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0455 YARMOUTH ROAD
. � /��� �`7` fir' �� � ,� y �� I A .LIB l • h -• V 1 I�� 1 T_• • S-- t' f r* c w Town of Barnstable �IHE Regulatory Services BARNSTABLE oMrxnsrnnu•em�mit•ravrt•tlnAws Richard V. Scali,-Director Ifi3A,7¢¢01< ► BARNSTABLE, « ��d MASS. �' Building Division Paul Roma Building Commissioner �� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us December 19, 2016 Rich Covington's Cape Cod Auto Exchange RE: Site Plan Review#033-16 Auto Dealership Plan - Total 25 spaces 455 Yarmouth Road,Hyannis Map 344, Parcel 086 Dear Mr. Covington: Please be advised that at the site plan review staff meeting held November 15, 2016,plan last revised 11/3/16 for the above referenced proposal was administratively approved and signed off by. the Building Commissioner and the Hyannis Fire Department subject to the following conditions: • Repairs and storage of HazMats on site are prohibited. • Applicant must obtain all other applicable permits, licenses and approvals required. A copy of the approved site plan will be retained on filer Sincerely, Ellen M. Swiniarski - Site Plan Review Coordinator CC: Paul Roma, Building Commissioner Hyannis FD Health DPW Licensing f� • 12. j -KS UTT 4� EVIEWED&APPROVED Y1/3/�'( I? r I aid* IW)oyee .pµM2 t � es� �6��1 a � :. 1 17WE WW. ....- r � o C—rova Cu and��gP- - �O p Ao Pao- z 10 .lt6' 17 8' D 14 D 3 5 7 D - - 5 f YLJ _ N6 Rp�u c-s CQp� " -�v �e�' -/rbM �IdS , � .�e��'hoae dole lip ` "loz1?'ic�fiS - �u t� 5' 10L� �o� A AIIS j: - _ -- ,ice, • F , F Town of Barnstable non-, ..... mw..d,.rAin-':: ,�",y ,irae •1;m^�'".°"r-. ,m'1s.�,'s�'aS"''rPoovuiiuu_kuumW ioain.i'wu.'s;uwww�� a"'� ,■ /•��� • r : Ong SA.That:t C a '- ro nth •r r ved,P,l n n"• ` 'r . hi L...=.3.. . t. _.: .,Ysible F ..rra_ .et. +ti .AIp Q. a s Mustbe Retained o Job a d t s Ga d iVta'st berKept ,. F MASS..... a « �. ,.;", S +... .a `r ::.n•r b .. . i _ Posted Until F�nal:.tns .,.,, ^ ;- , , vj: y pectIon.Has Been,Ntade.-,, �. _ yew• i .£.. d ' ;emu 5 ° itr �?• _F .`N C` 011,,c_ to of<O.ruupan�cy:�s,.RetLu�red OcF r u�l ng shall..Notnbe:Octup�g"ntil a final.Inspection-hastbeen P�ermlt Permit No` !'` 6-17 2448 `Applicant lame: Approvals Date issued OS/03/2017 Current Use``: Structure Pei mit-Type -.tuilding-Sign= =' Expiration Date. 02/03/2018 Foundation.. ::.. Location.: 455 YARMOLITH ROAD,'HYANNIS Map/Lot 344 086 Zoning District: B Sheathing: Owner on Record: GOLDSMITH,JAMES ET ALTRS t �Contractor Name: Framing: 1 Address: 830 NORTH ATLANTIC AVENUE B905 Contractor�Li�cense`: z COCOA BEACH, FL 32931-5705 Est Project Cost: $0.00 Chimney: Description: reface 27 sq hanging sign. I ' 'Permit Fee: $75.00 Leadership Motors < Insulation: 617-466-0805ee Paid: $75.00 1 Date 8/3/2017 Final Project Review Req: reface 27 sq hanging sign. ` Leadership Motors s (��"�a,�q �_ Plumbing/Gas 617-466-0805Jr Rough Plumbing: Zoning Enforcement Officer Final Plumbing: _ This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sizmonths after "issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: 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 inspection for the entire duration of the work until the completion of the same. _ ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this 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 p 5.Prior to Covering Structural Members(Frame Inspection) Y 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: "Persons contracting with anregiste,red contractorsdo.notha,ve access to the guarantyfund"-(as-set-forthin 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 tHET Town of Barnstable Regulatory Services Richard V. 5cali,Director �li�,� prEa. Railding Division ° . Paul Roma,Building Commissioner AUGG 0 3 2017 200 Main Street, Hyannis,MA 02601 . roO/N 0"BAR � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Pemit# Building Official approving . Application for Sign Permit Applicant Lea derSh i n To(s T yl L Assessors No. Doing Business As: Telephone No. 1- W6 '0305 14 Sign Locationll.. Street/Road: M 5 5 `a cr n'ov-Th Rd -- Zoning District: Old Kings Highway? Yes/No Hyahni.g Historic District? Yes/No Property Owner. Name:�1aMg_S �7OldSrnl7h Telephone: 407' �f6"39g� Address: 9_;0 Weak A-flanTiL Ave VAIr ila e05 g60toa, G*,a (,A, r L 3,2 q 3 e Sign Contractor Name: Telephone: �S 7 =R6 6-3 i01 Mailing Address: Soylt4 Q I ti ST 6 ye.(e rT /W Q L t QQ escription .Please follow the cover directions.You must have as accurate rendition of sign with dimensions and location. Is the sign to be e1_zctrified? Yes - (Note:If yes,.a wiring permit is required)'- Width of building face Qs ft,x 10= a.10= �% Check one Reface existing signor New Total Sq.Ft, of prop6sed sign(s) If you have additional signs please attach a sheet listing 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 conforin to the provisions of §240-59 through§240-89 of the Town of Ba7tstallB Zoning Ordinance. Signature' of owner/Authorized Agent Date 8 17 signs/signrega&app revised: 06/20/16 (2a0�2 r��i rYloTo�S .i nt✓��o�mck`� Town of Barnstable Regulatory Services r RARNS•ARf.Q Richard V. Scali,Director . aaaaq ' � • Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barustable.ma..ns Offlce: 508-862-4038 Fax+ 508-790-6230 . 1 SIGN PERMIT REOUMEMENTS 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 Eau of a photograph. 2. A scale drawing of the proposed sign.A scale drawling 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 T•,ni um scale 1"=11.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. inimum scale 1"= 1'.Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application,including scaled diagram showing location of sign on building or location of free-standing sign_ Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. o signs/signrequ&app revised: 06/20/16 x y LEADER. I k i IV 0 0 P rnHLnCtGlkt�7�:[u4 617-466-0.805 ` ca t 6n t6 i �� os a kr f LOGO 17)lX2011 WEBSITE 17)YX311 . Phone, _ _ ._ 33'lX6 . 51) LEADERSHIP NAME : 50"X817 MOTORS 1611X471 YOU WISH TO OPEN A BUSINESS? For Your.lnformation: Business Certificates cost.$40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME iri 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, tat Fl., 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/CORPORATE NAME Leadeahlio MoToQs :1nC. BUSINESS TYPE:-(-(0�S 4010 ,t)eQto../' BUSINESS YOUR HOME ADDRESS: 10 1 ��- G66-o�05 . TELEPHONE # Home Telephone Number SO - a- MI NAME OF NEW BUSINESS' OCS Telc. OR EIN- 4 - Have you been given appr val from the building division_? YES NO ADDRESS OF BUSINESS Q V? '4 - Z MAP/PARCEL N'UMBEI '( `I D� ' When starting a new business,there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining, the information you may need. 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 COMMISSIONER` FICE This individual has been i rrn ny p it requ a is that pertain to this type of business. fiat COMMENTS: ✓h c�J" -17 e� 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 LICENSING.A ORITY) This individual o c g requirements that pertain to this type of business. Aut a ign tar COMMENTS: S 5 �� A ! �'1:5'l. �a=fc='i;l' - --:,rr`- - ;,�."- �4..^-�:.%�. :jt'':I! �-f�;:%r Z:�l;'• -_r—�'Fr�.`:;;— ,s.�:- '{{'S r'Y.'_J_J >.�=1•- - :;Y 6:==�4: �i,.r�- �,r�--- _.I. r„� n� v�r;, _ •,;tN zj�h�..l. _�— �I.1. /... _ 4: �;G.�. ?�:-- .r7,-I�:: .i):.1.�.]_ 'G:C:J�;� _ _ril.� _ it l". �',31 =.L`��I�_� __ �r�.-.a-,r'- .- -•`J ?su• 4,.;_ .:rc. _C-= �-'i;c ne;. _�h �tsv.v:, 1'r:� 'L•':'7:=., - :r•�3'�':p,_ lY;;:_e; - � '� �"I� �'�;• �•s� 'a7 -•t. ✓ �� ,.r•�,. rl �+�.�K',;4' �t 74: >7; '1 '( I j _ � _ ��=r'� '-.,1 '':!•° ;i• d J,;fir= ��..� t-''1 -i J '}.,�.i i -f ,1 r?•r V'� � � I l� ''.li['J� . � S N , -�'I.7� p 7t' � r' 1 r �1 . SJ '1 t G• I � i, { ..1 A[lt r, � �'��, � I - �r• d� �si S,.'..7�::V:.::.`�� l.. i.t. q Ss,. y.,St�. i f IL..Ir ... ( ..f_ .I '_ IC:fin YJ�.__i�a _..I:_j t rG'.�i - r :1:- '.\%v:,�r -`i_n:yr.:7.•.:�Lb t�yr•:i:+;:rr _ ,�ttJ..!. !;._._irh djl `/a�i_-�'{- �:Li _ _ :• � i .JI ,�, r / � yGz I c �l � -II-�'� 1 S t l J -�"� � r,i�}' _ j ._•I � � I. ; 4,1 i7..,� ',i l•�� r �' L ,;II �r ' � Fl r�,-- �.r tf..i i hl�.. K�. �/� 1� � $ I •! ry .� , L''L kj�'� '��•'N:,r�f '"F '` .r �' i a r i ql1 r �.:� j J C_ {fir �� t J !r � � S �• r I 1�`i. .i"'L-,�I:-J'ivefl':�jl� h r.l G '}'cr 1! e {.,,�. (:1 tEr IIJII �L� II Ll 1 i 1� 1 .r.1.:.f'i .L,l�r •I 1 1,' :F `'! /1r Alt t1i � r i. L l I 1 I •� -L�.i;:_. • ��;3.,�,r-�°'t!I, � t-� 'Cf •e 'Y"51.7,:�--T_ „le J.�[i:. .�6- �I�Fj!_'J:r'�_f[I�k,+ �l I�Ti 1' ?f� i�?=..�i l.., .�1.•:,.71 -_ .,. , .: ._._., _. r.... .���,,9 I . n !-�,il �7r-t 1. t � ii t _a-1 -1 Il l� I � /♦ I� l � ; I +k 1FI F I i � -:fit+r� �I t i� r � I .:j'�} 7 1.: .i• I.•:I i. lJl, �Ar 'f�,l.�1.,1•-,_.7s L4 t�l N j I j1��4 I I I Opp I e � - e �e op I 12irh fovingtdn's Cape Cod Auto Exchange 455 Yarmouth Road C`— Hyannis MA 02601 � ° 774-470-4488 www.capecodautoexchange.com rat r Hartsgrove, Elizabeth From: Hartsgrove, Elizabeth ~ Sent: Monday, October 24, 2016 11:21 AM To: 'richardcovington601 @gmail.com' Cc: ` Flynn, Margaret; Gallant, Therese;Anderson, Robin; Roma, Paul; Swiniarski, Ellen; Deputy .Dean Melanson Subject: Class II application-455 Yarmouth Road Attachments: FORM auto dealership worksheet 2016.pdf Good morning Mr.Covington, w Maggie has your Class II application on file however we cannot move forward without an accepted floor plan; after review of your floorplan there are a number of questions from the reviewing team. I have attached a form issued by the Building Department that will assist with required.information that must be included on the floor plan. In addition to the information on the attached form_, some of the issues the reviewing team found with the submitted plan are: • Employee parking must be on the exterior of structure • All areas of the interior space must be properly labeled with dimensions(bathroom,.office, etc) . • Handicap&customer parking dimensions must'be included on floor plan;as well as Handicap space located in close proximity to access (ramp listed on floor plan are steps in actuality) y • Bay doors and egresses must be labelled; • No staging area identified on plan... it is unclear as to how vehicles will be moved around when shifting placements(example: vehicle#14-how is that going to be taken out of building without displacement of all other vehicles) If you have any questions, please do not hesitate to contact out staff. . Thank you, Liz - Elizabeth G. Hartsgrove. , Town of Barnstable Consumer Affairs Supervisor - s 200 Main Street Y Hyannis, MA 02601 508-862-4670 - �'�.�.0.kk.Ik�•131 J.�• i - .. law_ /♦'� 1 o i 1 � � 1 • v --L iiN�i•� i ky�t;`^�,,�i r JAI ,L3--i!�c�hv:� '`;iti6 r'•b. !r", EIP I rFr'� 1 ,._ .._.:1_"._Tf n7-v r1 _ 1 + � � J r'j '1:.571• `. YY� ^r'9 4.f 7 , �!l 's.�i7;";i";�: { I 1 +' ll r� "'- n^ Tk_IF.r 1 L� r✓•�u � g Toj,! � 'I{ G I 1 lil�d I� t 3 , � � %t .,,, ,I:., ,_ �,� / .r•.,I d i !:�4. Y� s7 Iti - ru — � t o - � e ie TOINN OF BARNSTABLE #h`l I 4'� 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. DATE: Fill in please:. f. APPLICANT'S YOUR NAME/S: O►r ' �/ BUSINESS YOUR HOME ADDRESS: C96 O 1 TELEPHONE # Home Telephone Number NA ME�OFCORPORATION: 1n [b✓i :S NAME OF NEW BUSINESS TYPE OF BUSINESS SS IS,THIS A HOME OCCUPATION? Y S: NO ADDRESS OF BUSINESSf'1rMd►P/PARCEL NUMBER (Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need.- You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONEMP OFFICE This individual has been i or f any pe quirements that pertain to this type of business. n , Autha ized ngfurh** c COM ENTS: /�L/ ("A&'� - 2. BOARD OF HEALTH 2 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: — ^ � 2'•�;:.c.,,`tS: .r=-,1-r ,... -•. . .,1 e;•, .� - -^.,: t%,!r .._rti:�� �:Lfc-�! t:i:. - !i.:�:. _ iir;C..:,� — +1.;!.v.^x;�,;�� .,�,ta.,. .� n.� _� — ..�Ilf + '.� �;3.t� ts.: �1 ,t;-..yr; �-t=� -_'"[?fi.�e�-•.i._ .r�h,:..=v�,�eK.::'.'J r! t - '•r;l.;:!' Lt � _ _ . -� �i: � � , �c� � al , �• t t , - ,� �Il Jfy�� �. 1 I t 1 �. I • I` ter: �t .!---3� a .:.- e�W .. g. � f�l � - �, .r �. i t-Fr � �, IIi �l, a �- i q .� t �`�. t- 4rlt - �,,t i't •s r ' , '1} -�` f _i t�.. .+ ' h.. .'r..��fs a _ t - j. � e a �t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 81ADING D-ppiication Health Division APR 20 Date Issued .. 16 (� Conservation Division TOWN OF Bq Application Fop Planning Dept. RNSTPrmit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis r Project Street Address 4F�5 )�rmo(,LAVI Roa.6 inn /n ' Ownertam9lsG Address 930 N. Al�an+IGAve C=Iea,, Telephone 3 2 1 " —f 5q '" l l�y b F L.32.9 31 - 5 JOS Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project ValuatiorO OD. Oo 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 _ 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 Ph 11 i n?n i re Telephone Number "'g 0 r � � —' � 1 4 __. Address License # CS 09 20 H S NONJOOcL , P\ AI Q 20(o 2 Home Improvement Contractor# Email Dire @ Q ma; . cam Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S 3 Lao G A &IiA DeAni-S. 02 SIGNATURE r' .DATE I I I I { i s FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED t MAP/PARCEL NO. r ` i ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: . } FOUNDATION FRAME INSULATION ` FIREPLACE 4 1 , ELECTRICAL: ROUGH .FINAL ' i PLUMBING: ROUGH 'FINAL f GAS: ROUGH FINAL r° FINAL BUILDING k �1 R 1 - f i DATE CLOSED OUT 4 ASSOCIATION PLAN NO. i- -�-r� sz�r� 4S /✓� � EZ�C_ CUSTOMER'S ORDER N0. PHONE DATE NAME rj A-DAWS PLUMBING & HEATING a ROAM 702 ADDRESS . W. BARNSTBLE, MA 02668 r ` TEL. 508-362-9436 FAX 508-362-4243 adadslO@aol.com y J SOLD BY CASH C.O.D: CHARGE. 1 ON ACCT. ;: MDSE.-5rtTD.7 PAID OUT QTY. DESCRIPTION PRICE 'AMOUNT I _ 4C V7, t I r I 1 TAX RECEIVED BY TOTAL ®� All claims and returned goods MUST be accompanied by this bill. You f AS��c fht €d Accdeays # Qec Wm-ke& CampensaffimIusrt-ance Affifb dersfC�anfiactursI ectdcian&fPluwbers Name � _. . . e.sg (T vcvw ? Are you an ernployer4 dh vKM a ,qni�6 b a= T of a ecE I_0 I am a enaployer wML 4. ❑ I=a geam-al c=tcacfur ad I i = oyees{ orgarttime * f b �e L ❑New Qa sole proprietor orpartner- listed an the attached sheer 7- ❑�RdSMg p aid have m employees Zee snfr a� xanias€have 8_ a Ia and have:workers' • woAivg femme in-ay��- ' � � 4_ ❑Bnifdmg addition . [NC3-w�'cflmp.inset an cam?_r,�� 5_ We are a cntpara cnand ifs I0-0 Electrical'repairs or addi±ions 3-El am a hDrneuwuer doing an woih 0:'Em rs have c�tnrr;se ffieir L L❑Pi�hing repairs nr additions myself [NoWC6='MMP_ right ofesempfion.per MGL 12❑Roafrepaim in�= r-152§1(4),aadwe"la-.,5 aD e nploy -[Nawor 13_❑4titer Cprop-it c nce r etprEd.I .. ��YffiF ibatrher�sbc¢#Iamsta]snMOUtt setiionhtTm�shmzmgi3�rswo �mmn�safiauperli[}a �ffnme�wues'uhu,mbmr,his EffY in�g�:�drams JI r*� �t�h*e n�idP canhacrosamst mhcgit a aecc a�d3c�t m^'�sa h_ sthstch�kthssbazmaststlarhedatzaT;hrt 0sheetshagthaneeofdies o� �m3smoteu�et ocnntfixisa �� E=.Ipya�g_ IfthamT:?-cantEzdmsaxmmmloyeeE ah�y tp=dPmEir w mteacmulp.POicymmber Bni grz� r ih tfisgt�rs f�*nr&err'Co rr:rraz�rrutceter ttiy e ss. Be-Tntr is fife jxr&c}and jab sits ' fACTi7-Rti('P l.rt]urPa.1�1'CaIIIC_ � .. 'i l olxr g ar Self tns_Lim PrggtsationDati- Atlach a CVpg Gf the=VMrkers`campensaiinn PUIRT dtd-ZMti�R PZ-ge-(showmg the PobLT nuns xer and elation date); Fa-Rure fa ectioai 2 SA aft c 152 can lead to MPnsitian of rnmTnal pemaLEi>s of s fvn vg to L OQ_00 aadlQr nr gearim sa ,as iuetl as cit�1 gerralfi�s is the fzTin.of a STOP WORK ORDER-aad a five Gf up to�250.00 a day against f e.violatar_ Be advised that a czr y of this statemest maybe forwarded to the,Office of I=euti tiom of the DIA caverage wrifCafion_ Ido hareby CerAfy:r uttrFpsu�fierr� utPtYicrtfhe�vrnz�npras�d baits is rr�ct. S,m, m Date`. Ph�e i� zciul tzsa art£ .Dv trot wriir in fIds urea,to bg caurpleW by c�3 or fatra afficrni City or Town: r kense# Fss�1'fuffiGrrLy(dark oaey: . . L�acard�f$ealtic .$uiF agDeltarl t ax t rk 4 Flea calln pmtor S.PhmnxbhigEM3P4bctor r},Other Car�ct Ferran: Fh�rn� dui a�Jliui..t? au u a to Lc L,v_s-u l-o-o I iassarhus Creneial Lows chzpter 152 requites alb employers to pm dde workers'corope E67,n_for their employees R-7=aI]t-7to this stag,an M7T&pe6 is defined as'__evmy pecan in the sa-yice of another nnder any contract ofhi- , e�ress Cyr irrrpHed, oral or written." . An empTrryez is defm.ed as"an mdividnal,par na-1 ip,association,corporation or other Ieoat enfiiy,or any two or more ofihe fbrt;gaing emgaged m a joint erb�,rpase,and including th-e legal reprr smaiives of a deceased mnployer,-or the r-ecaivm or trustee of an indrvidrzal,parhaershrp,association or other lel en gatity,employing employee;. Plowever the owner o f a&w e.Umg house having not mca.than$u ee aparfmmfs and who resides t3ierem,or the occupant of the dwelling horse of another who eqploys persons to do maintenance,construction,or repair work on such dwelling house or an the grounds or bolding appurtmaut fhereto shall not because of such employment be deemed to be-an employer." MGL chapter 152, §25C(o7 also,staL-s that"every state ar Io-cal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to comtract buildings in the corn monwelth for any applicant who has not prodriced acceptable evidence of compliance with the insurance coverage required.' Additionally,MGL chapter 152, §25C(7)states`Ntithm-the commonwealth nor auy of itspoli(ical subdivisions shall enter into any contract for the performance of public workuIlta acceptable evidence of compliance with the i sufance r_quit-em.ents 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 contactDr(s)name(s), addresses)and phone mnnber(s)along with their cer`riEica%c-{s) of insT�rr�nce. Limited Liability Companies(LLC) or LlmitrdLiabi7ity Partnerships(LL.P)wiihno employees other than the artaeas are not to workers' co msajion in�rnar,ce_ If m LLC or LLP does have members or p required �' mP • •a policy is r Be.advised that this affidavit may be submitted to the Department of Industrial employee.., p Izcy equirecL Y � Accidents for conftrm.ation ofTnmrrance Coverage. Also be sure to sign and date the affidavit The affiavrt a shou1ld be mt-med to the city or town that the application far the permit or license is being requested,not the Department of Indus trial Accidents. Should you have any quesilons re.ardmg tie 1_avT or if you are required to obtain a -I orkers' compensation policy,please call the Department at the number Iigte3 below. Self insured companies should enter their self_in=nce license number on the appropriate line. City or Town Officials ,. ;. Please be sure tizaf tie affidavit is complete and prfiitEd le�ly_ The Deparment has provided a space at he boo m• of the a.ffi.davit for you to fill out is the event the Office oflnvestigaiions has to contact you regarding!e applican"t Please be see.in fill in the pemmitllieense comber which will be used as a reference number. In addition,an applicant that must submit multiple pcanWhmnse applications is any given year,need only submit one affidavit indicating current policy information(ifnecessary) and under'Job Site Adder s"the applicant should write"all locations in (city or town)."A copy of tb.e affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for fuller,permits or licenses- Anew affidavit must be f Hed out each year.Where a home owner or citizen is obtaining a license or permit notrelated.tD any business or commercial vcat ze (L(-,.a dog license or permit to bran leaves etr,.)said person is NOT rid to complete this affida-Vit The Office of Investigations would hke to thank you in advance for your caoperation and should you have any questions, please do not hesitate to give its a call. The Dep_aztrmtmCs address,telephone and faxmmmbrer ` The Commaa a of massachus Depat¢ue�at Gf3n&dal,, Qaidc�nt " Of JUVf, B- IAA G2I I I Fax 4 6I7-727- M_C� Revised 4-24-0 T o din Massachusetts -Department of Public Safety Board of Building Regulations and Standards t.iI III LI Lj l.11ll 11 JII ICI VI\I11 , License:CS-092745: ris PHILIP BOIRE - 19 Kettering Road: NO Norwood AIA 0242 Expiration 05/1812017 Commissioner t.. Town-of Barnstable Regulatory Services a►arrsrns�, � f, Thomas F.Geiler,Director 165 ►� 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 Ph,,It dD\r 2. to act on my behalf, in all matters relative to work authorized by this building permit application for. �f 55 Yar 2 (Address of Joby i S' �PCO�)wv ner D to , 3"arnes GoO smi-ffi Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. - QTORMS:OWNERPERMISSION Town of Barnstable Regulatory Services Thomas F.Geiler,Director sAat�er,EM '� �,� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown 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. ggervisor. 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 l09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. K- ti The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will`co ply 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:\WPFII.ES\FORMS\homeexempt.DOC . ' eDEP MassDEP's OnlineFiling Y, g S stem Page 1 of 1 MassDEP,Home I Contact I Privacy Policy- Mas3DEP'S Online Filing System Usemame:CAPECODAUTOEXCHANGE Nickname:CCAE My eDEP I Forms c My- Profile on Help' Notifications LTransaction Overview Trans# 823387 ID# 100240616 AQ 06 - Construction/Demolition Notification ' Forms Signature Payment Submit _ p Payment pnnt Exlt Payment Confirmation Thank you.Your payment has been received. Note:Payment received after 3:30 m will not be posted until the next business day. Y p ,. p , MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System ver.12.21.6a0@ 2016 MassDEP https://edep.dep.mass.gov/Pages/Payment/PaymentConfirmation.a..'. 4/8/2016 i eDEP'--Mass,DEPs OnlineFiling.System Page 1.of 1 ' MassDEP Home I Contact I Privacy Policy MassDEP's Online Filing System At Usernarne:CAPECODAI TOEXCHANGE _ Nickname:CCAE My eDEP Forms9w My Profilem Help. Notifications Receipt Forms Signature Payment Receipt Summary/Receipt print receipt Your submission is complete. Thank you for using DEP's online reporting system. You can select."My eDEP" to . see a list of your transactions. DEP Transaction ID: 823387 Date and Time Submitted: 4/8/2016 3:08:13 PM Other Email DEP Transaction ID: 823387 Date and Time Submitted: 4/8/2016 3:08:13 PM Other Email Form Name: AQ 06 - Construction/Demolition ,Notification Form Name: AQ 06 -Co'nstruction/Demolition :Notification. Payment Information DEP code: 122400 Date: 4/8/2016 3:07:03 PM Amount ($): 100 Payment Detail: BOIRE'PHILIP --AccountType- AccountNumber ****2961 ConfirmationNum'ber: My eDEP MassDEP Home Contact Privacy Policy MassDEP's Online Filing System ver.12.21.6.0©2016 MassDEP https://edep.dep.mass.gov/Pages/PrintReceipt.aspx 4/8/2016 �j Sign TOWN OF BARNSTABLE Permit * 1ARNSTASLE, MASS. 9� i6 ArF p A� Permit Number: Application Ref: 201504141 20071127 Issue Date: 07/16/15 Applicant: GOLDSMITH,TAMES ET AL TRS Proposed Use: STORAGE WAREHOUSE&DIST Permit Type: SIGN PERMIT Permit Fee $ 75.00: Location 455 YARMOUTH,ROAD Map Parcel, 344086 _ - Town HYANNIS Zoning District. B Contractor PROPERTY OWNER Remarks CAPE COD AUTO EXCHANGE FREE STANING SIGN 27 SQ FT Owner: GOLDSMITH, TAMES ET AL TRS Address: 830 NORTH ATLANTIC AVE - #B905 COCOA BEACH, FL 32931-5705 Issued By: PC\\, t . POST THIS CARD SO_.T IS VISIBLE'FROM THE S REET c r, PERM,I-*AYMENT REEEIPT TOWN T BARNSTABLE BUILDING'DEPARTMENT 200 MAIN STREET ' HYANNIS, MA ,02601 DATE: 07/16/15 TIME: 15:00 ------------------- PERMIT $ PAID 75.00>{.' AMT TENDERED: 75.00"�' AMT APPLIED: 75.00 CHANGE: Do- APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 1591 } v. 7 I I t�rl I � I I �I ,�I �o `�I ��a•0 ct5 ' . '� j i' of i •� I i �'� ®i -a - v . �.. � LA 44 �;, � o . .1. .' o- � •:� I ° � � .:~� I - vt9k Wj O . 1; FQ I I I I I I . Q _ 4� y`j ct c� , ~ '^" s. a CG I II' KiD r 5o �" o it y I I b I i j CID tas U O A I O I p O O e �' , •sa y \] cd alo a� vl U U ail b" � a o b j$r , �7 'u � 55 , 1 II� 6 A 1 �Ti 1 r•+ R ns Y tit x LI a � � ," , s. rta a�a;'�°+: '"w. vn�. ..2."�: ��•Yn�++ Fn"V� ,nN'M. �"*:. � r M ^ i es, ' an + ro �,q 9 s4, � .. � :i q. ;7,i:•;x.^�F,.:7 '�.^',x"�de" .,sry K� q Jr' f r `- •`ewe � ��• s..- ., .. x m 1 " �A... ,�R +"�"""'x �� � M, 'q`• ,��er�, 5��S �� r �.,5 nY ��r�' w r�'•� aW ��� Pu`` J.. ,'r _ u � �'� .:47 � Jj�: y. ° -•. ,.; . o,� .':.e n. ti..e,'sY�Y��'.,p� ;. �� °^-•¢"C �;�e�l''" �,;'� �. �k`�°Y�.3�q,.� _ r,�-, ':^ r _,�,,«� • y � I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- Map- Parcel Application Health Division Date Issued G�_' Conservation Division Application Fee J/A Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address VillageC)/1/tis Owner Z /y7 G o r Ste„ Address o Cl- r.L. Telephone �'c1 — c),2 � b Permit Request ( 00 _�i&�Cl, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay r - Poe F'� j _ct'Valuation 500 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach:`supportingtlocurhentation. _ Dwelling Type: Single Family .❑ Two Family ❑ Multi-Family (# units) � ` ' Age of Existing Structure Historic House: ❑Yes ❑ No On Old King" Highway: ❑13s ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other IS Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name v �y Telephone Number Address License # J 1 I Home Improvement Contractor# Email �!/1 I !/��� V / �a� (.` wvorker's Compensation # ALL CONS RUCTION DEBRIS RESULTING FROM THIS PROJECT WIL BE TAKEN TO SIGNATUTU RE-'' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO. r ' � �r� �trt�rzs�Aecidexr� _• ° • ��'��,�-ems ` AoemQ MA 92LU ' • YVf4*if�Tf�f17S��UR�l�llt „ WarkeIe CGmpensafiui[IaswrzaCe Affidavit Rmild-g SfCGIEtr3,EiQIs/MectTiCl2ms(Ph bens Apv1icantjufmrmafiun t r 5$ I Lii Name _ Address, 4 ZQI�V tW City/StabtlZip: P9 IIe Are yan an employer?Check fha mppmjri6 bow I ry e of pmiert❑ I am a employer 4. [] I a�aa i cnnfiactor and L - � Y�wift P 6_ New rnnefi,as :loyees{in1t andfflrpact-:gne�* �eh3aed-tom suTrs ❑ ; a sore grogn for orpartuer- listed on the$f#arhad sheet 7_ [-]Remodeling sh a azu;have no emgio�ees These snb--oonhwtars have g- ❑Dema3ifi wing forme i a any capacity emplayeez and have workers' � ❑guildmg addifion jltTowards'comp.,iawrmcd comp-tn=M=- I 5-❑ We are a corp0ra6oaa31d its 10-0 MecUicgl repairs or additions 3_[]'I am a homeowner doing aU wo& officers have e=dsed f cir l'-L__J A mbi g m a rs or additiom T€[No wdarlrre comp- of r mpfioager MGL L❑Idoof" insurance refired]i aim c-152,§l(4) and we fine a no ' �l [Nowt i3--E1 Other Imp zPpfiu�cbu coeds bmc�1�striso ffi our, secfioabeIoxsbvsAia�theiraodrts'ooaxpe�hoa Ecomeawnemuhn smtmrt i1isaff0:v tney ami3=3.g Ngtmdc ndffimyrEuutadecntRcwmtsnatan sfd3vt inrrrmtm Mrs -CnW-cma tI xt AS lr lhis bcx mist stated m:edinnusI shed 02Wda6-r1easme Of ffM MY1-own t0a coda tP Whets or=tMSE pndfim Lsve ' emPlvyees if the sob-c==Ct=h.-M erIqeLs,tieyam¢t P=Vw their WMI-e s'ivmg.po-ru-T m=ber- I am art gacgif�yeF flirt isgraxsg x�nriiers'conirrinarirr�raacear nr empiay�ee� �e�atr is�t�guc}*asd jn5 rile �iz�aha� IaSM=Ce ComgsayN": Polio N or Self-ins-UcAkExp �fioul3ate: Too Sifia-Address: Ci1)WS1afel2-g_ Attach a MPY of the trorkws'comrpeumtion policy ded;z rafiou gage(showing the Foley rtumber and ."oa date). Failure to seome coverage as Mpiredunder Section SA o€MM c,152 can lead to the imposition ofcrimffial penalties of a fine up to S1.5010a andlor o=-yrarimpriso=ment as•well as civil pem&s M foe fom of a STOP.WORK ORDMand a fine ofup to$M-0 f a.clay aghast the violator_ Be advised fhaia capg of this sf esaeut n32rybe 2rwardod to the Offices of Irraestigations o€f DlA fi�r;s, n Garage vedfication I dff hereby cvrltfy pea fiss o;�laer urp t#tat$ta in vr�ria€iatt Frmdd £abo�a a and£correct Signet = Date_Y, �- ` Phone 9- .� CWWZI tdse 0MT}. D¬ sniff in this drredrx fa.be cuMurg£eteri by cii}}or fawn of eiaL City or Town: itg p�.rr;Nf..re¢se# I Fs=ngAuffim {rirde o -n L$card of Health 2.Building Department ajf pTawa Clerk 4.Electrical fnrpector S.Plumbb g Easpecter 6.Other Contact Pei-saw 6 f 'Town of.Barnstable f . . Regulatory Services r �- HAMM t - Thomas F.Geffer,Dicer 1659. c ` Building DiPision Tom Perry,BmIding Commissioner • 200 Mak sfreet Hyaffii%MA 02601 www Dwn.barnsfable ma.as Office: 508-8624038 Fax: D8-790-6230 Property Owner Must Complete and Sign This Section ga If Using A Builder U as Owner of the subject property, CQ hereby,authosize to act on my behalf, in aIl matters relative to work authorized by t�h�s' ,buMi�g permit AJ ( s of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be.fiIled or utilized before fence is installed aad all final inspections are performed and accepted... --- Saga==of Owner . �irant Y Punt Name ame V—A Wr, Date Q7YDIU&--0WN 0ERM oNPWLS EMU IS Massachusetts -Department.of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-092745 14 PBLUF BOIRE 19 KETTERING Ro 1 Norwood MA 02962 Expiration Commissio gr 05/18/2015 A i r t • • r 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. // DATE: 3 l� Fill in please: APPLICANT'S YOUR NAME/S: '7/A` BUSINESS YOUR HOME ADDRESS: CU aFIT ' TELEPHONE # Home Telephone Number c l 4 a 4 c�7 a YJ NAME OF CORPORATIONIT NAME'OF NEW BUSINESS CR '"' :C J PE OF BUSINESS'". YV N v ION YES: NO sF i.Y, y J �3 �� Y ©� S I( . ADDRESS,OOF BUSIN SSCUPAT ✓ MAP :PARCEL NUMBER [Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMZ SID ER'S OF ICE This individuh'Aut� a ir5for d f a r it req firemen that pertain to this type of business. ized�i n ure** (Ar , ` COMMENTS g 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: t 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, 15t F1., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: DATE May 29, APPLICANT'S YOUR NAME/CORPORATE NAME Montero' s Motor Sales, LLC BUSINESS TYPE:used auto sales BUSINESS YOUR HOME ADDRESS: 19 Whitehall Way Hyannis, MA 02601 TELEPHONE # Home Tele hone Number NAME OF NEW BUSINESS Monte ro' s Auto Sales OR EIN: 46-2847487 Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS_ 455 Yarmouth Road, Hyannis, MA. 02601 MAP/PARCEL NUMBER 344-086 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 COMMISSIONER'S OFFICE This individual has been informe f any permit requirements that pertain to this type of business. Authorized Signa ure 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 (L , ENSING AUTHORITY) This individual h t e ce a i fo e e o ui m is that pertain to this type of business. COMMENTS: Autpiofted Signature Town of Barnstable Geographic Information System August 14,2012 ": f. - - V ^ It ��.�y� gyp+ d _ •' ^ a e y 1 �Y r r, n s r .F 9r ac t 329003 `Le 4 f ^ #472 . . c r CJ', S v.^ 328183 3440M d #0 o t #455 n i a a 344008002 - 9 , o w s i - j h 344084 ' } k ^ i i � r t #:.. +- _"-J � �>'1r g t ..'• p :l I 1 1' Y � i?. e 3#44009 w c wI t a DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:344 Parcel:008002 �i N Owner: boundary determination or regulatory interpretation. Enlargements beyond scale of 499 ROUTE 6A INC TR Total Assessed Value:$1417700 Selected Parcel. 1"=t00'may not meet established map accuracy standards. The parcel lines on this map , W .E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:700 BROADWAY REALTY Acreage:3.91 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:460 YARMOUTH ROAD ad such as building locations. Buffer O rs:r/ Aerial Photos Taken April 19,2008 mot ,, Sign z TOWN OF Permit EAIMSTABLE. a MASS. s6 Permit Number. Application Ref: 201307524 20070926 Issue Date: 10/21/13 Applicant: GOLDSMITH, JAMES ET AL TRS Proposed Use: STORAGE WAREHOUSE &DIST Permit Type: SIGN PERMIT 4 Permit Fee $ 50.00 Location 455 YARMOUTH ROAD Map Parcel 344086 Town HYANNIS Zoning District B Contractor PROPERTY OWNER Remarks REFACE EXISTING SIGN 12 SQ MONTERO'S MOTOR SALES Owner: GOLDSMITH, JAMES ET AL TRS Address: 830 NORTH ATLANTIC AVE - #B905 COCOA BEACH, FL 32931-5705 Issued By: p PAST THIS CARD SO THAT TS.VTS1 LE FROM THE S .REST Town of Barnstable I Regulatory Services s�atver�scs. t Thomas F.Geiler,Director suss �`� � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.as Office: 508-862-403 8 Fax: 508-79076230 Permit# Building Official approving Application for Sign Permit Applicant E n 'cam o Assessors No. "- ' 0 ��S Tle . s � Doing Business As:��71✓T1c�p 5 � 5ehone No. P Sign Location Street/Road: Zoning District:_Old Kings HighwayP Yes& Hyannis Historic DistrictP Yed Property Owner Name: G,:e L-a S M i- i q jq t n Telephone: Address: 2(30 /VQ rZT W A'e"L-Vq ! f, Pr y9�__Village:C DG0,4 Sign Contractor y Name: r- a4 �r l L,tA�+JrO Sl C Telephone: �(7S �.l ) Mailing Address: 110 'EF►- )A-I5 /2d i-1-�v9ll�ni/S Description Please follow the cover directions.You must have an accurate rendition of sign with dimeoi ns and location. � � Is the sign to be electrifiedP . Yes/0 (Note:Ifyes,a wirm4pennitss required) Width of building face 1 ft.x 10 m 13 x.10 Check one Reface existing sign ✓or New Total Sq.Ft.of proposed sign(s) 4'wJ Ifyou have ad&donal signs please attach a sheet listing 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 Agent:. "— Date SIGNS/SIGNREQU VE Town of Barnstable * * Regulatory Services � Thomas F.Geiler,Director 16 39 Division Building Diva �� g Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERAUT REQUEREMENTS 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 scale drawing indicating dimensions, color, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face. - NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU �I QUALITY USED CARS - _ mom I • r,r r 1Tuesday, . 2013 CLIENT CONTACT Fabian PHONE: SIGNS - • '• • •• THE ABOVE DESIGN IS THE PROPERTY OF CAPE AND ISLANDS SIGNS AND MAY NOT BE DUPLICATED OR 1 USED WITHOUT EXPRESS WRITTEN CONSENT. CHARGE FOR DESIGNS USED WITHOUT PERMISSION. 5500.00 Workspace Webmail :: Print Page 1 of 1 Print Close Window Subject: sign From: info@capesigns.com Date: Tue,Sep 24,201311:43 am To: monterof14@yahoo.com Attach: sigimg0 monteros.pdf Good morning Fabian, Thanks for contacting Cape &Islands Signs for a quote on your sign. Attached please find a sketch of a 48" x 36" sign secured to your existing posts. This would consist of two Dibond panels, one on either side, with vinyl lettering. Dibond is a 3mm thick aluminum substrate with a hard core which makes a durable, inexpensive sign. They would simply be screwed to either side of the wood posts. The cost would be $575 plus tax, including installation. This price does not include sign permit procurement or premit fee. Of course, if you would like for us to take care of the permit we can do that, but there would be an additional charge. Our payment terms are 1/2 of the total due upon order and the balance due upon completion, at time of installation. Please let me know if you have any questions or if you'd like to see changes to the design. Chic Pollock Cape & Islands Signs, LLC 103 Enterprise Road Hyannis, MA 02601 Phone/Fax: 508-815-3431 Email: info@CapeSions.com Website: www.Cai)eSigns.com � " Copyright©2003-2013.All rights reserved. https:Hemai113.secureserver.net/view_print_multi.php?uidA.rray=24091MOX.Sent Item... 10/10/2013 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION /V Map ` Parcel ; Clf,hL Permit# Health Division 13 g- 103 ''ABL§ate Issued y ZR - Conservation Division P (: application F e Tax Collector M Permit Fee SD,. Treasurer �ISKt B F'iEJST BE It.-ISTAL LED IN COMPLIANCE Planning Dept. 'fTF. TITLE 5 Date Definitive Plan Approved by Planning Board CODE AND Historic-OKH Preservation/Hyannis Project Street Address ��„r (2( Village Hfw6y) I Owner -FGif-nev aoart />,Ynrt , Address I'L/4c Telephone Permit Request re � r-DO$ cw) e�CI 51-IyVi f2hfAJ ltf 1 121e) (00 i 11r, V�2 - " U a 6ft2 Square feet: 1 st floor: existing proposed S � 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Y Project Valuation Construction Type M 45&1 l S G✓l ���►v� .� �£ �� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Gokm nok"pit{ S 4co) x Age of Existing Structure 70 Historic House: ❑Yes VNo On Old King's Highway: ❑Yes O"No l' Basement Type: ❑Full ❑Crawl ❑Walkout . ❑Other 0U Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing / n Half:existing new Number of Bedrooms: existing 'ew Total Room Count(not including baths)- exi in new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oi ❑Electr' ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new' size Pool:❑e ' ting ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed: existing ❑new size she— Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION 06- 4_Z p - j 2 p pffiCcl Name d �y 11►n Telephone Number /��- IPIPcPD - ccl 1 Address 2(O I &1QCIC1_k)QY '1 _DY, License# C 4-1616)� ` K4k 02(Qq§5*" Home Improvement Contractor# Worker's Compensation# (025C. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Aflari- 1 C SIGNATURE I V-) DATE �= FOR OFFICIAL USE ONLY f PERMIT NO. DATE ISSUED - - MAP/PARCEL NO. ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: FOUNDATION 'f ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH ; ' FINAL y - FINAL BUILDING - + DATE CLOSED OUT ` ASSOCIATION PLAN NO. �f Town of Barnstable Regulatory Services BA ABLE'$ Thomas F.Geiler,Director S. E1.39. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 t ! Property Owner Must Complete and Sign This Section If Using A Builder I, r 10 A 0 C� I as Owner of the subject property hereby authorize 91fi U I to act on my behalf, in all matters relative to wo&authorized by this building permit application for(address of job) U � . Sign to of Owner Date Print Name The Commonwealth of Massachusetts -_ - Department of Industrial Accidents — Offieff offnYesti9ations - 600 Washington Street Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit a,a IM tie r name: N location: 'i ci MA Q phone# 025 I am athomeowner performing all work myself. I am a sole proprietor and have no one working in any capacity MINE g� I am an employer providing workers' compensation for my employees working on this job -d f'43,..h'7 ? ��}� �Y� `k'.s �� L i� � n'P'� :nC1r".Pf �-5`k^3�Ai� -'�,c' �.Y„ � � S'k x lT � E _._ R� "�•s�� ? �}��x colnpan�5 ua'me � � p •� in � +ES t ,�� E F} 4 Y t 1 � � i l }Y C yrt 4°.Y`y�Y"�,„A4`�`T�3�ri. d�b ' r a,,,�ism '�,��'� } ��� 5 e•.3'� .� �� r.s ,, �{�s r d �` a a y�, ^� a §' }�,r :E,i .�„N - �lv a c..�sr h�}} .,� 1�y�� '�a f �- x .��e�F" _...s - �! $ *^xx � Ste. � ✓ x `ix +'•'�+' x`"v�'� r § z w to �U d�����, ;a :Mj��; :`£�'3 u � ^r,•ax��� �.F �"s'�< '��,.�,�'.i t a✓ � do e��� 2�a.3� �x�..u' ,� #`��� 3� Y ��`_' �t7�,��'v •�� �¢�� �^ a 3 -::;:� `� »k s .� � � F y,.ur•u�t';- re§�' x'�c�. f�: z ^s`�'',t uc; s �`„�,x � s�� awe +�r`i+Y r � �a: k -.. .,,� m ;. � `'zit? a F ✓ �i¢ ,..... �d3 `. imsurance.co. _. . . _. ._. I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices 'N1v? g°'F �§ ,« ��:. ,i Lim nx• � a s.r* sY F3., �s-S+ r,x� „k �. ��� � � �s �� a EF,,; 95 �, 5",,>;,k�� "n�`�i�" :. ,�,.�=.Y' Ksi��4'`-f'c�?��u' +� �'rfy4<�,,;; r�*��➢ �.xy i• .;Y 3+a a�L�4 '1 �': �;, r L Y�_�,Fe' �+1�' 'r t L - ,*.x �,F �➢£s� 'i�,�'- rt e:xa�y,3� ._, � ;;:���«����� "ser; 5�'.ku:r�y�-�,� ,}G.,aK.l ti � ?�� .5 �.R�" �x��7':d ap .Cz v"� <t �^§� S 7s*s��a i� i<�i+s�", �r���`�.r.L "��'•,°-�t"''.^s Y`",y -,�'_�a.t"�' r"�`�,n t F''�'t..x*z�,. ,z��`�s ,;i Z s?''r' . 1�r ._ ,� �m ;xa� �` -s D�11 On C�#s� �. 1 «� c� a,�4'3' � gar... .¢•?.w�'".��� y�... CItVr m'�f•'�` -r �L�- 2��,� �� s�i � s ems.- ��a` �a xE''�.;ts���`s a4,� �t5"`�3<:�� 1iw'G�. a r-�..• 5 � ,ir? �� ,� - c i r xlnSUr8nC8"CO a#six x"�srtF a x 3 r c �x r z a x s =POIICV:.# ��• <..�, E�z•�.. r.+....Y�-�.�s:s`�,�?;ia�'��''.a,aa<�� ':-� ,y�. 4 ,�. a u% x . - iz .5i, ;.,�ex Z tTA .✓-Y •tr a i'c }' f'Z"', 's �. r. •'�.?.' aJ i d`;.,. - a 'Z; `.0 '* .{;+, i R.. �`�� 2 �5^� � 5ti� a�. t �r4 f ;� � _�'&✓` ��� .:z „y an�-a�'�••,s`1I1.pifi�Y�#�,�v"�;T��.'. �.a*°S��A��"'�€=+s.✓�� cr t� #;�%"T.„ �` 1 ",'. 5 ca�..� r i.r^a + y f 3 n � �t� 'Fd"�'lY3 •+ P ,, ✓u�xS,�s�......y F+y � ty�5�si«&1 c��� �.: �P'°�`n xx< �a�'r3''.z«���� � 5��.� -t ,�, � �� s �«yt � t r ��" n !,y„a rp :i.�,i ,� t:: � '•°as�`�,�' a3r � �� '. _ rS<.wrs"t' `F 7[ o" t 7 rr s� r��w ✓�c`�''itrr z�F z.[ xo-' ,.yl"a ,! S' "" ,x �.fib:sf ='i�..: _ .rol�`,; � t j�`;,S-.-f= , [ •v,• `sr c.i t ✓ �f t aJ?.y '. j,'y ..z�`s path Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ify under the pains and penalties of perjury'that the information provided above is true and correct. Signature Date v � 2 P Print name 1- irry l I h official use only do not write in this area to be completed by city or town official city or town: permit/license# F—Building Department []Licensing Board check if immediate response is required ❑Selectmen's Office Health Department contact person: phone#; nOther (revised 9/95 PJA) Information and Instructions 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 on 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. INFAM 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 may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any,questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR ' Re.gistrajlon '_;131841 ' is Explitfbn;;_9/;26/2004 4 Tyevate Corporation CENTRAL CAPE C0N$7E l)CTIQN 9`fOWEN DEVLIN 261 BLACKTHORN DI2.` MARSTONWILLS,MA 02648 -- - �/1w v�amvmmoo�uuea z v���aaoacll ua j i BOARD OF BUILDING REGULATIONS r License: CONSTRUCTION SUPERVISOR ' �. Number: CS. 047993 Birthdatei 02/04/11957 ' ".II Expires .l)2/04�2604 Tr.no: 15943 - Restricted';00 STEPHEN J DEVLIN'.._ 261 BLACKTHORN OR MARSTONS MILLS, MA d2648 Administrator Wt - i r [ ] [R344 003 . ] LOC10455 YARMOUTH ROAD CTY107 TDS] 400 HY KEY] 249886 ----MAILING ADDRESS------- PCA13261 PCS100 YR100 PARENT] 0 TAOLERIDIS, DEBORAH A TR MAP] AREA] HY10 JV] MTG12001 DEBORAH A REALTY TRUST SP1] SP21 SP31 102 CAPT CROSBY RD UT11 UT21 . 74 SQ FT] 6038 CENTERVILLE MA 02632 AYB11952 EYB] 1980 OBS] CONST] 0000 LAND . 79900 IMP 212300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 292200 REA CLASSIFIED #BLDG(S) -CARD-1 3 212 , 300 ASD LND 79900 ASD IMP 212300 ASD OTH #LAND 3 79, 900 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 477 YARMOUTH RD HYANNIS TAX EXEMPT #DL LOT 5 RESIDENT' L #RR 1890 0446 OPEN SPACE COMMERCIAL 292200 292200 292200 INDUSTRIAL EXEMPTIONS SALE112/96 PRICE] 200000 ORB110542276 AFD] I LAST ACTIVITY] 01/16/97 PCR] Y , --" ,Iq R344 003 . A P P R A I S A L D A T A KEY 249886 TAOLERIDIS, DEBORAH A TR LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=B 79, 900 6, 800 229, 400 1 A-COST 316, 100 B-MKT BY 00/ BY /00 C-INCOME 292 , 200 PCA=3261 PCS=00 SIZE= 6038 C JUST-VAL 292, 200 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA HY10 ----------------------------- COMMERCIAL NBHD IN HYANNIS HY10 PARCEL CONTROL AREA TREND STANDARD 301 30 LAND-TYPE 799001 LAND-MEAN +0% 3161001 156475 IMPROVED-MEAN +470-. 500 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%1 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R344 003 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 249886 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [B17145] [06] [74] [AD] A ] [ ] [00] [00] [000] [NEW ] [HY REMODEL] [B33046] [07] [89] [AC] A 600001 [LK] [03] [91] [100] [NEW ] [HY REMOD'L] [ ] [ ] [ J [ ] J [ ] [ ] [ ] [ ] [ l [ J [?] Assessor's map and lot number ..............................r�•.SN:...... . � . SEPTIC SYSTEM MIJ fINE,o�y IN CON NC Q.Sewage Permit number . . :.. +b. ¢Mrua.....!1 ..9�Z3��'u� TALLEO ILIA o� - W17H 41T`.E . ,. . House number .......... ........ ENVIRONME AL C®'®E A 900 6 a Lei T0EOI;lIo�►T1®Niao yaY a. TOWN OF BARNSTA`BLE BUILDING MS?ECTOR APPLICATION FOR PERMIT TO ......... v/L� . .....S�Q2i9�E ?� .. ........ .. .............................. .................. TYPE OF CONSTRUCTION ... ......•vEl :.................................................:......... .w S��T .......Z..................................19.> 9 TO THE INSPECTOR OF BUILDINGS: } The undersigned hereby applies for a permit/according to the following information: Location .7� � /elf.gA....................................................................................................................................... Proposed Use ........... S D .�E........... -sUL/3r/d4�.........WOW... /�!'I�t3L.�......................... p Zoning District ........!�.US14r E-�5.....................................Fire.District � 1--f :..... ............ .... ............................... Name of Owner ...... ....... ..........Address ....1�5�..t�....y/�1.. .....��.... ..... Name of Builder ....... ...........................................Address ..... .7�!a ......10 .... • Name of Architect -� �?11 .................:..........................Address ......:..........:..................................:............................... Number of Rooms di ,:..�O rEJ......................................Foundation ...,1. �.x..2f ......e Exterior Uq ....Roofin (4)Floors ...........................................Interior .................................................................................... Heating .........?VR.4�.e.........................................................Plumbing .............. ®. .t°r.............:.................................... Fireplace ........ p /.U.4.e:ei arm............... rm........................................................Approximate Cost ...........1...� ODd...�........,......... ........... - F Definitive Plan Approved by Planning Board ________________________________19________. Area . f ....................... Diagram of Lot and Building with Dimensions Fee ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH f 4 1 r " I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the Move construction. ' 1 Name ' i GOLDSMITH, JAMES A STORAGE BUILDING No z. `?... Permit for .................................... f • , y Commercial Building ............................................................................... s 455 Yarmouth Road Location ' .............. f + y* Hyannis .............................................. ................ ...... F Owner -'James, Goldsm' th x^ �' ..... .............. , Type of Construction • ' Frame.. 17 ' ............................................................................... Plot .. ...................... Lot ........................... e. • d Permit Granted September......t2 3., �'19 80 ................. . .. Date of Inspection ..........'`. e19 ` Date Completed ......... 19 `' a PERMIT REFUSED •'+ . .... .................... ... 19 F r I' h d r4 r. t �.• r d ; ........................... T............. ... ............ ..... ............. _ +! ,. .+ r' Approved..... .................................... 19 ....................................................................... r a - r t c OPERTV ADDRESS I I ZONING (DISTRICT CODE "SP•DISTS.IDATE PRINTED(CSTATE LASS I PCS I NBHD KEY NO. 0455 YARMOUTH ROAD 07 B 400 07HY O1/04/96 3261 OD HY10 44 9886 LAND/OTRERFEATURES DESCRIPTION ADJUSTMENT FACTORS IN MARIO B TR MAP— Lana By/Date s�:e o.mensel LOC./YR.SPEC.CLASS ADJ. COND. VP PRICE IT ADPgICEN1T ACRES/UNITS VALUE Deschpron co FF.oem/AO es #BLDG(S)-CARD-1 3 212o300 CARDS IN ACCOUNT 30 3SITE 1 x .74 =10 118 75 121999.9 107969.9 .74 79900 #LAND 3 79.900 01 OF 01 #PL 477 YARMOUTH RD HYANNIS RESTAURANT U 1 x — 100 i342354.01 342354.0C 1.00 342400 3 #DL LOT 5 MARKET PV1 PAVING S X = 100 .4 .45 15000 6300 F #RR 1890 0446 INCOME 292200 A USE DI APPRAISED VALUE C 292o 200 UI I PARCEL SUMMARY LAND 79900 S ! BLDGS 229400 T ' 0—IMPS 6800 M TOTAL 316100 NI N CNST DEED REFERENCE Typf DATE Reconle0 PRIOR YEAR VALUE T Z Page '^!' Mo. vr. P"Ce LAND 79900 9I 3590/199r Ir10/82 128000 BLDGS 212300 1:04/82 L 50000 TOTAL 292200 BUILDING PERMIT *INTERIOR UPGRAD N Pm ber Dale Tr A E D DURING 1990 moant LAND LAND—ADJ INC ME SE SP—BLDS FEATURE�j( BLD—ADJS UNITS .79900 6800 342400 833046 7/89 AwC 60000 Ctass COnsi T^ral I Base Rate Ao Hare rear Bell Norm. Obsv. U nos Unrs r AA� etL1 Age Depr. Cold CND Loc. %R.G. Rep.C 1 New A., Raw Va a Srorres Hergnt Roo Rm! B.Ihf •Fia. P.rlywall Fac. 52C 001 100 101 152 810 14 87 80 67 342400 229400 2.0 1 1 26.0 Desc,.Pr.on Rate Snoare Feet Red C-1 MKT.INDEX: 1.00 IMP.BY/DATE: / SCALE: 1/00.29 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 .00 1950 GROSS AREA 6038 NIGHT CLUB/BAR CNST GP:01 FSF 90 .00 240 *—*-16* N STYLE 35C_0_M_M_E_R_C_I_AL_ 0._ CAN 25 .00 702 ! 1FSF15 6ESIGN ADJM_T 00 0. ------- ----------------FSF 90 00 1898 � *-16*------ 73--------* EXTER.WA_lLS 0] WOOD fRAME 0.820 60 .00 1950 ! 41 ! ! HEAT%AC TYPE 00----------------------- 0.ccc 26 BASE 26 26 INTER.fINISH !� *! - ------ 0-7- DR YWAIL%PAN EL ---0. FSF AVER./NORMAL 0._____ ----------75-------*—X---------73-------- INTER-.OUALTY 02 SAME-AS ExTER 0.- - *---------CAN---------* FLOOR StRUC 0-T 4CONC0ETE SLAB 0. D W EFlOOR COVER_ 04C00ET 0. -------------- --------------------0- TTotal Areas AP! _ Bale. 4088 R_0 0_F__T__Y_P_E____ O G 0. T BUILDING DIMENSIONS t L E C T R I C A L_ 0U SAS W75 N26 FSF E16 N15 W16 CAN FOU N6AT ION 03LONCRETE SLAB 99. S41 ETO S06 W76 N47 E06 .. FSF -------------- - --- ---------------------- S15 .. SAS E75 FSF S26 E73 N26 C0Mf4ERCIAI NBR6 IN HYANNIS HY10 L W73 .. BAS S26 .. LAND TOTAL MARKET PARCEL 79900 316100 AREA 19559 VARIANCE +0 •1516 STANDARD 50 COMMERCIAL PROPERTY r MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET,- , 455 Yarmouth Road Hyannis 78 LAND 9 1 v o 3 3 H BLDGS. o 6-- OWNER TOTAL `7 0 ,: RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: 7� LAND z oo_ Lot /� BLDGS. 7( (p CS O B TOTAL R O J •74 LAND W BLDGS. TOTAL ..._ LAND + L & M. Realty Co p. - _ BLDGS. �0 1-23-78 2652 325 Ptirm) TOTAL _T LAND BLDGS. a�VA11/Al �:�, l�o'ZG C/ 6 ivq /97,?FX TOTAL LAND BLDGS. 0) TOTAL LAND BLDGS. OI TOTAL LAND BLDGS. INTERIOR INSPECTED: rn -- TOTAL DATE' Acreage ch FY'79 & split. per LAND ACREAGE COMPUTATIONS - ;�,- BLDGS. Plan (8-3 Y-45B) i-Nro - ? LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL 40USE LOT _ 2 - - LAND �-_=^:.--�——%-- _LEARED FRONT 0 c:;) Q �,- - -/S 0O Sub-divided for F.Y. 178 per 1 to BLDGS. � �' G.� v tZ�; REAR I S_ Y_ TOTAL MOODS&SPROUT FRONT _ See void card for old information. LAND 'REAR rn BLDGS. NASTE FRONT TOTAL REAR LAND 0) BLDGS. TOTAL LAN D BLDGS. O1 _ LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL TOWN OF BARNSTABLE, MASS. UNITED APPRAISAL CO.,.EAST HARTFORD.CONN. FOUNDATION CEILINGS TILING ij/� BUILDING COMPUTATION _ . CONCRETE WALLS LATH & PLASTER BATH RM. FL. & WAINS. 5� S. F. LS s_� Z 3 CEMENT BLK. WALLS COMPO. BOARD TOILET RM. FL. & WAINS. C� C7� S. F. 4. �?P BRICK WALLS ACOUSTICAL BATH ROOM FLR. 4 7 1 S. F. `> STONE WALLS TOILET ROOM FLR. S. F. ✓ �i' p 7 •4 INTERIOR FINISH S. F. BASEMENT ARE LATH & PLASTER MISCELLANEOUS S. F. y� I y= I 3% ' FULL DRYWALL L FIREPROOF CONSTR. S. F. EXTERIOR WALLS WALLBOARD MILL CONSTRUCTION S. F. SOLID COM. BRICK UNFIN. INT. FIRE RESISTING �--� COM. BR. ON C. B. STEEL FRAME FACE BR. ON COM. SR. PARTITIONS STEEL BEAMS & COLS. �� ( "• FACE BR. ON C. 8. LATH AND PLASTER TIMBER BEAMS & COLS. FACE BR. VEN. DRYWALL STEEL TRUSSES / CEMENT OR DER BLK REIN. CONCRETE C. BLK. SPRINKLER SYST. Z_G zL. CUT STONE FACING PASSENGER ELEV. STONE OR T. C. TRIM HEATING FREIGHT ELEV. ) 75 73 STUCCO ON STEAM INCINERATOR SIDING OR SHINGLES HOT WATER FIREPLACES ll PARTY WALLS HOT AIR CHIMNEYS x7J 07" PLATE GLASS FRONT GAS OIL BURNER STEEL FRAME SASH I ROOFING COAL STOKER WOOD FRAME SASH REPLACEMENT VALUE lI;' .` I COMPOSITION OR T. & G. NO HEATING RENTAL CAPITALIZATION LOCATION METAL AIR COND.—REFRIG. LAND GOOD POOR WOOD DEU��— AIR COND.—WATER VACANCY LISTER DATE METAL DECK HEATING WIRING WATER > ' FLOORS FLEXLUME OR EQUAL r/ ELECTRICITY OCCUPANCY DETAIL & INCOME B IST 2NJ 3RD PIPE CONDUIT JANITOR DEPOT i CONCRETE MANAGEMENT T NE RCS TA U6 1 ! ` T l I EARTH PLUMBING PINE B CL U13 LOUNGE ROOMS ( TOTAL FLAT EXPENSES �!1 � HARDWOOD TOILET ROOMS y� ND FL OFFICE A P/-1 PT SINGLE FL. WATER CLOSET EXTRA Z �/ GROSS ANNUAL INCOME �� ASPH. TILE LAVATORY EXTRA ( ✓ LESS FLAT EXPENSES ; TERRAllO SINK EXTRA J/ BALANCE FOR CAP. — WOOD JOIST URINALS 3 CAP. RATE STEEL JOIST NO PLUMBING REFLECTED CAP. VALUE REIN. CONC. OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.DeP. ACTUAL VAL. 2L__) tl37 - h 3 2 3 i i q 9 j TOTAL TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TO „�t M t% Parcel yA lication # ap r pp 21.,3 2 Health Division '-Date Issued Conservation Division Application Fee X�L 17&6 . Planning Dept. DIVISN Fr Permit Fee : Date Definitive Plan Approved by Planning Board 3- 2-7--i 3 Historic - OKH Preservation/Hyannis Project Street Address /G r/k(9 v r-d h n, S Village ,rr Owner--�"nw_-S GU(d5 mt, \ Address J 3 Telephone :3 Z 1 03N O®® .:Permit Request ?f,Q ox,f Canct i,P A(,e rg, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay. Project Valuation Construction Typeb 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: 0 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 0 new size_ _Attached garage: ❑ existing ❑ new size _Shed: q existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use s APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number -7-7 Address 3 load License# G S"" (aL' �i SL4 G GPr!`I-tc-VI I LL f 09 . 07 6 3 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL,BE TAKEN TO SIGNATURE DATE 9,U1, 3 Ly t Y FOR OFFICIAL USE ONLY APPLICATION# s DATE ISSUED MAP/PARCELNO. c ADDRESS VILLAGE Jw OWNER s , DATE OF INSPECTION:4 4 ..-FOUNDATION i 1 5 FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 9 FINAL BUILDING c DATE CLOSED OUT ASSOCIATION PLAN NO. F f. 4C { ry i__ The Crrlor wonlsealth tof massachusetts Dj9arhneut of Indushirtt Accidemft Office of Investigations 600 Washington Street- Boston,M4#2311 . Wn".w gvv/diva W-Dr -s' Campensafwn Insaaance Affidavit: Buflders/Contr cturs/Electric ans/Pbimbers Applicant Information Please Print Legibly Name(Bushess��ChVmjzation&dvidnal): ///G� £f �� S L�j.5 Ad&ess: 35 �Oa d C 1A -P j . , PI-A 0 Z 6 , 7-- city/sta &z p: Phones#: S O b 'fz 0 U-1-6 Are yq�an employer?Check the appropriate boa Type of project(required): a contractor and i urn/ . te. 1. I am a employer with � 4 ❑ I a - 6_ ❑Ide°w•ccxnsfroction employees( P�-rin°1e}•full andfor * have the sub-conhac on 7• Remodeiita ❑ I am a scale proprietai or partues- listed an the attached sheet ❑ g sbip and have no employees These sub-contractors have g- ❑Demolition w g for me in a employees and have workers' orirint, any capacity. g- ❑Bizi.Idirrg addition [Nb s'comp-insurance comp.incrtrarsrP l regaired] 5. ❑ We area corporation audits 1 D.❑Electrical repairs or additions 3•❑ I am a homeowner doing all waxk officers have exercised weir 1 I-❑Plumbing repairs or additions right of-exemption per IYfGL _ myself [No workers'comp- i?• Itsiof repairs insurance required,]T c.152,§1(.4),and we have no employees_[No workers' 13-❑Other comp-insmaom required.] 'AEy Rpphcam:that chedm box Al avast also fal cut the section below showing their woake&compensation peLcy;nfr,nwtiam I Homeowners who submit this dad rjd in&amng they am-domg all wol and then hap outside contractors mast submit a new affidavit indicating such. tContracim s that ched this Lox most attached an adduiomr sheet showing the name of the sub-catxactaa and state xbeiber or not those entities hasp- employees, if theanb-<o- zams hoe emploTms,they anmpravidethew wadmV comp.policynumber. I wn an employer that is providling.workers'coagrerrsation insur ance for uzy euTtayees. Bdow is the poi(icy and job site irrforr�ration. J . Insurance Company Name: / 7, VIA dl^(Jt�/G� Poling;g or sw-ins.Lic.*Q�" <l Uy- -Z D 1- )ate: 1 l l Job Site Address!VI U //o e,.� S Cityfsta p: 8Vv-Y\A,5 r > 07,60) Attach a-copy of the workers'compensation parity declaration page(showing the policy munber and expiration date). Failure to secure coverage as r eq€ured under Section.25A of MGL c• 152 can lead to the imposition of criminal penalties of s fine up to S 1500©0 andfor one-year irmprisomnen,as gall as civil penalties in tine€onn of a STOP WORK ORDER and a fine of up to$254_t?(f a day against the violatur. Be advised that a copy of this statement may be€orwnded to the Office of Im-estigadcns of tare DIA for inmrance cm-erage vedffcaticn- ' I do hereby cerfa y under the, rr�td i$s ofperj tfrat the irrformatioa provided above Er bus nand correct 5i Bate: Phone#: ©fficiai me only: Do not Ivrits in this a w a,to be completed by do or totem affwiaL Uty or Town: PerjuAlUee:nse# Lssuiug Antherity(earele one): 1.Board-'of Health 2.BwIding Department 3.CVyf..awn Clerk' 4.Electrical fnspecter 5.P'hs nbbrg Inspector f.Other.. :... Phone 9� . NOTICE .NOTICE TO b TO a t 4 EMPLOYEES EMPLOYEES4 The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22, & 30, this will give you notice that I (we)have provided payment to our injured employees under the above mentioned chapter by insuring with: A.I.M. Mutual Insurance Company NAME OF INSURANCE COMPANY P.O. Box 4070 Burlington, MA 01803-0970 ADDRESS OF INSURANCE COMPANY AWC-400-7028578-2013A 01/19/2013-01/18/2014 POLICY NUMBER EFFECTIVE DATES 683 Main Street Suite B Leonard Insurance Agency Inc Osterville, MA 02655 (508)428-6921 NAME OF INSURANCE AGENT ADDRESS PHONE . Jason Herbst 35 Peep Toad Road Centerville, MA 02632 EMPLOYER ADDRESS 01/21/2013 DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician.The reasonable cost of the services provided by the. treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY EMPLOYER ADDRESS TO BE POSTED BY EMPLOYER -go C�S i.0 � 7 f-! . MAR K HERBST&SONS 3 0 IJ �q�a t�ktl up 35 PEEP TOAD ROAD CENTERVILLE MA 03632 508-420-6216/774-238-2938 Cocos &C www.markherbst.com PROPOSAL SUBMITTED TO: WORT(PERFORMED AT: James Goldsmith willow street/Cape Cod Insulation 33 Cedar Rd. Centerville MA We herby propose to furnish the materials and perform the labor necessary for the completion of: Rubber roof. Remove existing rubber and underlayment Re nail loose plywood to save as many-good condition sheets Replace 17 sheets of plywood on roof and siding Any other additional plywood or rot billed as completed Re-make fascia boards on near of the roof for drainage and drip edge Install new underiayment insulation board Install new rubber roofing Install heavy gage drip edge and use seam tape rubber Lap sealant all rubber seams Clean all debris daily All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submitted And completed in a substantial workman-like manner for the sum of: six thousand dollars Dollars($6000.00 )with payments as follows:deposit of 2500.00 and remainder upon completion *Any alterations from above proposal involving extra costs will be added under a separate written agreement and become an extra charge over and above said proposal. RESP CTFULY SUBMITTED ason Herbst ACCEPTANCE OF PROPOSAL The above price,specifications and conditions are satisfactory.I herby accept this proposal. You are authorized to do the work and payments will be as specified above. SIGNATURE: *This proposal may be withdrawn by said company if not accepted within 30 days. Massachusetts �Dpart ment of Public Safety. Board of Building Regulations and Standards Construction supen'isor License: CS-048546 ` SETTS i 35 PEET TO bm CENT z � y ' •Y I � Expiratioi ni i271201 YOU WISH.TO ®PEN A BUSINESS? 4 3 l ' t Y For Your Information: : Business certificate's (cost$40.00.for 4 years). 'A,business.certificate ONLY REGISTERS YOUR NAME.in town [which you too erate. r'You must first obtain the necessary si natures can this term <�a.200 M�3i i St , H,ya.nnis must do.by M.G..L. it does no give you pei mission. p J .. !Y , J i a '.. :hat is a ain'FSt: H aniiis Iv1A 02601 (Town H'ai;l)�IEind et the Bu5iric55 Ceriif c�to t T`akc:,thc, coniplctc,cl form to To`wri C lem's 01 ke,,l.t Fl., 3h7 M ,. y b required, by law / " �i'Yiit ! Yruf DATE: �� I �L x Fill in'please: • s - . r F°w 'tfiiP !'1'u a.t APPLICANTS YOURNAME/S:_ ULIA NA SOUSE C N1 BUSINESS YOUR HOME`ADORESS: 5 168p^'I�IY kl+�ri� i ���P4r.5 .p Z—!t, (�Q .. .. .. i+' ^Rr RYrµi ;;3J 'il'`'yti lIrj f L/O'%O - .. r°+ r43) ye M TELEPHONE # Home Telephone Number" h'2 /y0 qe NAME OFCORPORATION �� SS E/ NAME OF:.NEW'BUSINESS c'sRACGLEA7Iu 119; lV; ` .t. ' U TYPE OF BUSINESS IS.THIS:A,HOMF OCCUPATION? ES NO` ADDRESS'OF BUSINESS lU(S C:�sw� MAP PARCEL NUMBER -1 ( 'Do� (AssessmgJ When starting a new business there are several things you must do in order to be in compliancewith the rules and regulations`of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. `You MUST .GO TD 200 Main.St. - (corner of Yarmouth Rd.'& Main Street] to rnalce sure you have the appropriate permits and licenses required to legally operate your business in this town. 1.' BUILDING COMMISSIONER'S 'ICE, This individual has be f ed of a y ermit requirements that pertain to this..type of business. Authorized Signature** M COMMENTS: �C N' 2. BOARD OF HEALTH This individual has been informed of the permit regairements,that pertain to this type of_business „ } Authorized Signature** COMMENTS: �^ 3, CONSUMER AFFAIRS (LICENSING AUTHORITY) ' This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: ar�h�er$�a. YOU WISH TO OPEN A BUSINESS? t For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not,.give you permission to operate.) You must first obtain the necessary signatures on this form <tt �00 Ivlau� St , Hyannis. ' i l��ted form to the Town Clerl:'sUffice, 1 st Fl., 367 Main St.;Hyannis, MA 02601.(Town Hall) and get the Bu5ines5 ',Certificate'-that is— Take the c ` o.n p required by law. TN DATE: 21 ��Z Fill in please: z , st ; . 14 rlE,,. UR•NAME S: ULIf� AJX� SOU$J� � N APPLICANT'S: YO k NI i�r a' 4 tI ,' �i� '' BUSINESS YOUR HOME ADDRESS: &S �' W.'AIR I. a��u+ I Z—I( L/O - -. - 71. : eztiirsl'€il TELEPHONE #: Home Telephone'Number l)(T2�/gO9lf flP, giNr#�1rF�M,' NAME OF CORPORATION , NAME OF,NEW BU6INESS: .. ..tS1ZA01 1 U iv l V L: U .` TYPE OF BUSINESS IS THIS A HOME OCCUPATIONS ES NO J�)J O ADDRESS OF'BUSINESS N(S C�s�I '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. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this tovvn. 1. BUILDING COMMISSIONER'S.OFFICE �1 This individual has been informed of any permit requirements that pertain to this type of business., :. :. Autho 'zed Signat COMMENT : . f 2..BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. } s e Authorized Signature** COMMENTS: . 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. r u Authorized Signature* COMMENTS: „ t 4r a s i y:e axr l�t�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 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, 1st FI., 367 Main St., Hyannis; MA 02601(Town. Hall) and get the Business Certificate that is required by law. Fill in please: DATE APPLICANT'S YOUR NAME/CORPORATE NAME ID A4T- In lJ T O S o L e S i w C BUSINESS TYPE:C44S-S V tl 11 S�La;S BUSINESS YOUR HOME ADDRESS: it S Tp,ric, G!L S E /"J* p�6y TELEPHONE # Home Telephone Number So V 9460 NAME OF NEW BUSINESS-U)hS r1V tO aS i .v S5N OR EIN: Have you been given approval from the building_diviskm? YES NO ADDRESS OF BUSINESS r-� ` O01a—R-On- ,�•L p L �� AP/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 businese in this town. 1. BUILDING COMMISSIONER'S OFFI This individual has been informe o any permit requirements that pertain to this type of business. Authorized Signature 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: