Loading...
HomeMy WebLinkAbout0020 SCUDDER AVENUE 1 �p 1 4 GK-• �lLnT i I i i - i �. WIDOW I f I i i ..�'� j Town of Barnstable_ _ Building ��. ., —" 7 u . d b d h C d K • ,. n Post This=Card So That it is;Visit le From the Street-Approved Plans Must be Retaine on Jo an t iS ar&Must`be ept asnsa 'Posted Until Final Inspection Ha's'Been'Made. s6 3P ♦ Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made p vr 1t Permit No. B-20-1468 Applicant Name: Trish Whelan Approvals Date Issued: 06/19/2020 Current Use: Structure Permit Type: Building-Tent Expiration Date: 12/19/2020 Foundation: Location: 20 SCUDDER AVENUE, HYANNIS Map/Lot: 290-112 Zoning District: SPLIT Sheathing: Owner on Record: SMITH HEIRS REAL ESTATE COMPANY LLC Contractor''Name:"".American Tent&Table,Inc. Framing: 1 Address: SULLOWAY& HOLLIS PLLC Contractor License: EXEMPT55 2 NEEDHAM, MA 02494 � �`;'�, Est. Project Cost: $ 1,800.00 Chimney: Description: 1-20x70 tent with sides installing 6/10/20& removing 7/11/20 for Permit Fee: $ 100.00 outside dining during COVID ) Insulation: Fee Paid: $ 100.00 Project Review Req: ► Date r . 6/19/2020 Final: � 4 Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan eyfficial Final Plumbing: All work authorized by this permit shall conform to the approved application and the=approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and.Fire.Officials are provided ortthis permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing t Service: 1 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Message Page 1 of 2 Anderson, Robin From: Anderson, Robin Sent: Tuesday, July 25, 2017 12:04 PM To: Lauzon, Jeffrey Subject: Sign Permit Inquiry-West End Jeff, There is a long permitting'history at this location. As you may be aware, for many years it was the Paddock Restaurant. Subsequently, a new sign permit application was taken in on 3/5/15 and issued on 3/9/15 to reface existing signage. Another application was submitted on 6/16/16 and issued 6/25/16 to amend the freestanding sign by adding text to the bottom. rf`tA third application was received on 4/3/17 to again reface existing signage and add signage over the door. This request included an additional 20 sq over the door and-wouid have been an increase in signage that could not be permitted as of right. The existing signage already exceeded the current requirements in the OM district. (Although in a split , .zone; the property and building are situated primarily in the OM zone which governs the ', signage requirements).The OM district allows a maximum of 50 sq ft per site including a- F.max of-24isq:fora.freestanding sign. FYI: The existing freestanding sign is approximately `At firsf look, the 4/3/17 application did not appear to be a request that could be granted a's Obfi right: After an initial discussion and review of an old photo, I was able to dig through our street file and I actually located an old permit issued by Gloria for 10 sq. over the entrance for the Paddock. Ultimately, the application before me was amended to reflect the 10 sq that Gloria had previously allowed but not the 20 sq recently proposed. The permit to reface and add 10 sq was issued on 4/19/17. Pleas.e be aware that I exercised some out of the box thinking-and liberal interpretation in,,, order to.do this as the old signage over the door was no longer existing. Mindful of the,.,, history and the location, I offered the old 10 sq ft allowance (that Gloria permitted) as a compromise by viewing it to be directional in nature. With this interpretation,. I was able to process"-the application and not deny it for exceeding the square footage allowance. It . seemed logical to me to have something over the door for customers to recognize`the main-A entrance. l am sure this signage will never serve to woo the public from the road, clearly tf?at,task solely relies upon the large non conforming freestanding sign at the rotary., At the conclusion of this process, I remained under the impression that the representative I was dealing with,found that adjustment to be satisfactory. At no time was I ever made aware that I was difficult, untimely or that the process was cumbersome. I offered reasonaole;explanations for my questions and I took time to research the file and come up 'vuith a,creative solution acceptable to both parties. I made a great effort to try to be as accommodating as possible but ultimately, I am limited to the restrictions of the processa; and:the language in the ordinance. pleAA 7/25/2017 �t Sign TOWN OF BARNSTABLE Permit BARNSTABY.E, 9 MASS. �•�jFp 9. A Permit Number: Application Ref: 201503960 20071120 Issue Date: 06/25/15 Applicant: Proposed Use: RESTAURANT & CLUB Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 20 SCUDDER AVENUE Map Parcel 290112 Town HYANNIS Zoning District SPLT Contractor PROPERTY OWNER Remarks REFACE EXISTING FREESTANDING SIGN 16 SQ THE NOR'EASTER RE ADDING: SERVING LUNCH 11-12 Owner: SMITH HEIRS REAL ESTATE COMPANY LLC Address: PEABODY & ARNOLD LLP FED RES PLZ, 600 ATLANTIC AVE BOSTON, MA 02210-2261 V Issued By: PC . POST THIS CARD SO THAT IS VISIBLE FROM TFIE S REET Town of Barnstable ° Regulatory Services b " '"IM M Richard V. Scali,Director o;p. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving Application for Sign Permit Applicant ��'`� _ Assessors No. Z Doing Business As: O Qt-e45tCt— ��Sd�ausra-D'-elephone No._-S�DS- Sign Location _ r ' Street/Road: ��ieG��CP J�'1�J 1� 4�JI..3 r'S _ Zoriuigg�istnc Old Kings Highways? Ye o Hyannis Historic District? Yes /No Property O er ° � / n Name: zM i+4, F C 95.4 ej4 C 0� Telephone: Address: � 9`0 C4<..14 o t� S'f—_ , —Village:,,.P G T W'Q o� Sign Contractor _0 Name: a �oGt Telephone hit 3• .3 Mailing Address:_ yc:t AlIt o U 7 Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and { location. cn T � Is the sign to be electrified? Yes (Note.Ifyes, a wuing permit isrequire . Width of building face ®� ft. x 10 c / 03 0 x.10 Check one Reface existing sign V or New Total Sq. Ft. of proposed sign (s) t�4 fge , Ifyou have additional signs please attach a sheet lisdng each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner*or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Ag n Date SIGNS/SIGNREQU revisedl 10413 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/25/15 TIME: 10:03 -----------------TOTALS----------------- '1 PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: ' PAYMENT METH: CHECK PAYMENT REF. 1570 r , �1 'Dr:.1i: 1 —i is TJ :� -- .. - ♦.. _.. - ,. _' .. _ may✓, ,. w i e z t 7 f � 60 Z t AvIr �co cJ t� ( Vc� c�C 6/1&2015 Email Services <>,06z,16-2015 10:50AM Print Cancel From: Simple Signs of Cape Cod Charlie Brennan <simplesignsofcapecod@msn.com> To: info@simplesignsofcapecod.com Received-On: Today 10:49 AM More... a 77 777 ry . 4 x w ' ..jkI Thank You a Charlie Brennan Simple Signs of Cape Cod htpJ/webmaii.simplesignsafcapecod.com/eonappsfwm/pagelviewMessageAttachment?folder=INBOX&mid=928&partNum=O&prirrtvew=1 1/2 6✓16/2015 Email Services / f <.>,0646-2015 10:51AM Print Cancel From: Simple Signs of Cape Cod Charlie Brennan <simplesignsofcapecod@msn.com> To: info@simplesignsofcapecod.com Received-On: Today 10:50 AM More... s r' 4 N NE, rq or Thank You Charlie Brennan Simple Signs of Cape Cod ` httpJAvebmaii.simplesignsofcapecod-can/eonapps/(ttwm/pagetviewMessageAttaclimenl?folder=INBOX&mid=929&partNum=O&printView=l 1/2 Message Page 1 of 2 Anderson, Robin From: Anderson, Robin Sent: Tuesday, July 25, 2017 12:04 PM To: Lauzon, Jeffrey Subject: Sign Permit Inquiry -West End Jeff, There is a long permitting history at this location. As you may be aware, for many years it was the Paddock Restaurant. Subsequently, a new sign permit application was taken in on 3/5/15 and issued on 3/9/15 to reface existing signage. Another application was submitted on 6/16/16 and issued 6/25/16 to amend the freestanding sign by adding text to the bottom. �,_`A third application was received on 4/3/17 to again reface existing signage and add signage over the door. This request included an additional 20 sq over the door and would have been an increase in signage that could not be permitted as of right. The existing signage already exceeded the current requirements in the OM district. (Although in a split A EOM:the p.-operty and building are situated primarily in the OM zone which governs the signage requirements).The OM district allows a maximum of 50 sq ft per site including a FMT ax of-24 sq,for,a.freestanding sign. FYI: The existing freestanding sign is approximately §5.sq ft, i `'At f rst'l 6k, the 4/3/17 application did not appear to be a request that could be granted as ;ofJ'Nght. Aftet;an initial discussion and review of an old photo, I was able to dig through our street file and I actually located an old permit issued by Gloria for 10 sq. over the entrance for the Paddock. Ultimately, the application before me was amended to reflect the 10 sq that Gloria had previously allowed but not the 20 s recent) proposed. The permit to p Y q YP p reface and add 10 sq was issued on 4/19/17. Please be aware that I exercised some out of the box thinking and liberal interpretation.in; , order to do this as the old signage over the door was no longer existing. Mindful of the;,.,;,:::, . history and the location, I offered the old 10 sq ft allowance (that Gloria permitted) as a compromise by viewing it to be directional in nature. With this interpretation, I was able to process the application and not deny it for exceeding the square footage allowance. It . seemed logical to me to have something over the door for customers to recognize the,m`ai,n e&ance. I am sure this signage will never serve to woo the public from the road, clearly that,task solely relies upon the large non conforming freestanding sign at the rotary., Afhe conclusion of this process, I remained under the impression that the representative I was dealing with.found that adjustment to be satisfactory. At.no time was I ever made 3„aware;that I was difficult, untimely or that the process was cumbersome. I offered reasons I.e;explanations for my questions and I took time to research the file and come up Frith a creative solution acceptable to both parties. I made a great effort to try to be as.;., .accommodating as possible but ultimately, I am limited to the restrictions of the process.-; and the.language in the ordinance. s 7/25/2017 5 Town of Barnstable ,, • Building it '� ��€ :..... ., tea.: _. ...,.. '.' :. k _. .. •.'..r _ �' , . :, . POSt�TI11s.,Card SogTha>I�tx�is Visible From;the Street�'A' roved Plans'Must�be Retained,on-:Job,and.this Gard=Must be'Ke t `' ASS.1.E..� ,�;i:'-;�f§.z.�..��,:r .ti"7�.',b`y�`.`:,.3 �a...,:,y9 �>x PP 4,�..,: rr,���, ...,� ?, nrtac, f •r..�``�' y,.�w � `� :gip f`°�,".`" • '""� Posted Until Final lns ectwn•Has Been.;Made:,w ;�f - ~''� ��'.���• � `� �• Wfiere a Certificate of-;Occu anc ,:�s Re uired;,3ueh,Buildln shall Not be;Occupied unti4.a.;Final;Inspectron hasnbeen,made` V't. ��n11t _. �..,..o....:r,�. w,...�.~:s+viz:- .: ;...�,...k�::? .a-'a.a�.„�..�::sA'..� ;u;,V'S..w. .�.��.,.� .�a,..aw«..:.- ,:�.M.aa', ���.:• °«.z�,.::r. "^,.�.�::' Permit No. B-17-1124 Applicant Name: Approvals Date Issued: 04/19/2017 Current Use: Structure Permit Type: Building-Sign Expiration Date: 10/19/2017 Foundation: Location: 20 SCUDDER AVENUE, HYANNIS Map/Lot 290 112 Zoning District: SPLIT Sheathing: Owner on Record: SMITH HEIRS REAL ESTATE COMPANY LLC Co tracto N e: Framing: 1 -11 Address: ZIZIK PROFESSIONAL CORPORATION Contractor License 2 CANTON, MA 02021 Project Cost: $0.00 Chimney: Description: Reface existing freestanding sign 66 sq and 10 so wall sign'as `PermitlFee: $200.00 previously permitted under the Paddock. a Insulation: id $200.00 Project Review Req: Reface existing freestanding sign 66 sgl6d'10 sq wall sign as ;•Date �' 19/ 017 Fi`al: previously permitted under the Paddock '" "" '-77=1 .ma Plumbing/Gas Buildln fficlal - + � Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and theiapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall lie in compliance with the local zoning by-Paws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the b6iIding and�Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work4 1.Foundation or Footing .........i; Service: 2.Sheathing Inspection - . 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed a Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health ".Persons contracting with,unregistered contractors:do not.have access to the guaranty fund" (as set forth in MGL c.142A). Final: "'Buildingplans are to be available on slte p Fire Department Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT -.,, Final: -s- Town of Barnstable Regulatory Services HA2 Richard V.Scali,Interim Director s659.6'� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving _ ` 1 Application for Sign Permit Applicant:�lilla N Qe , l�V�/ Assessors No. Doing Business As• 1 f #,-YV(,6-t l^k Telephone Nos Of•715 • 16 71 Sign Location StreevRoad: L V Sid Zoning District:RB 0 $Old Kings Highway? Ye o Hyannis Historic Districts' Yes To 1` Property Owner G�e Kevin CiI►N,�tea' Name: W1'wl Telephone: Address:ipItun pike, 5t. , O bl f t(_ 5rj Aiaq : CA)YtD h, a • 0242.1 Sign Contractor Name: Ki W i s1M ♦AAUP n& (nambits, W, Telephone: Mailing Address: MD �SMVrbVl AVC , 'FA j M(W 40 _ ption 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 (Note:Ifyes,a wiringpermitisrequired) Width of budding face___tj _fL x 10 Check one Reface existing signor.New Total Sq.Ft.of proposed sign(s) Ifyou have additional signs please attach a sheetlisaW each one wi&dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the autho caner to make this application, that the information is correct that the us co on shall co orm to the provisions of §240-59 through§240-89 of own of B le Zo Signature of Owner/Authorized Agent: Date 3 1 SIGNS/SIGNREQU revised110413 IN THe wveST enD , 4 Specs. t.,..,...4; 11.870 ft ' ` 1.Sign re-faced with 118"white ACM(Aluminum. `r compisile Material)Sox 2.5"deep to cover existing face. x 3,2"thick 181b HDU(High Density Eurethane)letters o co painted black mounted with stainless steel pins THe00 4.and 1 spacera Aluminum Angle 1.5"x 1.5"to mount ACM box cWeST enn to existing facade using 2"lag bolts and Shields `i J S.Stainless steel M6 x 1"fixings to mount ACM box to Aluminum angle. 13.333 ft Colors ■ black white DATE . . ' _. SI NS DRAWN & M A R I N E G R A P H I C S The HY�S� �CI� �t9�II SI�� PM 508A44.6149 www.kivvi-signs.com SCALE I Town of Barnsta Regulatory Services BAMnABM MASS ' Richard V.Scali,Interim Director g Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us C/ Office: 508-8624038 Fax: 508-790-6230 Permit# Building Official approving , l \ 1 1 A!Vpplication for Sign Permit (� n Applicant:\V 1'IQ b UIfiW, Assessors No. Doing Business As:1 f L West _Telephone No.10 0 '715 ' 16-71 Sign Location 2 -- Slreet/Road•— V �d� Zoning District:16 0 0 Old Sings Highway? Yes Hyannis Historic District? Yes(9 Property Owner C-le Kcrin Wk. fib' Name: SMja1RGi6 LA,j&1 ,k Co AL,(. _Telephone: 1VII.3ZO. I Address: TuYl1IDIkG !J[ Ol�ll f'(� �'(/ 3a�}a�: lrK.h-tDh/_Ha • 02-02' Sign Contractor t- Name: iWt nS +AAVIft W LG Telephone: �0 ' '1"1'1 ' lol�q Mailing Address: b-10 n t U" -Ave • T�d m r g- O �54 0 Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. v/ � r l� (J(,ryj Is the sign to be electrified? Yes 1Vo (Note:Ifyes,a wirmgpermrtisrequired) l/��,)�' � COL. Width of building face ALIL—ft x 10= Pto x.10 1 Check one Reface existing sign z or New Total Sq.Ft of proposed sign(s) Ifyou have additional signs please atbch a sheetlistuig each one with dimensions If refacing an existing sign please provide a picwm of the existing sign with dimensions. I hereby certify that'I am the owner or that I have the authority of the owner to make this application, that the information is correct and tandd the provisions of§240-59 through§240-89 of the own of B p!73ha�,confonn'to ce. Signature of Owner/Authorized Agent: Date 3 � SIGNS/SIGNREQU revised110413 Front View 1 / Side View tvsooa - Specs. 1.Sign re-faced with white ACM(Aluminum THE t compisite Material)panels to cover existing face. 2.0.75"thick PVC Black letters"THE"flush mount to new o _ Sign Face with stainless steel pins and 3M VHB. i 3.2"thick 181b HDU(High Density Eurelhane)letters--► - painted black mounted with stainless steel pins e and 1"spacers. 4.0.75"thick PVC Black letters / "LOCAL FARE&CRAFTED COCKTAILS" flush mount to new - Sign Face with stainless steel pins and 3M VHB.� LOCAL FARE tS GRAFTED COCKTAILS Colors i i — black white I i I , SIG DATE q�e p^� t �+ DRAWN_ ,v MARINE GRAPHICS The West Ens" Frees`•andIng Sign PM - 508.444.6149 www.kiwi-signs.com SCALE lk � I W, "I WIP RN 5q, Ml 71� OVIP 14yt mvr 77 Rii 57 -Ij4 - L yaA .&P AIIV I*,,TRW. FIR lad, '11.1 E, .............. ... J `"N •r *� #'�Vi 1 `v %,g.+/S WARnp' f�,i'C h 0A: i,� ,�:emr r* `s`-',•rfrrt�''��'�';= �^.`«�''�,y�'��,,_,;//`ry���� :ram" r✓�rw�f �s� r''�`'�`..Y � hat n it Np- /. TOT .. \;�^p wee'�yJ:� � �•�,� C} #�+" �r IRC � r WI 1• sa P }�f> 3��y � � �.1,; �n l: t A ti �e/ zl � 1 �* ,;� \ �aY' �r•"'q4 i�l�'�h�:�a-`��E.. f �� `�x �F,,�s ?.�'' fd,. � ,.4y?��.. . ._ � -�1 �}��;� ��� -- - - Rs !) "'� Ld�11f,➢`..,u `')l�� yy(�1Y hn y.a if", vsn^a'1����e'� y .';�� .. 'ejr - t • r r TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 290 112 GEOBASE ID 19772 ADDRESS 20` SCUDDER AVENUE PHONE HYANNIS ZIP — LOT A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 43723 DESCRIPTION "PADDOCK RESTAURANT" — 10 SQ. PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services BOND TOTAL FEES: $2$5.00 �tNE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P11C*� rc * STABLE, MASS. 1639. BUILDING DIMS O B - i/ dam DATE ISSUED 01/20/2000 EXPIRATION DATE The Tow ni of Barnstable -w467.23 • R"R ' Department of Health, Safety and Environmental Services - %65 . Building Division • `' 367 Main Street,Hyannis MA 02601 Offc 508-862-4038 Ralph Crossen Far.: 508-790-6230 Building Commissioner Tax Collector Treasurer Application for Sign Permit Applicant: S t' ��TV' ( � Assessors No. I /Doing Business As: 9443c"K [Utw.r*j Telephone No. 7 7 Sign Location Street/Road: Zoning District: Old Kings Highway? Ye o Hyannis Historic District? Ye& Property Owners _ S-( O 6 Name• u S Telephone: �,t7-`1 All e r I /-s V S L,,.� Sign Contractor .�j Name: 1/✓i �'t S i 2 A Telephone: Address: Vim' Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of die new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note.Ifyes, a wL-1hWPcnn&is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that die information is correct the use and construction shall conform to the provisions of Section 4-3 of the Town of Bar le Zoning Or ' Signature of Owner/Authorized/Size: nt Date: D Permit Fee: � � -- Sign Permit was approved: Disapproved: (Ito Signature of Building Offi 'al: �! — Date:�� signl.doc rev.8/31/98 m �-�V r � tiV✓�1S � S Z12 AA N As vs P f-o4c4-- LAP .t - THE . ADDUCK , RESTAURANT FINE FOODS SEAFOOD STE K �j LA 1:15 �-�- � ��� ij. � 4 OF I�X TeP4 6 a-) S s► 5Dpw, ,Ncack Wo5s e-Jco - r iliAc� rov�tj � I D6 Go�� �.-��Cr ►n� �5 ►s Summit Gray A SW2127 i March Wind TWT SW2128 Zircon TWT SW2129 i 1 �I •Perma White TWT SW2130 ! Steeple Gray A SW2131 Gray Bridge C SW2132 Dramatic Black C SW2133 Samples approximate tire actual paint color. •A-100 Package Color. 219 7/96 EXTERIOR COLORS �t"r Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Tuesday, June 23, 2015 4:13 PM To: 'Andrew Glassman' Subject: Banner at the Nor'easter Good Afternoon, Please be advised that I received a complaint about the banner posted just under your free standing sign. I am required to inform you that banners are not allowed under our sign ordinance (Chapter 240-61 A). The removal of this sign will allow me to close out the complaint without additional enforcement action. Please advise. Thank you. Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 r I 6/23/2015 Sign AB , * TOWN OF BARNSTABLE Permit BARNSTLE MASS. 1630- _ ArFG A Permit Number. Application Ref: 201501145 20071080 Issue Date: 03/09/15 Applicant: Proposed Use: RESTAURANT & CLUB Permit Type'. SIGN PERMIT Permit Fee $ 200.00 Location 20 SCUDDER AVENUE Map Parcel 290112 Town HYANNIS Zoning District SPLT Contractor PROPERTY OWNER Remarks ' REFACE EXISTING SIGNS 63. SQ FRST & 14 SQ WALL NOREASTER FORMERLY THE PADDOCK Owner: SMITH HEIRS REAL ESTATE COMPANY LLC Address: PEABODY 81 ARNOLD LLP FED RES PLZ, 600 ATLANTIC AVE BOSTON, MA 02210-2261 issued By: Pc POST THIS CARD SO THAT IS VISIBLE FROM THE S BEET Town of Barnstable Regulatory Services g rY ' B"R'' MNAM ' Richard V. Scali,Interim Director Building Division Tom Perry, Building Commissioner ,�61 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving Rio, Application for Sign Permit q Applicant:_6_r 0, Assessors No. Doing Business As: 4zige P If Slei— Telephone No. Sign Location Street/Road: ._1 d � _ l e Zoning District: Old Kings Highway? Yes/No Hyannis Historic DistrictP YesAO Property Owner Name fj_f7Gii 5 -� aii ---Telephone: z`Z A, Address:-_( A/eS ,vev y0 *4 0 a v ro -- Sign Contractor /1 Name:_—_1/1 f� /_. Telephone:,, Mailing Address:�l v1ZX_� � d v fli-yz5zy -� (� --- Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Ye o�(Note:Ifyes,a wiringpennitisjequiied) Width of building face� 1 ft x = I x.I0= L Check one Reface existing sign or New Total Sq.Ft. of proposed sign (s) r -- If you have ad& oval signs please amach a sheethst�ig each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of er to make this application, that the information is correct and that the use and cons n conform to the provisions of §240-59 through§240-89 of the Town of Barnstab or ' rdinance. Signature of Owner/Authorized Agent: Date '/3/ , SIGNS/SIGNREQU revised110413 Town of Barnstable Regulatory Services Richard V.Scali,Interim Director 39. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving Application for Sign Permit �j Applicant:��t'"Y I\a 1e Assessors No. Doing Business As:;�� l�y ASP!" Telephone No.__�© Sign Location � Street/Road: ..l('t!4Jzr ,&e Zoning District Old Kings Highway? Yes/No Hyannis Historic District? Yes Property Owner Name:e�/fl cs &V1 1a4 6"WaArJ� Telephone: W" ild,,7.,WU(,GJ' Z;Z,A Pock Address 04 4 AM7 Village: VV5wed *4da0f0 Sign Contractor r Name: ���ffy71X Xia Telephone: ;,,Q-t-3�d 7- jo� IF Mailing Address:Z.4, &A /.3;e Ay X' Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Ye ote.Ifyes,a wiring pernvtas nequirnd) G f Width of building face _ft x ,�x.10= Check one Reface existing signor New Total Sq.Ft.of proposed sign(s) Ifyou have additional signs please attach a sheetlislvlg each one with OVVLC� V A` &X(Cith dimensions � C.c. l�� If refacing an existing sign please provide a picture of the existing sign with dimensions: 6JJ'or-eA-;E - I hereby certify that I am the owner or that I have the authority of er to make this application, that the information is correct and that the use and cons tt n conform to the provisions of §240-59 through§240-89 of the Town of Barnstab rdinance. Signature of Owner/Authorized Agent Date 1. SIGNS/SIGNREQU revisedl 10413 L17 1 i r s � r� • a 7 � ' t;• •ss� Mrr� o 1§6 5111 3 ze 0 law G�STOMER ��� �. !' PERMIT No. DRAWN BY ©ATE: j MATERIALS APPROVED BY SCALE This is an orgiraI unpublished drawing, created by Plymouth Sign Company, Inc. It is submitted for your personal use in connection with the project being planned for by Plymouth Sign Company, Inc.It is not to be shown to anyone outside your organization, nor is it to be used, reprediuced, copied or e;diibited in any fashion whatsoever.All nr any parts of this design (excepto%roostered trademarks) remain property of Plymouth Sign Company, Inc. Charge for design without permission of Plymouth Sign Company, Inc.is$500. o. P I�. f 4 aNI C J f F1� 1 w tip.. •f�' ,♦ '�1 rH 421 e _ •, rt _ 5�, - I 1� `OF;tHE Town of B a rnsta b l e Building.Department-200 Main Street rEaMA+°�0, Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-237 CO Issue Date: 6/26/2017 Parcel ID: 290-112 Zoning Classification: SPLIT Location: 20 SCUDDER AVENUE, Proposed Use: HYANNIS Gen Contractor: MICHAEL A SANTOS Permit Type: Commercial - Business Comments: WEST END h7 Building Official Date: r . Town Building s P,ostThls Card So;Thatit isVisible From the Street d onJob andth�s CardMust be Kept z g RARNBTAHLt, a` � �°- ' ` =`x � � �'°� '� �"`"' ." _-=�" of be•.Oc �iantil a��Finalslns ectron has�been made �`� Permit. ' � Where a Certificate of OccQpancy is Re aired,such�Bwildmg shall N cupied p �� , Permit No. B-17-237 Applicant Name: MICHAEL A SANTOS Approvals Date Issued: 03/14/2017 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/14/2017 Foundation: Commercial Map/Lot 290 112 Zoning District: SPLIT Sheathing: . Location: 20 SCUDDER AVENUE, HYANNIS ContractorName: MICHAEL A SANTOS Framing: 1 Owner on Record: SMITH HEIRS REAL ESTATE COMPANY LLC Contractor License . CS-065318 2 Address: ZIZIK PROFESSIONAL CORPORATION ' rEst Project Cost: $25,000.00 Chimney: CANTON, MA 02021 1?ermrt Fee: $402.50 Description: tenant fit-out interior only light renovations to interiorfinishes.ie Insulation: Fee Paid: $402.50 flooring painting.finished carpentry install new seating West End Final: Date 3/14/2017CO Project Review Req: tenant fit-out interior only light renovations to interior fi nishes , ie flooring painting.finished carpentry rnstalfjnewtseatmg M %g Plumbing/Gas West End g Rough Plumbing: x Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the or authonzedby this permit is commenced within Six months after-issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public mspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Buildrngand Fire�Off-cials are provided on this\permit. Service: Minimum of Five Call inspections Required for All Construction Work 44 � � B C 1.Foundation or Footing ;y ,�.� � H� ;-- �� '... Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to.Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health I� Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department. Building plans are to be available on s Final: 7 All Permit Cards are the property of the APP * , Town of Barnstable Building . - _ ' , s � ., ost This.Cacd S .That�it i Visihlle From;theStreettA . rove Plans;Must beRetamed on 1ob;and this Card Must be Me t 'r pR p Affil 3 ,,, Sri. ��' ,. �i r • M" Posted UntilFinal Inspection Has Been Made - �` d�such.°Boil` n" shall Not«be®ccu ied:unti ajFJnal Ins ection has been made er It Where a ertifiate,of�� pncy� �u !, p: Permit NO. B-17-687 Applicant Name: Gene A Cormier Approvals Date Issued:. 04/14/2017 Current User.. Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: ' 10/14/2017 Foundation: System Map/Lot 290 112 Zoning District: SPLIT Sheathing: ` Location: 20 SCUDDER AVENUE,HYANNIS i ContractorName Gene A Cormier Framing: 1 Owner on Record: SMITH HEIRS REAL ESTATE COMPANY LLC Cont License 1592 2 Address: ZIZIK PROFESSIONAL CORPORATION ��r� a . Est Project Cost: $ 12,500.00 Chimney: CANTON, MA 02021 $220.00 PermitFee: s Insulation: Description: FIRE SYSTEM f Fee vRakd $220.00 Project Review Req: FIRE SYSTEM Date 4/14/2017 Final: 1,7 Plumbing/Gas Rough Plumbing: 5Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored bVIhis permit is commenced within six months,after-issuance. Rough Gas: All work authorized by this permit shall conform to the approved applic to ion and the approved construction documents#orwhich�th's permit has been granted. All construction,alterations and changes of use of any building and structures shall be incompliance with the local zori ng�by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access strut or road and shall be maintained open for public"inspection for the entire duration of the work until the completion of the same. ' W z Electrical 1 2s 4 The Certificate of Occupancy will not be issued until all applicable signatures by theBuld ngand Fine Officials arerovidedon�ts permit. Service: Minimum of Five Call Inspections Required for All Construction Work. 1.Foundation or Footing ( Rough: 2.Sheathing Inspection , 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction.,.. Final: P erso is contracting with ubregistere..d:contractors.do.,not have access to the guaran fund" asset forth in MGL c.142A . Fire Department Building plans are to be available on site _ .. _ ... . _ . .... ..Final: .�. . All Permit Cards are the property of the APPLICANT:ISSUED RECIPIENT ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION B'7 Map- Parcel—Parcel � Application # ` Health Division Date Issued -//y//Z Conservation Division Application Fee Planning Dept. Permit Fee ��• S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address ��GJ/ A'�� Village /cS Owner Address /�®® Telephone Ad. ��� Permit Request ® � dy,? r B� Ct= Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation '/),SOO Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 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-- I (BUILDER OR HOMEOWNER) Name /� L , �l/� � Telephone Number - � Address � �P /C a License # 19 - e Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE .AlYIL DATE 3 3 I US OFFICIAL O FFO R F IC E 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. t 1 he Commonwealth of Massach usells Department of Industrial Accidents Office of Investigations 'F.. - 600 Washington Street Boston, MA 02111 ' = www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant-Information Please Print Legibly Name (Business/Organization/Individual): CAPE COD ALARM CO., INC. Address: 204 OLD TOWNHOUSE ROAD City/State/Zip:WEST YARMOUTH, MA 02673 phone #: (508) 39876316 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with 30 4. ❑ I am a general contractor and I employees,(full and/or part-time),* have hired the sub-contractors 6• 0 New construction 2.❑ Fam a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g; ❑ Demolition working for mein any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9• ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[3 Roof r airs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13,�Z er e 'a 'comp. insurance required.] Q *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 isproviding workers'compensation insurance for nay employees. Below is the policy and job site information. Insurance Company Name: Associated Employers Ins., Co. Policy#or Self-ins.Lic.#: WCC-500-5006433-2016A Expiration Date: September 1, 2017 Job Site Addres . e?��Gt� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify and r the pains andpenalties ofperjury that the information provided above is true and correct. Si nature: — Date: /3 i Phone#: V G Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector'5. Plumbing Inspector 6. Other Contact Person: Phone#: COMMONWE/ LTH,OF M ►S. ACHUSE7�TS Commonwealth oYMassachusetts Department of Public Safety BOARD OF � xa . Lic se SSCO-000248 t- _ EtEICTRfCIANS;:° en Security Systems-S-License ISSUES THE..FOLLOWING LICENSE AS A � RR GIS.: ..RE-,SYSTEM:C;ONTRACTOR GENE CORMIER GENE A CORMIER Employer' xi.. a iN r t CAFE COQALARM'CO INC ; ' °w.:i CAPE COD ALARM ;.:. 204 OLD,7OWN HOUSE Rp WEST YARMOUTH,MA 02673-1531 / , lJ�r Expiration: 9592 '% 07/31/201.9:.;;,,.:;::,.. 123442 Commissioner 11107/2018 ... ...... .. ......... ....... r COMMONWEALTH OF°M�►S ►CHUSETT$ BOAAI��O E!„ECTRICIANS .. ISSUE$THE FOLLOWING tI�ENSE' w REGISfEREDSYSTEMTECHNIC,IAN. GENE A CORMIER'" 9 IVIARGATE N SOUTHENN15,IVIA 02660 26f '' w 1507'O 07I3112019 212805; ® e� CAPECOD-54 APELL �� ®P CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY, 9/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS F 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 - NAME: Rogers&Gray Insurance Agency,Inc. PHONE . 434 Rte 134 Ic No Ext: (A/c No):(877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS:mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC#. INSURERA:Allied World Surplus Lines Insurance Company 24319 INSURED INSURER B:Arbella Indemnity Insurance Company,Inc. 10017 Cape Cod Alarm Co Inca INSURER C:Associated Employers Insurance Company 11104 204 Old Townhouse Road INSURERD: West Yarmouth,MA 02673 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 A SD WVD POLICYNUMBER MM/DDYEFF MMIDDYIYYYY LIMITS - A X- COMMERCIAL GENERAL LIABILITY EAC PROFESSIONAL LIAR H OCCURRENCE $ 1,000,000 CLAIMS-MADE T OCCUR 5200-1780-00 09/01/2016 09/01/2017 PREMISES Ea ocarrence $ 100,000 X / MED EXP(Any one person) $ 10,00 PERSONALBADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,OOO,OOO POLICY JEa LOC PRODUCTS-COMP/OPAGG $ 5,000,000 OTHER:when required by con $ AUTOMOBILE LIABILITY EOMaBBI tleDISINGLE LIMIT $ 1,000, 00 B ANY AUTO 1020005044 09/01/2016 09/01/2017 BODILY INJURY(Per person ) $ AUUTOSS AU705 ATO X SCHEDULED BODILY INJURY(Peraccident) $' X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ g UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A X EXCESS LIAB CLAIMS-MADE 5201-0586-00 09/01/2016 09/01/2017 AGGREGATE $ 3,000,000 —71 DED X RETENTION$ 0 r $ WORKERS COMPENSATION _ AND EMPLOYERS'LIABILITY YIN X STATUTE EERH _ C ANY PROPRIETORIPARTNER/EXECUTIVE CC-500-5006433-2016A 09/01/2016 09/01/2017 EL.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? D NIA (Mandatory in under EL DISEASE-EA EMPLOYE $ 1 000 000 Ifyes,describe a uer � , DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES(ACORD I01,.Additional Remarks Schedule,may be attached if more space is required) Certificate holder is provided additional insured status for ongoing and completed operations,primary/non-contributory including waiver of subrogation with respect to general liability when required in a written contract or agreement Certificate holder is provided additional insured status with respect to auto liability when required in a written contract or agreement I 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 Street ACCORDANCE WITH THE POLICY PROVISIONS., Hyannis,-MA 02601 AUTHORIZED REPRESENTATIVE - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. WCC 500-5006433 201 - PRIOR NO. WCC-500-5006433=2015A ITEM 1. The Insured: Cape Cod Alarm Co Inc DBA: Mailing address: Attn:Gene Cormier FEIN:**=**3528 204 Old Townhouse Road West Yarmouth,MA 02673-0000 Legal Entity Type: Corporation Other workplaces not shown above: See Location. 2. The policy period is from 09/01/2016 to 09/01/2017 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance:Part One of the poli cy a li states listed here: MA P Y PP es to the Workers Compensation Law of the B. Employers'Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4.- The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTEA. 184628 INTER SEE CLASS CODE SCHEDU E Minimum Premium ' Total Estimated Annual Premium GOV. GOV Deposit Premium STATE CLASS MA 8901 State Assessments/Surcharges $27,277.00 x 5.6000% This policy,including all endorsements,is hereby countersigned by 07/07/2016 Authorized Signature Date Service Office: Rogers&Gray Insurance Agency Inc 54 Third Avenue 434 Route 134 Burlington MA 01803 South Dennis, MA 02660 WC 00 00 01 A(7-11) L Includes copyrighted material of the National Council on Compensation Insurance, I used with Its permission. e { Cape Cod Alarm Co.r Inc. Systems Contractor License#1592C ' All employees bonded and insured 204 Old Townhouse Road Protection System West Yarmouth,MA 02673m Proposal www.capecodala .com Telephone: 1(800)468-8300 Fax: 1(508)398-5666 Client Information Email:info@capecodalarm.com gR� i I . I. D;, - J«t e+gre c.�i"n. THE WEST END RESTAURANT(CF) DAVE NOBLE Proposal Number 8051 20 SCUDDER AVENUE HYANNIS MA 02601 Date 3/1/2017 Phone 1(508)771-7680 EA. Account Rep. S007 Bill Fallon INSTALLATION�SERVICE AGREEMENT THIS AGREEMENT made and entered into this day of acceptance of this proposal by and between CAPE COD ALARM CO.INC.hereinafter called the"Company",and CUSTOMER _ hereinafter called the"Subscriber". 1.Company agrees to provide or cause to be provided at the address above indicated the service and/or connection specified in Paragraph 4 hereof below. 2.The schedule of services is as follows: 2a.If Cape Cod Alarm shall be required to place any sums outstanding in the hands of another for collection,I agree to pay all cost of collection,including,but not limited to attorneys fees(not to exceed 33 1/3%)and court costs. FINANCE CHARGES: I have the right to pay the sums due within the credit term granted without incurring a finance charge.If I do not pay within said terms,I agree to pay,in addition to the sums due,a finance charge of one and one half percent per month(which is an,annual percentage rate of 18%)on the next monthly balance. 3.If any agency or bureau having jurisdiction,or Subscriber by his own act requests to make any changes in the system as originally proposed,Subscriber agrees to pay for the cost of such changes.The Subscriber also agrees to pay any City,State or Federal taxes,fees or charges now in force or hereafter Imposed,applying to this installation and service. 4.It is understood and agreed by the parties that Company is not an insurer and that insurance,if any,covering personal injury and property loss or damage on Subscriber's premises shall be obtained by the Subscriber;that the Company is being paid for the connecting and/or monitoring of a system designed to reduce certain risk of loss and that the amounts being charged by the Company are not sufficient to guarantee that no loss will occur;that the Company is not assuming responsibility for any losses which may occur even if due to Company's negligent performance or failure to perform any obligation under this Agreement. THE COMPANY DOES NOT MAKE ANY REPRESENTATION OR WARRANTY,INCLUDING ANY IMPLIED WARRANTY.OF MERCHANTABILITY OR FITNESS,THAT THE SYSTEM OR SERVICE SUPPLIED MAY NOT BE COMPROMISED,OR THAT THE SYSTEM OR SERVICES WILL IN ALL CASES PROVIDE THE PROTECTION FOR WHICH IT IS INTENDED. Since it is impractical and extremely difficult to fix actual damages,if any,which may arise due to the faulty operation of the system or failure of services provided,if,notwithstanding the above provisions,there should arise any liability on the part of the Company,such liability shall be limited to an amount equal to one half the annual service charge provided herein or $250 whichever is greater.This sum shall be complete and exclusive and shall be paid and received as liquidated damages and not as a penalty.In the event that the Subscriber wishes to increase the maximum amount of such liquidated damages.Subscriber may,as a matter or right,obtain from Company a higher limit by paying an additional amount proportioned to the increase in liquidated damages. Subscribe agrees to and shall Indemnify and save harmless the to becaused by Company's o mance,negligent performance or failure toperform its obligations undernthislAgreementY claims,lawsuits and losses allegedo S.Subscriber hereby authorizes the Company to make installation and/or connection at Company's convenience.If Subscriber desires Installation or connection to be done at a time other than normal working hours or on weekends,added cost will be paid for by the Subscriber at Company's standard rates.Any installation or connection charge quoted in this Agreement Is based upon Company performing the installation or connection with It's own personnel.If,for any reason this installation or connection or any part thereof must be performed by outside contractors,said installation or connection is subject to revision. 6.This agreement does not cover repairs due to abuse,misuse,construction/renovations/upgrades,and/or acts of nature. 7.It is understood and agreed by the parties that this Agreement constitutes the entire Agreement between the parties,and there is no verbal understanding changing or modifying any of the terms of this Agreement This contract may not be changed,modified or varied except by writing and signed by an authorized representative of the Company.This Agreement shall not become binding on the Company until approved by Company's Management as provided below.SUBSCRIBER HEREBY ACKNOWLEDGES THAT HE HAS READ AND UNDERSTANDS THIS ENTIRE AGREEMENT.IF THIS IS A HOME SOLICITATION SALE,YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER DATE OF THIS TRANSACTION. CCA recommends wireless monitoring:If you use telephone lines then we recommend using a standard P.O.T.S.telephone line(Plain Old Telephone Service)for all Digital Monitoring. If you have Cable/V.o.I.P phone service,or DSL please contact your Account Manager. ***Permits Are Extra We Propose:hereby to furnish this Protection System including material and labor-complete in accordance with above specifications,for the Total Amount Shown.All material Is guaranteed to be as specified. All work to be completed during normal business hours In a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be done only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire,tornado and other necessary Insurance.All parts&labor guaranteed for one year. Additional Terms: Any 110VAC work is not part of this proposal.You will need to contract a licensed elctrician for any 110VAC work. ***Carbon Monoxide detectors are required by.law to be replaced every FIVE(5)years.(CONTACT US)*** Deposit Required:1/2 Down&Balanc ay Of Installation. A late fee of$5.00 or 1.5%per mon ,whichever will charged. All major credit cards accepted. ***PLEASE SIGN OR INITIAL x r } ; I f Proposal BoWWW.CapeCo A arm com l 6S�I 6n David Noble,Jeri.Vil ca The NNUest.End. C v n(� llyards,Ma. 0260:1. S (508)775-7576 -Ma:rc}1 L,201.7 'lre'lbvv.n of Barnstable l icerrsing Authority et al 200Main. St. 11varrnis Massachusetts 02601 a Dear. Sirs, As per request of the Town of Barnstable R.egulator•y Cornrn.lssion.here is our en.ter:•tainnrent plan narrative for The 1NUest Errd Restaurant. The\Ve-st herd vvill be a Pr•ohibitiort Era style thenred Ani.cr•ican bistro serving locally sourced food a.nd. cocktails, This is a very popular trend happeri,irrg in.Anrerica at the :rnornerrt arid. flrc natural vintage beauty of the original building is perfect for.-such a eoneeht. 1f you are looking Im..•a poiirt of reference as to what out-final product hopes to look like please Google Yvorrne's restaurant In .Boston. As mentioned in the previous numerous ernails we, have no intention whatsoever of being a nightclub in anyway shape or form. We have outlined on our floor plans three different:spots wlresre.entertairrrnerit nray be incorporated. We do not intend to have entertainment at all three, stage areas shown. on the plan at the same tirne. However we vvonld like the flexibility to have an entertainment area in the dining roorn,the bar area and the furction room in order to meet with whatever the: particular days bookings require.. Our vision for the function room is corporate events,weddings,rehearsal dinners, political fundraisers,club meetings, and of course dinner overflow on busy Melody tent nights etc. The entertainment in the main during room would consist of live jazz on Saturday and Sundae lunch/brunch and perhaps occasional live entertainment during dinner. Entertainment in the bar area it would consist of a single entertainer or duet as in the style of the old .Pad.dock.We don't actually plan to.have entertainment in the bar area but would of course like the; flexibility to have the option if the occasion arises. I will. state once again that.we have no intention of being a nightclub. As always I a.rn availal,Lc; to be reached by phone on rnv cell. phone it 508-360-8198 or by email. for any qucsti.on.s regarding the Nest End.. Kind.Regards, David Noble Managing Director Yil.la Noo.blle LL.LC Jeri Villa,Partner Ju viva r y Systems Contractor License#1592C Cape Cod Alarm Co., Inc. All employees bonded and insured 204 Old Townhouse Road Protection System West Yarmouth, NIA 02673 Proposal www.capecodalarm.com vi Telephone: 1(800)468-8300 Fax: 1(508)398-5666 : Email:info@capecodalmn.com r Client Information pow THE WEST'END RESTAURANT(CF) DAVE NOBLE Proposal Number 8051 20 SCUDDER AVENUE Date 3/1/2017 HYANNIS MA 02601 Phone 1(508)771-7680 Ext. Account Rep. S007 Bill Fallon :*Proposal is to install a commercial fire alarm system and to monitor wirelessly. Note: HVAC units not know the CFM, if any issues with hvac units, we will propose at that time. No labels on existing HVAC units, can't Google the CFM rating.* Qty Description Tax 1 Silent Knight-SK5208- 10-Zone Conventional Fire Alarm Control ( ) Built in 10 zone support, expandable up to 30 zones. ( ) Located at Main Entry O Requires an electrician to hardwire 120 vac to supply primary power the device. 2. : Battery - 12V 7Ah - SLA - Power Patrol ( ) Battery back-up for entire fire alarm system 3 System Sensor-2151- Photoelectric Smoke Detector Head O Basement O 1st floor above fire panel ( ) 2nd floor top of stairs hallway 31': System Sensor-B110LP- 2-Wire Smoke Detector Base ( )To be used with smoke detectors 6 Firelite-BG-12- Dual-Action Pull Station With Hex Lock ( ) Basement x 1 ( ) 1st floor x 5 15 System Sensor-P2R- Red Horn/Strobe; 2-Wire; 12/24VDC ( ) Basement x 1 ( ) 1st floor x 12 -- ( ) 2nd floor x 2 3 System Sensor- Strobe; 12/24VDC; Red ( ) Bathrooms x 3 L System Sensor-Strobe; Outdoor; 12/24VDC; Red ( ) Out front facinq the rotary 3 Tie ANSUL system into control panel for monitoring O All 3 existing ansul systems in the kitchen, Ansul co responsable for leaving tie in wires out of ansul cabnet, CCA will connect up. 4 Tie Flows and Tampers into control panel for monitoring O Flows x 2 ( )Tampers x2 12 Space Age-SSU-MR-199X-13/C/R- Heavy Duty Relay; 24VDC; DI Fr—o—posal 8051 www,Cape o arm.com Systems Contractor License#1592C Cape Cod Alarm Co., Inc. All employees bonded and insured 204 Old Townhouse Road Protection System West Yarmouth,MA 02673 Proposal ., _ Telephone: 1(800)468-8300 Fax: 1(508)398-5666 s ro 3 Q,P Email:info@capecodalarm.com ' Client Information '` 11 THE WEST END RESTAURANT(CF) DAVE NOBLE Proposal Number 8051 20 SCUDDER AVENUE Date 3/1/2017 HYANNIS MA 02601 Phone 1(508)771-7680 Ext. Account Rep. S007 Bill Fallon Qty Description Tax O For bar/band shut down interconnect ( ) 3 band areas plus bar - Bar x3 - Lounge x 3 - Banquet room x 3 - Main dining room x 3 Z Hardware kit Includes copper wire, screws, connectors, wiring raceway and boxes. i . Commercial Fire Alarm Long Range Wireless Radio **No phone lines needed** This is a one time fee for the lease of Cape Cod Alarm's long range wireless alarm communicator. Also included in this fee is a plug in transformer and a 12v 7ah back up battery. **The plug in transformer will require a NON-GFI electrical outlet. 1` Fire System Monitoring Via Wireless Radio: $40.00/month (auto-billed to credit card) or $42.00/month (invoiced quarterly) or $462.00/year(11 months PLUS 1 month FREE) 1 Cape Cod Alarm Yard Sign and Sticker Package. 1 Electrical Permit(included in proposal) 1 Fire Permit(included in proposal) 1 Building.Permit Application Fee (included in proposal) 1 Building Permit(included in proposal) i Equipment discount 781 Labor discount Sub Total $12,514.00 Sales Tax $315.33 Total This Proposal $12,829.33 roposal 8051 www.CaDeCodATa-rm.com Systems Contractor License#1592C Cape Cod Alarm Co., Inc. All employees bonded and insured 204 Old Townhouse Road Protection System West Yarmouth,MA 02673 Proposal www,capecodalarm.com Telephone: 1(800)468-8300 Fax: 1(508)398-5666 °� Email:info@capecodalarm.com ' '. Client Information �- THE WEST END RESTAURANT(CF) DAVE NOBLE Proposal Number 8051 20 SCUDDER AVENUE Date 3/1/2017 HYANNIS MA 02601 Phone 1(508)771-7680 Ext. Account Rep. S007 Bill Fallon *Tax a its included* David Noble 03/01/2017 Please print name here lease sign name here Date Approved I have read the agreement that is attached to this proposal,and my signature accepts g this proposal also constitutes my acceptance of the PROTECTIVE SIGNALING SYSTEM MONITORING AGREEMENT.***PLEASE SIGN OR INITIAL AGREEMENT ON BACK*** In order to start the permitting and scheduling process please sign and return this proposal as soon as possible. Cape Cod Alarm is Cape Cod's only locally owned and operated U.L.Listed Central Station. i Proposal 8051 www.CaDeCO --- rm.com 5. Systems Contractor License 41592C Cape Cod Alarm Co., Inc. All employees bonded and insured 204 Old Townhouse Road Protection System West Yarmouth, MA 02673 PI'OpOSdI www.capecodalarm.com � Telephone:1(800)468-8300 Fax: 1(508)398-5666 SCA' Email:info@capecodalarm.com 4 Client Information THE WEST END RESTAURANT(CF) .DAVE NOBLE Proposal Number 8051 20 SCUDDER AVENUE Date 3/1/2017 HYANNIS MA 02601 Phone 1(508)771-7680 Ext. Account Rep. S007 Bill Fallon PROTECTIVE SIGNALING SYSTEM MONITORING AGREEMENT THIS AGREEMENT made and entered into this day of acceptance of this proposal by and between CAPE COD ALARM CO.INC.hereinafter called the"Company",and CUSTOMER hereinafter called the"Subscriber". 1.Company agrees to provide or cause to be provided at the address above indicated the service and/or connection specified in Paragraph 4 hereof below. 2.Subscriber agrees to pay Company,its successors and assigns,for ongoing monitoring the annual charge as stated on this proposal and payable by customer as also stated on this proposal,in advance commencing the first day of the month following the date of installation completion and/or connection payable throughout the term of this Agreement. 3.Telephone line installation charges and monthly charges for the leased lines used in connection with services rendered under this Agreement shall be paid directly to the Telephone Company by the Subscriber. 4.The schedule of monitoring is as follows:PROTECTIVE SIGNALING SYSTEM MONITORING. 4a.If Cape Cod Alarm shall be required to place any sums outstanding in the hands of another for collection,I agree to pay all cost of collection,including,but not limited to attorneys fees(not to exceed 33 1/3%)and court costs. FINANCE CHARGES: I have the right to pay the sums due within the credit term granted without incurring a finance charge.If I do not pay within said terms,I agree to pay,in addition to the sums,due,a finance charge of one and one half percent per month(which is an annual percentage rate of 18%)on the next monthly balance. 5.If any-agency or bureau having jurisdiction,or Subscriber by his own act requests to make any changes in the system as originally proposed,Subscriber agrees to pay for the cost of such changes.The Subscriber also agrees to pay any City,State or Federal taxes,fees or charges now In force or hereafter imposed,applying to this installation and service. 6.The initial term of this Agreement is THREE YEARS from the date each system is installed or connected and becomes operative and thereafter for consecutive terms of one(1)year until such time as either party upon thirty(30)days written notice,advises the other party of its intent to terminate the Agreement at the end of the then current term.It is further agreed that after one(1)year from the date of this Agreement,the Company may periodically adjust the service charge.Within thirty(30)days of receipt of notice of such adjustment, the Subscriber may terminate this Agreement by thirty(30)days written notice to the Company,provided Subscriber is not in default of any terms or conditions in the Agreement. 7;It is understood and agreed by the parties that Company is not an insurer and that insurance,if any,covering personal injury and property loss or damage on Subscriber's premises shall be obtained by the Subscriber;that the Company is being paid for the connecting and/or monitoring of a system designed to reduce certain risk of loss and that the amounts being charged by the Company are not sufficient to guarantee that no loss will occur;that the Company is not assuming responsibility for any losses which may occur even if.due to Company's negligent performance or failure to perform any obligation under this Agreement. THE COMPANY DOES NOT MAKE ANY REPRESENTATION OR WARRANTY,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS,THAT THE SYSTEM OR SERVICE SUPPLIED MAY NOT BE COMPROMISED,OR THAT THE SYSTEM OR SERVICES WILL IN ALL CASES PROVIDE THE PROTECTION FOR WHICH IT IS INTENDED. Since it is impractical and extremely difficult to fix actual damages,if any,which may arise due to the faulty operation of the system or failure of-services provided,if,notwithstanding the above provisions,there should arise any liability on the part of the Company,such liability shall be limited to an amount equal to one half the annual service charge provided herein or $250 whichever is greater.This sum shall be complete and exclusive and shall be paid and received as liquidated damages and not as a penalty.In the event that the Subscriber wishes to increase.the maximum amount of such liquidated damages.Subscriber may,as a matter or right,obtain from Company a higher limit by paying an additional amount proportioned to the increase in liquidated damages. Subscriber;agrees to and shall indemnify and save harmless the Company,its employees and agents,for and against all third party claims,lawsuits and losses alleged to be caused by Company's performance,negligent performance or failure to perform its obligations under this Agreement. 8.Subscriber hereby authorizes the Company to make installation and/or connection at Company's convenience.If Subscriber desires installation or connection to be done at a time other.than-normal working hours or on weekends,added cost will be paid for by the Subscriber at Company's standard rates.Any installation or connection charge quoted in this Agreement is based upon Company performing the installation or connection with it's own personnel.If,for any reason this installation or connection or any part thereof must be performed.by.outside contractors,said installation or connection is subject to revision. 9.This agreement does not cover repairs due to abuse,misuse,construction/renovations/upgrades,and/or acts of nature. 10.It.is understood and agreed by the parties that this Agreement constitutes the entire Agreement.between the parties,and there is no verbal understanding changing or modifying any of the terms of this Agreement.This contract may not be changed,modified or varied except,by writing and signed by an authorized representative of the Company.This.Agreement shall not;become binding on the Company until approved by Company's Management as provided below.SUBSCRIBER HEREBY ACKNOWLEDGES THAT HE HAS READ AND UNDERSTANDS THIS ENTIRE AGREEMENT.IF THIS IS A HOME SOLICITATION SALE,YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER DATE OF THIS TRANSACTION. CCA recommends wireless monitoring.If you use telephone lines then we recommend using a standard P.O.T.S.telephone line(Plain Old Telephone Service)for all Digital Monitoring. If you have.Cable/V.0.1.13 phone service,or DSL please contact your Account Manager. ***Permits.Are Extra We Propose hereby to furnish this Protection System including material and labor-complete in accordance with above specifications,for the Total Amount Shown.All material.Is guaranteed to be as specified. All work to be completed during normal business hours In a workmanlike manner according to standard practices.Any alteration or deviation,from the above:specifications.involving extra costs will be done only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent;upon strikes, accidents or delays beyond our control.Owner to carry fire,tornado and other necessary Insurance.All parts&labor guaranteed for one year. Additional Terms: I 36.month monitoring contract required unless othwise noted.If system Is not monitored add$200.00 to Installation amount.We recommend a daily test$4.00 per month.Any 110VAC w.grk is not part of this proposal.You will need to contract a licensed elctrician for any 110VAC work. **Carbon Monoxide detectors are required by law to be replaced every FIVE(5)year's.(CONTACT US)*** Deposit Required:1/2 Down&Balance Due On Day Of Installation. A late fee of$5.00 or 1.5%per month,whichever is greater, will be charged. All major.credit cards accepted. ***PLEASE SIGN OR INITIAL x proposal www, ape o arm,com Systems Contractor License#1592C Cape Cod Alarm Co., Inc. All employees bonded and insured 204 Old Townhouse Road Protection System - ° West Yarmouth,MA 02673 Proposal www.capecodalarm.com p Telephone: 1(800)468-8300 Fax: 1(508)398-56665 Email:info@capecodalarm.com t 'Clielnt.Information oPtA ry THE"WEST END RESTAURANT(CF) DAVE NOBLE Proposal Number 8051 20 SCUDDER AVENUE Date 3/1/2017 HYANNIS MA 02601 Phone 1(508)771-7680 Ext. Account Rep. S007 Bill Fallon INSTALLATION\SERVICE AGREEMENT THIS AGREEMENT made and entered into this day of acceptance of this proposal by and between CAPE COD ALARM CO.INC.hereinafter called the"Company",and CUSTOMER hereinafter'calied the"Subscriber". 1.Company agrees to provide or cause to be provided at the address above indicated the service and/or connection specified in Paragraph 4 hereof below. 1 The schedule of services is as follows: I 2a.If Cape Cod Alarm shall be required to place any sums outstanding in the hands of another for collection,I agree to pay all cost of collection,including,but not limited to attorneys fees(not to exceed 33 1/3%)and court costs. FINANCE CHARGES: I have the right to pay the sums due within the credit term granted without incurring a finance charge.If I do not pay within said terms,I agree to pay,in addition to the sums due,a finance.cliarge of one and one half percent per month(which is an annual percentage rate of 18%)on the next monthly balance. 3.If any agency or bureau having jurisdiction,or Subscriber by his own act requests to make any changes in the system as originally proposed,Subscriber agrees to pay for,the cost of such changes.The Subscriber also agrees to pay any City,State or Federal taxes,fees or charges now in force or hereafter imposed,applying to this installation and service. 4.It is understood and agreed by the parties that Company is not an insurer and that insurance,if any,covering personal injury and property loss or damage on Subscriber's premises shall be obtained by the Subscriber;that the Company is being paid for the connecting and/or monitoring of a system designed to reduce certain risk of loss and that the amounts being charged by the Company are not sufficient to guarantee that no loss will occur;that the Company is not assuming responsibility for any losses which may occur even if due.to.company's negligent performance or failure to perform any obligation under this Agreement. THE COMPANY DOES NOT MAKE ANY REPRESENTATION OR WARRANTY,INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS,THAT THE SYSTEM OR SERVICE SUPPLIED MAY NOT BE COMPROMISED,OR THAT THE SYSTEM OR SERVICES WILL IN ALL CASES PROVIDE THE PROTECTION FOR WHICH IT IS INTENDED. Since if.is impractical and extremely difficult to fix actual damages,if any,which may arise due to the faulty operation of the system or failure of services provided,if,notwithstanding the above provisions,there should arise any liability on the part of the Company,such liability shall be limited to an amount equal to one half the annual service charge provided herein or $250 whichever is greater.This sum shall be complete and exclusive and shall be paid and received as liquidated damages and not as a penalty.In the event that the Subscriber wishes to increase the maximum amount of such liquidated damages.Subscriber may,as a matter or right,obtain from Company a higher limit by paying an additional amount proportioned to the increase:in liquidated damages. Subscriber:agrees to and shall indemnify and save harmless the Company,its employees and agents,for and against all third party claims,lawsuits and losses alleged to be caused by Company's performance,negligent performance or failure to perform its obligations under this Agreement. 5:Subscriber hereby authorizes the Company to make installation and/or connection at Company's convenience.If Subscriber desires installation or connection to be done:at a time other than normal working hours or on weekends,added cost will be paid for by the Subscriber at Company's standard rates.Any installation or connection charge quoted:in'this Agreement is based upon Company performing the installation or connection with it's own personnel.If,for any reason this installation or connection or any part thereof,must be performed by outside contractors,said installation or connection is subject to revision. 6,This agreement does not cover repairs due to abuse,misuse,construction/renovations/upgrades,and/or acts of nature. 7;It is:understood and agreed by the parties that this Agreement constitutes the entire Agreement between the parties,and there is no verbal understanding changing or modifying any of the terms of this Agreement.This contract may not be changed,modified or varied except by writing and signed by an authorized representative of the Company.This Agreement shall not become binding on the Company until approved by Company's Management as provided below.SUBSCRIBER HEREBY ACKNOWLEDGES THAT HE HAS READ AND UNDERSTANDS THIS ENTIRE AGREEMENT.IF THIS IS A HOME SOLICITATION SALE,YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER DATE OF THIS TRANSACTION. CCA recommends wireless monitoring.If you use telephone lines then we recommend using a standard P.O.T.S.telephone line(Plain Old Telephone Service)for all Digital Monitoring., If you have Ca ble/V.O.I.P phone service,or DSL please contact your Account Manager. ***Permits Are Extra We Propose:hereby to furnish this Protection System including material and labor-complete in accordance with above specifications,for the Total Amount Shown.All material Is guaranteed to be as specified. All work to be completed during normal business hours In a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be done only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent.upon strikes,. accidents or delays beyond our control.Owner to carry fire,tornado and other necessary Insurance.All parts&labor guaranteed for one year. Additional Terms: Any 110VAC work is not part of this proposal.You will need to contract a licensed elctrician for any 110VAC work. **Carbon Monoxide detectors are required bylaw to be replaced every FIVE(5)years.(CONTACT US)*** Deposit Required:.1/2 Down&Balanc ay Of Installation. I A late fee of.$5.00 or 1.5%per men ,whichever will charged. All major credit cards accepted. ***.PLEASE SIGN OR INITIAL x Proposal www.CaDer7o-dAlarm.com 2 Town of BarnstableBuilding rd So Th "` Must"be Retainedonyil`gJof,"ands#h�s:Gard Must be•:K"e t ,: < 16 mi PostThisV�s�b a Fromzthe Str,.eet App owed,Plans., p z `, ..,.. ?-,a .r dr"Until Final,ln's- "ectron Has:Been,cNlade Poste p r - A , :Certificate of•Occu ane is Re u�re uch,=Buldm shall"•Not be Occu �ed.until:;a"Finai Ins ection has:been made Wh ere a �., p y q �.,., g P p a.�. . rertnit , Permit No. 13-17-237 Applicant Name: MICHAEL A SANTOS Approvals Date Issued: 03/14/2017 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/14/2017 Foundation: Commercial Map/Lot 290 112 Zoning District: SPLIT Sheathing: Location: 20 SCUDDER AVENUE,HYANNIS Contractor Name MICHAEL A SANTOS Framing: 1 Owner on Record: SMITH HEIRS REAL ESTATE COMPANY LLCM k h Contractor License CS-065318 2 Address: ZIZIK PROFESSIONAL CORPORATION Est Project Cost: $25,000.00 Chimney: CANTON, MA 02021 - Prermit Fee: $402.50 Description: tenant fit-out interior only light renovations to in6rior fin shes ie d Insulation: WV Pai : $402.50 flooring painting.finished carpentry install ne*seatang-,West End Final: " Date. 3/14/2017 Project Review Req: tenant fit-out interior only light renovations to mterfinishes ie flooring painting.finished carpentryimstall'new,sea, - c ,, �;"�r.,/1 Plumbing/Gas " 'S t West End ' : Rough Plumbing: _x. Buildm Official g Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by th pis ermit is commenced within soc months after,-issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which"thi's permit has been granted. All construction,alterations and changes of use of any building and st uctu`_s shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street erroad and shall be maintained open for public spectioI", for the entire duration of the work until the completion of the same. ` E Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials�are provided onthis-permit. k - Service: Minimum of Five Call Inspections Required for All Construction Work � ''✓ 1.Foundation or Footing , Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall-not,proceed until the Inspector has approved the various stages of construction.. Final: , "Pt wrtti unre'istered.contractors do not have access to the.guaranty"fund" (as set'.forth'in MGL c:142A), g g Fire Department ` Building plans are to.be available on`site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT }:. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map -qo Parcel Application #---- L�=�a-11Jl Health Division Date Issued N/� 7 Conservation Division Application Fee Planning Dept. Permit Fee S- 6 Date Definitive(Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address A ee— Village ninlN Owner F'er-, 1,1 � !`S f 4fo-A-ddress Telephone „ ,a,®e��4,4l Permit Request T&rvArv, ' Fit+- ®u°f — r ��°�--,e� �N� ���1 �L1' �►"� h-� ,�� `�-i°� ,� OF re Floe,,,w!a,T , 1�i -, r-►1v��J„ � � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District'W Oy)� 149 0food Plain Groundwater Overlay Project Valuation 16 'E�0'd Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other3lf I DI DEPT.. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ FEB 14 2017 Commercial (VI(Yes ❑ No If yes, site plan review# TOWN OF SAFINSTABLE Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� � - -- _ Telephone Number Address �1 r� KT 2� y License# el)6 5' 11 ( ,a �y me T)a::� Home Improvement Contractor# Email Apr®aJW C > Cam, Worker's Compensation # 0 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 V~*.no 1 K f)k SIGNATUR DATE ` �� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER Ii�43 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i k DATE CLOSED OUT ASSOCIATION PLAN NO. r At 17M Cozamo rrpeakh o,f-Masst druseta Departurent c�,f rr st kd Acddents -- f ize gf M.;eNtigat om- ' 600 Waslr-urgiou&reet Boston,CIA 02111 Wcwkers' Cumpexr'awn Insurmce Affidavit:BmldexsIC aniractarsMecfricians(Phimbers Applicaat Infarmatku Please Fit ess: 3A rL--t a Are t an employer?Check theapprapriatebam T of project r I_ I am a emplayu vii 4. El am a general contractor and I p ] ( egnired),: employees(fall andfor part time),* have hired fhe sub-contrartars 6_ ❑New constucEic.a 2.❑ I am a so-le proprietor orparEa Fisted anihe attaehed sheets 7- ❑Remo&Hng ship and have no employees These sub-contractors have g- ❑DemalEon - w Q for in,an employees and have worms' nrl� Y nP�tS= g- ❑Build addifion INu Vvo&ers'cazrxp_rhaUMCe comp.insucauee I 1 ElecEdral r ar adds reclaired 1 I ❑ We are a vorparatian and its ❑ officers have�Y�*T*sed filtek 3_❑ I am a homaov��r doing allwart€ 1L Q Plnmbingrepails or additions myself-[No warkers'comp- Tiga of exemption per M(M 17❑Roofrepaim fizuranreietFajxe&j i c-152,g1(4).aadwe have no employees.[No woAers' 1 _❑Dtf1eL con ]-SIIS mkce mqu red-] •�4ay app�csut�st cSe�Tio��f`l Est aria ffiwEthe sect"sQabeIowsE�mdng i�n�ar7cexs'c®pa,•�A,,•poycgi>�emsaa� #Sameaauners�rhe sabmit cis a�davu iatficafmg tbvy�3m�aIF w sad tbea hoe autsid�raa�_ act sahmit a new affidavit iadi—nn smch Z03 ffMteberjriITisbmcmastztt8rIi s.2dditiaa2lsiseetshaaffngjhe7j of the says-cantscbmimistzh-whether arnotfhaseenedeshave • emp3o}ees.Ifthesnhtantractn�shf�eemPIaSers,tfie3'must•pxuside-theQ nvd¢rss'tomp.gaIicga�IseL . I arll ari euipLRr t7rrr�is pra�2durg yr�rkers'carrl�Irsr1{zrxrr ulsrusllee�or�}*ealpF�y�ex $etaav is 7itR paTiry caul job site • . irl,�armrrfiar� ` Imsmance Company 41 _ ,ea,—b C f1 Policy-",L or Self-ins-Iic_ �C2 -er 'p C(�®C� (�� Expim ioaDate: Job Me tssddresm' IA/ Sc;j dlle_� MOStawzip. AIJM cf. Attach a copy of the workers°compensatiQap.olic t declaration page(showing the policy er and expiation date). Failure,to secure coverage as requiredunder Se- Gom 25A of MGL r-1527 can lead to the imposition.of cdminal penalties of a fine up to$1,54D Oa aruVor one-year imprisonment,as w811 as civil penalties in the form of a STOP WORK ORDERand a Erne of.up to$ZaDa a day abet the violator. Be adxdsed that a copy of this statement xxraybe foxwarded is the Office of Investigations of the DIA.for insurance coverage vedfica#icn- I ri<a lurei�y csrlif�r�Irdgr tJr� is periafties a " ' ry f71af f}Tre irzf ora€rorl prm-rrLcrl abm i�bus m rvrrect Date: Phone A_ a 0 t7,�al use�Iip. Da not Q7rrFta ttl flues�eQ,�r be catriplete+d bg car ar�n�t a,,j�rcrat • i City or Taw= Ferm:tUcense f IsstingAu9marity(�rde one): 11 L Board of ffealtk :f.Bui[3"mg Depasiment 3.#Siy1rown Clerk 4 E3ecirical Lector 5.Phnnbi ng htspertar 6.Other C4a#2ct Person: Phone 9. 'Towle of Barnstable Regulatory Services Richard V.Scab,Direetor i63.9; �0 �► +' Building Division, Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www-town,barnstablema.ns Office: 508-862-4038 Fax 508-7904230 Property Owner.Must Complete and Sign This Section If Using A Builder I as Ownei:ofthe subject J property, hereby e authoriz - . CO I / e GVI. �s6 rC_ to act on my behalf; in all matters relative to work authorized by this building pertnit application for. (Address of Job **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized-before fence is installed and all.final inspections are perfo=ed and accepted— Or, er Signature of Applicant Plant Name l J � . not Dame: Dale Q.FOF,MS:(jViWERPEPJNGSSIOI\TOOLS. Parcel Detail Page 1 of 10 qn kJ 2,rii" u �. . ONx Logged In As: Parcel Detail Tuesday February14 2017 Parcel Lookup . Parcel Info -� Parcel[o::°290-112 �.xl Voeveloper Lot OT A�A� I�� location Q20 SCUDDER AVENUE 1 Pri Frontage 299 � Sec Road1NEST N MAI STREET ....� sec Frontage�324 I Village�Hyarinis I Fire DistrlctHYANNIS' I Town sewer.exists at this address'Yes i Road Index 1440 Interactive trap Owner Info SMITH�HEIRS REAL ES'I co- owner .C�%OCAIN,KEVIN jC IW � Owner streets ZIZIK PROFESSIONAL(I street2 960 TURNPIKE STREElI [r ,7: . city[CANTON t° �I state AMA zip�02021p country r Land Info ..............................:.............................................._....................................................................._......................._......._........................................._.........._....._.........................................._...._._........._......_......_..............._...... _................................:..........._.............__.._...................._........... . Acres 1.33- � I use REST/CLUBS MDG94 I zoningSPLIT RB;OM;HB I Nghbd;?CI09 mm�) Topography :Road r � uI. Utilities I - Location Construction Info Building 1 of-1 Year 1950 sRoo Gable/Hip J wM Wood Shingle �f Living Area�7500 cover A�sph/F GIs/Cmp TypeCentral �� ,d,. `• style Restaurant Int Cust Wd Panel Bed 00 a Wall �,� Rooms 8' «� int Bath Model Commercial Floor Carpet Rooms Half ��w - Grade average Plus Type FHot Alr Roome . Heat, Found- . stories 1.. `Fuel ation' C011C.Slab 9`. Gross Area 10786 . ;. Permit History Issue Date Purpose Permit# Amount Insp Date Comments 6/25/2015 Sign ., 201503960 $0 6/30/2016 REFACE EXISTING TM^ 12:00:00 FREESTANDING SIGN 16 AM SQ THE.NOR'EASTER RE http://issgl2/intranet/propdata,/ParcelDetail.aspx?ID=22451 2/14/2017 3 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-065318 Construction Supervisor r' MICHAEL A SANTOS 4830 RT 28 COTUIT MA 02635 'Y Expiration: Commissioner 01/28/2018 u iso ' Construction Supervisor Which contain Restricted to: use group Unrestricted-Buildings of any less than 35,000 cubic feet(991 cubic meters)of enclosed space. go chusetts ent edition of the Massa Failure to Possess a curr for revocation of this license. State Building Code is causeM4SS.GoV1DPS information visit:V11WW i DPS Licensing � I r 1 ' .~ A`o�v ` r,CERTIFICATE OF�L�!/�BILIT�1lIN�SURANCE�.•„� �. THIS CERTIFICATE IS ISSUED'AS A'MATTER OF_INFORMATION'ONLY ANO`CONFERS NORIGHTS'UPON THE CERTIFICATE HOLDER.THiS, CERTIFICATE DOES NOT AFFIRMATII/ELY OR NEGATIVELY,AMENi?;EXTEND OR°ALT$R THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTRUTE 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 poitcy(ies)must be endorsed. If SUBROGATION IS WANED,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). CONTACT EI is Moreis PRODUCER NAME: NS THE INSURANCE AGENCY OF CAPE CODE INC. PHONE E , (508)888-2766 FAX e: ADDRESS: ellysia@insuranceofrapecod.com P.O.BOX 960 INSURERS AFFORD MG COVERAGE EAST SANDWICH MA 02537 INSURER A: ATLANTIC CHARTER INS CO 4432326 INSURED INSURER B: APCON INC INSURERG: INSURER D• 4830 ROUTE 28 INSURER E: COTUIT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 88114 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.UMITs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 1LTR ADD SUB POLICY EFF P " ftLMNTSLIMBS TYPE OF INSURANCE p POUCYNUMBER _ COMMERCIALGENERALLJABILITY RENCE $ ENT l� CLAIMS-MADE OCCUR occurrence S one person) SNIA ADV INJURY SGEH'L AGGREGATE LIMIT APPLIES PER REGATE SCOMPiOPAGG S POLICY❑JECTT LOC S .I OTHER COMBINED SINGLE LIMB S AUTOMOBILELIAaPJiY Ea accdent BODILY INJURY(Pet person) $ ANY AUTO ALL OWNED SCHEDULED N/14 BODILY INJURY(Per ecddent) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S Pet accident HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE NIA AGGREGATE S S DED RETENTIONS X SEA E� WORKERS COMPENSATION AND EMPLOYERS'LIABIUTY Y f N E.L.EACH ACCIDENT S 1,000,000 ANYPROPRIETORIPARTNERIBI ECUTLVE A OFFICEWMEMBEREXCLUOED7 NiA N!A NfA WCV00892106 05/14/2016 051142 1 EL_DISEASE-EA EMPLOYE S 1,000,000 (Mandatory In NH) , If yes describe under E.L.DISEASE-POLICY LIMIT S 1.000,000 DESCRIPTION OF OPERATIONS below NIA I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be aHached if 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. i 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 Verifuation Search tool at www.mass.gov/lwd/workers-compensalionAnvestigadons/. I� 1 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. Town of Bamstable t 200 Main Street AUTHORIZEDREPRESFNTATIVE Hyannis MA 02601 Daniel M.C y,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 ACORID } Z%6s -I � C1Q David Noble,Jen Villa The West End Hyannis,Ma. 02601 (508)775-7576 11 arch 1,2017 The Town of Barnstable Licensing Authority et.al 200 Main St.. 11yarinis Massachusetts 02601 Dear Sirs, As per request of the Town of Barnstable Regulatory Commission here is our entertainment plan narrative forThe.West End Restaurant, The West.End will be a Prohibition Era style them.ed American bistro serving locally sourced food and cocktails. This is a very popular trend .happening in America at the moment and the natural vintage beauty of the original building is perfect for such a concept. If you are looking for a point of reference as to what our final product hopes to look like please Google Yvonne's restaurant in Boston. As mentioned in the previous numerous emails we have no intention whatsoever of being a nightclub in anyway shape or form. We have outlined on our Floor plans three different,spots where entertainment may be incorporated. We do not intend to have entertainment at all three stage areas shown on the plan at the same time. However we would like the Flexibility to have an entertainment area in the dining room, the bar area and the function room in order to meet with whatever the particular clays bookings require. (b&41wV4 rev*"%) Our vision for the function room is corporate events, weddings, rehearsal dinners, political fundraisers, club meetings, and of course dinner overflow on busy Melody tent. nights etc. The entertainment in the main dining room would consist of live jazz on Saturday and Sunday lunch/brunch and perhaps occasional live ent:er•tainment during dinner. Entertainment in the bar area it would consist.of a single entertainer or duel.as in the style of the old f addock.We don't actually plan to have entertainment in the bar area but.would of course like the flexibility to have the option if the occasion arises. I will stale once, again that we have no intention of being a nightclub. As always I. am available to be reached by phone on my cell phone at 508-360-8108 or by email for any questions regarding the West,End. Kind Regards, David Noble Managing Director Villa Noble LLC Jen Villa, Partner �e�r �GGa 1�AvS-D t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis k6_ 61, Lv�`9Ll,J Project Street Address (9 Sc udd.II e✓-AV-e- Village �64ov nn5 /�11� Owner l k Address Telephone i L q�or Permit Request "Te�vAP,4— r}" oy:��— T.J4- ri,Y' OA14Z 14 r'e-AZDU 4 Ah� -fvI N e n$�I`.wi31...,s �'e loo, ,ti„!,,�°�,nY) 1 nv � m ism -6))!1 -Lys fQ Gl bodx f t7W1a� ��� / 6 -7 '/Dalr ,�F TQd�oQrt Ss 'a 2 fff�IPS�r25�c1�n�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation aS -'00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area i,gq ft) Number of Baths: Full: existing new Half: existing (�•.2— new .... , Number of Bedrooms: existing —new - ; Total Room Count (not including baths): existing new First Floor R om CoLA Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes - ze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 3 es ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name e/"Ido S���S Telephone Number 3 c)4 -8 3 Address q93 D 4T License # b to S-5 /-')t Home Improvement Contractor# Email //�/j� 0 f ' �� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7 aEA-5 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. N 6% ate�am�a�aif?�ussr�ctir�t� Diep=humt of1rubwsttadAccideents -- - Face try"�`tx 'iairs ' 600 Washingfm&reet B'aslazj,MA 02M -Pmw.rnamgaWdia Workers'Compensat€anInsurance davit:BmldersfContracturs/Electncians/Rumbers Apulicant Iuform,ation Ptease Print Leeibly Name MI aavidBa L ess- /Stat,--/�­ : . -� rjAM Phone 9-7 AZ u an employer?Check the opriate box: Type of project(regmred): L am a employer vMh :i ❑ I a�a Vital ctmfractor gad I 6- ❑New consfrucfiiau employees{full aad(or lima * °e 2..❑ I am a sole proprietor orpartner- listed on the attached sheet. y- ❑Modeling sbig and have na employees These sub-contractors have S. El I}emalitio� working fur mein any capacity- employees and have worirers' Building addition camp.insurmml 1 5-❑ We are a corporatic nand its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all wod-- officers batim exercised their I1-0 Plumbing repairs or additions Wit€ [No wodmre comp- right ofexxmpfiioaper MGL 1 c.152, 1(4).andwe have no 3-❑ epasss employees-[Na ms'woffie 13_❑ uw O tltldrer comp-insmmce revire&j, -Any aapBoma ih:t cbecks boa#1=iA also fM ovt the secfioa below shoteiag f L&vo&ea'comgen&W=porn.}-n I H=eownas vrho submit this of id: mEc2tmg they ate damg alItrozTc U d&yea hug outside CoUtRcmrs incest SUIM its new affrduft md7t9tin snaL ZCb nU1Ch1S that rherA tors b x]oast s=rhP i xa zddifi an-1 sheet Shuwh6-the nee of&a 5nb-omx txWa amd state wheTher or=-lase-esafes LTm mmvloyees- Ifthe snlrco t-Cft tsh.-re emplcyj es,t$ey— provide their w-1—s'comp.po-ricp mueb— 1 am art emp&yw that isprosid&W workw-s'cowpansrdion irm4rance for my empluyem Hdow is the paiicy and job site information- Insurance GomnpanyN=a: '?' CX6-- Policy 4,orSelf igsLic ExpimtionDate: Iob Sit--Adder D ,�n A/y�-444! cil)l Statel : Attarh a copy of the wark='compensation policy dedarstion page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A o€MGL c.152 can lead to the imposition ofcriminal penalties of a fine up to$1,540.OD andlor onL-yearin3prisonrnent,as well as civil penalties in the harm of at STOP WORK OBDEP-and a fine ofup.to$250-0+0 a.day against the violator. Be advised that a copy of this statement maybe fw warded to the Office of Imiestiptions of the DIA€or 1„sara+,ce coverage verificatim I de-hcrretlr:drfirg amns rrTp � afp�erjury ti�att3te i>z,{orntafrvn prm�c£abm�s is Eros and correct. Sienatmire: Bate: Pb. a v ajwal usa only. Da not tvrifs in this area,to be completed by c4 or town officiaL Cifv'or Tows; PermitUcense# Issuing Aathm-4(drde ones I.Baird of Heath 2.BuMing Department I CifTJ town Clerk 4_Electrical Inspector 6.Plumbing Iuspecter 6.Other Contact Person: Phone#_ 6 TE IS ISSUED A$'A INATT13t OF INFORMATION'ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.7HI6 CERTIFlCATE DOES NOT. '� :{ LY OR NEGAMVELYAW_ND, EXTEND OR ALTER THE�t DVERAGE AFFORDED BY THE POLICIES BELOW:THIS CERTIFICATE OF INSURANCEDOE$ S TUTE A.CONTRACT BEIWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,-AND THE CERTIFlCA7E.HOLDER. ' ORTAN athe certllicate.hotderis an AODI710NALINSURED,thepollcy(I must be endorsed.If SUBROGATION IS.WAIVED,subleitto the terms and condnibns ' of the ollcyy certain poncies may require an endorsement A statement on ibis rtiflcate does not bonfer fights to the certEicate holderin Ileu of such endorsemen s' - : : .. CONTACT . ... .. ..: . .. PRODUCER .,. :. . NAME PHONE. FAX ' Insurance enc Of-. Ino. ac.No.Fxlr (800)649-8889 ac No.: f 508)833-0909 y .. E-MAIL PO BOX O ADDRESS East'Sand ick: MA 02537 PROrXICFR /Y IMNICD 11.1-A INSURERS AFFORDING COVERAGE NAIC IF INSURED INSURER A Atlantic Charter Insirmm Cmnpaiw :=)fMC 44326. INSURER R' APCON, INSURER C 4830 Rod p 28 . � INSURER Q Cotult,..._.. 02635. ... :.....:• . ER E INSURER F: CO RAPES:'.-. CERTIFICATE NUMBER: ' REVISION NUMBER: THIS IS .CERTIFY TL�AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA D.NOTIMTHSTANDINGANY REQUIREMENT;TERM 6R CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ` CERTFF ATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, . ..ECCLU No AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY.PAID CLAIMS. MR ..InPE OF INSURANCE' - 'ADDL�9fl0A POLICY NUIMER POLICY EFFC-011VE POLICY E)�IRATIDN .. :- . OATS., LTR '... DOIR W O DATE PRAIDDIY'9- DATE"ADDIYY} pn rho Land)u GENERA LIABILITY t54CIi OCCURRENCE S• 1 ULGENERALUABIUTY' - - ENIEDPREAY E OHMMaETOR SES ❑❑ arcoLmrCO Po SMAOE ❑`OCCUR MEOL7�(Aryonepelwn)- E .. 1 ... � PER'ONAL BADV INJURY S _ • _ .. GENERALAGGREG'ATE GENL GATELMIT APPLIES PER; •. .. PROd1CTS-COMPAPAGO f .! . . ❑PROJECT ❑LOC.- ....... ...._. ........... .... - : .. Ml AUTO LELWBILITY' CtE(l Al - AUTO .. ....... . ... _ - - _.__......._.......... - -_...:.-........... -:.......................-- -- -....._.__...._ _ ...__..__._.._...__....... --... - --- - :.. .:... BODILY INN ALL EDAUTOS '.. .. - P��1 . YI RY . ❑❑ •`(Per s:. UER-TOS; 9001E NJIIRY s . Nn O AUTOS PROPERTY DAMAGE s'. NQI'FOVNIIJED AUTOS . . . .. lE2ACtlddt) . A) MLLA ❑ OCCUR OCCURRENCE . ..EAOH i 99JFY .IX : Lis❑ CLAIMS MADE,': .. AGGREGATE ❑❑ CTIBLE DE RE ION . . S Cl cOMPEISATIONANO . : ::. ..' . .... W 92104.. .OS/14/201.4'-.. OS/14/2015:. .,: X LI aRY OTHE7R . A OYERSLIABILITY CV008. UITTU. ANYPq.OPIrfETOMPARTNEROMCUTNE YIN '. - OFPiCE ER EXCLUDED?: N NM ❑ Policy Cwerage State:MA' EACH ACCIDENT, . . s 1,0DQ,p00 ..._. ..—IGyes,..AacabeuWVSPECW..PRWIS10NS0elaw- .. .— - -. I OISEAS�201ICY UNIT . -q 1;000,000 i :.'•. '. '.'. . cIsEnsE-EACH E FLOYEE s: 1,000,000... :. DESCRIPTION PERATIDN9+LOCATIONFJYEHCLEBMDaehAG0AD101.AddltletgfReAaksSdfeWRRmore!Waels►a4un!?):..'- .: ..:::..-:_...:..`:___.:..:.:_.._.....:_:.....-..:._:....._.:.... _..........:.::..:..._...:_._..-_ _ :I' SHOULD ANY OF.THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE ' ToVrri o BaiTlstable BIi17,T De EXPIRATION DATE THEREOF,THE MING COMPANY.WILL ENDEAVOR TOMA1L di 5 DAYS WRRTEN.NOTICE TO_THE CERTIFXATE:HOLDER.NP.MEO TO TJiE.LEFL ..W..'2001�i1a- Sheet . :. '.. Hy � • MA 02601 � � BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY. . OF ANY KIND UPON THE WSURER,ITS AGENTS OR REPRESENTATIVES. :.....:. I.'..;_.....•. ..:..:.. . :.... .: .........'.:. UTHOAQEDREPAESt31TATNE. 1.. ._.. -- -ACORD25 — ` F'ege.l.u1.1. - - ®1980-2=ACORDCORPORAMON.ABrtphtsreserred.'.''::.': CHR'I•IFICATE HOLDER COPY.': I ` IMME 'Town of Barnstable �4 e a Regulatory Services * BABNSTd,�o � Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner i00 Maia.slreet,FTyannis,MA 0260I wwwtown.barnstable.ma.us Office: SOS-$62-4.0.38' Faye. 508-7904230. Property Owner Must w' Complete and Sign This Section 1 If Using A Builder Kevin C. Cain, Manager Smith. Family , Raa1 F.at•At e Cbmpany LLC ,as Owner of:the subjectpropetty E , C hereby authorize lelieh:a` 1 A. A:PCON IN an ns. President of 'to act on my behalf, in all matters relative to work authorized by this building peimit `f • i 20 Scudder .Ave, Hyannis ;MA (Address<of Job) 4 ' *Pool fences'and alarms are the responsibility of the applicant. Pools { are, not to be .filled or'utilized before fence is installed and all final inspections are_perfo=_e eepted. ; 5 o£'Owner tote of Applicant Print_Name Print Name Q:FORMS:OWNERPERMLSSiONPOOM 612012 0 0 Walk In O Walk In 3 Extra Dish j�tttrrr' (_k Cooler Cooler O Wash Area Y 1 _J 3O O O Door - 3 Ice Machine O FooArea Door Table O O C i O Racks 3 Ice Cream 3 w !i O itchen Key O3 Racks � 3 � .. alk In d o� 3 O =Tile Wall Cooler 3 ,��, A O ,iy y a 2=Stainless Steel Wail O c 3=FRP Wall Racks A f0 O 4= Apoxy Paint Wall 0 Racks 4 U Kitchen Ceiling All O ry Apoxy Paint O 4 Table 'a � � a Kitchen Floor All 4 x 4 Tiles Women Mens. Bathroom Bathroom C �Jy Dish Wash ,ti trArea v� 2 Line W a Fun ion Area 1 � � O � m y Kitchen Layout Q c Walls/Ceilings/Floors Kitchen Entrance & Surfaces of Each o o Wait Staff Area N G O Table/Coffee Sta. Doors • 3T i +� '6 w 4 �, � Basement Attic Stairs Stairs L��( Y / Wait Staff 19VISNIIj 2 j 0 iia Bar �� Bar Service y:. i _ _ -- Extra 0 0 O O 0 Dish Seating Layout Nor'easter Area e N see kitchen plan I ° ® EXIT 0 0 0 Dinning Room Kitchen 0■Q 0 O 15 BOOths=60 seats Area 0 Function Room ©® 8 Tables x 4=32 seats Womens Mens 000 0 4 Booths=16 1 x 10=10 seats Restroom Restroom 3 Rounds of 5=15 I x 6=6 seats Q Total=108 seats ®.® 0 20 x 2=40 0 je 0 Total=71 seats ■ ® ® ° ® 00 A 0 O ® O 0 0 Wait Staff Wait Staff Area 0 0 0�-0 O'0 010 Area ®®© © O O 0 EXIT ONO ° 0 0, 00 ..- — — — — EXIT FJ. �4 ® ® 10161® ® Wait Staff 00 ® ® ® ® ®61 0 Wait Staff 0 ' ' ' Area Ara 0•0 ® ■ e 0 •® Service Bar -Q 00 0 0 ® 0 A' 0 0 0 0 O Area Bar Service Bar O 0. ` 00 _ ♦ ® ♦ Area • Q 0 ® 0 .® 0 © :.:0 ® O ® 0 Billard EXIT Half Wall with new booths a ® ® ® 0 ® © 0 0 -0 0 .©.Step Table 0 0 0 Bar Area Down ® 0. 0 0 O 0 0 ° 0 O 0 0 12 Bar Stools 0 00 . 00 O o ♦ ♦ © Q 0 ® 28 Seats 0.0 Billard Room O 0 ° p.k O O O O 0 O ® ® Total 40 seats Total=14 Stools 0 ® O 0 ® 0. 0 ' I' 000 00 ONO ® ° Hallwa •y Wait Staff Main Oo® 0' 0 Function ® ® 0 ® 0 ® Area Entrance O ® Q • Entrance ®'® 0�0 0�0 0�0 0'0 0 ©0 ONO ■ ■ ? E ®� estroom l� 233 Total Seats I I I 0 919VISM9 310 NCU Install new booths YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, I" Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE oZ-�7-I /y Fill in please: APPLICANT'S YOUR NAME/CORPORATE DAME 'V t LI✓� 00ZLL j--LG BUSINESS TYPE: BUSINESS YOUR HOME ADDRESS: ,-, 'SOX y h� YL�f l k-L /�* nrLb�`t ScF3-11 1,q-00 TELEPHONE # Home Telephone Number So - a6v, LC- NAME OF NEW BUSINESS 4-1'Z; W e S T E J-4 S> OR EIN: © 1 IV t - 1"2 To Have you been given approval from the building division? YES NO Z q0� j Z ADDRESS OF BUSINESS ZO SC UV011EAL Ve /3t�1��S- 1�1 C1601 MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SIO ER'S OFFICE This individ al e i e a y p mit requirements that pertain to this type of business. Au horized Sign - COMMENTS: LA / L 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 AFFAIR : 10ENSING AU RITY) This individual ha f d o li ensing requirements that pertain to this type of business. hori r Ak6 r` COMMENTS: V > W LAW OFFICES OF GLARK, BALBONI & GILDEA MARK C. GILDEA 1 SO? 4 F,-/) Y- 1 72 Main Street 33 Great Neck Road South Bridgewater,MA 02324 Mashpee,MA 02649 Tel.508-697-6211 Tel.508-477-5567 Fax 508-697-8511 Fax 508-477-5866 markgildea@cbglawfirm.com r .:f YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. WD ..:.l DATE: 10/12/15 Fill in please: atC � APPLICANT'S YOUR NAME/S: 'West End Rotary Restaurants. Inc. BUSINESS YOUR HOME ADDRESS: 425 Rarlfnrd St- Rrirlg ewater•. MA 02324 To'-'be installed ' - - TELEPHONE # Home Telephone Number c o NAME OF CORPORATION: West End Rotary Restaurants, Inc. NAME OF NEW BUSINESS Barrett's at the Paddock TYPE OF BUSINESS Restaurant IS THIS A HOME OCCUPATION? YES NO X ADDRESS OF BUSINESS20 Scudder Ave, Hyannis, MA 02664 MAP/PARCEL NUMBER 290/112 (Assessing) When starting a new business.there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO R'S OF�dd E This individ al ha a inform an er 't re u�e{r�ents that pertain to this type of business. ut riz d&gnat 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 ORITY) This individual I e h '�ysing requirements that pertain to this type of business. COMMENT Au i as M 1 , b&M86--s- oFt"Eo� Town of Barnstable Building Department - .200 Main Street BARNSTABLE, * Hy MASS. annis, MA 02601 9 1639. . (508) 862-4038 RFD MA'S A Certificate of Occupancy Application Number: 201500936 CO Number: 20150179 Parcel ID: 290112 _ CO Issue Date: 08/12115 Location: 20 SCUDDER AVENUE Zoning Classification: SPLIT ZONING Proposed Use: RESTAURANT & CLUB Village: HYANNIS Gen Contractor: SANTOS, MICHAEL Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: NOREASTER Building Department Signature Date Signed r x TOWN OF BARNSTABLE b 201-500936Bu �� linPermit Issue Date: 03/OS/15 A licant: SANTOS .e pp ,MICHAEL Permit Number: B 20150439 w . ,;MP�� .:':'� Proposed Use: RESTAURANT&CLUB Expiration Date: 09/02/15 20 SCUDDER AVENUE Zoning District SPLTPermit Type: COMMERCIAL ADDITION ALTERATION parcel 290112 Permit Fee$ 227.50 Contractor SANTOS,MICHAEL . image gyIs App Fee$ 100.00 License Num 065318 Est Construction Cost$ 25,000 gemarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT"NOREASTER"-INT ONLY.LIGHT RENOVATION TOTHIS CARD MUST BE KEPT POSTED UNTIL FINAL INT,FLOOR,PAINT,MISC TRIM,BOOTHS,DRYWALL 2ND FL-COSNIETIFNSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SMITH HEIRS REAL ESTATE COMPANY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PEABODY&ARNOLD LLP INSPECTION HAS BEEN MADE. FED RES PLZ,600 ATLANTIC AVE BOSTON;MA 02210-2261 Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARI LY.OR PERMANENTLY. ENCROACHMENTS . PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION:..STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION VPUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. .. .. .. :. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THETHROAT LEVEL BEFORE FIRST FLUE LINING IS.INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(ais set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTIONAAPPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 '5- �✓ 2 r 3 1 Heating Inspection Approvals Engineering Dept 2 0/S'o3 /23 k !y/ 7-3o-iS- Fire Dept V1-jyjt,,' 2 d o 1 Town of Barnstable - Building Department - 200 Main Street STABLE, * Hyannis, MA 02601 9 MASS 1639. . (508) 862-4038 �FD�A Certificate of Occupancy Temporary Application 201500936 CO Number: 20150098 Parcel 1D: 290112 CO Issue Date: 06/01/15 Location: 20 SCUDDER AVENUE Zoning Classification: SPLIT ZONING Owner: SMITH HEIRS REAL ESTATE COMPANY LLC Proposed Use: RESTAURANT & CLUB PEABODY & ARNOLD LLP FED RES PLZ, 600 ATLANTIC AVE Village: HYANNIS BOSTON, MA 02210-2261 Gen Contractor: SANTOS, MICHAEL Permit Type: CTCO COMM TEMPORARY CO Comments: 60 DAY TEMP C.O. NOREASTER NEEDS FINAL GAS/PLUMBING / 08/01/15 Building Department Signature Date Signed Expiration Date V TOWN OF BARNSTABLE B � � � � ig 201500936 , * BARNSTABLE, Issue Date: 03/05/15 Perm i t 9 MASS. g �A i639; Applicant: SANTOS,MICHAEL 1 Permit Number: B 20150439 Proposed Use: RESTAURANT&CLUB Expiration Date: 09/02/15 Location 20 SCUDDER AVENUE Zoning District SPLTPermit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 290112 Permit Fee$ 227.50 Contractor SANTOS,MICHAEL Village . HYANNIS App Fee$ 100.00 License Num 065318 Est Construction Cost$ 25,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT"NOREASTER"-.INT ONLY. LIGHT RENOVATIONS TOTHIS CARD MUST BE KEPT POSTED UNTIL FINAL INT,FLOOR,PAINT,MISC TRIM,BOOTHS,DRYWALL 2ND FL-COS ETICNSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SMITH HEIRS REAL ESTATE COMPANY LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL i Address: PEABODY&ARNOLD LLP INSPECTION HAS BEEN MADE. FED RES PLZ,600 ATLANTIC AVE BOSTON,MA 02210-2261 Application Entered by: PF Building Permit Issued By: t'L THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,.ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY.OR PERMANENTLY..ENCROACHMENTS PUBLIC PROPERTY,NO SPECIFICALLY'PERMITTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION ;STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION PUBLICSEWERs MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 - 2 ✓ IL 3 1 'Heating Inspection Approvals Engineering Dept Fire Dept N:11TIN V 2 d o I I i = TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A. Map Zqb Parcel Application # D f S k 1 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 0 V4 , Village�v Owner Address Telephone Q 0 7 S ) Z Permit Request 9 G Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain t Groundwater Overlay Project Valuation 0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documgntation. Dwelling Type, Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kinq-'. ighway-❑Y � ❑ No ;. Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other z� yE Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.f) J "'i' Number of Baths: Full: existing new Half: existing 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 Zes peals Authorization .0 Appeal # Recorded ❑ Commercial ❑ No If ,es site plan review# Y Current Use ���LI-r� 1A in Proposed Use 5 y'j"�..� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name y 7 PJ SO / Telephone Number / Address le, License# Z, �&a h rZ / O�G� /�. Home Improvement'Contractor# Email i sb l�'1 r�� �� ocy `��ir) Worker's Compensation # d✓�Z _ ) S3 �7 Z)7 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 5' FOR OFFICIAL USE ONLY :PPLICATION# 4 DATE ISSUED y MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION Ir FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r,;x .i epartmmt afIndusfrirrl Accidents - �ceOf - i �tia rs. 600 Was atom&ree www rrat ga Idirx ` age Infurruainn Please Print L4Mibly ��b �� Name(&trine stOaganizsfion(f»r�vixlnal)_ Add,Ic� C e -C/ Are you exnployer:'Check.the appropriate bob: T of ect r 4-. I am,s. ¢t�nftacttar and I 3� l�l {���_ L� I a employer wrth -- ti_ ❑New�,stuct Toyees{full and/off gat# ime}*' have Hired the sz�con racfors. 2_ I am a stile propfi far orpariuer- listed on the attached sheet. 7_. 0 Remodeling ship and have:no employees These snh contra ctors have $_ Demcalitiba W for nt e in an• cit employees and have workers' or�ang y�P`a �`- � 9_ n Building sddiiion, 'Teo t{rorke s':C4i21p_inyr�Tanre, Cam-inc7�r arirP ed-I 5 We are a corporafionand its 10_[]Electrical repairs of additions 3_❑ I.Arn a hcsmeov uer doing all wo&' offireis bavm exercised their I1_Q Plumbing repairs or a�cdditici s if [No wort-M,coma_ right ofemmption per MGL 12_0 frepan's 77 c-152, 1r and we ha�s�e no ,p ir.s7xrAnr� -1 ` ernplayees_[Nowo6mrs' 13_ Other J comp_msurance required]] *lluy sppEccm that checks boa fl=,5t also fill ott the sectina below ch�Mr pair'infnnati �ffnmeownets�submit etas at�dxvit in�csti�g they s�thing s11 try[s�lea hire outside conuacmrs umsY skit a�a.sad-srit�£c�'�t�scicl tC=trac6rs thst rhnrk this bwc mist sftach8d as additinnsl sheet shrrzing the nMne of ffie 53*-or5:md state rrhettier ornot tlnse ashes have employees. If the sub-contcactarsh. a employees,.thty—st gmvide&eir warkess'come_policy,MumbfT l atn an strtpLajret rhrcf is pr�zi iduig tiorkars'canzpartsYrtian$rrsrtrru[ce for rtz*effgW& ee-% Reiaty is fhe.paEcy and}ob silts infonnattatt Insurance Compaffy Nme: / °6 C.<f '. li✓ /zv P,olicg:9 or Self ins_uc- k'C 7-32 5-'` 7-7 Z 17 0 Fxpisafion Dafe_ C l3 Job Site�'idd ess- d G-(/► G�G-ems Cal►✓- it �'SfabelZtg=. r Attach a copy of the workers'compensation policy duration page(shoving the:pokey nuimer and cxpu-ation date). Failure.fu secure"cay-1--cage as n quiredu der Section 25d1`of MGL cc 152 can lead to the imposition of criminal penalties of a fine ng to$1,500.0d and/or onL-yearm3pnsa=ent,a a s well as civil pic In the fib of a STOP WORK ORDER and a fine of-Up to$250.00 a day against the violator- Be advised tit a ct y of this sbkmeiat may be furwarded.to-the Office,of Imies gstians of� � DIA for innce coverage ve caftan- do hereby certtfy it. the .ns andpenaWas qf--petjFzu 'f#atths info a have is and carrect fztc= 2�9 7 Q fzctui us-utrty. Ida not sprite'in this urea,to bs ca-MPEeted by Gity or tntrn officiaL City or Town: Permat/Licei�se# Emig Anthorq{dreIe I'Board of Health 2.BuMing Department I C THT own Clerk 4,Electrical Inspector S.I'Iumtxing Inspector 6.Other Contact Persnn: Plwne 9: 6' 4 . information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as".__every person in the service of another under any contract of hire, express or implied, oral or written..", An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or a license or permit too operate a business or to construct buildings in the commonwealth for any renewal of p p g e ce o compliance with the insurance.coves required."e applicant who has not produced acceptable evidence f corn li n p g Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any'of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority_" Applicants Please fill out: the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cer-incatc(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(L LP)with no ea ployees other than we members or partners,are not required to cant'workers' compensation insurance_ If an LLC or LLP does have employees,a policy is.required. Be advised that this affidavit may be submitted to the Department of indusirial Accidents for confirrnatioii of a innu oce coverage. Also be sure to sign and date the affidavit '11ne a,.adavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents- Should you have any questions regarding the law or if you are requl-red to obtaia a arorkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City-or Town Officials Please be sure that the ai$davit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out is the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the pernih/licease number which will be used as a reference number_ In additim,an applicant that must submit multiple permitllicense applications in any given year,need only submif one affidavit indicating current policy information(if necessary)and under"Job Site Address'the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for Ri.tuxre permits or licenses. A new afEdayit 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 0-e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please.do not hesitate to give us a call. The Department's address,telephone and fax number: `fie Commanwealth of Massachusctits Degartcaent of Indust dal A-cide, i ' 500_Washiugtan Sit .Bas€ou=IAA G21 I TOL A 617 727-49-00 W 4€6 or --977-MASSAFE S x Fay 617- -714 Revised 4-24-07 ' W.mass�,gavIdia - _.... Y, t 11plk, hq-/fcrrp_sec state_Ta us/(-otpWeb/CorpSearch/CO(PSumEr}ary_aspx?FEIN=(}43376224&SEARCH_TYPE=1 -- �" jr x,b Bing P ''•€ 4t-`'' eiY.: ._ . ,�. -'- ,.,e," s_ '.. `F ..•' ••: k..,i z5 «Qu,R c ,e' €: ', 1=aa�ar€�eS.�T€�oEs E€ef . a€. ^,,.:;" ,.° ..�„;:. ,tea^" .« ...: , ',+ ;#7`'., - ,— :;. •;; -, ,-..,,, . s �i a j,: 'x - x w' `s ; aVOr-ite5 ParCelLC30�CU z. _ t ` ' r." . p. .�. as' � -ask *r,_, ,. v x �.•� 3`.-S 3.' a. � • 6 u,"•� L^ ..+1+• ' .t`a cat:b t' ; � oj' ��.. r. � .Ma55.GOr Ofat10F15,.external;master... _ • ,. n r: .. g - -1001 . __ p. .-, .�, ��� -. t, ,.« , �. _ Pa e safe _ .�a . . . , �: . 4a = Y.. . . - + x .. . t d Corporations Division � .5_. Business Entity Summary ' _ ID Number: 043376224 Iteyut st cectcate' New.sear'e4 # m l . wSummary for: SMITH HEIRS REAL ESTATE COMPANY, L.L.C. .i The exact name of the Domestic Limited Liability Company (LLC}: SMITH HEIRS REAL ESTATE COMPANY, L.L.C. f IN-9E Entity type: Domestic Limited Liability Company(LLC) f 4 >� Identification Number: 043376224 Date of Organization in Massachusetts: 07-02-1996 Last date certain: ' x,! The location or address where the records are maintained (A PO box is not a valid location or address: "� Address: 690 CANTON STREET-SUITE 306 f ' City or town, State, Zip code, Country: WESTWOOD, MA 02090 USA p The name and address of the Resident Agent: Name: KEVIN C. CAIN Address: 690 CANTON STREET SUITE 306 i City or town, State, Zip code, Country: WESTWOOD, MA 02090 USA s t � ` The name and business address of each Manager: 7,77 j MANAGER ;KEVIN C. CAIN 690 CANTON STREET- SUITE 306 WESTWOOD, MA 02090 USA " I ;12010 . Done �,- : �> M: :>> �,, Star ! Mass. Cor o.,. main S: sterna: Iicatia .E..: _ � , � x My Ctrriputer _ My� etvuo 'Pla , - �8.28 A ZIZIK PROFESSIONAL CORPORATION ATTORNEYS AT LAW 690 CANTON STREET, SUITE 306 WESTWOOD, MA 02090 KEVIN C. CAIN TELEPHONE: (781) 320-5441 Providence, RI FACSIMILE: (781) 320-5444 Hyannis (Cape Cod), MA EMAIL: kcain@ziziklaw.com May 06, 2015 71 b VIA FACSIMILE and REGULAR MAIL Town of Barnstable : --n Building Division -� 200 Main Street ZZ Hyannis, MA 02601 RE: 20 Scudder Avenue - Smith Heirs Real Estate Company, LLC rn :Dear\Sir/Madarn: I am writing as manager of the Smith Heirs Real Estate Company, LLC to confirm that I have authorized Massachusetts Building Systems, LLC do perform exterior shingling and rot repair of the building owned by the LLC located at 20 Scudder Avenue in Hyannis, presently leased to the Nor'easter Restaurant,' formerly operated as "The Paddock." I understand that representatives of the contractor have applied for all necessary permits and that the Building Division has requested a letter from the owner's representative confirming that the siding work was authorized. Please permit this letter to confirm that the owner has authorized the work. If you have any questions or you require any additional information from me, please contact me at the above direct dial number or via my cell phone [(617) 951-2045]. Thank you. Very truly yours, . evin C. in a ,,, ��} '. y 5.,.' e KCC/kcc 0TH/Siriit1V9'01 f Enclosure cc: Gary Roy FAX# 508-790-6230 Unrestricted-Buildings of an use -: ` Y group which contain less 60-rA 35;000 cubic feet(991rn )of enclosed s acu. MAssachuseits r Department-of Mbiic Safety P _ 8bard`.o#64-Wdin = and S:t �rii. j 91r �_.. Qom?,d F action Sgpervisor icerlse` CS-058987 3 STENMN E BOBEILA - Failure to possess a current edition of the Massachusetts 24 ST FRANCIS SIR Y State Building Code is cause for rev HYANNIS MA 02601' re vocation of this lic ense. For DPS Licensing information visit: 1i�,WN Cerise. Mass.Gov/DPS °%.`..,, �tJ • �r„� Expiration..; Commissioner 02/04/2016 I Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration -- Registration: 158588 Type: Partnership =_ ___ Expiration: 2/11/2016 Tr# 248690 MASS BUILDING SYSTEMS STEPHEN BOBOLA = 24 ST. FARNCIS CIRCLE - HYANNIS, MA 02601 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA 1 0 20M-05/11 -- Af r 1� DATE(MMIDDIYYYY) �-r QIC[J CERTIFICATE OF LIABILITY INSURANCE 6/30/2014 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 BRYDEN& SULLIVAN INS NAME: 88 FALMOUTH RD PHONE FA HYAN N IS, MA 02601 E Mna E'�' aC No ADDRESS: INSURERS AFFORDING COVERAGE NAIC# NSURERA: LibertV Mutual Fire Insurance 23035 INSURED INSURERS: MASS BUILDING SYSTEMS LLC 24 ST FRANCIS CIRCLE NSURERC: HYANNIS MA 02601 NSURERD: NSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: 20737496 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 LTR INSD D POLICY NUMBER (MMID MmoonrYYY LMITS COMMERCIAL GENERAL LIABLRY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE Fe occur $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ MOTHER; 'L AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE $ ECT LOC PRODUCTS-COMPlOP AGG $ POLICY❑S $ AUTOMOBILE LIABILITY COMBINED SINGLE IMIT $ Ea accident ANY AUTO I BODILY INJURY(Par person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per eccidern $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS44ADE AGGREGATE $ DFD RETENTION $ A WORKERS COMPENSATION WC2-31 S-317211-044 6.?/2014 6/7/2015 STAR UTE ER AND EMPLOYERS•LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500000 OFFICEPJMEMBER EXCLUDED? ® N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500000 It yes,describe under DESCRIPTION OF OPERATIONS Wow E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Worker compensation insurance coverage appl les only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MATH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE 1 ('�� r,:,� Ucbt; Lib Mutual Fire Insurance ' O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 20737496 CLIENT CODE: 1611184 Didi Dangas 6130/2014 2:49:17 ?M (EDT) Page 1 of 1 YOU WISH TO OPEN A BUSINESS? Foy Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by.M'.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: :: APPLICANT'S. YOUR NAME/S: BUSINESS YOUR HOME AD RESS: tQ s �r1e.T TELEPHONE # Home Telephone N " ber NAME OF CORPORATION: NAME OF NEW BUSINESS ' T TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO V, ADDRESS OF BUSINESS oZo t j e . MAP/PARCEL NUMBER O (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the.information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. 6 Main Street) .to make.sure you have the appropriate permits and licenses required to legally operate your business In this town. 1. BUILDING CO 1SSID R'S OFF�E This individ al e infor e a per it requirements that pertain to this type of business. ut orized Signs 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 AFFAI LICE ING AUTHORITY] This individual h r of the licensing requirements that pertain to.this type of business. o ' igiiliatur COMMENTS: PROM NAME ADDRESS: S PERMIT# v 40 PERMIT DATE: M/P: LARGE ROLLED PLANS ARE : BOX SLOT -:,-3 Data entered in MAPS program on:. BY: �,_ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map (� Parcel ` �— Application # / V Do o Health Division Date Issued Conservation Division Application FLY 16C Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village ice}m a,' E Owner I lk-e Z/r'n w Address Telephone - Permit Request t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ° Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) .. Number of Baths: Full: existing new Half: existing M,I nevi Number of Bedrooms: existing _new - Total Room Count (not including baths): existing new First Flooi Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other D Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal-stovet.TU Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _.Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 7 bra 3 - 93,53 y� Address cdLG Z 4 �`14"a License# ��� ✓ Home Improvement Contractor# Email Worker's Compensation # �viPTU1/ �/ /�--A-/f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE -`/X--��S( f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION r r. FRAME 'E INSULATION 4' { FIREPLACE 5 ELECTRICAL: ROUGH FINAL E PLUMBING: ROUGH FINAL c t. GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT AS-SQ.CIATION PLAN NO. r I The Ca7rxmonytw_�of Massa husela Deem home affadust al Accidents 600 Was7rington&reet Boston,MA 42111 f• nw.inasS.g'owdia Apnficant Infmcmatian j Please Prnatt Le-gihhr me Na pisi.�O.,gsnization i W:�,� --e rl _�o vA ?. CityiStat tJMp Sc�I e. tv a d 3N 7 Phone f: 7bk d - 9/ Are you an employer?Check the appropriate bow.: Type of Project 4 r(_ am s general contractor and 1 conra - L El I am a employer wifh � 6_ ❑Ne•trt consfrtsc'don t3rloyees{full and/or part-lime * have him the mib-contractors 7_❑ I am a sole lamprietor ofparfner- listed on the attached sTieet 7- ❑R=odeliag ship and have.no employees These sub-contractors have 8- ❑I k=lifivu for me in an c cr emplayees and have workers" �� Y ?� t5r-" i 9_ ❑Building addifian . j1�F6 WOrl�PrS CLSIIlp.fnmira-ncty comp_ nsuranam-1 - repntred We are a corporation and its 10_❑Electrical repairs or additions 3_❑ I am a homwwner doing all work officers haw exerased their 11-0 Plumbing repaus or additions nryself [No WMI- s'comp_ right.of exemption per MGL 12_0 Roof regahs iins,rraaceregnired.]F a 152, §1(4} and wehwe:no employees'_[No u m4=s' 1-3-0 Other comp_in=-nce requtred,] *Any,SApEcmt that checks boa fl also f—M out the sectcan below shmemg thea'wadexs'compensationpolicy anfiTma6w_ T Snmeowners crho submit this sfdxvit inmrstiog they am doing all Rude and then lme uatu&conamcim s must submit a new affidavit indiicstfn m)ZIL 'Contractors f w rhrr-1 this fW[mg=stiached aII additions]sheet d zw--mg—the name of the m_bL- 3 and State VchetILK ornaI t,usE Midties have employees_ If the snTrcontmctas hsm employee%theymust provide il—-orbs'comp.puhcy a>Qoher_ -Taman trttrpL r fffati ptn►i tc�Dri*ers'cartrrpertstrtian attrttrruec$far rtr*emp7tryeczr BeLot> is fhe p�$c}'artd}ob srls information- Insurance CompanyName: ►`i V'�( �V.5 P'oELy:W or Self ir, J t i b L I�J I a FxpiratianDate: J / J' Joh Site Address-�� 3c( -etatqlLe City/S atelzrp: h n Attach at copy of the workers compeasat'um policy deedarstion page(shooing th-epolicy number and expkaiaon date). Failure to se=e ccn trage as requiredunder Seetiotx 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up ton$1,500.Od andlor one-yearmlpns as weU/as t�pe�flies inthe form of a STOP gI©RTC ORI?Il�and a fine of up to$250_00 a day against the violator_ Be advised tlsat a copy of this statement may be farwarded to the Office of hn-estigations of lie DIA for insurance coverage veriEcxtioti I dd hcrreby certtfp Under thapains andpenah`ces!fury -the infornzation pran¢dsd above is hue and correct Signature: Data a 7 Phone O iciaL use Only. Da not write in this area,to be completed by city or town of ciaL City or Tower: Perm itucer2se# ' lsmn Auffiari`tJt(drde one}: 1.Soard of Ilealtfr 2.$uilTia„Department 3.Cit]Tawa GIerk 4_Electrical luspector S.P Plumbing inspector 6.Other CorLtact Persan: Phone ff: 6 Information and Instructions Massachusetts Cenral Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant-to this statate,an enTloyee is defined as"__.every person in the service of another under any contract of hire, express or implied, oral or written_" An employe-is defied as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,.or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the dwelling house of another who employs persons to do maintenance,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or,locaI 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. airy applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliaDce vi`u the insurance requirements of this chapter have been presented to the contracting authority.". Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their ceriificaic(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(L LP)vv7th no employees other than L e members or partners,are not required to carry workers' compensation insurance. Lf an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage.. Also he sure to sign and date the affidavit 1heaflialavitshould be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents_ Should you have any questions regarding the law or if you are required to obtaiii a,vorkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line_ City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one of ddoavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should v,rite"all locations in (city or town)."A copy of the aft davit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that valid affidavit is on file for fufrre permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit.not related to any business or COMM rcial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this afFada-vit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: nt-,COmmonwa-a of Massachusetts* Department Gf Industdal Aocidenis G fcx e Qz kvestigatFans 600 Washzngtau S BGston_MA 02111 Tel<4 617 727-49-00 W 446 or 1-977-MASSAFE Revised 4 2�? 07 Fax f`617-`�27-7149 www.ma �;_govjdia ACOO CERTIFICATE OF LIABILITY INSURANCE 7(MMMIxYM) `� - - .. . 12/17/14 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 CONTAC NAME: Eric Jansen Hasbany 6 Regan insurance PHONE 978 685-3188 _FAX N (978) 685-9460 254 Pleasant StreetE-MAIL Methuen, MA 01844 ADDRESS: eric@hasbany.com INSURE S AFFORDING COVERAGE NAIC# INSURER A:Travelers INSURED INSURE:B:Northfield Julien Dupont INSURER c: dbaJulien Dupont Construction INSURERD: 22 May Lane Dr INSURER E: Salem, NH 03079 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. INSR ADD SUER - POLICY EFF POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER MIDDY MMIDDIYYYY LIMITS B GENERALLIABILIY WS226389 7/1/14 7/1/15 EACHOCCURRENCE $ 1,000,000 kc ERCULLGENERALLIABILITY PREMISES(Ea occuffenrm DAMAGE TO RENTED $ ZOO 000 LAIM'IS�IADE OCCUR MED EXP(Any one person $ 5,000 PERSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER PRODU_ CTS-COMP/OPAGG $ 2,000,000 POLICY PRO- LOG $x— AUTOMOBILE LIABIUTY MBINED SINGLELIMIT a accident ANYAUTO BODILY INJURY(Per peison) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS _AUTOS eraccident $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION A MRKERSCOMPENSATION 7PJUB-2E18812-A-14 5/2/14 5/2/15 we LIMIT B OTH- AND EMPLOYERS'LIABILITYFIR YIN ANY PROPRIETOR/PARTNEWEXECUTNE NIA E.L.EACH ACCIDENr $ 1,000,000 BE OFFICERIMEMR EXCLUDED? (Mandatory In NH) EL.DIS EASE-EA EMPLOYEE 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,AddPoonal Renerks Sdhedule,N more space Is required) Location: 200 Main.ST Hyannis MA 02601 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Hyannis ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept AUTHORG;eD REPRESENTATIVE Eric Jansen ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(201-0105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: 1 I k 3 3� } t j 7 a I I _ � .r'f�r�,-a�tttleautarttll�e�`r'���t��cte•�ulott .-Office of Consumer Affairs&Business Regulation 6 ME IMPROVEMENT CONTRACTOR istmdon 172524 Type: icpiration 7rN2016 Individual STEPHEN P.NOLAN a. STEPHEN NOLAN � 16 L PHILLIP RD Q4 DERRY,NH 03038 Undersecretary t � g ;nKtrut'1ion Slii)Lrl-Nor 1 CS 106330 wt STEPHENNOLAN= . 16 L PHILL3P ROAD Derry NH 03038 ' 07/19/2015 k I • I i� I Julien Dupont Roofing, Siding, Remodeling & Windows 22 Maylane Dr Salem,NH 03079 603-893-4385 508-243-4191 To whom it may concern: Stephen P Nolan Sr. is an employee of Julien Dupont Construction. If you have any questions please feel free to contact me at 508-243-4191. Thank You Julien Dupont w I t Julien bupont Roofing, Siding, Remodeling& Windows 22 Maylane Dr Salem,NH 03079 603-893-4385 508-243-4191 Visit us on the web @ www.roofrescue.org Proposal Submitted to: Work to be performed at: Kevin Cain t 20 Scudder Ave 20 Scudder Ave ! Hyannis Ma 02601 Hyannis Ma 02601 We hereby propose to furnish the materials and perform the labor necessary for completion of.- Strip roofing shingles from building Replace approx. 100 ft. of trim board with az�k Replace boards or plywood where needed at an additional cost of 50 per sheet of plywood and 2.00 Lf for roof boards Install 6 ft. of ice and water shield on bottom edges, 3ft in valleys, rake edges, vent pipe collars, skylights and roof wrap on remain_deg Install 8"drip edge along all roof edges Install CertainTeed starter strips Will re-roof using CertainTeed limited lifetime architectural shingles. Color: Hurricane nails all shingles (6 to 8 nails per iMingle) Install new vent pipe boots. i Install ridge vent Dispose of all debris. All material is guaranteed to be as specified,and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Twenty Nine Thousand Seven Hundred Fifty Dollars($29,750) With payments to be made as follows:$14,875 when,job started balance of$14,875 upon completion Make check payable to Julien Dupont Respectfully Submitted: Julien Dupont Date: 12/15/14 j t Any alteration or deviation from above specifications involving extni costs Will be executed only upon written order,and will become an extra charge Over and above the estimate.All agreements contingent upon strikes,Accidents,or delays beyond our control Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work specified.Payments will be made as outlined above. Signature: Signature: r Date: ,+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `" 0 Parcel v �Q Application # pn. Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 4k, L Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Q� �s�� J Village L1M Owner Address`"h Telephone Permit Request , -� � Square feet: 1 st floor: existing proposed 2nd floor: existing pro osed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o��O� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach s porting can tation.. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) to Age of Existing Structure Historic House: ❑Yes 4 No On Old King'stHighway: LJ Y *No Basement Type: ❑ Full, ❑ Crawl ❑Walkout ❑ Other 4� g► Basement Finished Area (sq.ft.) Basement Unfinished Area (sq fit) 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 AlElectric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing_a_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 'n Telephone Number i 0�7_q a G - Address License #_ `� 6!7,6.qg a ,ey�<Z�j V\Vz- yy1iN,� C Home Improvement Contractor# � U--- —l— W Worker's Compensation # j GC S�ac1�ru � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �c ernv SIGNATURE - DATE /f h �i ji I. ;b ' FOR OFFICIAL USE ONLY `APPLICATION# DATE ISSUED E MAP/PARCEL NO. + ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION L�;!Vfj?j-r.!vwas;_t.&va, FRAME' ...2- x JNSULATIO14h A FIREPLACE t ELECTRICAL: „ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING y DATE CLOSED OUT ASSOCIATION PLAN NO. "q ,a The CL?T12i`fa'oyruwaIdl of-Massachuselts Deparhaen t affnihatrial Accidents - - (i ce of rnvestagafians 600 Wayhington Street Bostor4 MA4211'I wt, antass�garldi a Workers' Campensatian InsuranceAffidavit:Builders'CnntiactorsM4ectriciansMumhers Applicant Information Please PrintLep_ibly Name(Fsmeas/drganizationlfi�ividna�: 1 Address: V4 �Rs- Cexx City/Stat&Zip: Phone me aO--0-'-I Are you an employer?Check the appropriate box; Type of o 3 project(required): I am a employer with 3_ 4. ❑ I am a genaml contractor and 1 6- ❑New oanstrucxin employees{full and/or part-time)-* havehir� the sub-contimcfoFs. ?_❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Rmodeling ship and have no employees These snb-contractors have g_ ❑Demolition. employees and have workers wotkzng for me many Capacity- 9_ F-1 Building ad'tiifion [No workers' comp;insurance Comp- _mstuance-I 5_❑ re We a a corporation and its 10_[]Electrical repairs or additions �I 3_❑ I am a homeou ner doing all work offs rs have exercised fheir 11_.�Plumbing repairs or additions myself [No worksts'Comp- right.of a tiot�per MGL 12.0 Roof repairs i�ncrxAnre required.]F C_152, §1(4},andwehavent� employees [No WMIDe s, 13_.0 Other comp-insurance required_] - *Ary anpboad that checks boa tl must also fill out the section below shoccing policy infnrmattmL i Homeowners Veho,submit shis affidavit innrating they are doing all:roiic and the¢hire o de coattsctum—si submit a nm alndndt mrr1ratm rnrFt =Contractors lust check this boa must attached an additim-1 sheet shovdng the name of the sdv-motors and state Whether.ocnat ihnse edifies have employees- If the snb-coutmctms hie employees,they must provide thtir wmrlers'comp.policy number I am are employer#hat is prm idittg tuorke-rs'conTensYatian irvatrance for ray employees. Helaty is fate police attd}ob site informa6un_ Insurance Company N= 1 1 n Policy ,x Self ins_Lim (�/G C Q S�0 01 YLxpiratiou Date: Iob Site Address: C,J 0. �Pg City/Statelzip: H om \�s Attach at Copy of the workers'compensa6m policy declaration page(showing the policy number and expiration date). Failure to secure co-enrage as retl6rred under Section 25A of M-GL c- 152 can lead to the imposition ofaitninal penalties of a fine up to$1,500_dt1 and/or one-yearimpr soumeut,as well as civil penalties in fide foam of a STOP WORK ORDER and a fine ofup.to$250.0.0 a.day against the violator_ Be advised that a copy of this statement may be ffirwarded to the Office of Investigations of the DIA for insm-ance-coverage veriEcation- I dri hczre �hfy render tltsprtlll nttd pen of gerlurp f3tatfhe ir{orrrtiar providRd ahafsca is h7ta and carrsct Q7/,2 c) SiQnattzre: Date: l Phone 9: � �0 Q{j cruI usea 111Y. Z?tr n:o�r is in tizis urea,to bs coxtpieted-by ar fatcn-vf zzaL- — — City or Town: PermitUcense# Ensuing Authority(circle one): 1.Board of Health 2.Building Departmeut 3.City/Towa Clerk 4_EIectrical Inspector 5.Plumbing luspector .6.Other Contact Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the comWouwealt?r for a_izy applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to yr.ur situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their c er afica e(s)of insurance. Limited Liability Companies(LLC)or Limited.Liability Partnerships(LLP)with no e--nr.l oyes other than the members or partners, are not required to carry workers' compensation insurance- If an LLC or LI,P does have employees, a policy is required. Be advised that this affidavit may be submitted to the Departiiient of industrial Accidents for confirmation of=' ra_nce coverage. Also be sure to sign and date the affidavit. 'I1ie affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obt._iln a workers' compensation policy,please call the Depzftnent at the number listed below. Sell insured companies sl.ould enter their self-insurance license number on the appropriate line. City or Towu Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at:he bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding she applicant Please be sure to fill in the permit/license number which will be used as a reference number—In addition,an.applicant that must submit multiple permit/license applications in any given year,need only submit one aidavit indicating current policy information(if necessary)and under"Job Site Address'the applicant should write"all locations in (city or to-,AM).--'A copy of the affidavit that has been officially stamped or,marked by the city or town may be provided to the applicant as proof that a valid affidavit is oa file for future permits or licenses. A new affidavit mu?t be JUled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or cominercial venture (i.t. a dog license or permit to bum leaves etc.)said person is NOT required to complete this alnda;-it. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number Tha Commonwean of Massachusetts Department of Industrial Aocideen Office Qf k-i"estiotion: 600 Washington Suet 13�stou, 02111 Tel.A 617-72 7--49-GO W 406 or I-a -MASSAFE Revised 4-24-07 Fax# 617 `27-7-749 ��.r�as�gnv�dia Town of Barnstable Regulatory Services * MASS. ' « Thomas F.Geiler,Director 111SA.SS. `fig, '�Ev►�° Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize @ �� to act on my behalf, in all matters relative to work authorized by this building permit C SGJW mS (Address of Job) �a�p Pool fences and alarms are the responsibility of the applicant. fools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. - G - S ature o wner Signature of Applicant Je. Print Name riot Name Date Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 i Massachusetts -De Board Partment of Public Safety of Building Regulations and Standards Construction Supen.isor License: CS-076820 NNETEI0PEOY -- 19 CENT FORD ROq� i$ x RVII.LE RA U2632 i Commissioner Expiration 08/28/2015 Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet (991m)of j enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this;license. For DPS Licensing information visit: www:Mess.Gov/DPS Sep, 12 2014 9: 45AM DOWLING & O' NEIL INSURANCE No, 8295 P, 1 uuent#: 95ou 2KPRE, COROTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMf2DUY 09/12/201 4 a IS 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 pollcy(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.rlghts to the certificate holder In lieu of such endorsement(s). PRODUCER AIC Dowling &O'Neil No EYi;508 775-1620 Alc No): 6087781218 EMAI Insurance Agency - L .973 lyannough Rd.,,PO Box 1990 INeURER(S)AFFORDING COVERAGE NAIC Hyannis,MA 02601 INSURER A:Penn•America Insurance Company INSURED INSURER 19:Associated Employers Insurance Kenneth Perry D/BIA INSURER C: K.P.Remodeling &Construction INSURER D. 19 Guildford Road INSURER E' Centerville, MA 02632 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. 1POLICM 7RR TYPE OF INSURANCE DDL UBR POLICY NUMBER M4%Dl EFF MM/0D LIMITS A GENERAL LIABILITY PAC7058791 3104/2014 03104/2016 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY en.) - S50 000 ' CLAIMS-MADE OCCUR - MED EXP(Any one person) $5 000 X BIIPD Ded:500 PERSONAL&ADVINJURv $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $1,000 000 POLICY pE0 LOC S COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY nl ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Pcraccident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per g UMBRELI A LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATF $ oED RETENTION S B ATU- WORKERS COMPENSATION WCC50050054502014A 6/13/2014 06/131201 X we Y LIMIT oTH- AND EMPLOYERS*LIABILITY ANY PROP IETORIPARTNER11EXECUTNE Y/N E.L.EACH ACCIDENT $100 000 OFFICEIMEmBER EXCLUDED? _ N f A (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE $100 000 (f yyea,describe under ,Of OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5500,000 re DESCRIPTION OF OPERATIONS I LOCATIONS JVEMICLEB(A(laoh ACORD 701,Addlllonal Remarks Schadule If more apace Is required) ) Kenneth Perry is excluded from the Workers Compensation policy. Insurance coverage Is limited to the terms,conditions,exclusions, other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED IN Bldg.Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD rs!ca�ynadflLA4 a7noa LS1 f I Jeff Zartarian am the current lease holder for The Paddock Restaurant at 20 Scudder Ave, Hyannis, Ma. My lease is from the Smith Family Trust and I have their permission as the lease holder to do any constructional work on the property at 20 Scudder Ave, Hyannis, Ma [S//Y TOWIv'11 BARNSTABLE BUILDING PERMIT APPLICATION Map Q Parcels Permit# c,,,7., Health Division Date Issued 00 Conservation Division Fee �o •QQ Tax Collector s� ' Treasurer W� 10d, ION PEgUt7' A it t;INEE csraTRU R N F D/Mom Pluos 7!F � Planning Dept. ; Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 2-0 Sc.sxc Aj Village V ✓► Owner .��oc 4 r�rS Address 2.2 S c u.0,0", f✓ Telephone Permit Request � S JC Fik,°(0 61.45 t /.4 _!q4.14 e ®AOe4d c S G s Or�4 o.191 ALA—) Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost /6 aC'rO Zoning District Flood Plain Groundwater Overlay Construction Type 4--po wcJ9 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: l�Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 0 new Half:existing new Number of Bedrooms: existing n new O Total Room Count(not including baths):existing new 0 First Floor Room Count Heat Type an7yes el: 4 as ❑Oil /Electric ❑Other Central Air: ❑No Fire laces: Existin New Existin wood/coal stove: ❑Yes z oP 9 9 Detached garage:❑existing ❑new size c 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 BUILDER INFORMATION Name A Pe_'►COa&.) Telephone Number s-C>S S70 cSYLo Address. a ale License# C S 037<%C' / J0 ol Cno CAf A o Z• Home Improvement Contractor# 101 Y 62 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `' DATE FOR OFFICIAL USE ONLY PERMIT NO. Y F . { DATE ISSUED MAP/PARCEL NO. 1PRES VILLAGE OIV--R DATE OF INSPECTION:. FOUNDATION ` s... FRAME INSULATION FIREPLACE ELECTRICAL: ROUG FINAL PLUMBING: ROUG FINAL GAS: ROUGH' FINAL Y? Y tr FINAL BUILDING, ' DATE CLOSED OUT 3 ASSOCIATION PLAN NO. r lunwCULLIS V 17lLWULia..isasoL7.w - „ Department of Industrial Accidents Office 81INVOSMOSONS ' — y 600 Washington Street --- `� Boston,Mass 02111 Workers' Com ensation Insurance Affidavit / —name* location: hl CJK 7��L ( �� �tr✓i G'P• city [mil�"e�j,+I t� A/A OZ 63 2 phone# ❑ jam a homeowner performing all work MYSCIL I am a sole rietor and have no one wodrin in any capacity I am an 1 'ding workers compensation for mY.employees,worlanS:❑ oa•th>s�ob.::•::.,•..}.}.?{•,.;:}:.;;}:{.:.;;;}}:?.}::.;;:<:>:<:::::>::;::>x«:« ;-::.....:.:.:._. com an nam i: hop ..:.:............................ .. .. .. ....... ...................................... .. .. .. ;::::•:.:-::•:?t:•};:•:::£;;•:::::::::;;:•}':t:is•::-:5:>::}:?•;>::•+??;}:::}=:: :::? :::::>.;::::};}:;:•t:?f•:v:;:`: }>fi: :t•µ? :: : Y ]nseiran " oil ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below,who have the follo workers' compensation licesr ................... :. ; {? ctimIM.n nam :{•%w:::nv::::::::::•::.v.i}:'<+�':{•}}}}:4;J:??4;.}}••:�:'4}:�'.v:::::::::::::.}:w::::v:::nv.}'Y::4:. .. ........ .... .......... ....-.v........r..n...........................:::.........v::::::;•;}:::::::w:::::::::;;•::ni-}:•}}}:::.:nfr::nr:.?ii ii:?,•r.4xvyh. .%.},;Y.iv.{.:};:}i:::: .... ....... .......r..........................................:.x.::nr,..•:::•:?4:i4:•}}}:•}:}::{4:}}::{•}:L:i::}:•:::.:x.:v::::::w:::.....-:v:n.....::::::::::::i:}:•.F.-,�:::.:v:i}:i}. ..,...vn... !:•::::i?{t•}}:�:{�iY4:w:nvrxrv::::.v:::::::....... v............... ,....::...:..:�:............::...;.......... address.. ..........:::::•....::::........:-::.......::.:,.:.............- ....._ ... ..._.. ...._.._... .............:....:...:.:.....:..::.:...::..:::::::i:::.......... ---:::::::::::::nv::;}iinv::::is i::::::::i::::::::.iiii}}};.::v:}•-}i{,Y+Y-iY:;.}'::i-:ii:N r .......... ............ ................................ .... ..:..;.;..::._••h-::..... .. .,,•r.::?•:::x::.,•:.•:::::::::.?.%.}:{.T}}:+t•};{::;::::.,•af::•::• -.v:•r:-::f•:.,.f..:%rp .................:�:::.�::........-.....y:..;...::•:•:r•:•..............r..............::.,. .• ,:.,......{....,,:.rr.}:.0 .... ,••.,,,.,.?:.•:..�::::•}+r..�..,...... ...." . .s••}};s.::•` i"-V:.... ............. ................. -..{�:..,...t.cr...... .,... {.... .J9 ......... ...:--.. •• .•.,�r•}}'-}:•::•}:;t•:?4:;•}:•::;;::i::iht,x::::::::.... +•-,o..,•,:::•:.v..::..x.{4}y:.ti }{..�:' IX .................... .................. ...........,.4.r........:. .. magy. .v,•;4:hv:w::::::..�. ......-:..r.h..............:........:w:::w::v:w................................. .-......... .................. ................-........................;.....;-............. ... ..................... ........:::•..:.................:.;..:Y:.v.:............,.................:w....n:•..,............................ .......-..v:v::::v �titlrl6.�. ....X, ....:.......................-. - r:{:f:::ty'Yi1.}:S f p� '�-?•1::ri>:v:::::v::•.v:::::v::::::.v::::v.;{{.;t•:v:::::::.v:::.v::w:::w:::.w::::}:•4}:{{{•}:???t:•i:{•}ii}}}::.'r.•}}::%4:•}:{v' ...................... idC: ..... .n. ....,.. ...,. n,}r......,:•:::h,•}:4...x:.w }.. y{:,rrr:::{. v..r.?v:.v.::iiifi:}}}:v::::•'.}:Y:i'.... :....r..........::•t•.,`�rn.. 's......:.v.:................... r.v.x.... r.,,.,.......: :...... ......M.:. nv. •rt...... .... ...:..... .n,}..r:•{h..- {w%:•?fit� � .............. .... r.n....,\ •rvrri{? YAt-w,',-{:$:i:;:i?i: ............ Yk: , r...... v.,,.:•.,v.?,. .:: :..: v{v,. •...n� :::::n,rxf????•}:•i:.. ..............,:.t::::.:G:.;. v-:: {::+..k•.....:.;..}. ..................:::::::•:w.::v:�.. .tv•k•A.....}Y 7vif:.x...........v. :..:.f............v.... .Y :> vr ........................... ......... ??{•}}::•}:{t•}}}}:;};4:j4.}.v:::•.v.v::::::w:......:•.:.::•::..::'ih:>::?4}}:•}}::.....;v:::::::::.v::::....w.,,::w:•:•::•. .............. .............. ..............,..... ... ......:::::.,v:v.v::.:w:::::n:v .......F:::.}}-,:v:+'•:4;v:•;x:{:::•.w::::::i}:.:. •...:}tii9:^{}^:}::%{:i;:%?•:�:i?:•}} .:::........................ ......................:....::•:................ ............r.n•:•v.•:.:v::::......,.v..v :•:x........r.......n.....;........... 'r..'w }:::�:::.::......-::::;r:r:::.....,..^}. .... ....... .- .::::::v:::•f••;x::m:•.:.vv:}nv}..........,...x....:........rr.:•.•. r.•.,R n....r...................... .... ...::::.:.,. ............... ............ ..................�w.v::.:n::::.::.:....:U:v:}i::::}i::::•:i}:.�:v:::}i}::i:?}:?-�::}::{•}}}:�iv:iX4::{v:•}:{.v::x:::v:Yv.'ti{;w �f ii4:'i':::?' ddf a..�f•- .i i}i5:i�}:;:i.;i}n'':ii:}:':j:}:i%t�iii t:: .{:•;:•}:::i:'ii+::'..:::.{:i?�'i::?:ii:.?i:^rill::.;; }'';: '•i:r:?;?;:i;i:;:;::{t:. �.; ':::•:..'•i^:•}:::•:+i}::•r ............:•: �>p ::t2a�•:u�> h r^ vi$ is n, veyiT:;:ri: ................................................ ................%•:•}}}:?•}}:}:•...'.:::?•}}}.'::::•::':::iii:::}:;i:iiiii<i:�ii::}:;}:ii:{i:....:: .-...,r...::::::}:...:v:•.. m:..:r' h•,v;v.}::v.•::.,v:nvx:::::r.,:•r:}y:{:::::}:'i:{r ...t>...... ............. ................... .. ..:........:.:....r..... .,,.-.v.-r::.vv.-,,....r.,....:,. nf.:...n}}}}}-{:::::•:v:•':b:?....::..-............ •.::;:v:::} .......... .........{....... .... ..... , ,w .,.......r......,.......r..•.....,,......-. .r....r.. v........ :....; .:{••�•- .}••{:j?f'•v :.•T„}}{}v.}v;:h:}:;:. _............ .............. .....xr..v.xr...{.�r.:.vn...N..r.......................n.... r•v.•.• ..,r.. {% ..... ............. r...r. ......................,.......w. ....r.......:.r.n Y. ........r.........n...........r.. .. .:nv.rv. :::::.• •}.yw:x:::. �- x.{•i%4.tf:�•r'•.:.;ri..;::',:x,i 4 w:riv'+�'.. ...........::w:...............:•::•.:.. ...... }... .....:. ..............r...:..x.:.{4.........�tq... (}{A., ...:.. :4:t::{::- ..',.. .}!t}•�..n: .n::4:.-x�Sr::N-,C,?;j}},'?:..+v..:.:•.:•. .. �p y.w� +f3h:v:%v........:v.::.v.v::.v:::::.v::::::::::.:::::::::•:::::•:ux:::::.v::::}}r:.{:•}:{•}}:...:.::::::::w:. Faflmre to seaee coverage as regoired snider Seedon,25A of MM Is2 cm lead to the imposition of cr mbw penalties of a 8oe up to$1,500.00 and/or me years'imprisomnent as weII as dvd penalties in the form of a STOP WORK ORDER and a Ate of$100.00 a day against ate. I understand that a copy of this statement may be forwarded to the OAice of Investigations of the DIA for coverage verification. I do hereby certify the pams penalties f pQJY that the infonnation provided above is bru and coned Sig�uattue Date s Print name Phone# S D '7 R offldsl use only do not write in this area to be completed by city or town ofndal - My or town: permdtNcwe# Q�g Board ❑checkif immediate response is required ❑selectmen's Office _ (:]Health Department contact person• phone#+ ��er.�� "vood 9/95 P]A) Information and Instrucdons_-. Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity;or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual;partnership, association or other legal entity,employing employees. However the owner of a. dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or an the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with.a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for canfir nation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be reduned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers'compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Depalment has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pei lit icense number which wM be used as a reference number. The affidavits may be returned to the Department by maul or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Imlesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 - *� �!e �ommiavuuea/� o�✓�aaoac/u�ar,Cld � , BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR a . Number.�..CS 054081 Birthdate.09/20/1960 Expires 09R02001 Tr.no: 8413 a_; ResMcted To: 00 LAWRENCE S DEVINE PO BOX 742 CENTERVILLE, MA 02632 Administrator .s .. ONEIPR V EPTCON ACTOR`}z f x a HT "p� IMD�TV at 0 nu u. ANIM it n '/ SCOO.t �s �,� AYRENCEM;S9 DEVINE,' �RPENTRY t: 4��?�►� ;� ` '�entervilYe�MA;02632 -"�k�'� t t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map C�276 Parcel Application Health Division Date Issued Conservation Division Application Fee /r Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ab 5CU 1>D192 �A\10 9 . Village `�1 JO.-Iris Owner V G'F 7AI f- At J Address 5U PQ02_A0G — 4YAM O S Telephone 96S w _7_1 S 71 -7 Permit Request �, A�-� ge7a0g�- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �-a Construction Type M Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#unit s) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes XN 0 Basement Type: �Kull ❑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: XY-es ❑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 i f BUILDER INFORMATION K Name woa"H EWA- Telephone Number �®�4 4a�_OZl(0� Address I1 6V 1 O'r" 46AD License# C J 071gaQ Cekr ubJ i LL6i MA odk,3D, Home Improvement Contractor Worker's Compensation# c5 co5q bo l 0.007 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ck%" U14,5 COW SIGNATURE DATE �� -0-7 i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL NO. t ADDRESS VILLAGE OWNER l e DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING J DATE CLOSED OUT i ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Offzce of Investigations - _ a 600 Washington Street Boston,MA 02111' ww'Mmass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information Please Print Le ibl Name(Business/Organizatiow7ndividuel): Y,anpwoq 1-0M1 W Address' City/State/Zip: ( i Phone.#: � ,kre you an employer? Check the appropriate bog: :Type of project(required):, 1, employer I am a e to with 4. ❑ I am a general contractor and I 6. ❑New construction . Xemployees(full and/or part time).* • have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the•attached sheet. 7. El Remodeling ship and have no employees These sub-contractors have g• ❑Demolition: �vorkin for me in an capacity. employees and have workers' g Y P tY t. 9. ❑Building addition [No workers' comp.insurance comp,insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions '3.❑ I am a homeowner doing ill-work . ❑ , g P myself.[No workers'comp. right of exemption per MGL 12,,Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp•insurance required,] *Any ipplicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeownemwho submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating'such. $Contractors that check this box must attached an additional sheet showing the name of the submcontractors and state whether ornot those entities have employees. Ythe sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that isproviding workers'compensation insurance for my employees. Below is.thepolicy and job site' information. (� �j� rr// �(� Q (/��►(��� Insurance Company None: �5 � 7 .t✓ �6�; ` l kJy�� ; Policy#or Self-ins.Lic. �10I Expiration Date: (� b Job Site Address: a '15G.aus � City/State/Zip: {w'-tWL5 Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of InvestiLrations of the WA for insurance coverage verification. �'do hereby c "fy under thepains•and pe perjury that the information provided above isstrue an'd correct afore: Date; Phone#' 9<6 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): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Client#:9580 2KPRE F.Agency DATE(MM/DD/YYYY)Du CERTIFICATE OF LIABILITY INSURANCE 09/10/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 'Neil Insurance ONLY AND CONFERS NO RIGHTS.UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd:, PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Associated Employers Insurance Compa Kenneth Perry DB/A INSURER& K.P. Remodeling&Construction INSURER a 19 Guildford Road INSURER o- Centerville,MA 02632 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS - LTR NSRE GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS _ BODILY INJURY $ SCHEDULED AUTOS (Per person) HIR&D,AUTOS BODILY INJURY $ NONZWNED7UITOS (Per acddent) rj PROPERTY DAMAGE $ (Per aa9dent). GARAGE:LIABILITY. 1 � AUTO ONLY-EA ACCIDENT $ f ANY-AUTO OTHER THAN FA ACC $ AUTO ONLY: pGG $ EXCESSIUMBREI.LA LIABILITY -:; - EACH OCCURRENCE $ 1_.: - OCCUR LSE]CLAIMS MADE AGGREGATE $ $ EDUCTIBL:E4 RDETENTION $ $ A WORKERS COMPENSATION AND WCC5005450012007 06/13/07 06/13/08 X wRY I IMITS J- OTH- EMPLOYERS'LIABILITY - - E.L.EACH ACCIDENT j$100,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? _ E.L.DISEASE-EA EMPLOYA$100 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMB $500 Q00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 'Workers Comp Information'" Voluntary Compensation Massachusetts Limits of Liability Endorsement Form#WC200301 Edt Date:04/01/84 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable Bldg Div. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL In DAYS WRITTEN Attn:Tom Perry-Commissioner NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 3 #49038 JMH ®ACORD CORPORATION 1988 pF1HEr Town of Barnstable Regulatory Services • BARNSTnB[e, y mass. �+, Thomas F.Geiler,Director TFnNa'�A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 3-6-FP 2Af—,QM{.RN , as Owner of the subject property hereby authorize �� ��,( 0)�5fl2UC.T(61"*4 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Sig tore Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION THE Town of Barnstable l�ti Regulatory Services * BARNSrABLE, * Thomas F.Geiler,Director MASS. �A 1639• A�� Building Division lFv � Tom Perry,Building Commissioner 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-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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. f 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fomrs:homeexempt Town.:of.Barnstable *rer ## o C�4 Expires 6 m the from issue date. ' .n . ` Regulatory Services Fee.. r� nsn . 163 9. Thomas F.Geiler,Director ♦e Building Division Building Commissioner IT� s Tom Perry, g 200 Main Street, Hyannis,MA 02601 BT Office: 508-862-4038 OCT 6 ?003 Fax: 508-790-6230 T�wN OF N BA v EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY RNS7gg�E l� Not Valid without Red X-Press Imprint Map/parcel Number UA i I Property Address ❑Residential Value of Work A 41</50 Owner's.Name&.Address Contractor's.Name $ Telephone.Number ��b Home Improvement Contractor License#(if applicable) 3 a O—L�j-a Construction Supervisor's.License.#(if applicable)' ,v ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner t4. I have Worker's.Compensation Insurance. Insurance Company Name Workman's.Comp.Policy# tic, Permit Request(check box) ARe-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this perinit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro st sign Property Owner Letter of Permission. Ho a Imp ement ontractors a is required. Signature QYorms:expmtrg Revised121901 °F1HE T° Town of Barnstable °^ Regulatory Services 1 BARNSPABU, Thomas F.Geller,Director MASS. q i639' Building Division prFD N1A'�a g Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building pe 't application for: d o U (Address of Job) S' ature o D e 4ti Print Name Q:FORMS:O WNERPERMIS S ION � � ✓�__� ���� \ Board of Building Re' lk_._astake\ HOME mfP uEMENT CONTRACTOR fs a 82 � # & / � K.P.REmo EuN . . . . KE METH PER q % #GU%OFo D Centerville,AM&m2 � . . . . . _ . \ Administrator Town of Barnstable *Permit P�OFtHE tgyyo Expires 6 months from issue date ,,�xxsresre, * Regulatory ,ervices Fee 9 aaass $ Thomas F. Geller,Director � s639• ��'OrED 59 Building Division - , "; Tone Perry, Building Commissioner 200 Main street,-Hyannis,MA 02601 MAR % 62004 Office: 508-862-4038 Fax: 5o8 790-6230 TOWN � qRN;rA LE- EXPRESS PERMIT APPLICATION - RESIDENTIAL 8l�ILY Not Valid without Red X-Press Imprint 0 Map/parcel Number �( 100 Property Address ❑Residential Value of Work 00c) Owmer's Name&Address e 'Q Telephone Numb Contractor's Nam er �?� �, A)IR a Home Improvement Contractor License#(if applicable) 4. Construction Supervisor's License#(if applicable) S 0?(P ❑WOIlanan's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner — — `f k I have Worker's Compensation Insurance Insurance Company Name 1 ►� A V p Workman's Comp.Policy#_ WC a—— -� Permit Request(check box e $— �>> 1 Ic e- 1 Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side' r✓l� Poavnzo.uueai o��/ aauaetla P BOARD OF BUILDING REGULATIONS I: ❑ Replacement Windows. U-Value (maxim. License. CONSTRUCTION SUPERVISOR J' Niumbew,� , 076820 ` *Where required: Issuance of this permit does not exempt compliance with E B+irlda �81�465 ***Note: Property Owner must si Pro a Owns : r gn p rty ��d `0 $ rBE Tr:no: . 3715 'Home emeat Contractors License i KENNETH'0 PER I.Rf Signature 19 GUIL-DFORD Rd` ®" CENTERVILLE, IVIF "% Administrator fl��N�r ti Town of Barnstable Regulatory Services 3 e Thomas F,Geiler,Director M,►ss. Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder hereby autlaotize to'zct On mp..behalf,. jn,all mattets relative to work autho=.ed•bp this 1ding•pe=mk-applic2.tion%for: o6W Aa Mr Q (Addtess of Job) , S' tote o Date Print Name Assessor's map and lot number .......//�?....... THE ;Wage 'Permit number .......................................................... 319RN9T&BLE, House number, ........................................................................ r MASEL 1639. NIAk"I TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... ......................... TYPE OF CONSTRUCTION .... 10......./—/ A.7 ...................................................................... .................... .....41. ........°�.1.....................19..�a. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......0..... ...... ........... ....................................................................................... Proposed Use ..... .......�n.... ................ Zoning District ........................................................................Fire District ............ -Name of ...Address .... ..... .641:��n......... Nameof Builder A-) ..... .........................Address ........................ ............................................................ Nameof Architect ..................................................................Address .................................................................................... Number of Roomslj .Foundation 1151.!.?" '_' ......................... Exierior ........................................................................Roofing .................................................................................... Floors11-C. ...Interior ..................................................................................... Heoting'� ..... ............................................................. .....Plumbing ...................a........................... ................................. .. Fireplace .. ..........................................................................Approximate Cos, ...f... ...... . .. ............. 0 ........... Definitive Plan Approved by Planning Board --------------------------------19-------- - - Area ....7y...� /........... Diagram of Lot and Building with Dimensions Fee ............../.1... ............. .... ....... SUBJECT.TO APPROVAL OF'BOARD OF HEALTH ti I hereby agree, to conform to all the Rules and Regulations of the Town of Barnstable-regarding the above construction. Name C�. ........ ........... ........... ............ ROGER COULTER & BOSTON SAFE E]POSIT & TRUST No Permit for ....................... COMMERCIAL BUILDING ......................... ...... ................ ................. Location .................... ................. ............................................ ownerKen„Sadler......................................... ..... .... .. .... .. Type of Construction Fr.4TJq.e............................. ............................................................................... Plot ............................ Lot................................. Permit Granted ....................................JanuAry 5,....19 81 1 Date of Inspection ....................................19 Date Completed ..... .......................19 PERMIT REFUSED ................................................................. 19 .................... . ................................................................................ . ............................................................................... ................................................................................ Approved ........................................... 19 ............................................................................... ............. ........................................................ Assessor's office ..(lst floor): �- r A sessor's m an to number .- � Hc��l-�=so�?�E Tod♦ A of .Heal?h (3rd"floor): fh� C ' rl-tL Sewage Permit number ........................................................ '.SEPTICAYWETTO 1 Engineering Department (3rd 'floor): INSTALLED IN C 0 � House number .........................:......0.v............................:.... WITH TITLE D Mix a• 1 APPLICATIONS PROCESSED 8:30= rr��9:30 A.mV ands 1:00-2:00 P.M. -only' ENVIRONMENTAL CODE� ABA®� TOWN REGULATIONS TOWNS OF BARNSTABLE , BUILDING ANSPECTOR . ... .:tom APPLICATION FOR PERMIT TO ................ TYPE OF CONSTRUCTION ...Y�..lQ..... ..........................:.................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�perrmmi't according to the following information: Location ....�.. ... �4�...... ..., .. ..:..... Proposed Use 'Y .. ?...... . ....��, 1�.�Y..ill..!1 .. ........................................ ZoningDistrict ........................................................................Fire District ..........................................:................................... STOP .�� � Name of Ow r ............................................. �.,,�m, .. ddress ........ Name of Builder ..... .... ...:.......... ............:....^................Address -."s. .:.. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..........I {.......................................................Foundation �1..lCS.�.�...�,5...�..F ................... Exierior .... .....SjNK!�S..............................Roofing ......�.. . .. ........ ..................................................... r Floors .......�......I.lSrie--....................................Interior ..... ....(.1............................................................. .......... Heating ..... .................................................Plumbing .... - Fireplace .........1' ...............................................................Approximate Cost .......... �. Definitive Plan Approved by Planning Board ________________________________19-------- . Area ............. Diagram of Lot and Building with Dimensions Fee AA ' . 1.�.0.............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... ............G`....`'...".................... Construction Supervisor's Lic e (233 ........... BOSTON SAFE DEPOSIT & TRUST ^ _' No ....289..4.5.. Permit for E c ' .................................... Location ....20...Scuddez..Auenu.6....................... _. � _;. .......Hyannis.......................................... Owner ......Boatan...Safe..Dtepos.it..&..Tzus.t " Type of Construction .......................................................................... t Plot ............................ Lot M1:......... Permit Granted .....February••18....... 1,9' 86 Date of Inspection .....................................1.9 �j r r• Date Completed ..,..... ... ..........Z .T9 ^ _ CO M rn `� fl..•1( KrP �E - I- i:' R - SHE T Regulatory Service Director tiO Town of Barnstable Richard Scali Regulatory Services Consumer Affairs supervisor * BARNSTABIX, * Licensing Division Elizabeth G. Hartsgrove MASS. A 1639. � 200 Main Street, Hyannis, MA 02601 Consumer Affairs Administrative www.town.barnstable.ma.us Officer Assistant Therese Gallant Margaret Flynn Telephone: 508-862-4778 Fax: 508-778-2412 INTEROFFICE MEMORANDUM TO: RICHARD SCALI, DIRECTOR OF REGULATORY SERVICES FROM: ELIZABETH G. HARTSGROVE, CONSUMER AFFAIRS SUPERVISOR DATE: JULY 27, 2017 SUBJECT: WEST END —PERMITTING PROCESS COMPLAINT CC: MAGGIE FLYNN,LICENSING ASSISTANT THERESE GALLANT, CAO ENCLOSURES Per your request to generate a timeline regarding the permitting process for the newly licensed West End, please find the following timeline below as well as supporting documentation from the Licensing Division: t Friday, February 17, 2017 Alcohol & Common Victualer License Application received. Saturday, February 18, 2017 Revised menu submitted via email from David Noble Tuesday, February 21, 2017 Maggie spoke to Atty. Bianchi's office to notify of Site Plan Review requirement. Wednesday February 22, 2017 Zoning conditions were verified Tuesday February 28, 2017 Site Plan Review Wednesday March 1, 2017 Clarification on entertainment received via email from Atty. Bianchi. Thursday March 2, 2017 Email from David Noble regarding the reduction in seating, as well as entertainment, and confirmation that a new floor plan will be submitted soon. Friday March 3, 2017 Revised floorplans received via email from David Noble Tuesday March 7, 2017 Site Plan Review Wednesday March 8, 2017 Updated ABCC forms submitted from Atty. Bianchi's office Maggie reminded that floorplan yet to be approved and still waiting for financial documentation required by State to be included in Alcohol application Thursday March 9, 2017 Maggie attended meeting along with David Noble on pending issues. Friday March 10, 2017 Promissory Note submitted by Atty. Bianchi's office i Saturday March 11, 2017 Revised entertainment application submitted by Atty. Bianchi Monday March 13, 2017 Legal Ad was submitted to newspaper Friday March 17, 2017 Legal Ad was published in Barnstable Patriot Monday April 10, 2017 Licensing Authority Hearing Tuesday April 11, 2017 Application sent to ABCC Friday May 12, 2017 ABCC approved application Friday June 23,2017 Request for Alcohol walkthrough received. Verified inspections by all other town divisions, understood only temp CO had been issued and still requires Fire approval prior to real CO being issued by Building. Alcohol Walk through by Maggie and CAO Gallant and issuance of licenses. Payment received. Town of Barnstable `M" = Regulatory Services fl Building Division 200 Main Street,Hyannis,MA 02601 508-862-4679 fax 508-862-4725 Initial Site Plan Review Issues & Concerns Applicant: The West End SPR#: 011-17 Property Address: 20 Scudder Ave,Hyannis Informal Map/Parcel: Map 290,Parcels 112 Zoning: Split—RB/OM/HB Proposal: Review of restaurant floor plans ting an increas employees and standees from the previous restaurant use,an a addition of IN. inment. The ab ve proposal was reviewed in a site p reviews eking hel day, February 28, 2017. e following comments are offere- : Paul Roma B din Commissioner C "irman • Onsite par Ng g is deficient for 'e proposed occ c a 315. (only spaces+2 HC provided) ith an increas.'from previous of 2 d the added use of live entertainment. • Offsite parking prop als `ll req rovision of cut d agreement., • Live entertainment wit arcing,e 1 n of operate gh occupancy load, low lighting.along with othe ications, ay re prop, al to be categorized as a nightclub. s S spnnklering • A visit to the Y g proposed. a FD Bui ,' is Y Amanda Ru erio - DP • Copie inte - rec ase trap is requestedej r b� b . a11 r oCn S- r P56� Town of Barnstable DARNVUSM` Regulatory Services Building Division 200 Main Street,Hyannis,MA 02601 508-862-4679 fax 508-862-4725 Initial Site Plan Review Issues & Concerns Applicant: The West End SPR#: 011-17 Property Address: 20 Scudder Ave,Hyannis Informal Map/Parcel: Map 29.0,Parcels 112 Zoning: Split—RB/OM/HB Proposal: Review of restaurant floor plans depicting an increas employees and standees from the previous restaurant use,and the addition of IN inment. The above proposal was reviewed in a site plan review s e g hel day,February 28, 2017. The following comments are offered: Proposal for 315 total occu anc with live ent ent andancin Paul Roma, Building Commissioner, Chairman • Onsite parking is deficient by 61 ces for the prop ccupancy load of 315 and the addition of live entertainment wit —only 67+ sp ces are provided. Total requisite parking spaces required to a is 127 spa 3 HC spaces. • An additional HC space (total of 3) 1 nee ovide nsite. • Offsite parking pro is will require 1e isio arking agreement. • Live entertainme cing, exten hours of Operation,high occupancy load, low lighting alon other cations, ma quire the proposal to be categorized as a nightclub. tclub, ditional code 'rements will need to be met. Amanda Ru eriam,.�DP W • C ten cords for a grease trap is requested. Pro osa _ 289 total occ c live entertainment 3 1piece band no dancing, Paul Roma B!k&g Commi over Chairman • AlthoughNseng g is deficient by 32 spaces for occupancy load of 278,the parking rationale ious tenant will be allowed to continue if the entertainment page (2nd page)of t plan is eliminated and no dance floor or band is proposed. Page 1 of the seating plan will need to depict the same number or less seats/occupants as the previous restaurant.Previous breakdown as follows: 233 seats,20 standing/waiting,25 employees=278 total occupancy. • Prior hours of operation may continue 12:45 a.m. (Nor'easter and the Paddock) • Previous tenant had a recorded entertainment license and the tenant before that had a live entertainment license for a pianist which would be allowable if desired. • A building permit receiving all requisite sign offs including Hyannis Fire Department is required and certificate of occupancy secured prior to opening. 1 i �, _� • Any increase in intensity or occupancy, or the addition of dancing and/or a live band will require site plan review and the provision of an executed parking agreement to fully meet the parking requirements and other code issues if applicable. Amanda Ruggerio - DPW • Copies of the maintenance records for the grease trap is requested. Occupancy for 278 total without live band or dancing Paul Roma, Building Commissioner, Chairman • Although onsite parking is deficient by 32 spaces for oc load of 278,the parking rationale for the previous tenant will be allowed to co ue i ntertainment page (2nd page)of the seating plan is eliminated and no dan or ban roposed. Page 1 of the seating plan will need to depict the same n less seats/o is as the previous restaurant. Previous breakdown as ows: 233 seats,20 st waiting, 25 employees=278 total occupancy. • Prior hours of operation may continue 12:45 a. or'— and the Pad k) • Previous tenant had a recorded entertainment lice d the tenant before that had a live entertainment license for a piani which would be a ble if desired. o A building permit receiving all re sign offs inclu yannis Fire Department is_ required and certificate of occupan rior to ope . • Any increase in intensity or occupan , , or. _ on of d cing and/or a live band will require site plan review and the provi wn o rking agreement to fully meet the parking requir d other cod ' es if app ble. Amanda Ru erio - • Copies of the ma ance ords for the g e trap is requested. r 2 s t Town of Barnstable MRIWAOM. Regulatory Services 7679..� Building Division 200 Main Street,Hyannis,MA 02601 508-862-4679 fax 508-862-4725 Initial Site Plan Review Issues& Concerns Applicant: The West End SPR#: 011-17 Property Address: 20 Scudder Ave,Hyannis Informal Map/Parcel: Map 290,Parcels 112 Zoning: Split—RB/OM/HB Proposal: Review of restaurant floor plans depicting an increas employees and standees from the previous restaurant use,and the addition of IN - A inment. The above proposal was reviewed in a site plan review s e ing hel day, February 28, 2017. The following comments are offered: Paul Roma,Building Commissioner, Chairman • The parking rationale for the previous tenant a e to continue i e w entertainment page (2°d page) of the seating plan 1 ated and no dance floor or band is proposed. Page 1 of the seatin an will need to the same number or less seats/occupants as the previous re - Previous bre s follows: 233 seats,20 standing/waiting, 25 employees= u ancy. • Prior hours of operation may continu 2:4 r'east. and the Paddock) • The Paddock had a liv entertainment . e . . for y a pianist which would also be allowable if desi • A building pe receive 11 requisite n offs including Hyannis Fire Department is required an ate of upancy sec ior to opening. • Any increase in in ty ancy, or t addition of dancing and/or a live band will requir revs d 1. an executed parking agreement to fully meet th men other co issues if applicable. Am erio - DP • h }of the maint ce re rds for the grease trap is requested. 1 Town of Barnstable BAMMMM Regulatory Services Building Division 200 Main Street,Hyannis,MA 02601 508-862-4679 fax 508-8624725 Initial Site Plan Review Issues& Concerns Applicant: The West End SPR#: 011-17 Property Address: 20 Scudder Ave;Hyannis Informal Map/Parcel: Map 290,Parcels 112 Zoning: Split-RB/OM/HB Proposal: Review of restaurant floor plans depicting an increas employees and standees from the previous restaurant use,and the addition of liv- inment. The above proposal was reviewed in a site plan review s e ing hel day, February 28, 2017. The following comments are offered: Paul Roma, Building Commissioner, Chairman • Onsite parking is deficient for the proposed occ c a 315. (only spaces+2 HC provided)with an increase from previous of 2 d the added use of live entertainment. • Offsite parking proposals will req rovision of cut d agreement. • Live entertainment with dancing, e . n of operate 'gh occupancy load, low lighting along with other indications, ay re rog al to be categorized as a nightclub. A nightclu .has an additio , s f req is including sprinklering for greater than 99 s is A visit to the 'r by Hy FD and Bull.'ng is proposed. Amanda Ruggerio - DP • Copies ainte a rec r, ,." x rease trap is requested. 1 THE WEST END RESTAURANT FLOOR PLANS TIME LINE—SITE PLAN REVIEW INFORMAL SITE PLAN REVIEW 011-17 FLOOR PLANS Floor plans received in Building Dept February 14, 2017 depicting total occupancy=315 Paul Roma signed off on this floor plan on February 14, 2017 for Licensing, however subsequently realized that the plan depicting 315 persons represented an increase in capacity and addition of a dance floor,which was different from the prior restaurant. Paul asked that the plan be put onto the informal site plan review agenda to ensure adequate parking etc. The floor plan received February 14, 2017 was reviewed in a site plan review staff meeting held February 28, 2017. On March 2, 2017 a draft of the staff report from the February 28, 2017 staff meeting was shared with the applicant. The staff report included the notation that any increase in intensity or occupancy from 278 (previous tenant) and/or the addition of dancing and live entertainment would require additional parking and other code changes. On March 2, 2017 the applicant provided a rationale by e-mail for capacity of 288, removing entertainment from the bar, limiting bands to 3 pieces and his intention to revise the plan accordingly and submit for approval. On March 3, 2017 the revised plan was received reflecting the above changes, a couple of minor revisions to the plan such as removing tables from in front of doorways and adding the 3 entertainers to the capacity were needed and this revised plan was received March 7, 2017 and placed on the informal agenda for administrative approval at the SPR staff meeting later in the day March 7, 2017. On the morning of March 8, 2017 the applicant was informed that from the site plan review staff meeting the day before,the need for additional minor clarifications to the plan were identified by Hyannis FD specifically,the waiting areas, labeling of benches and standees etc. and that an administrative approval would issue(Building Commissioner sign off on the plan) as soon as these revisions were received and they could meet the March 9 Licensing filing deadline. Having returned from Mexico,the applicant requested a meeting at 200 Main Street, Hyannis to be sure that he understood exactly what was needed for the plan to be signed off. The applicant brought a plan with him to the meeting which was held at 8:30 a.m. on March 9, 2017. This plan received a sign off 3/9/17 from Paul Roma with a total occupancy of 291. A copy of the approved plan was provided for the site plan review file. Town of Barnstable MAE& Regulatory Services F j Building Division 200 Main Street,Hyannis,MA 02601 508-862-4679 fax 508-862-4725 Initial Site Plan Review Issues & Concerns Applicant: The West End SPR#: 011-17 Property Address: 20 Scudder Ave,Hyannis Informal Map/Parcel: Map 290,Parcels 112 Zoning: Split—RB/OM/HB Proposal: Review of restaurant floor plans depicting an increas employees and standees from the previous restaurant use,and the addition of IN. , inment. The above proposal was reviewed in a site plan review s i e ng hel day, February 28, 2017. The following comments are offered: Paul Roma, Building Commissioner, Chairman • Onsite parking is deficient for the proposed occ : c a f 315. (only spaces+2 HC provided)with an increase from previous of 2 d the added use of live entertainment. • Offsite parking proposals will req rovision of cut d agreement. • Live entertainment with dancing, e : n of operate, gh occupancy load, low lighting along with other indications, ay re. ro , al to be categorized as a nightclub. A nightclu has an additio s f req is including sprinklering for greater than 99 s • A visit to the y Hy FD and Bui -'ng is proposed. Amanda Ruggerio - DP • Copief tz mainte rec rease trap is requested. 1 � a Message. ;W �--SCUA dXF Page,I of 2 VRn jj r Anderson, Robin From: Anderson, Robin Sent: Thursday, July 27, 2017 9:07 AM To: Ells, Mark cc: Lauzon, Jeffrey Subject: FW: Sign Permit Inquiry -West End Mark, ,I am forwarding this email concerning the West End sign permit per Jeffs request in order that you may have the information prior to your meeting next week. CRgb�+ Robin C.Anderson Zoning Enforcement Officer 200 Main Street _;.:Hyannis, MA.o26ox 5o8-862-4027 _. Original.Message----- From: Anderson, Robin -Sent: Tuesday; July 25, 2017 12:04 PM 'To: Lauzon, Jeffrey --Subject:,Sign,Permit Inquiry - West End There is a long permitting history at this location. As you may be aware, for many years it was the Paddock Restaurant. Subsequently, a new sign permit application was taken in on 3/5/15 and issued on 3/9/15 to reface existing signage. Another application was submitted on.6/16/:16.and issued 6/25/16 to amend the freestanding sign by adding text to the bottom. A third application was received on 4/3/17 to again reface existing signage and add s.ignage over the door. This request included an additional 20 sq over the door and would have been an increase in signage that could not be permitted as of right. The existing., :. . signage already exceeded the current requirements in the OM district. (Although in a split none, the property and building are situated primarily in the OM zone which governs the signage requirements).The OM district allows a maximum of 50 sq ft per site including a ,-!�.max of 24.sq for a freestanding sign. FYI: The existing freestanding sign is approximately 65 sq ft. ,At'first look,the 4/3/17 application did not appear to be a request that could be granted as of right. After an initial discussion and review of an old photo, I was able to dig through our street file as d'I actually located an old permit issued by Gloria for 10 sq. over the entrance for ttie'Paddock. Ultimately, the application before me was amended to reflect the 10 sq "_#hat..Gloria.had.previously allowed but not the 20 sq recently proposed. The permit to reface and add 10 sq was issued on 4/19/17. ,t. 7/31/2,017' , Me`ssage Page 2 of 2 3 'lease be aware that I exercised some out of the box thinking and liberal interpretation in`` order to do.this as the old signage over the door was no longer existing. Mindful of the history and the location, I offered the old 10 sq ft allowance (that Gloria permitted) as.a compromise by viewing it to be directional in nature. With this interpretation, I was able to process the application and not deny it for exceeding the square footage allowance..It seemed logical to me to have something over the door for customers to recognize the rhain entrance. I am sure this signage will never serve to woo the public from the road, clearly that task solely relies upon the large non conforming freestanding sign at the rotary: 'At the conclusion of this process, I remained under the impression that the representative I was dealing with found that adjustment to be satisfactory. At no time was I ever made aware that I was difficult, untimely or that the process was cumbersome. I offered .reasonable explanations for my questions and I took time to research the file and come pp With.a creative solution acceptable to both parties. I made a great effort to try to be as accommodating as possible but ultimately, I am limited to the restrictions of the process` and the language in the ordinance. /dye .... .'.f.. ...., Robin.C.Anderson Zoning Enforcement Officer !2001 Tain Street Hyannis,MA 026oi 508-862-4027 7/31/2017 ------------- ff a Yf Z , Z 4 4 4 2 4 Band Area 4 6 2 ® Q OUNGE -20 SEATS 2 Cla no no. 4 4 4 4 4 6 ¢ 2 � fL �z • 6 O MAIN DINING -96 SEATS t 00000000 000 2 &4R-12 ST00 4 4 4 6, 8 0 3 e a Bond Area 30"TV 30"TV --Cesi n build new Bluminated back bar shelvin ¢ 4 4 4 2 � - 0 6 ? 2 ¢ 4 4 4 - _ 4 2 , y,? GARDEN DINING ROOM-25 SEATS O _ OR- 5 - - -- --- ^l-->--_- _- .-..,,.. _�--- --= -_-__---•:_- - -r- - - --�-.. --_ -'e`" -- (MEN 5-BATHR00 - - -�.-r,� -- - - ---_- _. ¢ PREP ITCHEN ® -s t p WOM SBA ROOM ��{{ J 2 5 e: -� 0 b —� 4 lean h degrease hood, floors, walls & existing equipment Ci7 C33 Band Ara Dance Floor �- r� , rn 4 C� BANQUET COOKUNO r TW $ 4 BANQUET ROOM A 24 SEATS �- ( - I y 4m FRT ZB mtA IAA t12fil5 r, f'�I N 1''Q'u� 5D8-42o•9200 no nn P�L)fS OF r f The West End BANQUET ROOM B 19 SEATS 20 Scudder Ave. DISH ASHING STATION ccu an Load HYANNIS, MA. p_,f I SEAT COUNT TY OCCUPANCY TY MAIN DINING 96 EATS 21 - AR 12 STANDING WAFTING 75 Seating Plan—With Entertainment OUNGE OEMFLOYEES 4 nwc PA 17 SGI>E GARDEN DINING ROOM 25 raj BANQUET ROOM -A A-3 BAN UET ROOM -B 19 1/9Q2Q[7 TOTAL SEATS 213 TOTAL OCCUPANCY 330 m v� y Z 4 4 4 2Fuji ' w,s 2 ® 0 LOUNGE -2200 SEATS 2 2 4 4 4 4 4 6 4 y MAIN DINING -104 SEATS 00000000 000 4 2 a BAR-AR ST00 4 6 8 b 3 4 -0esi n build new illuminated back bar shilvin 4 4 4 I� 2 4 4 2 2 4 r '1 ID ARDEN DINING ROOM-25 SEATS O - � _ ._a-,..�e----- •- •a.. �,...� - ---'.��.._.� �•�-,� �-,o.. �.-_ 2t P --TS-.-. - PR K C - A t.�+� KITCHEN 4IMM ,,�, 5 ¢ lean & degrease hood, floors, walls & existing equipment III `l f !P BANQUET ROOM 34 SEA 4 SEAT COUNT N OCCUPANCY N �. AIN DINING 102S T W I 23 5f� t ® UNGE PLOYEES 6 4 S BANQUET COOKLIN PALOR 17 4 ARDEN DINING ROOMS L BANQUET ROOM 3 BAN UET ROOM 19 y TOTAL SEATS 233 TOTAL OCCUPANCY 4 ..,.,„ .-, ���i ri3 y>� 11dtlL��+•� 5 ® The West End 20 Scudder Ave. HYANNIS, MA. BANQUET ROOM — 19 SEATS DISH ASHING STATION - � � I ` i 1 4111311INT S w}- CrIR,iNI!/ 6 4 4 Seating Plan SCAM owc. 117.; rwi iK CM A-L 71 i I _.+...,:... ._ ..::m a:.>:...i.....a;....:.,...'.e. _...._ ... .—.�..::."_:5a'.,..�:w_.::.:.i::-:....:.:.:ter.... .. wr.' ..._.,. _.. ....s.. .. _..tv. ,, ... .... .. ._«.. _........ _... 2 2 2 4 4 2 2 HMN DINING - 97 4 4 2 .. 4 4 4 4 ,, 2 2 4 4 2 4 C, 2 I 2 .. i i 2 0000000 000 4 4 4 4 i 4 4 2 POOL TABLE _ 2 i 4 4 4 4 4 4 2 4 O0 2 2 4 fln4 s 4 am%or PUiDEN DINING ROOM-26 SEATS O • O 2 2 ,y 5 4 i 5 NOTES: 2 - ALL DOT SIGNS AND EMERGENCY LIGHTING TO BE REPLACED AND/OR ADDED AS REQUIRED FOR CODE COMPLIANCE. rIvs, CHECK ALL EXISTING MEANS OF EGRESS FOR PROPER FUNCTION OF PANIC HARDWARE ,, 4 ANSUL SYSTEM,SPRINKLER SYSTEM AND FIRE EXTINGUISHER INSPECTIONS AS REQUIRED. 5 UET COOK ® ENSTING FIRE ALARM TO BE MAINTAIN 36'CLEARANCE FOR ONITOREDALL EGRESS ISLES. COMPANY 2 BANQUET ROOM - 6 S t JN SEAT COUNT DINING 1T EATS 2�, -L L ® Noreaster EN DINING ROOM 2 Qum 331 20 Scudder Ave. _ WALK-IN HYANNIS. MA. „A T P CY Apcon,Inc. ISH I ASHING STATION / 4830 RT 28 M 2 4 4 2 = Cotuit,MA 02635 Seating Plan _ f3 SCALE owG. � DATE A-1 3-9-2015 1 4 Z 2 z 4 4 4 2 6 n-u vo 02 O ei Vr LOUNGE —22 SEATS 2 I 4 4 4 4 yy EE 0 + MAI DI G —104 S S 4 i 00 00 0 a 2 BAR-1 00 4 6 4 4 I $ n 3 o a 30" TV 30" N Design build new illuminated back bar shelvin --� 4 4 4 4 2 a I fl 6 � 2 a2 4 4 4 4 W.Vr ARDEN DINING R66M-25 SEATS ENS BA HROO 0 x5 P K CH ® O 0 r_ O WOM N S BAH 0 ITCHEN b t,• 2 C, 4 5 4 lean & degrease hood, floors, walls & existing equipment ' ,r p—7 e ain a Area BANQUET ROOM — 32 SEATS 4 J v 4 BANQUET COOKLINE 5 2 �� 4830R508 MAD�35 eSS � I I soe�zo s�o �� BANQUET ROOM B 21 SEATS The West End 20 Scudder Ave. DISH ASHING STATION rru.nn. Load SEAT COUNT TY OCCUPANCY TY HYANNIS, MA. r MAIN DINING 104SEATS 23 6 4 4BAK 12 STANDING WAITING 20 Seating Plan—With Entertainment DUNG MPLOYE S 5 DWG. PALOR 17 Entertainment 3 SCALE GARDEN DINING ROOM 25 I v� BANQUET ROOM —A 3 DAYE A-3 I- BANQUET ROOM —B 21 8r0Z=7 TOTAL SEATS 123j1TOTAL OCCUPANCY 291 f '`l HE W E5 T EN D" /7 -��`� F orb Scud•deR �v IV E � S .r .. 6a601 w PR 2 k i j0 rG Lqr 2 77A hlDi" Z 4 4 2 R bf NO 2 • s A� 2 2 2 GE sra2A GE � SrORA o NJ Cl ! , 4 6 4 3 ®�.m� ,•.��. y L3ASEm GNT rr 2 1o1A1E uP. InN� � � sTCAA&E 2 4 4 DRYVG R°04-25 i0 Cfl UP 0D P 0 2 5 4 ❑ n�eageoao noom. .. . Noo .�y�I%IooR _DA CFIooR " 1 ' . :.. T5 "fS OO PRa B1 S 4 �y (c a1�J, FRCP - FkE Mimi CwTko l PWL-1 cyp .�mRra�arRw�ere IRQIQLJEI Raw_ West SMOKE DETEC—TOR-Pµvro Eisclrki _ The Scudder End 20 Scuddmr Ave. �e�, , m t c HYANNIS. MA. PU I I 51-A OM O U 1t I AC/(D N 6 4 4 4 Se Ong Plan—No EnteAalnment - - WINII . tT . MA®2 ® -TAMPER Saa;dl I+ Flow SW iTC - 13AND/13AR 5RUT DObj#3 RELAY-'NrAk COdJNEC 1 �-HOi2n�l ssi2o 8 E 1 - S i RoAE oju/Y CAPE COD R-ia Y! wd 2 4 Z 2 6 we VY R-n�/! O 2 O LOUNGE —22 SEATS 2 2 fd 4 Rd 4 4 4 4 4 4 F- 6 2 2 L sb,a 6 MAIN DINING —104 SEATS 4 00 00 O 2 BA —1 OOL f4L 6 4 4 8 3 a a 30" N 30" N --Design build new illuminat - 4 4 4 4 2 a 6 O 2 jf24 4 4 4 s.Vr 4 GARDEN DINING ROOM-25 SEATS 1 IMEN S BATHR00 0 5 © � ® . WO AHOM ofl r 2 KITCHEN r L� 4 5 4 lean & degrease hood, floors, walls & existing equipment !! I e a' a Are BANQUET ROOM — 32 SEAS 4 4 BANQUET COOKLINE 5 4 rd Is a_ e I I 5 � ® aaso ar 2e Coui1,Mn� S •f ��� 5 BANQUET ROOM B 21 SEATS ® ® The West End ���� OISH ASHING STATION _-,_-- Occupant 20 Scudder Ave. SEA v-,ram A nn. T COUNT OTY OCCUPANCY QTY HYANNIS, MA. �# MAIN DINING 104 SEATS 23 6 4 4 A 12 STANDING WAITING 20 Seating Plan—With Entertainment GUNGE MPLOYEES Mr. PALOR 17 Entertainment 3 VQU id �GARDEN DINING ROOM 25 ]-.1- BANQUET ROOM —A 32 DATE A-3 BANQUET ROOM —B 21 810?/2017 TOTAL SEATS 1233TOTAL OCCUPANCY 2911 •. • . • R-o Ve • . , 4 Z Z 4 4 4 2 § 2 AO 2 LOUNGE -22 SEATS 2 2 ... re err 4 4 4 4 4 4 4 a 2 6 6 2 ti 0 �+ MAIN DINING -104 S TS 4 CQ)00Q00 O 2 a BAR-1 00 4 C) o 4 4 $ n 3 o q 30" TV 30" TV —tiesi n build new illuminated back bar shelving -- 4 4 4 4 2 6 � 2 0] 2 f4� 4 4 4 sa ve } ur GARDEN DINING ROOM-25 SEATS MEN S BAIHKOUMO - 5 P K CH O ® O FW MH 00 2 KITCHEN u 4 5 4 lean & degrease hood, floors, walls & existing equipment ,a i E e ain a Area BANQUET ROOM - 32 SEATS Cl y 4 BANQUET COOKLINE q R- 5 2 ® `:no IWAI K—IN Q001 FR FC I�01__0 f sµ�Ur3t.-issu[[ Ws1 F2�41°j° « �7 1ACk 4830RT28 Cam MA02M5 N ASS r soa�zae�oo BANQUET ROOM B 21 SEATS ® ' The West End Scudder DISH ASHING STATION r I Occupant LoadHYANNIS, MA. _ SEAT COUNT TY OCCUPANCY TY r R MAIN DINING 10 EATS 23 6 4 4 12 STANDING WAITING 20 Seating Plan-With Entertainment LOUNGE MPLOYEES DW& PALOR 17 Entertainment 3 SCALE GARDEN DINING ROOM 25 �'■�' BANQUET ROOM -A 32 DATE A-3 -I BAN UET ROOM -B 21 8A7/2017 TOTAL SEATS 233 TOTAL OCCUPANCY 291 Vd Z 4 4 4 4 2� 6 2 n-n yr 0' 2 O LOUNGE —22 SEATS 2 2 rdIn n no no �i 4 4 4 4 4 4 4 6 2 2 ti ,ri Yr 6 MAIN DINING -104 SEATS 4 &)00000Q) 0 2 � BAR-1 00 4 0 6 C 4 4 8 uIPARI OR 17 3 o v 30" N 30" N ^esi n build new illuminated back 4 4 4 4 2 6 � ? 2 f4� 4 4 4 si yr GARDEN DINING ROOM-25 SEATS M N S BAIHROO 0 5 c N ® Q � � rd O' F� WOMEN S B H 0 M KITCHEN a f 2 IJ / 0 4 5 4 lean & degrease hood, floors, walls & existing equipment 1d I to ain e e BANQUET ROOM — 32 SEATS 4 4 BANQUET COOKLINE 5 EL � �� rr r ~ $ CON,,, 1 t\( W_' 1 5 2 xx G �j1 a: `vvJi erse<s s \rw EszLc*1 ,_a.: w- �y 1ACh 483O RT28 CODA MA02035 .� 506 420QW BANQUET ROOM B 21 SEATS ® ® '+ The West End QKnA cru nn. no 20 Scudder Ave. _ _ DISH ASHING STATION _- -ir I SEAT COUNT OTYJ OCCUPANCY TY HYANNIS, MA. n MAIN DINING 104SEATS 23 6 4 4 12 STANDING WAITING 20 Seating Plan—With Entertainment LOUNGE MPLOYEES 35 u PALOR 17 Entertainment 3 SCALE GARDEN DINING ROOM 25 I'.1' ri ur BANQUET ET ROOM —A 3 DAN A�3 BAN U ROOM —B 21 $g7/1O17 1 y TOTAL SEATS 233 TOTAL OCCUPANCY 291 f, 4 Z Z 4 4 4 2 2 6 ira K e-n yr O 2 0 LOUNGE -22 SEATS i 2 !dno no nn 6 4 vd 4 4 4 4 4 4 6 MAIN DINING -104 S TS 4 00 00 &0-0,0 2 � BAR-1 OOL 4 6 4 4 $ �; 3 o a 30" TV 30" TV esi n build new illuminated back bar shelvin �— 4 4 4 4 2 6 2 2 2 4 4 4 4 s+ GARDEN DINING ROOM-25 SEATS MEN S BA HR00 0 z 5 C E ® 0 � rd 0 WO S A H 0 2 KITCHEN e 5 4 lean & degrease hood, floors, walls & existing equipment rd E to ain e A ea BANQUET ROOM - 32 SEATS 4 4 BA 4 NQUET COOKLINE 11 x� 5 4 rd 2 fit'. t��'M.�R'r exxt!�cv.•p�{�xwv::t„ss�1�s1,3"..,',r r==s' 5 L'1 A ck 4690 Frr 28 cotlr.MA o2635 I r r 50"2a9200 0r�ns5 BANQUET ROOM B 21 SEATS ® ® '+ The West End 20 Scudder Ave. DISH ASHING STATIONOccupantoa SEAT COUNT OTYI OCCUPANCY 1Y HYANNIS, MA. rMAIN DINING 10 EATS 23 6 4 4 BAK 12 STANDING WAITING 20 Seating Plan—With Entertainment GUNGE MPLOYEES DWG PALOR 17 Entertainment 3 SCALE GARDEN DINING ROOM 25 Y w I BANQUET ROOM -A 3 DATE A-3 BANQUET ROOM -B 21 8AP=7 TOTAL SEATS 233 TOTAL OCCUPANCY 291 v{ 4 Z Z 4 4 4 2 § 2 w.yr 6 .-„yr 0 2 I O LOUNGE —22 SEATS 2 T� 4 , 4 4 4 4 4 4 6 C . 67 6 2 L s<yr MAIN DINING —104 SEAS 4 O O O O O M 2 BAR-1 00 4 6 4 4 8 u 3 o a 30" TV 30° TV --design build new illuminated back bar shelving 4 4 4 4 2 6 � 2 2 4 P 4 4 GARDEN DINING ROOM-25 SEATS MEN S BAIHKQQMO 5 © � c ® O WO N S BA H OOM 2 KITCHEN � r 4 5 4 lean & degrease hood, floors, walls & existing equipment ! r r E e ai Area BANQUET ROOM — 32 SEATS 4 V 4 BANQUET COOKLINE 5 4 ?;: n rr 4 ti , RCN I« i 2;5P 4830 RT 28 co>Wr MA o r 508.420-M BANQUET ROOM B 21 SEATS ® ® '+ The West End 20 Scudder Ave. DISH ASHING STATION _r_ru an Load n Q 0 Q D (7)n z _ L v* I SEAT COUNT OTYJ OCCUPANCY TY HYANNIS, MA. M.a MAIN DINING 10 EATS 233 6 4 4 12 STANDING WAITING 20 Seating Plan—With Entertainment LOUNGE MPLOYEES DW& PALOR 17 Entertainment 3 SCALE GARDEN DINING ROOM 25 t.1. r w I BANQUET ROOM —A 32 ME A-3 BANQUET ROOM —B 21 S107=7 TOTAL SEATS 233 TOTAL OCCUPANCY 291 n-io w' I 4 l rX UU Z 4 4 4 2 ° 6 2 2 Effigy VESTIBULE O LOUNGE -22 SEATS 2 2 4 4 4 2 2 6 4 6 ti r ae yr IMAIN DINING -104 SEATS OOOOOOOO OOO 4 p C n2BAR-12 S OOL 4 6 ff4� 4 t 8 6 3 0 0 4 -0esi n build new illuminated back bar shelvin —� 4 4 4 4 07 2 a I 0 a2 4 4 4 4 ARDEN DINING ROOM-25 SEATS MEN S A HROO NU FaEr O 2 KITCHEN 4 5 C41 ❑ lean & degrease hood, floors, walls & existing equipment 2 BANQUET ROOM - 34 SEATS 4 SEAT COUNT QTY OCCUPANCY QTY, AIN DINING 104SEATS 23 r ® 12STANDING/WAITING `t 4 BANQUETALOR PALOR 17 COOKLINE 22 EMPLOYEES 5 4 ARDEN DINING ROOM 25 "* BANQUET ROOM BAN UET ROOM 19 TOTAL SEATS 233 TOTAL OCCUPANCY 3I S The West End A o� 20 Scudder Ave. r FEB 14 ` HYANNIS, MA. BANQUET ROOM - 19 SEATS DISH ASHING STATION �A�1�1ST�+g�"� AMb V11NF seers O - T� cw�ee►ess 6 4 4 "-` Seating Plan sca.e DM „,K A-2 n-o yr a Band Area 4 Z Q 6 me.a n- Vc 0 2 ENTRY VES1113ULLO LOUNGE —20 SEATS 2 2 r< Nd 4 4 4 4 4 2 6 4 2 � ti sbR 6 MAIN DINING —96 SEATS 00000000 000 00 no 2 � BAR-1 STOOL �4ft 6 1-4- 1 4 t 8 IPARIOR 17 3 " v 30" N 30" TV Band Area ,^,esi n build new illuminated back bar shelvin � 4 4 4 4 2 � O 2 2 It 4 4 4 ar4r h ARDEN DINING ROOM-25 SEATS M N S BATHR00 0 ECT O � } ra O 2 KITC a 5 4 ❑ lean & degrease hood, floors, walls & existing equipment El and Ara Dance Floor 4 a BAN UET COOKLINE 5 4 DING BUIL BANQUET ROOM A 24 SEATS 5 FEB142011 , ®VVI�!Of-�Ai#1�5 I Hr, Co 4830 RT28 A MA 02835 r 508420.M BANQUET ROOM B 19 SEATS I ® ® The West End DISH ASHING STATIONOccupnnt Lond20 Scudder Ave. I a-r SEAT COUNT OTYI OCCUPANCY TY HYANNIS, MA. AIN DINING 96 EATS 21 6 4 4 12 STANDING WAITING 75 Seating Plan—With Entertainment OUNGE 0 MPLOYEES DWO. PALOR 17 SCALE GARDEN DINING ROOM 25 t.1' r I BANQUET ROOM —A DATE A-3 BANQUET ROOM —B 19 114=7 TOTAL SEATS 213 TOTAL OCCUPANCY 330 o-ro Yf . ,rd 4 wa,T LOUNGE rd ,rd Remove banket seating and install drink rai 1/r I.. emove all booths, tables & seating and install new. Layout to be emove and replace cer8 is the submitted prior to installation. Refinish hardwood flooring 00000000000 O O O O O O O O O O Replace ceiling fans & lighting fixtures Install 2 x 2 Faux ceilin anels � I--an rep ce r op n pua PARLOR f few—i nd pain E11 new ar a ui men era ace a o _ p elocate two wall heads to ceiling -------Design build new illuminated back bar shelving�— MEN S BAH 00 O GARDEN DIN GROOM 0 � i t KITCH N a ® emove and replace wall and floor tile paint trim and ceilings both bathrooms lean & degrease hood, floors, walls & existing equipment >d emove Carpet and install new Vinyl plank Install Faux ceiling panels Paint walls and trim NOTES. Install new tables and seating ALL EXIT SIGNS AND EMERGENCY LIGHTING TO BE CHECKED AS REQUIRED FOR CODE COMPLIANCE. CHECK ALL EXISTING MEANS OF EGRESS FOR PROPER FUNCTION OF PANIC HARDWARE ANSUL SYSTEM,SPRINKLER SYSTEM AND FIRE EXTINGUISHER INSPECTIONS AS REQUIRED. BANQUET ROOM ° ® EXISTING FIRE ALARM TO BE MONITORED BY ALARM COMPANY. BANQUET COOK LINE MAINTAIN W CLEARANCE FOR ALL EGRESS ISLES rd ®t BUILDING DEP-T The West End 20 Scudder Ave. ® rd HYANNIS, MA. �-� FEB 14 2017 APM16M ASH ASHING STATION � I ,r-n• i M�IIQ� w-w ( TOWN OF BARNSTABL: arl,w�ew Floor Plan o� SCALE A-1