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The Town of Barnstable
• &4RN9rnaz.e, •
9� 163Q. 10�' Department of Health Safety and Environmental Services
�Eo N,pY" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
December 28, 1999 Y
John&Marina Atsalis
51 Barnstable Road
Hyannis, Ma. 02601
Re SPR 109-99
Majon Print&Frame Shop
51 Barnstable Road,Hyannis
Dear Attorney O'Keeffe;
This is to inform you that the site plan application heard on December 16, 1999 has been
approved with the following conditions:
• The applicant shall merge both lots as discussed during the hearing.
• The applicant shall stripe 5 designated parking stalls according to town regulations.
It is my determination that with these contingencies satisfied,the available off site
parking will sufficiently address overflow traffic generated by this use.
Sincerely,
Ralph Crossen
Building Commissioner
CC:Attorney Peter O'Keeffe
Department of Industrial Accidents
-
t ==� alfiee oflnlyestigatioes
600 Washington Street
�A/ Boston,Mass. 02111
Workers' Compensation Insurance Affidavit
nicant:rrff'u/r/uraur .;
name: /`/4 C �ld�{fLsitd
location:
city hone# ;'Ie'e- ®er- 5/1
❑ I am a4homcowrir performing all work mpseif.
❑ I am a sole aroorietor and have no one ivorkin in aav ca acity
�iiiii�i
�am an employer providing tivorkers' compensation for my employees working on this job. i
comnnnvname: t;l1�� �cs�r0-P 4/.t.G'
address:
city: /S phone#!. .:: .. .......
lti� /0 '
insurance co. / G � � �i,2
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired theyconaactors listed below who
have
the folloning workers' compensation polices:
comn3nv name:
address: V.
citV: DhOpe •
comnanv name:
address.
ciri•- phone#� ;
nsvranccco. .•.. . .::..:•. .. o cv# :. ....::. :.:;:•::r::;;::;•.::•:::; .Ms.::�:s:::::.:,:..:.,^;>:•:;:.:..
//,2 01/1
FaBure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a lineup to$1.500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of SI00.00 a day against me. I understand that s
copy of this statement may be forwarded to the OMce of Investigations of the DIA,for coverage veriacation,
1 do hereby certify`under the pains and penalties of perjury that the infoi7nation provided above is tru.and correct
Si�ature -� Date ��9 9 _
C ��v7LF�
Print name t, Phone# ?fG U Ly
official use only do not write in this area to be completed by city or town oindal
dtv or town. permitNcettse#
- (]Building Depament
❑check if imtaediate response is required ❑LLeensing Board
❑Selecanen's Ottice
contact person phone#:_ ❑Health Department
❑Other
lrrnma r,95 PJAI :::
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the .
employees. As quoted from the "law", an employee is defined as every person in the service of another under anv CP.-
--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 c:
the foregoing engaged in a joint enterprise, and including the legal representatives of deceased employer, or the recce ver _-
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 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 Iocal 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 ha-,:
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 fim=nce requirements ofthis chapter have been presented to the cants crnz
authority.
Applicants '.
Please fill in the workers' compensation affidavit completely, by cheating the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Departzneat of Industrial Accidents for canfirmation ofhmuau=coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or liccase 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.
mom
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 ice number. The affidavits may be returned io
the Department by mail or FAX unless other arranges 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 Deparaneat's address,telephone and fax number;
The Commonwealth Of Massachusetts
Department of Industrial Accidents
0mce of levestfoalloas
600 Washington street .
Boston;Ma. 02111
fax#: (617) 727--7749
phone #: (617) 727-4900 eat, 406, 409 or 375
4
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BOARD-OF BUILDING REGULATIONS
License:rONSTROCTIbN SUPERVISOR
1 Numbed aS 00997.5
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BirthdatB IN-19,42
iresE1J1 Tr.no: 4334
---- a -It's MW To: 00 s.
S BILLY E CAUTHEl� -
86 BETH LN HYANNIS, MA 02601 Administrator i
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ROJECT Na.
PROJECT: � DATE :I JUue 9�-.10
AH APD TIOU�' I IA�joki ROGER P.ARCHITECT
AIA SCALE :1k1=1b f ORAY(W'ING NO.
�i SI P>L1�f�i✓'TQ6LG �i� ��'Ati�15 ��TTTTffIIIT(( ARCHITECT - _ _..
1019 IYANOUGH AOAD • ROU7E 10Y • HYANNIS, MA 04601 DRAWN :T L.V .
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NANIUOO:T FAX HYANNIS
TITLE: �LE�/�,TIDi-��j' -257-4407 sos-m n-6701 Sae- 0.1812 APP'O BY: NO. DATE REVISION
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t ` . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 3 a 7 . Parcel Permit#
Health Division �� /'� . Date Issued g /00
Conservation Division 903010clr4r, `' Fee
Tax Collector �.
APPLICANT MUST OBTAIN A SFWER
!1 ' CO'\TT? (''�1
TO PER J M t TEE
Treasurer— U,,4., ,dtJC ./34'17-4, ENG . .i, 'Z1N1 DIVTSIUN PHIUIZ TO
CONSTRUCTION.
Planning Dept. �� fi APPL�cF,r rrnr.,TPnT, a n�7T
Date bYinitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis a
Project Street Address .S� �✓ /�ivS7T�G �1
;Village -i4A,,,1_ ,
Owner 'Sd�ti 4 W4A1/yA lS�li,S. ,��:� . ' `� -Address v'ls/ �c'P.�.� rS� u v<<S`
Telephone 7-7d' a l✓ ='"7
Permit Request
Square feet: 1st floor:existing /S� proposed t1e,®6 2nd floor:existing f260 proposed 600 Total new M-0D
Estimated Project Cost d® Zoning District -� ' Flood Plain Groundwater Overlay
Construction Type ltJb6 � ��
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 UAo On Old King's Highway: ❑Yes Boo
Basement Type: mull ❑Crawl ❑Walkout. ❑Other .
Basement Finished Area(sq.ft.) AlOw er Basement Unfinished Area(sq.ft) -
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing D new c�
Total Room Count(not including baths):existing. new • First Floor Room Count F
Heat Type and Fuel: �Gas O Oil ❑ Electric ❑Other
Central Air: ❑.Yes ❑No Fireplaces: Existing d New o 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 es ❑No If yes,site plan review#
Current Use � � Proposed Use _
BUILDER INFORMATION. , `
Name / ` �� ,A p.l - Telephone Number O-
Address License# 00 9l 7d'
Home Improvement Contractor# 0
' Worker's Compensation# ad' �2 PJ"X 3
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
r
SIGNATURE —DATE -
FOR OFFICIAL USE ONLY c €
PERMIT NO.
DATE ISSUED
f IV a 4
MAP/PARCELNO.
ADDRESS VILLAGE
OWNER M-6 cf z a
• ; `:�, bra _: ': �. r .>
/
DATE OF INSPECTION;
FOUNDATION
FRAME
,r INSULATION ,
' FIREPLACE .. - � ' -, ° ` _ � � . . ,.•.;. �' t ' Y r
ELECTRICAL: ROUGH . FINAL _
` r FINAL - � ,- _ • , {;-, = ..
PLUMBING: ROUGH
GAS: R ROUGH FINAL , ..
,.FINAL BUILDING. .
DATE CLOSED OUT
ASSOCIATION PLAN NO.
t
P`pF THE Tp�� The Town of Barnstable .
BARNSTA .p
MASS. 1 Department of Health Safety and Environmental Services
1659.
7 0
prFDMPya Building Division
367 Main Street,Hyannis,MA•02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection
Location (f Q
�L � � `}•� Permit Number
Owner A<rki u5 Builder
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting: _
L� �-
tot/
UL
Please call: 508-862-40338,E ,for re-inspection.
Inspected by �,�✓
Date
.ON ilw'aaa
/ncluslonarY Affordable Hrousina
Q Residential Commercial**
Property Owner's Name w3;
Project Location S� l'�l,� :1 .Ri? �F' W v/ /S
�' <<c"C% Peo�it Number
Project Value _
**Existing Sq. Ft. _ rS' **Proposed New Sq.Ft i,ZCe—'
• Fee S 12.E , y�
[AHFORJI P3.00
Y
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
N1ap � Parcel 01 Permit# Cf �
Q„e r
Health Division 911 7 6,7-- 7 Date Issued
Conservation Division `� L � � Application Fee257�)
Tax Collector 2 G Permit Fee
Treasurer 2— 4i b 7—
APPLICANT MUST OBTAIN A SEWER
Planning Dept. CONNECTION PERMIT FROM THE
ENGINEERING DIVISION PRIOR TO
Date Definitive Plan Approved by Planning Board CONSTRUCTION
Historic-OKH Preservation/Hyannis
Project Street Address
A
Village i" �la A/ rr
Owner � jollr,jNs LI S Address
Telephone
Permit Request Qeoa
h \ Sr C / r
e�C '?��,P��( Sll7' 1� rr � YGr'1 oQP2f'4r,.-
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
VZoning District . Flood Plain Groundwater Overlay
Project Valuations 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: OYes �rt-❑No
Basement Type: Cl Full ❑Crawl ❑Walkout ❑Other `-3
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) u)i `' y
Number of Baths: Full: existing new Half:existing `-
c
Number of Bedrooms: existing newZ7 r'
r-
Total Room Count(not including baths):existing new First Floor Room lount CU rn
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 El new size
.� 9
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_E,,5 i,-C 5_�5 Proposed Use 5A r►1 -e
BUILDER INFORMATION
Name r'!� �,v Telephone Number
Address L / — oKr License# ® 0 1 �—
�`f Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �_��
SIGNATURE HATE 1-2 D
}
FOR OFFICIAL USE ONLY I
u
PERMIT NO.
f
DATE ISSUED `
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER,
DATE OF INSPECTION:
. _i
FOUNDATION '
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL-
PLUMBING: ROUGH FINAL
_ z
GAS: ROUGH FINAL '
FINAL BUILDING
DATECLOSED OUT
ASSOCIATION PLAN NO.
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The Commonwealth of Massachusetts
_ - =- ,Department of Industrial Accidents
Office offnyestigatians .
600 Washington Street
Boston, Mass. 02111
r3 Workers' Com ensation Insurance Affidavi, /
location: n `�
hone#
ci I am a h eowne performing all work myself.
I am a sole r rietor and have no one workiz in ca aci�y
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+..:r,:.••:+ penalties of a finenp to 31,SOO.00 ana/or
ancl a fine of
Failure to secure coverate is required. Se of MGL 153 canlead to theimposition of crlmilss�l
one years'imprisotunent as weIl as dvii pe�deOffi�o forrm Of f Invest IL bona of theDIAjLK iar co er'Le �catioti.loo.o0 a dap agauistma I�ders{a¢�dtliat a'
cope of this stataneatmay be forwarded to
e` _and_p en o er ury-that-the-information- rovided-abnve�slr aY_ coireet
-fP. J P
- Ida hereby"c" fyu F .•-� '�' Q
Date
Signature ., ... , .:•• ... r,,..• • ��� ,
- Pfione#re
_
print name
o fgdal us a only da not write in this area to b e completed by city or town omdal -
p ermltliicens e# OBuflding Department
❑Licensing Board
city or town:
❑Selectmen's Office
cantactperson:
Information and Instructions
Massachusetts General Laws chapter�I52 section 25 redd e allemployers erson n the serviceeof another underanp ontract
employees. As quoted from the `law , an employee ry P .
.of hire,'express or implied, oral or written. �
` partnership, association, corporation or other legal entity, or any two Or.more of
An employer is'defined as an individual, p hip _
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 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
toonbu such house or on the grounds or /
building app�tenantthereto shallnot.because of such employment be deemed p yeri
;
MGL chapter 15Z section 25 also states that every state or local licensing agency shall withhold the issuance br renewal
,.,..,
of a license or gerniit.tooperate a�busmess or to construct buildings in the commonwealth for any appLcant who as
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 contracffor the perfounauce 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 cheG cering tificate.of insurance as lies all affidavits pay be
supplying company names, address and phone numbers along with . .
submitted to the Depaztnient.of Industnal Accidents for confirmation o£insurance coverage. Also be sure to sign and '�
date the affidavit. The.affdavrt should'be returned to the city or town that the application far the permit o=license is
aztment of Industrial Accidents. Should you have any questions regarding the'law'.o „if yQu
being requested, not the Dep ber•listed below:.
ed.to a workers' cpmpeu5atioapolicy,Please call'tlie Depaitaient atthe num "
are requir obtaazn
City or Towns ..
ottom of
Please be sure that affidavit complete and printed legibly. The Departmenthas provided the ace at the li artbPlease
affidavit for you to fill out in the event the Qffice of Investigations has to contact y regarding PP s^
" t"!]icense number which wa. a used as a refeieace number. The affidavits may be'r n '" _tE?•..
.be Buie to fill i 1 t}ierpa�l �� ements have been ndade
the D ep ent b or FAX unle's s other arrang ^,
artm ,t Y.,�.., .�. •.•, d you have an estians,
The Q$ice of Investigations would like to thank you in advance for you cooperation and shoal y «t `
please do not hesitate to give\us a
The Departmenfs address,telephone and fax number: •. ,
^.Y ., •. ,r •-. •.tom
" ThCCommonwealth Of Massachusetts
_Department of Industrial Accidents
Office of laYestlgatlotts
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
R. 107) 727-4900 eat. 406, 409 or 375
BOARD OF BUILDING REGULq f
icense `
GONSTRt CTIO 77ONS 11
Num t2
061p -SUPERVISOR
ber'CS
BI►tl,d 'o J*1055 }
1 �, ✓26/2003 Tr_no: 665
PAUL AA Restncted;`06.
SRVAGE,
20 JUNIPER LN
{ N H'4RWICH, 'NIA 02645.
Administrator
1 -
;r
PORCH
/ 2r-6"x 9'-2"
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- - - - - 4 41 85/ "
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3-7 5/8 T-9 7-9 7-9
Preliminary Floor Plan
John & Melina Rtsalis Date: 8-28-2002 Home Improvement Specialists of Gape God Inc.
51 Barnstable Rd. Scale: 25 lyanough Rd. Ph 508-T15-2815
Hyannis, Ma. 02601 Designer: Paul 5avage Hyannis, Ma. 02601 Fax 508-??5-2887
loot
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SCALE: A""OVED By D04AWN MY
DATE