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0165 YARMOUTH ROAD (6)
td� a-rrr1 OL-C 1 1 d-s COCL.sw -bc.A-Ice, Co Town of Barnstable _ _ wilding Post'This Card So That it is Visible Fromthe Street Approved Plans Must be Retained on Job and this Card Must be Kept �w MAIK $ Posted Untii'Final Inspection Has:Beeh Made t659. .� Permi ' n,rio•�' Where a Certificate)of Occupancyis Required,sych Building sh"all Not':be Occupied until a Final Inspection has been made � In' Permit No. B-18-3057 Applicant.Name: „ David W.Lammers Approvals Date Issued: 09/27/2018 Current Use: ,- - Structure Permit Type: Building-Alteration INTERIORWork Only- Expiration Date: 03/27/2019 Foundation: Commercial • .fix` Map/Lot: 328-238 •Zoning District: 'TD ' .. Sheathing:. Location: 165 YARMOUTH ROAD,HYANNIS q{� Contractor Name'. David W Lammers Framing: i�ip��ii Owner on Record: CARLIN CORNER, LLC s �� 2 Contractor license' CS-012209 Address: 165 YARMOUTH ROAD - - Est. Project Cost: $ 10,000.00 Chimney: HYANNIS, MA 02601 . Permit Fee: $ 191.00 Description: Add Interior Partions to Seperate Exercise Rooms^ Insulation`. Fee Paid:.. $ 191.00 (3 Dance Exercise rooms). Date. 9/27/2018 Final Project Review Req: Plumbing/Gas Rough Plumbing: i - Official Building Off' ' Final Plumbing: Rough-Gas: - This permit shall be deemed abandoned and invalid unless the work authorized by-this permit is commenced within six months after issuance. Final 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. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Electrical , work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection , 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough:, 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health 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. Fire Department "Persons contracting with unregistered contractors.do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: G o AppUcation Numb ................. TOWN #q.Ljg. OF BA N ..... ...........Oth=Fee.. s6 f � ��Tobil'Fee�Paid.................. .C� ..................... TOWN OF BARN_ STABLE. . — PE A'o`a by.................................oa.:......................— DIVISION—--' BUILDING PERMIT . .� ................... Map.` .......... ..Parcei...... APPLICATION Section I— Owner's Information and Project Location Project Address le S ✓grrnn 0 N f2 c.�, Village R\1an Owners Name {�I e I 1 k y\ Owners Legal Address PD E , b L 0/,d (A"-, ; �Yl� State uy I!� City zip- - Owners Ce11# E-mail ' ;Whil l' COD Section 2—Use of Structure Use Group—L�-- ❑ Commercial Structure.over 35,000 cubic feet Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structiue) •❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild El Deck Aparhment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ® Renovation ❑ Pool ❑<Insulation Other—Specify Section 4-Work Description T Act irodated:219=18 Application Number..................................................... Section 5-Detail Cost of Proposed Construction t 000 Square Footage of Project A,,?A CDC)� Age of Structure Aor, Dig Safe Number #Of Bedrooms Existing N0NE Total#Of Bedrooms(proposed) 110 MPH Wind Zone'Compliance Method ❑ MA.Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Win'� Oil Tank Storage Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ryY No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Z Section 8—Zoning Information Zoning District Proposed Use , s- Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required. Proposed Side Yard Required. Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Lastzmda z/9201s y Application Number........................................... Section 9—.Construction Supervisor Name w,w•c e,S Telephone Number 3 -308 S 112 Address T4�Acc."w c E 0- CI ` ` ty g� NA„IState M4 Zip aZ,eLy® License Numb License Type Expiration Date i( Z V2® - Contractors Emgil Cell# - 38 - 81( 2 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and do r by 780 CMR and the Town of Bamstable.Attach a copy of your license. is Signature l W Date I g Section-10—Home Improvement Contractor r. Name / Telephone Number • -.�a S� I i 2 Address 12 «�,� �`x4 y Clty` -24 NN l C state ` t A- Zip 02.6 Registration Number 108082- Expiration Date I understand my responsibii6es under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docimmen ' required by 780 CMR and the Town of Bamstable.Attach a copy of your H.LC... 4 � � �.Signature Date 8 29 (� Section 11-Home Owners License Exemption y Home Owners Name: Telephone Number Cell or Work Number A - , E I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts-State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstable. Signature Date a APPLICANT SIGNATURE Signature ` �vso �„r,,,,,��s Date 6�71 [te Print Name Telephone Number SOYA '3�26 &()Z r E-mail permit to: _ Ql C Q n't 60,nee_ 2 yGL h o o , Cory-) T e..r. It mum o Section 12—Department Sign-Offs t y Health Department ® Zoning Board Cif required) 0 Historic District ❑ Site Plan Review Cif required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval. Section 13—Owner's Authorization H, / as Owner of the-subject property hereby authorize , �w•�. �N to act on my behalf, in all matters relative to work authorized by this building ermit application for: ,S n44-D21boI (Address of joby Signature of Owner date Print Name f i f � Last=dated:2J92018 I 97ze C : W-A o i . a v A William Francis Galvin Secretary of the Commonwealth Date: August 06, 2018 To Whom It May Concern I hereby certify that according to the records of this office; ; COASTAL DANCE COMPANY, LTD. is a domestic corporation organized on December.07, 2007 I further certify that there are no proceedings presently pending under the Massachusetts Gen- eral Laws Chapter 180 section 26 A; for revocation of the charter of said corporation; that the State Secretary has not received notice of dissolution of the corporation pursuant to Massachu- settsGeneral Laws; Chapter 180,'Section 11, 11A, or 1113; that said corporation has filed all 4 annual reports, and paid all fees with respect to such reports, and so far as appears of record said corporation has legal existence and is in good standing with this office. N In testimony of which, �S�S0000°sI r , °'°°o. I have hereunto affixed the �a . °off Great Seal of the Commonwealth R Wo " ` o �o °s on the date first above written. o ° ° s ° o°�� �S ° � � °°°°°°°°°�Z Secretary of the Commonwealth Certificate Number: 18080110380 Verify this Certificate at:http://corp.sec.state.ma.us/CorpWeb/CertificatesNerify.aspx Processed by: 9/26/2018 Mass.Corporations,external master page 7 Secretary of the Commonwealth of Massachusetts William Francis Galvin yy+. Corporations Division Business Entity Summary ID Number: 000966036 Request certificate New search: Summary for: COASTAL DANCE COMPANY, LTD. The exact name of the Nonprofit Corporation: COASTAL DANCE COMPANY, LTD. Entity type: Nonprofit Corporation Identification Number: 000966036 Date of Organization in Massachusetts Date of Revival: 08-02-2018 12-07-2007 Date of Involuntary Revocation: 06-18 Last date certain: 2012 Current Fiscal Month/Day: 12/31 The location of the Principal Office in Massachusetts: Address: 87 ENTERPRISE RD 373 AMES City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and address of the Resident Agent: Name: Address: City or town, State, Zip code, Country: The Officers and Directors of the Corporation: Title Individual Name Address Terra expires PRESIDENT COBY VINCENT 373 AMES WAY CENTERVILLE, MA 02632 USA TREASURER COBY VINCENT 373 AMES WAY CENTERVILLE, MA 02632 USA CLERK TANYA VINCENT 373 AMES WAY CENTERVILLE, MA 02632 USA DIRECTOR COBY VINCENT 373 AMES WAY CENTERVILLE, MA. 11-22 02632 USA 2022 , DIRECTOR COBY VINCENT 373 AMES WAY CENTERVILLE, MA 11-22- http'//c.orp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=000966036&SEARCH_TYPE=1 1/2 9/26/2018 Mass.Corporations,external master page I02632 USA I2022 0 Q Confidential a Merger Consent Data Allowed Manufacturing View filings for this business entity: Certificate of Resignation of Resident Agent Certificate of Revocation of Appointment of Resident Agent Dissolution by Court Order or by the SOC Restated Articles of Organization Revocation by SOC View filings,- Comments or notes associated with this business entity: New search] T http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=000966036&SEARCH_TYPE=1 2/2 f 8/7/2018 Mass.Corporations Division,payment confirmation William Francis Galvin Secretary of the Commonwealth of Massachusetts � r .; �� �r• Corporations Division Payment Confirmation Date: 8/7/2018 Confirmation date/time: 8/7/2018 12:12:56 PM Confirmation number: 011304 Invoice number: 50101180005200954273962 Payment ID number: 6152147 Transaction ID number: 520095 Transaction category: Certificates Transaction type: Certificate(s) Request Filing fee: $12.00 Expedited service fee: $3.00 Total fee: $15.00 Thank you for ordering your certificate/certified copy_ online. Note that all orders are subject to verification. If the entity does not meet the legal criteria necessary to issue a certificate or if a copy of the requested document is not available, your order may be rejected, at which time you may request a refund for your payment. The Corporations Division will contact you by e-mail or phone if there is a problem with fulfilling your order. E-check transactions require final approval from your bank. Such approval may take 7 to 10 business days. If the payment is returned, you will be billed for the transaction at that time. If you have any questions about ■ phone: 617-727-9640 your request, contact our office: - email: corpinfo@sec.state.ma.us https://corp.sec.state.ma.us/corpweb/payment/confirmation.aspx 1/1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, 2111 AM 0 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):bw a ,C��'/�a. -C--¢S ��� V�[yn�crS�ENEaac_ �o!v�i aaeto2g Address: G E e- City/State/Zip: \X45r- ,.��s 02610 Phone#: SOB- Are on an employer?Check the appropriate box: Type of project(required): 1. I am a employer with Z 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity., employees and have workers' Y aP n'� 9. ❑Building addition [No workers'comp.insurance comp.insurance 1 required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions right o exemption per MGL myself [No workers comp. �tf p p 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other romp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: iration Date: 06 2 O 1 13 Job Site Address: /��`"^w N City/State/Zip t-VA C,1" 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 her ertify der the p ' and penalties of perjury that the information provided above is true and correct Sign—- -.e.: Date: 2� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C( )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 M necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial i Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has-provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy iriformatiori(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749. Revised 4-24-07 www.mass.govfdia . A R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08/27/2018 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 CONTNAME: Linda Caprarella SULLIVAN INSURANCE GROUP INC (PA No Ext: (781)514-1330 FVC No: E-MAIL ll Ica rarea sullivan rou ADDRESS: P @ 9 P•com 1 Mercantile St Suite 710 INSURERS AFFORDING COVERAGE NAIC# WORCESTER MA 01608 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED - INSURER B: LAMMERS DAVID WYNOT DBA WYNOTS GENERAL CONTRACTORS INSURERC: INSURER D: 12 BUCCANEER WAY INSURERE: WEST DENNIS MA 02670 INSURERF: COVERAGES CERTIFICATE NUMBER: 307765 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN YYY D POLICY NUMBER MM/DDIY /Y MM/DDYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE DAMAGES(RENTED OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY CEOMaaccidentBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - N/A - AGGREGATE $ DED I I RETENTION$ F $ WORKERS COMPENSATION _ XJPER STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBER EXCLUDED? N/A N/A NIA 6HUB6BO5444618 06/18/2018 06/18/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached 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. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 �-" C Daniel M.Crow'ey,CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure " Board of Building Regulations and Standards ConstructM' -'Sbpe,rvisor J CS-012209 Z ° E_kpir es: 01/11t2020 AY rf DAVID W LAMMERS 12 BUCCANEER WAY.I,. WEST DENNIS MA 02670' �• Cj i Commissioner d Mass. Corporations, external master page Page 1 of 2 .a`yt efMi".$d. ♦ N s F-y '3'. h Corporations Division Business Entity Summary ID Number: 001283606 j Request certificate New search Summary for: CARLIN CORNER, LLC The exact name of the Domestic Limited Liability Company (LLC): CARLIN CORNER, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001283606 Date of Organization in Massachusetts: 07-24-2017 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 165 YARMOUTH ROAD City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and address of the Resident Agent: Name:- EITHNE CARLIN Address: 7 LAWTON LANE City or town, State, Zip code,( WEST BARNSTABLE, MA 02668 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER EITHNE CARLIN 165 YARMOUTH ROAD HYANNIS, MA 02601 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address ; SOC SIGNATORY EITHNE CARLIN 165 YARMOUTH ROAD HYANNIS, MA 02601# USA SOC SIGNATORY DENNIS CARLIN 165 YARMOUTH ROAD HYANNIS, MA 02601 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001283606&... 9/14/2018 Mass. Corporations, external master page Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY EITHNE CARLIN 165 YARMOUTH ROAD HYANNIS, MA 02601 USA REAL PROPERTY DENNIS CARLIN 165 YARMOUTH ROAD HYANNIS, MA 02601 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report < Annual Report - Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001283606&... 9/14/2018 I ton of BARNSTABLE Fp 14 Aim 9: 19 a rCh It2Ctu r2 Joy A Cuming, AIA, NCARB, LEED AP Mr. Brian Florence `± "J September 12, 2018 Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Supplemental Information: 165 Yarmouth Road, Hyannis, MA. Mr. Florence, Aline Architecture,, Inc.was contacted by Mr. Coby Vincent regarding the reconfiguration of 165 Yarmouth Road, formerly the Just Picked gift shop. At your request and pursuant to International Building Code 2015 (IBC 2015) and associated Massachusetts Amendments, we performed a site visit and evaluation to assess the existing building systems, proposed scope of work, egress components as well as life and safety appurtenances as they apply to the reconfiguration of.the space. Accessibility: Evaluation of the existing accessibility ramps and egress in to the building are compliant for the intended use. Observed conditions require minor repairs to the ' decking of the ramp where the ramp terminates at grade. In addition to the existing components, a small transitional wedge will be installed at the primary' exterior egress from Studio #3 to be in full compliance with egress requirements. The existing restroorns meet current standards for entry, accessibility within the space and the specific requirements for the toilet, grab bars and offset plumbing to provide sufficient access to these facilities. Occupancy Loads: Occupancy loads noted on the attached proposed conditions plans arederived from the requirements of Table 1004.1.2 of the IBC 2015. Use and occupancy define the studio spaces as exercise rooms which are limited to 1 occupant per 50 square feet of gross area for the primary use. Other areas are defined on business use of.100 square feet-gross per occupant. Transient use of the entry foyer is incidental to the overall defined primary occupancy limitations. Address: 100 Route 6A Orleans MA 02653 N Phone: 508-240-6500 Fax: 508-240-6502 E-Mail: office@alinearch.com M Website: www.alinearch.com r Path of Egress: . Pursuant to section 1006 of the IBC 2015, business designated occupancies under an occupant load of 49 persons requires only one point of egress; however, the proposed configuration of the space allows for multiple primary and secondary points of egress. Egress sizing is sufficient for individual and combined occupant loading as well as each of the individual spaces proximity to a point of egress. Lighting, Sianaae and Appurtenances: The observed existing exit signage, emergency lighting at the major existing points of egress are sufficient. We would suggest that your electrician replace the existing batteries and test all of the equipment to ensure that all components are in proper working order. All proposed primary points of egress shall conform to the requirements of sections 1008 (Egress Illumination) and 1013 (Exit Signage). The existing fire alarm system will need to be regularly tested and a service agreement needs to be in place for full time occupancy and use of the space. In addition, the existing fire extinguishers will need to be brought up to date and your provider should provide additional extinguishers in Studios 1 and 2. Sincerely, Trevor A. Pontbriand ' Architect, Aline Architecture : 2 • architecture Joy A Cuming, AIA, NCARB, LEEQ AP Mr. Brian Florence September 12, 2018 Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Supplemental Information: 165 Yarmouth Road, Hyannis, MA. Mr. Florence, Aline Architecture, Inc.was contacted by Mr. Coby Vincent regarding the reconfiguration of 165 Yarmouth Road, formerly the Just Picked gift shop. At your request and pursuant to International Building Code 2015 (IBC 2015) and , associated Massachusetts Amendments, we performed a site visit and evaluation to assess the existing building systems, proposed scope of work, egress components as well as life and safety appurtenances as they apply to the reconfiguration of the space. Accessibility: Evaluation of the existing accessibility ramps and egress in to the building are compliant for the intended use. Observed conditions require minor repairs to the decking of the ramp where the ramp terminates at grade. In addition to the existing components, a small transitional wedge will be installed at the primary exterior egress from Studio.#3 to be in full compliance with egress requirements. The existing restrooms meet current standards for entry, accessibility within the space and the specific requirements for the toilet, grab bars and offset plumbing to provide sufficient access to these facilities. Occupancy Loads: Occupancy loads noted on the attached proposed conditions plans are derived from the requirements of Table 1004.1.2 of the IBC 2015. Use and occupancy define the studio spaces as exercise rooms which are limited to T occupant per 50 square feet of gross area for the primary use. Other areas are defined on business use of 100 square feet gross per occupant. Transient use of the entry foyer is incidental to the overall defined primary occupancy limitations. Address: 100 Route 6A Orleans MA 02653 Ell Phone: 508-240-6500 Fax: 508-240-6502 E-Mail: office@alinearch.com 0 Website: www.alinearch.com i J .:h Path of Egress: _ Pursuant to section 1006 of the IBC 2015, business designated occupancies under an occupant load of 49 persons requires only one point of egress; however, the proposed configuration of the space allows for multiple primary and secondary points of egress. Egress sizing is sufficient for individual and combined occupant loading as well as each of the individual spaces proximity to a point of egress. -Lighting, Signage and Appurtenances: The observed existing exit signage, emergency lighting at the major existing points of egress are sufficient. We would suggest that your electrician replace the existing batteries and test all of the equipment to ensure that all components are in proper working order. All proposed primary points of egress shall conform to the requirements of sections 1008 (Egress Illumination) and 1013 (Exit Signage). The existing fire alarm system will need to be regularly tested and a service agreement needs to be in place for full time occupancy and use of the space. In addition, the existing fire extinguishers will need to be brought up to date and your provider should provideadditional extinguishers in Studios 1 and 2. . I . Sincere y, Trevor A. Pontbriand Architect, Aline Architecture POAJ a ET O . - 2 57w, c o A F William Francis Galvin Secretary of the Commonwealth August 6,2018 TO WHOM IT MAY CONCERN: I hereby certify that according to the records of this office COASTAL DANCE COMPANY, LTD. is a domestic corporation organized on December 7, 2007 (Chapter 180). I further certify that there are no proceedings presently pending under the Massachusetts General Laws Chapter 180 section 26A, for revocation of the charter of said corporation;that the State Secretary has not received notice of dissolution of the corporation pursuant to Massachusetts General Laws, Chapter 180, Section 11�, 11A, or 1113; that said corporation has filed all annual reports, and paid all fees with respect to such reports,and so far as appears of record said corporation has legal existence and is in good standing with this office. In'testimony of which, u`. I have hereunto affixed the Great Seal of the Commonwealth on the date first above written: Secretary of the Commonwealth Processed By BOD Town of Barnstable 11d1 °n, .°°' f 'a�N^,..-f*- .t,_ '^ Building PostAThis Card,SoaThat itxis Visible From the Street ApprovedPlans Must be Retame n`ob and`this Card ust be eptJt. . SAWMA61.E' 'w'w - iPosted Until Final"Inspection Has Been.Made. n' t `� �< ,,.xr � Where a C.ert ficate of Occupraney�s�Regquireds�uch Buifdmgshall Nobe.Occupie�d untilFinal Inspection has.been made �;� Permit Permit No. B-18-3141 Applicant Name: Approvals Date Issued: Current Use: Structure 09/21/2018 . Permit Type: Building-Sign Expiration Date: 03/21/201.9 Foundation: Location: 165 YARMOUTH ROAD,HYANNIS Map/Lot 328-238 Zoning District: TD Sheathing: Owner on Record: CARLIN CORNER LLC t Contractor Name Framing: 1 x Contractor License Address: 165-YARMOUTH ROAD . 2 ° .,.� 2- w g HYANNIS, MA 02601 _ ' Est Project Cost: $0.00 - Chimney: Description: Reface two existing signs: o,` iPermit Fee: $75.00 ' ti Insulation: Fee Paid $75.00 Atlantic Coast Academy of Dance x et Date 9/21/2018 Final: 7 . � Plumbing/Gas 1) 18 sq freestanding. Yarmouth Rd. 0 �x X Rough Plumbing:. Zoning Enforcement Officer A 4 Final Plumbing: 2) Reface 23 Sq on existing RR crossing style sign, 'nn-ough Rd Rough Gas: Corner property Yarmouth Rd&lyannough � s ,. Final Gas: Project Review Req: � � Electrical - service:- 5 Rough: Final: Low Voltage Rough: Low Voltage'Final: Health Final: Fire De m n art e t ' P. Final: ' Town of Barnstable Building Department Services BUILDING DEP I Brian Florence, Building Commissioner Blii\1iiJTClfJli SEP 19 2018 200 Main Street Hyannis,MA 02601 ff; o Paz www.town.barnstable.ma.us TOWN OF BARNS IftG-_ f, Office: 508-862-4038 Fax: 508-790-6230 Sign Permit Application Zoning District Permit # Historic District ❑ Location by ��S y�/zmoz�t'h f1' nniS ya(dJ I Street address and village Applicant T��Y�U�ncehf-�AlArr}icCmst '� IVjap & Parcel v¢ �xrnce Telephone Number 5r a Email _PChOfbancep .GOr� Wall 0 Wall 0 Freestanding .PK Freestanding Electrified* - " F` Electrified* Dimensions,Sign #1 y?n X53�, (& 'F4) Dimensions Sign #2 g711 A?D Square feet Square feet o?3 sq �- Reface Existing Sign _)je- New/Replace Sign Width of Building Face ft. X 10 - X .10= *Lighting Type A wiring pen-nit is required if sign is electrified. cFTHE r � Town of Barnstable Building Department sUwszasLE, 9 Mass. Brian Florence,CBO �Ar1639.i16 Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstableana.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted.in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign (wall, hanging,'free•standing) 2). Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11 P. 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. r NOTE: the map/parcel number is required on the application. signs/signrequ&app revised: 9/22/17 s i -Attant is Coast j ,-Ac ,:ademv of anc{tea$.� " ' 1 1 ,47 x 70 23 s . ft. Y:>,S Mi AlAwl µ as i DATE: Monday, September 17, 2018 CLIENT: S CONTACT: PHONE: FILENAME: APPROVED BY: 103 ENTERPRISE RD., HYANNIS, MA 02601 :o ®�iiD ''o' [op ' ' �� °�►+ 508-815-3431 M99 U 005im SEEM 623M M amp mow 4tfantnic Coa, s �� adcmy WPM �,i�x WV! 44 IL sa- 1 ti, +tea r. 18 CLIENT Monday, 1 • PHONE: SIGNS APPROVED = j • • •• THE ABOVE DESIGN IS THE PROPERTY OF CAPE AND ISLANDS SIGNS AND MAY NOT BE DUPLICATED OR USED WITHOUT EXPRESS WRITTEN CONSENT° CHARGE FOR DESIGNS USED WITHOUT PERM/SSION.' $500°00 i w s yam+ L E _ a P G,00gle Earth �•-• ��r I may. �:�• .,' S� ' � • j' .:. ' 4 '�+.w�M ~�E� I �", ry•,iy. �'.i �i'�f'Y�` �1R;.� u ` • �} �h'"'r '.l �•�, '� 1 �" �w»+ �.ww+�.^'ems Fa'"..•�,,�� �1.»r ..1 �..�� i 5x • 1 4+ r-��TT.F.ry - �i.ra_ ` i'Ir• !_ �M�•'4 .✓;4� a,.1fY r • T R i r"I LI Ml'l"A'MLy"5ir'.� -- L> teYS+.JSLH, 4 j t� • y 1y r- i r -... I _--+:.per.•kr�'a.�et�.`�.4-� - ti © •©18 Goggle. GOOC�Ie E'�. 1 Town of Barnstable 4; Building Department Services Brian Florence, CBO BABSTABLE aaxvsne!E•mrer.:•:u1:•cwurn xraxxrs M"nSG\5 N:LLS•G>1ENNLLE•Yli�bt'lS:.6Ii y Building Commissioner 1639-M4 9•"MAC $ 200 Main Street, Hyannis, MA 02601 �'°rFnr A�0 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 14, 2018 Mr. Coby Vincent Coastal Dance Company Ltd./Atlantic Coast Academy of Dance 165 Yarmouth Road Hyannis, MA 02601 RE: Site Plan Review#059-18 Coastal Dance Co. Ltd/Atlantic Coast Academy of Dance cl65_Yarm6uth'Road, Hyannis Map 328, Parcel 238 Proposal: Change of use from retail to non-profit educationally-based dance school: 501 (C)(3). Dance school will operate as a dropoff/pick up student facility, with an occasional parent staying to watch. Space will be divided into 3 classrooms with the two larger rooms used mostly and occasional use of the small room for younger children's lessons. Total number of students attending lessons at any one time would not be more than 48; recitals and shows are proposed to be held at an offsite location. There are HC ramps and 2 existing HC bathrooms. Dear Mr. Vincent: The above proposal was found to be approvable by the Site Plan Review Committee at the informal site plan review meeting with staff on August 7, 2018 subject to the following: • Approval is based upon plan entitled"Existing Conditions Site Plan" dated 3/23/04 depicting the parking calculations for the entire site and the provision of.35 parking spaces for the subject 6,944 s.f. tenant space previously used for retail, and the location of HC ramps and parking. • Coastal Dance Company Ltd.Articles of Organization filed and accepted by the Commonwealth as an educational non-profit corporation stating the purpose of the corporation is to engage in: "Advancement of the art of dance, education of dancers, dance classes, rehearsals,public performances, dance coaching and outreach to schools, dance education for special needs and disabled children, and all other lawful purposes reasonably related thereto." • Hyannis Fire Department advised that the fire alarm system may need adjustment at the building permit stage. �' • The Building Commissioner advised that a change of use building permit will be required, HC accessibility can be reviewed at that point. Regarding the change of use, an architect will be needed to determine the AAB requirements for ramps, van accessible parking with HC signage per Town of Barnstable ordinance, accessible routes,and possible interior revisions if determined. The architect should contact the Building Commissioner, Brian Florence: 508-862- 4038 and Hyannis Fire Department, Deputy Chief Dean Melanson: 508-775-1300 prior to, performing a change of use code"review to confirm the use. Applicant must obtain all other applicable permits, licenses and approvals required. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator CC: Brian Florence, Building Commissioner, SPR Chairman Hyannis FD DPW Ms. Cecelia.Carey, Agent I Town of Barnstable Building Department_ Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate M Date -l{- Ma6� Parcel Applicant Information Applicants Name V l Applicants Address \�� `�- Y�e� Email Address c1tpE&d cea Telephone Number - aa- Listed Unlisted ❑ Business Information New Business? Yes -----------------------------=---------- . Business is aregistered corporation? -------°--------- -. es No If yes Name of Corporation s 5 , ✓)c L A Does business operate under the registered corporate name? es No Is the business a sole proprietorship or home occupation? ---.------ es No' If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business C-'ca c, YIC(!�j 6ED ell n V 1 T Business Address YCP f YY)C)0-kA, P- n Lga r) Yl i Type of Business ba f)C-O- (IVY,i�2a D ��� i'� G �'IC� Ed_ ck,6�7a� Building Commissioner O ce Use Only Conditions )D,10 . Building Commiss' e �`'��-r Date g Clerk Office Use Only Town of Barnstable Building Department Services�oFT"E B r°w� Brian Florence, CBO ARNSTABI,E �iur.E'E•mrE?s': •cwrt•xxvrcs_ t,� O :••S.0.'S%:US•OSf":AlT1E.VTS&1;'ISf:EIc Building Commissioner I639_201^ 9 BMINSTABLE, 200 Main Street, Hyannis, MA 02601 � 0 39•pTEOMA s6 , www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 14, 2018 Mr. Coby Vincent Coastal Dance Company Ltd./Atlantic Coast Academy of Dance 165 Yarmouth Road Hyannis, MA 02601. RE: Site Plan Review#059-18 Coastal Dance Co.-Ltd/Atlantic Coast Academy of Dance 1-65:Yar-mouth_Road-, yannis7:7, Map 328,Parcel 238 Proposal: Change of use from retail to non-profit educationally-based dance school: 501 (C)(3). Dance school will operate as a dropoff/pick up student facility, with an occasional parent staying to watch. Space will be divided into 3 classrooms with the two larger rooms used mostly and occasional use of the small room for younger children's lessons. Total number of students attending lessons at any one time would not be more than 48; recitals and shows are proposed to be held at an offsite location. There are HC ramps and 2 existing HC bathrooms. Dear Mr. Vincent: The above proposal was found to be approvable by the Site Plan Review Committee at the informal site plan review meeting with staff on August 7, 2018 subject to the following: • Approval is based upon plan entitled"Existing Conditions Site Plan" dated 3/23/04 depicting the parking calculations for the entire site and the provision of 35 parking spaces for the p g P p g Psubject. 6,944 s.f. tenant space previously used for retail, and the location of HC ramps and parking. • Coastal Dance Company Ltd. Articles of Organization filed and accepted by the Commonwealth as an educational non-profit corporation stating the purpose of the corporation is to engage in: "Advancement of the art of dance, education of dancers, dance classes, rehearsals,public performances, dance coaching and outreach to schools, dance education for special needs and disabled children, and all other lawful purposes reasonably related thereto." • Hyannis Fire Department advised that the fire alarm system may need.adjustment at the building permit stage. i l C The Building Commissioner advised that a change of use building permit will be required, HC accessibility can be reviewed at that point. Regarding the change of use, an architect will be needed to determine the AAB requirements for ramps, van accessible parking with HC signage per Town of Barnstable ordinance, accessible routes, and possible interior revisions if determined. The architect should contact the Building Commissioner, Brian Florence: 508-862- 4038 and Hyannis Fire Department, Deputy Chief Dean Melanson: 508-775-1300 prior to performing a change of use code review to confirm the use. Applicant must obtain all other applicable permits, licenses and approvals required. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator CC: Brian Florence, Building Commissioner, SPR Chairman Hyannis FD DPW Ms. Cecelia.Carey, Agent xr v f 3 CZ d cad 10 Q r, � $ m , L v th t_ rd' M N C1. Q1 CJ Eng, stamp I I i I i I i i I I i I I DOWN I { a 7Kau6 c'eaaJrQ TO BASEMENT I+ I I i l • SCALE: 1/4it 11 UNLES5 OTHERWISE NOTED ALTERED EXISTING STORAGE i M STUDIO 3 STUDIO 2 j 1 PLYWOOD FLOOR 3b 36 ( BRAWN BY: i r� N Now :>ARTITION WALLS TO BE i Thursday, August 23, 2018 NON BEARING i I • I EXITS OUT TO �" Ip- NEW ALARMED EXIT DOOR Co i� REAR DECK AREA W/PANIC BAR 4 MARKED IT CARPET DOOR THROUGWOUT MARKED EXIT q °' ar/biflt / DOOR BEARING BEAM AND COLUMNS -- TO REMAIN. 4 { ALARMED Ex17 DOOR , EX15nwG ��• _ - o LITE _ ov F-1FULLLTE DOOR - - -- CLOW "' , �BA—RC"r ! CI, v \ STUDIO V - „T ti1Lt LITE -r-----"—�► �,9"wLl L!TE DOOR I ftl>t'T J [�o 401 U, 10'3"TO.iOrJP cvjw� I I I DOWN BASEMENT 4 I - ,t_ 13E,CTI4fC PANF1. SALES COUNTER/OFFICE 9 v 4 E �f CARPET \TNRDUGi10UT "` IADA GOMP 'r NEW ALARMED EXIT DOOR WAITING AREA_ W/PANIG BAR u� To (COVERED ENTRY'/BOARDWALK) .-- y -. , _ ._ _ _._ LOFT/OFFICE DOWN lJNLT M Cou�T' 'V l � �t_:,II �.__� •;--.' � �--•---_ __. -_.___ �-� lla,::�i �� �,_._11 C1=,.,L I:__1s It .�1 �:_��11 �: : !; �� �l-,.i� I+._ � � /'� I EXISTING EXIbTMICi EXISTING — EXISTING IXISt;NG ExISTMG Q - ------- TO SECONDARY RAMP TO A>DA RAMP -- ---- Q PROPOSED FLOOD: LAYOUT col 5---ALE-3/1b° - 1'-0" v EXIs.Ti1JC>, 11X tT StSNAgE OK t'S'ri W Cr OFxtS-rlN 4TtK4v1s*IEK.- APPROVED: oc,�u�a.wtT- �.oerp REVISED: 4 Thursday, August 23, 2015 �. taATN pF ESeCS45 " r i A. U0,