... Fire. Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued By: �`✓ ,'C" ` ...............................................Title J J Permit to install expires 60 days after issue date Stove .............................................................................................................................................................................................................................................................................................. StoveClearance Qb....................................................................................................................................................................................................................................................................... Floor .............................................................................................................................................:................................................................................................................................................ SmokePipe . ..................................................................................................................................................................................................................................................................................... Smoke Pipe Clearance ..................................................................................................................................................................................................................................................... ........... Chimney ...................................................................................................................................................................................................................................................................................... SmokeDetector.-�..�..........................................:............................................................................................................................................................................................................:.......... The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au- thority of permit dated - ... .............. has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ........................................................................ Installer INSTALLATION APPROVED � �"� MR1..SJ.A!b&.. - Title: .•date`'. .................... By:................. .. .......................... WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT Hyannis Main Street Waterfront Barnstable °FtMe r c Historic District Commission �•�•�•!av!Growth Management � t ' x a BAMSTABLE, ► 200 Main Street MASS. s � Hyannis, Massachusetts 02601 Phone:. 508-862-4665 / Fax: 508-862-4784 2007 George A.Jessop, Chairman Theresa M. Santos, Staff March 5, 2008 Mr. Micah Power 10 Ocean Street Hyannis, MA 02601 . Re: The Black Spot Dear Mr. Power It has come to the attention of the Hyannis Main Street Waterfront Historic District Commission (Commission) that the sign you have placed for your business is not consistent with your Certificate of Appropriateness dated May 16, 2007, nor do our records indicate the appropriate permit was processed through the Building Department We respectfully request you attend the next-scheduled Commission meeting on Wednesday, March 19, 2008 so that we may resolve this issue, and avoid referral to the Building Department for enforcement. Should you have any questions, feel free to contact the Commission Assistant, Theresa Santos.at 508-862-4678. Cordially, George Jessop, Chairman cc: Patty Daley, Growth Management Cynthia Cole, Hyannis Business Improvement istrict Robin Giangreggorio, Enforcement Officer Historic District Commission rsarn ,,� o Marina Atsalis Growth Management Barbara Flinn ffl-knedcaCity sAxivsrnaLE, ' 200 Main Street David Colombo MASS. Hyannis, Massachusetts 02601. George Jessop,Jr. AIA �Al�DN1P�a Phone: 508=862-4665 / Fax: 508-862-4784 Joe Dunn 2007 Date: U To: . Tom Perry Robin Giangregono From: Hyannis Main Street Waterfront Historic District Commission w Map /Parcel 3� 1 O Date approved by Commission �' I Never applied to Commission Approved for: (Circle one• Cert. of Appropriateness ert. of Non Applicability/ Cert. for Demolition) Business . Yes No Residents al Yes No Business Name: \\'i: Property Owner:\'V\W I\w\ P1 t1 t 1 t�uS`� Business Owner: �GV\\\ -- G Address: 1 OCR U S E2,� Address: S, ptSTas-1 \AN ( R C5 kY\d\�S Pc 07-(op 1 ` Phone: Phone: . . Violation consists of: ' v s C v.\ 1 4�3\ sineyZma �� '�� d C; v �� Um - e & Lc_ k cc: Patty Daley Cynthia Cole C 6y-\ r 1`• Committee Members �'�` �DZVE T � Hyannis Main Street Waterfront Historic District Com]JARNS T,^n�_E !',r,r r" Growth ManagemenTtd. d� ! r y AB MARAMNS k 200 Main Street �''rFnhw�INN Hyannis,Massachuset 0260.1 Phone:508-862-4665 / Fax: W-8f 7% A10 :00 Application to OVE Growth Management 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: : ( I r� S��'i =^.• €tMi7 .....- ui 4�1 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration } r Indicate type of building: House ❑ Gara e Elg ❑ Commercial ❑ Other I I! l 2. Exterior Painting: ❑ Ell (1 K- Q L U 3. Signs or Billboards: M New sign ❑ Existing sign ❑ Repainting existing sign — ---- --�--- 4. Structure: ❑ Fence ❑ Wall. ❑ Flagpole ❑ Other I�'``" ' S. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration �'!'� -'`- 0"`�f- (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE G ASSESSOR'S MAP NO. ; _ ASSESSOR'S PARCEL NO. % 0-1 APPLICANT__ r 4 A Pr) iy e R TEL.NO. J Gr 0 "r�� 7 43 3 // APPLICANT MAILING ADDRESS / I 7 0 5 A M A Q 1 i G H1 O 60 t1 u f-T /Y t o oa a 3 L- ADDRESS OF PROPOSED WORK- O ®C.f~A ti 57, , 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 Assessor's Office.. (Attach additional sheet if necessary). AGENT OR CONTRACTOR TEL.NO. ADDRESS OF SHE rpk Hyannis Main Street Waterfi ont ~ ~o, Historic.District Commission Growth Management BARNSTABLE, MASS. $ 200 Main Street 0.39. Hyannis, Massachusetts 02601 Phone:508-862-4665 / Fax: 508-862-4784 DETAILED DESCRIPTION OF PROPOSED WORK: Give all. particulars of work to be done, including detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames; trim, gutters - leaders, roofing and paint color, including materials to be used, if specifications do not accompany plans. In the, case of signs, give locations of existing signs and proposed locations of new.signs. (Attach additional sheet,if necessary). vT /�G( A P UjR) t f TO i 1 1 11 fir 1 APR .3 0 , � Signed 1 Owner-Contractor-Agent s SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date Time This Certificate is hereby By Date Signe EAPORTANT:If this Certificate is approved,approval is subject to the 211 0-day a p eriod o edin PP PP J Y P P the Ordinance. CONIDITI011TS OF APPROVAL: . �oFjHe ram, Hyannis Main Street Waterfront Historic District Commission v sn sLE,$ Growth Management =.�i , ij MASS. r i 200 Main Street �, ( -� i 1639• AIEOMA�°` U Hyannis, Massachusetts 02601 �' y APR" 3 0 2007 1111: Phone: 508-862-4665 / Fax: 508-862-4784.1 =. d N ]Hyannis Main Street Waterfront H mi istoric District Comssion--'.e-1 --- -I SPECIFICATION SHEET FOR SIGNAGE Prior to filing your application for a Certificate of Appropriateness, please contact Robin,the Town's Zoning Enforcement Officer, at 508-862-4027 to discuss the amount of signage allowed for your building,.as well as any other Town Sign Code regulations which may affect the sign(s)you propose to install. Even if you are applying for the same amount of signage as previously existed on your building, the laws may have changed since that sign was installed. Once you have applied to the Hyannis Main Street Waterfront Historic District Commission for a Certificate of Appropriateness for signage,you may apply to the Building Department for a temporary sign permit. The Building Department car!provide all information regarding the temporary sign permitting process. 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. 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 DrM NED C • a scale drawing of the sign bracket,indicating dimensions,color,and IIlteial c� r• to v � Size of Sign a ;� E r l.!/? X i'Pile-TO 1. Material(s) of Sign Material of Lettering (if different) The Sign Will Be (circle one): 'E_arv_ed_`woodY painted wood / vinyl lettering other (explain)_C,.a&I/F_ D fi N r , T/:D yil 0 0 0 Location In"Which the Sign Will rr1H ®i/rtie �imt1_T 0an R�PlQC fit ZXi A,"r; jilrl+!A 6-!� Will there be exterior light fixtures to light the sign? If so, what type of fixture? Where will the fixture(s) be located? i Radius of sign=1.5ft Scale-I inch=Ifoot Diameter-3 ft R=1.5ft i HI I i P APR 3 ® M7 s mo ED Sign is carved wood 3feet in diameter and 2 inches thick Edges shall be smooth rounded and painted black Lettering is carved in sign and painted white Example of edge bevel 2inches wide APR .3 0 Z007 scale- .flinches=2inches TOV\Ii, OF! 1 i � c Sign Bracket Using existing sign bracket metal pipes painted white welded to metal bar affixed to building Existing sign r scale 1 inch= 1 foot 1� 8" � 1 APR '_3 0 Z007 metal pipe , L, 2 foot metal bracket affixed to i building welded to 2 8 metal pipes 1" in diameter affixed to sign 8"metal pipe A"PQ Hyannis Main Street Waterfront Barnstable °ftHe lO'+ Historic District Commission ti�P� ti� All-America City Growth Management 1 ' BARNSTABLE• + 200 Main Street 1639. � Hyannis, Massachusetts 02601 r�Dh'0�A Phone: 508-862-4665 / Fax: 508-862-4784 2007 George.A. Jessop, Chairman Theresa M. Santos, Staff March 5, 2008 Mr. Micah Power 10 Ocean Street Hyannis, MA 02601 Re: The Black Spot Dear Mr. Power It has come to the attention of the Hyannis Main Street Waterfront Historic District Commission (Commission) that the sign you have placed for your business is not consistent with your Certificate . of Appropriateness dated May 16, 2007, nor do our records indicate the appropriate permit was processed through the Building Department We respectfully request you attend the next scheduled Commission meeting on Wednesday, March 19, 2008 so that we may resolve this issue, and avoid referral to the Building Department for enforcement. t Should you have any questions, feel free to.contact the Commission Assistant,Theresa Santos at 508-862-4678. Cordially, .George Jessop, -Chairman cc: Patty Daley, Growth Management Cynthia Cole, Hyannis Business Improvement District Robin Giangreggorio, Enforcement Officer y�FTNETO�` TOWN OF BARNSTABLE 31AMSTAM � Office of the Building Inspector � rut OO i639, on k� Date June 22, 1995 Fee $50.00 Permit No. #125 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO Shelley Gibson D/B/A THE PRODIGAL SON 1 LOCATION 10 Ocean Street, Hyannis, MA ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT Building4nspector �I a r� v 4/D 1512 i Benjamin Moore Paints goy �.rt��;v♦.``�'I _i,,. � � h. •p. si,e"�i, t ,r 2 �. � �- .•,� gay t ,!a�Ipl� l�lll t �T . iL-; }rye... !s , •"�.r.i rJ �'.�'} . . > .tea., "1 �� ' � 4, 4. �' .� , i�4i\ ♦ n" t i a•f. w � �� '� �� '�� t s� '¢�y� �� ! '� K1 t, u o� � �' F� _. '7lt � �� F Y� r ,;..1 f#� �� F� The Town of Barnstable permit no. iaS Department of Health, Safety and Environmental Services a►Rrrsresi.e. s . „A. Building Division date 6 639 ►`� 367 Main Street,Hyannis MA 02601 _ 1� fee $SO -0-2) Application for Sign Permit Applicant: 2 e C�. a/I Assessor's no. � Doing Business As:—:Fie S474 Telephone Sign Location street/road: (o a Zoning District= Old King's Highway District? yes no—'. Property Owner Ell 'I A Name: (? 621-4 ��7 L Telephone Address: Da o Village Sign Contractor Name: Ih1 / / Telephone Address: Viiiage Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign to be drawn on the reverse side of this application. / Is the sign to be electrified? Yes no (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. l5atJ Si na ure of Owner/Authorized Agent } Size (sq. Permit Fee 0'p . U--o Sign Permit was approved: ✓ disapproved: Date Signature of Buil ' Official r �tr � o• r WOO IS7G ,OvE fly' FL66R � R� 1-, Nq tD�A'tJT�� 3; °PRoFEVs16tIALL/ eoNS"A6k 9 P96 AS 9 � �� a� � �r�ja�fA� Drop . fka�Wp CO WES AM gi-Acg GAP 1EA P ANIP GIN (.SJMH A"AeNS-P) t _ i i I I t 31 - � I I � i f 3 I I i I j I �IQII 1 I F I I i i v r a I �_311 a d b, INN h 3 R J ;rtI,teN 41 y�i :x '' N, ✓,•..-c � t'"tr _>ra' � �,mod'� � ��t L -�� 3i��7 „ r;, 3 it}y T i .. ..{. . 7.A .,n `�' 'y1r' ` K 't+ c ' ail �'"�'�✓.��t:`x x }��&�� _R�< c' .. �� s K Y s y „t -., AV AA - (I • k h 4 t / P � I Tee cJ� l�el _ _SAC A I ar ICI 1 i I a PC: l® oCF-ArV 57,�.: I51 /iNO )A CC, " tr \ n 1 IE f I i - I E 70 714C SIGIq 7 T/' C I lo 131�A Cl([--7 o i E �a PC: IC) ocEAnl S r. 0 The r-o di dL sgn lrJ � MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBINGQ I (Print or Type) I U &3 , 7✓y+//S Mass. Date kn lv 9- Permit # � y Building Location /��rL��YNt ST Owners Namey ni�y�e.✓1b�• Type of Occupancy New ❑ Renovation Replacement ❑ Plans Submitted: Yes ❑ No - FIXTURES Z Z N Q • N H N O Z W w ►- N J > v a N M 0 ¢ ¢ W Y J N q f. N Z (A Q ¢ Z O Z y G. O N W y N 2 N F U W N Y Q a Q a C X V Z y ¢ m N ¢j ? q y Z ¢ S ¢ O LL O O ¢ q ¢ Q W N ¢ J — p G W = Q 2 3 O Z S Y 6. p ~ Q Y 4 W LL ]e W ~ V F O = d 7 N F- Z O O N Z Z W O U S F Q Q = N N Q Q S O SUB—BSMT. BASEMENT 1ST FLOOR 2NDFLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8THFLOOR Installing Company Name Alewife Co . Inc. Check one: Certificate Address 254 Prospect Street IN Corporation 1954C Cambridge - Ma 02139 ❑ Partnership Business Telephone 617 8 6 4-2 5 5 0 ❑ Firm/Co. Name of Licensed Plumber Robert Rosati INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes EX No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy IN Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner El Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 ofral La BY Signature of Licensed Plumber Title Type of License: Master%) Journeyman City/Town APPROVED OFFIC U NL License Number M 78 9 3 j BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE t NO. APPLICATION FOR PERMIT TO DO PLUMBING i NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER .f PERMIT GRANTED DATE yg ° PLUMBING INSPECTOR '.s MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING-� Or T I •-� _� /9 N/✓ S Mass Date ermil# 96 Building Location /D OL'PZA �~ Owner's Name'�'n d� coe . Type of Occupancy Zm?�z �� ,. New p Renovation Replacement ❑ Plans Submitted:_ Yes❑ N - Z cc Y fA N V CC *`. y Q N CC. O O :0 ul W N CC O. C1 rp 1- r 7. uj _ N - N d .V r W ._ y .Z O W t y 3 * c > W Z W F r , W W d/ _J Q S_ Q O 0: W W V H ,Q C7 }. Z J h Z 1 W W O; >: £ti 1".. W f `J. Z < W Q C F- 5. rA m r ..Z O 2 Z O: ill Q W y '� W O Z < Q < < O O W O: _ ¢ •_ ® i7 %Y LL 7 £ S68-8SMT. d 1 ` BASEMENT 13T FLOOR. 1 5 , r I � , Z 2ND FLOOR 3RD FLOOR _ x : 4TH FLOOR 4 STH FLOOR g . 6TH FLOOR _ 13 . `. TTH FLOOR 8TH FLOOR 7 77 Installing.Company Name ALEWIFE CO. , INC 4. Check one: Certificate.: Address 254 Prospect Street ro 'cn 1954C � Cambridge, MA. 02139 ❑ Partnership - Business Telephone (617) 864-25 50 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Robert Rosati INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Ye, please indicate the type coverage by checking the-appropriate box A liability insurance policyX& Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement Check one: Signature of Owner or Owner's Agent . Owner❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my krxWedge and that all plumbing work and installations performed under the permit issued for this appli be in comp!* ce with all ped nent provisions of the Massachusetts State Gas Code and Chapter 142 of the General P_Y T of License: / tr Plumber Ugnature of Licensed Plumber or Gas FRW r '1 itle Gad Mter, License 78 5 G1hNTeian Master an r Number 93 ter- tLurwaww k sis .�1. BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE t` NO. 4. F� APPLICATION FOR PERMIT TO DO GASFITTING t+ .t� 4 y4f Y ° NAME A TYPE OF BUILDING ` k LOCATION OF BUILDING --- � xx. .n f PLUMBER OR-'GASFITTER W f 4r� LIC. NO. tt � PERMIT GRANTED F' .DATE$ _ GAS INSPECTOR OR Hyannis Main Street Waterfront .,„s,.,JIM : Historic District Commission YAASEL �1639. �� p raox 230 South Street Hyannis,Massachusetts 02601 508-790-6270 FAX: 508-790-6288 DECISIONS MADE AT PUBLIC HEARING Following are decisions which were made by the Hyannis Main Street Waterfront Historic District Commission,a quorum being present,at the meeting held in the Conference Room of the School Administration Bldg.at 230 South Street,Hyannis,MA at 8:00 A.M.on Wednesday,December 9,1998. Present: DeMartino,Lemos,Flinn,Jessop,St. Onge,Jr. (chair),Scudder,Atsalis Agenda Items Decision Bill Hanney-(application submitted for The Prodigal Son)-10 Conti, Unanimously. _ Ocean Street,Hyannis,MA. Assessor's Map 327,Lot 107. Certificate of Appropriateness for signage. Arnold W.Mycock,Trustee-(application submitted by Ronald J. Approved Unanimously. Mycock)-171 Main Street,Hyannis,MA. Assessor's Map 327,Lot 232. Certificate of Appropriateness for installation of vinyl replacement windows. The Murray Trust-(application submitted by Sue Anne&Jeffrey Approved Unanimously. Manosh)-86 Channel Point Road,Hyannis,MA. Assessor's Map 326,Lot 075. Certificate of Appropriateness for installation of vinyl replacement windows. Thomas N. George-(application submitted by Chic Pollock of Approved Unanimously. Classic Sign for George's Bakery)-368 Main Street,Hyannis,MA. Assessor's Map 327,Lot 002. Certificate of Appropriateness for signage. Brian Faunce-(application submitted by Susan Mattos of Strictly Approved Unanimously, Jeans and More)-448 Main Street,Hyannis,MA. Assessor's Map based on changes to 309,Lot 220. Certificate of Appropriateness for signage. application. MR� # 317 Boo b \ aG ` 7�.q ztcc t- 1�7 P 9 9'k MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) / � S�ab Mass. Date 2 7 19 Permit /# G �/f Building Location ZO Oc e2� ST Owner's Name yV///X.7 A&,N e� S1f1 HN�,S Type of Occupancy ,C cam'7�acc 0. A174— ~y New ❑ Renovation ' Replacement ❑ Plans Submitted: Yes ❑ No FIXTURES z ty N Z Y O Z `+ ,� \ y N _ W W Y J 0 A V O W F W N t- U ¢ Y Q W p�\� J N N Vf 2 ¢ Q W N Z ¢ C C7 Q < v = s m ¢ W H _ o Q ,� Z ¢ a ¢ J W ¢ W Or M W N C 2 Q J (n ¢ ¢ J — p ¢ U. O r > o = ° ai ►- z o °o N z z w o cYi i Q F' Q Q S N Q Q O Q J J Q ¢ ¢ z 3 x J m w o o J 3 x r H v a 3 ¢ m o SUB—BSMT. BASEMENT 1ST FLOOR I 1 I I 2ND FLOOR 3RO FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7THFLOOR 8TH FLOOR Installing Company Name Alewife C o . Inc . Check one: Certificate Address 254 Prospect- Street IN Corporation 1954C Cambridge , Ma. 02139 ❑ Partnership Business Telephone 617 8 6 4-2 5 5 0 ❑ Firm/Co. Name of Licensed Plumber Robert Rosati INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes I No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability insurance policy IN Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the Genera /Z gy �C Signature of Licensed Plumber Title Type of license:Master%) Journeyman❑ City/Town APPROVED OFFIC US NL') License Number M Z8 9 3 a e BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS — 7os�s� FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING O NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE x PLUMBING INSPECTOR -7) 7 Hyannis Main Street Waterfront `sSAWWASM : Historic District Commission 6 ,, 230 South Street Hyannis,Massachusetts 02601 NOTICE OF VIOLATION October 22, 1998 Business Owner Prodigal Son 10 Ocean Street Hyannis, MA 02601 To Whom It May Concern, It has come to our attention that a new sign has been applied to your building. As your building is within the limits of the Historic District, review by the Historic District Commission is required for any changes you make to the exterior of your building, including signage changes. However, our records do not show that this sign has been reviewed or approved by the Commission. The District was established so that the historic character of Main Street and the Waterfront area can be maintained and improved, to increase the interest of consumers and frequency of consumer visits. However,we can succeed only with the help and cooperation of all property owners and business people within the District. Please contact Nanette Liberty at the Town of Barnstable's Historic Preservation Office at 862-4665, as soon as possible. Her office hours are 8:30 a.m. to noon, Monday through.Friday. She is available to explain the application and review process to you, to provide you with necessary application materials, and to schedule review of your new signage during one of our upcoming meetings. Thank you, in advance, for your cooperation in this matter. Sincerely, Richard S Ag e,Jr., Chi n Hyannis Main Street Waterfront Historic District Commission cc: Gloria Urenas, Zoning Enforcement Officer oft Hyannis Main Street Waterfront Historic District Commission 639 �1� 230 South Street Hyannis,Massachusetts 02601 NOTICE OF NON-COMPLIANCE October 22, 1998 Tatsuo and Fujiko Seki Sushi Go-Go 366B Main Street Hyannis, MA 02601 Dear Mr. and Mrs. Seki, It has come to our attention that you have applied signage to your building which has not been approved by the Historic District Commission. As your building is within the Historic District, approval by the Commission is required for all exterior changes to your building, including all signs. The District was established so that the historic character of MaiwStreet and the Waterfront area can be maintained and improved. Your business is currently benefiting from our efforts and from those of the business owners around you. You, however, are detracting from the efforts of your neighbors by applying unapproved signage to your building. The members of the Commission, District property owners, and business people within the District are all trying to improve the ambiance of the area to increase consumer interest and activity. Your business will be directly affected by your participation. Please contact Nanette Liberty at the Town of Barnstable's Historic Preservation Office at 862-4665, as soon as possible. Her office hours are 8:30-noon, Monday through Friday. She is available to explain the application and review process to you, to provide you with necessary application materials, and to schedule review of your new signage during one of our upcoming meetings. In addition, as the signage you have applied to your building does not conform to the Town of Barnstable's signage regulations, you need to contact Gloria Urenas, the Towns Zoning Enforcement Officer at 862-4036 between the hours of 8:00-4:30, Monday through Friday. She will be able to tell you what type of signage is allowed on your building, as well as the size of signage allowed. Thank you, in advance, for your cooperation. Sincerely, t Richard St. Onge, Jr., Ch ir an Hyannis Main Street Wate ont Historic District Commission t cc: G Urenas, Zoning Enforcement Officer Thomas George, Property Owner Town of Barnstable �OpTHE � Regulatory Services , 1% Thomas F.Geiler,Director Building Division BAMSTAB MAS& g Tom Perry,Building Commissioner i639. �0 iOTFD Mp'l a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: o Permit#: (_O HOME OCCUPATION REGISTRATION Date: GS Name: YL S `�✓V�C/d Phone#: 09 7 Address: \ b C�,, — Village: Name of Business: )f-J a-/�, ,,o,�-k Type of J_ &NA_, _r_A/Lv0V V_WA I Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family-dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess" of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the.Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned, a red nd agree with e ab e restrictions for my home occupation I am registering. Applicant: Date: 0 U Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS - DATE: SC 05 Fill in please: Cl�tYOUR NAME: 1T��,,c,y APPLICANT'S BUSINESS YOUR HOME ADDRESS: 10 OCe-a,v. SI-- TELEPHO E Telephone hone umber Home s�$ 8 b/1 - NAME OF NEW.BIJSIN ESS CX15A V-W TYPES OF BUSINESS. Y pATI; N? YES NO yT- IS THIS;A HOME OCCU O Have you.been:given approval from the-buildn division? YE. NO / :OF`BUSI;NESS 0 ,,,�, 0Z(oo I MAPIPAR•CrE�L N.UMBSR J� O ADORES..S . When starting a new business there are several things you ust 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 COMMISSIONE ' OFFICE This individual has been infor of any permit requirements that pertain to this type of business. _ orized Sig tune** COMMENTS: e .- 2. BOAR OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. ' _Authorized Signature** COMMENTS: '3. .CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** ` COMMENTS: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. J 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 's' operate.) Business Certificates are available at the Town ClerkOffice, 1� FL., 367 `Main Street, Hyannis, MA.02601 (Town Hall) .0 usw.gmtua veua'1 arM��' � o,o.TE: Fill in please! APPLICANTS YOUR NAME: �Y� •i 5 )� BUSINESS YOUR HOME ADDRESS: , 7aa. tr ;�n TELEPHONE # Home Telephone Number 3 3 NAME OF NEW BuswEss _r . TYPE OF BUSINESS: IS THIS A HOME OCCUPATION? YES NO Have you been given:approvallrom the build n division? YE NO -- -�.w. ADDRESS OF BUSINESS l o::0 c f� ./� - -� , 't � :MAP PARCEL NU -�- / NUMBER '1 x When stating 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 Inay need. You MUST GO TO.20❑ Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER' FICE This individual has rmed•of a ermit requirements that pertain to,this type of business. Aut ized Signature* COMMENTS: —0A f L 2.. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of busirie.ss. 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: tAssAsor's Office 1st floor) M ,,/// ( oo ) as ,�a 7 Lot 1©7 �i Permit# �'7"� I� Conservation Office 4th floor (44 Nn Date Issued (o Board of Health Wd floor Engineering Dept. 3rd floor House# . � RAMEMAKA D 19 • D M►Y� A ations r ssed 8:30-9:30 a.m.& 1:00-2:00 .m. / • APMChNT ASEWER CONNECTIOK Pima FROM T9E TOWN OF BARNSTABLE ENQnMa Ma COMMUCTlN Building Permit Application Proiect Street Address O C e4r 0 Village H'4A k-,)ko t S Fire District Owner t,0l(,e.►A-N\ 4 AuIJe`f! Address TO / viASWIL76Tpk Sr• s�tau6ti�ro►.� Telephone, (61'T ' S 4 1- Z-FsoD Permit Request: 'UJOSTA WAi1�iC&P ACCESS 1e#M)0 Z+�STiQ(.C. I IUYi=�IlJi2 PfI�'Y7 i7o/US Fo,2 kI1D/P.4p /eES76»'/S Zoning District P- 8 Flood Plain N l A-, Water Protection 01f, Lot Size Grandfathered ► 1 IV Zoning Board of Appeals Authorization Recorded Current Use DES / COW-,r), Proposed Use COfrP-E MVVE �6&4&e y Construction T N Existing Information Dwelling Type: Single Family & 4-- Two family 'V 4 Multi-family 4-4— Age of structure 6° p e s Basement tune �d G Historic House A/ Finished k'd Old King's Highway Unfinished Number of Baths 3 No.of Bedrooms 113 Total Room Count(not including baths) First Floor Heat Type and Fuel H A GY GAS Central Air " 0 . Fireplaces N o Garage: Detached Other Detached Structures: Pool 100 Attached Barn 9144 None Sheds Other Builder Information Name �a7JeCC� A&PC— GO - Telephone number 6�1- CIA- '73g 55 Address db DOW" !.h-) License# 0 5S/Z'T m S irn4 > Home Improvement Contractor# /"32— Worker's Compensation # 0 3Z q46!'Z 616tv,4 — e y/60603/ 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 �ST�L� !•.f,�-i7JD Fi[.L i�'1��TfirIS ��`e.c-S ProiectAost 6,000 - F SIGNATURE DATE T BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �CC-SS \ 0 C O Q FC7P-M n 1\ BPERM T 3 2 7. 10 7 FOR OFFICE USE ONLY #4846 4- ADDRESS 10 0JaStreet � : - VII.LAGE Hyannis, MA 02601OWNERWilliHanne ,- TRS DATE OF INSPECTION FOUNDATION FRAME ,• „ �- , INSULATION , FIREPLACE u ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL r" FINAL BUILDING: 6.3 - . r DATE CLOSED OUT: ASSOCIATE PLAN NO. 11i02'94 17:02 $6177277122 DEPT IND ACCID 1600 Cotju ojuvea O/ Y a JJac ztt-4et(a 2OP41f nenl o1 J-.1Lt1. —AcaU1hl 600 WaaLVI=Shy t James J.Campbell &Ion, /1/aalJac" 02111 Commissioner Workers' Compensation,Insurance Affidavit 1,—Tpm S a. 0 , 'b 9A l 0'Roupu dac,- Co. � 1 with a principal place of business at: (OW/stwizlp) do hereby certify under the pains and penalties of perjury, that: () l am an employer providing workers' compensation coverage for my employees working on this.job. Insurance Company.. Policy Number l am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Plumber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. I understand that a copy of&is statement will be fomzrded to the Office of Investigations of the DiA for coverage verification and that failure to secure cc•.•e-age Zs rtc:i,ed under Section ZSA of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to S 1,500.00 andlor c,r. years' imprisorment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this ! day of 19 ?16 30 — Licensee/Pe ee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOW OF BARNSTABLE BUILDING PERMIT # 7' CD U L o� � �' 0" co L G CIO b r, DEPARTMENT OF PUBLIC SAFETY ONE ASHBORTON PLACE ? �� BOSTON,MA 02108 s g Y i ley 3'�rl 1_ ✓1 Z 1 EFFECTIVE DATE LIC-NO. w =r — -c to o Cp co0 o v v � t f to T.�N -1I LL 3 Y.a �)f- 4� r m o v .w-• 3 ., 1 f - S O O=O o co O jcoccl o a m 'D c o a NOT VALID UNTIL SIGNED Sy LICENSEE AND OFFICIALLY 9 x x Wcl C> --i STAMPED-OR-SIGNATURE'OFTHE COMMISSIONER O O G o N O O p coW \ T N \ N Z O o - SICNATURF OF LICENSEE c a .COMM1I:SSIONEH .� . 2"�6:4 ISSUE DATE (MM/DD/YY) :.:.:: C 'InCAn . . INSU t��C :........ :.. s.. :: -- 06 05 95 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, RYDEN & SULLIVAN INS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 8 FALMOUTH ROAD COMPANIES AFFORDING COVERAGE YANNIS MA 02601 COMPANY A THE MARYLAND INS GROUP LETTER COMPANY B INS COMPANY OF N.AMERICA INSURED LETTER J O'ROURKE D/B/A COMPANY C 'ROURKE BLDG CO & LETTER REATIVE OUST CABINETS COMPANY D P.O.BOX 602 LETTER STONS MILLS, MA 02648 COMPANY E LETTER coVExACEs 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. CO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS TR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY B I NDER2 4 8 2 4 0 5/13/9 5 0 5/13/9 6 GENERAL AGGREGATE $ 2 000 000 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 2 O O O 000 CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY $ 1 000 000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 O O O 000 FIRE DAMAGE(Any one fire) $ 50, 000 MED.EXP.(Anyone person) $ 5 00 O AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY.INJURY NON-OWNED AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ ........................ ...... ..........._._..............................................._..................... THAN UMBRELLA FORM ... COMPENSATION C41006031 06/27/94 06/27/95 STATUTORYLIMITS _..._....... AND EACH ACCIDENT $ 100, 000 EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT $ 500, 000 DISEASE-EACH EMPLOYEE Is 100 , 00 OTH. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ORKERS COMPENSATION POLICY - STATE OF MASSACHUSETTS ONLY CERTIIIATE HpLDER CANCY';LLATION ... . ... .. ..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE to EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO TOWN OF BARNS TABLE Mik@_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BUILDING DEPT. LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. UTHORI SEWffArTI INSURNET 25-S(7I90) s f SEIRNE INC 1990 j COMMON WEALTH OF DEPARTMENT Fa//ureto TO!+i PLACE SAFETY MASSACHUSETTS ONE ASHBOR P`1Of�sAl�arient Massgoha«t;;;•..zfe BuNding BOSTON,As, 02108 Coda/s Cause torrevocation EXPIRATION DATE () R`� CO,jST4. TSi1PS?VjSOR 0 8/2 2/1 9 9 c CAUTION '7 RESTRICTIONS EFFECTIVE DATE !i 0.+�'E LIC-NO. FOR PROTECTION a i o/3 r /1 991 :J t�4..7 4 THEFT, PUT RIGHT THUMB z T f?J 1;1 j PRIM IN APPROPRIATE � M A 2 5 c BLASTING OPERATORS waTo aLasTu�°�'°ta» FEE: MUST INCLUDE PHOTO. HEIGHT: •� NOT VALID UNTIL SIGNED BY LIDE - - STAMPED-OR- NSEE AND OFFICIALLY DFFIC SIGNATURE OF THE CCM.IMISSpNER � THIS DOCUMENT MUST BE �IEDONTHEPERSONOF )-� ✓, .�✓ OTHERS-RIGHT THUMB PRINT .,THE HOLDER WHEN.EN-GA ATURE Of LICENSEESIGN NAAIE MF C.EDWTHISOCCUPATpN. ' .. L f ABOVE SIGNATURE LINE IONER l- .... I.. HOME IMPROVEMENT CONTRACTOR } Registration 104296 i. Type _ DBA ` Expiration 07/13/96 Thomas R. Morse Remodeling Sp. Thomas R. Motse � . 393 Lakeshore Dr ADMINISTRATOR Sandwich MA 02563 j —� COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY s OF ONE ASHBORTON PLACE MASSACHUSETTS ' BOSTON,MA 02108 �'"•.,�,.�`' !� LICENSE EXPIRATION DATE ��;�® C ON S T R. S U P E R V i S Q R CAUTION.' S/ 2/1 9 96 I FOR PROTECTION AGAINST RESTRICTIONS I EFFECTIVE DATE LIC-NO. i UT RIGHT 1 0/31 /19 9 3 0 S 51 7 THEFT PRINTPN APPROPR ATEB i ry 2 FAMILY HOME BOX ON LICENSE. TFOMAS J CROURKE PO 130X 612 tl n, g SING OP[� ATO P �MARSTONS MILLS MA 02b4iw 1 r LA 6 FRS . —Musr INGWE)E-FaHoro. - PHOTO(BSTING OPR ONLY) FEE (.•'•' - I 1it0. 00 LA 0 C T 2 7 1993 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER ! L�� Y C:J• THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE SIGN NAME IN FULL ABOVE SIGNATURE LINE .,rl(I(��(,aj,-%'•'`•. CARRIEDONTHEPEASONOF,i'- � t THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. ' w e am�4so=c S m' °aa�3e�yoSB m Yn �L < aate fj s Aa 265 5f.Ft.® '75f.-35 Occupants 'O ur 50 5f.Ft.® 1 5sf.-3 Occupants - Q 75 5f.Ft.a 39f.-24 Occupants A- P"W G Egress Path 36"clear �"fE1J� V'- � e L 65 Total Occupants 8 l80 GMR: n T G Table 1006.1.2 ' Q Maximum Floor Area Alowances per Occupant Assembly without fixed seats. Standing Space { 3 5.f.net Aw 'F k concentrated(chairs only-not fixed) 'I s.f.net U O Q Unconcentrated(tables and chairs) 1 5 s.f,net O ^ Illuminated Exit sign f` * _ k ' i U 0 3 Emergency light 3� z r tu !— Fan/light FixtureVIL s 0 e 7 7 y 6 eRUIPI-1ENT PLAN f�PAF- a } o 45"Ice Machine w/storage unit 2 24°cocktall/Ice sink Existing Grease Trap Unit o s m 4 5'stainless 2 bay pot sink I T it r^ f1 1U R >j 24"High-temp.Dishwasher Um { E dS 6 4'Reach-M beer cooler w,,�, _. �+W is kk T� - gift 2 Head Draft Perllck unit � � A a y� r 8 Bs"cocktall/Ice sink q Washable work/storage shelves _ Up g 3 S o. m 10 20"Mop/utlllty sink �vt mvN 49"Sandwlch/Salad unit(refer.) om5- oarWONa O 2 Stainless Hand sink @� g- aGEAN hTf'��T �o n° W .3 :24"Stainless Prep.Sink. DRAW ING TYPE: SHEET NUMBER: l a ax J t J c' aPst�a ea -9 P y O J P i P J • 3 i I e I * >< n� n— Ea SSa A'va aS@a I '- F`£ aA a-�aP o $ a 1" o Fs P n 13 E� Ll v 4 p p P U �• n a? �. � y Z Exiz}inq En}rY�amr CN•:�:_f z s E +bs. Z t a a 46:e Sills Gopgrighto2o11 by KennaN 9eNer Aeaoclatae, DRAWN BY: = O A These plans are protected uncle rFederal PROJECT: S2eA4-in,�AnJ Cquir eni-plAn fer" M 3 y AC Laws.The original purchaser of this I�EL�h�ETFd PAI7LEP-.�. 1 f 2 plan Is auchorized to construct one and only L ; c"A' one home using this pia,Modification or Professional Building Designer' N reuse is prohibited without express written + M permission of the Designer. OCEANS 10 O m KSA design Any discrepancies,errorsand/or oml.4ns M v m LOCATION: draunog shot-li en Fsaonaor to n REVISIONS: PROFESSIONAL BUILDIN&DE51ON shMJ be brought to the a[tt—n Of Gons47rUdkion p[Ans 2/17/1 1 COMMERCIAL-RE51DENTIAL L (, theneslgnerpnortothecommentement O OGeAn Pl reel of ctonccacn.Proceeding with Gape GOG•Ma55aLhU5etC5 LanaVucGOn dOnIon.FeetheaGCepth 6Uenac"ate•C'Sta Rlc3 A of these documents and any capesodoksedesign com•wwwksade5lgncom Hyannis,�Y� dlscrepana-error.and/or—.Von. become the respon.lblllty of the P.O.Box 1'14 5•Hyannfs,MA 02601•50B.150.55 22 Malang cont�.tor. i ss�ty�rr.iy f E WT h I O O 3 nKD 3-1-1 MEEK] q N p lU N 4k ® e o ° � 0X �E'3 x R 4 u � w u 4 a to u �. 0 K) 3. m N E -n O?a N 3 IP 3 (6l` 0 m i, `N` o i, Ot t0 N rt K N in cr O O N ei a 3 O m = E R tl ? 3 toa P R ; Ill n `_"'D O r fg .® •" N N n R 1 t1 3 N N Ill (IX W U m s 3 R 6 X N 117 inN J R 7c' V R 6 o W. z N N (D D 61 � N N 3 m In a m i tl tc m E 1 N O m N 4 70c O E O 4 N X 3 3� N 97 N (71 7 m §_ s N m o 1 3 N n O O tp s 'c IQ® � O a O m R m p N m v In -13 1 N � R c% a VTR 3 3 3 R R R `lea dat+4tna�a&': .gin 4 rsCmn .krk�r• I '� - -, r l yyet 1 � 2 rra narbAc9d aenae7 nel v '�`: � Eziai'inq En}ry�4mp ca. cl �a•,.�4 a E a N '¶ tl Gopyrlghto=l I by Ketmath5ader AeeoUet— DRAWN BY: M Y �l These plans areprotedtedunderFederal PROJECT: L O D y Copyright Laws The original?urchaser of this �eA�'InD�And C juip neM r6n for" -rni 1. �- plan Is authorised to construct one and oNy - REF -TN hAfJLEP—Jr— one home using this plan.Modificatlon or Professional Building Designer reuse is prohibited without express written N ; m permssionoF the Geslgner. OCEANS 10 O m 1-c _ K5A design Anymscrepandes,errors anvor oneeswSa A p�" m m me orates.mmenslane.anvor 3 MOFESSIONAL BUILDIN&DE516N LOCATION: elamngs centamed on tneegge dowmenta O N REVISIONS: anau be brougnc to their.tdiuonof o bons{-rtla}ion plan4 2/1 7/1 1 COMMERCIAL-RESIDENTIAL Ne Dea'gner prior to the Commencement Ar f O OGe ol=,tlaatlon.Ro ceding wah Gape Cod•Maaaaehusetta an S2+-rcc,-V conacruulon censucutes the acceptance D Cuanaeaate•Costa RlG �t of these documents and any capecodoksadeslgn.com•www.ksadesigncom Hyannis,r A discrepanaes.errorsanvoroanl.sla- become ehe respo,'nrl my of the P.O.BOx 1 14 9•Hyannis,MA o2¢O 1•SOB.'190.39 32 bullding cont18Z p D Ev �v a� a� - - -- --s u -- hi �..i.. a >- b ae cfl�s . pn 3 n a� pF o\a 3 a <� I f 2 1,_�,• I a a ❑ ❑ ___ ------------ C 2 q H 2 s LIZ- 2a` 9 i" d a a o 1111 � �:,••`-•.�+•.,:�� C a 3 Z I. inq En#rY 4m cnsill 7 �� - - p C DRAWN BY: tJ1 (] Copyright�3011 by Kenneth seeUer AeeoUataM I RO.,�L-GT: f, Imo A rhesepiensareprotectedunde,Federal �e.A- InD 4nd�juiIJYneM-F'IAn for" � {�EF�h�ETN hfdDLE�.I�• M z y copyright Laws.The original purchaser of this i 2 plan Is eutherlud eo construct one end only Profee.lonal Building Dealgne, one home using this plan.Modlfleatlon or c Z reuse Is prohibited without expresswrltten OCEANS 10 N ; permisslon of the Designer. O j KSA design Any dlxrepanrJe.errm.,.n.auolar-ons m LOCATION: n ne ndtee om_"_-,anvar dralang.contained on the..document. p REVISIONS: PROFE5510NAL BUILDING DE516N .hall be brought to theattenUonof 6ans�'rub}ion plans 2/17/1 1 COMMERCIAL-RESIDENTIAL �e Designer prior to the commencement 1 Ot%eAn�l reel fcomtructlon.Proceeding ptn Cape Cod•Massachusetts � Othesedotl�ut^e a^daaceptance Cwanacaste•Costel RI_ 11 �t m—cle.Va.,error.andror o.,.Mon. capecaddksedeslgn.com•www.ksadeslgncom HyAnn'Is,I—JA - become the respnnmbmty of the P.O.BOX 1'149•Hyennls,MA O]601•500."190.5922 building eo tractor. S O oo O iJ .,. G, N tl1 N (o ,1 r03*[O 6 3 O 3 P J lIt N R A N E W u A t1 U1 X u f» ry d s�:O fP O N N m 0m O 0- is US 3 3 6 tai 3 21. ss m x E U s ? w m G m r�r a m c E - m le, rt a m C, X X rr O -+,O (• 3 a n s = t* t u m 3 s rr i X ID inFF U7 J W 91 it o a o s a E S itn- 71 0 m v F U+ X r Q� K a A W Ww _ C 7r 3 0 r3. m � z O N n n O ' a T m D N N N 3 U, n - N � 3 - - 3 � ry (e rr rr x s t o Ip f4 jj Pi G I Trweh Area(icreenedl heNay - k,;' ".' q. .. t N S U copyright e2011 lay re eth9adlar Aeeoclatelh b t, t, L u DRAWN BY: _ •1 A Theseplans are protected under Fade PROJECT: S;7eov In�QnJ Cluip nPint FIAn SOr M O D D Copyright Laws The original purchaser of this _1 ICE ETH h/+17LE�.1. . +} plan Is authorized to construct one end only ' j Z Professional Building Designer one homeusing this plan.Modification or = y reuse lsprohroited uAthou[express wrltten OCEANS 10 \ perndsslon of the Designer. O M U A KSA design Anymecrepanaes.errors en Nor oral-s-,s LOCATION: mMen.te,'nMined anedn...nNar REV I510N5: FIROFE55IONAL BUILDING DE516N N.nall be brouyne to tl:e ettenGon of on these Ce O (� ene Designer prior to Me com —ment GonSkfUG�iOn �pns 2/17/1 1 COMMERCIAL•RESIDENTIAL + P ( O OGean hreei of construction.te&me acgwtn Cape Cod•MaesachuaeCCs cons[r&F thoese tln t art aedaanypcance eluanacaste•Coate Rica 1 cepecodekeadeslgn.com•www.kwdlaslgncom HyAnni4,tjA a beeemetnemspo nbilor ortthe awons P.O.Box 1 149•Hyannis.MA o2601.505.1 90.5q 22 bNlding contractor.