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0070 INDUSTRY ROAD (2)
i I f TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION, Map Parcel 1 Application # l Health-Division ` `' Date Issued ' `' Conservation Division � ' Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH Preservation/Hyannis Project Street.Address -7® 1 rvc-J us, r r a IAr, ff Village 'NSA _ I-aU._ V-4 c (IS p Owner 44cw p r') Address Telephone Permit Request (r%D .�DD �° yV r' 3S Square feet: 1 st floor: existing proposed 2nd floor:.existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati !A36-06 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 i Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new , size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r :, Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ I o co Commercial ❑Yes ❑ No If yes, site plan review# p -a Current Use Proposed Use , APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4" 604 -e- �a�5�r v��+a Telephone Number Address 7 D :L n J 9A �,r1 a 6 Y Sc J License# 14 Ft( if K)*�! r �'' Home Improvement Contractor# a —A �� �� Worker's Compensation # LJCx_j 00.5'4 L1,101 koP ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE �` "' DATE Ai a o ' FO_R OFFICIAL USE ONLY ~ APPLICATION# Y DATE ISSUED MAP/PARCEL N0. ADDRESS ^; VILLAGE :-OWNER DATE OF INSPECTION: 'FOUNDATION + . vFRAME ! _ x INSULATION _ FIREPLACE + _ ELECTRICAL: ROUGH •FINAL _ o PLUMBING: ROUGH 'FINAL 4 GAS: ROUGH # FINAL 'FINAL BUILDING + _ t DATE CLOSED OUT t J ' r ASSOCIATION PLAN NO. - • .c i 1 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia _ Workers' Compensation Insurance Affidavit: Builders/Con tractor s/ElectricianslP lumbers Applicant Information f j Please Print Le 'bl Name (Business/Organization/Individual): 'r Acts +�qr .0 n tfV,S CrN)C Address `( ri' v Co{r-' City/State/Zip: (? p ��t t `� [��to Phone.#: �bd- �(a d?-CS L4S-; Are you an employer? Check the appropriate box: A Type of project(required): 1. I am a employer with(— 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the s)ab-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling. ship and have no employees These sub-contractors have g, Q Demolition employees and have workers' working for me in any capacity. $ 9. ❑Building addition [No workers' comp.•insurance ��.insurance. required.] 5. [1 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their It.F1 Plumbing rcpairs or additions myself [No workers' comp. rigbt of exemption per MGL 12.[]Roof repairs c. 152, §1(4),and we have no insurance required]t employees. [No workers' 13. Other R� -�O comp.insurance required] *Any applicant that cheep box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. Tc-mtr-actors that check this box roust attached an additional sbect showing the name of the sub-contract=and state whether or not thost entities have employces. If the sub-conb-actons have m1ploycea,they must provide their wmi-crs'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: (C— DQS-YNZ)©t a©n Expiration Date: (p 41/�s �-Y19['�y� F�f+4 Job Site Address: �0 12 City/State/Zip: H qr-s i h,5 V4, 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 crimirial penalties of fine tip 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-andpenalties ofperjury that the information provided above is hue and correct Signature 6d Date: �� ��/0,? Phone#- .5-0dP- Official 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#: hfoxnzation 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 in the service of another under any contract of hire; express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, of 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 coverage required." Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance R'i. the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please all out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), address(cs)and phone numbers) along with their certificate(s)of insurance. Limited Liability Companies*(LLC) or Limited Liability Partnerships (LLP)with no employees other titan the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Bp 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 nuraber listed below. Self-insured companies should enter then 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 permittlicense 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 on;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 0-c. 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,telcphone•and fax number: The Ummanwc4th of Massachusetts Department of Industrial Accidents Office of InvestigaflQns 600 Washington Street Boston, MA 02111 Tel. # 611-727-4940 ext 4.06 Qr 1-977-MASSAFE Fax# 617-727-774.9 Revised 11-22-06 www.mass.gov/dia r yy ofIKET Town of Barnstable r Regulatory Services ` aaawsr"eiE Mass. Thomas F. Geiler, Director y �. rFntuta Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If U!§ing A Builder as.Owner of the subject property hereby authorize eoJ'U,�I rUC-(10A to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of Job) / / 4 Signature of O er Date( ; Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. ToWn of Barnstable of VE Regulatory Services y " aaxrtsrwar.e, Thomas F.Geiler,Director v Mwss $ Building Division PIED}^p�a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601; www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street' village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: V: city/town state zip code The current exemption for"homeowners was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION'OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm stnuetures. A person who constructs more than one home in a two-year,period shall not be considered a homeowner: Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed.under the building permit.•(Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rtiles and regulations; The undersigned "homeowner"certifies that he/she understands the Town of Barnstable.Building Department rrrinimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner i Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be.required to comply with the' State Building Code Section 127.0 Construction Control. ' • HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work, that such Homeowner shall act as supervisor." Many homeowners who use this exemption aic unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack.of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against-the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is Miy aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. . r �qt -P�„�, Board otBuilding Regulations and Srds HOME IMPROVEMENT CONTRACTOR ; License or registration valid for indivi before the expiration d Registration:` 148111 ate. If found re Board of Building Regulations and Sta ulp Ezpira..... gj��2009 Tr# 13361.8 I One Ashburton place :Rm 130] zTYpe DOA,- Boston,Ma. 02108 MEAGHER CONS.TR.U.CTi0' TIMOTHY 49 GUILDFORD '::.'` CENTERVILLE,MA 02632 � L Administrator Ii Not valid witliout signature is if. ii r r te: 11,11712008 Time& 9i1C AM ?oi 4 9,5067712662 Pagel 002 I' t# 65 ZMEAGHERACO ACORD, CERTIFICATE OF LIABILITY INSUII ANCE oATEaor3"�► PRODUCER T 9.3 CEn I INCAT E'-J ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HCLOSR.THISI CERTINCATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFC RDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 TI Hyannis,MA 02601 INSURERS AFFORDING COVERAGE I NA:C INSURED INSURER A. Associated Employers Insurance_Com e P. . . .. _�.P_._.._. Timothy Meagher uilsiA I R B Meagher Construction INSURER C: 49 GOdfore Road NS'.IRER C: Centen,•iaa,MA1,2632 rNsiJRERe COVERAGES _ _ ,rHE POLICIES OF IN51.IRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T-iF P'N—!(.Y PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT.TERPA OR CONDITION 0=ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO YdHICH THIS CERTIFICATE MAY BE ISSUED OR I4AV;.RTI,IH.T'JE INSUR4NC E A:FC)RC_D 3Y 7HE POL-E J DESCRIBEC +ER_IN'S E GBJECT 70 ALL THE TERNS.EXCLIEIONS AND CONDITIONS OF SLI+Jh; POLICES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDU-MD BY PAID CLAINS. P YEFFECTIVE CYEXPIRA N T R TYPE yF J+SUPANi'x:_ I.__. .,.:� IC?'I�IJM1TBER A ( A DO UMIrS GENERAL UABILTTY ERCH OCCURRENCE S COMIERCPL GENERAL UABIU- � DAMAGETC 17-1 PREMISES(EpxElrnTce:t $ CLAdAS MACE ":'CUR 1 i MED EXP(Anv one Fawn.. $ PERSONAL&ADV;N�'U� "a i GENERALAGGREGaJE $ I (zi.'L AGGREGATE.LIMIT APPLIES PER: _ I PRODUCTS-COM?OP AGG $ j• toc •�_-�� --TY I I COMBINED SINGLE LIPAJ ANY AUTO (Ea ac^Josr,1) $ ALL CiVMLU AU I US BODILY INJURY SCHEDULFDAUTCS (Potpemon, $ HIDED AUI i-'ti 1 EOD:LY INJURY S NCNOWNED AUTOS (Per acddsnt; 1 I I FROFcRTl'DAMAGE £ (Psi aCdLent) GARAGE LIASIUTY AUTO ONLY-EA ACCIDENT $ AfNY AUTO i OTHER THAN Fp ACC $ _ _ I AUTO UNL": A:;G S J EXCESSAIMBRELLA LIABILITY _ EACH OCCURRENCE $ OCCUR 17 CLAIMS MADE i AGGREGATE $ DEDUCTIBLE I I $ RETFNICH $ _. $ A WORKERS COMPENSATONAND WCC5W5"2i152608 108j23108 06/23/09 OTT: EMPLOYERS'LIABILITY i ANvFROPRfETOR-PARTNERIE)(E'X-I'I'JE E.L.EAq-IACCIDENT ¢100000 OFECERINEXIBEREXCLUCED? YES E.L.DISEASE-EA. tdPLO 3100,000 f yes describe er:er ?F :AL PROVISION^- an �y � r� E.L.DISEASE-POL CY Lima $500 000 OTHER I I DESCRIPTION OF OPERATIONS 1 LOCATIIDNS IVEHICLES:EKCLUIOHS A.JUEO BY ENDORSEMENT,SPECIAL PROVISIONS Timothy Meagher is excluded from coverage under then wtid(ers c;:rnpunsaMcrl policy. Insurance coverage Is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certiffcats of insurance shall be deemed to have altered,waivad,or extended the (See Attached Descriptions) CERTIFICATE HOLDER• -- CANC LLATION ?;JDULV ANY OF THE ABOVE CESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION"! Town of Barnstable iDATE THEREOF,`HE ISSUING INSURER VVILL ENDEAVOR TO V.A-. .,_� DAYS WRFTEN Building Dept (NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BU'F.e;_U.E TO DO SOS HAI. 200 Main Street iINPOS£NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.RS AGENTS OR ., Hyannis,MA 02601 REPRESENTATIVES. _ ' I AJ'iiIJWLEU i%F(ESENTA'iIVE ACORD 25(2001;0--1 of 3 #53683 LS1 0 ACORD CORPORATION 1988 TOWN OF' BARNSTABLE SIGN PERT ? PARCEL ID058 .030 GEOBASE ID 3377 ADDRESS' 70 INDUSTRY ROAD PHONE MARSTONS MILLS ZIP - F LOT* 102 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 40828 DESCRIPTION BOW & ARROW STOVE & FIREPLACE 15 SQ. FT. PERMIT TYPE •BSIGN TITLE SIGN PERMIT, CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmentat Services TOTAL FEES: $25.00 THE BOND $.00 CONSTRUCTION COSTS $.00 Q� 753 MISC. NOT CODED' ELSEWHERE 1 PRIVATE P. MAS& I 1639. ED MA'S B LDING IVI N B /L/� �/• %�2. d� DATE ISSUED 09/01/1999 EXPIRATION DATE The Town of Barnstable 4 4jov? Department of Health, Safety and Environmental Services N �► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen !. Fax: 508-790-6230 y Building Commissioner y` Tax Collector•• �: ,�e �,�r�k pA p�ication/f(9g Sign Permit Applicant: \�1o� -� �..o��p�b���� Assessors No. G S8'0 30 Doing Business As: STelephone No. Sign Location Street/Road: Zoning District: Old Kings Highway? Yes/ Hyannis Historic District? Yes Property Owner ;.. Name: 0���-�- L 21 Telephone: Z5� t1' Address: u5 `I Village: Sign Contractor Name: JORDAN SIGN-o0. Telephone: 103 ENTERPRISE ROAD Address: HYANNIS,MA 02601-2212 Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yesi(�J (Note:Ifyes, a wuirf permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. I Signature of Owner/Authorized Agent: Date: q E Size: —3 V Y,K71 `S SQ" ICT Permit Fee: Sign Permit was approved: v Disapproved: Signature'of Building Offici •Date. Signl.doc vt Page No. of Pages. Jordan Sign Company UL Designers, Manufacturers & Installers of Electrical Signs ® 103 Enterprise Road PROPC)SAL -;: HYANNIS, MA 02601-2212 (508) 771.4020 FAX (508) 771-6658 USA 1 800.247-4467 Listed Mfr.# E151064(M) PHONE` DATE TO 4-E i41-1—1 4 i'f 1G. 30 1999 TODD LOVELAND DBF JOB NAME/LOCATION j BOW & ARROW STOVE CO. 70 INDUSTRY RD. FRONT LAWI1 S/F SIGH MARSTONS MILLS. MA. 02648 JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: FURNISH AND DELIVER: ONE SINGLE FACED WOOD FRAMED SIGN WITH ALUMINUM FACE AND TRIM. LETTERING TO BE BLACI'. PICTORIAL OF STOVE TO BE DARK RED BACKGROUND AND TRIM: WHITE fox eoe_to0;Ff, 2. ,f/,P6 y, j: MATERIAL: $200.00 LABOR: $355.00 3UB TOTAL $555.00 TAX: $27.75 DELIVER $0.00 We Pro 05(e hereby to furnish material and labor—complete in accordance with the above specifications, for the sum of: FIVE HUNDRED AND EFGHTY TWO AND 75/100. . . . . . . . . . . . . . . . ... . . . . . . . . . . .dbltafs ($ $582.75 Payment to be made as follows: DOWN PAYMENT REQUIRED WITH ACCEPTANCE OF PROPOSAL. . . . . . . . . . . . . . . . . . . . . . $250.00 BALANCE TO BE PAID UPON COMPLETION OF ABOVE READY TO .INSTALL. . . . . . . . . . . $332.75 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature ko Ire, extra charge over and above the estimate.All agreements contingent upon strikes,accidents JOHN JORDAN or delays beyond our control..Owner to carry fire, tornado and other necessary insurance. Note:This prop may be 10 Land re fully covered by Worker's Compensation Insurance. withdrawn by us if not accepted within days. nce ®f PraposA —The above prices, specifications ons are satisfactory and are hereby accepted.You are authorized Signature ork as specified. Payment will be made as outlined above. Signature ptance: o ;!,r Page No. off Pages. 0 goJordan Sign CompanyDesigners, Manufacturers & Installers of Electrical Signs 103 Enterprise Road PROPOSAL HYANNIS, MA 02601-2212 (508) 771-4020 FAX (508) 771.6658 s' USA 1 800.247-4467 Listed Mfr.# E151064(M) PHONE DATE TO 4u!(_rj.' 4 I'f1C. 30 . 1000 a TODD LOVELAND DBh JOB NAME/LOCATION BOW r0l, ARROW STOVE CO. 70 INDUSTRY RD. - FRO14T LAWN S."F SIGII MARSTONS MILLS. MA. 02648 JOB NUMBER JOB PHONE ) We hereby submit specifications and estimates for: FURNISH AND DELIVER; ONE SINGLE FACED WOOD FRAMED SIGN WITH ALUMINUM FACE AU RIM. LETTERING TO BE BLACI: PICTORIAL OF STOVE TO BE DARK RED BACKGROUND AND TRIM: WHITE SST F.4/Job MATERIAL: $200.00 LABOR: $355.00 SUB TOTAL $555.00 TAX: $27.75 > DELIVER $0.00 We Propose hereby to furnish material and labor—complete in accordance with the above specifications, for the sum of: FIVE HUNDRED AND EIGHTY TWO AND 75/100. . . . . . . . . . . . . . . . . . . . . . . . . . . . •dall'ars ($ $582.75 Payment to be made as follows: DOWN PAYMENT REQUIRED WITH ACCEPTANCE OF PROPOSAL. . . . . . . . . . . . . . . . . . . . . . $250.00 BALANCE TO BE PAID-UPON COMPLETION OF ABOVE READY TO NSTALL. . . . . . . . . . . $332 75" i 7 _� ` All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica• Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature �.:•� extra charge over and above the estimate.All agreements contingent upon strikes,accidents JOHPI JORDAN or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note:This proposakmay be Our workers are fully covered by Worker's Compensation Insurance. / 10 withdrawn by us if not accepted within days. Acc� aance of Proposal �' p —The above prices, specifications f f and conditions are satisfactory and are hereby accepted You ire authorized r Sign ture+ - to do the work as specified. Payment will be made/as outlined above. Signature Date of Acceptance: * filM d GOB L E- $Gib AND pry D COPYRIGHTED SCALED DRAWING NO. UNLAWFUL USE OR COPIES OF SAME SUBJECT TO COURT ACTION 103 ENTERPRISE RD. • HYANNIS, MA 02601 TEL..: 508-771-4020. SCALE: 1.5"= 1 FOOT ( DATE - SCALE: 3/4"= 1 FOOT D DRAWN BY �; A , SCALE: 1/2"= 1 FOOT 0 WORK ORDER NO. i HEREBY AGREE TO THIS SCALED DRAWING FOR INTENDED SIGN DISPLAY AND APPROVE OF SAME: SIGNATURE DATE / / d I 7 AND D COPYRIGHTED SCALED DRAWING NO. UNLAWFUL USE OR COPIES OF SAME SUBJECT TO COURT ACTION 103 ENTERPRISE RD. • HYANNIS, MA 02601 TEL.: 508-771-4020- SCALE: 1.5"= 1 FOOT X DATE 8 / 30 /� SCALE: 3/4"= 1 FOOT ❑ DRAWN BY: ,T �y , Z7 SCALE: 1/2"= 1 FOOT ❑ WORK ORDER NO. 1 HEREBY AGREE TO THIS SCALED DRAWING FOR INTENDED SIGN DISPLAY AND APPROVE OF SAME: SIGNATURE DATE / / i �. • -EN W r j c :; 6 7 3 POLAil 3L TOWN OF BA�NSTABLE SIGN PERMIT PARCEL ID 058 030 GEOBASE ID 3377 ADDRESS 70 INDUSTRY ROAD PHONE MARSTONS MILLS ZIP ( LOT 102 BLOCK � , LOT SIZE DBA DEVELOPMENT DISTRICT CO I PERMIT 31117 DESCRIPTION MARVIN FAMILY LOCATION (49 SQ.FT. ) � PERMIT TYPE BSIGN TITLE SIGN PERMIT i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 INE BOND $.00 CONSTRUCTION COSTS',�; $.00 753 MISC. NOT CODED ELSEWHERE l BARNSTAB.I.E. •' MAMA �► i639. BU DIN DIVIS O B DATE ISSUED 05/21/1998 EXPIRATION DATE _ I Ji Cf ` The Town -of Barnstable `1 Department of Health, Safety and Environmental Services BAVIW'►� P Building Division i61¢Ep� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 S 1 1 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: Rjc W z 6 044- VOO Assessors No. ®S�9— 030 Doing Business As: M�A(r-ujiy MR(Li LOClry'T(o/J Telephone No. ' 5c 'e- a `1 SYS Sign Location Street/Road: `70-11 I W I SZ fz Y '�4 Zoning District: Old Kings Highway? YeOE) Property Owner Name: j3o& HAlibkov _Telephone: Address: Village: MJ�6L�7u✓jlccc,S r Sign Contractor Name: D&I S(4(�i .- ILt 4r- o � Telephone: Address: T.�e Village: MA Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Ye:6) (Note.Ifyes, a wiringpermit rs required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Size: K7 K - A/ _Permit Fee: Sign Permit was approved: Disapproved: Offici > �' �-,C. Date:�✓� � — 9 Signature of Building / y C: DAY SIGN COMPANY 451 Route 151, Mashpee, MA 02649 Tel•(508) 477-8824 -.Fax (508) 477-7233 0 0 � o @HPU . C Ply ,5rcv� �, . �� Cot Of, _ r3uCclQwC-` �i �1 1 Yit ,. / _Y_ _ � � . 0 �. �^ '1 .. J �, !/ +, DAY SIGN COMPANY . 451 Route 151, Mashpee, MA 02649. Tel (508) 477-8824 • Fax (508) 477-7233 PA ZED a� 0 CD N O ri Q � - ? u2 LO Q4 i [PLAW R . V • Q s C o , a 1 r � oU) Q e m 07)S i �Q i f _ oy N'C�uS-Q- hrn R TOWN OF BARNSTABLE = SIGN PERMIT 1- " PARCEL, ID 058, 030• GEOBASE ID 3377 ADDRESS 70 INDUSTRY 'ROAD PHONE j + MARSTONS' M I LLS ZIP - LOT 102 - BLOCK LOT SIZE . DBA } , DEVELOPMENT " -DISTRICT CO i PERMIT , 56565 DESCRIPTION ,COTUIT ANTIQUES ;30" X 481/ `OVAL WOOD PERMIT TYPE BSIGN TITLE SIGN PERMIT 1 CONTRACTORS: — Department of Health, Safety ARCHITECTS: and'Environmental Services TOTAL FEES: $25.00 BOND $.00 ' pir THE f CONSTRUCTION COSTS $.00 t i I .753 MISC. NOT CODED ELSEWHERE + BARNSTABM • 039. BUILDING DWI S��jj��jjN�� i ` BY�l2Gr� W, DATE ISSUED 11/06/2061 "' EXPIRATION DATE I] Town of Barnstable �(pr� �I"ET°wti Regulatory Services o� Thomas F.Geiler,Director '" MASS. Building Division .�e1� �0 1°tfp 59 Peter F.DiMatteo, Building Commissioner " 367 Main Street, Hyannis,MA 02601 Office: -508-862-4038 Fax: 508-790-6230 Tax Collect Treasurer (o/01 Application for Sign Permit Applicant: & i IzMmkC 11l 0 Assessors No. ® � ©3 �.� Doing Business As: Co / ������ 5 Telephone No. Sign Location '' A Street/Road: tv Zonin . trict: Old Kings Highway? Yes o e yannis Historic District? Ve o Property Owner v Name: z3 - Telephone: i to Address: ejmz)61S71 /U - Village: Sign Contractor 3" t ��wn e�ta B p Soe-9���`I�J Name: ��- %�"'- �� Tele hone: Address: 16 7l Village: �` 10 Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, . location and size of the new sign. This should be drawn on the reverse side of this application. . . Is th6 sign to be electrified? Yee (Nof 'If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section-4-3 of the Town of Barnstable Zoning Or ' ante. ` Signature of Owner/Authorized Age -v-�' Date: 1 30 �(4/g`gyp Lr i t WOO it Fee: ��, O"—D Size: , Sign Permit was approved: Disapproved: Signature of Building 0 cial: '�� Date: /4) Signl.doc rev.8/31/98 A J�} Vv y ���fT OU Cf A5 T;�d '�i3e.,w4 ogoO,*1