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HomeMy WebLinkAbout0901 MAIN STREET (OST.) J�RECYCCfoco UPC 12743 No.GaLn HASTINOS•ON YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in.town (which you must do b' M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. a ...a. DATE: � Fill in please: APPLICANT'S YOUR NAME/S: 7 M 4'�e z. 1 a USINESS f YOUR HOME ADDR SS: �- � r t ,•r � '' ' TELEPHONE #. Home Telephone Number NAME OF CORPORATION: P -t- U 5 NAME OF NEW BUSINESS TYPE OF BUSINESS ' r 74.71 Olk7,11 S M✓1/%a IS THIS A HOME OCCUPATION? YES, • NO ADDRESS OF BUSINESS %0/ AI N ���.e�e} J(,�� t� / MAP/PARCEL NUMBER 7/D�' `.. (Assessing) CS R✓i Ile 11414 .S When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIO ER'S OFF This individual his a infor d any p rm' r qu' a is that pertain to this type of business. A thor' d i atur COMMENT � ,�G�cJ!1 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: �1HE Sign TOWN OF BARNSTABLE Permit * BARNSTASLE, 9 MASS. 16 3 p� Permit Number: Application Ref: 201200179 20070694 Issue Date: 01/11/12 Applicant: Proposed Use: GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 901 MAIN STREET (OST.) Map Parcel 117041 Town OSTERVILLE Zoning District BA Contractor PROPERTY OWNER j Remarks 9.5 WALL SIGN OVER WINDOW CENTINEL FINANCIAL GROUP, LLC Owner: CROWLEY, MARY MADELINE Address: PO BOX 901 OSTERVILLE, MA 02655 Issued By: PC POST TINS CARD.:SO TI3AT;YS VYSMI FROM THE STREET '�'! B Town of Barnstal')&11 STA LE Regulatory Services, MAM Thomas F.Gefler,Director 039. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5 08-790-6230 Permit# Building Official approving Application for Sign Permit Applicant: Dc+tr 1-(-/ -Assessors No. Doing Business As: Cetifil ed -Telephone No.�5 c,g-) �aU q5 t) Sign Location Street/Road: 901 1'1'14i.-I Q ZZ9 52 Zoning District—Old Kings Highway? YeS6 Hyannis Historic District? Yes/60) Property Ownqr Telephone: Soo 305 Address:"-?C). Village: Q*, eyik,e_ Sign Contractor Name: 15tjnujvrK-s jqtcV_ Coa-1 I o ------—Telephone:- Mailing Address: 3TI Nat LAA,�- 11 Ax Descripdon Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes/6 (Note:,If yes,a wiring perrAit is required) wk t� O Un& fack Tr me . (1 1 Width of building face fL x 10- V76 X.10- Chec], one Reface existing sign or New—Total Sq.Ft.of proposed sign(s) v3JS 7 ez prip r a-x '5" ' +7, sVn.) If you have additional signs please ZCh a'sleet listing each one with dimensions If refacing an existing sign please provide a pictuxe of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town oXfamWstable ningYQrdinanc),A Agent ob p4AI,)l"e, Signature of Owner/Authorized Age Date 1Z11"& SIGNS/SIGNREQU revised 12110 CENTINEL FINANCIAL GROUP, LLC � € �' G C F N i +i F l FINANCIAL GROUP.LLC FINANCIAL GROUP, LLC TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 041 1 Application# ;7,12 D L/_ Health Division A PtIS 1A eL E Conservation Division zv('b 'U 28 � 9. 3 7 Permit# Tax Collector Date Issued D ('0 Treasurer 1�; Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address q 0 1 I I 1 fHf) S7REET— Village Owner 1 V l U D UN �i Address Po• 601 901 , VSM I c VOSS' Telephone 0 ` �Z� IUOo Permit Request kEPLA& 1��) w i ty.66WS — n O G S-n R&PAR N Square feet: 1 st floor:existing proposed D` 2nd floor:existing proposed — Total new t' Zoning District Flood Plain Groundwater Overlay Project Valuation Irl 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:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ I Commercial Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION t� I Name Janes Sl:�Jl, P'P..Ct a- Telephone Number '508 qzB—M00O Addresssv ��� U�.�t• 4 6*1tog In� • License# as Oq H5®O Home Improvement Contractor# 151 53 05*V11 11e . MA I21056 Worker's Compensation# 20-5UD 51 D`� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO em SIGNATUR DATE FOR OFFICIAL USE ONLY f. PERMIT NO. a � DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ?` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL — _s GAS: ROUGH FINAL FINAL BUILDING t-: f y • �t. DATE CLOSED OUT ASSOCIATION PLAN NO. l: J f t ne t,ommonweairn of lvnusaucnuyeeis Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual):,,�V &QGQU KUIdtl)A S ,m(deJLn.R , Me , Address: I D-((V M M U. 0 - City/State/Zip: WMI IIf . MA 07&W - Phone #: 5VO -gZ,,b " 71000 Are you an employer? Check the appropriate box: Type of project(required): 1.X I am a employer with_3 4• ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7. �jj Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers' comp.insurance. 9. ❑ Building addition (No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all-work right of exemption per MGL - 11- 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 camp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'corgx-nation 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. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'cornp.policy infoanation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Comp any Name: PL I G ftMf (kN Home A s (,(,rffwu a• / Policy#or Self-ins.Lic. #: 20" 5Do Expiration Date: Job Site Address:_ 6101 m at n ST• City/State/ ip:n,*tV d :MA DZb� 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. 15.2 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 certi under the pains an pena 'es of perjury that the information provided above is true and correct Signature: Date: i t 7 p 6 Phone#: g— M-TWo-DO 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.Plum bina inspector 6. ®then Contact Persona: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,parmership, association, corporation or other legal.entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . j 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 with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-0077-MASSAFE Fax # 617-727-7749 Revised 5-26-05 vrww.m.ass.4ov/dia �F1HE to Town of Barnstable Regulatory Services • saatvs ABLFE ` 9 .Mass. g Thomas F.Geiler,Director 039. `0 Building Division Tom.Perry,Building Commissioner I 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, i 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 exceptions,along with other requirements. Type of Work: eat r7l ti CZ)W1NDOW_ Estimated Cost Address of Work: vl�I m(,(,1,11 St . 08-vrVi elf• mid" Dzlos Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): I ❑Work excluded by law 1 ❑Job Under$1,000 I ❑Building not owner-occupied ❑Owner pulling own permit f Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. ; SIGNED UNDER PENALTIES OF PERJURY I hereby appl for a permit as agent of the er: Date Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 08/11/2006 12:39 FAX 5084283068 GERMANI INSURANCE ool MIN F7- :T -i -i UAIr.J110 MlDDj`YY) i: 8 ACORD PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02055 COMPANIES AFFORDING COVERAGE COMPANY A ESSEX INSURANCE 00. INSURED COMPANY AIG AM E RICA IN HOME ASSLJRANCE'-'O. SCOTT PEACOCK SUILDING RFMODELING i PO BOX 171 COMPANY OSTERVILLE,MA 02666 C COMPANY D -Z —7 THiS IS TO CERTI'FY THAT THE POLICIES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD') 14 INDICATED.Nr)I'W!l H-3TANDING ANY REQUIREMENT,TERM,R CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO V HIC4 THIS CERM.IFICATZIMAY BE ISSUED OR MAY FERT MN,ThE INSURANCE AFFORDED 8 Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITfONS CF SUCH POlICIE$,LIVIT5$H-QVM MAY HOME BEEN REWCED BY PAID C.AIN13, CD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS i I DATE JUNIODIM I DATE(MAMIDO.W! A GENERAL LIABILITY I GENEL-0 M !3CU9429 07105,'Og 07/06107 RALAG ME A E s MERCIAL GENERAL LIA31LIT)e I 1,000i000 PER'SO NA­4"t'ADV INJURY i$ 1,000,0 0 0INNER'S 6 CONTRACTORS PRCT _H.00CURRENCE is 1000.000 FIRE DAMAGE (Any lire S 50,000 MED EXP (A.,)y wv wfinn) E 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i$ ANY ALTO ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS HIRED AUTOS IBODILY INJURY (Pw acridtint) NON-OWNW AUTOS PROPERTY DAMAGE GARAGE LIA131UTY ENT OTHER THAN AUTO ONLY: ANY AUTO : P ENT I$ AGGREGATE $ F�` EXCESS LIABILITY EACH OCCURRENCE s UMBRELLA FORM i AGGREGATE CTHER THAN UMRRE--LA V4 OTAT'J' 7—T—OTIT 9 WORKER'j W CONFETICN AND W 06122/06 22W TOR j,,WT EMPLOYERS'LIABILITY �;Ell-EACH ACCIDENT s U0,000 THE P;kcslv.T,.Jar 0,000 INCI, EI.DISEASE-POLICY LIMIT ; b 60 PARTHURP)EXECLITIVE i Or-CERZ ARE: EXCL EL DISEASE-EA EMPL E—,f--s 100.000 — OTHER DESCRIPTION OF OPERATIONVLOCATIONSNEHICLF-SISPECIAL ITEMS ..... . All, l ...... i!'2,iAl N SHOULD ANY OF;THE ABOVE DESCRIBED POLICIPS QC CANCELLED DGPORB THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 MAIL TOWN OF aARNSTABLE 11) DAYS WRIT';EN NOTIC9 TO THE CERTIfIGATE HOLDER NWVIE]2 TO T.If L&-r, RAXt 508-428-7625 CkUy FAILPJRr TO MAIL SUCH NOTICE SHA:L IMPOSE NO OBLIGATION OR LIABliTy OF ANY.KIN q UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. rAU—TMO REPRESENTATI\rrb fi ........... ........... .. I i i License: CONSTRUCTION SUPERVISOR Number:-.CS 094500 Expires "07/22/2010 Tr. no: 94500 i Restrctedi ,0.0:, JAMES S PEACOCK'' OSTEVILLE, MA 02632:__ Commissioner I I Nov 28 06 11 : 12a SCOTT PEACOCK BUILDING & 508 428 7625 p. 2 f,►�r Town of BainstalbleTABI- h'� °*. Regulatory Services $ Thomas F.Geller,Director °lE®,' �•�0 Building Division. .r Tom Perry, Building Commissioner -----"""^J�� 200 IvMak Street, $yaamis,MA$2601 www.town.barns-hb1e.zna.us Office: 508-862-4038 Fax; 508-790-6230 Property Owner Must Complete and Sign TWs Section. If Using A.Builder I, N At. ; 1"IA-DW.ILI (il'�'(•�Z•� , as Ownee of the subject property hereby authorize �lTff PetICC66 &UIC,.i iIq s C1 C1�'F�� _(F7C to act on my behalf, in all matters relative to warkauthorized by this building permit application for. CI (Address of Job) ,r�o Si of Owner Date Print N i • t ' Q�roxnls,ovrr��xp�ssio�t . TO ALL NEW BUSINESS OWNERS Fill in please: ''' "� YOUR NAME: �1.1 co 7A APPLICANT'S -- BUSINESS ` '✓ j YOUR HOME ADDRESS: go Kim S a 4 Co r 1 (^mil 2> Z&0 3 TELEPHONE Telephone Number Home " S NAME OF NEW BUSINESS n1C0�� d1 S✓�LGrtcc� ; iC TYPE.OF BUSINESS Sv CCc�c t C. h y- IS-THIS A HOME OCCUPATION?: �✓o. .. ADDRESS OF BUSINESS'...nlp�.:. �i� �'r�P� s'ti~s;" Q: i�?1a MAP/PARCEL NUMBER:' When starting a new business there are several things you must do in order to be in compliance with the rules and regulation of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individu I jlh�a ;zed informedof any permit requirements that pertain to this type of business. Sign ur COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual h s bee n�rmed of the permit requirements that pertain to this type of business. Authorize ignature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY).- (31113 FLOOR SCHOOL ADMINISTRATION BUILDING) This individual ha een ' rmed of the licensing requirements that pertain to this type of business. A. A oriz d Signature COMMENTS: After obtaining the required signatures you roust return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. TOWN OF BARNSTABLE -- BUILDING PERMIT PARCEL ID 117 041 GEOBASE ID 5747 ADDRESS 901 MAIN STREET (OST. ) PHONE OSTERVILLE ZIP - LOT D BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO -PERMIT 67320 DESCRIPTION 15"X94" SIGN POLHEMUS .SAVERY DASILVA PERMIT TYPE BSIGN TITLE SIGN PERMIT ?. CONTRACTORS:. Department of 1 ARCHITECTS: - Regulatory Services 'I TOTAL FEES: $25.00 BOND $.00 pU CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE * OiuvsrnBi.E, I Mass. 1639. iOTFD MP'�A BUILDI G ISI010 BY —� -DATE- ISSUED- 03/05/2003._-- EXPIRATION--DATE ---- 02/10/2003 14:42 915087906230 PAGE 03 Town of Barnstable Regulatory Services ' 3 Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790.6230 Tax Collector Treasurer I Application for Sign Permit Applicant: I V�C►ti►��t �q� C Assessors No. 1 Doing Business As: to iSs \4 AV 'elephone No.�8- 5-`(S 00 Sign Location f i Street/Road: 0� A\-.l Zoning District: Old Kings Highway? Y /No yannis Historic District? Ye4!ED Property Owner $ Name: R �� Ot.l� Telephone: --.�►"'V\ t j 00 Address: rw\ �Og -x O o SS Village: S t F-tZ.� I �I Sign Contractor Name: e I �T l`� iC-i�l n Telephone: S©8—q'A S -' kot �1, j Address: 6 {. i:►�°T�PtL� Village: ��' ►4 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? YeENore: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 shal , nform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. ; Signature of Owner/Authorized Agent: Date: Z j_ 3 Size: % a� X �� ti Permit Fei 2� Sign Permit was approved: i � Disapproved: Signature of Building Official: ate: Signl.doe �Q C L D I I r7D I rev.122801 Polhemus Savery DaSilva SignApplication 91 Osterville, MA 02655 Existing Fagade 0 mom SIMON EMIR ,Aid iti — C v —. r Proposed Sign Location igloo - SPACE AVAILABLE M . 16a = monolog ��� 10/24/2002 TO ALL NEW BUSINESS OWNERS Fill in please: `, � ",! ' � 't�aelt;a? .,n YOUR NAME: J/a �^^ t S ,J� ��.i <of7A APPLICANT'S o�, ��•�n°=�.; `� YOUR HOME ADDRESS: 9v Kim s D BUSINESS _ 4 (-i A c> TELEPHONE Tele hone Number. Home NAME OF NEW BUSINESS n1Co' A... S✓2G"lcc' TYPE.OF BUSINESS 5A Sv<Cc" cPLse IS:THIS•A.HOME OCCUPATION?: i- ADD.RESS OF BUSINESS y,�% �-l��N �r-r�P�7 i��s�tt�c:�; Q . ja.: .:.. MAP/PARCEL.NUMBER When starting a newybusiness'ttiere are several things you must" in order to be in compliance with the rules and regulation of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). 1. GO TO BUILD ING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individu I ha informed of any permit requirements that pertain to this type of business. AuL zed Sign ur COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual h s bee n rmed of the permit requirements that pertain to this type of business. Authorize ignature . COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual ha een ' rmed of the licensing requirements that pertain to this type of business. Abffiolniz& Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION' Map Parcel : Permit# 22�� Health Division -Date Issued Conservation Division Fee Vr�. Tax Collector Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board �— Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address Telephone Permit Request i-e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Costc2m . Zoning District Flood Plain Groundwater Overlay 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 0 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: 0 Yes 0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:❑existing 0 new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial O Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION NameU 0 Co Telephone Number y-z oZ a2 Address )e License# O 3 7 0/ Col v Home Improvement Contractor# i Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE VrT DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - MAP/PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTI© 1:' FOUNDATION + FRAME < INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH R FINAL - GAS: ROUGH FINAL - FINAL BUILDING f , � DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts —r':. Department of Industrial Accidents '' "_��- � — Office oflosestlgat�oos 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Afridavit name location: g 6 1 city S J c.,.`+ / Qhone# `7 .?/.2 a ❑ I am a homeowner performing all work myself. I am a sole etor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job.:: ::::.:::::::::::::: :::::: cons Q anv ai'are C1 ohon insuran olicv ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have tion polices:era com pensation e foll owing win workers' P m snv na iXX.N.L: }•'fiiiF i :::ii:T:v;;i.;i Gf }::;: :i' :t' :}':j:!isv:J'i:'t`i:+ :;:i::. j::::: i}:j?•:<:;:;i:i::v 4'ri}fi;:;i:;i: y v iYJiii`i:!i?i.i:i?v:{:}iii i jj ; ii:w. ::::.�, v: :::ss :•:.. :i!":Y?;:::i:s.;..:!$;i?.::::'::::: ....:....;:j::j:i::>:jiii::}i i iiiiiiii ii:•;is?ii:ii ::i}:::::;2:;:ij;: :j}i;:r:::::.....}:n}:;isfi^%i i'i.':4}::-i:::::':tii iii?if{4:! �v:;:}:;<:}i:y:j icy�jii i::4}}}:vv:;i: add'e �. ph 1h ........................ ............................................ ............................................................................ ...4:•f v.�:?i? ::•: .:�.::.�:iG:.:•::::^::v}}}}:i:?i;riv}:�:�}:v:::::.;�:.:.;:ryv:r;::}}iti�>.i:::iJ:�ii};:.•ii:?�:;:;�:;i� :.is Ol',t� ::::<:::<:: '.:.;::,:;.:: ::.:.}:.;;•;<.;'�.::.;:.�:.:;.:;.;::.: anv name:•>::>:»>�:;:<::�::::::::>::::::::>:�><::>:;::::<::;:; ;»»::>:�>:}::;:»::::;::::r:�•... . . .... ........... :...::.......................................:....................:::::::...:....::.....:::::::.:::.......................::::;- ... ::.::::::::::::.:::::::::.::.:::::::::::::.:::::::.:::•::::::.::.:::::::::::.::::.:::::::...... . .. ddres ion .............. li p tP'::::::•...:::::::.::::::::.}:::.:.....:...........:.:........................................:.................::':::::;;:;;..... .........:::.: ..... :.........:........... ;? »»> ?.. i> arsn Failure to secure coverage as required under Section 2sA of MGL ls2 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verfScation. I do hereby certify under a paint na&ies of pedury that the information provided above is tru.p and correct �2�'( — Signature Date Print name A-11 s"�G 1 Z )F A- ' � Phone# i, Ccontactperson: use only do not write in this area to be completed by city or town oMNI � f own: permitNcense tt ❑Building Department ❑Licensing Board k if immediate response is required ❑Selecsnea's Office ❑Health Department phone#; _ ❑Ot1iu�� Uvry td 9/95 PIA) t • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. i 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 exceptions,along with other requirements. . / I a J Type of Work: �Z �°o T �s�/�T c�� /,--Estimated Cost D o a Address of Work: `)'a/ S T Owner's Name: Co n Date of Application: s I hereby certify that: Registration is not required for the following reason(s): Work excluded by law oJob Under$1,000 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 MoROVEMENT 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 as the agent of the owner. Date/ Contractor Name Registration No. OR ; Date Owner's Name q:fbmis:Affidav . ;1 �� C/�OI)7/I7t09NA/ECLG[/L O�✓l�GllJtfCLC/LU:iC DEPARTMENT OF PUBLIC SRFETV CONSTRUCTION SUPERVISOR LICENSE Nnaber;= Expires: <RestT a Sin' I�&A2EAUlT 193466 ELL"COVE �, ��` COTUIT,�MA 02635 • j; �;r .:M;.., 0977/p100 ✓ GU:ie�I' DEPARTMENT OF PUBLIC SA Y - H STING EN6IN_ LICENS Nu er._-_:___._; xpires Rest ed=. IA,3B J, KES_fI AZ1A-IT 113�CIAMSMELI"�COVE RO COTUIT,—'MA 02635 HOME IMPROVEMENT CONTRACTOR Registration 120689 Type - DBA °Ekpiration 02/21/00 `-.J.L. CAZEAULT'CO JAMES L. CAZEAULT 9JOX 752/ 193 CLAMSHELL COV ADMINISTRATOR OTUIT MA 02635 44r, - �1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 01 93 Map // 7 - parcel •ll/fl Permit# Q Health Division s `�G� i Date Issued (9" l Conservation Division s-w" $F,3 Ln Fee Tax Collector " r Treasurer ��;= ' II'ueaT�GI_LED Ill COIl�i�LIAI�C�E Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONME�9TAL CO ��O n� TOWN REGULATIONN Historic-OKH Preservation/Hyannis Project Street Address Cko I 1\\n �j-, S k p-}- Village ©s�f Cv c I e Owners . ,t, Crnc. ,'QLe Address 1S2 Lce- ��ali'e� ><2�. nL;1��e, Telephone q2 P3 - (,t oF, Permit Request G e k-�e,c-oj re�2g t r o c-2�} e vc�e rc r- �y vN v.,•e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost SS boo Zoning District -eC- Flood Plain h Groundwater Overlay Construction Type LJudck F�,,eum Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure ►s— i 8 ..ems 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:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑, Commercial P Yes ❑No If yes,site plan review# Current Use 4:>iP re r.c Proposed Use- BUILDER INFORMATION Name n\ar.-NpS:e c__ Telephone Number QZ E3, 61 o 6 Address 3•i o License# ca, .I\\ A- Home Improvement Contractor# l oo lag Worker's Compensation# Vic, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN;O' LTI\\QC b w�fJ 2 SIGNATURE DATE 9 9 FOR OFFICIAL USE-ONLY _ i J . PERMIT NO. DATE ISSUED' MAP/PARCEL NO. ADDRESS VILLAGE OWNER f i w DATE OF INSPECTI :FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL �= 't PLUMBING: ROUGH FINAL, z , GAS: 'ROUGH FINAL FINAL BUILDING { DATE CLOSED'OUT f i ASSOCIATION PLAN NO: t The Commonwealth of Massachusetts -- ( Department of Industrial Accidents _-- Office 0//nyesUg8119ns -= r 600 Washington Street �, T�L�• Boston, Mass. 02111 Workers' Compensation Insurance Affidavit o,. namc: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity now Cam an employer providing wofkerts' compensation for my employees working on this job. company nq erS &rn^le V t ,1.._hc_ addres X 31 O city: OS Ve r*J 11 f— H . GZG,SS phone#: S'O S • q Z 8 6 10 6 insurance:6-, C a4%Tt;V—N G 14 0 ALT Y policyo.-We-- 9 1 7 18 Q 0 , I am a sole proprietor,general contractor,or homeowner(circle one) and have hared the contractors listed below who'r,�,. the following workers' compensation polices: company-tame: address•. I phone#::. company:name address>: :::: .•:. . .. .. ...:. .:.::.. ... ,.... city: phone#• insaranceco: policy# Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 andro, one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalti of perjury that the information provided above is true and correct. Signature Date a'3 -q 4 Print namc 6ey, C4100L hone# Z Fcontact y do not write in this area to be completed by city or town official permidlicense# rlBuilding Department +; OLicensing Board mediate response is required oSeleetmen's Office f. C]Ilealth Department : phone N; nO(her ` t : (ro 6.d 7/9S PJA) 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 any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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, 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 hav 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 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 you 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 the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returned to 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. '' a'�. � The Department's address, tc lcnhcr. and fa:: r. Tim r._Z:Ia; I)Cpar?rr_en?'G2 ".__^.dL•L'�!':.:'. i=1C:.__.. 'c:c:i dif ce of knuestioaficus 600 Washington Street Boston,Ma. 0211 t L j,'h'R',jpx,#:(6:17)i727-7749 of ZHE Tp� . ,.� The Town of Barnstable • aA grAOM 9 M& Department of Health Safety and Environmental Services 01�� ,0 ArFor,,Dy0. Building Division 4 . 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office 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, i 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 exceptions,along with other requirements. Type of Work: C ecNee0.� 2 e 4L Est.Cost Sao on, Address of Work: R O 1 GLi ,N ' Owner's Name 11\\CX Date of Permit Application: �� •q I hereby certify that: Registration is not required for the following reason(s): Work excluded by law i Job under$1,000. 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 as the agent of the owner:' (�` r ,3.qq e Date Contracto Name Registration No. OR Date Owner's Name ' f � Sfi+.,; . - . ' ,. -------- -----���--�—r�—�����—'-- -- ---- �� . . ' | �� f;b 9 9` 2 9X6 ME Acllr.(jW1 00 ����� �0C������������� �� ��� / -7 - ----- -' ! HOME IMPROVEMENT CONTRACTORS REGI6TRATI0N | � | Board of' BuildlnQ Regulations and Standards ` | 0no Aohbur�un Place - Room 1303. | � Boston , Massachusetts 02108 | . | ' HOME IMPROVEMEWT CONTRACTOR Registration 1O01 L 34 Exp�raion 06/09/00 | «�^ ���,==��� | '----'-- Typm - PRIVATE CORPORATION | | ! 110HE IMPROVEMENT CONTRACTOR | Ko8i»bodoo 00134 R0GERS & MA RNEY � INC _ | Type ' 'PRIVATE CORPORATION � Charlo-o D ' jRogers, | [xyboiioo O6XM�N � y 445 0STERVILLEpO 80X 310 | | | ' Oatmrvillo MA 02655 | ROG06 & HARK8. INC. | | | Rogers| ~--�-' '' ~- OSl0VlLLfPOnOX30 \ ""MI"IS"""' ' | 0oimvilh HN 02655 ' ' ' ` . . ' U ' U | » / Assessor's offioe-(lst floor): /f�` ay/ Assessor's map and lot number ..................................... .. Q..��T�Et��` Board of Health (3rd floor): Sewage Permit number .......'�f'.. ."��?. `;.` .................... %EPTIC SYSTEM MUST BE i Eaae9TODLE, Engineering Department (3rd floor): RRTALLED INCOMPLIANCE Epp M & House number .....•. ..... I.... WITH TITLE 5 a VP a` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only ;W'.RCNMENTAL CODE Ar. ;r i a(af 9 IREGULATIONS TOWN 'OF BARNSTABLE BUILDING `INSPECTOR APPLICATION FOR PERMIT TO ........&4........ ....... IM r ....................................:.................. TYPE OF CONSTRUCTION .......... / l> ..:..lnell/�'�.L�.............................................................................. .....1..3........... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ 0�......./?'l/ fy... I ...........os. .`<.r................................. ProposedUse ........... ..... ...® 1.. ...- 1.. 4 ........................................................................:................ Zoning District .........................................Fire District ...... ..... Name of Owner .. I.� ....� ���.F .............Address :..<3.. .Z.....( .!/�'�`�Y...! ?:.:....(/ik.aI`/e Name of Builder . .. .� . .��...........Address M.w(�U.J.�-!?... ./�Jr.,.......��!.S.��.12 Name of Architect vLl/(I !/ + 'J.1J4� /�7/�....Address '... ,5..... [.11 ................:.............. / �'r Number of Rooms .......� OO.... .......w� ... t .. Foundation �Q(//� Cc�r1 oP E............... Exterior .......................Roofing .... ...... +!(1.....�d.s................. Floors . .........................................................Interior .... .!. ..,/! ....(.�,��Gl .,< �. Heating ...AP. ...../A-7Q .....411C........................Plumbing ....14.../-7.(. .........�rof` e�.....n.V,C............. f Fireplace ....1.".. ...................................................................Approximate Cost .. �r.(lGl. .................. .. I Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ..ReF....... .1 Diagram of Lot and Building with Dimensions Fee ��Q�........................:................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 51zo lvdle- b� Sol � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS { I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name kA. ' Construction Supervisor's License ..(,!( a.(D. -CROWLEY, RICHARD No 3 0 6 4 9 Permit for ..AP.D...DORMER........ Commercial Building;�k]p.g.................. Location ....9.0..1...Ma.in...St.r.ee1_1­**­*­,.... Osterville ............................................................................... Owner ...Ri.q.h.a.r.d...Cx.owl.ey....................... Type of Construction ......EXame............................ ....... ............................................................................... Plot ... .... ................... Lot ................................ Permit Granted .......Ap.:r.i.l..'..2.2............19 87 Date of Inspection .....................................19 x Date-Completed 19 �g 0. 3 Asses'sor's map and lot number ..... ... .l ............ /7�1 - OA--�/C - %- ( Q�o�TNEto�i Sewage Permit a er ........................:............................... - SEP' M MUST 70/ Cl. e7 fN COMPLIA B6BB9TADLB. House number :.....................................L?..1 .. .., TITLE 5 °o , E"RONMENTAL CODE AID►i �""Ytr TOWN OF BA-RN8TAB(LETIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO 6 / fs S , ......... .<.. . TYPE OF CONSTRUCTION d......... ...... ...... ....r................... ..................................... ............................ 19. 1. TO THE INSPECTOR OF BUILDINGS:The undersigned hereby applies fora permit according t the follow' g inf rmation: /�� G� Location ............................. ...../......./............................. . . ....... ... ...... ..... ..............��. ............................................. �� do �5 , S Proposed Use � '—..... . .... Zoning District ......................Fire District ......................... � .1. �5, .��...:.. 0.... ...... rp ..�#.. C.. .... .. '.... ... ,. . Name of Owner � ' ...Address ...............................................................`c ...... ........ .... .... .... ..... Name of Builder ... .... .............. ................... ............ .... ....Address ....... .Name of Architect ......5,.... ......-Address ..... ....... �o� ` ...................Y. .. ... ...................... ...:... Number of Rooms ..........................Foundation ...................... Exierior ..... ....... ... ... .......................................Roofing .............. ... ......................................... Floors ................. .... ....................... ..........................Interior ......... ... . .. ..... .C�.. ...................... ..�, Heating .... ...... ................ ............:........Plumbing .....v................. ................. Fireplace ..:..........Y..l. ................................................Approximate Cost ......... �1... .........:.......f,�... Definitive Plan 'Approved by Planning Board -----------_______---------19 . 'Area ....�v/. �...�•1T....�..... / d Diagram of Lot and Building with .Dimensions Fee 1.......... .... . ......................... SUBJECT TO APPROVAL. OF BOARD OF HEALTH c . ycaAM X, � , R�OF BARNSSA tOWN pE0j10N it A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. `�- Name .............................................................................. R. P. CROWLEY JB. &=117- l - , 2305 '--- ` No `---.���-Permi� for —_�-�� .................. ' OFFICES 6 SHOPS \ '-------------------------'' - ` ~^ / 901 Maio Street ca AZ Location ---------------------. w*� , . _._____C)at�r .ville __________ R. P. Crowley J� Ovvne, ---�--.^ ^ -----------.`---- - - ` Type of Construction F.rame---------.. -------------------^—.----. . ' P|c^ ............................... Lot ................................. ' ^ 'permhGr'anted` _.April 30,—.-'1p 81 -~ ~ Dote of Inspection --------',— 'lV ` Date �~���p ` ` in PERMIT REFUSED ~~ l9^---------- ` ' --. .---------------. . ' . - � ` r---------------' ^ � ~n � - ` �� ...................................................... --- ., � , ^ � �� --- -----------^-------'— Approved -------------- lg ` ' ---.--'--------------.-----.. ` » - . . ` ------------------------~—. , ' 11V1 ` 4 L r ;$ d :�5� A s,5 o Cv 8*s<�T�1,0 I614,6 , l �g3d t C1 VOS 16. a (2A,-r a Tom- r-? COU'Fc,eMS Tv % QF�r(L-1��5 DA.t Lyy �7cvw = -15 6l D X G•3 _ Ql P D or= 'n+E- -Q0 wu F (3AeL,*tm-f3c,� 5 T)c 'IAutc -�4-73 x l,5 - )CQ 6AtA.t� I, t.A� ��.�,� G OISWsAL FIELD- USE lZ KZWT-OLFAaCrMI-+(1a7% TurAu�e,tau- 4 66 G oP,o ;i ry I '�- ` z 4-7 3 dm cltAHt S 1 ( � 1NV4 G14 U� ZIJ Q° 9d$a SauO �, 8�rrr t Luc, ►w tw �.�--�,rnC M bCo t31"Y� f.�v QB.Z TANS L CST w `:?L A, 0 ki D /{p WILLIAM i I; I' C. &E 5 N Y E Est ,r �7p N 19334, Dif e• KA ���3TEFiv 3 Z �J L Z ►a)L"5 t v<t sul<�Yi .9 TOWN OF•BARNSTABLE ,Permit No. ___23052 Building Inspector 1"UMIr.0 ' Cash __--- //{////� OCCUPANCY PERMIT •Bond _ X:C "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtiined from the Building Inspector.-Noubuilding shall be occupied until a certificate of occupancy has been issued•.by the Building Inspector." Issued to R. P. Crow'.[ey'Jr. Address > 901 Main, Street �� Osterville Wiring Inspector Inspection Inspection date Plumbing Inspector Inspection date ' ---/ v Gas Inspector d Inspection date dEngineering Department - A Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. .. ` Building Inspector t EXISTING W SUPPORT BRACKET 1Y2"X13 4" PROPOSED CARVED _ O Z A WALL SIGN u 94"X 15"X 2 , — w 2" ATTACH TO EXIST. — o SUPPORT BRACKETS— � a W/Y2"t Z-BARS • ► TM E: FRONT ELEVATION rFF Q o V T� n SECTION @ SIGN NOTES: N 9 A 3 = 1 MATERIAL SHALL BE 2" Ln HIGH DENSITY URETHANE A- SIGN SHALL BE DARK BLUE. LETTERS AND BORDER a 4? SHALL BE CARVED n GOLD LEAF He No. Elevations.dwg . Date 21 FEB 03 FRONT ELEVATION sneer No 1 3/411 = 1'-01, SKm 1 EXISTING W SUPPORT BRACKET 1Y2"X133/" PROPOSED CARVED _ L.L LLJ z � A WALL SIGN u 94"X 15"X 2", _ o 2 ATTACH TO EXIST. �, SUPPORT BRACKETS— Lu a ' W/Y2"t Z-BARS — R S TITLE: FRONT ELEVATION rFF E �V u a m �i T^ s 12 SECTION SIGN NOTES: o 00 A "_ 11 3 — 1 -0 MATERIAL SHALL BE 2E m HIGH DENSITY URETHANE0 LL 0 SIGN SHALL BE DARK BLUE. LETTERS AND BORDER a 8 Ln SHALL BE CARVED o GOLD LEAF File No. Elevations.dwg Date 21 FEB 03 (D FRONT ELEVATION Sheet No K.m