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HomeMy WebLinkAbout1106 MAIN ST./RTE 6A(W.BARN.) J l NO. 152 1/3 ORA s LTE� 100/o,� a i B k 31783 PS 325 42218 01-16-2 119 a 11 = 41U 3 Town of Barnstable Zoning Board of Appeals Decision and Notice Special Permit 2018-066-O'Keefe,Trustee Section 240-20 B(3) -Special Permit for Personal Service in the WBVB District To allow the operation of a meditation and healing business with massage and small retail Summary: Granted with Conditions Applicant: Tara M. O'Keefe,Trustee 282 Baxter Neck Road, Marstons Mills, MA co Property Address: 1106 Main Street/Route 6A,West Barnstable, MA Assessor's Map/Parcel: 178/013-002 ="= Zoning District: West Barnstable Village Business District (WBVBD) and Residence F (RF) me Hearing Date: December 12, 2018 a rr*i Recording Information: Book:30790 Page:348 ' w Background Tara M. O'Keefe, Trustee; as lessee, applied for a Special Permit pursuant to Section 240-20-6.(3)- West Barnstable Village Business District-Special Permit Uses. The applicant proposed.to establish a personal service business which will include yoga, reiki, tai chi, qui gong, the sale of retail items on the first floor and an accessory office use, not open to the public, on the second floor. The property Is located at 1106 Main Street/Route 6A, West Barnstable, MA as shown on Assessor's Map 178 as Parcel 013-002. It is located in the West Barnstable Village Business District (WBVBD) and the Residential F(RF)Zoning Districts. The subject property is located on Main Street/Route 6A in West Barnstable in the area zoned for business. The lot is 5.96 acres and contains a four bedroom dwelling-with 2,452 square feet of living area (3,684 gross square feet)constructed in 1910. There is an existing shed on the property. The lot has gas service, a well, and a septic system. The main structure is located within the West Barnstable Village Business District while the rear portion of the lot lies within the Residence F District. The existing structure complies with required setbacks. I Procedural & Hearing Summary Special Permit Application No. 2018-066 to establish a personal service business which will include yoga, reiki, tai chi, qui gong, the sale of retail items on the first floor and an accessory office use, not open to the public, on the second floor at 1106 Main Street/Route 6A, West Barnstable, MA was filed at the Town Clerk's office and office of the Zoning Board of Appeals on November 6, 2018. A public hearing -before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and Interested parties in accordance with MGL Chapter 40A. The hearing was opened on December 12, 2018, at which time the Board found to grant the Special Permit subject to conditions. Board members deciding on this application were Alex Rodolakis, David Hirsch, Marts Hansen,Jacob Dewey, and Paul Pinard. Attorney Mark Boudreau represented the Applicant before the Board. Also present was the applicant,Tara O'Keefe. Attorney Boudreau reviewed the business and relief needed from the West Barnstable Village Business District. He explained that the intent of the zoning district was to allow uses such as this. The Board asked about parking, screening, and hours of operation.Attorney Boudreau stated the hours of operation would be 7:00 AM to 10:00 PM. The Board Chair asked for public comment and no one spoke. r 1n . 3 Town of Barnstable Zoning Board of Appeals-Decision and Notice Special Permit No.2018-066 O'Keefe 1 , I 5 Findings of Fact At the hearing on December 12, 2018, the Board unanimously made the following findings of fact in Special Permit Application No. 2018-066, a request to stablish a personal service business at 1106 Main Street/Route 6A,West Bamstable,MA: i 1. The application falls within a category specifically excepted in the ordinance for.a grant of a special permit.The proposed use is allowed under Section 240-20 (3)with a Special Permit. 2. After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public.good or the neighborhood affected. 3. A Site Plan has been reviewed and.found approvable with conditions. (See letter dated October 5, 2018 and signed October 15, 2018). 1 4. Such uses do not substantially adversely affect the public health, safety, welfare, comfort or convenience of the community. 5. Is compatible with and supports the purpose and intent of this section. 6. Mitigates impacts to safety and congestion from development. 7. Protects and preserves water supply for both drinking water and fire protection. 8. Stormwater shall be contained on site and mitigated using best management practices. 9. Manages waste, by-products and other debris that may be associated with artisan and craft use in a manner compatible with abutting or nearby residential uses. 10. Does not generate noise, vibration, smoke, dust or-other particulate matter, odors, heat, glare or intrude with similar nuisance on abutting or nearby residential uses. 11.Storage of all raw material and finished product associated with artisan or craft use shall be stored within a duly permitted permanent structure. All outdoor storage associated with artisan or craft use is prohibited. 12. Deliveries may take place not sooner than one hour before, or later than one hour after the permitted operating hours of a business. 13.Vehicles are prohibited from running motors, refrigeration .units or other mechanical units outside of permitted hours of operation. The vote to accept the findings was: AYE:Alex Rodolakis,David Hirsch, Mark Hansen,Jacob Dewey,and Paul Pinard a NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Special Permit No. 2018-066 subject to the following conditions: 1. Special Permit No. 2018-066 is granted to Tara M. O'Keefe, Trustee, as lessee, for a Special Permit for the establishment and operation of a personal service business including yoga, reiki, tai Page 2 of 3 2 l 1 I i 3 Town of Barnstable Zoning Board of Appeals-Decision and Notice ' Special Permit No.M18-066 O'Keefe chi, qui gong, the sale of retail items on the first floor and an accessory office use, not open.to the public, on the second floor at 1106 Main Street/Route 6A, West Barnstable, MA. 2. The improvements shall be in substantial conformance with the site plan entitled "Site Plan of #1106 Route 6A West Barnstable, MA° prepared for Tara O'Keefe by Down Cape Engineering, Inc. dated July 31, 2018 and revised September 5, 2018. : 3. The Applicant must attain all required permits, approvals, and licenses for the proposed new use. 4. All landscaping and landscape screening shall be maintained on the site. 5. Site Plan Review conditions.of approval are hereby incorporated into this Decision. 6. The.hours of operation shall be 7:00 AM to 10:00 PM, seven days a week. 7. This decision shall be recorded at the Barnstable County Registry of Deeds and copies of the recorded decision shall be submitted to the Zoning Board of Appeals Office. and the.Building Division prior to issuance of a building permit. The rights authorized by this Special Permit must be exercised within two years, unless extended. The vote was: I I AYE: Alex Rodolakis, David Hirsch, Mark Hansen,Jacob Dewey,and Paul Pinard NAY: None a Ordered Special Permit No. 2018-066, a request to establish a personal service business- at 1106 Main Street/Route 6A, West Barnstable, MA, has been granted. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty(20) days after the date of the filing of this decision, a copy of which must be filed in the office of the Barnstab Town Clerk. Alex odolakis,Chair Date 168igneb I,Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20 s have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of )days the decision has been filed in the office of the Town Clerk. Signed and sealed this /D*�l day of under the pains and penalties of perjury. Ann Quirk,Town Clerk _'P�,O •• W,�, CO , o * ; BARN STAID I E, MASS. , ' Page 3 of 3 'OtF�'M°Ai•k 3 i a i I '"E�`' Town of Barnstable e BA,,,,s,AB,E, t Assessing Division UA8% 2639• ,�� 367.Main Street,Hyannis MA 02601 Areo►ur� www.town.ba rnstable.ma,us Office: 508-862-4022 Edward F.O'Neil,MAA FAX: 508-862-4722. Director of Assessing s ABUTTERS LIST CERTIFICATION December 5, 2018 RE: Adjacent Abutters.List • I For Parcel(s) : 178-01.3-002 1106 Main St. /Rte. 6A West Barnstable, MA 02668 As requested, I hereby certify the names and addresses as submitted on the I attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied excepting parcel(s) 178-004-003, 178-013-002 with card'attached for new mailing address. S i Board of Assessors Town of Barnstable x° g1 Property Location.1106 MAIN ST./RTE 6A(NV.BARN.) MAP II):178/013/002// } i Vision I1D:12304 Account# Bldg#: 1 YR KEEFE,TARA M TR 1, `evel as aved 106 MAIN STREET REALTY TRUST ell 2 BARTERS NECK ROAD eptic STONS MILLS,MA 02648 dditional Owners: Ifit her ID: PlanRef. 402/76 Zoning WBVBD;RF Land Ct# D Parcel #SRsErpt Qual NO APP Life Estate ELSIE LDELANEL 1 LOT 2A Notes:L2 SID: 12304 ASSOCPID# v_;i'Z i`K COItD.:OROWNERSHLR,'!:'i':.' BKWOLPAGE' SALEDAT`Fs: /ii. 'v/1 SALE KEEFE,TARA M TR 30790/348 09/27/2017 Q I 4061 00 ELANE,PAUL ANTHONY TR BA17POS42BA 03/05/2017 U I ELANE,ELSIE L 28849/241 05/07/2015 U I ELANE,ELSIE L 28849/238 05/07/2015 U I ELANE,CHRISTOPHER A&ELSIE L 1262/528 07/24/1964 U r �' BJfCfiMPT OIyS3E;� OTHER:ASSESS Year a I Description Amount Code Descri tion Number 2019 N5C �NORESIJDENTIAL EXEMPTION 0.00 .j-.g� �.-.,._�.,,::ac� - is .��: _.< al-�.:.. t•`• -`tiSSESS1NG:lYE�GHB_,ORI�OOA�,_c;��•.-•�-.:;=�_y�-_'•,•.�' 3i'-iil�a:iiEx:."sl:"a::i'..' NRUDISUB NBKDName I StreetlndexName I 7)•acin 0108/A �'�`�a?j:.,��'���•_F,� _S r.'a it��_;:r.'•:;its:�{'�::" _!��i,:y:.t=�=.`�l�riv*+'?K:NOTES:-s _ ��=�r-?"!�-;--}i - iz�•.:_��:i'_ 3 �:��=�:'��:•::r-x-. • ::.:-.-:s:,:..:::�•= _. `BUILDINGPERA7IT::R,ECORD:."t��`:�c;:Vc,.;: - Pertnit ID Issue Dale YVve IDescriDtion Amount Ins -Date %Cam . I Date 201201915 04/13/2012 IN Insulation 1,800 100 201106124 11/03/2011 IN Insulation 3,000 100 06/30/2 31847 06/29/1999 NR New Roof 2,075 06/09/1999 100 01/01/1 '•IANDLIIY MUAT.I B Use }~ UseJ = - Unit L Acre I C. a# Code Description Zone D Front th Units Price Factor A. Disc Factor. 1 1010 ingle Faro MDL-01 LI7 5 1 1.00 AC 118,750.00 1.0000 5 1.0000 1.00 1 1010 Single Fain MDL-01 PLn 5 5 4.96 AC 14,250.00 0.3613 R 1.0000 1.00 I Total Card Land Units:1 5.96JACI Parcel Total Land Area: i 6 a 3 i a Property Locat[on:1095 MAIN ST./RTE 6A(W-BARN.) MAP ID:1781 004/0031/ i Vision ID:100614 _A�� nt# Bldg!: of i t NEST BARNSTABLE CREEKSIDE L 1 i O BOX 648 WEST BARNSTABLE,MA 02668 s ;;'�.~; ;; 'rt:_Y _., .. '�;..._=.�__•SUPPEEM�. TALDATAr- Additional Owners: Other ID: Plan Ref. 542/35 plitZoning Land Ct# 34248-E ID Parcel NSR esExpt Qua[ Life Estate L 1 LOT 2Notes: L 2 LOT 12 GISLD: 100614 ASSOCPID# ICARTER, N"¢- CORD OF_O : E FLIP :;aF_ V! BARNSTABLE CREEKSWE LLC 30841/121 10/20/2017 Q I 437,750 0( RTER,ALAN P,BARRY J AND 30841/107 03/07/2017 U I 0 11 RTER,ROBERT,ALAN P,BARRY J& 30941/105 10105/2016 U I 0 11RTER,ROBERT TRS&JACQUELYN J TRS 28391/ 5 09/18/2014 U I 1 11 RTER,ROBERT C149386 07/17/1998 U V ROBERT I0641/294 03/07/1997 Q i 234,000 0( s FTXEIIfP.T.IONS�'!? L c ?< °; En`bTER ASSE�SSMEIVTS Year npe IDescription Amount Code Pescription Number i Y s i i-----------"---------------- NBND/SUB MRHD Name I Street Index Name 7)-acin C107/A NOTES; �-n:e z;�-::?;�' -- •�= - F c `. '�� --BUIL•DINC.PERMITBECORD; PermitID Issue Date Tvve IDescription Amount Ins .Date %Com . Date'Com . 83774 04/29/2005 OR OutBuildlng 0 01/01/2006 100 01/01/2006 29611 03/20/1998 WD Wood Deck 2,000 01/01/2000 100 01/OV2000 _1:;': 'EAlYDLINEVALUATION _ .. ._; B Use Use Unit Acre # Code Description Zone D FrowDepthl Units Price L Factor KAJ Disc C.Factor 1 3250 TORE-WD FRM MDL fBVB1 5 159 1.00 AC 543,800.00 1.0000 5 1.0000 1.00 1 3250 TORE-WD FRM MDL fBVB1 5 0.09 AC 65,256.00 7.1423 R 1.0000 1.00 Total Card Land Units: 1.091 ACI Parcel Total Land Area:R.09 AC 1 1 z 1 11/26/2018 AbutterReport Zoning Board of Appeals (ZBA) Abutter List for Map & Parcel(s): 11780130021 Parties of interest are those directly.opposite subject lot on any public or private street or way and abutters to abutters. Notification of all properties within 300 feet ring of the subject lot. Total Count: 26 Close Mailing Count r Deed w Map CL Parcel Ownerl Oner2 Addressl Address 2 CitystateZip r1 CAPE COD 25 BENJAMIN HYANNIS,MA 1156017 178003 COOPERATIVE BANK FRANKLIN WAY 02601 178004 CODWAY,INC C/O CAPE COD COOP: 25 BENJAMIN HYANNIS,MA C152803 BANKFRANKLIN WAY 02601 WEST 178004001 BARNSTABLE LAND 1540 MAIN STREET BARNSTABLE,MA C149159 TRUST INC 02668 SAWAYANAGI, WEST 178OG4002 JUNICHI&PAUL, 1085 MAIN ST BARNSTABLE,MA 21793/345 SANDRA 02668 WEST 178004003. WEST BARNSTABLE %WEST BARNSTABLE P O BOX 648 BARNSTABLE,MA C214417 CREEKSIDE LLC CREEKSIDE LLC 02668 WEST 178006 CAPPELLINA,JOHN D 1071 MAIN ST BARNSTABLE,MA 12569/308 &BARBARA L 02668 WEST 178010 COHEN,GEOFFREY 1074 MAIN STREET BARNSTABLE,MA 26242/118 WEST 178011 TAYLOR,SCOTT& 1084 MAIN ST BARNSTABLE,MA 11271/324 LAUREN 02668 WEST 178012 THOMPSON,SHELLEY 1094 ROUTE 6A BARNSTABLE,MA 29276/258 M 02668. WEST 178012001 SCHERMERHORN, P O BOX 707 BARNSTABLE,MA 14694/74 SHARON M 02668 41 EAST STREET CHICOPEE,MA 30227/26 178013001 TBCC LLC 01020 DELANE,PAUL %OKEEFE,TARA M TR 282 BAXTERS NECK MARSTONS MILLS, BA17POS42EA 178013002 ANTHONY TR ROAD MA 02648 178014 BARNSTABLE,TOWN 367 MAIN STREET HYANNIS,MA NONE OF(MUN) 02601 163 ELLIOTTROAD CENTERVILLE,MA 26112/328 178015001 DREW,ERIC W 02632 COBBLESTONE REALTY PO BOX 893 BARNSTABLE,MA 20240/322 17801502A GARNER,]OHN P TR TRUE. 02630 17801502E BETHESDA LLC 1170 MAIN ST UNIT 2 P 0 BOX 500 WEST 21559/221 http://maps.townotamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=ZBA 1/2 11/26/2018 AbutterReport BARNSTABLE,MA 02668 17801502C QUITMEYER,MATHEW 91 BRIDLE PATH MARSfONS MILLS, 20786/199 W MA 02648 , 1170 MAIN ST/RT 6A, W MALONEY ALISON A EST 17801502D � �5 TAURUS REALTY TRUST , BARNSTABLE,MA 22505/323 02668 MALONEY,ALISON A 1170 MAIN SI/RTE 6A, WEST17801502E' TAURUS REALTY TRUST #5 BARNSTABLE,MA 22505/323 TR 02668 17801502E RUSSELL,EMMA M& PO BOX 827 MEAST SANDWICH, 27326/58 ]AMES M MCNULTY,MAUREEN A 1170 MAIN STREET WEST 17801502E SOIL REALTY TRUST UNIT 7 PO BOX 176 BARNSTABLE,MA 28864/109 TR 02668 WEST _17801502H BGSD LLC- PO BOX 845 BARNSTABLE,MA 30208/105 02668 1780150ZI KING,ARTHUR N 54 THREE PONDS WAYLAND,MA 22056/118 ESTATE OF ROAD 01778 WEST 178017 BARNSTABLE LAND 1540 MAIN STREET BARNSTABLE, MA 9497/266 TRUST INC 02668 i78025 BARNSTABLE,TOWN CONSERVATION .200 MAIN STREET HYANNIS,MA 2625/334 OF(CON) COMMISSION 02601 179011 BARNSTABLE,TOWN CONSERVATION 200 MAIN STREET HYANNIS,MA C76321 OF(CON) COMMISSION 02601 This list by Itself does NOT constitute a certified list of abutters and is provided only as an aid to the detemilnation of abutters.If a certified fist of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 11/26/2018. i httpJ/maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?"e=ZBA 2/2 Town of Barnstable Geographic Information System November 26,2018 MFOI�7 68# . ... ......... 179012 179001002 1 016 #65 976 #62 ME ............... ........... . . . ...... 1790104 #42' �/r" & 179003 179013 179015 178009002 2 -:7 929 #1 ... . . aso �5 W4 J179002 z V#1000 Z VA .3 ' lr- 0 178022 U-, 22 178008 #1040 178009001 155033 #1064 lftSO24 V•1025 —7 178030 M,2V 78026. x#1 ,vg� 77 07 178029 _178004002 #26 0 1085 No' ''1(dU17 7 0, 8 #0 rr 178028 #44 �,,g- 9NO��- 17801. I fUuU4 155030 #2416 17801617 .. . ....... #1194 #0 177001 0 118 Feet DISCLAIMERS:-This map Is for planning purposes only. It Is not adequate for legal Map:178 Parcel:013002 Zoning Board of Appeals(ZBA) Selected Parcel boundary determination or regulatory Interpretation. Enlargements beyond a scale of Abutter List Type-Parties of interest are those directly opposite subject lot on. A 1"-1W may not meet established map accuracy starWards.The parcel lines on this map W, are only graphic representations of Assessor's tax parcels.They are not true prop" any public or private street or way and abutters to abutters. Notification of all Abutters boundaries and do not represent accurate relationships to physical features on the map properties within 300 feet ring of the subject lot such as building locations. 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Chas eps;:and all 8mehdmenis`the�e[o,ahat a pubtio.healrp:bp;the: i IolloCvldg bpDe?le wll}ho held an Wednesday Dncam6af12 2gi8;at Fhaptet+4QAfe1 Ike Geperel Lows al(he Commonwealll�IbN11assa 1heUme'IndkateU': ch seNe and a1}aprendmdnls thareiot.lhat a publicbJiearinganahp folYowl ''Syypeala x4B beheld nn Wednesda�;:0ecem�ei 12 28}B ai. 1{ r' • '^ '- :lr�BrPeridica t.. ;; 71 r}rjr.' ,}9,1 +y {r..,) 7bghM Appeal.No.:2111•-006 jv 0[(eefaTfTrstee ty r 'i?'.':;• :*:; ';,led`} { Rr�.V�f.e? %`r•,Li(T;•)3.'a i i I Sara,M=O((aete,;Tnislee;;bs`lessee.Is aPpiyLriO tor,r:SppeclaLPer- ' 1z $ mIt p0rsuarU to Section 240 2b-e(3)^ Wast:Barrtslabta VBlage Buss- 3 7 OQ PM�'Appeal Ng 201�066 y 1;A jCaete Trbslee r Tara M 0 K ate lrirstee as�lessee„Ise ness,0lstrkt Specla}:P.ermit Uses Iho appiicarit.ls praposing.to as. t DPy�nO tq1 a S octet Pe%I h rnitpui da`htio'Ser4ldrT:?a0200ainslati[ecVi4la'd;Btist 1abOgh;9'personal sery(ce busMass w lch will inctuda.yoga;reilQ,(ai. chl,;ydl Bong;1po:bale,ol,}elall.ilems on the fiisi fIDo7 and an aces=l I riess Dls.}sits=:Speclsl;l?e�fnit,l)ses::The epbBG$:gffs,ptoposlo to o"s:' s6ry;otllce wise;ptit open to thejpublic;;tiA'thesegar d tlo3r:;�;The? tPbtish fl pirsonal service huslness whkh Wili tn21d¢e:yog$;.rglki,'1ai 1 chi qul0on9:thbsale of ralal)flelns di{IheTirsi Itoor:end agacces=I DropeAy e located a1;1108.Ma1ri.,3¢eeVAoLte 6A West Barnstable,t i+y sory ofnce use,:gol open;t all ..v4. l �¢'ri'Iti5;se6brit( MA as A!,wn an Assessors Ma6Y78 es Parcel 013-002.,1}is locet [7Ro ed in lbel4est Barnstable:Village Bus(neSs Distrjct,(tN9V00 andahe f r- property[s;idcatetl:ala}QB,MaI $tiep ule BA-West Barnstable' Restdebllal F.(RF►Zonlnp Districts + i t MA ai showq`oil(�ss0ssor s•I ap'g78'SS Parcel D13;002. lt�tsaocal + a:, •;.:..;:::,. bd.InlfieWeak.bPrnstahle'Vfl}Apa,Biiiri�+Ss�ISliet; IBVBDjarid .' 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Isil"ated et 1 (xare¢'al�lgl§�farr�y el mg og iq} ess lbar(��OODQ$duaf§�teet:. shovr0"_on,Assessbs.Map�43agPAe1071-0011,111calad 1t r0 a ;Is for etl a1-16. t{y slden e 8 RB Zo 1i Orst of L e p qy .- B Saybnth Avenues adfit§ (vie a4: T; 2 4 t) ry s qn Asses;ohs N{ap.g'q5 as Par�n1:07f,b00 If is o�ated In Iho; fir' 1 t #Lp i�F t Ae Bence B(}t8) or0dp 01shIcE 7 ik� �4 03.Pg Appeal Nh 201 -0)r6a9 y j l rF N COS L a'I r ?0 —,.A o14:E=o and:BM61�pE`tl4ailo54�yM1 Ihiu�SIG0r211d&rea%cYar2$eF:f ola PMr:,.;App..a1.�10.20i8:U69,.°.a'i5"..'r. � osb'�i`-4•:T:.?; [. ...._r..... ...�,-D..:.. +l 1b �,.. endrlpb:Ar}a. @iLe3Cq$ia;`ava; etito ddia•Varlddcis.lo:See-: .b'aclis Io.elloV%Iho;ptdpase¢+:.Iri011<=famitydiJellifg;lp;q.:;can ted' pryle t i .:.(Igtl24D-14'pj'fiulk RepyLiUongr(( Yulmu}n 4(deanAiRq�a7tYe`r�$e} 1q 20}eef rronS.Ihe lot Bne.where the curreq?;an}n0 redpliemPM tor• t;backs to,I Ibe drdDo3e�blggtP�fnilly dwel[�jpibbe-rxrh`s}ru2led'. the dlsbtct M whlch'It Is lorafed`;requiPas 15 ieeh.rye prdperi Cg to' Y 145A'.teat.trommelatf�naWherettja' rahl`opl��'oUi1o�"cehl'foi 'ia}ed'a1;100:((elReliole,fioad;Wesibamslable hV,}a3shawTbpA9'' �•rihA;di riiF1'n,''Whtcfi N Is 1 ►ab.i�blte�,lSleei.iThe,ro OrQisle sessors tu}app:J09 as,Parce1:03A?t it[s toc3teD in Ne gesld P.; j D P R :Zon 015t Icl r 'it toted e1 j1�U'Kattlehgla hood We�l argsi"[a,;MA ek';Rlwn�rtAs (� � 1 �+ w sess0r s Nlap?10�as P�rcal D30 4 t fs.`•tucaie (n':tlje,'Na9tdegoe.�. I ':` :" ��v.'r+i r �� ���s�,t '�A- ` (AFl Zonln Dlst{ICCcr ?e'•`, 1r? t` '� ¢.` D,i;'4t+.{+, 1, 7pbalMo;ZD1& aylloWgr,t aD@:arS LG•_:. ay.Ilp_,.f:Cape Cod LlCshes applied Ir e`�pgll Lion n�SPeelal-: 7 04 P5?ppeNY al,N6 209 OYO[i .�..MayQgtaer,�ape Cod,:4LC. -I Pecmlt,',(dd.'.'1g98-Jlalid No�201s 02�Du}So3hFytSerilfin r{dU39:: j �- The Ilcanls,aie=prappsthp$to cgnslrucf a aw:640:ki;Jar7;;leeL a k,.MeyOowe�Cape Lod ICO�ti'as`ypUed<tor a rood,31,1lur{of S - P�_,,. j r S}Rrmit(4G 15sB 3 and fo,W201&027 pUrsetfq Seehah0 3A 1 arear•.t:v( :pq',Illiz Jor tenantst and see:to''ecd�Rgbie;}Ire - t .,The Appj(c$nts a ropostng t3`const�u"ct�a„rieTy 89Q�uara�lee) :tro$�wal�, DA.p-arkifi�dd plopgsell rev lea f�tade•T}te p�Opoiry e[[ea lha inll'pe ufYBred for lenanis a'd!Ee o reco U�ure iqe: fa located t 783 y3r nnugh hba olrle 13 Hyvannfs MAas shpvm: °cfossvtafk$"[IQ(,par�n app propD360,'reyknd taidehe:propely: oh Alsessors Map 29J as parcel 24*I}1;{gCatetl tp the BUsTbnpss II n t8ii H} ) p C nlel Morley Olsirkt: ':IS located'at.793�iannbbgi{-(tgaUl�loUta:,132,,ttyShSfs nnA e�apdyr;. () Abv1aY Buslnes5 HQ and lha5hu ptgg e1_U. or{sltssessors:Ma¢P22��33(MB nleSNaInpCenl9?'W�tll! iS}rict S ROD)-2oninf♦r0ls�rt M��tnyn�� + i �� B)Hlphv7ay BusIn s. ) r[f[r pp t �y p �t '5 �SCf4}1).Zoh}sib 0lslrfct4' 'i g,fSy�yJ.r.7,an7`r ierb. These pu�ltc hearings vnObgelat the earbsla6ls fovm Hal(367. ,1 �`s'{re:`i+ti r +�:uc`lsu �rr"kwrLotr1t Mall Street Hyannis,MR;aHgarinp:fiaom;lacpted;oq theiid:Floor _ r These.pubfbll eadngs_wlTbeheldat he,BamstableTovinila9.AP7 r Wednesday,•December.l2,'2018.;'Plansand.app licatiorismay�2.re•. I. Mald.Streel;Hyannis MA,Haadhd+Roorii located do the 2nd F[oor:� viewed aLtha;Zoning Board of Appeals OUke.lannhrp and De¢elop• . Wednasdey;,Detember 1?2018r Plans_'and applications magbe re„ Aiedpeparlmen4.fOWnO Rrces 200}MaIII Seet;Hyannis MAC_{',? p *:barnstable Patriot.; ;t:,,.:.:e,.Aloz Rod`afakis,'Cha i. .vlewetlatthe,�oning'Boards§!..Appeelgg:Of}ke;:IarinGgpnG:D:evelop '� k•' •meniDe ahmont;:Tdw"Of(I`,` .Ma Slreat.�lyannls;;MA•'%: i! +iNg3emtitr2J;andNn4ember00;2018+�;ZdhlnpBoerd,3lAppgals �'-`�Ra'rns'silile Patdol. .• :Aidr<RddWakis`.Cheli .r.,....�. -= ' 1 _ BARNSTABLE REGISTRY OF DEEDS John F. Meade, Itegister Ackechnie, Robert F� From: Mckechnie, Robert Sent: Wednesday, May 30, 2018 10:38 AM To: 'ben@linealinc.com' Subject: application TB-18-1088, 1106 Main Street,West Barnstable Good Morning, The subject application cannot be approved because of the following: 1.) No utility sign offs have been provided. 2.) No Historic Approvals have been obtained. The application can be reopened if the information is received in a timely manner. Thank You, Robert McKechnie !t�/ U Local Inspector . Building Department �e Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 Town of BarnstableRECESiPT • W ..1,....p ` "B 200 Main Street, Hyannis MA 02601 508-862-4038 / �d Application for Building Perm, f�6�n0 Application No: TB-18-1088 Date Recieved: 4/12/2018 Job Location: 1106 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE r Permit For: Building-Demolition-Accessory Contractor's Name: BENJAMIN G LAMORA State Lic. No: (5S,--105200 Address: DUXBURY, MA 02332 Applicant Phone: (508) 2374812 (Home)Owner's Name: Tara O'Keefe Phone: (774)327-8141 (Home)Owner's Address: 1106 MAIN STREET, WEST BARNSTABLE,MA 02668 Work Description: To remove the existing dilapidated shed behind the existing building. Existing structure is not on a foundation,or of a typical or valuable construction technique, its more of a combination of salvaged building material.The insurance carrier for the property is calling for its removal. Total Value Of Work To Be Performed:' $2,500.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Ben LaMora 4/12/2018 (508)237-9812 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,500.00 Date Paid Amount Paid Check#or CC# Pay Type Total,Permit Fee: $50.00 4/12/2018 $50.00 )DM-XXXX-XXXX- Credit Card 3912 _.. .................................................................... ............................................................................................................................................. Total Permit Fee Paid: $50.00- ITS RK U11011 29 rTHISIS l\T e . Town of Barnstable s1 Building Department Services oFt"ETati Brian Florence, CBO BARNS LE 6aavraete•o,rm m[•cmvrt•xranu �P � w•scasx;us•osrunue•cr6+is:xt Building Commissioner 1639-2014 BAMSTABLE. ' 200 Main Street, Hyannis,MA 02601 ��Jg MASS. 039. .0 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 October 5, 2018 �' 1�\ Ms. Tara O'Keefe c/o Attorney Mark Boudreau 396 North Street Hyannis, MA 02601 RE: Site Plan Review#064-18 Compass Rose Center for Meditation and Healing crI706-Route 6A—West Barnstable Map 178, Parcel 013-002 Proposal: Compass Rose Center for Meditation and Healing will be comprised of four treatment rooms for spiritual advising and direction,reiki and energy healing. It will also offer therapeutic massage. There will be a studio space for meditation and classes such as qi gong,tai chi and yoga. The center will also include a reception area and small retail shop which sells meditation supplies and other items. Accessory office use,not open to the public, is proposed on the 2°d floor. Dear Ms O'Keefe: At the formal site plan review meeting held September 6, 2018,the Site Plan Review Committee found the above-referenced application to be approvable subject to the following: • Approval is based upon and must be constructed significantly in compliance with site plans entitled"Site Plan of#1106 Route 6A, West Barnstable, MA", one sheet, dated July 31, 2018, with revision per staff comments September 5, 2018; and"Drainage Calculations: 91106 Route 6A, West Barnstable, MA" dated August 16, 2018 both prepared by Down Cape Engineering, Inc. for Tara O'Keefe. • A special permit for personal service use in the West Barnstable Village Business District will need to be granted from the Zoning Board of Appeals. In granting a special permit for personal service use, the zoning board will need to determine that the proposal meets the special permit performance standards set forth in 240-20(B)(4) West Barnstable Village Business District— Special Permit Performance Standards. • Proposed new curb cut will require a filing with Mass DOT for approval. • HC signage that is compliant with Town of Barnstable ordinance for same will need to be installed. • Pavement Cross Section is required to be 2 %"binder, 1 '/2"topcoat. • A Notice of Intent will need to be filed with the Conservation Commission. Storm water approval is subject to Conservation Commission review and approval. • A Board of Health variance will be required for septic system located within 100 feet of the well. • Consultation with Department of Environmental Protection is advised if 25 or more people per day will be proposed. Additional standards for testing of the well water may be required. • Old King's Highway District Commission approval will be required for the aesthetics of exterior changes to the building and signage. • Applicant must obtain all other applicable permits, licenses and approvals required. Upon completion of all work, a registered engineer or land surveyor shall submit a certified"as built" site plan and a letter of certification, made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan(Zoning Section 240-105 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. Sincerely, / 4 Ellen M. Swiniarski Site Plan Review Coordinator CC: Brian Florence, Building Commissioner, SPR Chairman Elizabeth Jenkins, Director of Planning &Development Amanda Ruggierio, Assistant Town Engineer Darcy Karle, Conservation Administrator Health Department West Barnstable FD Zoning Board of Appeals OKH N,OTICE.OF INTENT ABUTTER NOTIFICATION LETTER o o; DATE: April 23,2019 � Z p s RE: Upcoming Barnstable Conservation Commission Public Hearing aD To Whom It May Concern, As an abutter within 100 feet of a proposed project,please be advised that a NOTICE®FINTENT - application has-been filed with the Barnstable-Conservation Commission. - APPLICANT: Tara O'Keefe PROJECT ADDRESS OR LOCATION: 1106 Route 6A West Barnstable ASSESSOR'S MAP&PARCEL: MAP 178 PARCEL 13-2 PROJECT DESCRIPTION: Proposed paved driveway and paved parking with drainage to access existing building being converted to a spiritual and wellness facil 1y(the building is outside jurisdiction) Restoration and invasive species management proposed for the currently altered/mowed 50' buffer zone to the Bordering Vegetated Wetland. APPLICANT'S AGENT: Daniel A. Ojala,PE,PLS Down Cape Engineering,Inc. Yarmouth Port PUBLIC HEARING: Barnstable Town Hall, 367 Main Street,Hyannis Hearing Room-2nd floor DATE: 5 / 14 / 2019 TIME: 6:30 P.M. NOTE: Plans and application describing the proposed activity are on file with the Conservation Commission,200 Main Street,Hyannis (508-862-4093) Town of Barnstable Building Department Services �oFt"ET�,ti Brian Florence, CBO BARN TABLE �P Q ''wzs a swiu o i=�v�iu'e�.°w",sralii sisae Building Commissioner 1639-2014 BARNSTABLE, ' 200 Main Street, Hyannis, MA 02601 9 MASS' g 1639. www.town.barnstable.ma.us rFD MA'S A Office: 508-862-4038 Fax: 508-790-6230 October 5, 2018 Ms. Tara O'Keefe c/o Attorney Mark Boudreau 396 North Street Hyannis, MA 02601 RE: Site Plan Review#064-18 Compass Rose Center for Meditation and Healing J_W6 Route 6A, West-Barnstable) Map 178, Parcel 013-002 Proposal: Compass Rose Center for Meditation and Healing will be comprised of four treatment rooms for spiritual advising and direction,reiki and energy healing. It will also offer therapeutic massage. There will be a studio space for meditation and classes such as qi gong,tai chi and yoga. The center will also include a reception area and small retail shop which sells meditation supplies and other items. Accessory office use,not open to the public, is proposed on the 2nd floor. Dear Ms O'Keefe: At the formal site plan review meeting held September 6, 2018,the Site Plan Review Committee found the above-referenced application to be approvable subject to the following: • Approval is based upon and must be constructed significantly in compliance with site plans entitled"Site Plan of#1106 Route 6A, West Barnstable, MA", one sheet, dated July 31, 2018, with revision per staff comments September 5, 2018; and"Drainage Calculations: #1106 Route 6A, West Barnstable, MA" dated August 16, 2018 both prepared by Down Cape Engineering, Inc. for Tara O'Keefe. • A special permit for personal service use in the West Barnstable Village Business District will need to be granted from the Zoning Board of Appeals. In granting a special permit for personal service use,the zoning board will need to determine that the proposal meets the special permit performance standards set forth in 240-20(B)(4) West Barnstable Village Business District— Special Permit Performance Standards. • Proposed new curb cut will require a filing with Mass DOT for approval. • HC signage that is compliant with Town of Barnstable ordinance for same will need to be installed. • Pavement Cross Section is required to be 21/2"binder, 1 1/2"topcoat. • A Notice of Intent will need to be filed with the Conservation Commission. Storm water approval is subject to Conservation Commission review and approval. • A Board of Health variance will be required for septic system located within 100 feet of the well. • Consultation with Department of Environmental Protection is advised if 25 or more people per day will be proposed. Additional standards for testing of the well water may be required. • Old King's Highway District Commission approval will be required for the aesthetics of exterior changes to the building and signage. • Applicant must obtain all other applicable permits, licenses and approvals required. Upon completion of all work, a registered engineer or land surveyor shall submit a certified"as built" site plan and a letter of certification, made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan(Zoning Section 240-105 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. Sincerely, Ellen M. Swiniarski Site Plan Review Coordinator CC: Brian Florence, Building Commissioner, SPR Chairman Elizabeth Jenkins, Director of Planning &Development Amanda Ruggierio, Assistant Town Engineer Darcy Karle, Conservation Administrator Health Department West Barnstable FD Zoning Board of Appeals OKH r A Mckechnie, Robert From: Ofer Zaarur <admin@investgreen.us> Sent: Friday,July 21, 2017 3:48 PM To: Mckechnie, Robert Subject: Re: FW:town of barnstable solar Dear Robert, It was great to talk to you over the phone! As we discussed I would like to develop a solar farm at the address: �-1-106-Main Street Barnstable-MA 02668__ _ iv I wonder if you can check based on the bylaws and the historical.commission if the is fine. The size we are looking for is 250kW and to increase it base on the capability and engineering study. Thanks in advance and have a nice weekend, Ofer On 07/21/2017 03:40 PM, Mckechnie, Robert wrote: From: Mckechnie, Robert Sent: Friday, July 21,.2017 3:39 PM To: 'ozaarur(o)eventgreen.us' Subject: town of barnstable solar Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 • Parcel Detail Page 1 of 3 r+ K )/J 0-:!J'G� !!✓UC/ LEI- y`�•� Rw _^w" ..i - Logged In As: Parcel Detail Friday,July 21 2017 Parcel Lookup Parcel Info Parcel ID 178-013-002 f Developer Lot LOT 2A Location 1106 MAIN ST./RTE 6A(j PH Frontage Sec Road I Sec Frontage Village est Bamstable w Fire District JW BARNSTABLE Town sewer exists at this address No . Road Index 10955 �!1 � A m Asbuilt Septic Scan: 178013002_1 Interactive Map ' �Y�' � , • w� � Owner Info Owner IDELANE, ELSIE L ( ownerI i streets 11106 MAIN STREET i street2 l city WEST BARNSTA� state iMA I zip 102668 i country I � i Land Info Acres 5. 66 —1 use ISingle Fam MDL-01 1 Zoning SPLIT WBVBD;RF Nghbd 0108 Topography Level Road Paved Utilities Gas,Well,Septi= Location -w Construction Info Building 1 of 1 suui 1910 Strad Gable/Hip wa i Wood Shingle Uvl .. ....e..,.._........�..... Arng 2452 ROOf sph/F G�Is/CmpJ AC None Area Cover►, � Type p B , Style Conventional 47 wali Drywall Rooms 4 Bedrooms Model Residential Floor Hardwood Rom 12 Full-0 Half Grade Below Average TYpe Hot Water R Total 8 Rooms , stories 12 Stories Heat Oil_..... ,J Found- Fuelaeon Typical J o Gross 3684 Area • Permit History Issue Date Purpose Permit# Amount Insp Date Comments 4/13/2012 Insulation 201201915 $1,800 AIR SEAL- INSULATE 11/3/2011 Insulation 201106124 $3,000 AIR SEAL- INSULATE http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12304 7/21/2017 Parcel Detail Page 2 of 3 r0 II6/29/1998 INew Roof I31847 . 1$2,075 J6AM/9/1999 12:00:00 Visit History Date Who Purpose 7/6/2016 12:00:00 AM Geraldine Clark In Office Review 7/6/2016 12:00:00 AM Teresa Grant In Office Review 9/4/2015 12:00:00 AM Teresa Wright In Office Review 12/10/2014 12:00:00 AM Lisa Henderson In Office Review 11/4/2008 12:00:00 AM Paul Talbot Cyclical Inspection 5/12/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access • Sales History Line Sale Date Owner Book/Page Sale Price 1 5/7/2015 DELANE, ELSIE L 28849/241 $1 2 5/7/2015 DELANE, ELSIE L 28849/238 $0 3 7/24/1964 1 DELANE, CHRISTOPHER A& ELSIE L 1262/528 $0 • Assessment History Save Year Building. XF Value OB Value Land Value Total Parcel # Value Value 1 2017 $124,200 $14,600 $4,100 $281,000 $423,900. 2 2016 $124,200 $14,600 $4,100 $281,000 $423,900 3 2015 $145,700 $15,500 $4,300 $292,100 $457,600 4 2014 $145,700 $15,500 $4,300 $292,100 $457,600 5: 2013 $145,700 $15,500 $4,500 $292,100 $457,800 6 2012 $144,100 $15,200 $3,900 $314,600 $477,800 7 2011 $182,500 $3,300 $2,400 $314,600 $502,800 8 2010 $182,500 $3,300 $2,500 $332,100 $520,400 9 2009 $203,700 $2,400 $1,200 $325,100 $532,400 10 2008 $183,000 $2,400 $1,200 $363,000 $549,600 12 2007, $182,700 $2,400 $1,200 $363,000 $549,300 13 2006 $160,700 $2,400 $1,200 $358,800 $523,100 14 2005 $137,900 $2,300 $1,300 $239,200 $380,700 15 2004 $111,400 $2,300 $1,300 $239,200 $354,200 i 16 2003 $104,000 $2,300 $1,300 $161,300 $268,900 17 2002 $104,000 $2,300 $1,300 $161,300 $268,900 18 2001 $104,000 $2,400 $1,300 $161,300 $269,000 19 2000 $95,300 $2,300 $0 $74,100 $171,700 20 1999 $95,300 $2,300 $0 $74,100 $171,700 21 1998 $95,300 $2,300 $0 $74,100 $171,700 22 1997 $99,300 $0 $0 $74,100 $173,400 23 1996 $99,300 $0 $0 $74,100 $173,400 24 1995 $99,300 $0 $0 $74,100 $173,400 25 1994 $88,500 $0 $0 $66,700 $155,200 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12304 7/21/2017 .Parcel Detail Page 3 of 3 i 26 1993 $88,500 $0 $0 $70,100 $158,600 27 1992 $99,800 $0 $0 $74,100 $173,900 28 1991 $94,400 $0 $0 $166,800 $261,200 29 1990 $94,400 $0 $0 $166,800 $261,200 30 1989 $113,400 $0 $0 $178,100 $291,500 31 1988 $69,900 $0 . $0 $74,100 $144,000 32 1987 $69,900 $0 $0 $74,100 $144,000 Photos .f'_N• (S• i iF t 1 1. j http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=12304 7/21/2017 I Qnsezl 17 NTIER F-M Solutions, Inc. 3" `µn Date: - ( LI Thomas Perry, CBO Building Division �Iu' 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all yvork completed at: d Sfir 2Q. a rn s't'a has been inspected by a certiffed Buildi g Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number: 26I 2G 1 1 =' o Issue date: �- to Sincerely, Francis She a ' President Frontier Energy Solutions, Inc. Office: 774-237-0410 Email: fssfrontierenrgy@gmail.com r CAPE COD TOWN of BARNS7Afte INSULATION 2013Jl,'N 10 AM 9: 57 /lfff GLASS Sff MLSSS Stf G1N M SDSIfNDSD DAM 1-800-p69S6A-66f11Df Town of Barnstable Regulatory Services wGl,/ Building Division 200 Main St Hyannis, MA 02601 l9 Date: 1113 o1i/ Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) 45iv,er-I y Gvor Sincerely VHy ssi r, President Ins ation, Inc. A 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION LE Map :' Parcel �� 2012 _ Application APF� -3 . AN).10. 32 Health Division Date Issued Conservation Division Ir�r �j1f ,� -� Application Fe Planning Dept. iT ' Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 110(0 Village : w(Ils OwnercIIkSQ Dc�Lcwc o, Address 1 G 6(&IYN k Telephone Permit Request C' l� �� su,, l n:5u QI Square feet: 1 st floor: existingao4 4 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1S6OCD.J3 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: 0 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 Saix)C .1 (AY) Telephone Number y I 3 n`t i n Address 501 �CVW�CV\ 1�A License # Home Improvement Contractor# Worker's Compensation # Go ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I • J. ao r C _ T .3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ti e "MAP/PARCEL-NO,__r G S ADDRESS VILLAGE :5 o r OWNER ` DATE OF INSPECTION: ' ems, FOUNDATION FRAME INSULATION" .-' FIREPLACE ELECTRICAL: ROUGH FINAL c PLUMBING: ROUGH FINAL x -,GAS: 7 ROUGH FINAL ,FINAL BUILDING . ),X, e r .DATE CLOSED_OUT ASSOCIATION PLAN NO. �r ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. Applicant Information Please Print Leizibly Name(Business/Organization/Individual): 1 Address: KG\<-VJ City/State/Zip: Phone#: (3 � H) a 3- - OH 0 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 33 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors �p 2.❑ I am a sole proprietor or partner- listed on the attached sheet.$ 7. bl Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I LEI Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t 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 hire 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ( (�Insurance Company Name: 1 I S'(�1 J U rk. Cj O Policy#or Self-ins.Lic.#: b C)1 5 3 15_)0 1 Expiration Date: Job Site Addressdl D & \' 1/A�nS A City/State/Zip:W.tXQ15UL C VA W G G`b 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 pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 3 -� — 04 10 Official use only. Do not write in this area,to be completed by city or town offwiaL 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#: DATE(MM/DD/YYY) ` CERTIFICATE OF LIABILITY INSURANCE 03/21/2012 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, ERTEND 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: I£ 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). PR�UCBR - mNf11t'! Rogers 6 Gray Insurance Agency � p„R Inc WC. Do. Est): (A/C. Nm): E-IAIL PO Box 1601 S' PRE South Dennis, MA 02660 CDSTOMM m•. INSURED(B) AFFOIOING COVERAGE )WIC• INSURED numumA: A.Z.M. Mutual Insurance Co 33758 Frontier Energy Solutions Inc IRSDRER B: 502 Harwich Road niEDRM Brewster, MA 02631 INSURER D: INSURER E: IIISUffi F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED HAILED 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. —POLICY LIMITS ...-..___LIMITS Ltt TYPE OF INSURANCE ....uaidu*riri aov®i4mi' .:. GENERAL LIABILITY EACH OCCmiANCB 9 F]CO)D(ERCIAL GEZFERAL LIABILITY DAIDUIC TO RENTED PRENISES(Ea.e¢azxenm) S ❑11CLAINS HAD- ❑OCCUR 229 EEP (Any o Pmtsmn) $ PERSONAL L ADV INJURYAGGREGATE 9 GE1L AGGREGATE LIMIT APPLIES ER: GGENERAL' S POLICY PRPIECT I.00 PRODUCTS.-COMP/OP AGO 9 AUTOMOBILE LIABILITY cOtIDINBp STN(DR LIMIT $ DANY— (w a Cideut) ❑ALL OWNED AUTOS BODILY r&mRT ty—Pie®) $ SCHEDULED AUTOS BODILY VQJURY(P+ aaidmt) S PROPERTY F]HIRED AUTOS a.dd—t) S EINON-OWNED AUTOS S 9 EIUHBRELLA LIAR nOCCUR EACH OCCVRRIMICH $ EXCESS LIAR ❑ CLAIMS MADE AOOIIEOATR $ DEDUCTIBLE - S aRETENTION S $ _ WORRERS COMPENSATION ® ��AND EMPLOYEES EMPLOYEES LIABILITY - t�I'DO� RR THE PROPRIETOR/PARTNERS/ S.L. EACH ACCIDENT $ 1,000,000 A EXECUTIVE OFFICERS ARE Q incl ® excl 6015315012012 03/14/2012 03/14/2013 E.L. DISEASE-POLICY LnUT $ 1,000,000 R.L. DISRA.SE-EA ENPI0188 S 1,000,000 OO�TS DESCRIPTION OF OPERATIONS OR IOCIITIDUN: FRANCIS SHEEHAN IS NOT COVERED BY THE WORKERS COMPENSATION POLICY CERTIFICATE HOLDER CANCELLATION TOWN OF HARWICH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 732 MAIN STREET POLICY PROVISIONS. HARWICH, MA 02645 �' OWNER AUTHORIZATION FORM (Owner's Name). . owner of the property located at (Property Address) &,r fis �c�.6 (Property Address) a hereby authorize (Subcontra�gor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Ow er's Signature Date f i Massachusetts-Departnicmt of Public Safely Board of Building Reguintions._and Standards Restricted To: CSSWC-Insulation Contractor • 'C'�aii•tt•.c�3a+a9a�1i39�')E:fl'a B.uR'•fodss:e•e.ldle . License: CSSL-105941 FRANCIS S 94ilRAN 502 KARWId�RI) � ! Brewster M*.02631 Failure to possess a current edition of the Massachusetts tt` Expira,�inn State Building Code Is cause for'revocatlon of this license. Cr,�nnroission�a' 02/17/2018 ' For DPS Ucensing Information visit: www.Mass.Gov/DPS ,;, �e •�o��i��+arccueal�• nf•,.rl�raac/%uaelld Office of Consumer Affairs&Business Regulation License or registration valid for individul,use only before the expiration date. If found return to: (HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation � Registration:.•.160864 Type:( 10 Park Plaza•Suite 5170 Explration:%9/812012 Supplement Card Boston,MA 02116 FRONTIER ENERGY SOLUTIONS FRANCIS SHEEHAN .. •.. 135 STATE RD SUITE'#4, SAGAMORE BEACH;MA;02563 Undersecretary I Not al ithout signature TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��Z� Parcel Application #C1 Health Division Date Issued 4 l Conservation Division Application Fee ,d Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH Preservation / Hyannis Project Street Address i`06 04 ;V Village (it% ��/ , YUI 6b0 Owner �i I th b�/ /,lid Address .'�I©bL)�l wV f�`��✓��.�l�ttL'}� Telephone 'Vrs I Permit Request l�h D�l, �Y' sim h nal­5 Q I Y 5ffdx w9ko r I �Lh&a tam h1®e,�& 46 if115 Square feet: 1 st floor: existing proposed 2nd floor: existing_ proposed Total new Zoning District Flood Plain /Groundwater Overlay Project Valuation Construction 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 91 o 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: 0 ex isting D-new*size_ uo t Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: o 0 N L� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - Commercial ❑Yes `Er'Ko If yes, site plan review# , Current Use Proposed Use APPLICANT INFORMATION - - - ,(BUILDER OR HOMEOWNER) Name Telephone Number IN)g' ?5 rz-4 Address 5� ��I� License # lop S l�6 1V1 !�J Home Improvement Contractor# ��3 �_d 7 Worker's Compensation # �*A 00.S ALL CONSTRUCTION DEBRIS R SULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� �� �10 i k " FOR OFFICIAL USE ONLY APPLICATION# r, DATE ISSUED t MAP/PARCEL NO. ADDRESS VILLAGE OWNER E DATE OF INSPECTION: µ FOUNDATION.:'- FRAME J INSULATION,.; FIREPLACE r ELECTRICAL: ROUGH FINAL. t. PLUMBING: ROUGH FINAL •GAS: ROUGH = FINAL ,.FINAL BUILDING ., .DATE CLOSED OUT ASSOCIATION PLAN NO. y The Commonwealth of]Vlassach Ilse US Y Department of Industrial Accidents Al 1•- •� Off ce of Investigations 600 Washington Street t Boston, MA 02I11 s www.rnass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legib� Name (Business/Organization/Individual):_CA (LQ 19 ou 5l21 a "f I f�- -nj C Address: ✓� City/State/Zip: Phone #: .-0 k -7 7 Y'' Are you an employer?-Check th appropriate box: Type of project(required): 1.[X I am a employer with 4• ❑ I am a general contractor and 1 6. ❑New construction eiizpldyees(full and/or part-time).* have hired the sub-contractors.. . 2.❑ I azn a sole proprietor-or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp.insurance.2 required.] 5. ❑ We are a corporation and its l0.❑ Electrical repairs or additions 3.ElI am a bomeowner.doing all work officers have exercised their I LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. (No workers' 13.❑ Otber(, za-4�G1 i 1 r� comp.insurance required.] '-Any applicant that checks box#1 must also rill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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,thc sub-contractors have employees,they must provide their workers'comp.policy number. f ain an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information l p� Insurance Company Name: l L A :V1' k GZ1 Z?Ls—.-�� Policy# or Self-ins. Lic. 9: (,+ (A ZSC) 0 Expiration Date: ( 3G 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'MOL c. 152 can lead to the imposition of.criminal penalties of a fine up to $1.,500.00 and/or one-year irnprisoninent, 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 die DIA for insurance coverage verification. L.do hereby certify it e pa and penalties of perjury that the information provided aboveis true and correct. Signature: Date: �K/✓. �� ���_ 1 (� Phone#: O 7 ?S - FrOfficial use only. Do not write in this area, to be completed by city or town official r Town: Permit/License 4 Issuing Authority (circle one): 1. Board of Health 2. Building Department 3, City/Town Cleric 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Plione#: -�_ ecOgers. & cray-ins. Page: vvJ Client#: 4597 CCINSUL ACQR17_ CERTIFICATE OF LIABILITY INSURANCE OA'TE(IVW00/YYYYI 2011 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, ceain policies may require an endorsement.A sta rt tement on this certificate does not confer rights to the ctrtitlUile holder in lieu Ot Such endorsement(s). YRULJIJ t CONTACT Rogers&Gray Ins. -So. Dennis NAME: Margaret Young PHONE .... -_- F,�X .... -- ----....---- 43.4 ROLIt6 134 �-No., 508-760-4602 �(Alc No) 508-258-2102 P o.Sox ItiOI ADDRESS: youngma@rogersgray,conl _ SOLIM Dennis, NIA 02660-•1601 CUSTOMER ID 6: -_-^ INSURER(S)AFFORDING COVERAGE ---- NAIC @ -_-- Cape Cod Insulation Inc INSURERA:Peerless Insurance 18333 455 Yarmouth Road MsuRERe:OhiO Casualty Insurance Company —'— HYattllis, MA 02601 INSURER C:Atlantic Charter Insurance iNSURERD.Commerce Insurance Company "— INSuKEK E: INSURER F COVcItA4' CERTIFICATE NUMBER: N NUMBER: IrtlS S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE OR THE POLICY PERIOD UsUICATED NO'rNlrrH5TANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS Ct..RTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. as c.+CLUSIONs AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11H 'TYPE OF INSURANCE POLICY EFF POLICY ExP tiR O POLICY NUMBER MMIDD hmunn"Y LIIYITI'S A GENENAI.LIANIUrY CBP8263063 0410112011 04/011201 EACH OCCURRENCE si 000,000 X 4)hm,cK lAL ueNeRAL LlAtylU IY Afa GET0_RERTED PRCMIS R xx r 5100,000 (:1,41h1:i.hNDE UC:CVK MEO EY(P(Ally Ono poison) $5.000 -_ —.J PERSONAL 4 AOV INJURY $1,000,000 -- .. GENERAL AGGREGATE s2,000,000 GeNL:.C.:kE'GA'fE LIMIT APPLIES PER. PRODUCTS-COMPIQP AGG s21000,00 QHL4 ICY ,-_— I' LOC $ D Auror(IOBILELIABILnY 11MMBCKVMK 0410IJ2011 04101)2012 COMBINED SINGLE LIMIT ANY AUIO (Ea accident) _ �1,0 00 000 _ ALL 0AINIC0 AUl'O$' ( BODILY INJURY(Par Penn) S ----_ X SCPu:DULEU AU'I OS BODILY INJURY(Par acclow) $ X Iu Eonurrs I PROPeRTYDAMAGE 5 (Pur 9Gadonq _X NUN-t;I'AIVF0 AUTOS A B unldKttJa LIAlf X OCCQR 0001254514645 4101/2011 04/011201 EACH occuRRENCE $1 000 000 EXCt55 LIAlS taA1MS•rwiDF. -- "' - AGGREGATE $1 000,000 _ ��VORKEIAS r 1000U COMPENSATION s Ar:o EnIPLOYERS•uAe1Ln-Y WCA00525902 613012011 06/30/201 X. We YTATu•s orrl- A"'*'P KOPKIt I OR/PARTNE W EXECUTIVE Y I N OrFICEwMEkIBER EXCLUOEO? a NIA E.L.EACH ACCIDENT s500,000 ttdrOuaturY In NH) •- ----- Itpw unuar E.L.DISEASE-EA EMPLOYEE $500,000 111=Si:RIP17nN r'F OPF F(ATIi)NS eklw - ------- E.L.DISEASE-POLICY LIMIT $500,000 EArtactoi'"ed KA I-IONS I LOCATIONS I VEHICLES(Attactl ACORD 101,Additional Reman(s schadule,?"lore space is required) Information Included Officers or Proprietors ascriptions) CERTIFICATE HOLDER CANCELLATION 10 Da vs for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE-WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE d1988- .56# 2009 ACORD CORPORATION.All rights reserved. A(:ORD 6 (8575/M751M 9)68179 1 of 2 The ACORD name and logo are registered marks of ACORD MEY i - �1C 10 Park Plaza - Suite 451 Boston, Massachusetts 02116 Home Improvement Con--tractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. n HYANNIS, MA 02601 ��: pdate Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 C, 5OM-04/04-G101216 Office o�`'mer Affairs 13us ne Regul lion License or registration valid for i.^.dividt! use e^!y HOMRtS� IS`�� i�iu before the expiration date. If found return to: 1_---= Registration: 153567 Type: Office of Consumer Affairs and Business Regulation __ Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 y-, Boston,MA 02116 OD INSULATION;'INC- HENRY CASSIDY 455 YARMOUTH D, tb HYANNIS,MA 0260:1 4:-QG _ Undersecretary t alid ith t si lure iINlassachusetts- Department of Public SafCtN Board of Building Regulations and Standards Construction Supervisor License License: CS 100988 HENRY CASSIDY 8 SHED ROW WEST YARMOUTH, MA 02673 c— �'"� Expiration: 11/11/2013 Commissboner- Tr#: 7620 i OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) (Property Address) hereby authorize CE'— �c�" LIS V (Subcontr or) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. �J Owner's Signature Date I Map Parcel n doermit# House# Date Issue - Board of Health(3rd floor)(8:15 -9:30/1:00- ) Fee t Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �n�►p Definitive Plan Approved by P anning Board 19 ; B /�/ • BARNSTABLE,MAM • , o TOWN OF BARNSTABLE Building Permit Application Project Street Address /"rf1�� �S Village 1P2 Owner F4 S/ Z 0 !> a Y �•� t Address 1/b 6 Telephone 7� Permit Request - lcv� First Floor square feet Second Floor square feet Construction Type WO 01 Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ®1Qo On Old King's Highway es ❑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 No.of Bedrooms: Existing I New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas 6 6-1 ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing P New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) Z6-9'arn(size) Z. ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use _ Builder Information /me fG? o j // Y��lll�`�/ Telephone Number ddress 1) Z ✓I:icense# ©O 4 ??a G� !`► /�-�� a ozi ?& ,Dome Improvement Contractor#/-14 C,!�l orker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Aim 4�c� SIGNATURE GLQ� 4 DATE BUILDING PERMIT DENIER`T�HE F LJ�OWING REASON(S) I �` FOR OFFICIAL USE ONLY ~ PERMIT NO. J DATE ISSUED oat MAP/PARCEL NO. ADDRESS • ` VILLAGE OWNER r I DATE OF INSPECTION: _ k FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ..—FINAL r PLUMBING: ROUGH FINAL GAS: `- ROUGH _ FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. e 4 . t ' 1 � i J the r The Town of Barnstable j�g�ln�r WASM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph-Crossen Fax ;SOB-790-6230 Building Commission: For once use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires' that the "reconstruction, alterations, renovation,,repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain cxceptions,along with other requirements. h 457�e Type of Work:f � �( Est. Cost c _,�Address of Work: //0 l c��/� �� [.v�Sr^� ��/9r��df`/ � ,6 Owner's Name ate of Permit Application: ( � ' I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit the. of a owner. -7 U Contractor Name Registration No. Date OR Date Owner's Name The Coinmunwealth of Massachusetts Department ofIndustrial Accidents Office 9t1AV9SZfgZ1fffVS 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: , location: ---�vhone city Q_J,am a homeowner performing all work myself. ) am a sole proprietor and have no one working in any capacity,VIIIIIZIIIIIIIIIllllfllllllllllllllllllll1111111 ❑ I am an employer providing workers' compensation for my employees working on this job. cam ipany name: . ............... address: nhn—if- dw. insurance [111", am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: tom panv narne- addreis- . .... ....... phone dtv- .............. ... . ....... insurance En 'a"wa/g/ "ell '7 ........... H. tom rlanv name- ---------- ...... address- ...... rhone city- ......... *. ............ .... ....... ... ..... ........... "011cv a Z; Insurance-0 FaIIure't-o-'secure coverage 03 required under section 25A ofMGL 152 cnt lead to the imposition of criminal penalties of tine up to S1.500.00 and/or the form of STOP WORK ORDER and a fine ofS100-00 a day against me. lunderstond that a one years'imprisonment as well as civil penaides in a COPY of this statement may be forwarded to the Oflice of Investigations of the DIA for coverage verification f is truce an -orrect pains pe alaes of perjury that the information provided above r do hereby certl rs4e- ,P ahn Date signa=e one# �57Ci� P?vo Phon Print name do not write in this area to be completed by city or ton. official 0 use only permit/lIcense is E3Builtling Department city or town:— —131.Lcensing Board Melectmen's OMce C,check if immediate response is required C3Healtli Department phone#; —00ther_ 0 contact Person: .. ........... 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 anv contr` 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 o the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receives 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 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 renei of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h. 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. 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.yoi 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 th; 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 peri iit/license number which will be used as a reference number. The affidavits may be retmmed io 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 fi• ti ` ' Department of Industrial Accidents - Me of investigations '600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 ;Z phone#: (617) 727-4900 eat. 406, 409 or 375 -07k HOME IMPROVEMENT CONTRACTOR Registration 100053 Type - INDIVIDUAL Expiration . 06/08/00 VICTOR J. NIINIKAINEN .58 CAPE. COD LN G/1011.1do7f & sWSTABLE MA 02630 - AMNIsTRaroa , E CPP- ANIIITE HP By ADS �. UTOI BASIM CBI USED) UK COD EERY M-20 HOP S 'YNIIKIT 1XM11 N-xD tmN,OY d1 mIN. - . LL 17.HOPE - PoY l6TED PoY 12� 3'' YORtM ALL D}reNO(IS C—) .. V SLOPE 0.5X 1aN.(MENOICS LEVEL) �. H-20 HDPE W ',\C %. /x.;1n raErm LONG.Aso,r nn . -W 12'B HOPE !' - Puus1 nD,ur,•oYa rnL p PEAT.A05-N-13.PWS LVf SLOPE IX YYA 1•T,S�. / .•Trva•OBo P9 CONL./YMI 1° SLOTS wTM SRILLSAW E0.WD K > \c EA Malt M irll - OR PURL- SLOTT[O PAIL ¢ � )• , - ' YNAFI u0N TOP LAID SIDES � \ J J''a mAA 1 �/ • ' 'd o;d d -. .zes(TrP.P�OIort '•1r: r1PE .Wv.usTO 1r. PE . \,� - / „ -. .. - : .e`SOME / /'/ WELL COVER DETAIL . 3/P-1 1/2• TOR e'-e'41,MEY' XB'-e•5110REY 1 . WA91[D ONE IWDFANEAM S YM. D SIY N-x0 OR ENYL .'.SWP YP4 "V l^_f/II Lot TO Sall . ACID BESIDE PIPE ' wOM AND LENGTHS U9rFD DLCNI LOT REA / LT SECTION AM 0 S. UPLAND _ i" - . .LOCUS MAP DRAINAGE CROSS SECTION ,sz,7 13-2 S.f.t ND� WOOOEp U, D AR SCALE i-20003 259, 77 S.F.t T TP�; '. //f I1 NOr N SUIE �_------/'� EXISTING W NG TRAILS ASSE 7 AC. .To MMN r W67 BARNSTAB 17F PARCEL CT _ �l� WE57 BARNSTABLE ME DISTRICT ZONING SUMMARY GPE lAD BEAU - / e��S p• `: ,OUSO RR exA ,YI . ,xv maclw'wTM Tor\ .,R•TDI'CMT IrPc foP. - / / _we.1mr ZONING DISTRICT: WBVBD DISTRICTS' xa•�� L-a /f R / r YA.r eIY YOOD rmt NIN.LOT SIZE. 43.580ES.F: 23 PROPOSED'77 SF.3: //f' p� / J MAP 17B�PCL 12-1 REMOVE u1N.LOT FRONTAGE 1g0 221.01' REPLACE i' / uN.FRONT SETBACK 30 1019' 1 RT.8A E-LOCH EXISTING .rNloc 38.W . •••a•Avesmm AIIxxLT cRAva - IXISRN SHIED 1 NIN.REAR SETBACK 3Q• am 1mPr sPEE:YS Po1lfA OPYPAc,® S C i 4-' MAIL REAR BUILDING HEIG 30' 232' PAs ma vAVE A,rc rlmaT MO w MMA AIL LOT COG HEICNT 10• 1% , REPLA" IwrrwL .PROPOSE / ISnNC � TL PLAN VIEW MAIL IMPERVIOUS COVERAGE 33A 11K.7S r1M OmuACTr9 S.No-m n•BmN ORAOE 11a \ _ EVERGREEN mot' 3 i wE SCEENING P/C TO N F ,IJ r.mw rm umE "Ti9 ... '{, µ� Ih. PR 5 O H-20 CAST ON 33 47E'IS LOCATED WITHIN THE RESOURCE PROTECnON� PAV E T CROSS SE 1101V � Q yWC° / UG DLE /r COVERS TD EW 13-3 . OVERLAY.DISTRICT E AVEMENT foinol �' i u STE IS LOCATED WITHIN THE AQUIFER PROTECTION NOT m sc.1a 440, , %�/1 ' IIIYAE .. OVERLAY OISTRICT . . n �� r / 8/ p / �: tAot IRICWNI iIOtMBUOI a Bllar.► - EXISTING USE RESIDENTIAL - /.a ,Rn v Pmn.a ouo a cic m . p Ea,.v.1m rma.aoYEr,r.r alr. PROPOSED USE PERSONAL SERVICE �� EaLAI,xD B.eD,A OWNER OF RECORD //, i°0C .A,.1,RONN Mow srEv®at cola IRK RYImAmY AfrrA POS sae;�/ ��, - /' '•17r WEMND AREA .la eena.o n<ow[rz wo rsr.1L ar fDla. 110g PAIN SIREEE REALTY 1RU5T V , r B.x senIDII Ar.n2 1mn 0IDYn K rOPwcu oN 282 BAXIER•$NECK ROAD OVE /. A o,rD aCINO ur RY to-w rNRRe Y wtlul a,BOIOL MARSTONS MILLS.MA 02875 THE '(T\'P) � INC .\ PEN %j„07. BAOOAI i10NW A,O.rAly awn AA Pow N Y•GGA11 N1aG A POoa ar Aw P,MS Roan oxE roor AmWU,Ia OmNo.r nR REFERENCES SILT FENCE INSTALLATION DED BOOK 0790 PAGE 348 , °`% �. b Mil w P 1'.I'-0• NOTES PLAN BOOK 101 PACE 76 oE.xAo DANY a IlAID36.� /. [Jg] G, (3x, "; g z u PLNf 6 roR PROPMED WoaX a A4 PARKING CALCULATIONS r t,S 4 - AND NOT TO a— Vox LOT uxe iiii rill ` \a/gJN 2. STANEND OR.wr OIHEx PURPos[' CONSUMER SERVICE 1/200 S.F. FIR IREOUI ' DRIVE � ` - .. ONO 1 CONiPACTOI SIWl BE RESP01L9B1L FM 2100 S.F./200 S.F.i 10.5 SPACES HANDICAP D ,� CAMR10 gGSNE E1 ee�N.-xly])un IS SPACES PR D IN0.UOINC i HANDICAP SPACE • \)vim\-JI I I wl/MHa THE[OUTION a Au . f IN ooLau:SAL"'°x •O PATIO RQ s Y TEST HOLE LOGS(AUGER) VMOwG 0 ND.DVEaIEAo u; Exlmrlc II',111 PwaR ro ouol°rciLIENT a woAK, - MITIGATION CALCULATIONS REAP 17B PCL 12 ]p" I DWELLING 111 1111 OKRNEER•aio[L A Quin PL PIS "a El�OL wTM TOw4(SSEI CPO D[31W)' .HAROU'APF D-SD' SD-100' . 1094 RT BA '^I1„ 7� B / yi I �OF�=,4BB �'/ DII^111 E7f0 BAFFLE AUOISt x7.x01e REOMT ENsTAEL we - - . .. i } INCREASE: 0 Si 5,700 SF - IafAmrr to ewNEss DEM T [�,. "�\,.1.[HAND,IABOEO nY aRAo HAIL a 91H 3,700 SF.] 17.f00 SF DrvaDNYDITAI CONSULIWO,0/11/IS EOi � M Z Si0' Q Jao' ALLOW ENTIRE'50'BUFFER TO NATURALLY RE-VEGETATE FLSH POND: RIM 31� �,. p p (STOP MOWING.MARK W/POSTS,REMOVE ANY INVASIVE EXISTING •7(•T. CB NV.28.5 V u SPECIES THAT INFILL REPLANTING AREA- (3,4.0 SFt) GRAVEL DRIVE / I.. RIY s 1 m(R'o loa 3/3 SEPTIC REVIEW ' AS.(RETAINUS FOR / / I IEN.28.1/ +� ENTER 0 Cl \ ,e. .. 1x, '. . J AS.USE) 1 OW E]UTUNWZEE- 1 ME is OFFICE 2100 SF. 75GPD/1000 S.F.+15B GPD DOMED WELL -I .� INVASIVES T° tan,/s r... m. ,mR T/e n.o' - USE 20D D70 41N.DESIGN. BE REMOVED ar EXISTINO SSO CPD SEPTIC SAS ADEQUATE CAPACITY.OK _ •/ / PROVIDE 2 CONSULTATION - CI ADD 13AF . T°MTING'1000 GAL SEPTIC.TANK.(200X2 COVER APPR /_ - -400 GAL ISTCOMPARTMENT.200X1-T00 2ND I /- CpEx 7,TION S � .Y/FS K£L y�u`s tiq R x�e.PM - - Yin. - - 14-20 PUMP CNAMBERETO REMAIN. -"\ x.5,e/) LIMORK IT LINE / t! O 1.B' i5T e/D wxD.Cur f3/3 OF SITE PLAN- ,Q RT BA� , a �w,.,�.� a WiOd. .e' 7.A' . #1 06 ROUTE' 6A 1 T . TEST HOLE Lomas WEST 1 BARNSTABLE; MA [31] / / �J P n td 'D,a,�PETER YcElm PREPARED FOR ,oowan oQYNws D" Y 1D1T 'KEEFE , ' / \;\ ll , w 3>aB TAR O ,1•) -11 1Im o.a u�w '4 ,..r 4' awe•. E: DULY 31. 2018 .. - DATE. '. . f"T�NCE 4r0(j984 .i •Si.-@B (//// \\1 11l' T,3, — Is '. REVISED: SEPTEMBER 5. 2018 (INFORMAL SPR COMMENTS) - IM 29.9 ./(//'. •R \\ 1 �N.rim B.m e- ,am a/f e• 1EMI a/x Seae:1•-20• u q ' - IM.28.8[3D-t O r/ / . :T40AROT .pa�OSE{uP a Bhp 0 10 ]0 EEET V / \\' ' M1 U m Y p 30 t0 "A MAP 17B PCL 4-3 n�. �xjJ , /1095 Ri BA - T R�Er� \ ♦Y, .. fi avREL GOLDEN GAZEBO tan s/e a4' xB• ,an s/e, axw u, �wnBL� - MI SOe-sea.S• . I I �mweo Rraa aw � rn�R A m Sm-su Beao MEE /7eefin6 h7c `�. 'o; BENCHMARK: •I ,- ' L i-'+ .. n down 8 /L TOP'OF QEMENT ,� gJg• � >a SdY 1/413T p/.a x1e• +ox•LA aivi/ e/Igine0Y5 F.i�.�1. �`� BOUND ELEV.- I \ w\ .. x1n' toe• _ J I 0 1ae land surveyors 939 M041 S-1 f Rr. gAI -� '`\ r r .. imR 3/3• lam 3/] DATE DANIEL A.GJALA,P.E.P.L.S. YARMOUMPORT MA 0T67! ,. L TREE PLANTING DETAIL 121 DCE #16-069 '-No ERIdPOMt[R[rlOOUNTEReD NOV 5.. 1018 TOWN OF BARNSTABLE ZONING 130Aan nc Annr..:. PERF.ADS-N-12- PLUS CUT Li �— c0 V,IF0 HDPE V F— 1XT / `J .fie g \ SLOTS WITH SKILLSAW E.O. RIB O SLOPE 1R MIN. O S I / •P e OR PURCHASE SLOTTED PIPE SSp•MIRAFI 14ON TOP AND SIDES • ]} 2.0'(TYP.) 2.0'(TYP.) /• v I a Y' o 0o;$8ti•o°-o oH. 0 doe. o INV.26.5(TYP.yEEMOVE 3 Ge.TRM 3 C.B.TRAPIf ANY tY0 NOPE�IPE INV.USTID 12.0 VfIPE ./.../" 25 o�p�000 o0 eooeo oo o UNSURABLE ELB� /^ I A SOIL PROPOSED g00 PROPOSED PRECAST ENOOUNTERE g00 CALLON PRECAST H-20 CATCH BASIN % _ (IF ANY) H-20 MANHOLE 3/4 -1 1/2 FOR 'OXB'-B-SHOREY SOU b%B'-B SNOREY SOU / i.} WASHED STONE UNDERNEATH 5•MIN. BASIN H-20 OR EQUAL BASIN H-20 OR EQUAL ry AND BESIDE PIPE AROUND 4'SUMP MIN. ry0 M19 ti 1s I 1'` WIDTH AND LENGTHS LISTED STONES W/ 4•SUMP MIN. /. LACE ADJ.G.W. CLEAN SAND LT SECTION A-A / / —..._... —..._..._.. LOCUS MA ` DRAINAGE CROSS SECTION �L . ...� ,.5 ....� Bhy p NOT TO SCALE SCALE 1'=2000't /• ASSESSORS MAP 178 PARCEL 13-2 ZONING SUMMARY i ZONING DISTRICT: WBVBD DISTRICTS / MIN. LOT SIZE 43,560 S.F. MIN. FRONT SETBACK 30, \ / MIN. SIDE SETBACK 30' MIN.� REAR SETBACK 30'ST / MAX. BUILDING HEIGHT 30' ', / ` 2T MAX. LOT COVERAGE 10% SITE IS LOCATED WITHIN THE RESOURCE Q Ce BU3/,V p/S�/CT 700• �ci° �� q'Z� / Byy( 3 PROTECTION OVERLAY DISTRICT p/ .1 / Y / 044 SITE IS LOCATED WITHIN THE AQUIFER oT ///.� S <3•� •� PROTECTION OVERLAY DISTRICT !pp o / o OWNER OF RECORD ELSIE L DELANE j /'/� 1106 MAIN STREET \3 g,5 P POSE ry� fbp WEST BARNSTABLE, MA 02668 P KING REFERENCES ✓z VE 2 ro J8 � � � DEED BOOK 28849 PAGE 241 O �'� AI,( D PEN Sp PLAN BOOK 402 PAGE 76 C36) /[32 \ '� PARKING CLACULATIONS ABUTTER'S � � / O ; GRAVEL / 2 CONSUMER SERVICE 1/200 S.F. DRIVE J' / �` h (� S i 2100 S.F. /200 S.F. - 10.5 SPACES REQUIRED 1 15 SPACES PROVIDED INCLUDING 1 HANDICAP SPA- GRAVEL L DRIVE I / PATIO \� ? EXISTING DWELLING NOTES 36 TOF = 33.6 �� POryp 1.DATUM IS NA1098 / I FFLR = 34.6I ! 2 THIS PLAN 6 FOR PROPOSED WORK ONLY AND NOT TO OVE PORTIO ti BE USED FOR LOT LINE STAKING OR ANY OTHER I PURPOSE OF EXISTING IM 30 / RAVEL DRIVE lY W. .9 T 1 CONTRACTOR SHALL BE RESPONSIBLE FOR CALUNG / STAIN '.. / MH2 \ 51 /PROPOSED / EXISTING \ 0/ RIM 31.0 L CAMO OF AL-x4-Tz1J)AND VERIFYING ME FENCE / WALK i0i INV. 26.5 LOCATION OF ALL UNDERGROUND h OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. OPOSED '� a 4.EXISTING SEPTIC LOCATION PER TIE-CARD ON FILE e / RIGATION 1 tiT _ WITH TOWN. 10 5.WETLAND FLAGGED BY BRAD HALL OF BLH U /eA RESTORE / j4 �? ENVIRONMENTAL CONSULTING 10/14/1S ,pi / ENTIRE 50' V BUFFER e /O h I � o/ / ;/* [323 SITE PLAN D #1106 ROUTE 6A WEST BARNSTABLE, M) \ \ ? DM H o// / , PREPARED FOR p4'65' RIM 30.1 ;a; TARA O'KEEFE RoU \ INV. 26.5 T / 2 CEI COD RIM .0 12'K�T-EINTERGRALMWTM TOP COAT DATE: APRIL 9, 2018 27 \ INV. 27•Q % TO MATCH EXISTING(NOT APPLICABLE THIS SITE) 1.0-TOPCOAT uAss DPW Seale:l'=20' STIR 20 If u -BINDER TYPE II ` \ 10 20 JO 40 50 FEET yg ,/BVW O EXTEND EL B-MIN. 12'REPROCESSED ASPHALT GRAVEL fax sae-0 GRAV \ /836• / 2g/ \ PAST EDGE PAVE COMPACT SUBGRADE MOPW SPEC.NB.ROLLER COMPACTED downcOpe down cape enpneerk, ' O civil engil land surv, PAVEMENT CROSS SECTION Mo1n street r Rte 6 DATE' DANIEL A. OJALA, P.E., P.L.S. 939 NOT TO SCALE I YARMOUTHPORT MA LICE #18—ass -�-�1__ �(4 i(—� m'P TOXIN`OF BARNSTABL 1018 LIIJf�I 19 PIS 3: 02 MVISION 1 \ BA£5STA1ILE, MA6B. //Dfo nOo-iti S4rt^^t U.Vs*f p f-t r r,k'1 TOWN OF BARNSTABLE BOfLDING INSPECTOR APPLICATION TO ERECT AND MAINTAIN SIGN . TYPE OF CONSTRUCTION FREE STANDING OR ATTACHED //C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following Information: Location -Sr./fr kZ.6AfZ/Z Proposed Use ^.D.VSJC-.^.S.l^jGe.——- Zoning District ....0lVS.J.J^.£^S.Fire District Name of Owner Nome of Builder .Address iZ [ Diagram of Lot and Sign with Dimensions to be Placed Thereon. TV S&Riri<lE tamzj.'i^'jJ- M /' I i!M -:x:s noi^ _"I"~^7f^~— 19 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .J All permits subject to approval of the Inspector of Wires. No.Permit for Location Owner Type of Construction Plot Permit Granted Date of Inspection Date Completed Lot PERMIT REFUSED Approved .19 .19 .19 19 19 ) .I