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HomeMy WebLinkAbout0028 BARNSTABLE ROAD . � ���� ���� T I 4 I 600 WarkingronStre= Boston,Mass. 02111 Workers, Compensation Insnrantee Affidavit name: - �y'rti�-i � L • �m►r-c� t � :,J T�,-�S - .. location- 1/ city L/fn,L^.vt c 1 rharte� �r��-`7 7 t J`�',3� ❑ I am a homeowner performing all work mpst.i!~ L ��a sale i3ronrictor and have no one tvoridne in amacxty atn an employer providing tivorkers• compensation for tap employees working on this job. .omnnnv Hamm �T�r yg--%5 Coin ST lkl,- tddress; - 1911/ r ate► ,r^oo Sf, :, ... ... tv� 3 . .._ .... ... �Surnncc Cn. AIUVIIV, I.am a sole proprietor, general contractor, or homeowner circle one and have ' 1mi7:ir7v hired the contractors listed below who the foIlou ing ivorkc=' compensation polices:rtame! dress- .,,.;, •,,, inane ih A' :yp.:v�Ni^[.`4':v'wAGOirnYwwstv.�...» •..._ nanv name.rfln cc CO. ;>..:• , , ;w>.v ;,e : f :w:. " �,,..�. .>;.. .• lieu#• .::�s:�,,,,,;,;;; •'.:::<�:•. : ..... :.N. : o secure coverace as required under Section ISA otMGL 1S2 can lead to uw imposidam etea� ezrzl imprisonment as well as civil penalties in the form ota STOP tiVORK ORDER aml a tloa otSI0t10ppenititim ota tine aP to S1.SCUAO andtor of this statement may be forwarded to the Office of investications of the DIA for covet go veel0otdon, dsY gninu rite. I tmderitond that a hereby terrify u nder the paurs and penalties of perjury that the infoin*den provided about is fist*mid correct Hire ��'�/� Hate - • �3 name N- Zl vi t e-j G-p-r✓A I r - �� -976 3 ew use only do not write in this area to be completed by city ortown oakw or town- pesatrit/ltaxase o QBuilding Deparanent check if Snt mediate response is required Of ieensing Board • ❑Selectmen's Office tan person• phone QHealth Department • ❑Other Y,95 PIA) employeezC " .. As quoted from the law„ an employee is defined as every person in the service of another under an)e c _- of lure, express or implied, oral or written. An employer is defined as an individual. partnership, association, corporation or other legal entity, or auv two or the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recr tn=ee of an individual,, parmership, association or other legal entity, employing employees. However the otc�e.-of a dwelling house having not more than three apartments and who resides therein, or-the occupant ofthe dwelling house another who employs persons to do maintenance , construction or repair work on such dwelling house or on the acu:=: c: 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 renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who c_ not produced acceptable evidence of compliance with the insurance coverage required. Additionally,nezrhe.-the commonwealth nor any of its political subdivisions shall eater into any contract forthe performance of public work, acc= mble evidence of compliance with the lnm*r,*+ce requirements of this chapter have been presented to the authority. • Applicants PIe:se fill in the workers' compensation affidavit completely, by checking the box that applies to your situation,and suppiying company, names, address and phone numbers along with a certificate of mmuance as all affidavits may be isubmitted to the Department of Industrial.Accidents for canfinnation ofinsurance coverage. Also be sure to sign ana 'date the affidavit. The affidavit should be returned to the city orwwnthatthe application for the permit or license is requested, not the Depm=cat of Industrial Accidents. Should you have nay quesda s regarding the`9aw"or if 1 c dare required to obtain a workers' compensation policy, please call the Department at the number listed below. i/i ir�rry City or Towns IPIe:se be sure that the affidavit is complete and printed legibly. The Deparmmrat has provided a space at the bat=of tar da t for you to fill out in the event the Office of I has to canna you regarding the applicant. Please e sure to fill in the permitllicense number which will be used as a refers=mmiber. The affidavits may be rctunt a io e Department by mail or FAX unless other arrangements have beeamade. e 0 ffice of Investigations would like to thank you in advance for you Qooperatiaa and should you have any q=sdons. lease do not hesitate to give us a call. Department's address, telephone and faxmimber. The Commonwealth Of Massachusetts Department of Industrial Accidents Once of lmresdoattoas 600 washingtm street ' Boston;Ma. 02111 '• fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 PreseriPdve Pxd fte for Oaa and Two-Fam*fl"W"ZW BaUdlaga ggamd with Fossil Foes MAXIMUM MQ1i1MUM OlA=9 QlA=9 Ceiling Wall Floor SM HewiaglCoofily Afoa'(•A) 1-valuLj R valuer It value' Rrvalue? Will Pleeimetc ElSaas}r Prdcaae R.vairroj &vairrer 3"1 to 6500 He2dnw De"w Days' Q 12-K 0.40 38 13 19 10 6 Normal R 12% 03Z 30 19 19 10 6 Normal 3 12% 0.50 38 13 19 10 6 15 AFUE T is% 0.36 38 13 23 WA WA Normal U IS'/. 0.46 38 19 19 10 6 Normal V IS•/. 0.44 38 13 2S WA WA M AFUE W tsY. am 1 30 19 19 1 to 6 M AFUE X 19% 1 032 38 13 2S I WA WA Nomml Y 18% 0.42 38 19 1 ZS i WA WA Natural Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18•/. 040 30 19 19 10 6 90 AnM I. ADDRESS OF PROPERTY: aS .,r►�5� �� — dlw H�i_u��l V►�i�l 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a , rvvs-.rv�v -.aoa�-Qr�TQ .Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and . basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross~wail area, expressed as a percentage. Up to 1%of the total glazing area maybe excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 if of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-_8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages). Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c) If a ceiling, wall, floor, basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 OFF C\ , Hyannis Main Street Waterfront _ Historic District Commission. 230 South Street Hyannis,Massachusetts 02601 TEL: 508-862-4665 / FAX: 508-790-6288 Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for CERTIFICATE OF APPROPRIATENESS ` Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below,and on plans, drawings or photographs accompanying this application for. PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ® Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting:❑ 3.Signs or Billboards:❑ New sign ❑ Existing sign. ❑ Repainting existing sign 4.Structure:❑. .Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORKD S ASSESSORS MAP NO. 2A 7 OWNER 7)j.,it t 6, , ;,c S_ ASSESSORS LOTNO. G 7 7 HOME ADDRESS 6OX 5 f�Cr� h "r i4 TEL.NO.SAP'7 73-57-30 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property, owners across any public street or way.(Attach additional sheet if necessary). AGENT OR CONTRACTOR T :G .y✓«r I l -t�7 /h c _TEL.NO. �3- 7L� 3 ADDRESS y%y 101,g7� LaM, ,e o5b tr 3.9 24 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation, chimney,siding,roofing,roof pitch, sash and doors,window and door frames, trim, gutters - leaders,roofing and paint color,including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary) 'r'I� cvl?�la�� k"e'j'V"'t ' ilrtit52 ✓'vv��r�'t c:iPP " K 3"..�, � / 01 45-31 {{ice . Fh�s� E�i►iar w,7�i L�/� fiA �v Co;z�' w;7/� e(SU�in eK r�o:, A� -4�r V��I�i'llA��ch +c4�4 t � SslI/ 10:4�� ) A [ y rvv ( i ^a �Ta.n•iLQ char "lv t�L L� C iC S ST1"lt% s Signed /L�'�c-� Owner-Contractor-Agent RECEIVE® Space below line for Commission use. MAY 0 7 1999 Received by HMSWHDC TOE-N, n,r 13ARNSTABLE HISTOk,,?s:'..SERVATION DIV. Date Time By The Certificate is hereby: ck UAT, �CAAILLA' , Approved w� ll l c rod w/•� Disapproved Date /day��-�-IMPORT If is Certificate is approved,approval is subjectto the 20 appeal period provided in the Ordinance. J HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK , FOUNDATION f SIDING TYPE- �� ,y�l COLOR CHIMNEY TYPE t�)I� COLOR ROOF MATERIAL �i5��r � 3 IZ4 �,-ubh� to ve,.,,COLOR PITCH WINDOW �d, o ti r Y ) COLOR TRIM COLOR � Z ,t� DOORS A)! COLOR SHUTTERS N/✓� GUTTERS v DECK /(N�i GARAGE DOORS-J. COLOR IL�/,4 NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application,along with three copies each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the lot to scale. z PLEASE SUBMIT THE FOLLOWING INFORMATION AND/OR MATERIALS WITH YOUR APPLICATION TO THE HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION. THREE(3)OF EACH.IN THREE(3)SETS APPLICATION: All sections must be completed SPEC SHEET: Complete applicable information FLOT PLAN: Show a::Arnctures on the lot and any proposed _ additions/changes. Certified plot plan for new homes only DRAWINGS: All Elevations and please include Landscaping plans for changes in eristing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBNUT T'ED: - PICTURES: Of area(s)affected;Street view for additionstchanges. SAMPLES: Of materials/colors(i.e.color chart) THE FOLLOWING FEES MUST BE SUBMITTED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE i Ali nr CERTIFICATE OF APPROPRIATENESS CERTIFICATE OF EXEMPTION S10.00_ K% Is-'CL. CERTIFICATE FOR DEMOLITION OR REMOVAL -S10.00- co IF YOU HAVE ANY QUESTIONS REGARDING APPLICATIONS,PLEASE CALL THE HISTORIC PRESERVATION DMSION AT 8624665 BETWEEN 8 A.M.AND 12 NOON,M-F. i Abbutter List for 28 Barnstable Road, Hyannis, NU MAP/LOT PROPERTY OWNER 327-013 �/ Betsy S. Stanton 54 Piney Point, Marion, MA 02738-2022 327-014 >Oce aria a s reet A 1 327-075 m P. S P.O. B 36 stable, 02630-0336 327-076 Daniel and Deborah James P.O. Box 7 Hyannisport, MA 02647 327-078;✓ Cristopher P. Kuhn. - - c/o P. Hinckley, Price &McCallum 239 Prince Ave. Marstons Mills, MA 02648 327-074 Federated Church of Hyannis 320 Main Street Hyannis, MA 02601 327-271 J Town of Barnstable 367 Main Street .` Hyannis;MA 02601 327-007 >�slaus McLean TeC , 02632 327406 >0. B an MA 0260 - i ' l n c - Ci NN 5nF NR 'n .04 ta 10 on 'oa n i .0) ovoa >c ANO ?It ♦ s-ou r lO� F • 1' �, C 10 o le ow 6 0 a F PCl J�. ' • 9 i si" o� d'°� a ;� rya - 7 lR�lI1 Y 1 s� yC� rig da � X`(illVlll�llYl�$yS Q a m \pJa p'S. \� '> g t d .� O� s•t ��. 4N • s ' r d r P » ;i ++ a r _ ' N .. 72 , w vl d j1 ab P a 0 i Ni 4 'rd b R yrV yr r �� Qm s= fa N �yY c►Pn a � O c WS O� a'n Oa' o0 0 y S<a.of 12 N N EST as J u .\ N4 O NN �t9 6 V e� VA N J PS^1µG'1014 �, ...._ -..._ - _ - i�. _..�i• � P ..'E32vss-.a--.vac_c._ " , n • A � • a r d r . f T x t _ r z 4> _ . � _ ; » � �� x , � Fie .. { e' z r.{{# •fiF.. - - c — a v I a ., f: .......... .... All ik my T � CVIA 1 fl on r family of vinyl windows is designed to fit virtually any opening. A wide array of styles and i shapes; 'custom sized to your exact opening, allow I ,p you to fill your design ideas. From our Vinyl Casement with multi-point lock to our unique Vinyl Hopper all our �! windows are hand made by quality craftsman who 't have been in the business for over 36 years. j } ,i a �•• �i, '� i c , ' .Vinyl Casement window r Standartj witti F multi-point ]—long system ' I Vinyl Rolling 1K/indow. � •• •' _ . ;,, r , Vinyl Awning Window Tese designs`m ximize'strength iri'b6th,frame- and sash construction, as well 'as all the•components in between. Ask your contractor fora demonstration of these superior roducts and you'll see for ourself P P � Y y i that we offer top quality products backed by the best - Vinyl Picture Window warranty in the business. .. ��'!a��;� �'E?• x?'•r ..@^s".py YET";�� �° ,� .• �''.-µ .� � 8i�r , _ . �- Every yindow } ADVANTEDGE (Argon filled In glass contoured gnds " hLow E61ass � u- Very,wi�oYS W "alla.�le 12.. � L VE F .i "Vinyl Hopper Window s rev s pa t �' °2 ..-`� • y°• 'Not.—i.bJeinMediumBm. 'e,.. r, 'Are • {. �i - -� K t "z -s• •P .t - �r 3-�%�rLr.' S4 F 1 , Wlute � AlmondrMedtum>Bronze°" h 4 HARVEY + Harvey Industries 43 Emerson Road Waltham,MA 02154-5339 HARVEY INDUSTRIES INC_ VIn I ROIIII� ,,1 Distinguishing Features y g Window Custom Manufactured.toS.ize s Model: Rolling Window F Sliding Interlock for Full Height Weatherseal - a Applications: Residential Two Lite:Charcoal aluminum half screen Light Commercial ` Three Lite:Charcoal aluminum screens for each operating sash. Size Limitations(Rough Opening) 2 Lite Min. Width:' 241/2 Height:,151/2" Q y T N Max.Width: 80"- Height: 60' ' 3 Lite Min. Width: 461/4" .,Height: 151/2 Max.Width, Height: 60" Architect's Specifications General: Manufactured by Harvey Industries,Inc.,Manchester,NH._ shall have an integral lift rail.^ Operation:The rolling window shall be of two track design and have Available Finishes: Shall be solid vinyl throughout in white,almond two operating sash. In the closed position,sashes shall interlock to and medium bronze.,' ,- provide a full height weatherseal. Cam-type locks shall be used to secure sash. Both sash shall lift out for easy cleaning or reglazing. Weatherstripping:Shall be full perimeter,double fin-type weatherseal Half screen shall be standard and located on the outside channel. on sash. The meeting rail shall be a triple seal interlock,consisting of one piece fin type weatherseal on each rail and one bulb type seal the Materials: All vinyl extrusions shall be rigid,100%virgin PVC.Main' full heigMt.Df the interlock. frame jambs shall have a nominal wall thickness of.100'and include four tubular hollows. Sash profiles shall have a nominal wall Glazing: Insulating gWshall have an overall thickness of 7/8'with thickness of.078'and contain three tubular hollows. Sash profiles a minimum5/8"airspace.Insulating glass sandwich shall utilize aone shall have four non-rigid PVC glazing legs in the glazing pocket. 'piece steel U-channel design glass spacer,and shall have a desic- cant matrix extruded into the base of the U-channel.A butyl sealant Frame Construction: The frame sill/Jamb comers shall be miter cut shall be extruded around the entire perimeter of the spacer to achieve and fusion welded. The headramb comers shall be butted,sealed ; a seal.Standard glass shall be single strength domestic type B float and mechanically fastened using three stainless steel screws per glass. comer.An aluminum vertical tie bar shall be fastened to the head and sill screen track..The f rame sill shall contain two aluminum sash track Hardware: Sash locks shall be cam`-type and finished to match the inserts,one per operable sash. Frame profile shall be designed to °r' vinyl extrusion color. A either accept a snap-on nail fin or be fitted with an adjustable head n ' expander and sill angle as job conditions require. Frame depth for Options: Grids-Colonial aluminum in-glass,and in-glass diamond installation shall be 31/4'. r '3 grids are available.Glazing-Obscure,Low-E,Argon-filled Low-E, q tinted, double strength,and special tempered can be used: Field Sash Construction:Sash f rame shall be miteir cut,joined with heavy mulled or factory mulled units, and full screens on two-lites are duty glass filled nylon comer keys and sealed with a siliconized latex, available. A steep slope sill angle can be used when there are sills sealant. Comers shall be mechanically fastened.Each sash to have with drops over 3/4'..Three style nail fins are available: 3/4'J`or an integral pull rail which will be the full height of sash. Lock and traditional'L'in vinyl and traditional'L'in aluminum.. keeper shall be applied to vertical center rails. Two brass rollers per sash shall be recessed into bottom rail. Sash interlock shall be slide Installation: Installation to be in accordance with manufacturers type providing a tight weatherseal. Reinforcing shall be installed at' printed instructions. ne sa W—Me --g-ra s. g sLL d r/4--b'sF i nave remtorcmg """� _ installed'in all sash heights. Two-Lite units over 72.1/4' wide or greater or three lite units 1081/4"or greater shall have reinforcing installed in all sash widths. Screen Construction: Screen shall be hollow extruded design with = ;. staked comer construction and the wire shall be 18 x 16 mesh non= glare charcoal finish aluminum.Two stainless steel spring clips shall be applied at the top of each screen. The bottom rail of each screen . 3/96 44 ��p „ t RTU PPROUi I'3eCse UiC- C16i' ONE;MOODY STREET, WALTHAM, MA'02154-5339, (800) 882-8945 HARVEY INOLlSTRIES INC. E r :4 Vinyl Rolling Window: ` 1/2 Scale ; r , - .�.. a n. a ♦ - P ` o � o 0 00 3 1/4" o0 0 000 a 715) s+l` AS' 104 45 _ 3/96 Rc�rECTuxAL ONE MOODY STREET, WALTH AM, MA'02154-5339, (800) 882-8945 PRODUCTS@SERVICES ' , - y. .. _< �. : � �. r__.. _�._ F, .. ., _ ��� = �� . %� :` � a A# } ,� - z_ __„_ _ _ .. . E � - .. t .. TOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION ,`= c Map 3-A-7 Parcel 0--7 7 Permit# 3 13 - Health Division AV 7 Date Issued21 Conservation.Division Fee Tax Collectors-- _ t b Treasurer- � (?Mets sa- _ J = ppLICANT MM OBTAIN A SEw>+;tt r ' e 4 t1Cr 1/�1.�H1V11�'1U�71 OB 1^"` N PERMT THE Planning Dept..' CONNECTI NGINEER.ING DIVISION PRIOR TO ST n�UCTIO ` Date Definitive Plan Approved by Planning Board i f Historic-OKH Preservation/Hyannis 5 Project Street Address 8&4'• �• r - Village ,d r �Owner f�r r !fl cr.h + l n, tI �/ Address -y�/ / rh6 Telephone SdY-`7755-S-X,3 0 Permit Request A,-"V 1-114t;h Aam - AW 51aga a KeAd P Irv' i� • �5 ar a-S � Sh�v►�S �Skv►to CAP$, -3 .X), Pmt ot dJ.A,- orlcice 7g >�0 cal ��e 1 � �. ,Nv r1�e� Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost ODD —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 A Historic House: ®Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full 11 Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing NO new a Half:existing jS new 'fJ Number of Bedrooms: existing__ new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 1N Gas Oil ❑ Electric ❑Other Central Air: ❑Yes N,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 90 Yes ❑No If yes,site plan review# Current Use hvsr ca - - Proposed Use �cw•z� BUILDER INFORMATION k Name GerV'G�►�S eov►S5 , lnL Telephone Number j 'r aZ-�7G3 Address qlq Oi✓l�roa License# Or3 2,67) ICAVI'lln-1 W7PV 0,,�'7Zo HomelmprovementContractor# Worker's Compensation#/✓w 4 1!Z y Igo;9! 00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO • ew d SIGNATURE DATE 3-mil FOR OFFICIAL USE ONLY 47 r PERMIT'NO. . . /^fit r., _e + � .. '• ,,....,t• J •1 - DATE ISSUED. MAP/PARCEL NO. % ADDRESS VILLAGE -� OWNER DATE OF INSPECTION • tom.. - �#�`'} r y . •i .l y _' =� _� ` � , w .«• .r w � `~Y 4 - F r 4 FOUNDATION FRAME INSULATION tJ ! L151 a FIREPLACE ELECTRICAL: ROUGH c ' t FINAL 7 �'- r} PLUMBING: ROUGH FINAL GAS: ROUGH •c `" FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATIONTLAN NO. > l - w �. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .F o � > Map Parcel Application It ' / o- Health Division Date Issued Conservation Division A0 61 Application Fee TOWN OF BARNSTAK Planning Dept. Permit Fee �Z40 Date Definitive Plan Approved by Planning Board a Historic - OKH _ Preservation/Hyannis JOIR Ai Project Street Address 2 ar L - Village �u g P1 L`S Owner ✓ awl (C az Address . Telephone '? Permit Request ��r r y� �� t 9--0 �• � - / J _�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �CS c� 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named"l �i,��rC Telephone Number 4 d - Address License # 4&L i 41 4:�nz4 z ` � Home Improvement Contractor# �� 6 Email B k-L,< <Wftrker's Compensation # ti Gt9-�. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i 4, G, SIGNATURE DATE )h I: FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED r MAP/PARCEL NO. t ADDRESS VILLAGE �. OWNER i f DATE OF INSPECTION: r FOUNDATION ' > FRAME .1 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f . ` GAS: ROUGH FINAL 4' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 5 t t Rze Commorrivea.Itls of-Missri<ch"Setts f Deparhmait&frndrrstriatAccideF `�- - --- Offl--re of1mw-s igadwzs { 600 Washington Street y Baston,41A 02111 s-vivii+r asy.gorldia Workers' Cunlpensatian Insurance Affidavit:13mlderslContrac-tarAlecfricianslPlmbers Applicant Infor atian Please Print Leer Iy Name(IIe[ssrae 'YhganiiatiaullndFt�idnal ` f L c9 �: h Address: `2 L e� ' Cify�`�iatef�ip= ✓"l `� one� !� . ru t bon r_ Type of project(required I Iamaemployerwih / � ❑I am ageneral contaczx and I . 6- ❑New construction employ nd-ees(full aor pactTtime)* have hired the sub-conteactoTs 2-❑ I am a sole prpprietor or . ez listed onIfie attached sheet. 7. ❑Remodeling These:sub-contractors have ship and have no employees. $_ ❑DemGlitiort -Working for me in any capacity employees and have Wosicers' 9. ❑Building addition jNo workers'ca[ng.it[smanca comp-insuraum, ' reTnired I - 5- ❑ We are a-corporation and its 10-❑Elech ca!repairs or addifions 3.❑ I am a homeowner doing all wade officers have exercised filieir I❑Flumbing rep aim or additions self o workers' right of exemption per MGL 2 my [N gip- L_ RDGfrqmRs +wlrnce require al c.152 §l(4X and we have no employees.[Na workers 13_❑Other comp-insurance required.] Any appEicantt5atrhedshaxFlvm I Elsa UovIIthesecdon below shouiug&&vA3ie&,cumpessatinupolicgin5maciaa. Homeowners who submit¢iris af5dava indicating they erg dais;s1I•wcA and then1&e outside contractorsmm-t snhmita newafdavit indicating-mch- fC'antractars tfit checYiL¢s tree mmt attached an additional sfiezt showing tbamame of the sub-comtva*msad stdavrha*es or nut ihnse eatitieshm-- empkpem I€thesub-cont ttomluveenplgym-s,tEteymustpmvMetheir nrorkess'comp.palicymmbm lain an $eIoiv is Aig policy and jab site " Fr�armation. j • ', , Insurance CompanpNarlr@. I Policy or Self -Iic- ` C � ? EkpirationDate: 7 Job Site Addte=- 'd✓`4TT"h�' v :�� , Ci WstafetTp- 4 Attach a copy of the wort-ers'campensatianpolicF declaration page(shag the policy numia Land�expi ration date). Failnre to secure coverage as requiredunder Section 2.5A of MGL�152 can lead to the imposition of rrimrmal penalties of a Sne up to$15.00,-00 and'Gr.one-year imprisanmeut,as*ill as civil peuahies:in ffie form of a ST.OP WORK ORDER-md.a fuse of up to$250-00 a day against the violator. Be adidsed that a copy of this statement may bye forwarded to the Office of Investigations of Vae DIA fhspnoe,coverage verification- Ida hereby carf[ ,na 'rs ar[rf pa[ias o.f gerjrtr�'ffiatf7[e irrfbririaf%vrj prattid a �a.i�hart and correct Signature_ Date. 6 Phone A- , Official use anly. I7o scat e•1 rEta f�l tF�area,tfr be r�rt�ptete�d by cite artaet-u a�rc[at City-or Tan u.: 'PerroitUcease:9 1wningAu iarity(curie One): L Board of Health 2.Budding Department 3.Cit ffosvn.Clerk 4.Electrical fusge-cter S.Plumbing impect8r 6.Othe;r Co tact Person: Ph-one#: ' Taformation and fnstruefiolas. ' • 1, Massachuset Es General Laws chapter I52 regm¢es all employers in Provide workers'compensation fur their employees. U p to�-S ,an CMPIDpee is defro-ed as.`-every personm the service of another under any cox�ract ofh>ze, express or iMPH5 ,oral or written°' An�P�'3'� is defined as"an in�vidnal,parineisblp,assDciation,corporAon or oilier Iegal entity,or any two or more . . I er or the of the foregoing engaged m aJo�enterp�e>andmalndmg tTie legal Fepres entafives of a deceased emp oy , receiver or trostee of an individual,parfneaship,association or oilier Iegal entity,employmg emPl-oyees_ However the owner of a dwDMag house having not more than base apartments and who resides therein,or the occ¢pant of the- dweIIing house of anoher who employs persons to do mat Race,conskucti.on or repair woik on such dweIling house or on the grounds or buYmg appu�n tT:Lr-mtu shaHnotbecause of such employmmtbe&=e;dta be an employer_" MCsI.chapter 152,§25C{6)also states that I every state or IocaI Tic en si mg agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct bufidmgs i¢the commonwealth for any MP plicant:who has not produced acceptable evidence of compTian.ce vvn the ks n.ce ora coverage required." Additionally,MCrL ehaptr 152,§25C(7)stags Neither the couna awcallh nor aQy ofifs political subdivisions shall enter into any coa [ad for-lie performamm 0fpublic work untl acceptable evidence of compliance with the msm�ce- reUya7enients of-dais chapter have beenpies entedto the confract ng anfTiozity.7 AppIican-L� . Please fH oht the workers'compensation affidavit completely,by checking-&e boxes ffiat apply to your sif nation and,if necessary,stTply sob-ontractmr s)name(s), addresses)andphonemtmber(s) along withtheacertcdcafe(s)of fiance. L>mi-mod Liability Companies(LLC)or Limited F iabaV Partnerships(LLP)widi no employees ofiher than the members or pupae-s,ate not required to carr y worjcets'eouipensation insrsance. Ilan LLC'or LLP does have employees,a.Policy isregoaed. Be advised that this affidayitmaybe snbmi±-,dto the Department of Indusfrial Accidents for confiunation of insurance coverage. Also he sure to sign and date the affidavit The affidavit should be retnmed to-ae w city or ton that the application for tha peunit or license is being requested,not the D epwtnent of Turin teal Ar-cideuts- Sbouldyou have any questions regarding the law or ifyon are requhed to obtain a wormers' compensationpolicy,please call the Depmtnea±atIhanumber listed below self-msvredcompaniesshouldenterthf-ir self-nL� ce license number on tb e aoPro-g�ai e lore. City or Town Officials Please be sure that the affidavit is complete and praded-IegjhIy. The Deparlmmthas provided a space at the bottom of the affidavit for youtu fH out m the'event the office ofIuvesfigations has to coniactyouregardmgihe agpIicant Please be sure to fllinthe PMI it Neese mrmber which will be used as a refe2:-mce number. In addition,an applicant that must snbu iirfiple peal-Neese applications is any giveayear,need only sobmit one affidavit indicating c*"TPr t �r policy in� rQation (¢necessary)and under`fob site�STess"the applicant should write�aII locations in (may Or town)-"A copy of-the-affidavit been officially stamped or markedbythe;cify or tow.a may be provided to$ie - applieant as proofthat a valid affidavit is on file:for future p= it or licenses_ A new affidavitmust be JMed Dist each year.There a home ownea or citizen is obtaining a license or peamit not related to any business or commercial venime (Le_ a dog license br permit to bmn leaves etc.)saidpmson is N0T to complete 13�is affidavit Me Office of Investigations would like to t ;Tn you in advance for yc)=cooperation and should.you have any questions> please do not hesitate to give m a call Lie Departments address,telephone and fax nmmbea: Ca=anWeatih of Mass-aahns-P-tts ' Depaita mt of Industrial Ao IAM-t�-- [dice Qfgfio Fax#a"-727 7M it evised4-24-07 ww sF-gWIdia. AC ® FDATE(MM/DDIYYYY) �. CERTIFICATE OF LIABILITY INSURANCE 5/11/2016 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 have ADDITIONAL INSURED provisions or 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). ' PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NAME CT 44 BARNSTABLE ROAD PHONE FAx PO BOX250 A/C'No: HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Corporation 33600 INSURED r - INsuRERB: CAPE& ISLANDS CONSTRUCTION COMPANY INC PO BOX 210 INSURERC: CENTERVILLE MA 02632 INSURERD: .INSURER E: INSURER F: - COVERAGES CERTIFICATE NUMBER: 29878745 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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: INSR TYPE OF INSURANCE ADDL SUER • POLICY NUMBER MM DDPOLICY/YYYY MMIDD EFF � LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREM REITED SESOEa occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $Y GEN'L AGGREGATE LIMIT APPLIES PER: F GENERAL AGGREGATE - $ POLICY❑PRO LOC PRODUCTS-COMP/OP AGG $ PRO- OTHER: ? $ AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT $.. - • Ea accident ANY AUTO - . BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $` AUTOS ONLY AUTOS ONLY Per accident " . $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE er - - " �' AGGREGATES. •' $ DED RETENTION$ F $ A WORKERS COMPENSATION WC5-31S-377540-016'` 5/7/2016 5/7/2017 �/ STATUTE EERH AND EMPLOYERS'LIABILITY • _` YIN ANYPROPRIETOR/PARTNER/EXECUTIVE "'`• o '>n - E.L.EACH ACCIDENT $ 100000 F NIA OFFICER/MEMBER EXCLUDED? (Mandatory In NH) x E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under r'. ` - - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD tot,Additional Remarks Schedule,maybe attached If more space Is required) - WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. + This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF'BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED, IN 20 MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA` 02601.' • - - - AUTHORIZED REPRESENTATIVE LM Insurance Corporation - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 29876745 1 1-377540 1`16-17.WC I yogesh.patil®libertymutual.com 1 5/11/2016 9:13:58 PM (PDT) I Page 1 of 1 M•+ - • .p De artmnt of Public Safety Massachusetts - e Llations and Star..ar,.s Bui-iding R g ' Board Of COust7uciivu oup . License: Cs.074660 JOSSUA X KO PO BOX 210 Unrestricted-Buildings of any use group which' CENTERVUJ�E 1VIAVIC contain less than 35,000 cubic feet(991m3)of �Y,,a �piration enclosed space. - "'� � �tl.��` ()21,1212017 Commissioner Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation y 10.Park Plaza-Suite 5170 -Boston;MA 02116 of ali without signature 1 � C-�lie�om�nw.ruaeccCf� � ' /iuQelt Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR „ Registration 1`65936-� Type: ExpiratioW_--cu-06-ad 1$ Private Corporation CAPE&ISLAND CO.' ,!✓b INC. JOSHUA.-KOURI i ,.. i 55 ELM AVE. HYANNIS,MA 02601 - ::-- Undersecretary- . - r . i + BARNSTABM , ' ,� Town of Barnstable �EDMArA Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I t. ✓� ,as Owner of the subject property hereby authorize 611oPF £ cA^'� °Ns �'�%"r" •mac to act on my behalf, in all matters relative to work authorized by this building permit application for: /td A/Y"; (Address of Job) -Signature of Owner Date /Zk L. 1/,,4,,, Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 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 by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Glerlc's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) x R W DATE: 0�- 62P /1r Fill in please: rtx l :lY,ft lvl� f�� ""i i .e�r f P.�i ,��i►'�I�;��,�,;,10- •}- . APPLICANT'S YOUR NAME/S: ` „'TeQ BUSINESS YOUR HOME ADDRESS: 7z �,. move. ✓"/ /�y .:�Hi� /�l,�/, vZ E-o/ TELEPHONE # Home Telephone Number ' � `- 21/6" - yv a 0 NAME OF CORPORATION: Ce- e Lo :e i-�,.rA_" _,7H c NAME OF NEW BUSINESS La/! 2,9z,, TYPE OF BUSINESS JrelOn IS THIS A HOME OCCUPATION? YES NO_b- / T � O��r ADDRESS OF BUSINESS ' !4/r1 fug/c :P� rir�ir�i ��i�/. MAP PARCEL NUMBER ( (Assessing) When starting a-new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you-may need. You MUST GO 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 COM ISSIO ER'S OFF f This individu I his a in d of y p rmi requirements that pertain to this type of business. Au orized Dignature COMMENTS: ` 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: - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel 9W ? . P I�l "Application # Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee C7 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project t`S ee Address ;,�do /30` 4�le CV-ill ---I C�Ow �rL?is��� �ar � /�vr�Gp� ��� Trams Address P re mit'Reques /� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay P o ect-Valu o'&�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 ^q Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wolp- oal sto-Vo: L Y•es LTNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:`_Cq"existing t7 nev> size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:== LO • G a_Yf Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# r-- Curre It Use Proposed Use APPLICANT INFORMATION (BUILDER-OR HOMEOWNER) tam ©lel-IBC 1-1ory,ZOM0 Telephone Number Address." ��oy Z/3 y , hey G��nos � .�/ License # 02���� Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE rDATE> FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. �y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F The Caimnarzwed&af Massachusetts ep n�o c Office of Inves6gadons -600 Washington Street .Boston,MA 02111 r www mars govl&a Porkers' Compensation Lsurance Affidavit:-Butilders/Contractors/Electricians/Plrcmbers .Applicant Information Please Print Legibly' Name(Business/organization/individu4: ,�G'1�2�-ii�Q Address: PZ9 SdX 2/3.41 City/State/Zip: yag��� , �id, 02 6rJ1 Phone#: 77 y- Z%6`•_ O 2- Z D Are you an employer? Check the appropriate ox: ' Type of project(required): LEI❑ I am a employer with 4. [ I am a general contractor and I employees(full and/or part time). * have hired the sub-contractors 6. ❑New construction 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, ❑Demolition working for me in any capacity. employees and have workers'[No workers'comp,insurance comp.insur-ance.t 9 ❑Building addition required_] 5. We are a corporation and its 10.❑Electrical repairs or additions fficers have exercised their 3.❑ I am a homeowner doing all work o 11.❑Plumbing repairs or additions myself [No workers'comp. nght of exemption per MGL 12 []Roof repairs insurance required_]t c.152, §1(4),and we have no employees_[No workers' 13.❑ Offer comp.insurance required-] *Any applicant that checks box#1 mast also fill out the section below shouting their workers'compensation policy information. t Homeowners who submit this afradavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such-_ ±Contractors that check this box must attached an additional shoct showing the n-n of the sub-contractors and slate whether or not those entities have employe.-. If the sub--contractors have employees,they mast provide their workers'comp.policy amber. lam an employer that is providing worken'compensation insurance for my employees. Below it the parxy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the impositioncriminal of ninal penalties of a fine up to$1,50.0.00 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 incrrrance coverage verification. I do hereby certify under thepains andpenalties ofperjwy that the informatlonprovided above it true and correct Si apse: ' I Date: 03. Ar- -20I-f Phone#: Official use only. Do not write in this areg to be completed by city or town ojj"rrW 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pu rsuantto this statute,an employee is defied as"...every person m the service of another under any contract of hire, express or implied,oral or written_" An amplvyer 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 oa 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 ofpublic work until acceptable evidence of compliance with the in[rTranCe. requirements of this chapter have been presented to the contracting au lhoiity." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited LiabiilityPauinerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation i ii durance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confuumtioa of in.surrance coverage. Also be sure to sign and date the affidavit The affidavit should be retuned 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 Iaw 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 lime. City or Town Officials r 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 permiYlicense 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 shou1ud write"all locations is (ctiy 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 buns 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 Departm.enfs address,telephone and fax number: The Cammmvnw alth of Massachusetts Departfrnent afhidusirial Accidents Office of kvestigatio-as (504_WashiVoll Street Dostw4 MA G2111 ` d.4 617 727-49GO c�)t 4€6 or 1-8-77-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass-gov/dia The Corns .Wealth ofl4 =frr_hresetis Deparbnent o c ents Office of Investigations ' 600 Wash&gtorz Street Boston,M4 02II1 www.mass govl&a 'Porkers' Compensation 7nsm-ance Affidavit:Baders/Contractors/Electricians/Plumbers -- -_ _ Applicant Information-­- r Name'(Bu nessioro nizafi vidual ll ` v� �Arddress� , � G -City/Sta1e%Zi 1n, Phone#: A:re you`awemployer?'Check e appropriate-box: :: Type of project(required): 1.❑ I am a employer with 4. Q I am a general contractor and I have hued the sub-contractors 6 ❑New construction employees(full and/or part-time). _ . 2.�I am a sole proprietor or partner- l.kk d on the attached sheet 7. ❑Remodeling ship and have no employees 'These sub coact ws have 8. (J Demolition working for me in any capacity. employees and have workers' [No workers'comp,inerr'rance comp.insurance. 9. ❑Building addition required-] -_- 5. We are a corporation and its 10.❑Electrical repairs or additions of have exercised their 3.❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions myself o wor3�ers'com . right of exemption per MGL Y P 12.Q Roof repairs insurance rcTiired_J t c. 152, §1(4),and we have no employees.[No workers' 13.❑ Offer comp.insurance-required.] *Any applicant that chile;box r#I must also fill out the section below showing their worker'compensation policy i ihrmaiion_ t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indic-aiing such- tCoutractars that check this box must attached an additional shoot showing the name of the sub-contractors and state whether or not those ewes have employes If the sub-contractors have employecs,they roust provide their workers'comp.policy nTrmber. 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.## Expiration Date: 4z), I --JobTSite Addre'ss� �CigState zip: a� Attach a copy of the workers'. compensation policy dedaration page(showing the policy number Ad 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 tine up to$1,5M.00 and/or one-year imprisonment;as well as civil penalties in the fame 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 e pains aridp o that the information provided above is true and correct: - � � Phone#: Official use only. Do not write in this areg to be completed by city or town off zw City or Town: PermitlLicerrse# Issning 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#: -Information and Instructions Massachusetts Geacral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person i a 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 is 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 Iocal 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 ofpublic work until acceptable evidence of compliance with the insurance.. requirements of this chapter have been presented to the contractiag authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificates)of e o ees other than the - no 1 o united Liability Partnerships s LP with ' d Liability Companies LC r L Y ,nsT7rance. Lmute �Y p (L. ) �Y hrp (l- ) mP members or partners,are not required to carry workers' compensation insTince. 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 aff1davit 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 Lndustrial 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 sell Tn suran ce license number on the appropriate line. City or Town Officials f Please be s-ure 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 sho»ld•xrite"all locations M' (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 firture 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 ventuure (i.e. a dog license or permit to bum 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 CGmmonwi:mn-of Massachusetts Department of hidu3tdal Accide Lts Office of kvestigatium 600 Washiazou Strut Boston,MA 02111 TeL#617` 27-49GO i�xt 406 or 1-8-77-MASSAFE Fax#617-727-7749 Revised 4-24-07 w .mass_govf dia �-METy Town of Barnstable ° .Regulatory Services r RARTA'TARj�y +F MACC �Q Richard V.Scab,Director 16yq. Building Division Tom Perry,Building Commissioner - - 200 Main Street Hyannis,MA 02601 www.town.barnstable maxs Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, / /C.4NK L- . I b2GAM Z.� - ;as Owner of the subject property hereb authorize f^ v ycPsCr to act on my behalf, �1✓in all matters relative to work authorized by this building permit application for. a g 1,3,q2NJT9e6,�r � (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. ignature of Owner Signature Applicant ire Print Name .. Print Name Date . Q:FORMS:OWIZERPERMISSIONPoOLS APPROVED 042014 Town of Barnstable Old King's Highway Town of. Barnstable committee Hyannis. Main Street Waterfront-Historic District Commission Application Certificate of Appropriateness` for Signage Application is hereby made for the issuance of a Certificated Appropriateness under MGL,Chapter 40C,The Historic Districts Act,for ' proposed signage as described below and on drawings or photographs accompanying this application. CHECK ALL THAT APPLY: 1. Business Sign 2. Open/Closed Sign 3. Trade Flag r, 4. Trade Figure or Symbol 5. Location Hardship Sign Assessor's Map No. Parcel No. Address of Proposed Work-9G Applicant. t*"- cc. AQc do{ e�,oC ; T Tel# 1-7 Y ^ ..2/6 2 a: Applicant MailingAddress 3 � /� oe-:rc S`f- Town/State/Zips 411 Applicant E-Mail Address e�-k,,. t Property Owner T4a,A Tel# _5 O5?- 2 FCC :- 3 5_5 Owner Mailing Address / -7 W,,( Town/State/Zip _lam- FA _AA Agent or Contractor 4 r.Ajlb rd .��r--te/U 5 Tel# 501F - -7'75 — C q i I Mailing Address 3 D die,-5 e rim r cc-a c e- �_Town/State/Zip kt e�(�"—"'' /l t e� c C Agent E-Mail Address Signature of Applicant Date _z1 S� ❑ For Location Hardship Signs&freestanding Trade Figures or Symbols to be located on private propertyExhiblt# Check box if property owner has granted permission to locate Sign or Figure on their property abutting the II)STront.6 . I I HHDC r APPROVE® JUN 0 42014 Business Sign 1: Size of Sign. x ,C�2 Town of Barnstable Old Kings Highway Materials)of Sign -C a�; &/45 committee. Material of Lettering(if different) Will the sign be illuminated? (ED No If yes,what type of light fixture' Location of Fixture d b v a ti� Q`vz � L1=D. . lw� . Business Sign 2 Size of Sign x Material(s)of Sign Material of Lettering(if different) Will the sign be illuminated? Yes/No If yes,.what type of light fixture Location of Fixture ; Open/Closed Size of Open/Closed Sign x Sign: Material of Open/Closed Sign: If Neon, indicate color(circle one option): Red I Red,&Blue Color of Open/Closed Sign:, Trade flag: Size of Trade Flag; x Material of Trade Flag; Trade Figure Dimension of Trade Figure or Symbol: x x Or Symbol• Material of Trade Figure or Symbol: Location Size of Hardship Sign: x Hardship Sign: Material of Hardship Sign: Exhibit Lettering Color and Material: Hi"IOC Page,2 of 2 PPF�®VED A _ f1 }.. UN:Q - ,,Town of Barnstable Old King's Highway a i # Committe _ a .. v 1 41 N U. •:.. 4 t ��A�,�s""� y�'y K > h + F i .Jr V .. ,-• Y,t%° -4'i4� lRa�rsR x 'W'�.afr, 'm � "Y A' 1 P,AIi1aHGy Y � � a ;,'x. . �.s.� D k .+ice '*'s"4+i°,.'a J a "�• {n�a.tinux�ea.u' ,F`uv. ��i� > � F �••5���".w'7'."". '��... -�� Y=� .4H`K Xi ^` '� �yh4_,t. '�. `,'�•- �� tt i-.h ,Y •+t'''> St �.. r 5/26/2014 Yosernite Hone Decor Wali Mount.I Light Outdoor Architectural Bronze Halogen Flood Light HE3004AB at The Haire Depot ' 3,�,.4�•t,�.+- z�:'+�?' t..J'4::e-t �'7y,'"'�'T� w,�tw 'S i''z+�g W 4 '=> �7'".,.. tk�MMtN�'�r��.,�+gcaR,k�i`�yv�..i r-5=a 21'°M�PrL)�� yy"y'mP+M ss P.s t Tool&Truck Rental I Installation Services and Repair j, Gift Cards-1 Help p More saving. Your Siore: ® Marc eoirw Hyannis#2612 ichanso! APPRk'JAI., Yosemite Home Decor Wall Mount I-Light Outdoor Architectural Bronze Halogen JUN � Q 4 .:i:l,4 Flood Light Town of 8ar, �.,; Model#HE3604AS Internet 9 202752446 Old King'S Hj� , v Committees utCE (1) Write a Review $25420-/each , z PRODUCT SOLD:Oriline Only �' Item cannotbe.shipped to the following state.(s):GU,P 4/�(A,•, t PRODUCT OVERVIEW Outdoor Floods byYosemits Home Decor are designed to illuminate the eAenor of your home.These light help brighten the outside of your home.to help.provide.light.dunng' the night This piece is also available in 2aights while(HE3001 WH);brown(HE3002BR),bronze(HE30U2BZ),.arid.black(HE30038L):This fiidure requires one 150-watt PAA38 halogen bulb(not included). • Sturdysteel construction perfect for outdoorinstallation „ • Uses one 150 watt Halogen light bulbs(notmcluded) • Contemporary dies ign an easymatch toalmoslanystructure , • Design installs easilyin the wall or posts to Iighl up passageways;walkways and hallways ' • UL-rated for wet locations Also available in 2-light designs = SPECIFICATIONS Adjustable Detection Sensitivity No Adjustable Lamp Head Yes Assembled Depth(in.) --- 10.75 in -Assembled Height(in.) 5.63 in Assembled Width(in.) 5.63 in Bul-b Type Halogen. Certifications and Listings 1-UL Listed Detection Range(%) 0, Dusk to Dawn No ENERGY'STARCertified. No- " EMedorlightingAccessoryType Flood/Spot Security Light Euedor Lighting Product Type Flood and 5poiLights, Glass/Lens•Type No.glassAens Light Bulb Base Code Medium Light Source Halogen MantifacturerWarranty _ 1 Motion Sensing, No Number of Bulbs Required 9 Adjustable Lamp Head,Weather ht m. 5.63 Outdoor Lighti product Heing Features Resistant g. ( ) . , Product Length(in.) —/ «V 10.75 ProductWetght.(lb.) 0.94. -Product Width(in.) 5.63 Range of Motion 0 � V Returnable 90-Day Tlmer Included No Weather Resistant Yes tV./A vwutmmedepot-cardpfYosmite-Home-Decor-Wall-Mount 1-Light=Outdo r-Architectural-Bronze-Halogen-Flood-Light-HE3004AB/202752446?N=5wlv.. 1/2 PP Flo"VE® J UN 0 4 Z014 Town of Barnstable Old King's Highway , Committeec,-% ,t aaloa tz ,. i M. tv �. @D aiZ s I t Sign * APerinitf �67AB TOWN OF BARNST BLE MASS 9dp i639. ` Argo • A Permit Number: Application Ref: 201006573 20070551 Issue Date: 01/20/11 Applicant: HORGAN 'FRANCIS L TR Proposed Use; GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 28 BARNSTABLE ROAD Map Parcel 327077 Town °HYANNIS R Zoning District HVB` Contractor PROPERTY OWNER Remarks: THE.CAPE COD TUX 21 SQ TOTAL 16.66 NEW WALL SIGN REFACE AREA ON EXIST FREESTND ' Owner: HORGAN, FRANCIS L TR: w Address: ' 180 PARK AVE CENTERVILLE" MA.02632 Issued By: pC POST TINS CA Rb SO THAT IS VISIBLE FRAM THE STREET Op THE r Town of Barnstable Regulatory Services t s " BARNMBLE, ' Thomas F. Geiler,Director 9�A i6 �EON,e+0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403-8 Faa�x/::50�8`-790-622330 Permit # b Building Official approving----_------_ Application for Sign Permit Applicant:__;_i foi e- al ------- -- ------Assessors No. � :: l_� 1� q�p ��0 L/Lf�S Doing Business As:-1 ---- I .UC -------------------------,1'ele�lione No.=-------------- Sign Location. StreeVRoad: )7 1/0 Zoning District: Old Kings Highway? Yes/No Hyannis Historic District Yes NO Property--Owner�- - 5 .r� 3D Name: ------ - -I� Telephone�� ,�'- r---------------------- - ---------- - Address:_ ✓Y� d -e t-- C.tMH t.s Villa 4��_ Sign Contractor��� Name:----------1 61- - ---- -��---- - ----=--------Telephone:------------------ Mailing Address. 0 P1 � l5 -----=------------------------- -------- - --� = -- ------ escription Please follow the cover directions. You must have an accurate'rendition of sign with dimensions and location. Is the sign to be electrified? ` Ycs1@ (Note:I%yes, a mrirlg-permit is required) � Width of building face_� ft. x 10 =_ x ,10 Check one Reface existing sign_--_or New__v_Total Sq. Ft. of proposed sign (s) ----16 _6,=6 -%Y Il you ha ve addition,]signs please attach a sheet listing-each one with dimcrlsio»s -� If refacing an existing sign please provide a picture of the existing sign with dimensions. Aj I hereby certify that I am the owner or that I have the authority of the owner to make this �ipplication, that the information is correct and that die use and construction shall conform to the provisions of §240-59 through §240-89 of the Town of'hiarnstable -Zoning Ordinance. A Signature of Owner Authorized Agent:-- � . Date---- ---I` -----I -- --- SIGNS/SIGNREQU (U revised12110 4\ A1 ', ` T rr �L1 1 _.r - TO off � r y` "fix� �t i ,.:,,w..,. � � a� + �,:; ..... ¢ •' m .�% { �°'' a X�r�� _ .Y �• x g f�l - F �iy s m r > .. a "w,, a 111�_� &� � x� _•�'�' i@ .. .e.�, '�`,� `✓� 3 s �`"� y !� I kP - . a y> �., ! i � � ,�� t�_ _ �. -- r w .. - � � r �. .:� 1 °- --�«. � a... �., w y_ i + `a THE T Sig , TOWN OF BARNSTABLE Per7 't * BARNSTABLE, MASS. A� Permit Number: Application Ref: 200706886 20070094 Issue Date: 10/30/07 Applicant: HORGAN, FRANCIS L TR Proposed Use: GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 25.00 Location 28 BARNSTABLE ROAD q Map Parcel 327077 Town HYANNIS Zoning District H V B Contractor PROPERTY OWNER Remarks NEW WALL SIGN 16 SQ BELLA BRIDAL OUTLET Owner: HORGAN, FRANCIS L TR Address: 180 PARK AVE CENTERVILLE, MA 02632 Issued By: PC POSIT THIS CARD SQ THAT IS VISIBLE FROM TIDE STREET Town of Barnstable OFIHE Tqy, Regulatory Services Thomas F. Geiler,.Director ` r + BARNSTA MASS.'�8 Building Division MASS. 1639. AtEOMp.�A Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# �� Application for Sign Permit � Applicant:_bu 1.�� 44 Map & Parcel#3a / 17 Doing Business As: �I�a �1�1 O�G U U I I`�-'� Telephone No. r7 6 -,S'/ 3 Is Sign Location 5b7 ' 7 96 Street/Road: l�iYvl.�TIA�I !�' /yl.� (� Zoning District: Old Kings Highway? Yes/No Hyannis Historic District<DNo Property Owner Name: kah / V Telephone-M �1��"513 6 Address: h.C Village: (✓1 4491t Sign Contracto ,( Name: Telephoner Mailing Address: �i�a't/l. &Oyl L 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? Yes/No (Note:Ifyes, a wiring permit is required) Width of building face ft.x 10= ) I O x.10= 4 t Sq.Ft. of proposed sign 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 of Barnstable Zoning Ordina 4 ` Signature of Owner/Authorized Agent Date: 6 ` Permit Fee: -- . .�. Sign Permit was approved: Disapproved: (, Signature of Building Official: Date: In order to process application without delays all sections must be completed. f ( r Q:I WPFILESISIGNSISIGNAPP.DOC Rev.9112106 i .�I f0 C b fir Air L, t i 17" Bella Bridal Outlet `� .53-7164/2113 12b 3 25 f5arn3table Road H4annl5,MA 02601 Z t 50/8/778-5135 x Date fty to le Ord'er of ',� ►/Iv 12 �_��5 �{^' $ 5�� , ,W�^" w`(J %F Nr D II ' y Back 11 CAPE CODC OPEIWIVE BANK �. HYANNIS,MA 02601 - � 1u4 } t H For 0 . 1: 2 1 3 7 L Ll li: Y 906 500 219 2611` L 20 3 ©IMAGE CHECKS,2001 - - KISS IT GOODBYE 1-800-562-8768 www.imagechecks.cgm '► tom. ^^IIjjll V . "'E'°"y,.o Hyannis Main Street Waterfront r; - M Historic District Commission BARNWs&i s 200 Main Street + 119' ���� Hyannis,Massachusetts 02601 S EP 1 8 Z001 t Fob _w. TEL:508-862-4665/FAX:508-862-4725 i 1 Application to _. Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a c3)> CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate,for the issuance of a Certificate of Appropriateness `can under M.G.L. Chapter 40C, The Historic Districts Ad for proposed work as described below -:' and on plans,drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other .2. Exterior Painting: ❑ 3, Signs or Billboards: 901Newsign ❑ Existing sign []'Repainting existing sign 4. Stracture: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parldng Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ASSESSOR'S MAP NO, ASSESSOR'S PARCEL NO. 6 1` 1 APPLICANT aw. n✓ C6 I (vA � �� TEL NO`b F , ("t 4'`N,,3 APPLICANT MAILING ADDRESS t`�A57 ((0t, K f, alkM ADDRESS OF PROPOSED WORK E r✓�I`�?J' � �. (�G{/�/t 5 Of PROPERTY OWNER �- TEL.NO. OWNER MAILING ADDRESS FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way. This information is best obtained at the Tows Assessor's Office. (Attach additional sheet if necessary). AGENT OR CONTRACTOR l TEL.NO. ADDRESS CEP 8 Z007 .j• DETAILED DESCRIPTION OF PROPOSED WORK:. Give all particulars of work to be done, including detailed data on such architectural features as:, —� foundation, chimney, siding,roofmg,'roof pitch,sash and doors,window and door frames, trim,gutters- leaders,roofing and paint color,including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs, (Attach additional sheet,if necessary). Cr 04W b Signe 6 Owner-Contractor—Agent (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date This Certificate is hereby Time Date (� O By Signed IMPORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL: r 0 V E ` L , _^ E P 1 8 2007 Hyannis Main Street 'Waterfront Historic District &m nission A8i0N SPECIFICATION SHEET FOR SIGNAGE Prior to filing your application for a Certificate ofAppropriateness, please contact the Building Inspections office, at 862-4038 to discuss the amount of signage allowed for your building, as well as any other Town Sign Code.r.egulations which may affect the sign(s)you propose to install. Even if you are applying for the same amount of signage as previously existed on your building, the laws may have changed since that sign'was installed. Once you have applied to the Hyannis Main Street Waterfront Historic District Commission for a Certificate of Appropriateness for sign age, you may apply.to the Building Department for a temporary sign permit The Building Department can provide all information regarding the temporary sign permitting process. Please fill out all information requested below. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: o a scale drawing of the proposed sign o color chips for all colors on your sigA o a photo or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to`fight the sign, are indicated o a scale cross-section of the sign, ;with dimensions, showing edge detail o specifications for-any light fixtures proposed to light the sign o a scale drawing of the sign bracket, indicating dimensions, color, and material If you are applying for a Certificate of Appropriateness for more than one sign., please 0 out ONE SPECIFICATION SHEET FOR EACH SIGN. Size of Sign Material(s) of Sign �M� Material of Lettering (if different) Vl 1 The.Sign Will,,Be.(circl.e one): carved woad /painted wood �lettering other (explain) Location In 'ch-.the Sign Will Hang f" 0 Will there b� exterior light fixtures to light the sign? �!y r . If so, what type of fixture? r _ t nQ � mp �j Cn=b _ D C CiE- I: .4 # reactr ,, ti MTVrri x: T� n� COZO o j mcn - o Or' �rn {i YOU WISH TO OPEN.A BUSINESS? ; it For Your Information: Business certificates (cost$30.00 for 4 years)..A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M:G.L.-it does not give.you permission to.operate.) `Business Certificates are available at the Town Clerk's Office,.1"FL., 367 j Main Street, Hyannis, MA 02601 (Town Hall) y�z�t( D DATE: //� fill in please: . . �t., is+ani t'xSE iaR aa. i JAPPLICANT 'S ` YO UR NAM E/S: k � BUSINESS YOUR HOME ADDRESS: wqr � J',jq6 '`iq 63 � - ,'"' TELEPHONE .# . Home Telephone`Number - NAME OF CORPORATION: o S FB USINESS i G r7 v TYPE O BUSI NESS ►.F C . NAM E OF NEW B . IS THIS A HOME OCCUPATION? YES NO - R a (Assessing) i t 1 . MAP PAR CE L' NUMBE C � y 5 ADDRESS OF BUSINESS a �' � ����-� �� � / - and.re ulations of the Town of der to be in com liance with the rulesg When starting a new business there are several things you must do m o p form is intended to assist you in obtaining.the information yo.0 may need_ You MUST GO TO 200 Main St. (corner of Yarmouth Barnstable. This f y et to make sure you have the appropriate permits and licenses required to legally operate your business in this town. Rd. &Main Street) y 1.-.BUILDING COMMISSIONER'S OFFICE i This individual ha ee nformed ny permit requirements that pertain to this type of business. j; Authorized Signature COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. i Si natur e Authorized g COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) - I'' - individual has been informed of the licensing requirements that pertain to this type of business. This i Authorized Signature** w COMMENTS: n YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 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 first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, I" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. . .. Fill in please: DATE: r ' ' APPLICANT'S YOUR NAME: BUSINESS YOUR HOME ADDRESS: Omp TELEPHONE # Home Telephone Number: NAME OF NEW BUSINESS TYPE OF BUSINESS es K141 IS THIS A HOME OCCUPATION? - F ES Have you been given approval from the buildin division? YES •�/ NO U � �j(� ADDRESS OF BUSINESS MAP/PARCEL.NUMI3ER T ; When starting anew business there are several things you must do Jn 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 CO ISSI ER'S OFFICE - This individ al s en=:m r e of ny ermit requirements that pertain to this type of business. A rized Sig re** w COMMENTS: ) 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: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 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 too operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Y Y 9 Y P P ) Main Street, Hyannis, MA 02601 Town Hall M nS y ( J DATE. v Zy,2cb°ti Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: A;�J E_kGiNIA TELEPHONE # Home Telephone Number 7 1-7,75= L (40 /N y NAME OF CORPORATION:' NAME OF NEW.BUSINESS_ I E C L �7 1 took TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO �� ADDRESS OF BUSINESS T-- ~—Sflc MAP/PARCEL NUMBER �o?7• [Assessing] ------ems 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 COMMISSIONER'S OFFICE This individual has been informe f any permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 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: YOU WISH TO OPEN A BUSINESS? For Your Information: 'Business certificates [cost.$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town w you must do by M.G.L.-it does not give you perm ission'to ope.rate.) Business Certificates are available at the Town Clerk's Offi [ h Main Street, Hyannis, MA 02601 [Town Hall) ce, 1"FL. 367 Nt�roasx cmud eu7�1'R� '— � GATE: � I� V Fill in please: t 1 APPLICANTS YOUR NAME:YOUR HOME ADDRESS:_ �e S � ,L TELEPHONE # Home Telephone Number 0 NAME OF NEW BUS7NEss h'>> 7 TYPE O.F BUSINESS ✓t Gfo IS THIS A HOME OCCUPATION.: YES NO .. Have you been given app'r oval•fr bm the buildin NO g:division? ICES r-�ADDRESS OF-BUSINESS MAP/PARCEL NUMBER When starting a new business there are several things you.must do in order-to be in compliance with the rules and regulations bf the Town of Barnstable. This form is intended to assist you in obtaining the information.you May need.. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street),to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM NER'S OFFICE This individu I his en irtff r e - any permit requireme is that pertain to,this type of business.. Authprized S' ture** COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: . 3: CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature.* COMMENTS; Sign TOWN OF BARNSTABLE Permit * SARNSTABLE, - MASS. 6$ iprF 3119. �` Permit Number: Application Ref: 20064397 20060061 Issue Date: 11/06/06 Applicant: HORGAN, FRANCIS L TR Proposed Use: COMMERCIAL Permit Type: SIGN PERMIT Permit Fee $ 25.00 Location 28 BARNSTABLE ROAD Map Parcel 327077 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks Replace existing sign 28 Sposabella Bridal Salon 28 18" x 24" Owner: HORGAN,� FRANCIS L TR Address: 180 PARK AVE CENTERVILLE, MA 02632 Issued By: PC POST THIS CARD SO THAT IS VISIBLE FRAM THE STREET Town of Barnstable 3' O�IKE Regulatory Services 00(0�(3`t 7 Thomas F.Geiler,Directorl/?1 IMMSTBIZ Building Division 1e3y. QED MA'S A Tom Perry,Building Commissioner OCT 13 200 Main Street,Hyannis,MA 02601 � i �o www.town.barnstable.ma.us Office: 508-862-403 8790- Permit# Application for Sign Permit Applicant: ��i�/Ke—c ico-, Map& Parcel# ���— U / 7 Doing Business As: OS G Il V I Telephone No.5b g ' 90 — V y � 3 Sign Location I I I f {��, Street/Road: ��'�yl �I C r Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? j No Property Owner Name: �(6'ylv Telephone: Address: 0- Village: l I n c2, ( ale--t'5 Sign Contract o i` s. b Name: t-) kTelephone: Mailing Address: 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? Yeso (Note:If yes, a wiring permit is required) /, Il 2 q /Width of building face ! V ft.x 10= x.10=_ Sq.Ft.of proposed sign ✓ 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 of Barnstable Zoning Ordinanc . Signature of Owner/Authorized Agent: a4 Date: Ib ✓k� Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. _ Q:I WPFILESI SIGNSI SIGNAPP.DOC Rev.9112106 r ' 1 ay 5 POL L • • Hyannis Main Street Waterfront RAOS,,br s, ; Historic District Commission' �$ ��� •230 South Street• ' Hyannis,Massachusetts 02601 TEL: 508-862-46651 FAX: 508-862-4725 Application to Hyannis Main Street.Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS*" ' Application is-hereby made,In triplicate,for the Issuance of a Certificate of Appropriateness under`M:G. L Chapter 40C, Th'a Historic Districts Act for proposed work as described below• and Qn plans, drawings or photographs accompanying this application for PLEASE CHECK ALL CATEGORIES THAT APPL,t. • .1. Exterior-Building Construction- .❑ -New Building ' ❑ Addition ❑' Alteration ' Indicate type of building-. ❑ House ❑ Garage ❑ Commercial ❑ Other • ; •2: Exterior Painting: 3. Signs or Billboards: New sign ❑ Existing sign ❑ Repainting existing sign . 4. Structure: [2 Fence ❑ Wall ❑ Flagpole ❑ Other 5. Paiking Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE-OR,PRINT LEGIBLY DATE I I ASSESSOR'S MAP NO. 1 ASSESSOR'S LOT NO. _ D -7 2 APPLICANT C ��-P/!? e ��t�Yt 52b�(� TEL.NO 9 /Alb 06:W,5` 3 APPLICANT MAILING ADDRESS t Q1'I'( 44 alr_� ADDRESS OF PROPOSED WORK V rn�..t l�� of94 ay�. � PROPERTY OWNER ATEL.NO. OWNER MAILING ADDRESS b av,-ImA ha- FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way. This information is best obtained at the Town Assessor's Office. '(Attach additional'sheet if necessary): AGENT OR CONTRACTOR TEL.NO: ADDRESS' t DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation,chimney,siding,roofing,roof pitch,sash and doors,window and door frames,trim, gutters- leaders,roofing and paint color,including materials to be used,if specifications do not accompany plans. In the case of signs, give locations of existing signs 'and proposed locations of new signs. (Attach additional sheet,if necessary). (.t. �i wov fzv�� �J)JJ 9 56�� CA 16y, 0'11J ._�p t Signed Ar& Owner-Contractor-Agent SPACE BELOW LINE FOR COADUSSION USE Received by HMSWHDC Date TimeThis Certificate is hereby ByDate l Si DaORTANT:If this Certificate is approved,approval is subject to the 20-day en 'ded' the Ordinance. CONDITIONS OF APPROVAL: c i'�,-;--��� i 4� - y"r� � -:�;.�� �� - �� �� ' i ; =ems -� r� r i —�o�� - ,;% -fir L _ ,�,� .� v _ -111 '�,.�.:_.'Pae�_. c e��+k+._ �' . . � � ♦ '��il��l�®IIIIII�.�.11 __. ` Ayll - cr �y cd . � y OA .C'- I HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT CONWISSION ***SPECIFICATION SHEET ADDRESS OF PROPOSED WORK ' FOUNDATION SIDING TYPE OR CBDANEY TYPE COLOR ROOF MATERIAL OR PITCH OW COLOR •WIND . TRIM COLGR DOORS COLOR SHUTTERS . GTTI TERS GARAGE DOORS COLOR NOTES:' Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application,along with three copies each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need notbe"Certified",but should show all structures on the lot to scale. Hyannis Main Street Waterfront Historic District Commission SPECIFICATION SHEET FOR SIGNAGE rior to filing your application for a Certificate of Appropriateness, please contact le Building Inspections office, at 862-4038 to discuss the amount of signage [lowed for your building, as well as any other Town Sign Code regulations which . iay affect the sign(s) you propose to install. ;ven if you are applying for the same amount of signage as previously existed on our building, the laws may have changed since that sign was installed. )nce you have applied to the Hyannis Main Street Waterfront Historic District ,ommissibn for a Certificate of Appropriateness for signage, you,may apply.to the ►uilding Department for a temporary sign permit. The Building Department can. rovide all information regarding the temporary sign permitting process. ,lease fill out all information requested below. SE SURE THAT YOU RAVE INCLUDED WITH YOUR APPLICATION: a scale drawing of the proposed sign color chips for all colors on your sign a photo or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to light the sign, are indicated a scale cross-section of the sign, with dimensions, showing edge detail. specifications for any light fixtures proposed to light the sign a scale drawing of the sign bracket, indicating dimensions, color, and material , 'f you,are applying for a Certificate of Appropriateness for more than one sign, )lease fill out ONE SPECIFICATION SHEET FOR EACH SIGN. Size of Sign {� X 0— Materials) of Sign Material of Lettering (if different) V[A) l The Sign Will Be (circle one): carved wood / painted woo /.vin le other (explain) I, Location In Which the Sign WLHang r a ut Wa•o d e--� Will there be exterior light fixtures to light the sign? [f so, what type of fixture? �JC�mgp i _ r' i I a- •� \�^-`)� 1 . ' l' i 1 � � ^' O � � � � N _ G � ^� l ' C� . '� ua _S � � W ��� �_ �I 2 IV AL c�� k e . x t till t.. -ter — � a'Cs- d `` t � d f R-41 BYl�lll �" av� E�u � ,y '"" sp$e' - ' 28 F �rrsfabe ad s � � t Y' Ha..ru MA02607 " a ,� d gy53#316/2113t zk � ;. r^m � tr 4 :w x!7� 67,k �,€�. sryyt€ �:'m9'.�r+' s �r n s✓�� �,�,�' IV , O�a s3 �` �r P "`� ::�.i��f -- + .r 5.. a» " '4 v. �€ .'�r '� 4�� ' '€�" ;; aG�� �rry4���.- .,�"��r �, :•m capfe Cool operative N lot A�i'°M� kR #i 'm F h�"r€5. .5✓;.„_k`m' 'd"+ { — — " r ' !: 2 L L 3 7 L 6 4 LL 90 6 SOO LO 3 Slim L:68 €' �" / . I i.� • Town of Barnstable Regulatory Services Thomas F.Geiler,Director i 13AIN„STOM ' Building Division fp 39. p � Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Permit# �t S N"Yt'�'1,U16�1 Application for Sign Permit I& Assessors No. 0 Applicant: Doing Business As: Gc .V� I✓r/ Telephone No 5bg !o� qq ! 3 , i Sign Location /� � �.n 1t c✓ Street/Road: r v` Zonin g District: Old Kings Highway Yes? Yes/No Hyannis Historic District o :Property Owner. /5 cc, Telephone: _ Name: Address: �/ �C, _ n Village: ® Sign Contractor c Telephone: Name: "! Mailing Address: 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 o (Note:If yes, a wiring permit is required) Width of building face ft.z 10= z•.10= 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 of Bamstable Zoning Ordinance• j- Signature of Owner/Authorized Agent: Date: (l U� I r Permit Fee: •I` Size: l � ` II Q� i Permit was approved: Disapproved: Sign Signature of Building Official: Dater Q I WPFILESI SIGNSI SIGNAPP.DOC 5 s PP �, Hyannis Main.Street Waterfront. S Historic District Commissiow • �u►srtsresra � . NAM ' 230 South Street $ 1b79• ,• Hyannis,Massachusetts 02601 TEL: 508-862-46651 FAX 508-862-4725 Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS' Application is-hereby made,In triplicate,for the issuance of a Certificate of Appropriateness under''M:G. L. Chapter 40C, The Historic Districts Act for proposed work as described below• and an-plans, drawings or photographs accompanying this application for; PLEASE CHECK ALL CATEGORIES THAT APPILY" . .1. Exterior-Building Construction:.'[] -New Building ' ❑ Addition ❑ Alteration " . Indicate type of building. ❑ House ❑ Garage ❑ Cbmmercial ❑ Other •2. Exterior Painting: 3. Signs or Billboards:j6New sign ❑ Existing sign ❑ Repainting existing sign . 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE II ASSESSOR'S MAP NO. ASSESSOR'S LOT NO. D - APPJ.ICANTC- �f P/!? ���t�1-� ��o52ho(��&AATEL.NOM ' go-VK3 APPLICANT MAILING ADDRESS ADDRESS OF PROPOSED WORK Y154&bLt Ike, — iy an4U,_0 PROPERTY OWM R TEL.NO. OWNER MAILING ADDRESS b ��� U Xi( 4 FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of adjacent property owners across any public street or way. This information is best obtained at the Town Assessor's Office. "(Attach additional sheet if necessary): AGENT OR CONTRACTOR TEL.NO. ADDRESS' • i e�♦ DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation,chimney,siding,roofing,roof pitch, sash and doors,window and door frames,trim, gutters- leaders,roofing and paint color,including materials to be used,if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). IAVio. � 5 s�, w elf• Inc @ da ra . >Yk4 Signed Owner.Contractor-Agent SPACE 13ELOW LINE FOR COMMISSION USE Received by HMSWHDC Date Time This Certificate is hereby By Date . Si it WPORTANT: If this Certificate is approved,approval is subject to the 20-day en IdelD the Ordinance. CONDITIONS OF APPROVAL: ;t HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COM USSION ***SPECMCATION SHEET*** ADDRESS OF PROPOSED WORK ' FOUNDATION SIDING TYPE COLOR CBE-ANEY'TYPE • COLOR ROOF MATERIAL OR PI'TC�I WINDOW COI:OR TRIM COL DOORS COLOR SlitTrTERS • GVITERS DECK GARAGE DOORS COLOR NOTES:' Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application,along with three copies -each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need not be"Certifiiee,but should show all structures on the lot to scale. 1 Hyannis Main Street Waterfront Historic District Commission SPECIFICATION SHEET FOR SIGNAGE Prior to filing your application for a Certificate of Appropriateness, please contact the Building Inspections office, at 862-4088 to discuss the amount of signage allowed for your building, as well as any other Town Sign Code regulations which may affect the sign(s) you propose to install. Even if you are applying for the same amount of signage as previously existed on your building, the laws may have changed since that sign was installed. Once you have applied to the Hyannis Main Street Waterfront Historic District Commission for a Certificate of Appropriateness for signage, you may apply to the Building Department for a temporary sign permit. The Building Department can. provide all information regarding the temporary sign permitting process.. Please fill out all information requested below. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign • colon chips for all colors on your sigft • a photo or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to light the sign, are indicated • a scale cross-section of the sign, with dimensions, showing edge detail • specifications for any light fixtures proposed to light the sign • a scale drawing of the sign bracket, indicating dimensions, color, and material , If you-are applying for a Certificate of Appropriateness for more than one sign, y,, please fill out ONE SPECIFICATION SHEET FOR EACH SIGN. Size of Sign X Material(s) of Sign _ l�l/►�rl (jet Uc Material of Lettering (if different) vm.( The Sign Will Be (circle one): carved wood / painted woo / Yin le other (explain) Location In Which the Si*gnWi Hang r.Va U_ l Will there be exterior light fixtures to light the sign? If so, what type of fixture? ��yp u . i i 1 ram' may„ 5 a G . W "3 TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 327 077 GEOBASE ID 24187 ADDRESS 28 BARNSTABLE ROAD PHONE HYANNIS ZIP - �' LOT BLOCK LOT SIZE . DBA DEVELOPMENT DISTRICT HY PERMIT 89358 DESCRIPTION 24 SQ. FT. SIGN PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $-QO tt1E CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE • snNvsrasLE, Mnaa ib39. FDM�A BUIL . NG IVISION BY DATE ISSUED 12/28/2005 EXPIRATION DATE TO ALL NEW BUSINESS OWNERS DATE: Fill in please: YOUR NAME: APPLICANT'S �+" YOUR HOME ADDRESS; j BUSINESS r Tole hone Number Home nY TYPE TELEPHONE OF BUSINESS NAME OF NEW BUSINESS �� A HOME OCCUPATION? ---YES iv oNQ YES NO MAP/PARCEL NUMBER e Town of IS THIS roval from the buildin d MAP/ ulations of th Have you been given al: liance with the rules and reg ADDRESS OF BUSINESS a are several things you must do in order to be in comp of have obtained the required signatures, listed need. Once y you MUST go to When starting a new business ther the information you may y et the business certificate first y Barnstable. This form is intended to assist you in obtaining licenses.. 'Hess certificate at the Town Clerk's Office elst floor-Town Hall) or if you g below,YOU,,, apply for a buss permits and l , the following _ orner of Yarmouth Rd. &Main Street) and you will find the following offices: office to make sure you have all the required p GO TO 200 Main St. (c pertain to this type of business. _ 1• BUILDING COM en . f d FFlpermit requirements that This individual has b en f med f ny p _ Authorized Signature* COMMENTS: 2. BOARD OF HEALTH t equire This individual has been in . ertain to this type of business. med of the Auth d S g atu re** COMMENTS: P y e of business. 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) - This individual has been informed of the licensing requirements that pertain to this t p Authorized Signature* S which you must by M.G.L. COMMENT lotion of the processes from the various departments involved. cast$30.00 for 4 years). A business certificate REGISTERS YOUR NAME in the town t do _ Business certificates ( ou must get that through p -it does not give you permission to operate-y **SIGNIFIES APPROVAL FOR ABUS/NESS CERTIFICATE ONLY. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MaR_ Pkel Permit# Health Division Date Issued 2 ,2Z 68 Conservation Division Application Fee*Z A, x Collector 42 _ Permit Fee ✓Treasurer 11 0 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis }Q Project Street Address '"` Z 9 3,P F-NSTt%`6 i-C Village Owner 140(Z(4>(� :�SURArJ c-9— Address Z-(- i Z& 13ARfQS7-443L--, S-t Telephone 7 5) 6�?_L -'(- VY y Permit Request f 9Afz Or-(: 1Z0 op,/-4 I STA-L-L. rN /V4-- V F,R,E S `/S T C/ln Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5`00® 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: ' =s Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# CID Current Use Proposed Use BUILDER INFORMATION Name 5_6 t M ( 6 f 3 St r15 (26 6 F, lephone Number 7-q1 9 U " L 3 44 Y Address �M;G� � C License# Ac'T wsocb I-#<- Home Improvement Contractor# N6T KID Azo Worker's Compensation# W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO -7-6(-J, J°� 0 Q D y 12YV SIGNATURE i3� DATE J ZO "�-- _ r FOR OFFICIAL USE ONLY s •..ey PERMIT NO. DATE ISSUED r•.' r I MAP/PARCEL NO. r , ADDRESS VILLAGE ' OWNER 71 DATE OF INSPECTION: FOUNDATION i FRAME INSULATION FIREPLACE ' 1 , 1 ELECTRICAL: ROUGH FINAL-- PLUMBING: ROUGH f FINAL' GAS: ROUGH FINAL FINAL BUILDING + DATE CLOSED OUT ASSOCIATION PLAN NO. - / RE-ROOFING/RESIDING (COMMERCIAL) ['J f located in OKH or Hyannis Historic District- Certificate of Appropriateness + required unless same color/same materials specified on application Map/parcel number Approval i -offs from: Tax Collector Treasurer of 4quawe aLsh glen or square footage of roof or sidewall to be shin gled/sided O c��/}/LX-�'rfLh?yc-�L �I�L( �JiYlm�vc�G I�f✓ ��`'C'�/� Specify stripping okl-&hingles o . If going over ❑how many roof layers existing now Qwhat size are rafters? What is span? Owner's name & address Builders Information ignature rkman's Comp. Form o license is required for commercial work. ���F `� �a�•D � �1/i LL Now 6 0 o V�(L F2Zee 4 s . u��N Prli a q-forms:permitsI rev. 1115101 The Commonwealth of Massachusetts =` "�• Department of Industrial Accidents .Y ,� �=����� •= • OIBc�of/o�estigatioas r _ t 600 Washington Street Boston,Mass. 02111 `r--� Workers' Co m ensation Insurance Affidavit .�iir•�ia �a�sisal ilia%%%%%%%%��%%%/%�%%%%%�%%��%%/ �/!l��i '�� ���/ name: location (,07 city �� y J � Y'�J 1 phone# 78 ❑ I am a homeowner performing all work myself. ; ❑ I am a sole rietor and have no one worku in capacity am an em 1 er roviding workers' compensation for my employees working on this job. : :: : ::: ::. :: :::: ....................:...•.:•:::::::..................................::.:::.::.t....:::........................,.... ::.:::::.:�...................:�::::::: .::::::::::::::::::::.�::::............::..�::.�::....................:.:...................:.::: ::::::;::{:::::::{:::{:c�:::::isi:::':::.ii::::.::.iiiX.::\:iy::::.::i:i::::!'•r:.i:.::>:t.... is sv::v:ii::::::::ii::i::::i::` �:::C:: i.:<:'. ::::isv:::::::::::::::..........i:?:::>,:;i::::: ;:'?:4 i{i:ti•i:tJiii:tii�i:^:ii:ii:'::::iiii::t•;;}:'.:ii::::•.�v::'.i:�i::•:::::::+i•i:•:::vii'ii:�iiii:::'.'::•:ii': Jy� .p.J .....rw•!r...................................:.......:::.::. . scldressi i :..:.::. :.: .........,...:..: .... .... ..,�:,;:. r....... . ............:.......... ....phone.#.....�....... ... ...� . _�....:;.::;:::::::::::: : ::.:::::::::.:::::::::... . ... ..:..:::: .::::.... .::.:. ::::.::. :.:.:: :.>:. .. .: .. .. .:. .. .. '. .. .::.... :.:::.:.. liltsurancece:>.;>.:>;::>:;•«;;,::�`�''. �'� :;:: .::..;'::.: .::.._:::.::..:..................... olicv ::::::::;:::,::::::::.:::;:..:::::::.:.............:.....,:::.._ .............. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' co ensation polices; mp ........:.:.........................................:........................................................,,:.:::::::.:.,w:•:,::::.::.::. ...................:::.:::.:::....................:.:::::::::::::.:::::,::::::::.::::::::.:::::::.::::.:::.::<.;:.:;t.;:.;:.....:<.>:.;.....;:.;:.;:.:;<:<::.::.;:;.;;::.;;;:t.;:.;:.::.;;:.>:> X. a ny yygme{ `COtnp ......................;::: :arise :' y� 'iY.�rih i.`•%Kt• MEN X. h�tiralt .................. sa n addrEss.... ..... moms. .. dTl �iFF ::<h <p ;? i?>Fafiure to secure coverage as required utder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'impAsomnent as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 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 penalties of perjury that the information provided above is ow.and correct SignatureJ=2� - Date Zv G Z Print name J D�' ' '�r�— Phone# g L('— G official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other Omsed 9/95 NN „ Information and Instructions workers' compensation for their ' e all employers to provide wor p Massachusetts General Laws chapter 152 section 25 requiresP °� employee is defined as eve person in the service of another under any contract employees. As quoted from the "law”, an employ every employ qu , 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 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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and f 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. i 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. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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 DepartmenVof Industrial Accidents Office of imiesduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 u �� _ � .. \-. ,� a� • �� q`'y� Hyannis Main Street Waterfront • -� snuvsrest.e. Historic District Commission � ' a 23 0.S outh Street '°TFe►�+A Hyannis, Massachusetts 02601 Phone: 508-8624665 /Fax: 508-862-4725 CERTIFICATE OF NON APPLICABILITY Application is hereby made, in triplicate, for the issuance of a certificate of non applicability under M.G.L. Chapter.40C, The Historic Districts Act, for proposed work as described below and on plans, drawings, or photographs accompanying this application. Il � TYPE OR PRINT LEGIBLY DATE Z ADDRESS OR PROPOSED WORK �-� a �'S �b�~ ASSESSORS MAP NO. OWNER ASSESSORS LOT NO. 3 HOME ADDRESS TEL. NO. AGENT OR CONTRACTOR ADDRESS. TEL. NO. This application is for exemption of proposed exterior construction on the ground that: (1) It will not be visible from any way or public place. (2) It is within a category declared:entitled to exemption by The Hyannis Main Street Waterfront Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and if an addition is involved, showing location of existing building: TLF SIGNED Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. The Certificate is hereby 11 Date �V-- -7— t:) 2-- Time By /�,(� Date Approved ❑ Disapproved ❑ TOWN eOF ..BARNSTABLE SIGN. PERMIT PARCEL IDs' 3.27 '077 GEOBASE ID 24187 ADDRESS 28 BARNSTABLE ROAD PHONE HYANNIS ZIP — r' LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT MY PERMIT 55247 DESCRIPTION EUROPEAN TAILOR SHOP 3' X 3.5' i PERMIT TYPE BSIGN TITLE SIGN PERMIT 1 ARCHITECTS: Department of Health, Safety ' and Environmental Services TOTAL FEES; $25.00 BOND $.00 CONSTRUCTION -COSTS $.00 753 MISC. NOT CODED ELSEWHERE t BARNSTABLE, • i MAS& 1639. FD_Mlo►l i i ILDI�IG DIVISS N DATE ISSUED 08/17/2001 EXPIRATION DATE ,/r r+4rl� Town of Barnstable Regulatory Services Thomas F.Geiler,Director 9'" g Building Division' ,.MASS. �0 ABED ,�a Elbert C Ulshoeffer,Jr. Building Commissioner . 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 /TaxCollector % S Treasurer Application for Sign Permit Applicant: 15-0"�N FAIL&:- 611ew -C4NzNr,4 lx—vcrs _Assessors No.� 02.�] U 7-7 Doing Business As: 5/ c Telephone No. 7 7 Sign Location Street/Road: a �A�.ysT�Dc c /LW /71V,1-,,v1s Zoning District: Old Kings Highway? Yes6j Hyannis Historic District? Yes l Property Owner Name: /:Z r ,t t 14-gw r,� J�0 Telephone: 7*7 7- Address: Av- 25-0 ly/"15 Village: Sign Contractor Name: c5l sN �1--/ Telephone: 7 7.S-z 5 6 I It Address: Village: Description r +< 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? Yes (Note: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 Ordinance. ` 7 Signature of Owner/Authorized Agent: . Date:. 21-4 W Size: 3 �L/ Permit Fee: . Sign Permit was i approved: Disapproved: pp pP Signature of Building Off. ial: c _ Date: F -a "G / Signl.doc rev.8/3//98 7-His 1510�- r Doti' 4 �Q P•1 q r i� ^ A Naas ' Horan James �. )CY, INSU NCE AGENCY ' Z l" �`Y MAY2. N C O R P ,.\ O R A T E D `��i ii 1 44 Barnstable Rd, P.O. Box 250 Hyannis, MA 02601-0250 u'u3 --- �•t ---.._. k c.j •`"•'-f�'�"i'='-� �'�^�+ � 'f�dd4El-F7-1l.JFidlt!-djltttii�:7ttl.t/!;d!'Lt.tCl��ilii'd�FIi3�d7�1tdllFjf�d �/ ` �..w� \ N«^ ��� � \. M+n. � �.�.. �.. w.... ^..+. f A �.�. � j ..ww. 1` � .. � ! ,�1 - �.�.. �. �' ��� . l� ,. r �� I .....» + I 1 � �. M �� �; i i �i u i� i / , � � .. i Hyannis Main Street `%`aterfront MAW Historic District Coffianission � es�. e� 230 South Street �';-ir3,�,f`;;::�`" " Hyannis,Massachusetts 02601 " • ,. TEL: 508-862-4665/FAX: 508-862-4725. ' f 7 N1 8: Application to 31 1 Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: I. Exterior Building Construction: ❑ New Building Indicate type of building: Addition Alteration g ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: . 3. Signs or Billboards: New sign 1AI Existing 4. Structure: ❑ Fence sign Repainting existing sign ❑ Wall Flagpole ❑ Other 5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE f f 3 0"T-) ASSESSOR'S MAP NO. � ASSESSOR'S LOT NO. APPLICANT r °lt-Gd�t Ctd TEL. NO `- 'APPLICANT MAILING ADDRESS " i ADDRESS OF PROPOSED WORK J H PROPERTY OWNER ML. NO�� OWNER MAILING ADDRESS f1 FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent Property owners across any public street or way. This information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary). - T• N R .v AGENT OR CONTRACTOR �J�(,C TEL. NO. c. ADDRESS ") � � __- i F . . � ' '1°`� � r HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION **.* SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WOW COLOR TRIM COLOR DOORS COLOR SHUTTERS GUTTERS DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan,landscape plan and elevation plans,when applicable. The Plot plan need not be"Certified",but should show all structures on the lot to scale. of� Hyannis Main Street.Waterfront �►�+� Historic District Commission MAM 230 South Street Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725 SPECIFICATION SHEET FOR SIGNAGE Prior to filing your application for a Certificate of Appropriateness, please contact Gloria Urenas, the Town's Zoning Enforcement Officer, at 862-4036 to discuss the amount of signage allowed for your building, as well as any other Town Sin Code regulations which may affect the sign(s) you propose to install. g Even if you are applying for the same amount of signage as was previously existing on. your building, the laws may have changed since that sign was installed. Once you have applied to the Hyannis Main Street Waterfront Historic District Commission for a Certificate of Appropriateness for signage, you may apply to the Building Department for a temporary sign permit. The Building Department can provide all information regarding the temporary sign permitting process. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign • color chips for all colors on your sign 0 a photo or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to light the sign, are indicated • a scale cross-section of the sign, with dimensions, showing edge detail 0 specifications for any light fixtures proposed to light the sign • a scale drawing of the sign bracket, indicating dimensions, color, and material Please fill out all information requested .below. If you are applying for a Certificate of Appropriateness for more than one sign, please fill out ONE SPECIFICATION SHEET FOR EACH SIGN. Size of Sign 30 X Material(s) of Sign 0600 Material of Lettering (if different) v(NYQ The Sign Will Be (circle one): carved wood rypainted wood vinyl lettering` other (explain � Location In Which the Sign Will Hang Ili (2!KL(t 1146 LE ,-� Will there be exterior light fixtures to light the sign? If so, what type of fixture? Where will the fixture(s) be incati 3011 .p A h hayyw�y' . "A itg } TOWN 09 BARNSTABLE SIGN PERMIT I PARCEL ID 327 077 GEOBASE ID 24187 ADDRESS 28 BARNSTABLE ROAD .PHONE ' HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 28258 DESCRIPTION E.A.KELLEY, CO. ( 11 - X 18" ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTo,,RS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FE S -- - --- - - - �25.40� ---- - ------ - - - - - -- --- - -- BOND $.00 O�THE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BARNSPABLE, s BUILDING D,IVfISION DATE ISSUED 01/12/1998 EXPIRATION DATE _ - r s The Town of Barnstable r'` : : rtment of Health Safe and Environmental Services . ,�„� . Department Health, Safety yes¢ � Building Division 367 Main Street,Hyannis on 02601 Office: 508-790.6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner .2s-I S-S Application for Sign Permit Applicant: 1k, y Assessors No. Doing Business As: 2� —P-P-��1 "� Telephone \o.(51-8) 7'1-41-1s7 Sign I.,ocadon Street/Road: Q? dme, 7�,a Al /-/Awy/s ooZ G O Zoning District: Old Kings Ifighi;-ay? Yes :moo Property Owner dame: %LANK L. �,�c,zcnN _'/�. //✓,9.�fic4 ✓A.�ss Telephone: �3og�7�s3f3� Address: 4/5/ /5A/Gv.57,-W(-£ /2V Village: /74;✓,1,.5 Sign Contractor Name: Telephone: Address: ���T�R 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? Ye o (Xote:ff j-es, a tmwff 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 To"n of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: 4. Date: 17 F Size:, Permit Fee: ,,;J5-- Sign Permit was approved: Disapproved: Signature of Building Offr ial: /' Date: { IQ- 107 4 ' District:3.19 Signs Within The Old ICing s Highway Historic Dist ct• 1) The dimensional requirements of these regulations shall apply to all portions of the Town. 2) Within the boundaries of the Old King' s Highway Historic District, the Historic District' s Regional Committee shall exercise the duties of the Building Commissioner for the purposes of these regulations, except that the Building Commissioner shall be in formed of all actions taken .by the Regional Committee. 3) The Building Commissioner and the Chairman of Regional Committee shall consult with each other irequen-t-l'y' reg4 ding the administration of these regulations, and shall work together to establish .common sign and architectural standards whenever possible. 4-3.20 Relocating Or Changing- Signs: 1) Any sign that is moved to another^__ location, either on the same or_other_premises shall--require-a-permit. `�• 2) Any change in the width, length, height, color, wording, materials, illumination or clearance between the o om of the sign and the ground, other than authorized in the permit, will require a new permit prior to making any such changes. /Jc i X � I'S MoUiJTf.JJ %L /�'f�ciJ/N� .51 N A MASSACHUSETTS GENERAL INSURANCE AGE ,� C. T- Frank L. Borgan Insurance Agency, Inc. r� P. 0. BOX 250 44 BARNSTABLE ROAD Frank L. Horgan.Jr. HYANNIS. MASSACHUSETTS 02601 775-5830 Daniel E.James General Agents— Brokers mow` ✓� �._ : The Town of Barnstable ,A, Inspection Department 077 t670" 0 YET 367 Main Street, Hyannis, MA 02601 � 508-790-6227 Joseph D. DaLuz Building Commissioner ' December 1, 1993 Mr. Peter Sullivan Baxter & Nye, Inc. 812 Main Street Osterville, MA 02655 Re: site Plan Review No. 24-93 Frank Horgan Proposal to add storage building (approx. 924 sq. ft.) at 28�BarnstabTe-Road-~H annx i� Assessors Number 327.077 "'`" Dear Mr. Sullivan: In reviewing the above referenced site plan,. the attached comments and requirements have been submitted by the site Plan Review staff. Any additional or revised material should be submitted as soon as possible to allow adequate time for staff review. should you have any questions, please feel free to call. i Peace, w eph D. DaLuz. Building Commissioner JDD/km ; cc: All site Plan Review 'staff` - < enclosures (2) S931201A 1 SITE PLAN REVIEW STAFF COMMENTS sP-24-93 Planning Department see enclosure 2 Department of Public works 1. What type roof is planned for the addition? 2. Is there any run-off onto adjoining lot? 3. How does a vehicle park in Space 9? Space 7? 4. How are deliveries made to site? 5. Building dimensions appear to be greater than calculated. 6. How does a handiapped person navigate from the HP space to the building? Health Department 1. The above ground oil tank shall be registered with the'Health Department, anchored to prevent spillage, located over a cement . pad (or some other impervious surface), and the tank shall be sealed to prevent leakage. 2. site must be connected to Town sewer. , Conservation 1: No conservation.jurisdiction/concerns. Hyannis Fire Department 1: No comments/requirements. Historic Preservation Department (community character concerns) , 1:' No comments. enclosure 1 , k TOWN OF BARNSTABL E BUILDING DEPT. Town of`Barnstable D DEC -2 19931, Planning Department (� l� Site P.la :.. . ...:...: .. . Dates December 1, 1993 [Due 12?01/931 From: Robert P. schernig, Planning Director . Art Traczyk, Principal Planner Dave Palmer, Assitant Planner Project: Hor gan, an q Frank Address: 28 `Barnstable Road, Hyannis, MA Development Activity: Addition of a one story concrete block, flat roof storage area of 924 sq. Ft., to match existing structure. Property owner; James, Daniel E. et all, c/o Horgan - James Insurance Agency Address: 44 Barnstable Road, Hyannis, MA 02601 Applicant: Horgan, Frank 44 Barnstable Road, Hyannis, MA 02601 Assessor's Map/Parcel: 327-077• Area _ � zoning: •25 Acres (on Map) I ' B - Business District Ground Water Overlay: AP- Aquifer Protection District Flood Zone:Filed: C - Area of minimal flooding Nov 15, 4993, Building Department a SITE PLAN REVIEW COMMENTS: Zoning District: `Y 1• Any Permits that are issued should specify that the'addi use only and not intended for tioa is for storage that this addition will not ha office or business use. It is further,understoodg ve a basement level. 2• The applicant has proposed to reduce the on-site parking space by an estimated 3. spaces (calculation based upon plan submitted and on-site observation -site parking spaces)•. This reduction in existing on reduction from 14 to 10 on - site parking may constitute an increase in the non-conformity of on-site parkin .(Section 4-2.2)'. A Special Permit from the ZoningBoard of A g require in accordance with Section 4-4.2 Change in a Non-conformity., be point 5) . = Y (al so see Parking: .I f 3 The applicant has identified that 36 existin off-site within the Town `of Barnstbl -Parking lot.g parking Aaco provided able North street recorded Special Permit that authorized this must be submitted. py of the 7 Site Plan review 1993-20 r Warren Buick, Barnstable Road, Hyannis 4. None of the proposed parking spaces meets with todays minimum zoning standards for parking and two directional movement (section 4-7.7) . - It is recognizing that this is a pre-existing non-conforming situation, and it should be noted that the location of the addition would preclude any future attempts to develop a one way in and out pattern with the adjacent property and parking area to the South. 5. The 925 sq.ft. storage addition will require an additional 2 on site parking spaces (note - required parking has been rounded up). The applicant has reduced on-site parking b an estimated 3 spaces. 6. Parking calculation must be based upon Gross Square Footage as per Section 2-3.9 Gross Floor Area Requirements and Definition as amended 10-07-93 and attached. Sign Regulations (Section 4-3): 7. A drive-by review of the signage located on the structure and free standing signs suggest that those signs are not inconformance with zoning (section 4-3.7) . All signage should be brought into conformity before any development permit. is issued (Section 4-3.24) . Historic & Community Character 8. According to the Assessors Records this structure dates to about 1890. The site is also within that area being surveyed and studied for by the Hyannis Historic District Study committee. It is strongly recommended that any addition to the building recognize the importance of retaining the historic character of the structure as visible from the public ways. Review Materials: '1. Application /stamp Site Plan Review 24-93 2. Attached relevant sketches: Parking Summary; Town Parking Lot within 3001radious; Building Usage by Tenant; Building outside dimensons. 3. "site Plan in Barnstable (Hyannis) Mass.for Daniel E. James et al, dated October 12, 1993, last Revision date_Nov 10, 1993, Baxter & Nye, Inc. : 4. Letter, F.L. Horgan to Baxter 7 Nye, Inc, Attn:Peter Sullivan, dated Nov. 231 1993 re �physical nature of building addition. 5. Assessor Data card, print date 11/09/92. n BARNSTABLE TOWN COUNCIL ITEM NO: 94-016 INTRO: 07/15/93 ZONING ORDINANCE AMENDMENT ORDERED: That the Barnstable Town Council hereby adopt the following amendment to add a new Section 2-3.9 to the Zoning Ordinance, which would read as follows; 2-3.9 7ross Fl��r Area Requirements- Gross Floor Area shall be used in all determinations related to this Ordinance. and to amend Section 7 Definition by adding, in alphabetical order, a'def-coition of "Gross Floor Area" to read as follows: Floor Area, Gross: Gross floor area shall beosum of all floor areas within a building or structure,measured from the perimeter of the outside walls of the building under consideration, without deduction for hallways, stairs, closets, thickness of walls,columns, or other features: It shall include all areas capable of being used for human occupancy, including all basement floor •` Sponsor. Town Manager "area, mezzanine and attic space and enclosed porchesl ` NOTE: On September 07, 1993, the.Planning and Development Committee and Planning Board both recommended favorable action on this amendment with the word "the" added between the words "be" and "sum" of the definition for Gross Floor Area: DATE ACTION TAKEN �C/n/y3 �l�Sir i}J . i11fi✓�)Fn d.✓LtN��17�J 1�r 1?L C fLi_ ✓Oil Site Plan Review Update Review To Be Held Thursday, January 13, 1994 10:00 a.m. - Town Council Conference Room Site Plans Currently Under Review SP-09-90 Liberty Square Realty Trust, Route 132, Hyannis, 'Liberty Place' Status: Awaiting completion of Town road survey for finalization of plan for r state approval. sP-24-92 Wal-Mart Stores, Inc., communications Way/Independence Drive, Barnstable Proposed construction of a 166,952 sq. ft. wholesale club store ("Samos") on a 29.5 acre site. Status: Referred to Cape Cod Commission. Site Plan Review suspended. SP-05-93 Wayne Rurker, Willow Street, Hyannis Proposed construction of 9,775 square foot boat storage building and related site improvements in an existing marina. Status: Applicant has requested this file remain open but review be suspended for 60 working days pending his application to the Cape Cod Commission for a DRI exemption. ACTION DUE 3/10/94 SP-22-93 Bay Bank, 867 Route 132, Hyannis Proposal to construct ATM kiosk (approx. 200 sq. ft.) at existing Days Inn site. Status: Awaiting applicant's response to staff comments mailed 11/26/93. ACTION DUE 12/6/93, extended 1/21/93. % SP-24-93 Frank Horgan, 28 Barnstable Road, Hyannis Proposal to add storage building (approx. 924 sq. ft. ) Status: Awaiting revised plan/applicant's response to staff comments FAx'd 12/3/93. ACTION DUE 12/14/93, extended 1/7/94, 2/9/94. SP-27-93 Marine Corp. d/b/a Hyannis Marine, Willow Street, Hyannis Proposal to construct a 23,970 sq. ft. boat storage building and related site improvements. Lot area = 32,386 sq. ft. Status: Referred to Cape Cod Commission as DRI. Site Plan Review suspended. SP-29-93 The Flatley Company, Independence Drive, Hyannis/Barnstable Proposal to construct 20,000 sq. ft. .addition to Southwind Plaza for additional retail sales and related site improvements. Status: Awaiting staff comments. COMMENTS DUE: 1/6/94. ACTION DUE 1/21/94. sP-01-94 William Durrell, 1611 Main Street, West Barnstable Proposal to use existing vacant building for antique business. 1980 special permit allowed book binding/printing business. Status: Awaiting staff comments. COMMENTS DUE 1/19/94. ACTION DUE 2/l/94 New Applications NONE Requests To Meet With Us SP-17-93 Attorney Ford will attend for the Barnstable Marine project. SP-00-52 Mr. Fred Hanack and representatives of First Citizens Federal Credit Union will attend to discuss proposed relocation of drive-through (and request for modification of an existing special permit) for the former Barnstable Community Federal Credit union located at 58 Route 28, Hyannis. T Action Taken Last Meeting SP-20-93 Warren Buick, Inc., 100 Barnstable Road, Hyannis - CONDITIONAL APPROVAL SP-02-94 Richard Arenstrup, 93 Pleasant. Street, Hyannis - APPROVAL FOR REFERRAL TO THE ZBA SP-00-50 Saltonstall Associates, Inc., 73 West Bay Road, Osterville - SITE PLAN REVIEW NOT REQUIRED CONTINUED ON OTHER SIDE SAGENDA Other Items For Discussion SP-33-92 Review & clarification of conditions of approval for the Red Lobster project: (This information to be itemized for the ZBA meeeting 1/19/94. ) SP-02-94 Plan to be signed. (Arenstrup, 93 Pleasant Street, Hyannis) r NOTES Site Plan Review Meeting January 6, 1993 Present: Joseph DaLuz & Kathy Maloney, Building; Robert Schernig, Arthur Traczyk and David Palmer, Planning; Thomas Marcello, DPW; Thomas McKean, Health; Sumner Kaufman, Cape Cod Commission; Captain Coffin, Barnstable Fire Department; Lt. Chase, Hyannis Fire Department. Also in Attendance; For SP-20-93 - Rick Richards, Warren Buick & Thomas McLellan, Demarest - McLellan".Engineering; For SP-29-93 - Charles Cummings, Director,. Real Estate Development, The Flatley Co.; For SP-01-94 - Jim Jodice, Down Cape Engineering & William Durrell property owner/applicant; For 93 Pleasant St., Hyannis Richard Arenstrup. SP-33-92 General Mills Restaurant, 1094 Route 132_ The ZBA hearing for the Red Lobster Restaurant application, held the previous evening, was discussed. Mr. Schernig and Mr. Traczyk felt there had been some miscommunication between;Site Plan Review and General Mills representatives. They felt there was some conflict between the expectations and understandings of the two groups regarding the conditional Site ,Plan Review approval. SP-09-90 Liberty Square Realty Trust, Route 132, Hyannis, - rLiberty Place No new developments. SP-24-92 Wal-Mart Stores, Inc., Communications-Way/Independence Drive, Barnstable' No new developments. SP-05-93 Wayne Kurker, Willow Street; Hyannis No new development's. SP-20-93 Warren Buick, Inc., 100' Barnstable Road, Hyannis Mr. Richards responded to a memorandum from the Planning Department,' dated 12/20/93. It was agreed that two .parking spaces under the proposed canopy would be designated for handicapped parking. The remaining spaces under the canopy would be used for customer parking. Mr. McKean expressed ,his `satisfaction with the site plan. Mr. Richards agreed to close two,'curb cuts on Barnstable Road and to install sidewalk there.. SN940106 Drainage and the location, of catch basins were discussed. It was agreed that Mr. Marcello and Mr. McLellan would confer regarding the sidewalk and drainage design. Conditional approval was granted. The only requirement being that a revised site plan, subject to approval by the DPW representative, would be submitted. SP-22-93 BayBank, 867 Route 132, Hyannis Awaiting applicants response to 'staff comments mailed 11/26/93. No new developments. SP-24-93 Frank Horgan, 28 Barnstable Road, Hyannis Awaiting applicants response to staff comments mailed 12/3/93. NOTE: - The applicants agent was contacted on 1/6/94 and requested an additional` extension of 24 working days while the applicant decided whether or :not to continue with the project. SP-27-93 Marine Corp. d/b/a Hyannis Marine, willow Street, Hyannis The project was referred to the Cape cod Commission on 12/21/93. The applicant has applied for a DRI exemption. site Plan Review has been suspended. ` SP-29-93 The Flatley Company, independence Drive, Hyannis/Barnstable Cape cod commission conditions' of approval were discussed item by item. The relative merits of two possible locations for the° required pedestrian 'walkways and the vehicular connection between the Festival mall and Southwind r Plaza were discussed. captain coffin expressed his preference from a public safety perspective. Mr. Cummings explained that -the final decision would be made by Festival Mall. It was generally agreed that vehicular linkages in both locations would be desirable. There was speculation that the second link could be constructed by the Festival Mall if it expanded in the future. t Southwind Plaza is only responsible for developing one vehicular link.` Mr. Traczyk raised the question of possible ZBA review. He cautioned Mr`.. Cummings that_the request for a special permit and/or'variance must either be withdrawn or advertised very shortly. A plan of the proposed-bus ,shelter, (to be'located on the north side of stop, and Shop) was submitted and discussed. Lt. Chase pointed out that the bus would be• stopping.in the fire lane •and that portion of the fire lane should be marked as a bus stop-. . Mr. Cummings stated that 'tl ' required bike rack-was already in place.`~ 4t 2 NOTE: Written staff comments are' due, and will be 'forwarded=to the applicant as soon as they have all been submitted.� SP-01-94 William Durrell, 1611 Main Street, West Barnstable The letter regarding additional information'required.- dated November 15,1993, ° was discussed. Mr. Durrell indicated that he had a potential tenant who' wanted.to use the building for an antiques co-operative. No exterior changes were proposed.;, a. Mr. Schernig recommended the planting of several"additional trees Mr. Jodice agreed to provide„a copy of- the septic easement granted to lot 2 by lot 1. Mr. Marcello informed the applicant that a permit`from the Massachusetts Highway Department would be required.' ZBA relief would be required or the parking'which did not"meet ordinance requirements. _. x , Mr. Traczyk. advised the applicant"to be ,prepared to'address: rhours of operation, historic aspects, of the property and community compatibility at the' ZBA hearing, and that the `presence of sup portive,neighborsiwould be very helpful to him. :« Mr. Durrell agreed °to provide Mr. McKean with distance`to groundwater figure's i and .the most recent water test for° the private well. 'He said there would be ` no dumpster: Mr. Marcello indicated he had no ,problems with the drainage. r SP-02-94 Richard Arenstrup, ,93. Pleasant Street, Hyannis q Mr. DaLUZ "explained that the site contained an old rooming house thatryhad been a source of ongoing problems to the town. The use is nonconforming.. Mr. Arenstrup wants to buy the property, •remodel it'so that there will. be 20 `rooms (less than now exist)',` each with its own bathroom.` No changes to the `outside are proposed. some photos'Of the 'property were circulated: Lt. chase and Mr. Mar`cello indicated that neither the fire department nor DPW had any site issues ,The applicant would have to,`apply`to the,,,ZBA for a'special permit for` 'a change ; . to a non-conforming use. He would have to prove non-conformity,' : tf -this'is done, no relief from parking requirements would 'be necessary. Mr. Traczyk advised that pa 'more detailed site plan would be necessary`.for the ZBA. . it', hould` include: location' of sidewalks, building entrance, street or exterior lighting, major trees:' Approval was granted for referral`to the• ZBA. ' , 3 °� f SP-00-50 Saltonstall Associates, Inc., 73 West Bay Road, Osterville Mr. DaLuz explained that in order to modernize equipment, New England Telephone wants to build a temporary addition. once installation of the new switch equipment is completed, it will be moved into the existing structure and the addition will be removed. It was agreed that no site plan review would be required. r r TOWN OF BARNSTABLE ` ZONING BOARD OF APPEALS '91pi VARIANCE - WITHDRAWAL WITHOUT PREJUDICE DECISION AND NOTICE APPLICANTS: FRANK L . HORGAN JR. , FRANK L. HORGAN III , & DAVID SCOTT HORGAN APPLICATION: # 1991-35 At a regularly scheduled meeting of the Barnstable Zoning Board of Appeals, held on July ,25, 1991 , notice of which was duly published and forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the petitioner, Frank L . Horgan, et al, , through attorney Nancy Loeb, requested of the Board that he be allowed to withdraw without prejudice his application for a Variance pursuant to Section 3-1 . 1 (5) , Bulk Regulations of the RD- 1 Zoning District, minimum lot requirements of one - acre. DECISION: - Based upon the information provided, at a meeting held on July. 25, 1991 , by a motion duly made and seconded, the Zoning Board of Appeals vested to allow the applicant to withdraw without prejudice his. application for a Variance. The vote on the motion was as follows : AYES: BOY, BURLINGAME, NILSSON; LALLY NAYS: NONE THE REQUEST OF WITHDRAWAL WITHOUT PREJUDICE IS GRANTED. a Any person aggrieved by this decision may appeal to theBarnstable Superior Court, as described in Section 17 of Chapter .40A of the • General Laws of the Commonwealth of Massachusetts by bringing,.an action within twenty days after the decision. has been filed in the " office of the Town Clerk. Z-" Chairman • Cler k k of the Tow n of Barnstable, - Barnstable County, Massachusetts, hereby certify that .twenty (20) days have elapsed since the Board of Appeals rendered its decision in the . . above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. - ' Signed and Sealed this day of - 19 'under the -pains and penalties of perjury.. . #. Distribution: w, , Property Owner Town Clerk Town Clerk Applicant F Persons Interested Building Inspector Public Information Board of Appeals 1 + 4 M a _ � � 1 i bFviGE 222o sr = 'm ` .� �xtsT'l star; - Cz C Th t t. 1'S`S f 3 Geo�u��ls�►ref�2 �irtorC-ctl o N MOT A N► Q�PG�'SE� : STtaeA6r r 924 t F r 5 port. 5 pate. ?oc s�) s, IF I:i:1+1 �c,.r<F G Iras ?E e— Qh ALC, 2 5004 I C)00 S C_ 761T + L. ?""rCtCt N Cc ?I QN'ecp ZI 6 T^4 c MhP t2Lvt5ED AUG t5) 198S 36,2 36. 7 tST1to6 �p.os 6G 1 114 > _ I ?C.0,4 �+5 D OKI—rF. 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