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Home My WebLink About0276 FALMOUTH ROAD/RTE 28 (2) N�ax.�,es Surnfte Shop an I IHE Application Number............................................................. iNill�F BAR#M a��— BARNSTABLE. MASS. � Permit Fee......�................: ..........Other Fee:....................... y Total Fee Paid................................................................ . QcT 23 A 6: X Q,. TOWN �� ' e. -RL ric� r �+ 'PermitApproval by......�! .......On..../!/ l ° .. .. ...... i ..:�.. c.� _ .. ....... BUILDING PERMIT M �q3 ap............... ...................:Parcel........................ ................. APPLICATION Section I — Owner's Information and Project Location Project Address_-.24 6 C-:Q b m L 91 r)A-Yiik- Village �q �y y.1i;CS�45 A �caa.g Owners Name ' h i -�2 `�n/Iq'N'` 0 k/NU� SM-00- Rio ITC-7 ��f Owners Legal Address 4,5 E?yj l e ij b-6 ve City �e' Il e,,zi�et State AAA Zip 0 1 m1 Owners Cell# ( —li,�4--5-2-2-6 E-mail I C� i�`�1 u o � et i 1 • C�w, Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ -Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System Addition ❑ Retaining wall ❑ Solar ''Renovation ❑ Pool ❑ Insulation Other—Specify, t Section 4 - Work Description /f fir/ 77A,, G 4eW 00 4VIPAIC I/PMTES /'1-0? 57N,4 IAIC 417— rt roo �- � Tact nndsited- 11/15/'?,(11 R Application Number................................. ............ Section 5—Detail a Cost of Proposed Construction C0 D 0 Square Footage of Project Z 3 Age-of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind2one Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply 9 Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes M No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zonis District Pro posed o osed Use Lot Area S . Ft. g P q Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed yRear Yard Required _ Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 F`"Er Town of Barnstable Building Department- 200 Main Street , 9$AMAE& Hyannis, MA 02601 lED M . Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-19-3408 CO Issue Date: 1/6/2020 Parcel ID: 293-031 Zoning Classification: HB Location: 276 FALMOUTH ROAD/RTE 28, HYANNIS Proposed Use: M: Retail market I Name of Tenant: Sprinklers Provided: Yes Gen Contractor: JAN KVIETOK Permit Type: Commercial - Business Type of Construction: 11113: Non-combustible Exterior Walls Design Occupant Load: 40 Comments: Lucky Mart Unit 5 2 2 Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition v°FtyEray Town of Barnstable 91 MARNST„BLE, « ; Building Department- 200 Main Street Hyannis, MA 02601 TEo MA'S°i Tel. (508) 862-4038 u Certificate Of Occupancy Permit Number: B-19-3410 CO Issue Date: 1/6/2020 i Parcel ID: 293-031 Zoning Classification: HB - Location: 276 FALMOUTH ROAD/RTE 28, HYANNIS Proposed Use: M: Retail market Name of Tenant: Sprinklers Provided: Yes Gen Contractor: JAN KVIETOK Permit Type: Commercial - Business Type of Construction: IIIB: Non-combustible Exterior Walls Design Occupant Load: 21 Comments: Hyannis Smoke Shop Unit 6 2 2 Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition �oFT � _ Barnstable- r - _ Building , own o _ u�aH3rwe�a WostThis Card So That it is Visible From.the Street-Approved„Plans Must be Retained on Job and this Card Must be Kept v e $ Posted Until Final Ins"Inspection jl�"^� p on Has Been'Made , Y iWhere a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has,been made. er Permit No. B-19-3410 Applicant Name: JAN KVIETOK Approvals Date Issued: 11/06/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/06/2020 Foundation: Commercial Map/Lot: 293-031 Zoning District: HB Sheathing: Location: 276 FALMOUTH ROAD/RTE 28, HYANNIS , Contractor Name: JAN KVIETOK Framing: 1�� Owner on Record: BORNSTU LIP Contractor Licenser CS-095039 2 Address: 297 NORTH STREET a Est. Project Cost: $6,000.00 Chimney: HYANNIS, MA 02601 y Permit Fee: $235.00 Description: Unit 6 Insulation: partition partition wall construction. Fee Paid: $235.00 Final:®'` {n Tenant Fitout for Hyannis Smoke shop _ Date: 11/6/2019 d l Plumbing/Gas Project Review Req: s Rough Plumbing: Y Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months 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 zo6ing by-laws and codes. 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 Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building a'nd,Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ' * ; Service: 1.Foundation or Footing ' Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health i Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contrac ' with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). 1� Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Bmlders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orgmizatimvindividual): TR rW Sul t,D1u6 40"P9AIY 1A10 Address: 1 Z 6$ Z$ City/State/Zip: • 'Ylr1'M V!1-t O y Phone#: o'19 eD 7- Are you an employer?Chec the appropriate box: Type of project(required): 1.[?I-am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired Site sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 11.Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity.acitY• employees and have workers' t 9. ❑Building addition [No workers'comp.insurance comp•insurance• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs fiance regui edL]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other COMP.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie,#: l� 4 ZD CI Expiration Date: 1 t/ � Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the painsandpenaldes o erlury that the information provided above is true d correct: Signature: Phone#: 03 6/9 6 o7 Ojj°i W use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person kthe service of another under any contract of hire, express or implied,oral or written," An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in.the commonwealth for any applicant who has not produced`acceptable evidence of compliance with the insurance Ioverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by'checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bastian,MA 02111 - r Tel.#617-727-4900 ext 406 or 1-877 MASSAAM Revised 4-24-07 Fax#617-727-7749 WWWMUW.gov/dia f Application Number............................................ Section 9=Construction Supervisor Name '7 f"k) Telephone Number 77 y 3/7 05-9 3 Address 12 Lockwop01, . City S ➢C-N,U(3 State Zip 0WO License Number q 3 V 7 D,�D License Type Expiration Date I3 1 2p?,o Contractors Email IN ro 69 f draft o. co tt Cell # 1' I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,,specific inspections and documentation required by 780 C and the Town of Barnstable.Attach a copy of your license: � w � Signature Date Section 10—Home Improvement Contractor r� Name_ Q C 9 Mf C/ Telephone Number 57 S 6'l9 -7-3 Address [U City C t700 rH State f7 Zip Registration Number j7b q 70 Expiration Date j 0 �7�ZOTi/ I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code I understand the construction inspection procedures,specific inspections and documentation required by 80 CMR an e Town of Barnstable.Attach a copy of your H.I.C... Signature Date l� 10 Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Contra ' upervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction' coon procedures,specific inspections and documentation required by 780 C d the Town of Barnstable. Signature Date t _ APPLICANT SIGNATURE Signature Date Print Name 7,qN ��(��TU�C/ Telephone Number �09 61f 6073 E-mail permit to: lydao � Ti9-r&co < (10/1 Last updated: 11/15/2018 I Section 12 —Department Sign-Offs i Health Department Zoning Board(if required) Historic District ❑ Site Plan Review(if required) �- Fire Department Conservation ❑ ° `° t '''',�� ,, , For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization as Owner of the subject property hereby authorize 7AA) 416-TTIC- - . to act on my behalf, in all matters relative to work authorized by this building permit application for: 1 '��- cr (Address of job) �O Signature of Owner date Print Name Last updated: 11/15/2018 216 Falmouth Rd. , HYAN N 15, MA55 4 Tenant fit-out UNIT 6 Applicant: Satya Patel Corporation d/b/a Hyannis Smoke Shop Rough ceiling height 21'10" o 46'-2" Finished suspended ceiling height 13'T z 0 L Building equipped with automatic fire suppression system Lj I I 34' 3T-9 1/2" L g fp H O LD II - II b'-9 1/4" Untt 5 Of 31D iv m 21'-81/4" O ic! . I Unit 6 M-T-4 1/2" - 4, fu I fl W I _ I 34'-10" I N a E 1 Z .p s I � ti 1' I P mEmf � Il I Q��F.Q Vim, wV��=m 17.2" z i o[O m �S,W og�y g- L;Q b\e gad kept bo, . �ZV,11;` SCALE: TOTAL FLOOR AREA 3187 SQ eXIStI11Q G011dItIOnS FT DATE 10/23/2019 i i w UNIT b Tenant Fitout I 1 ZF 0 y 46'-2" a w � i EAsting finishes to remain:Wood floor,drywall,Armstrong suspended ceilingsLi o c rL ETA Beverage Coolers T-1" 34' FINISH SCHEDULE: Flooring In sink areas ARMSTRONG Sheet Flooring,cut sheet attached O Wall finish In sink areas PANOLAM reinforced plastic 8'high from the floor,out sheet attached 11 Sinks: Freezer T 1.REGENCY 60OH512 cut sheet attached 3-P-q 1/2" n a 11 2.FIAT MSBID2424 cut sheet attached � U3 -�V / 3.FIAT FL-7 cut sheet attached rip rn > O shelving etc° OFFICE PICO b'-7 1/4" LUCKY MART 2320sq.R. c� a yefi iV 2T-8114" qr in b'-q 1/2" - _ TR m n Unit 5 $� e HYANNIS SMOKE SHOP t Applicant:1123 Main St.Corporation d/b/a Lucky Mart 1243sq.R. 27_6" 5houxase - 5houicase - r] Ll ai 5houcase F Q U i. Showcase w shelving 5helvl _ S COUNTER haucase 12' —a i- L. Unit H F1 Applicant:5atya Patel Corporation d/bla Hyannis Smoke Shop Shou,-we z $ a zoo COUNTER f f y� pr17�I\ 12'-2" ul �V}/V�� zv��Em Shelving �/ � wp j S F/ I, SCALE: proposed floor plan DATE 1 10/23/2019