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0988 CRAIGVILLE BEACH ROAD
j 1 r 0 i ,.. ,».. e..v _ .. V Barnacle Group Meeting —July 26, 2016 Attendees: Elizabeth Hartsgrove, Donald Desmarais, Therese Gallant, Tony and Carolyn Ninivaggi, Bill Hensley, Wayne Chasson, Robin Anderson, Paul Roma, Jeff Lauzon and Maggie Flynn. The meeting was being held in order to review signage, parking and increased hours at The Barnacle Restaurant, 988 Craigville Beach Rd., Centerville. Donald Desmarais, Health Inspector stated that the maximum number of seats allowed at the location is 37. This can be a combination of picnic and small tables. Parking: Parking at the site is very dangerous and it is not allowed at the crosswalk; there are serious public safety issues. The ability to park at the location needs to be researched. Building codes need to be adhered to i.e.: handicap access, angled parking, space size etc. Conservation needs to be included in the discussion: A formal parking plan must be submitted for consideration and review. All existing parking signs (encouraging parking currently) shall be removed and cones or barrels shall be placed parallel to the road layout in order to prevent any safety issues especially near the crosswalks. Elizabeth Hartsgrove will request the Town to begin the process of placing official no parking signs in the crosswalk areas. Signage: Robin Anderson reviewed that this is a residential area and that only one sign is allowed at a maximum size of 8 square feet. Discussions were held about existing signs and documentation of consistent usage for zoning purposes. Hours: The current Common Victualler License'has hours of 11:00 AM — 9:00 PM. The restaurant is opening at 8:00 AM and closing before 9:00 PM. The hours need to be amended on the license via a hearing at the Licensing Authority. Conclusion: It was determined that the applicants will need to go through the formal site plan review process to rectify the parking, building and signage issues. Once completed, the applicant can update their hours and any other licensing issues, accordingly with the Licensing Authority at a public hearing. i TOWN OF BARNSTABLE BAR_W j4 3220 Ordinance or Regulation WARNING NOTICE Name of Offer.der/Manager_;. 1,-i,) ,()L4 Ut'n va'ac- ; Address of Offender [ MV/MB Reg.# Village/State/Zip k(AA Air" ir., Q I ' A- Business Name' t? ��, { { �, am/pm on 20 Bu4iness Address _,,'!,I. hf _ eo 6 k Signature �2f Bfiforcing Officer Village/State/Zip ('f rlL (, y( xa Location of Offense.gkY ,4 {# V,1 ;�fkll -.W Enfbrcin '" Dept/Division Offense a�'1 .14p+Gt,, Ilk► , jW t f 6 Facts 0 ) '->Q jkU j3 4#� nP A� - �f `'►E £° � This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies, to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORDJREG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. �pfr IHE t Regulatory Service Director T► � own of Barnstable Richard Scali Regulatory Services * BARNSTABLE, * Consumer Affairs Supervisor 9 MASS, g Licensing Division Elizabeth G.Hartsgrove 1 1639. n MAC A�0 200 Main-Street, Hyannis,MA 02601 www.town.barnstable.ma.us „ Consumer Affairs Administrative Officer- Assistant Telephone: 508-862-4778 Fax: 508-778-2412 Therese Gallant Margaret Flynn HAND DELIVERED July 12,2016 Barnacle Enterprises, Inc. Attn.: Tony Ninivaggi ' 988 Craigville Beach Road - Centerville, MA02632 RE: WARNING-UNLICENSED EXTENSION OF PREMISE,988 CRAIGVILLE BEACH ROAD It has come to my attention from an on-site,inspection by Chief Zoning Enforcement Officer Robin Anderson on July 11, 2016 that The Barnacle, licensed through the Barnstable Licensing Authority to conduct Common Victualler operations at 988 Craigville Beach Road. in Centerville, has: • Expanded its Take-out Only operation by allowing vehicles to be parked on the premise without having approval by the Building Commissioner or Licensing Authority, and 4 • Failing to apply for sign permits.for additional signage on property after being notified by the Building Department in June, 2016. In addition please be aware that your current allowed hours of operation on the license was legally noticed and approved by the Authority at a public hearing on,June 9, 2014 for the hours of 11 am to 9pm. However, after reviewing your 2016 application, the hours of operation listed on the application is for 8am—8pm,and noted on your Facebook page is from 8am-6pm. i Therefore,this letter serves as written notice that The Barnacle is in violation of. g .§501-5.Physical premises of the Licensing Rules and Regulations: A. No licenses shall issue or shall be considered in good standing unless licensed- premises comply with all statutory requirements, including all applicable building codes, fire, health, safety,trash, state and local tax obligations and other government regulations and laws. (1 count—placing signs.on the premise without proper permits issued by the, Building Department) B. Any changes in the floor plan or any renovations of any kind may not be made without notification to the Licensing Authority and the approval of the Licensing Authority. (5 counts- allowing at least 5 vehicles to park on premise without_ approval from the } Building Commissioner and Licensing Authority) §501-4. Hours of operation. Licensees are not permitted to have persons,including employees, On the premises except during the following:hours: A.The hours on the license (1 count-opening for business 3 hours prior to approval and closing at least 1 hour early without approval from the Licensing Authority) You are hereby ordered to immediately: The Barnacle WarninU._.-,Floor Plan' I • .. -. b Page a Jitly 12,2016 . 1. a) Adhere to the approved flooiplan approved by the Building:Commissioner and Licensing Authority and the hours of operation according to the advertised and approved by the Licensing Authority; or b) Submit an application to amend the hours of operation and floorplan to accurately delineate spacing for vehicles on said property, which will be required to go before Site Plan Review prior to a Licensing Authority public hearing. If either option is not administered within 5 business days of receiving this notice, a Show Cause Hearing will be ,scheduled as to why your Common Victualer,license should not be modified, suspended or revoked. Res ectfully ' Elizabeth G.Hartsgrove Consumer Affairs Supervisor Cc: Barnstable Licensing Authority Richard Scali,Regulatory Services Director Lt.Murphy,CAO Gallant-.Barnstable Police Department Robin Anderson,Zoning Enforcement Officer Enclosures: Photos of 988 Craigville Beach Road,Centerville 2016 Common Victualer License and Application Floor Plan,approved by the Building Commissioner Copy of Facebook Page,dated.July 12,2016 The Barnacle Warning-Floor Plan Page 2 July 12,2016 i f - j i F`�II II I I r W � _. R W� NUMBER FEE 396 THE COMMONWEALTH OF MASSACHUSETTS $100.00 TOWN OF BARNSTABLE Barnacle Enterprises Inc d/b/a, ThdBirAacle Thisis to Certify that................................................................................................................................................................................... .988 Craigville Beach Rd, Centerville,MA . ..................................... ........................................................................................................1....................................................................... IS HEREBY.-GRANTED A COMMON VICTUALLERS:LICENSE Centerville, MA insaid..................................................................w......................................................................and at that place only and expires January 1 15,2017 unless sooner suspendd.d..or.revokedfor violation of the laws of the Commonwealth respecting the licensing of common victuallers. This license is issued'ih:confdr.rmty'.with the authority granted to the licensing authorities by General Laws,Chapter 140,and amendments thereto. HOURS: 11:00 -�9-00 I'm RESTRICTIONS: In Testimony Whereof,the undersigned have hereunto affix:ed their official signatures.. NOTVALID . ................. ....................................................... .unless issued in ......................... ............ . ...................... Licensing conjunction with a Food Service Permit ................... "?<4... Authorities... ......................... ............ ... ..... ... F440(.......... Issue Date: April 1,2016 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. r License Period: Date: TOW �' Sta' M�RRenewal t.tr,sr , ti �1_1_I_I_i� i APR 14 Z0A T ansfer TOWN OF BARNSTABLEIA rend The undersigned hereby applies for a License to conduct business in the Town of Barnstable in accordance with the Statues of the Commonwealth of Massachusetts and subject to the Ordinances of the License Authorities. NO BUSINESS MAY OPERATE WITHOUT A VALIIJ LICENSE ON THE PREMISES Name of Applicant/Co'rporation: � °�@/$�,Business phone# 3 qwbi - I Address of Applicant/Corporation: tGQ 16-killf— 59LkMIl Phone# Email Address: z.- .... Federal ID# iast¢digi'ts.oN��% DIB/A: C Map/Parcel# Business Address: Property Owner IleA► ° Business Mailing Address: / /,� Length of Lease Name of Manager: p Manager's Email e 6A JilikCaRi ,�� License Type: 1C0rAMt9Af V1��'p�(��.� I []Annual XrSeasonal Hours of Operation: �, �•�°®® �j� - 1 Entertainment: [-1 Yes toNo If yes,the entertainment license application form is required ONLY if previously licensed. New applications must be filed separately. NOTICE;Any misstatement in this application or violation of the applicable town ordinances,bylaws or regulations shall be considered sufficient cause for refusal,suspension,or revocation of any and all licenses. I warrant the truth of the forgoing statement u-pft the penalty of pe�u . i i Signature of applicant: } I ! ; For Town use only ! i USE PERMITTED WITHIN THIS ZONE? YES �NO R.E.Tax Paid G.Mgmt Notified Cons Corn Notified YeSFJ No0 ' Yes❑ No Yes Q No 0 Special Permit Granted YES❑ NO 7 Attach Comment Attach Comment Attach Comment If yes,include with application Approved_ Floor Plan on File YES NO_� Fire District Police Dept. Town Clerk Dater_ •Date Business Cert Filed Occupancy E- 77___� Number of Units or Rooms 1�I U Comments: Comments:= Yes[]No Seating Capacity ....°................................................. Board of Health Grease Trap last pumped: Building/Zoning Date Date Date: Comments: Comments: (must show proof of pumping) Y y I LE 'x /V$WODrT -� �ko v In v,9 &v cr r�Z C'U Sjvi E,L. � y��c� /t� C r U• d I I I I IJ II I I 1. i f - ' TOGVN OF BARNSTABLE��• • LICEOTICEONSING AUTHORITY NF_PUBLIC f';•`� ! Y HEAR1t�G 41 NEWANNUgLCOMMON � VICTUALLER LICENSE L}� The Barnstable Licensing .; Authonty volt hold ka pudic '. heanng on the applicehon of >Bamacle Enterprises Inc d161a The Barnacle . �988 Craigvlle:,peach Road : - . • _. �Centerville Tony Nmrvaggl ' Manager for a New Annual f Common Vctualier License to beoperated_11 am to pm Ma�umum,numoer or qu • exterior seats as;approved by the Bwldmg Commissioner Said heanng will be held � � • an,Monday Jurie 9 2014 at.I 9 30 s m or as soon folloivirig` 4 as prac6cel to,the Tovm,Hali Building�2nd 'Floor�Heanng � • i � Room 367 Maln Street Hyannis ,,,�=w3 � MaNp E Hoxte,'� 1 • <ChaUperson .i 1 •• Gene Burman ,� � . Paul Sullivan :: , i � ?` Dick Boy � t� Ron Sempnrii • .�-_ DavidNunheimer '� Bamsla6le Licensing *77 The Barnstable Pa�ot � a _ bf May�6 2014 :� � • a 7/12/2016 (2)The Barnacle 77 -TUi'^aR .r. ..-;-�� .,_ - ,•d. tt wr:+i: 4 �'"r E � j - q,,,•P �Y�fra, The Barnacle Q "rt �z -'�F .,�.. �d vz'' `� ^rr4��• ��y�a'�FI":x '.."a..•a +, :}. �.+� �*�°i r.`; Alicia Fonseca reacted to Sarah Dimicell's post. a 3 IttGWM7os, n Y <• � wr» Corey Jarvis likes Leslie Jampolsky's post. 6 < P Rachel Elizabeth likes .. Love What Matters's photo. - Andrew Haley commented on John Wesolowski's r 4 - Cail Now tar Like Q Message photo. Home About Photos Reviews More • Kristen Morale likes Federico Mallet's photo. i Fast Food Restaurant•Centerville, 4'., The Barnacle ii Susanna Creel o Massachusetts l� j,r.lunr3ira14.i:•slr, e; I�-1 4.9 OPEN BBQ IS BACKI!I Kristen Morale Christy Scribner Ck sean:h lot posts rn thus Pat.)e Andrew Haley ILWI eu r 232 people like this o Victoria Pierce 205 people have been here tvz r >��, ,, �� r Stephanie Fabian trn, Openn•8.00AM-6:OOPM Geof Newton o r y h vty Skip Larson O View Menu r Dylan Pierce m Invite friends to like this Pagfe or#w e FRIDAY NIGHT S PM 8PM Maria Gallerizzo 0 ,r�� •, f G; Giovanna Reforzo e � t�t1}mot � ►t�l !l, ABOUT ) °« �yr� S .�- ,i i�'�. Alicia Fonseca o t� 1 Mimi Robinson a tlI; Like i�a Comment Share ' fir' •.C Cr,ir•'li, b� Cn _ Terrence Brad In.•K 4 Y MORE FRIENDS(15) 2 shares 988 Craigville Beach Rd 14 Save Centerville,MA utrac a r..on;rr<;nL.. A 3 (774)470-2166 D{wa 4" The Barnacle shared their photo; C.Today 8 QM10-6:00PbA LJ A::I<for'rhe Barnaclo�prico range. Menu Fisk for The t3an?;rcle's v t:bsit0 PHOTOS > . httpsJ/www.facebook.com/thebarnaciecc/ 1/4 TOWN OF BARNSTABLE BAR-W N2 3270 Ordinance or Regulation WARNING NOTICE Name of Offender/Manage d(,jC Address of Offender _ iq6 3 MV/MB Reg.# Village/State/Zip t to TZ Business Name Avila ciy��i am pm on 2015 Business Addresses ` 8ex ' a Si nature C.of forcing Office r Village/State/Zip ���f✓� �1��T�,�� ' Location of Offensey", y' r Enforci4 Dept/Division Offense yy Facts This will serve only as a warning. At this time no legal °action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. } WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. yTy,� s 1 E €fit tE r License Period + �r ❑New Application w r Renewal TOW r die 6 Date: N<q 3 , ao• /S� UCEN ICATION- _1 C]Transfer U DAmend The undersigned hereby applies for a License to conduct business in the Town of Barnstable in accordance with the Statues of the Commonwealth of Massachusetts and subject to the Ordinances of the License Authorities. NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES Name of Applicant/Corporation: 8AJW1q F 1fgr Business phone# Address of Applicant/Corporation: C " Nt Beoc h Cell Phone# Email Address: THE1319AM144,14 Q Federal ID # G 07 last 4 digits o` D/B/A: S Map/Parcel # viol(* ' OOS I Business Address: (�' R'IQ►(.yi/IL QQ Odfi3a. Village 4 NtpVILA Business MailingAddress: '' � C/tZf ��Q13�elrt�f l� Property Owner TN�/at�tl'+D��/11/ N Name of Manager:I-WhhlMAW* r � ength of Lease License Type: CO mGA) ✓/LT(l191i-Ae, Manager's Email -, Hours of Operation: Annual Seasonal Entertainment: Yes[::] No< TV's and Recorded Music is considered Non, Entertainment and renniirec a licence If yes, the Entertainment License Application Form is required. NOTICE:Any misstatement in this application or.violation of the applicable town ordinances,bylaws or regulations shall be consid sufficient cause for refusal,suspension,or revocation of any and all licenses. I warrant the truth of the forgoing stateme nder t penalty of perjury. Signature of applicant: ` For Town use onl USE PERMITTED WITHIN THIS ZONE? Tax Collector Town Clerk Grease Trap YES NO ❑ R.E..Tax Paid Business Cert Filed , Yes . No r Yes No Yes No :° " " Inifi I r �` ` Special Permit Granted YES NO If yes,include with application 4 G. Mgmt Approval Police Dept Approval tCon Approved Floor Plan on File YES yNg NO YesQ No ,Yes❑No Q �� Ye Ot , Occupancy InitialsE:]Date F-71 lnitWi: tDat Iaz rntta�s Y Number of Units or Rooms Building Approval imeann. rova a-- is , ir Yes Seating Capacity No ;�� "N�o��, ���� Initial ". Da�t xI,niUgals, 3 e ------------ �a s t M TOWN OF BARNSTABLE BUILDING PI1PPLICATION U� Map Parcel rRppl;cation # Health Division Date Issued Conservation Division }j Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis C��► 1 Protect Street Address gee � �K�V r' ( QO Village OcAM 7 C(/Vl Owner vD N l Address �� %3 19m, a-16 Z� Telephone v c� a a DEC Permit RequestOUp714Z S t1le V_Z4�1 A�, 410 k�,e rsa &Okc,, PC4,e&,�,�z ArW�Le Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) l Age of Existing Structure C/9 Historic House: ❑Yes Z�No On Old King's Highway: ❑Yes ANo Basement Type: ❑ Full Acrawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing C;- new Number of Bedrooms: existing —new TT Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric Other V©,VE_ Central Air: ❑Yes No Fireplaces: Existing ew Existing wood/coal stove: ❑Ye No Yd Detached garage: ❑ existing ❑ new iz —Po I: isting ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new si e existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial AYes ❑ No If yes, site plan review# Current Use 5,r<14_Ch3a r/_ Proposed Use A10 04A APPLICANT INFORMATION (BUILDER OR HOMEOWNER) -- Name i� �/�,/J (�cJ , /"/'r e 1 Telephone Number SO � ��� -' � 0 e Address A 3 C S ' License # 2?rs5S' AA G2 )0 h M A- Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE aA41 DATE /� FOR OFFICIAL USE ONLY ' APPLICATION# # DATE,ISSUED MAP'l PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DAT&GLOSED OUT ASSOCIATION PLAN NO. T1ie Cmrrrogrli tfMassachuseffs ff4w&vent qf1wdjz3ftid Accidents ft?aftigazox�s 600 Wm*h*faw,he&t Bosh MA 021H. wn anasx garldirx Warkere CampensafianInsurance Affidavit BmldersfCantracters/Eier-t icians/Numbers ApWicant IIIfarmatian Please Prnaf ibIy I�Tamty(llas�e�s!(3�ir�ia�In�cridnaly:.•.`T�dA tPs�� !�'1 l�L '�'f(�� -- cfty f5t a Wo Phone Are you an employer?Check the wppr•trpri bK TTPC of Proed l r 4; I arQ a contracEor andZ 3 ���= L El I am a employer 6- ❑New won employees(Ul andforpa t-time).* haw-hire&the 2_❑ I am a sole propri�ar arparfner " Iisted on the attached sheet y L�1 ""�'o� g ship and have no employees These sub-contractars have g_ ❑Demc&tioa _ working fur me is any,capacity* employees and have workers' Sl_ El Buildm addifim a wotdzers way.mvrranr- e comp-ntsura,m t 10�Electrical repairs-or additions • �-1 5. ❑ �e are a corporation its �� 3_❑ I am a homemmer4bing all work officers have exermsed their 11_❑Plumbing mpaus or addition& myself [No work='comp- Wit•of exemption per MGL 12-❑Roof c-152,§1(4},andwehwana g insaranct;regvared_]F 13_❑Otter may�-[No workt'ss' . - comp_insurance regmred.� "Axiys�pfi�atithatchecksboa;pit®stalsofllovtthesectionbgow-shuceingiiieu-woffreecom msstimpolirTinkanzdaa_ �rFirn�xwnen when subs&L th s Effd.-vif indicx—,dey zre damg,an z:x-A m thea h e awe coutracturs umst submit a new a anwit m sdrl sash_ -7Caat:&cros•that check this ban must sttadhed as additiungi sheet showing the tie of the sutx-couuadnn and state tchether ornnt$fnse a have a33playees. Ifthe snb{onImC=base employees,the}=T gmvide then warps'comp.paliLTnumber_ I rrm rzn�mpInyer fhirf is prfn�idi$g tr�orkets'cortg rrsYrlia.n insrrrcr>zcs far ray e-rrrpinyeeis. Below is tits pa8cy curd job site Insurance Company Name Poficy;#orSelf-ins-Lich: n FxpisationDate: r Ioh� A T t2J)� , nee W- City!StatelZrg: : _ Attach a copy of the vmrkers'comPeusaffim palicT dedaration page(shaw ngthe I� 'au�nd' Ption date). Failure to stcum•cavmerage as r-egnireduader Secfiom 5A of MGL c 152 can lead to the imposition of criminal peaalf.es of a fine up to S1,50100 andlor one yearimprisa=et�as well as coal penahies in the.form of a STOP WORK ORDEF,and a fine of up to$250.00 a dap against the violator_ Be advised that a cagy of this statement maybe Rrwwded to the Office of Invesfsgatiom of ffie DIA for iusmance coverage vac adosL , I do hereby ce&f�y/tindeer the paints widpenahfiks of`IsetJwy fftatfha informatianpreni&d abaxre is•hue and tarred Bate: � Z ` Phone i#: G Cff k ul us$all Do not emits in fkzs area,to be campieted by ci�°ar tawn afficrol City. or,Town PermiYL.cease# Issuing Authuritg(circle one): L Board of Health 2.Bu fang Ikpartm t 3..CiiyfFuwn{perk 4.Electrical Inspector 5.Pfumtbhag Fnspector. 6.Q3her Contact Person: Phontr#- 6 .AEI. ormation and.Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pmmm:itto this statute,an employee is defined as"__every person in the service of another under any contract ofhire, express or implied, oral or written. An employer is de-med as"an individual,partnership,association,corporation or other legal entity,or any two or more of the.foregoing engaged in a joint enterprise,and mcladmgthe,legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the e a dwelling house ha not more than three apartments and who resides therein,or the occupant of the own r of w � g � aP . 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 of Iocal lice', i agency sham withhold the issuance or renewal of a license or permit to operate a business or to comtract 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(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfounance of public work until acceptable evidence of compliance with the insurance requirements of this chapier have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your site don and,if necessary,supply sub-eontractor(s)name(s), address(es)and phone numbers)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 LLI?does have employees;a policy is required_ Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of in it nce Coverage. Also be sure to sign and date the affidavit The affidavit should be retumed 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 questoas regarding the law or i f you are required to obt.in 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 tb fill in the permit/lic;mse number which will be used as a reference number. In addition,an applicant that must submit multiple pemhittlimase applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has beets 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 .fined out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Lt.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 adfiress,telephone and fax number. The CommoimWth of Massachusetts Ind oa eats De�at�meat of �a1.A xd retie of IXLVestigat ins 6M-Wasbington Boston.,IA 02111 TeL#617 727-4.900 at 4-06 or 1-9 -hLA.SSA-FE . Revised 4-24-07 Fax# 617-` 27-7749 s. Client#: 17369 2NINIVAGGIAN ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE10/29/20142912014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling &O'Neil PHONE 508 775-1620 FAX 5087781218 A/C No Ext: A/C No Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis, MA 02601 INSURER A:Hudson Specialty Insurance Comp INSURED INSURER B:The Hartford Barnacle Enterprises Int.. INSURER C P.O. Box 193 West Hyannisport, MA 02672 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTRR TYPE OF INSURANCE ADDLSUB POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A GENERAL LIABILITY HBD1000304000601 5/30/2014 05/3012015 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES(ERENTED nce) $100 000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER:. PRODUCTS-COMP/OP AGG $1,000,000 JECT POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 08WECCR0052 7122/2014 07/22/201 X ITORYLIMITS ER WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? Fy] N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived, or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Main Street-Town Hall ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE r` ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S140173/M140168 MER of�rgi, • saartsrnsrs, 9� ,� Town of Barnstable ArEn r�►N'1°` Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, bb,4 /(O�yl 111 as Owner of the subject property hereby authorize .� 2 ///(,� �4 to act on my behalf, in all matters relative to work authorized by this building permit application for: oie- C (A ess of Job) Signature of Ow r Date Print Name If Property Owner is applying for permit,please c6mplete the Homeowners License Exemption Form on the reverse side. QAWPHLESTORMS\building permit fomis\EXPRESS.doc Revised 061313 L Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor /�. a. License: CS-028585 EDWARD W MU�iERN 23 CHURCH ST/E0 BOX240 = a SANDWICH Expiration 08/13/2015 Commissioner 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map -Zo6 Parcel 0d, Application #06(30 (109 Health Division Date Issued Conservation Division. Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board bft-- ,713 )I?11��Historic - OKH Preservation / Hyannis Project Street Address O/ CAFa If Vr /6cwc-4 Village_(�e/I7�i-v,rA- r Owner -r-7,6 i��/'� 1ct�'+1 qrI/ Address10 Telephone J 0 F!6 y�� 7; le Permit Request r1crIna c"t Ct v?et e6vc4(r Lc S/Vc GV-Ci- 0/9 rlt0,07� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ✓ 24 Total new ✓� Zoning District Flood Plain Groundwater Overlay Project Valuation so Construction Type Lot Sized 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 G4'Other -94W 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- r--), -{, Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ i�ting ❑mow SizeQt _ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ZZ e n Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use t, APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 17 751- Name S Telephone Number 56f L Ftr Address f z- A M- -r ` S 7- License # 7(e,5 3G 0-?C 32 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SJ' i5X Co SIGNATURE % DATE r t-- FOR OFFICIAL USE ONLY i r APPLICATION# DATE ISSUED v 4% MAP/PARCEL NO. ;y 1 ` ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE y ELECTRICAL: ROUGH FINAL '} PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE.CLOSED OUT ASSOCIATION PLAN NO: Y [ s ��^ ;�lassicalu4et - l�c1t>i!'ttit�'aji'f)t 3'ttlt€it 4�t1+°fti I. Board ,al'Buildin . Re.?ulartions and Matt krd5 , construs ion Supervisor I ic;?nse, License: CS 765316 STEPHEN W CRESWELL , r " 195 PINE STREET CENTERVILLE,.MA,02632 wc%pisatitsn: 8,2712013a (oertrrris�,.urr Tr-,:'20265 Al �1 Uffice of Consumer Affairs and Bus)ness,Regulation ma 's 1.0 Park Plaza- SLIAe 5170 Boston, Massachusetts 0211'6 Hone Improvement Contractor Recyistration Registration: 160627 Type: Individual Expiration: 8/8/2014 Tri1 227491 STEPHEN W. CRESWELL STEPHEN CRESWELL 195 PINE ST CENTERVILLE, MA 02632 Update Address and.return eturn card.Mark.reason for change. Address Renewal _ Employment Lost Card SGA 1 Q 20%1-GSir; _ :\ Office ol'Consumer Affairs C itusincss Rchular,Un License,or registration valid for individul use unly a��` ?lOME IMPROVEMENT CONTRACTOR before the expiration(late. If found return to: Registration: 160627 Type: Ofticc:of C onsumer Affairs aiul Business Regulation Expiration: 81812014 Individual 10 Prcl:Plaza-Suite 170 - ,: = Bolton,N1A 02116 STEPHEN W.CRESWELL' STEPHEN CRESWELLj i d� �✓'� 195 PINE'ST CENTERVILLE,MA 02632 -- — - —--— Underserrerary Not valid without signature Office oflnvestigations 600 Washington Street _ Basta, MA.02111 www.mass.gov1diu Workers' Compensation Insurance Affidavit: BuUders/Contractors/Electrician.s/Plumbers Applicant Information /' Please Print Legibly, Name(Business/Organizadon/Iudividnal):. . -Address: ' �g Tr�� . .��- . . . . • . .• City/sw-e/Zip: Cr E. Litt Phone.#: Are you an employer? Check the appropriate boz: I am a general contractor and I Type of pro 4. f ect'(regirir ed): I.�f'am a en�loyer wifll 0 • g 6. ❑.New construction . employees(fall and/or timel.* have hired fare Sub-contractors 2.❑ I am a'sole proprietor or partner- Hst-Dri on fae'attached sheet•. . 7. ❑Remodeling slip and have no employees These sub-couira.ctors have .8. Demolition working forme in day capacity: employees and have workers'. 9. Butz ' addition [No workers' mnII p.mstT=c comp.msm-dace. requre&] 5. We area corporation and its 10.❑Electrical repairs or additions . officers have exercised their 3.[] T am a Homeowner doing all•work 11.❑Plumbing repairs or additions ' myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t :c. 152, §1(4),and we have no employees.[No workers' 13. Other—&&JIJ6 - comp.rom once mquuedj *Any applicant That checks box#1 must also a out the section bclow.s'howing fheff workers'compensation policy h&mnalian. t Ilomeownca who subndt this affidavit indicafmg they arc doing all work and then him outside contractors must submit anew affidavitindicatmg such. tcontraetnts fhat check this box must attached an additional sheet showing theaamc of fhe sub-contractors and state whether or not those entities have _omplayees. If the sub�onhacfnrs have employees,they must providt their work='comp.policy number. I am.an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: L !/3,,-/y /14 y--ry A L Policy#or.Self,im.Lic.#k W C 3�S v 3 `f 2��• r9 Expiracti.nDafr / f Job Site Address: City/State/Zip: Attach a.copy of the workers' compensation policy declaration page'(showiag the policy number and expiration date). Faihire•to secure coverage as repuiied'uader Section 25A of MGL c. 152 can lead to the imposition of ci na penalties of a fine up to $1,500.00 and/or one-year imprisonment; as•we11 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 Iuyestigations of the DIA for ins,nancie coverage YgHffc;ation r do-hereby certify under the pairzs•and penalties of perjury that the fnformadun provided above is true acid correct: � atrrre: C Date,: �/ 13 ?hone C6� 7 7� yz 95. Official use only. Do not write in this.area,to be compLeted by city or fawn afficid 'City,or Town: PermittLicense# ' Isstung-Authority(circle one): 1+Board of Health 2.Bmlding Department.3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person• Phone#: . Town of Barnstable Regulatory .L Ser 'ce t r 1 � S r y�R&RNSMUMR- s - Muss g Thomas P.Geiler,Director 16g9. �0 '°rFn�nr Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 :wwwaown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 'Property Owner Must Complete and Sign This Section If Using,A Builder h , as Owner of the subject property hereby authorize �� �—('I� Cb f�Rl` to act on nay behalf, in 0 ratters relative to work authorized by this building permit 441( (Address of job) Pool fences and alarms,are the responsibility of the applicant. Pools are not to be filled_ or utilized before fence is installed and all final spections ar erformed and accepted. e o Own x Signature of Applicant t wine Print Name w Dat Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 I 2/2i,13 8:15:1 AM PST (Gr;T-8) FROM: 100005-TO: 15082401860 _ Page: 2 of 2 AC4OR bP CERTIFICATE OF LIABILITY INSURANCE CATE(MfWo0fYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C12013 ONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EMEND 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 SU8ROGATION 1S WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not tooter rights to the certificate holder in lieu of such endorsements . PRODUCER KERRY INSURANCE AGENCY INC EASTHAM COMMON RTE 6 o r T"AME: NORTH EASTHAM, MA 02651 PHONE ac Ne E-MAIL ADDRESS; INSURER$ AFFORDING COVERAGE NAIC 0 _ NSURER A. INSURED _ CRESWELL CONSTRUCTION CO INC INSURERS: 195 PINE STREET NSURERC: CENTERVILLE MA 02632 rvsuRERD: INSURER E: - INSURER F COVERAGES CERTIFICATE NUMBER: 16214737 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 TR TYPE OF INSURANCE D POLICY JWA NUMBER - MMlpO YYYY MM/DOIYYYY LIMITSGENERAL LIABILITY EACHOCCURRENCE $. COMMERCIAL GENERAL LIABILITY - DAM491�ENTTEO - PREMISES Ea ocwrren:z $ CLA0.tS-MACE OCCUR MED EXP(Any ere person) % PERSONAL&ADV'NJURY $ ' GENERAL AGGREGATE $ CI AGGREGATE LIMIT APPLIES PER. � PRODUCTS•COMPlOP AGG $ POUCv PRO• LOC AUTOMOBILE LIABILITY ' a eccitlenn i I $ I ANY AUTO BODILY INJURY(Per person? All I OWNED R SCHEDULEDAUTOS AUTOS BODILY INJURYNON-OWNED IPer eccidenqHIRED AUTOSAUTOS PROPFRI AMAGE Per accident $ $ UMBRELLA UAB OCCUR EXCESS UA - EACH OCCURRENCE g B CLAIMS•MADE $ DEC RETENTION$ AGGREGATE $ A AND EMPLOYER YERS'LSAnON WC2-31 S-342421-023 4/19f2013 4/19/2014 C AND EMPLOYER$'LIABILITY Y!N - J T RY L MN ) ANY PROPRETOR/PARTNER'EXECUTNE OFF ICMLIEMBER EXCLUDED? a NIA - - E.L.EACH ACCIDENT $ 500000 (Mandatory de ry in and E.L.DISEASE EA EMPLOYEF $It yes,describe ender � 500000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIM.T $ 500000 DESCRIPTION OF OPERA 110NS 1 LOCATIONS l VEHICLES(Attach ACORD 101.Additional Remark,Sehedula,if roars space is required). Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN ST HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE Jefl Eldridge ©1986-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT n0.: l6?L1?37 CLLENT CQeE: 1?6,0;7 beb eroc nt 5/2/i013 17;21 AN Page l of This certi Lcate cancels and supersedes �:��, previous y.3-ssued certificates. Sign `� 3 TOWN BARNSTABLE Permit STAB MASS. 16 A Permit Number: Application Ref: 201303883 20070868 Issue Date: 06/12/13 Applicant: SCOTT, MARY W TR Proposed Use: RESTAURANT & CLUB Permit Type: SIGN PERMIT Permit Fee $ 75.00 Location 988 CRAIGVILLE BEACH ROAD Map Parcel 226005 Town CENTERVILLE Zoning District CB Contractor PROPERTY OWNER Remarks REFACE EXISTING WALL SIGN- THE BARNACLE Owner: SCOTT, MARY W TR Address: 16 LINDA LANE HYANNIS, MA 02601 Issued By: pC /3'L--- POSIT THIS CARD' SO THAT TS.VYSIBLE FROM THE S <REET N*A*yA TT 12- 6 White's Path, S. Yarmouth,MA 02664 -1222 (508) 398-9100 Fax (508) 398-1760 s .l_ '•PERMIT PAYMENT RECEIPT .'TOWN OF BARNSTABLE BUILDING DEPARTMENT. '200 MAIN STREET '" HYANNIS, MA 02601 f DATE': 06/12/13 TIME: 14:48 ------------__- PERMIT $ PAID 75.00 AMT TENDERED: . 75.00 IAMT APPLIED: 75.00 CHANGE: .00 APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 1899 Town of Barnstable Regulatory Services ' MASS,BARNSMM Thomas F. Geiler,Director 039. � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,.MA 02601 �� I J.�3 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official,approving t pplication for Sign Permit ApplicanttVA 6 Assessors No. Doing Business As: a, elep e No. O� Sign Location rA j, �(Street/Road: Zoning District:—Old Kings Highway? Yes J 1yannis Historic District? Yes o Property O �.� Name: Telephone: Address: Village: Sign Contractor ` Name: Telephone: Mailing Address: Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Ye(/No (Note.Ifyes, a wiringpc=tis required) Width of building face ft x 10— x.10 Check one Reface existing sign or New Total Sq.Ft of proposed sign (s) t Ifyou ha ve additional signs please arch 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 us and construction shall conform to the pro sion of §240-59 through§240-89 of the Town fBarris ta le Zo ' g Ordinance. Signature of Owner/Authorized Ag t: Date SIGNS/SIGNREQIT /f ��++E Town of Barnstable Regulatory Services MAW. r Thomas F. Geiler,Director i039 Ep Building Division e Thomas Perry,Building Commissioner x 200,Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS o 1. A photograph showing the existing facade, on which�has'been indicated the proposed sign location.-The photograph is to include a•portion�of Fadjoining stores or building. i For a proposed building or new facade, an architect's elevation may be submitted in lieu of a.photograph. 1 ` 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 P= 1'. Minimum sheet size, 8.5 x 11". . N_ 3. A scale drawing of the bracket. A scale drawingindicating dimensions;color,, materials and method of affixing,it to the sign and to the building.Minimum scale P= 15: Minimumisfieet 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. i NOTE: ,the map/parcel number is required on the application. SIGNS/SIGNREQU DATE 6/12/2013 12:54:51 PM MIF PROOF l VERSION: 1 2 3 4 WRAPB SALADS �h®����� � M PRA NIPS � WfRpP6&SALADB ICE CRlpM/PRAPPE6 E-Mailed Called NO PROOF REQUIRED _ 11, CUSTOMER INFO COMPANY: CONTACT PERSON: STREET: y CITY: STATE: ZIP: PHONE: FAX: I EMAIL: i File Name:The_Bsmecle_declt®sl®n.fs Folder Name:\\Backup\s\FLEXI_FILES\T OO COPYRIGHT 2011,SIGN*A*RAMA,Inc. ' THIS RENDERING IS INTENDED AS A SAMPLE ONLY,COLOR,TEXTURE,MEASUREMENTS,AND ACTUAL APPEARANCE MAY VARY SLIGHTLY FROM COMPLETED WORK AND IS CONSIDERED NORMAL&USUAL. Pleaea check layout(artwork,spelling,dimensional and fox back with signature,Production �� � �I 1 HAVE REVIEWED THE ABOVE SPECIFICATIONS&HEREBY FULLY UNDERSTAND THE cannot begin until written approval Is received,Additional charges will be applied for any changes ��t, l!. �� CONTENT OF WORK TO BE PERFORMED that are needed after approval Is received,SIGN*A*RAMA Is not responsible for any errors In AND APPROVE THIS PROJECT TO BEGIN epalling,loyout,or dimensions that have been approved by the oustoman This proof Is for listed CUSTOMER APPROVAL SIGNED 9Y1 Items only,Any changes or dolotiona by the customer not shown or charged heroin will be billed 12 Whites Path•Suite 8,South Yarmouth,MA 02884 . separately,90-A OEPOSR DUE AT TIME OF ORDER(full amount If under 01001 balance duo Phone;$08-398.0100 Fax:808.396.1790 upon time of Installation,I HAVE READ AND AGREE TO ALL TERMS. INMAL wwEmail: s gnarome®yyeermouih eom Of I PRINT: DATEt® • THIS ORIGINAL DESIGN AND ALL INFORMATION CONTAINED THEREIN IS THE PROPERTY OF SIGWA'RANA AND ITS USE w ANYWAY OTHER THAN AS AUTHOWED IS EXPRESSLY FORBIDDEN,THIS PROPERTY MAY NOT BE REPRODUCED OR DUPLICATED WITHOUT WRRTEN PERMISSION OF SIGN'A'RAMA OR THROUGH PURCHASE. 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 noes not give you permission to operate.) You must first obtain the necessary signaturc:5 on this form at: 200 Main St., Hyannis. Take the comp leteed form to the Town Clerk's Office, 1 st. F{., 367 .1,0ain St., Hyannis, MA 02601 (Town Hall) and goat the Business Certificate that is. required by law. DATE- Fill in please: g APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDR SS: TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW' ,BUSINESS V-Oxf re TYPE OF BUSINESS 5 IS'THIS A HOME OCCUPATION? YES n ADDRESS OF BUSINESS t 6C MAP/PARCEL NUMBER oo (Assessing)' V� When starting a new business'there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street] to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM�Ih�as- 4 ER'S OFF CE This individu n infor' d o an pe it requir ments that pertain to this type of business. Au t orized Signatur COMMENTS: CLU 2. BOARD OF HEALTH This individual h een inf med a ermit equire nts that pertain to this type of business. ALJthorized S' ture** COMMENTS: 3. CONSUMER AFFAIRS(LI ENSI G AUTHORITY) This individual has b inf r he licensing requirements that pertain to this type of busihess. Aut �oie�Si atur ** I/(`Gkc'�J� COMMENTS: Vy v1 / �� � �-7 9� V YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO 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.` Fl., 367 Main-St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law: 7 DATE: J 17 Fill in please: r, yra APPLICANT'S YOUR NAME: r� C (,- l� G 14 iA— ILL t� j ° I BUSINESS YOUR HOME ADDRESS: . o.L St Ya TELEPHONE # Home Telephone Number: ' NAME OF NEW BUSINESS` ?i�'�2iVa� C.L �f�a�Ck' } TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO X Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS J MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be.in compliance with.the rules and regulations of the Town of Barnstable. This form Js intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main. Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSI NER'S IC This individual as r of any perrnit requirements that pertain to this type of business. Authorized Si ure** COMMENTS: ti 2. BOARD OF HEALTH . This individual hashee inf m d f th permi e�quirements that pertain to this type of business. Au orize gnatu e** ` J 76— COMMENTS: 9� 3. CONSUMER AFFAIRS (LICENSING.AUTHORIT1) This individual has en in or e of he licensing requirements that pertain to this type of business. �thorWedi re** COMMENTS: C L( , ---..........--::: 0 0 26 005 ens . ........... W .......... Um Anonymous ..... .. ................ 0"'.'t.::;;;;;-.Believes people are living in the Barnacle. Police were there at 4:00 AM while young men were milling around the front yard. ......................... . ...... .. ........... '5�,7P --6-7 (7a, .............. ... ............ ............. ... ........... ........... . ....... .. _.. 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" ,�„�, 1 '' � m ,-._^.w,.,--r^.*;•^--- Wil���.r„S'-G S�.,.�ti".�'"m�� a + � 4 - 'ar"r'�;..i�., ,���� �.W�iu � 1 x z,, ""T='g? ,, v+r ,. , �m..w�. � t,� '11• t' " c m� 1 417 r ( Tl tad. `�C 9 , ' J r - � ;. • : C r +: r h&t {YS a 1)1�iRt t�)��� r TOWN OF BARNSTABLE 1„ t BUILDING DEPARTMENT ' HOMEOWNER LICENSE EXEMPTION _ 1 Please print. DATE JO6;.LOCATION C , X4 Gd um er ,col . C�yl�i�'2lJ1LL n e s tret a res ection o"HOMEOWNER" 1��AS1�.� town �'j�C�d S y : :. . ame ti PRESENT MAILING ADDRESS ome p one or p one r.ttliiv ;, 1tY town e. Current exemption for "homeowners" was extended 1P, co e -- dTh wellings. of six: units .or ess an aTfor hire, who. does not n ended to include :Qwner-occupied. ivi u o allow such tiomeowners; to engage. an..in- acts as supervisor. Posse a license, provided that the owner it..„, (State Building Code Section ;CEFJNITION OF HOMEOWNER: Person(s') who owns a aside parcel i land on which he/she resides or intends on which there is, or is intended to be, a one %attached or.-detached structures .accessor to re- :'Side,Person who constructs more than one h y to such use tand/or ffarmys nice re ;considered a homeowner, ome in a two- structures. `on,a. fO M acceptable to Such "homeowner" Year period shall not ibe s shall submit to the Building Official , ;for all such work performed under the0bui'ida, that he/she shall be res "The undersi ned n9 permi ection ponsible Buildin 9 "homeowner" assumes responsibility for compliance g Code and other applicable codes, by-laws, P ce with the State rules. and regulations. e :The urir+ersigned "homeowner" Barnstable Buildin certifies that he/she understands +and that he/she wi IDl pcomply mnt. fin nimum inspection the To with said procedures and requirements::Town of procedures and requirements- HOMEOWNER'S SIGNATURE S ' �� a& APPROVAL OF BUILDING OFFICIAL t Note: Three family dwelling s .--"' - to comply with State Bullin 35,000 cubic feet "-'or ", Clar g Code Section 127.0 - - larger, will be equired. , onstrucLlon Control . VV i�� 1 HOLE OWNER'S . EMPTION The Code state that ��q n Home om Permit e Owner performing work for which a building Is required shall be exempt from the (Section 109. 1 . 1 — Licensing provisions of this section Home Owner en g of Constructlon the shall gages a persons) for Eire to do such Work , provided that If a act as Supervisor . " that such Ilorio Owner Many Home Owners who use this exemption are • the . responslbliltios e unaware that for. esonof a supervisor (see A th°y are assuming_ Licensing Constructlon Supervisors, Appendix Q, Rules and Regulatlons. often resUlts In serious Section 2. 15) . This lack of awaroness unlicensed persons. Iprobh�ss, particularly when the Unlicensed case Home Owner hires Person as It would with licensed Supervisor.. Board cannot ,proceed against the �;as ;sUAervrsor I,s u l t imate l pery l sor., y responsible. The Hom° Owner 'act Ing To ensure that the communities re Home Owner Is fully aware of hIs/her .responslb � � + :� certif quire,' as part of the • ► � . it many Y that he/she permit appilcatlon, last g understands the responsibilities of a sulaervi��orlomo ` Owner ' pa s of .this Issue Is a form current ) care to 'amend and ado t Y used by p On the p such a form/certification for euse a�ntowns• You may Your community. i 1 r N, t Assessor's office(1st Floor): Assessor's map and lot number -a „ R M C SYSTEDA RA S7 D E INC To Board of Health 3rd floor)* cy q 1 n" 1 i l Swage Permit number WITH TITLE . i ssas9Tsnct Engineering Department(3rd floor): n ry� �15 ENVIROMMEN AL C rCii;�:f_„ tr". 17j moo M House number 0 7 d Definitive Plan Approved by Planning Board 19 ' OWN REGULATIM APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only APPROVfg WN OF BARNSTABLE ppg ble Conserve►tion Co mission V--__ C BUILDING INSPECTOR SiAPPE1CATION FOR PERM . IO • 2h4 l!?� 1CL TYPE OF CONSTRUCTION Uy6oO . ' / IlG4n.� f3 ,s 9a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according tothe following information/I: G` ,. } Location t O O v1Q� i 02Q �� f l O U 41r� Proposed Use Q C C94-0 to 0 Cam« 11M Zoning District C Fire District Name of Owner/4 SC 04AO&J5 Address'l &( Stk Ch-,-�oS lm 021 W Name of Builder M D�-z` -2 zm y&cl Address Name of Architect &QA)2. Address Number of Rooms Foundation Exterior �tl �� ¢ i�)2SSF�ts '1 � Roofing Floors Interior Heating Plumbing Fireplace p Approximate Cost Z50 8 Area Diagram of Lot and Building with Dimensions r Fee �- ILI iso /so e2aq 4n e OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i Name ItOS�Q Q rJ/�/2LS Construction 1Supervisor's License 3 MAKRIS, ANASTASIA BU nil OUTSIDE 33667 STAIRWAY No -- - -- - Permit Foi' 0 q CJ. .y Snack Bar �^ 988 Craigville Beach ,Rd. t.• 'Location r r� Centerville Owner Anastasia Makris I Type of Construction Wood F ame Plot Lot f Permit Granted April- 13 19 90 I Date of Inspection 19 r' Date Completed �7� 19 ry, f f � , i � r _4 • p i t , j w f i ' .. _.._��r�.4ry, ti_ ) .._ 5�'x+,�Mf!Y!RM n,1F,i. nvY..r: "",4w"R ✓. 'rV r wr-Vl „i Tf- Y Assessor's office(1st Floor): /� f% Assessor's map and lot number . Board of Health(3rd floor): e�Q ♦w Sewage Permit number • Z DAD.a9?1DLL i Engineering Department(3rd floor): rJ� rus House number - � - t639• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE - Pj $,U.I,LDING INSPECTOR APPLICATION FOR PERMIT TO ;!4,�,,(j(` Q.t� ,1.Ltl ' 3"AY 0 1941 MC14 G? 10�UNLMq ttG� E'n� �t(7tT2 TYPE OF CONSTRUCTION NCt,1 co,Q^ i 3 19 � t3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � Location Proposed Use f' �:.E to t k � Ii I Zoning District Fire District Name of Owner Arlo Srt7l yc', t 11���x,�E e ry Address I IL,k a 0 Z4`�Q Name of Builder To r)�_ D r i'y Jn owd Address -Name of Architect 0 ap, Address Number of Rooms _ Foundation Exterior ��`�'�� _ t ��t 0iPS SfL1� itCCtwn 4lit Roofing l Floors f1 Interior 7 Heating AM Plumbing � A- Fireplace ' Approximate Costs 00 Area Diagram of Lot and Building with Dimensions I i Fee o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS khereby-agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �161,4rl Construction Supervisor's License Z 1'[AKRIS , ANASTAS IA A=226-005 �• BUILD OUTS-,-DE No 33667 Permit For STAIRWAY Snack .Bar Location 988 Craigville Beach mod, Centerville Owner. Ana.;tasia Makris Type of Construction Wood Frame Plot Lot Permit Granted April l 3 1990 Date of Inspection 19 Date Completed 19 b- V 0000 iv �pAssessor's office(1st Floor): 'Assessor's map and lot number Q S 4 Board of Health(3rd floor): '; O�THE I Sewage Permit number - C/:- WITH TETLE v ENVIRONMENTAL 3TABLE Engineering,Department(3rd floor): L��� p-js 10"L House number if TOWN REGULATIONS oo 1639. . Definitive,Flan'Approved by Planning Board 19 - 6' , lan'A r� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only �) �� f, APPR0V'E TOWN O F B AIR N S T A B stable Ccnservatic mm ssian BUILDING- I-RSPECTOR �� i C �� Signed _ Date APPLICATION FOR PERMIT TO , , - ' r r, Tr, F TYPE OF CONSTRUCTION + 1 MARCH 5, 1990 19 90 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to the following information: 988 CRAIGVILLE BEACH ROSD, CENTERVILLE, MA Location w Proposed Use MAKE FT,OOR ANT) WATT, SPACRR, AVAILABLE FOR STORAGE AND OFFICE SPACE �.' Zoning District !\C- Fire District ANASTASIA MAKRIS Name of Owner Address 7 PARKSIDE DR, BOSTON., MA 02130 TO BE DETERMINED Name of Builder Address Name of Architect NM Address G, NO CHANGE Number of Rooms Foundation HALF MASONARY ' Exterior ('F.T)AR ST,TTM('�T.F Roofing � p '�� A PINE, NO CHANGE `- Floors Interior T TTCIF TNT IS ET) J NO NO Heating Plumbing NO � Fireplace Approximate Coster D vArea -- Diagram of Lot and Building with Dimensions - Feu - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and.Regulations of the Town of Barnstable regarding the above construction. f _ .Name S ��A,4�'j Construction Supervisor's License KX�1 MAKRISI, ANASTASIA r x No 33641 Permit For Add Dormer =Snack `Ba-r Location •988 Craicrville Beach Road Centerville e Owner Anastasia Makri s + I Type of Construction Frame ` Plot Lot � 4 r Permit Granted Apr i 1 4, 19. 90 =Date of Inspection 19 , ' Date Comp teted / 19. L e r� 14 - - 0 tr .sy ".tt CD e _ t +s O K. _ ..r���"�"_f�-.�W'r'��1+•.�17'If'Yrrrf• -MM�Yy1H1i'�"Y°T�;�y�6��•" ""'.d'�A'fry-v'T•."M1�y�.V..w.y....y.°�i.Y'Ma�,.M'tYvii�'�'�•�qvy •'TT'r+'��7't��TMi"^�',r�+�,-.HrPn'.Y i°rFl"isf� d j Assessor's office(1 st Floor):. t 1 Assessor's map and lot number Q` Hof 1wE Board of Health(3rd floor): e�Q ♦w v Sewage Permit number r^. I ..fl)` �, Engineering Department(3rd floor): �JS - 1 DASd7?4DtL p- # �o rua -House number, 0 o t6yq. Definitive Plan"'Approved by Planning Board 19 'APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only, h' TOWN OF - BARNSTABLE ., � BUILDING INSPECTORk � � ' APPLICATION FOR PERMIT TO -AT,,, r zas n�^m nnrarFnra mn r�zrx+ n^A r•nnr�m nn nnxrn nrt3 •� r+�rr. _v_ .ate► _ .�. _�._��a , a s_....., 1 _< _ TYPE OF CONSTRUCTION f .Y V�l"LY 1L'112'ii'ila MARCH 5, 1990 19 90 TO THE INSPECTOR OF BUILDINGS: ,< The undersigned hereby applies for a permit according to the following information: ` 9$8 CRAIGVILLE BEACH ROSD, C-ENTERVILLE;',.•MA Location Proposed Use MAKE TPT�OOR AND WALL SPACE AVATLABLF FOR STORAGE -AND OF'FTCE SPACE Zoning District KL Fire District + ANASTASIA MAKRIS `f a: Name of Owner r Address 7 PARKS°IDE DR. BOSTON, MA 02130 TO-4,1 -'DETERMINED Name of Builder Address Name of Architect W r Address '2, NO CHANGE Number of Rooms Foundation kALF MASONARY Exterior Or..T)AR 1;T4T1VC,T.V Roofing AgPT4AT,P PINE,,- NO CHANGE Floors Interior--- TTT`tF TN't!:5 4pn N4 - _4 y NO 'Heating— Plumbing N0 Fireplace —Approximate Cost` q1M, o Area J0 ell i'� / f/19t•'1 Diagram of Lot and Building with Dimensions `f ` Fee f A, U 4 1S 0 y Oc OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable.regarding the above construction. Name a �f! U t% Construction Supervisor's License -- MAKRIS, ANASTASIA A=226--005 t C05- No 33641 Permit For ADD DORMER w q Baif Location 988 Craigv .11e Beach Road Centerville Owner Anastasi.,a Makris Type of Construction Frame Plot Lot A Permit Granted prii 4, 19 90 Date of Inspection - 19 Date Completed 19 i TOWN OF BARNSTABLE BUILDING DEPARTMENT s HOMEOWNER LICENSE EXEMPTION Please print. DATE C/ /3 , 19010 JOB; LOCATION um 5 er treet a ress �1GL� n ection o town HOMEOWNER" 0�/1�AZ fA /,r4 1 06/ 7 5 a — ome ptione, Wor p one PRESENT MAILING ADDRESS town to e The. current exemption for ."homeowners" was extended to include owner-o dwellin.'gs. of six: units .or ess an o allow such homeowners: to en ccupied ivi ua .for hire. who does not possess a license, gage. an..i n- acts' as supervisor. (State Building Code Section provided that the owner ;DEFINITION OF HOMEOWNER: Terson(s) who owns a parcel of land on which he/she resides or. intends (side, on which there is, or is intended to be, a one to six family dwelli re- Ajattached or. detached structures accessory to such use and/or farm structures. person who constructs more than one home in a two-year period shall hot be 'considered a homeowner. Such "homeowner" shall submit to the Buildin Of is on,a. form acceptable to the Building Official , that he/she shall be res onsci?a� for all such work performed under the bui-iding permit. P ibl ection _"The "homeowner" assumes responsibility for compliance Building Code and other applicable codes, by-laws, rules. and regulations. " P e with the State ::The undersigned "homeowner certifies that h r ions. .. Barnstable Building Department.Winimum inspectionhproceduresnandds tre Town eof n ?and that he/she will comply with said procedures and requirement ' .requirements :+ HOMEOWNER'S SIGNATUREyj� ' APPROVAL OF BUILDING OFFICIAL .Note: Three family dwellings 35,000 cubic feet,"-'or'large lar er .to :Comply with State Building Code Section 127.0, Constu will be required coon Control. VV 8 . 40 ..................._............. a . 4 HOME OWNER'S EXEMPTION The Code state that : . • permit Is required shallHobe Ownerme exem p fom he Performing for which a building set (Section 109:1 .1 - Licensing of Construction Supervisors) ; I'provvided provisions of* thlthatclfoa "Home Owner engages a persons) for hire to do such work, that such Home Owner shall act as supervisor . " Many Home Owners who use this exemption are unaware that y the responsiblllties of a supervisor (see Appendix Q, , Rules and Regulations a are assuming. ,for. Licensing Construction Supervisors, Section 2.15) . . This lack of awareness often results In serious problems, unlicensed persons. particularly when the Home Owner hires Person a : unlicensed In this case our Board cannot proceed against the s It would with licensed Supervisor.. The Home Owner acting ;;,'4as supervisor Is ultimately responsible. To ensure that the Home Owner is fully aware of his/her .res ons communities requlre, as p ibilitles, many certify that he/she understandsftheeresponsib Permit p�ttleslof �a suthat the.'Home Owner ,last 'page of this Issue is a form currently used by several town On the p Is * . care to amend and adopt such a form/certification for use In our s• You may Y community• I l� P I Zf&rA V f�1Tr �?, tJf fn1 Rvr 1 ' y� ✓E , . r IZIc ✓}�'C-7 c,�G 't7� �'olf��T1�+�`+ � ���f"'r�. ` JP.Ut � �{P. tea{ /f ti l is ►}'WR o f f • - 'fir �..i l�i� ,� ��G-�`I�� _" - APpR®V,E® ' CH AN TOW BARN �� 9 Im pection Depeftint 7 ',De, Aa, AL qk- (22a pO P� IQnP, Mn ozi3D 6r� 2 auh o:, 6 971 99a5� A NEr. ENGLAND DIS JQN. ao BOX 311 -e� _* 7APWROVED E M H DWG.ND.: y ( 181 CHURCH 8T.W. BARN$TABIE, MA 02868 (B08)8B2-9724 DRAWN BY: 1.800 633 9317 . J] NO., `'Q .., ... - yam n w do tr 41t f - ..1G • TS U��k _ � - V • • �L �� o - c • t ar .�� �- - -- � '�'�' _ r __ R � -�- w . , � ; 0 2 0 3 4 0 1 9 0 3 4 ;1 --------------- -- i �- l