HomeMy WebLinkAbout540 MAIN STREET (HYANNIS) i
s,
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$.4D.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 Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE: ZZ�IZ Fill in please:
APPLICANT'S YOUR NAME/S:
BUS�I�IES 4 YOUR HOME ADDRESS:
2S (lj f�
TELEPHONE # H'Ome Telephone Number 3 2r 10
NAME OF CORPORATION: O l�(��— i►1Lrv1 O' SS — t.
NAME OF NEW BUSINESS TYPE OF BUSINESS "Ok-. 15 — -i
IS THIS A HOME OCCUPATION? YES NO= - AWS ;ow✓-IjAi—c SA1.Z�_-,
ADDRESS OF BUSINESS fr-J 5 H W i MAP/PARCEL NUMBER 0 lVV\ (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 Try na;4%*--�rner 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 CO MISSIO R'S OFF
This indivi ual e in ed f�nyem' requiremen s that pertain to this type of business.
uth rized Si ture
COMMENTS. ,
2. ".BOARD OF HEALTH
This individual h e infgrm bdf p rmit*r quirem is that pertain.to this type of business.
01
Authorized Sig ture
COMMENTS:
3. CONSUMER AFFAIRS[LI9ENSIN AUTHORITY)
This individual has b nfoi h�licensing requirements that pertain to this type of business.
Authoriz d Sagn ture*
COMMENTS: ® .A I ®- �d
TOWN OF BARNSTABLE
MASSACHUSETTSPfi4 Cl - .
BUSINESS CERTIFICATE
ATE ISSUED: 05/23/2012 DATE RENEWED: NUI t [; l '
BOOK:198 RENEWAL BOOK: RENEWAL PAGE:
AGE: 12-180 DATE DISCONTINUED:
CERTIFICATE EXPIRES: 05/23/2016 DISCONTINUED BOOK: DISCONTINUED PAGE:
In conformity with the provisions of Chapter One Hundred and Ten(I 10), Section Five(5)of the General Laws,as amended,the undersigned
hereby declare(s)that a business is conducted under the title below, located as shown,by the following named person,persons
or corporation:
(sPLE�1SE NOTE���A�BUSINESS�CERTIF CATE INDICATES THAT��THE'NAMED PERSON($)!SCARE}DOING BuslNEss uN ED R A�NAME
DIFFERENT�THAN'HIS%HER�PERSONALNAiVIE S � IT�f DOES�NOT:�IMPLY�THAT,�~THE�APPLICAtNT(S)�HAS(HAVE}MET ALL`LICENSE,�
,PERMIT AND OTHER PERMISSIONS REQUIRED$Y�,T,HE TOWN OF BARNSTABLE BUILDING HEALTH AND CONSUMER.,AFFAIRS
�DEPIIRTMEN�TS FOR THETLEGAL�OPERATIO�`N��O,F�THIS�BUS�INESS�`AT THE STA°TED�LOCATrION` �3,� ,���� a�����y ,,�,���; k����r,»�,� �9`-
QUAHOG ENTERTAINMENT
MAILING ADDRESS: 540 MAIN ST,UNIT14 HYANNIS,MA 02601
ANDREW RAPO 461 SOUTH MAIN ST CENTERVILLE,MA 02632
JOHN SULLIVAN 42 DEPOT ST DENNISPORT,MA 02639
Signatures:
THE NAMED PER PERSONALLY APP D B FORE MEAN MAD ATH THAT THE FOREGOING
STATEMENT IS TRUE.
TITLE
Identification Presented: t
or Other: 45-5329075 DATE: May 23,2012
CONDITIONS: NEEDS SIGN PERMIT IF PROPOSED. NO RETAIL SALES
In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5 of the Mass General Laws,Business
Certificates shall be in effect for four years from the date of issue and shall be renewed each four years thereafter. A statement under oath must
be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during
regular business hours to any person who has purchased goods or services from such business.
Violations,are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues.
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CERTIFICATION CLAUSE
I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes
requi d under law.
Sign re of dividual or Corporate Name(Mandatory) By: Corporate Officer(Mandatory if applicable)
** or Federal ID Number
* This license will not be issued unless this certification clause is signed by the applicant.
** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or
tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This
request is.made under the authority of Mass. G.L. Cha 62C,S.49A.