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HomeMy WebLinkAbout0515 WEST MAIN STREET -sis �.c�.�-r Ma�� S"fi YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.0 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 nec.essaiy signatures on this format Business Main ific Hyannis. Take the completed form to the Town Clerk's Office, 1 st FL., 367 Main-St.; Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:-- Fill in please: i�� W9'uJlnsk�"4fi APPLICANT'S YOUR NAME/S: Q S'I e,J,' f_. M�I C�96sS� BUSINESS YOUR HOME ADDRESS: N 31 ELEPHONE # ` Home Telephone Number 50 y /SS 1 �^ 1 - e �. 0 6�1 G� a g 3 . :M* xsadf t1h"�F rr. rrt V Emai 1 Address: NAME,OF'CORPO.RATION ECU._r VS L( LF A' NAME OF NEW'BUSINESS -TYPE OF BUSINESS AeIT� lytGgw� `� S �Q e IS.THIS A HOME:OCCUPATION?. YES NO� �! - UUI [Assessing] ADDRESS OF BUSINESS i NNI MAP/PARCEL-NUMBER Wess 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 isIintended to assist you in obtaining the information you may need. You MUST GO TO 2 (corner of Yarmouth hen starting a new busin Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your, usiriess in this town. 1. BUILDING CO MISSIO ER'S OFF E This individ al as e * or of ny rm' requirements that pertain to this type of business. ut r'ized S' natiAre* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the"licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Map . Parcel Application # !�o Health Division Date Issued (K 1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address S f o LV4�`� Village jj ���/q 14 Owner lJ' Address ST�r�cO�.z/ L,, &-se'rr�„�!� Telephone ! _ TV Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type . Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure • Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) -Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas. ❑ Oil ❑ Electric ❑ Other ,,Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exRg ❑ ne,� size Attached garage: ❑ existing ❑ new , size _Shed: ❑ existing ❑ new size _ Other: y Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ w Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use , APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number -2 Address � �� ;/CJ License # 6� " ® I 7 6 6 0 ALtc C ?/Vl - Home Improvement Contractor# J Sig Email Worker's Compensation # C� ` S'"3-7)5_10a/3 -ALL CONSTRUCTION DEBRIS R LILTING FROM THIS PROJECT WILL BE TAKEN TO � . , SIGNATURE all DATE ft 1 FOR OFFICIAL USE ONLY - - APPLICATION# r ` DATE ISSUED `f MAP/PARCEL NO. r F ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ! GAS: ROUGH FINAL ` FINAL BUILDING s c DATE CLOSED OUT ASSOCIATION PLAN NO. 4 The Commonwealth of Massachusetts Department of Industrial Accidents 0, e ofInvestigations V +600 Washington Street Boston,MA 02I11 www.wass-goWdia Workers' Compensation Insurance Affidavit:B.mlderslContractors EIectrician Tlumbers Applicant Information Please Print Legibly Name awsiness nip- .on8addftl): Address:f`L , 1 CYstatrz�P: -7 s' Are you an employer?Check the appropriate box: Type of project(required): 1.[dI am a employer with _ 4• ❑1 am a general contractor and I 6. ❑New construction employees(full andloc part tine}.* have the%&—c�vrs 2.❑ I am a sole proprietor or partner- listed onthe attached sheet` y- ❑Remodeling strip and have no employees - These sob-contractors have g_ ❑Demolition employees and have workers' working for mein any capacity. I 9. ❑Building addition [No workers' comp.insurance comp.insurance. r of additions required-] 5. ❑ lU..We are a corporation and its ❑Electrical � 3.❑ I am a homeowner doing.all work officers have exercised their l E]Plumbing repairs or additions myself o workers' right of exemption per MGL 12.❑Roof repairs � c.152,§1(4},and we have no insurance required-]T 13.0 other employees.[No workers' comp.insurance required-]i •'Aug agplicaod that checks boa#1 must also fill out the section below showing then wadcets'compensation policy iafinmatiom_ linmeowners Who submit his dfidn*indicating they are doing off ma*and the hue outside contractors must submit anew affidavit indicating such- tCoatracmrs fiat check this boa mast attached an addidnaal sheet showing the name of the sob-camRractors and state whether arnot those entities have employees. lfthe sob-contsactoes here employees,they must provide their workers'comp.polkcf number. lam art einptoyer that isproviding nwrkers'comg2erisation insurance for my enrptoyees. Belau is the policy and job site i>gfodw4ation. InsuranceCompanyName: �be� Policy#or Self-ins.Lic.#: v�-� FustlOu Date: l 2/ Job Site Address: G7� �� J'�Gr ,`L, Ci City/Staw2up: 4 � S Attach a copy of the workers'compensationpolicy declaration page(showing the policcy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition ofcrirninal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Immstigations of the DIA for' coverage y6ffication. 7do trereby,carhfy Ulfr tt nand pens 's fperjarry that the information prinided above is true and correct Signa tire: Date: 3 Phone# - -7-7 L ^ �� 3 0 0J jfcild run only. Do not write in ttris area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 3.Building Department 3.CityfFown Clerk &Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person. Phone 9: 6 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Sunern isor Unrestricted -Buildings of any use group which' License: CS-074660 s .� contain less than 35,000 cubic feet(991m )of JOSHUA X KOUR s' enclosed space. PO BOX 210 CENTERVILLE.YKA 026 Expiration Commissioner 02/12/2015 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.Mass.Gov/DPS ✓fte "Coam�rcc�y,�tegl� o�✓a/.aaaac�iuee�G �` , office-of Consumer Affairs&Business Regulation HOME:IMPROVEMENT CONTRACTOR Registration - n,.. .,� 165936 Type- Expiration: 4/9/2014 p Ljgense or registration v__alid'for.:individu1:use only PPivate Corporatior� � before the expiration date If found return to: CAPE: ISLAND CONST-Rl=7CT-0N C0 INC Oflice of Consumer Affairs and:Busmess')tegulation I — h 10 Park Plaza Suite 5370 J.OSHUA.fZOURI.�' - � Boston;'MA,02116 j 55-ELM AUE HYANNIS,.MA 02601 - Undersecretary j al �thouf signature THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. —IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s PRODUCER FRANK L HORGAN INSURANCE AGENCY.INC- CONTACT.NAME: " 44 BARNSTABLE ROAD PHONE IAfC.No,Exti, FAX AIC No: HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: LIBERTY INSURANCE CORPORATION INSURED INSURER B: CAPE& ISLANDS CONSTRUCTION COMPANY INC PO BOX 210 INSURERC: CENTERVILLE MA 02632 wsURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 16291898 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDL SUER POLICY EFF POLICY F-XP TYPE OF INSURANCE LTR INSR WVD POLICY NUMBER MM/DDIYYY MM/DD/YYYY LIMITS ` - GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE F OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN_'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PROJE - LOC $ AUTOMOBILE LIABILITY (EOa aBINEDt)NGLE LIMIT $ BODILY INJURY(Per person) $ ANY AUTO " AALL UTOS OWNED 8 AUTOS BODILY.INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per e..Z $ $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ $ A WORKERS COMPENSATION WC5-31 S-377540-013 5/7/2,013 5/7/2014 i TORY L MITS AND EMPLOYERS'LIABILITY - Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE - E.L.EACH ACCIDENT $ 100000 OFFICERIMEMBEREXCLUDED? - ❑ NIA - (Mandatory in NH) - E.L DISEASE-EA EMPLOYEE $ 100000 It yes,describe under - - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addlllonal Remarks Schedule,If more space Is required) - Workers Compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 A HORIZED REPRESENTATIVE iJ FI Jeff Eldrid e ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD RT NO.: 1629 898 Didi Dan as 5/9/ 013 7:24:08 AM ea 1 of 1, - FFis certl icate cance4ls andzsupersedes AL9� previously issued certificates. x EstJmate f 1 S�h Date Mar 24,2014 ^Ga e „<r Cape & Islands Construction Co. P•o V Po Box 210 Centerville Ma. 02632 Terms 508.775.7663 h S ip Via COSxRUCTI6 C� Ship Date t. _ s Executive Auto&Sale 515 W Main St Hyannis Ma. CERTAINTEED Certainteed Shingle Roof 7,800.00 Strip existing shingles from roof. Secure any loose sheathing. install Hicks brand vented aluminum drip edge: ` Install Wip brand Ice&Water Shield to all eves, rakes,valleys and all protrusions. . install Surround brand Synthetic Felt Underlayment. Install Certainteed Quick Start starter shingles to all rakes&eves. Install Certainteed LIFETIME architectural shingles: Storm nail all shingles. (State building code requires 4 nails, we use 6). Re-flash all vent pipes with new boots. Install Rigid Vent Ii ridge venting. Remove and dispose of all job related waste. leave your property looking like we were never there! Provide all manufactures warranties and LIFETIME warranty on our labor, if it ever fails due to our workmanship we . fix it,forever! It's The Best In:The Business. Please note our wind warranty is also the best And longest available ANYWHERE! Total(0) $7,800.00 1 Signau t , Page 1 t' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel (DO Application # C)yC% 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 S/5 �✓ZS`S 7 ✓ f¢.a�,� lzs] , Village 14 44 S Owner �'��G• I-°�/ Address Telephone 1 Permit Request 6s i �t/ = T e 0 ,Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Pro ect _. �luafion- --- S00- Construction Type. Va 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 (sit c ® ' Number of Baths: Full: existing new Half: existing e n& Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Ro m Coun£0. iI w r-- Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other rn Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size = Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name l��'i - ® - 'Telephone Number Sow 3 - 7 `' a-Address o AJY C T2 -License#� S 0�� Home Improvement Contractor# Email ��J Y� f�o . ��1 17—---Worker's-CompEOsaton�#--M AL-L-'CONcSTTRUCTION_DEBRIS_RESULTING.FROM THIS PROJECT WILL BE TAKEN'TO *SIGNATURE r ------DATES f ° FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP'/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE.,cLOSED OUT AS,50CIATION PLAN NO. The Commonwealth of Massackusetts `. Zlq wtment of Industrial Accidents Office ofInvest gations 600 Washington.Street Boston,CIA 02111 wwntmassgovldia Workers'.Compensation Insurance Affidavit: Builders/C:+ontractorslElectncianslPlumbers Applicant Information Please Print Legibly Name tBarsmessi t>r�llndiv thtau_ lZ�e C���/z. Address: CitylStat Zip= (fev"l .✓ fic Phone i 0 ^3 2,6 7 Are you an employer?Check the appropriate box: . Type of project(required): 1.® I am a employer uith 2 4. ❑ I am a;general contractor and I � 6_ ❑New conston - employees(full and/or part-time).* have hired the sib-contractors 2.❑ I am a sole propfielor or partner- listed on the attached sheet. 7- ❑Remodeling Pe These sub-contractors mre slop and have no employees. 8_ ❑Demolition working for me-in any cspacitT employees and have workers' 9_ El Building additiflri. [Na worlters'comp.insurance, comp-snsuranc'e I re wor_] 5 ❑ We are a corporation anal its la El Electrical repairs:or additions ke 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [N8 workers`gip_ right of exemption per MGL 12.❑Roof repairs insuranceregaimd.] t c.152,§1(4�and we have no employees-[No workers' 13.El other comp-insurance required-j *flay licaut that ched-s box#1 mast also fill out the section,below showing their worker&'compensafmn.pol"acy information- Opp nnmeown,ers who submit tbd&affi lavit nulicatmg they•are doing all wo3 and dum hire outs&conttacrars mast submit a new affidavit indicating such. IContracturs ibat check this boar must attached an additional sheet showing the nose of the sub-contractors zad stare whether or not those entities have employees. Ifthe sub-coatiactors have employees,they must provide their worker'comp.policy number. Inman employer thatisprrr yi&l ig workers'compeeesatioet insurance for zny enzpio}ves. Below is the policy and jab site information. Insurance Company Name: Policy#or Self-ins-Lic.;9: �'/U(;�. r "/q q w `w( uation Bate: Job Site Address: �( � (�(/QiS�' 'A�v4"t t ' city/staw ip: S v Attach a cop.y of the workers'compensation policy*declaration page(showing the policy num 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$1,50D.00 andfor one-year imprisonummt,as well as civil penalties in the form of a STOP Wf3ItIC ORDER and a fuze of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations.of the DIi for insurance coverage verification- I do hereby cartify under the pains and penalties ofper aiy,that the information prmided aboiv is bue and correct Sienature- e- �� Date: Phone 9: 3?.4-qZ L! Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitUcense if Issuing Authority(circle gone): 1.Board of Health 2.ceding Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 ACO® DATE(MMIDDIYWY) CERTIFICATE OF LIABILITY INSURANCE 07/102014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES .BELOW. THIS CERTIFICATE,OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marshall K Lovelette Insurance Agency Inc NAME: 396 Main St acNro E : FAX No West Yamouth,MA 02673 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: AEIC A0086 INSURED R&R Construction Custom Homes Inc INsuRERB 90 Nye Road Centerville,MA 02632 INSURER c: INSURERD: INSURERE: - 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 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE JU SUER POLICY NUMBER MM DDIYYYPOLICY F MMDDI POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE 0 RENTEU PREMISES Ea occurrence $ CLAIMS-MADE F-1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO- LOC ; $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ eO SCHEDULED .. - xeC OSS AU 4 S BODILY INJURY(Per accident). $ NOTWNED PROPERTY DAMAGE ffPD ALIT ALI Per accident) $ WRELLAd`IAB CUR EACH OCCURRENCE $ FCESS LIA (I.AIf,,48-MADE _ - AGGREGATE $ DED7ENTION$ '+ $ A WORXM COMPWSATION WCC5003799012013 11292013 11292014 J WC sTATu OTH- AND EftKOYERS.QABILITY y YIN TORY LIMITS -R ANY PPa;MIEfORTP TNER/EXE N NIA E.L.EACH ACCIDENT $ 500,000 OFFIC EMBER.9 CCLUDED? r.n (Mand inNI Qom' El.DISEASE-EA EMPLOYEE $ 500,000 If yes, ibe and 500,000 DESCR ON OF RATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - CERTIFICATE HOLDER CANCELLATION Fax#:(508)790-6230 Attn:Sally r + SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 South Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-060160 a _ ROBERT J HARR — wa 90 NYE RD. CENTERVTLLE 1VIA02..: Expiration 05/09/2016 Commis sio ne r , v i + 1 WSUBM • MASS. ,.� Town of Barnstable ArFD��A Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner " -., 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r � `�I, � C , as Owner of the subject property ' hereby authorize :Cp In Irc A(' —to act on my behalf, in all matters relative to work authorized by this building permit application for: 6 n (Address of Job) Signature of Owner Date t - I ch aic- Print Name , If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i Q:\WHILESTORMS\building permit forms\EXPRESS.doC Revised 061313 Mass. Corporations, external master page Page 1 of 1 William Francis Galvin Secretary of the Commonwealth of Massachusetts Corporations Division Business Entity Summary ID Number: 001126972 Request certificate I New search Summary for: GYMK REALTY, INC The exact name of the Domestic Profit Corporation: GYMK REALTY, INC Entity type: Domestic Profit Corporation Identification Number: 001126972 Date of Organization in Massachusetts: 01-28-2014' Last date certain: Current Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 515 WEST MAIN ST City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and address of the Registered Agent: Name: GEORGE A YOUSSEF Address: 431 STARBOARD LANE City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT GEORGE A YOUSSEF 431 STARBOARD LANE OSTERVILLE, MA 02655 USA TREASURER MICHAEL ELKHOURY 101E OAKNECK ROAD HYANNIS, MA 02601 USA SECRETARY GEORGE A YOUSSEF 431 STARBOARD LANE OSTERVILLE, MA 02655 USA DIRECTOR GEORGE A YOUSSEF 431 STARBOARD LANE OSTERVILLE, MA 02655 USA DIRECTOR MICHAEL ELKHOURY 101B OAKNECK ROAD HYANNIS, MN 02601 USA Business entity stock is publicly traded: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 7/10/2014 YOU WISH TO'OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO 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, V Fl., 367 Main St., Hyannis, MA 02601`(Town Hall) and get the Business Certificate that is required by law. DATE Fill in'please: t . APPLICANT'S YOUR NAME/CORPORATE NAME 0TtC/�Sox- L , �LC1S pule BUSINESS - YOUR HOME ADDRESS: y - 7'7-5--/3S`3 Sd D! .cdtl,�-�osr}/�_�, . �ar0y`a�5 /7 / s ri�,axb� TELEPHONE'# Home Telephone Number 5-77 L/,`t' ` 3c.5— NAME OF NEW BUSINESS (T�I� CC/S�oTef o TYPE'OFBUSINESS p e J1 IS THIS A"HOME OCCUPATION?. YES NOIK Have you,been'given approval-from the building division? YES NO p ADDRESS OF BUSINESS �I p g/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 t 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 ISSION R'S OFH E This individ al h s n ipfor e a y pe mit requirements that pertain to this type of business. Au orize Sign at e* COMMENTS 2. BOARD OF HEALTH This'individual has been informed of the permit requirements that pertain to this type of business: , Authorized Signature** COMMENTS: `. 3. `CONSUMER AFFAIRS (LICENSING AUTHORITY) a -This individual has been informed of the licensing requirements that pertain-to this type of business. Authorized Signature*'* COMMENTS: - t Sign TOWN OF BARNSTABLE Permit * BARNSTABLE, • MASS i6 9�ArF0 339- A Permit Number: Application Ref: 2.00801318 20070145 Issue Date: 03/12/08 Applicant: ELLIS, JACKSON& JACQUELINE TRS Proposed Use: AUTOMOTIVE SUPPLIES '' ' Permit Type: SIGN PERMIT Permit Fee $ 50.00 T Location - ` 515 WEST MAIN STREET n Map Parcel 269001 Town HYANNIS Zoning District HB ' :Contractor PROPERTY OWNER J - Remarks NEW WALL SIGN 42 SQ JACK ELLIS FORIGN& DOMESTIC AUTO REPAIR ry THIS REPLACES A ROOF SIGN& IS REDUCED IN SQ FT Owner: ELLIS, JACKSON Si JACQUELINE.TRS Address: 780 OLD FALMOUTH RD MARSTONS MILLS, �MA 02648 Issued By: POST THIS CARD SO;THAT IS VISIBLE FROM THE STREET Y, .town oI uarnstawe ,RE'0' . Regulatory Services Q" Thomas F.,Geiler,Director Building Division �plFv ►`e Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 or 3� v Permit# i a , b b V 6 1 Application for Sign Permit �/` Applicant: J ��-��' Ma # 0 O Apph p &Parcel Doing Business As:��C .. L11,5 (Z--k% 0 Prl � Telephone No. 'C;D$_i- Sign Location Street/Road: S l J W 2 5 M N 1`-Q- `Ut Agxy%I,s ' Zoning District: Old Kings Highway? , Yes o Yannis Historic District? Y C/No r t. Property Owner 4 i Name: Telephone:56��� Address: rDl.57 WQ54 /l/tAtt%)-e5r'` Village:,, '4-V 't Sign Contract Name: l yV1 U l y /.j C Ll Telephone: 5��i-2✓� �3-� a Mailing Address: 'CEO "T­k:-I)L{ . o Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions),",location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? YesC>ote:If yes, a wiring permit is required) Width of building face _Oft.x 10 x.10 0 Sq.Ft.of propos:d sign 4(� a I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction,shall conform to the provisions of§24C�-59 through§240-89 t r' of the Town of Barnstable Zoning Ordinance. - Signature of Owner/Authorized Agent:; . Date: 2 d r h Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: t In order to process application without delays,all sections must be completed. Q:I WPFILESI SIGNSI SIGNAPP.W e Rev.9112106 { plysignco@capecod.net _ T1 e e hone 508 9 2 i n Co., P ( ) 3 8 721 www.plymouthsign.com �a sir,ca pass Fax 508 760-3130 P�-�2 S 3 a = CQ �Iv cIe S cL Nz-4- In� iA�C•Ac� l4- �W 5�� a Post Office Box 134, 63 Old Main Street, South Yarmouth,MA 02664 (508) 398-2721 Telephone • Fax (508) 760-3130 plysignco@capecod.net •www.plymouthsign.com � �� _t§Y � •� �•�� �,�� i 'M$Y�s3-i' �t it �N F- �'i �;W,f��� _,' k ",• � � '`may s` '� � �' ,�'�` �',- ^"� '* w' } .,, > s�--•�.�-ems , .t� .. �; s� i� - Y.. - `.A'{ �.' ... .�.y � ?� ^^i r.♦ ...�F w.w +wa"'.t�' �. v �� � �.it,'�i„�.a,.y�'�°!;;` ti•C'"E` � �.�: �' '. =xd.+y-•xw..ysyar..., .^ 'a+r.�.�..*kr°�*"t'P ,, ki* •"' -.�, ,,.: �... a "'"': +. z.�,,r�'.v,$'. "� '�?.r,�. :' ?��'�t :9�, r: .� !'�.;L r• -,+..�� y i. '�:-', .�,�j...;.,.r� � � �a �s, t r _sr.. . . -, . .rM�'"�'.. �, � 7�.. ,..'J�•`'�",. _-,/�.�r.,s. y, ' `r.....P ark'».. '�xs�°�' 'fix. w."' �+� ;`'�-� 's=,..,,e: n v '' � �. P a s �? : � -mv�.�.a-�;w,:..xenenzaa-�.,.xi^ve.:ara.:ws:�o.raria.,nn+c���.v...:zy��:c.aas�saw:a�r.�.,neca,w.cemzvaca�rc¢rt,:rt;m xr� ::.x�.-.- c.;,�.u..xrw:�wrexes+:.w:vaar,a.v:tm-.u.,:�,'m��m:.�:aex+.sz.acrnauru,�.as:.�cez..•n—.zce. ....r�;na�u+�?,rE=.m�vany--a:,xA•,cmrw.+er.,.s�:5x ��.,r�u�aa:ar, - 8M& FURIGN - AUTO R -ECIALIZING IN. ig - ® ® ME RCEDES .. VOLKSWAG AM) JAGUAR J J . ADO Cwaik 1�w E3 42 X 12Y . �� stye lgism DATE DESMED BY. CUSTOMER APPROVED BY: FlI�NAhIIE CFIC.JACKE U PO NUMBER INSURED :'Jacksb L �liis' DATE OF-REPORT : 1'2/0612d07 LOCAP 615 West Win Street UA��GF Loss : 11104f2007 Hyannis, MA:02601 POLICY NUMBER :GO 2,t836'l, Comp" Hare viiVe In up CLAMNUMBER NO-753388 :.120 Front,Stceet,Suite 500 OUR FILE NUMBER . 1.10707b,1W V�torcester. MA U16D8>1 8 ADJUSTER NANfE :Wa ' ,e,,Levasse'ur Estimate Section', Front Doi A Front roof 46 x;20 x 12 ower Perimeter:: 132 0C1>+F oar 920.00 SF Wad"SF 158A QO 1 net Pertmetes._ i.S2 n0 LF Ftpor SY i 02.22 5Y, CeA SF 920.OQ SF I - - �t2uan J motion _ nit cost RGY T— DER ACV u • 1 O.LS�Emer en 5ervrce caN to secure roof&repair < 9 c1' �. (piywnod In: 2 men 4 hours @1_;$46.00-:per iioir,j and$;82 007for materials Sd50 OQ $450:Q0d50.( T S SQ R+ermwe Asphait Cbmpc>skion-Shingles 9i65 OD[ $487.50( 4 $48T.aQ 1 7 5�QiReplace,4sphaft Corr aos►tJon Shingles S1.50 00.: 51 125.00 $281:25 5843 75 46.0 LF;Replace Ridge Cap Shingles $3 25 $y 49.50 $29:901, $1'19 60 For: 5127otais :5 5�1�900 �Eslrnate Secti4rt: Sign replacerbent � '— �tuantiiy rJescri tin Unit;Cost RG1f �DEP' ���_ ACV ..: 1:O.EA'Repface crosiRn6rrJttl and Pant s�gn.;t�lote includes,tax $2 572 5d� $2,572 50I so 121' $1 925.38: 1.b EAl Frame and braaketsaorsigri Mote. ,rndudes tax o $98.80� $898 SOI $10T;86I mix94 n materials : 1.O EA lnstali 3igri $950 00. $950.00, $4T50 $902.50 �._ Totals Far.Sign're tacement $4 421.30 $T98 48 S3.622.92 Est mate;SeC60.ft General tZuanti [?esc�iptton Urtk cbs RGV DE ACV r txT' $345:00 $345 00: S. 1,0 EA Dumpster Rental $345 d,.0 HR Ongoing&final clean_Up cost 524,5t1 $98A0 $98.00 _ - I, Totals Far;Ceneraf 1` $;'W.00 $000r 5443.Ot} k - ���.� • # ems, ea ,. � at r � t u ER . • , r^ 1 F i .a. 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BAXTER NYE ] GENEW NOTES: A 1 ENGINEERING & ,a AS�44aR5YM269 jCec�u ,°ke. rF o SURVEYING - 2)zomm mawT 1 Registered Professional Engineers ZDVW BMW:He � 1 and Land Surveyors O,RROFT MuONY ZONW6 fEOaW WM' Yet UD uIFA-AMD Si. UK LOT FRONTAGE a 20' _ 78 North Street—3rd Floor �I FUK - S LOT W= ISO' a WA nwa=SC/m' ( 1 Hyannis,Massachusetts 02601 - Fax— 771-7622 ?�I 1)A NU MM xts Nor eEf7,P0FORMED FOR DM Sle F DOMMI m Phone—(508) 771-7502 BE M WO:A RU SUCH SYLL BE PE FMM In _ www.baxter—n—nyaycom TO ^fit 1 4.)THE PROM LINE WFORMADWI SAWN 5 SASD ON MMM9 AVMAHE RECgm N'FINUTION CMSSW OF PLANS AND DEEDS ... .]4 -( - / /iI e9.t2 . STAMP STAMP THE F WMG FEATURES 2 M!NeM 1117E 0MAWED FROM AN ON DIE G900N0' FEID MMVEY POIRRNm er BAGM IM OGNEFRWO k SLODING ON YAROI 2% - .. II 201A .. ��/����' 11 5)M eMW OF TIOS PLAN IS TO SN7N VD=SUE BERAY FOR 13 VDIRPS 9nP / f 39/75 1 � 99". 11 E a LDIPLOOKU510 "' \ z 97.551 /yam/ yA5/I 1 1 II ) CONSULTANT 6 1^sg.94 II �3 � 1194 CONSULTANT AR / _ ,%.s/,%/'/ r ' 7 PREPARED FOR: PL MET c'1 — P9aAREA "' I I George Youseff 8.52 Sro r+uv R A ps "I'B�I ' II 515 West Main Street ® E21 W Hyannis,MA U/OP. n �l ab r 4. �� ' I „ I� I - 1° 53.9 I e Er 6I I 1 — ' ' ram/' �9s as oyc€27 �'\ 0'�., •,j,'" <i s9 a� �4� - ) I�L scrn°L li 4&1 /- C )> 9P 69 b IONE-S'C.H . 7=-�Ta; PAVED AFFA O- 1 _ -\ ,' II �__',' �.\ .`\O+ C 9e.e2 ] 11 , In \ I L159.72 x 95.58 \ \ \ �! � 8.7v I II I ~ A:.92 R28p.00' \ M1t' x 94.61 / / p32'40 59_ I eP�_ \ �` , s?1,q Iz/l� / ]-� �. I IwAXIN GAS - S x 94 7� -_'� u�49'9-TH I C ���`''7 y_ _ ��a5 �- 1_ \ � a" < LINE GS / O DY:yr61E . 31/71 3,RCEr'Scra 1 SIG Corn:.J l—yt•T' [f I w / S ° TRA=DPl1. l ru ER I qe0 �] i I I +H44+ O 6 ° SHEET TITLE 1 Vehicle Sales Display i License Plana - I I SHEET NO ° I C1. I ; IDO.00 DATE: 03/31/14 10 20 �+ I SCALE IN FEET - SCALE:1"=10' ^' DRAWNIDESIGN BY: MW CHECKED BY:YWE - - _ -- Jos NO:'2B74-Ot6 CARD FILE: 201,%16-0Y. n' BAXTER NYE GENEW NOTES: ENGINEERING & - ,.) AS4339R5 YAP 269 _ _ I SURVEYING PARCELz) 001 ZONING WFDRwnar f 1 Registered Professional Engineers Zmw 35m7:HB ) and Land.Surveyors LLl CIFRRWF YWWUN ZONING REWWFLE)VIS. - — . YW.uB RWAGE=2/' \ / - 78 North Street— 3rd Floor YIN.LOT,WIN=IW'. :._' _ _ _ O U _ FRND YARD=w'SIDE A REAR YARD=JO'/20' 1 . .. Hyannis; Massachusetts 02 i-M 601 I i)A TTU SEARCH HAS NOT B PEROO D FOR 7Hs SUE DEMME) < ' BE Phone— (508) 771-7502 - 10 RE NECESSW,A 70FE 5EVO 9KL BE PERDR ED 6Y OTHERS - - 1 _ Fox— (508) 771-7622 www.baxter—nye.com. 4.)7NE FROMM LWE wDwTON sm s NA4D ON CDRIRW AYAUBLE RECOw [j✓� STAMP ST AMP AMP S WFOFIYATION CONS15M OF PUNS AD DEEDS T '.THE E%671NG F AmEs sNow HELM RAE OHPWw.FR1Y AN ON DIE f7iWR70 _ _ FOLD SLAY KRORYED BY BWER W ENWNEERNC!SUNVEYING ON IMRCH 10. > - ' /' . 2014. .5)THE IlIFENf OF 7FLLS RNN s R)SHOW YF}DDE SATE OMAY FOR IJ V8110EES . am E __ EEfi E� CO NSULTANT . 8.31x 6.2tt59 4 J.94 I' II '� CONSU LTA N.T _ 1 III II I 9l.� - : PREPARED FOR: 88 ` EnDLOy George-Yousef o ,)\\02 o,:_ . / 9=�49/ i /I 515 West Main Street Hyannis,MA 8.3 L- W IN / Z O2p;�/i ll'� \ \ / 9 �o{69r. o scr_cE 'DIE �N I Op I I OD =A\'EC,ARE. fpI�l R219.80.00' x 95.5998.82 I- / ' - � /T � ��c 9754 .Y-RKUENDL 297 i � o j "EEO /// i9'._T is.b,l c,:a �//n 'G WREN .,// /. uv---w a •�— a - :i tee-='; �. % 5TREF'SIC. - (, M O PAP TPA s w ( SHEET TITLE Vehicle Sales Display License Plan SHEET NO 1® .x tDo.DD DATE: 03/31/14 20 SCALE IN FEET SCALE:1"= 10'. ORAWNNOESIG.N BY: SOY. CHECKED BY:UK JOB NO: 2014-01I CADD FILE: 2014 018-0Y.