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HomeMy WebLinkAbout0235 BARNSTABLE ROAD i 1 � ° ,o �o Town of BarnstablBuilding-, .", e r f—� 15 Post This'Card So-That it is Visible From the Street.-.Approved Plans Must be Retained on Job and this Card Must be Kept WRMMAL'L6. �.i� ® si ' 1p Macg. mo/ Posted Until Final inspection Has Been Made. 639,A�0 sore Where a.Certif16te of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Perm Permit No. B-17=3505 Applicant Name: Mark Lampson Approvals Date Issued: 12/05/2017 Current User Structure Permit T e: Building-Addition/Alteration—Commercial Expiration Date: 06/05/2018 Foundation: Yp g Location: 235 BARNSTABLE ROAD, HYANNIS Map/Lot: 310-170 Zoning District: HG Sheathing: Owner on Record: BETA HOLDING CORPI Contractor Name: MARK C LAMPSON Framing: 1 Address: PO BOX 41 Contractor License: CS-095315 2 WEST HARWICH, MA 02671 Est. Project Cost: $ 7,038.00 Chimney: Description: Recover existing Awning with New Fabric. Going from a Bright Permit Fee: $ 164.05 Insulation: Yellow(stained and torn)to.a Dark-Blue to match adjacent awning. Fee Paid: 5164.05 Awning is the one that is over the Carpets of Cape Cod (and Final: formerly Mattress World)locations. Graphics are changing from Date: 12/5/2017 previous submission (elimination of Mattress World and.extension to Carpets of Cape Cod (only). See Renderings and photos,and > ~" Plumbing/Gas Fabric Sample card uploads Rough Plumbing: Building Official Final Plumbing: Project Review Req: EXISTING AWNING FRAME. NEW FABRIC ONLY. Rough Gas: This permit shall be deemed abandoned and.invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final' 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with-unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans•are to be available on site bNL3.0iC All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT —*ti L_ Sc,„r 7 ,a YOU wises TO OPEN A BUSINESS? :For Your Information: Business certircetes(cast$40.00 for 4 years]. A business certficate ONLY REGISTERS YOUR NAME in town (which you must do;by iVI:G.L-is does.not give you permissi; operate.) You must first obtain the h to nece5sary.signature5 On this form at 200 Main St., Hyannis. Take the.completed form to the;Town CCerk's Q:ffice, 1 st FL, 367 Main St., Hyannis; MA 02601 `(Town Hall) and get the Business Certificate that is 'required by law. DATE: ��- /3 G Fill in please: APPLICANT'S YOUR NAME/S: �}1 41c 1fM�i�,41� A 1� � - I �� � °BUSINESS YOUR HOME ADDRESS; ,S Necl�r�wo�• rr` �# ar4 'ytdry -1 H'1l4 o� TELEPHONE # Home Telephone Number S o i 'r+�� � EIN - `6 � �o�o�-�� E-MAIL: NAME OF CORPORATION: NAME OF NEW BUSINESS Ne , C_-r P TYPE OF BUSINESS l�/N/�i.3 rrC I r4L � �NI IS THIS A HOME OCCUPATION? YES NO ✓ ✓r -I�lJ (Assessin ADDRE5SOFBU51NES5 �3S" RR2Nf'Fa CG6 XD- N�`/"IS MAP/PARCEL NUMBER, ) When starting a new 6usiriessthere.'are several things you must do in order to be in compllance with the rules.and regulations of the Town of Barnstable.. This form is intended to assist you lr obtaining t b.information you may need. You MUST GO,.TO.20O Main St. - [corner. of Yarmouth• Rd. &Main Street) to make sure yi tt have the appropriate permits and licenses required to legally operate yourbusiness in this,town. 1. BUILDING COMM 10: ER'S OFFIc This individual p irrfor of Ui e 'e�tsah® pertain to this type of business. Auth sized,Signature 1 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:. Page 1 of 1 x,t` xgs ue`. }x 4 x< -� -i , Vee ,4� "Y`,��@ 1. r � ���ors �t,; � 9�. . {� � k s � w ... '�� I •E�" im lot 4 Y a - ; q All ik win T y, � s '�•�^ �� ��-�'� � _iP.�,-��f ��1�:..{ r s„ {��, yam`-+-•_ ,._..���v� a,�K 4a �l�'fi�#R, � _ ,,�, „� _ _sx r _ y t B b 1 ,g j ,"yy "" t ''. 2 f. r d s4„`$ro.i�d *G' �" r S file:Hisvisions/images/00/03/44/38.jpg 12/13/2016 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 the Town(WHICH YOU MUST DO according to 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,V Fl.,367 Main St.,Hyannis, MA 02601(Town Hall)and get the Business Certificate.that is required by law. Fill in please: t%?jc;j_o�c�+r DATE APPLICANTS YOUR NAM CORPO E` IAME T M4 ZLL _ _ BUSINESS TYPE:_+Cc7 ,I USINESS YOUR HOM b ESS: JO C'i9 TELEPHONE # Home-Telephone Number OX 410 f 90 NAME OF NEW BUSINESS r ,.i` ORUIN: O Have you been given approval-from We buildin di i�sion `.YES—"N0' ;/ �+�c I ' 3�0 ADDRESS OF BUSINESS 2, = J� df N.J MAP/PARGEL NUMBER 70 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. �L�C►s�"�^ QU.C/^(fir 1, BUILDING C0114 ISSION R'S OFFICE �qe, s� `---�This individ al has a ino�d th t main to s type of business. ri ed i lure"... COMMENTS: 2. BOARD OF HEALTH . This individual he bee This l e permit requirements that pertain to this type of business. Y Authorized Signature" COMMENTS: 3. CONSUMER AFFAIRS(LIC SI G AUTHOR This individual has be i rmed of th sing re uirements that.pertain to this type of business. Authorized Signal e''. . COMMENTS: t _ - ------ L y Application number T 19. AOC2.......... Fee ...............4..../4'.v.4.................. ................ NAM ` ,�4 c C� � \� ,�Iuilding Inspectors Initials......... .... ... ................. s634� i� Date Issued..................ZI&�.��...................... Map/Parcel........340.....4/7 ........................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: ;� � ,�,�15 i g6/v �?�) L( YC,,),u s v NUMBER STREET VILLAGE Owner's Name:: -rc- Phone Number Email Address: Cell Phone Number Project cost$ ��,00 U Check one Residential Commercial— OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK © Siding 0 Windows(no header change)# F-1 Insulation/Weatherization 0 Doors (no header change)# Commercial Doors require an inspector's review 9,Roof(not applying more than 1 layer of shingles) Construction Debris will be going to 6LL s 7-P !241 CONTRACTOR'S INFORMATION Contractor's name CA fite-e 0J Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# CS //0 �7 7 -7 (attach copy) Email of Contractor ' ��e%Q �P(� �P Phone number `t`� 9J ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER -'.......�.... *For Tent nly* Date Tent(s)will be erected ,Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 201bs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial eve may require Fire Department approval, *WOOD/COAL/PEIXET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back le,*-side right side HOMEOWNER'S LICE/N11E EXEMPTION Homeowner s Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date Alt permit p cations are subject to a building official's approval prior to issuance. i 4, r� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations j' 600 Washington Street Boston,MA 02111 www.mass.gov/duz Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information rt Please Print Legibly Name(Business/Organization/Individual): Address: �. / -5- / �', 2�Ca6). /9-1 City/State/Zip: Phone#: zt/d// 4 / Are you an employer?Check the appropriate bog: Type of project(required): 1. -a employer with /s t 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.insurance.; 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /9i-�f+oP%ai/6'`� Policy#or Self-ins.Lie.#: �� `S-7 73 6-3 ��� Expiration Date: Job Site Address:-7, () City/State/Zip/`f�/� 'r'u Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby�2= d penalties of perjury that the information provided above is true and correct: S i ature: Date: Z 6 ,o -z:O Phone#: 4 LIO/ ��2�c) Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector_ 6.Other Contact Person: Phone#: It Information and Instructions w . .., Massachusetts General Laws chapter 152 requires all employees to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to-your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Lnvestigations 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 permitilicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture license or permit to burn leaves etc. said person is NOT required to complete this affidavit. e a do h ) i. p ( g The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massadehusetts Department of Industnal Acddents Office of Investigations 600 Washington St=t Rostan,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 wwwm= gov/dia y DATE(MMIDD/YYYY) '4� CERTIFICATE OF LIABILITY INSURANCE 5/2/2018 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 endorsements. PRODUCER CONTACT NAME: Monique:Normand Arthur J. Gallagher Risk Management Services, Inc. PHONE 860-251 6310 FAX 860 560-2784 200 Glastonbury Boulevard, Suite 300 E-MAIL •moni ue_normand a com Glastonbury CT 06033 q y@ Ig INSURERS AFFORDING COVERAGE NAIC# INSURER A:American Casualty Company of Readin ,PA 20427 INSURED INSURER 13:Continental Casual Company 20443 Steven H.Chaffee Company INSURERC:Continental Insurance Company 35289 193 Amaral Street INSURERD:Trans ortation Insurance Company 20494 East Providence RI 02915 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1933018111 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. POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDNYYY LIMITS ADDLISUBR A X COMMERCIAL GENERAL LIABILITY 6057363685 5/1/2018 5/1/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED $100,000 PREMISES Ea occurrence MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000.000 X . POLICY a Ea LOC PRODUCTS-COMPIOPAGG $2,000.000 OTHER: $` 605736367 5/ l2018 5/1 NED SINGLE LIMIT $1,000,000B AUTOMOBILE LIABILITY C McB Ea adent X ANY ALTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C X UMBRELLA LIAB N 6057363654 5/1/2018 E/1/2019 _ N $5,000,000 OCCUR EACH OCCURRENCE EXCESS UAB CLAIMS-MADE AGGREGATE $5.000,000 DED. I RETENTION$ $ D WORKERS COMPENSATION 6057363668 5/1/2018 '/1/2019 STATUTE ERA AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN N!A E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Evidence of Insurance CER71FICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . . r , AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD i Massachusetts Depaftmenfi PutSlic a€ }Bpa7d of Building Reg lations and Sta a s r 'Lice,nse: CS-110877 {, Con-s-ruction'Supervisor,' a$ -690REY ZIELKE 700AIETACOMAVE UNIT 203 WARREN RI 028$5 { Expiretiarr x ��� ColYim�ssiofier 04/09/2021� ` N Private and Confidential A'Fk ' E INDUSTRIAL ROOFING G January 30,2019 INVESTMENT SUMMARY i 5I 5_ Conduct safety briefing/install necessary safety equipment. k Remove one roof systems and dispose of off site.Original built-up roof to be left in place and rolled ��AHa►.n,�cs O >'nr over.�04I a }� k A(bd k4 1-F .: eft H ic6"M 1 Q26�k l;� 1 Remove and replace deteriorated insulation,as necessary,at S2.95 per sq.ft. �M Remove and replace deteriorated steel deck,as necessary,at$6.75 per sq.ft. ,35�SarnstaT�le,�toad� �'��- ,400 Furnish and install new 1"CARLISLE polyisocyanurate instlation("R"value=5.6). Furnish and install CAF.LISU`MccfLkMCAuay A'rt'ACtt[D 60 NUL REINFORCED TPO Roue. aniel Keefe i ,roe I I Furnish and install new wood nailer to match height of new insulation: , (Eyi a Era,t� Furnish and'install new custom metal edge with a white or bronze Firrit and approximately 4"face. Flash all walls,units,curbs drains,penetrations,etc.with CARLISLE approved detailing. T po aI A Install new Olympic retrofit roof drains in all existing locations.Two new drains to be installed in t pending areas, Plumbing is to be done by others. Remove existing dog house and install framvng,plywood,and shingles. Remove existing ice and water membrane,install new.EPD.M membrane and properly flash N, ;into existing shingles in lower valley area. r Clean up and remove all job related debris. $� Standard Chaffee;Industrial Roofing Terms and Conditions apply, F TO)pA1r E, N"WO S70,000.00 41, 2 CAIu.Ist,E 20-YEAR TOTAL SYSTEM LABOR AND MATERIALS NDL WARPLAMY P4R1CF 1R1V1 U1 TI1. z t j 30 days from date of this proposal $ M One-half('la)of contract price is due upon deliver-of materials to the job site, balance dn.te upon job completion, unless otherwise agreed to in writing. Please read the enclosed terms and conditions as si f tip va x I the additional termsand Conditions thereon are part of this contraeL vi i Richard T.Chaffee Project Manager ne'k chaffee@chaffeeroofing.com } 1001)430-4143 - Cell BR ,Aeceptanee of Proposal! The undersignicd hereby accepts this proposal and,.intending to be legally bound, hereby agrees that this writing shall be a binding contract and shall constitute the entire contract. t r I t�ETR it'c�c.air✓6 e? p.0,PATI o�( Owner/Customer N e: ./ Title: PRas r D at -r TM � 3 Ott Date:Ali aV!1 119 I , I Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date f' Ma(31 0 Parcel 110 O Applicant Information Applicants Name_A i"-T 1 fy2 y CM6PAAIL� Applicants Address /3 E (p ® L 0 FC S% l%Email Address_/ 711 utic?PAS — G 60 Telephone Number 7 Listed ❑ Unlisted Business Information New Business? Yes Business is a registered corporation? _______________________ Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _______'_ Yes No If yes then a/H�ome Occupation Registration is required—See Building Division Staff Narne of Business / LS �'11✓ � (' CCoU N �o J6 usmess Address L , a.h 0 0 Type of Business C-C 0 V r�J I Aj Srr/t y 1 e L S Building Commissio er Offi e Use Only Conditio — S1 Building Commissi `� i Date �y Clerk Office Use Only 9/24/2018 Mass.Corporations,external master page William Francis Galvin Secretary of the Commonwealth of Massachusetts Corporations Division Business Entity Summary ID Number: 461860595 Request certificate New search Summary for: RESTAURANT ACCOUNTING SOLUTIONS LLC The exact name of the Domestic Limited Liability Company (LLC): RESTAURANT ACCOUNTING SOLUTIONS LLC The name was changed from: CAPE HARBOR LLC on 12-31-2014 Entity type: Domestic Limited Liability Company (LLC) _ Identification Number: 461860595 Date of Organization in Massachusetts: 01-25-2013 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: . 233 BARNSTABLE RD City or town, State, Zip code, Country: HYANNIS; MA 02601 USA The name and address of the Resident Agent:, Name: ARTHUR G. CHAPRALES Address: 1356 OLD POST ROAD { City or town, State, Zip code, Country: MARSTONS MILLS, MA 02648 USA The name and business address of each Manager: Title Individual name Address MANAGER ARTHUR G CHAPRALES 233 BARNSTABLE RD. HYANNIS, MA 02601 USA In addition to the manager(s),the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: 1 http://corp.sec.state.ma.us/Corpweb/corpSearch/CorpSummary.aspx?FEIN=461860595&SEARCH_TYPE=1 1/2 a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 43 Map F Parcel ® ,A lication(# � � ; pp - Health Division Date Issued 3 f Conservation Division Application F �- Planning Dept: ~yPermit Fee Date Definitive Plan Approved by Planning Board Historic =OKH Preservation/Hyannis Project Street Address - Village % Owner ✓ Q Address :?,a t sle 5__*i�A,e'ZI e_l Telephone 50�_ �`�� � � L._ ®=� 16 7/ y Permit Request ! 4-P�a ,-7J- ,� v o -1_1 n,. z w e_.e �� 4 f / Ada C) c Square feet: 1 st floor: isting . proposed 2nd floor: existing proposed Tot 'k newer O r Zoning District Flood Plain Groundwater',Overlay Project Valuation etConstruction 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 La<o On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type an:7es I: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑ 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 CqW Proposed Use al APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ j��2 C /2 ��d f" �'-� Telephone Number Address 6 22 License r CC zc� '2f 0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4N/+,s7� SIGNATURE DATE 3 a FOR OFFICIAL USE ONLY APPLICATION# I r DATE ISSUED E MAP/PARCEL NO. t ADDRESS VILLAGE ;e OWNER f :k DATE OF INSPECTION: { FOUNDATION _ FRAME r INSULATION FIREPLACE C ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r r DATE CLOSED OUT ASSOCIATION PLAN NO. ' 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly f Name(Business/Organization/Individual): Q Z 1-4 ti S Address: J City/State/Zip: Phone.#: Are you an employer? Check the appropriate box• Type of project(required): 1.❑ I am a employer with . 4. am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction .2.0 I am a sole proprietor or partner listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, '❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp. insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its '10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised.their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi nder the pains aFdp, na 'e of p r'u that the information provided above is true and correct; Si ature: C� Date: ZM Phone#: Vz - (�)e Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health_ 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: r , . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the.workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s).name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town),"_A copy of the affidavit that has been officially stamped or marked by the city or town maybe 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 btim leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised I 1-22-06 www.mass.gov/dia � 'avid S °d _ �`�.` �gnildingRegnl 5oC Ltense Scar strucfi°n SuCs 453 t 1 1 1 Cone. 57 10257F r HORTiE °;.ction missioner MARc R 1S R1DGEt , h �t,� Com t ' 140LOOM MAp1085.,.r f-� I e t 1 �k �Ft i , i t � �� _ � � � � .. � �_� � ���.��—� � ��� .� �_—._ _ �_. ���__�� �.. ._ .�4 _� � A � � �,. �._� .yam,_ _ _ .�_� 3/12/2009 Time: 8:57 AM To: @ 15087906230 Page: 001 DATE ACORD CERTIFICATE OF LIABILITY INSURANCE 3/11/2009(MMiDDNYYY) PRODUCER (404)262-7200 FAX: (404)237-9573 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McEver & Tribble, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2323 Cumberland Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 202 Atlanta GA 30339 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Hartford Fire Insurance 19682 SEI/Aaron's, Inc INSURER B: 3108 Piedmont Rd. INSURERC: Suite 160 INSURER D: Atlanta GA 30305-2533 INSURER E: :OVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVOLICY TYPE OF INSURANCE POLICY NUMBER DATE MM DD/VYE PDATE MM D/YY) LIMITS LTR INSRD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE To X COMMERCIAL GENERAL LIABILITY PREM SES Ea occurRENTED nce $ 1,000,000 A CLAIMSMADE ?OCCUR 20UUNLO9957 11/1/2008 11/1/2009 MEDEXPAn oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCT -COMP/ P AGG $ 2,000,000 X POLICY JECT 0 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS BODILY INJURY $ NON-OWNED AUTOS - (Per accident) PROPERTY DAMAGE $ (Peraccident) . GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ tJ $ DEDUCTIBLE _ $ RETENTION $ I :3r $ a WORKERS COMPENSATION AND X O STAT H- TORY.LIMITS 2 =:4 z EMPLOYERS'LIABILITY - ANYPROPRIETOR/PARTNER/EXECUTIVE 20WEN01552 12/01/2008 12/01/2009 E.L.EAC�A°CCIDENT $ CQ 500,000 A OFFICEWMEMBER EXCLUDED? E.L.DISU��EA EMPLOEE$ 500,000 If yes,describe underSPECIAL PROVISIONS below E.L.DIS.� OLICY LIPP $ a+LL 500,000 OTHER L DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable MA EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: Building D1V1Slon 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - Robert McEver/SUSAN �r 4CORD 25(2001/08) ©ACORD CORPORATION 1988 NS025 piupsa Page 1 of 2 1HEr, Town of Barnstable Regulatory Services .uuvsresis. _ MAB& Thomas F.Geiler,Director D ��e Building Division Tom Perry,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 ABuilder I P-,j s-T-o e� , as Owner of the subject property hereby authorize RA 2<< i c to act on my behalf, in all matters relative to work authorized by this building permit application for. v2 3 S Q,p-ti sTe"'6— �o f+�; . 414"v1s, /1 (Address of Job) Q�T�= 31 fi/Z 00 q Signature of er Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W NERP E RM IS S I ON • it , THE Town of Barnstable s t��� Regulatory Services awtwsrAsre Thomas F. Geiler,Director MASS. E16.79. Building Division Tom Perry,Building Commissioner _.__._...200 Main-Streett_Hy_anms,MA 02 ... vrww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS:- -city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildine permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that.be/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this.section_(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor... Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application. that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. r Q:fonns:homeexempt -Shea, Sally From: Lt. Don Chase[dchase@hyannisfire.org] Sent: Thursday, March 26, 2009 7:53 AM To: Shea, Sally Cc: Perry, Tom Subject: Aarons-235 Barnstable Rd Hi, They are all set. There might be some sprinkler work, but they are aware of that. They will handle furniture sales, including tv's, appliances, etc., as well as rent to own at least 20% cheaper than rent -a - center. Thanks Don 1 - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: /.je�_4 l IY7 d Phone.#: ` /J 77� Are you an employer?Check the appropriate bo Type of project(required): 1.❑ 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. 2 �consng ruction 2.0 I am a sole proprietor or partner listed on the attached sheet. 7. emodeli ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.insurance comp.insurance.$ required.) 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself. [No workers',comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. nn / Insurance Company Name: Policy#or Self-ins.Lic.#: !a -e v U�Expuahon ate: z — /_-`/o S l Job Site Address: — City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy numb(r and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalti s ofperjury that the information provided above is true and correct Signatare: vL Date: Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation'for their.employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,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,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations- - 600 Washington Street Boston,MA 02111 TO. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia RENOVATION FOR: (S\ Carlson &Schmitt Architects' Inc O r soucn ey.e en a er.vra Nawam uw otoor car. sia.vae.eeee ta:ai'rae.arao i 235 BARNSTABLE ROAD HYANNIS, MA PROJECT DIRECTORY DRAWING SYMBOLS BUILDING DATA DRAWING INDEX ARct+ireMPAL 9 AA�aaaea WALL SECTION sinATA n/ae�aew+aw°oeoe A3J r+uw• 0e peiAlL w.a omwn seemwra.avu A]- FINISH 5GIED1,11.1%A& EVAL NOTB LANa DETAILKe A9- DIMENSION PLAN .. M- FINISH PLAN M."TRIOAL PLAN twax.M swaTr Axnmtra wc. 1-,-y—!` �T�c 5P1- COd1iTRVOTON 9PEOIPIOATONS eao S �tNUP \� aNDief oA w°wUM rw of PO- OORSTRVOTION SPEUFIOATIONS r+°d Tr>t ec+o �ueem '6.Pvwnw MWlo3t ® . n. yg_ FIXTIM SPWIFICAMNS PAanrwd Try e.eeam .vno O .ou mr er..i +mw mates , ' y6 wrmar n'Pe � . P � Pxrw4e.xo. we.o�w ,m a. Sa`y 8 naseoR aevnnon ra. � , t Q' rEr rare e ABBREVIATIONS MATERIAL INDICATIONS ^�N° °tee°�^°� � LOCUSPLAN 4 caxnare aer(cHUJ © m"' 44M. wrren s*ae §m Z''; zll iyy 77 Y .... ,vausnc+a nie. ti ' b �.. orsrrvu m w/.sm 3/11/2009 0 m. PLOT DAM Aadiwdg,Muth 11,20OR 1 i to = #q P �3t3� t o Z 0 CD CD ID m �y, till[ -l# a t m Oo��® i a €€#f m P. lit ! # 't at Q RMROOW y € {4e • tf d < GB ® �I rn xem 4 n .3 o yil;f t9 Pi i 2�t �0 t� t pOON oTQ E 3 l F0® 9 C7 R�PP m O >tL® [l t l ar ;ttr`t d� t; at - 1 t tt "sect � D z — .^. ..pip m a eoQOelBggO � - t n ° co g � Z AARON'S N f R 2M BARNSTABLE ROAD 9 6� m HYANNIS,MA a cs\ Carlson&SchmlttArchitects,Inc. r . CONSLUANTS e Wall Detail-Type 1 Wall Detail-Type 2 Wall Detail-Type 3 (-3"\ Wall Detail-Type 4 R.Ra' \SP) LU z ai 0 mz ccQr MIX N= 6 Wall Type 1 Support Details Chair Rail Molding Detail(-6'� Soffit Detail Sign Band Detail [ SPI sPl sP) sP) - UVcT 10 C--?e T;ans.f n a I ! usronnnra oaiiAn ..._., e 4 CONSTRUCTIONSPECIFICATIONS VCT!:.Caipe!irCnxllla! MndlfiF,rj Oi.x!An - Column Wrap Detail 9 Flooring Transition Details l-o Office Sian Band Detail I I t�covmns o-.me smm�ornn,noawlaan:o $PI SPI SPI cP' CS \ Carlson&Schmitt Architects,lnc. CONSLUANTS 3 M.. y . & GM/cAM Offica GM/CAM Officz, 1 h W Office - Closing Oil— cc 4 ........n......� 4 9 Z4 Z 00QC Im Q i Offices and Transaction Detajl'1 Isometric Office Detail Offices and Transaction Detajt� r sP2 sP2 27-0"OFFICE POD SP2 I +.mFro CONSTRUCTION SPECIFICATIONS Electronics Area Back Wall Elevation r4 Electronics Shelf DetaiVsl SP7 SP SP2 - s 7gfi., €�A ar _ o Cp £.Flea 'a`-E�c 1 r 1, y k x3,�53 ifd ty . { W 5=a fHO Q. Is D ellf, ilPly[�]I W N •a __ ji Q It o '13 '• t: 1 g li gal �, hI k' [1;it Q -. 1R 1[ a[ }si Itl1 0 rill WQ11V { gaE� tp: X IT mu el • 3 �i g� � }�� Sn W•o .. �, .}e }Y ? 1 's1 W W F 11YY p s a§ ' I AARONS s u t cc235 BARNSTABLE ROAD _ c HYANNIS,MA r d # - h h _ 9 9 9 3 .. _ _ _ _ _ ; - = - - S 8 Y = u y = n n a 3 p gg 71 $e a 9 9 ¢ � a � y � ��� " 6,g b� (�1 S 4 Saa� L41 l4� s i q ¢ § 9 • tao 4 4aa aa� 4 m � $� .� r $ o % y A 3 �• u .. e � $ % 4 a S S a � 3 8 v3 4 V a a 4• 8 H s a 2 g@ i g 3 a _T 4 3 Y w -°- ; '}''� 4) zr :j <;j �� ,-:' {. 'e asas; boa $ ev a a- a$e 0;rs _ ;a; � = x, .= �•, � `� f? �.^s g o� ,°s ^Q Y$ x a �'� _ s's ;[3 f ¢m_ v: . � S�°A °o a �� A fl a == �S e• o � a) $ $g_ 92 - 3 �' P$gp 5 3AA P5$g 3 . - _ _ CD o Z g& 9 n e = m N $o c $ N m � AARON'S °e HYANNIS,MA 235 BARNSTABLE ROAD $E I m TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �'1 ,`Application v'l Health Division Date Issued Conservation Division Application' Fee Planning Dept. 'Permit Fee 41, Date Definitive Plan.Approved by Planning Board � a- Historic - OKH Preservation / Hyannis Project Street Address —'1 '�� c LA Village �11v�3n _. Owner Address Telephone 50'6 ' 5 i�'S MOD Permit RequestD �v�-., �e�% C-s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type k 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 iNo On Old King's Highway: ❑Yes M No Basement Type: ❑ Full ❑Crawl ❑Walkout:*y ❑Other Basement Finished Area(sq ft:)^�'° 3 ^ 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 ❑ x- Commercial VYes ❑ No If yes, site plan review# Current Use Proposed Use y APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 'Name Telephone Number�cYrD h �E50 9 4 6 Lt C) Address '-4 t N e k,�o License # A-tJ.,ffiU Home Improvement Contractor# `S . -� Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE :7>-2_LA `2-00 . - FOR OFFICIAL USE ONLY c APPLICATION# DATE ISSUED "I MAP/PARCEL NO,_. ._ ADDRESS VILLAGE 3 OWNER ,F i DATE OF INSPECTION: FOUNDATION' FRAME _INSU LATION • FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ""` ROUGH FINAL G. fINAL BUILDING _ 'A ` �{= DATE CLOSED OUT '. ASSOCIATION PLAN NO. - The Commonwealth of Massachusetts Department oflndustrial.4ccidents Office of Investigations- 600 Washington Street Boston, MA 02111 UV lvww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leffib1Y Name ()3usiness/Organization/Individual): City/State/Zip: �`� '.tiLP` MM lc0 6 Phone.#: J�6 LA k2 ,0. C Are you an employer? Check the appropriate box: Type of project(required): 4. I am general contractor and I 1.el am a employer with 6. O New construction employees(full and/or part-;time).* •have hired the stab-contractors 2.Q I am a soleprpptietor or'partder- listed on the-attached sheet 7.. Q Remodeling These sub-contractors have g_ '0 Demolition ship and have no employees working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comb, insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.�oof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑Other cbmp.insurance required.] 'Any applicant thatehmks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers''comp.policy number. I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site information ; 4 Insurance Company Name.L Policy#or Self-ins.Lic. #: VJ . >:. LS` o4WxC pirationDate: Job Site Address°c��� � =.`����`�.� � City'/Stare/Zip: t�y"`� • Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimiri4l penalties of a fine tip to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. B e 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 under the pains a d a[ties of perjury that the information provided above is true and co•rrecL • Date: Phone cb`'(D Official use only. Do not write in this area, to be compLe[ed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Flealth 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector 6. Other fdon Massachusetts General Laws chapter 152 requires all employers to provide ice of another d - for their employees. Pursuant to this statute, an employee is defined as every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual, partnership, association, corporation or other legal entity; or any two or more -of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,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 [ocal liceasing 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 roc the performance of public work until acceptable evidence of compliance Rath the insurance requiremeats of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contcactor(s)name(s),•addiess(es) and.phone number(s) along with their certificates)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retumed to the city or town that the applicapon for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insnranr e.license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant o - n, am applicant a Please be sure to fill in the permit/license num used asa reference number. lr addition, whrch wrll be „! that must submit multiple permit/license applications in any given year;'tieed only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" fhe applicaa should write"all locations in (city or ' town).".A copy of the aff davit that has been officially stamped or marked by the city or town maybe 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 fo any business or commercial venture (Lc. a dog license or permit to born 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 calla The Department's address, telephone-and fax-number. Tbo COr. MonweaMth of Massachusetts Depart nmt of lndustri,al A.Gcidents Office of Inyedigations, 600 Washington Strt4et Boston, MA 02111 Tcl. # 617-727-49.00 ext 406 or 1-877-MASSAFE Fax # 617-72777749 Zevised I 1-22-06 www.mass.gov/dia oFTTti Tawny of Barnstable Regulatory Services • • • BARN6TA.BLF- q MAB& �. Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 wwcv.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder 1, J '� L G t , as Owner of the subject property hereby authorize roLi'y ? U— � to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of job) e Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exem Pion Form on the reverse e side. (l•Ff1RM.C•f1WNFRPFRI„tTCC1f1U ,- 2 s Town of Barnstable op THE fps o Regulatory Services Thomas F. Geiler,Director Building Division Prfn►.tag` Tom Perry, Building Commissioner 200 M".Street, Hyannis,MA 02601 vrww.town.b arnstabl e.ma.us Office: 509-962-403 9 Fax: 509-790-6230 HOMEOV NER LICENSE EXEMPTION Please Print DATE: JOB LOCA'nON: number strmt village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: { city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons) who owns a parcel of land on which he/she iesides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a homeowner. Such "bomeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed tinder the building?permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance wifftlie State Building Code and other applicable codes, bylaws,miles and regulations. t� The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building pcm»t is required shall be exempt from the provisions 1 of this section.(Secticin 109,1.1 -Licensing of construction Supervisors);provided that if the homco`ymar engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." gany homeowners who use this exemption are unaware that they arc assuming the rgsponsibilitics of a supervisor(sec Appendix Q, Rulcs&Regulations for Licensing C bvction Supervisors,Section 2.15) This lack of awancnrss often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully awRTe of his/her rLsponsnbilitics,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend.and adopt such a forrn/certification for use in your community. Q:forms:homccxcmpt rv, ,aco CERTIFICATE OF LIABILITY INSURANCE °ATE`MM011Y' 1 22 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. . IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,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 DOWLING&ONEIL INS AGCY INC " - CONTACT NAME: . - PO BOX 1990 PHONE 508 775-1620 FAx A/C No): 508 778-1211 HYANNIS, MA 02601 EMAIL ADDRESS:" INSURERS AFFORDING COVERAGE NAIC# INSURER.A .LIBERTY MUTUAL GROUP INSURED OLIVER KELLY .. _ - INSURER13: -. 127 EVERGREEN STREET INsuRERc: , SOUTH YARMOUTH MA 02664 INSURER D - ' INSURER E:. - - - - - - INSURER F: - COVERAGES CEFtTiFICATE NUMBER: 9248378 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 SUBR POLICY EFF POLICY EXP - LTR POLICY NUMBER MMIDD/YYYY MMIODfYYYY - LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ ' COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES Ea occurrence $ CLAIMS-MADE OCCUR - MED EXP(Anyone person)" S PERSONAL&ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: - - - .PRODUCTS-COMP/OPAGG S. POLICY F I PRO- LOC AUTOMOBILE LIABILITY _ _ E eBII'NEDiSINGLE LIMIT $ IY AUTO - ' 'BODILY INJURY(Per person) $ L OWNED SCHEDULEDBODILY INJURY Per accidentTOS 8AUTOS ( )RED AUTOS No PROPERTY DAMAGE AUTOS _ Per accident $ - - $ . UMBRELLA LIAR OCCUR - - - EACH OCCURRENCE g'. EXCESS LIAR CLAIMS-MADE - T " AGGREGATE $ - DIED RETENTIONS $ $ $ A WORKERS COMPENSATION WC2-31 S-338804-020 12I28I2010 12/28/2011 we sTATU- OR- AND EMPLOYERS'LIABILITY Y/N - - •�- TDRY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE -- _ OFFICERIMEMBER EXCLUDED? Y N/A " - - - - E.C:EACH ACCIDENT S' - 10000( (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $ - If yes,describe under DESCRIPTION OF OPERATIONS below -. - - - - - E.L.DISEASE-POLICY LIMIT $ 50000C _ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) - - - Workers Compensation Insurance:Part One of the policy applies only io"the Workers'_Compensation Laws of the'State of MA..THE WORKERS'COMPENSATION POLICY DOE$NOT PROVIDE COVERAGE FOR OLIVER KELLY CERTIFICATE HOLDER CANCELLATION " SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF FALMOUTI j THE EXPIRATION DATE THEREOF,� NOTICE WILL BE DELIVERED IN 59 TOWN HALL SQUARE ACCORDANCE WITH THE POLICY PROVISIONS. FALMOUTH MA 02540 " AUTHORIZED REPRESENTATIVE Jeff Eldridge o ©1988-2010.ACORD CORPORATION. All fights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 9248378 CLIENT CODE: 1329955 Deb Derochemone-Y/6/2011 7:39:28 AN Page I of,I - 9 4 i) (: 14 i�ilii isl]'s iZC"ul liions nd Standards t i_ense: CS SL 99167 Res€ric,ad to: RF,1A 3 OLIVER KELLY r 9 PEREGRINE LANEwy�, SOUTH YARMOUTH;MA 02664 r x.piration, 9128/2011 z 99167 T. --- ------ --�—w1OIlF'1tGJ BoarA ofgull mg egulatio s and standards License or registration valid for individul use only. before the expiration date. If found return to: HOME{MPROVEMENT CONTRACTOR Board of Building Regulations and Standards Registration: 128957 One Ashburton Place Rm 1301 Expiration: 6/1412011 Tr# 284841 Boston,Ma.02108 Type: Individual Oliver Kelly Oliver Kelly 9 Peregrine lane. Not valid without signature South Yarmouth,MA 02664 Administrator e t z , _ a 5 7- -2 Carlson&SchmhtArchltects,Inc. �.Po e`er vp" CONSULTANTS.... �•....°a°.W ® ® UNISEX jl-.RAMP RAILING RED#i a E®Y AF�REn»z 9 UNISEX H/O TOILET' H/G TOILET >a.a ,.ro �,..ro 3 i 3 i MGNME WALL Li® 6 CLOSING OFFICE I. 3 ELECTRONICS - d AREA G CAM SHO®OM G F03 OFFICE Q p _ ® - tlCQTj BREAK ¢ Q ROOM J an Q ROOM s CLEARANCE E. F c Z - - - CERTT.NE Z M Z OM W Z ' _ APPWNCE 'Q�Q N t - 6 r .ro DIMENSION PLAN $ EI a w Dimen o .�Ia.,.,.General ea Notes Legend® DIMENSION ION PLANNAI 1 vq.ul..n.lal u.eu.uul.tl m p°u mwl e°vul..e a v..nwi.nao....eb..In E A3 y�; se4C ' m off® o� D s il�ll �III� Pi11 jI o II,Ililllll a I gal ir ZO CD CD DDDDDDDD - ,- �'=' i!ili!lil!ilillil!I i gaoa o 3 s '§a ;a II II II D _ a 3 3 Z � C1 e - v g AARON'S g 235 BARNSTABLE ROAD `E HYANNIS,MA A 8 � � : 1 Q � D CD 4 S 1 A• � J 1i r I r 1: Ills 4 i Y TOWN OF .BARNSTABLE BAR-W 4054 Ordinance or Regulation �r F WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# village/State/Zip Business Name CAPC. Q�N It? ; /�!m/pm; on /1, 20 f� Business Addres Signatur'e .of Enforcing Officer villi age/State Zip L( Location of Offense 5ff Enforcing Dept/Division Offense Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE . gui Iding' : Application Ref: 200900973 Permi * BARNSTABLE, * Issue Date: 03/30/09 t y MASS, �A i639• Applicant: HORTIE MARC R rFG MA'I a Permit Number: B 20090406 Proposed Use: DEPARTMENT DISCOUNT STORE Expiration Date: 09/27/09 Location 235 BARNSTABLE ROAD Zoning District HG Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 310170 Permit Fee$ 1,274.00 Contractor HORTIE,MARC R Village HYANNIS App Fee$ 100.00 License Num 57453 Est Construction Cost$ 140,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT AARON'S THIS CARD MUST BE KEPT POSTED UNTIL FINAL RAMP AND RENOVATIONS INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: KEEFE, DANIEL T TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: C/O HOLDEN 81 HABERL INC INSPECTION HAS BEEN MADE. 83 SEA ROBIN ROAD OSTERVILLE;MA 02655 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHTTO'OCCUPY ANY'STREET;ALLY;OR SIDEWALK ORANYTART THEREOF;EITHER TEMPORARILY.'OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC.PROPERTY;NOT,SPECIFICALLY;P,ERMITTEDUNDER-.THE BUILDING CODE;MUST BE'APPROVED BY,THEJURISDICTION. STREET OR ALLY.-GRADES AS,WELL AS DEPTH AND LOCATION�OF,PUBLIC SEWERS'MAY BE'OBTAINED FROM THE,DEPARTMENT OF PUBLIC WORKS: THE ISSUANCE:OF THISTERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE,SUBD,IVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE;SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 001 BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 4=R1� -elS 1 `5 ► 3 Ct 1 3 —r 1� 1 Heating Inspection Approvals Engineering Dept P�- 7- Fire Dept Board of Health d yam, I Town of Barnstable Building Department - 200 Main Street B"NSTABLE, * Hyannis, MA 02601 MASS. 1639. ,� (508) 862-4038 iOrFo nnp►'�°i Certificate of Occupancy Application Number: 200900973 CO Number: 20080391 Parcel ID: 310170 CO Issue Date: 07122109 Location: 235 BARNSTABLE ROAD Zoning.Classification:. HYANNIS GATEWAY DISTRICT Proposed Use: DEPARTMENT DISCOUNT STORE . Village: HYANNIS Gen Contractor:. HORTIE, MARC R Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: � 7 —� Building Department Signature Date Signed 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 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 PVlain Street, Hyannis, MA 02601 (Town Hall) i � h �rom Y DATE: 3 0 , 0� s- Fill in please: Mam, APPLICANT'S YOUR NAME 5 S 'TAU 2ti' An ` `� BUSINESS YOUR HOME ADDRESS: � UN TELEPHONE # Home Telephone N tuber S NAMEOF CORPORATION. NAME OF NEW BUSINESS " PE OF BUSINESS v O S THIS A HOME':000UPATI YES NO:: ADDRESS OF BUSINESS f -`Z - �' ._ _. ( -^� I I'! - ` .d QIMAP/PARCEL'NUMBER � 'l �` (Assessing) When starting a new b ine s tf5e r e ever-al-t� " -you Fnust 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 COMno SID ER'S OFFICE This individu h s b g4nfo ed f ny permit requirements t pertain to this type of business. �Au_thbrized Si tur * COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* CO MMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been info rmed of the licensing requirements that pertain to this type of business. - Authorized Signature** COMMENTS: �INE1r,- Sign k BARNSTABLE * TOWN OF BARNSTABLE Permit, 9 MASS. i639. A Permit Number: Application Ref: 200902349 20070296 Issue Date: 05/29/09 Applicant: KEEFE, DANIEL T TRS Proposed Use: DEPARTMENT DISCOUNT STORE Permit Type: SIGN PERMIT Permit Fee $ 75.00 Location 235 BARNSTABLE ROAD Map Parcel 310170 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER Remarks 36' SQFT AND AI4' SQFTSIGN TOTAL 50 SQ FT ONE ATTATCHED ONE FREE STANDING Owner: KEEFE, DANIEL T TRS Address: C/O HOLDEN u HABERL INC 83 SEA ROBIN ROAD OSTERVILLE, MA 02655 Issued By: PC POST THIS CjARD SO THAT IS VISIBLE FROM THE STREET t . Town of Barnstable NJa�. �A :� �P, -ABLE: � P� "E e Regulatory Services Y C(I _ Thomas F. Geiler,.Director. APR -8 AM 0 y g'rzN S. + •i Building Division .� .MASS.. $ 039. Tom Perry,Building Commissioner"�- »; 200 Main Street,Hyannis,MA 0260.1 �'f 'jSEQ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Apoication for Sign Permit Applicant: y r ,� map & Parcel# DoingBusiness As: ' —�./� t�Al-/ .S Telephone.No. _. / Sign Location Street/Road: i\ �T T! iC. �� Zoning District: 'Old Kings Highway.. Yes Qpyannis Historic District? Yes o Property Owner Name: J� /ll��:Q 7 �.�Z �` Telephoner Address: / 6 (,iyt tc ,S' fd dx7/ Village Lcl �i C/n_ Sign Contractor Name: l 0`l . ( Telephone: 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? Yes/No (Note:Ifyes, a wiring permit is required) f / Width of building face J� ft.z 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 Ordinance. Signature of Owner/Authorized Agent: Dater Permit Fee: Sign Permit was approved: . Disapproved: Signature of Building Official: Date: W �� 0 In order to process application without delays all sections must be completed. O_:I WPFILESI SIGNSI SIGA'APP.DOC Rev.9112/06 t t li - �''-- Aaron's I I 71 "We EXTERNALLY ILLUMINATED WITH GOOSENECK LAMPS. h� "T-7 11/16 DOI CONSTRUCTION NOTES: . S/F NON-ILLUMINATED SIGN. - . FACES-ROUTED SIGN FOAM. COLOR NOTES: aro�ts AARON'S COPY-BLUE:LETTERS PMS#287. IF PROCESSED WHITE BORDER/OUTLINE. BLUE SECOND OUTLINE PMS#287. i GOLD THIRD OUTLINE PMS 871 2-0"ROUTED SIGN FOAM SIGN-NEW STILE ART TOTAL SQ.FT.:13 SIDES-PMS 287 BLUE. TOTAL SQ FT PROPOSED(WALL SIGN+PYLON FACE)=49 TOTAL SQ FT ALLOWED 50 SIGN AREA=TOTAL SQ.FT.:13 k1771lNDUSTRIAL RAWING IS FOR CONCEPTION PURPOSES ONLY. DUE TO CONSTRUCTION CONSTRAINTS SIZES OR LAYOUT MAY CHANGE. TD), ACCOUNT REP: C.FAUCHEUX CLIENT: AARON'S REVISED: 03/13/09 REVISED: LOCATION: HYANNIS�MA_. REVISED: REVISED: ` Underwriters SCALE: DATE: O1/27/2009 REVISED: REVISED: CY� Laboratories Inc.® STED ROAD,DOTHAN AL. 36303 REVISED: REVISED: 334) 836-1400 FAX (334)836-1401 DRAWN JAS °No:.AR MA-HYANNIS REVA- -7 6„ GOLD BLUE WHITE D o WHITE BLUE FRONT VIEW SIDE VIEW .125 ALUMINUM BACK DECKING SCREW W/ SILICONE NOTES: 1" HDU SIGN FOAM PANEL (15 LB. DENSITY) W/ .125 ALUMINUM BACKING. #14 X 3" TEK SCREW (MIN. 8) FOAM TO BE ROUTED TO GIVE DIMENSIONAL LOOK. (SEE DETAIL) FILL IN HOLE W/ PAINTERS USE 4' X 10' X 1" SIGN FOAM FROM ALUMAPANEL INC. CAULK AND TOUCH UP PAINT. ATTACH ALUMINUM BACK W/ DECKING SCREWS AND SILICONE. 1" HDU SIGN FOAM (15 LB. DENSITY) COLOR NOTES: AARON'S COPY — PAINT TO MATCH PMS 287 BLUE 1 FIRST OUTLINE — WHITE SECOND OUTLINE — PAINT TO MATCH PMS 287 BLUE THIRD OUTLINE — PAINT TO MATCH PMS 871 C GOLD EX.LSTING VERTICAL VINYL SIDING 8" EXISTING FOAM INSULATION EXISTING WOOD BACKING MOUNTING DETAIL 8„ 8 D pp' AARON'S Ig INDUSZR 36303 °FDDAAXE (P4>)ase6i�o`t00 HYANNIS, MA DATE: EN: ACCOUNT MANAGER: ESTIMATED WEI- 04Ajff- 03 2009 YATES s C. FAUCHEUXUr- WIND ROUTING DETAIL REVISED: BY: ROVED DATE: rrEM NUMBER: seo: Erv: ® r, AA_2FT FOAM SIGN _ � S 12'-0" AY .Vinyl PETS 1'-Tj Air®its+CUr�miC Ti14!. ry�-On 1 .Remnatnts L"s� J 9 COpt n 'Wood Ftoon9 FURNITURE ELECTRONICS COMPUTERS APPLIANCES Area Rugs s.w REPLACEMENT FACE: CLEAR LEXAN WITH 2ND SURFACE VINYL FURNITURE ELECTRONICS COMPUTERS APPLIANCES W/2" RETAINER COLORS: BACKGROUND-WHITE AARONS COPY- MATCH PMS 287 BLUE AgrETs FIRST OUTLINE-WHITE SECOND OUTLINE- MATCH PMS 287 BLUE THIRD OUTLINE- MATCH PMS 781 GOLD ` I SUB COPY- MATCH PMS 287 BLUE NOM OFFICES MOUE r,» PROPOSED EXISTING THIS DRAWING IS FOR CONCEPTION PURPOSES ONLY. DUE TO CONSTRUCTION CONSTRAINTS SIZES OR LAYOUT MAY CHANGE. D ACCOUNT REP: C,FAUCHEUX CLIENT: AARON'S 03/13/09REVISED: REVISED:LOCATION: HYANNIS,MA O Underwriters ' , milm SCALE: DATE: O1/27/2009 REVISED: REVISED: ® � Laboratories Inc.e IS- 1771 INDUSTRIAL ROAD,DOTHAN AL. 36303 DRAWN .IAS DWG AR INA HYANNIS PIIIAN OPTt REVISED: REVISED: PHONE (334) 836-1400 FAX (334) 836-1401 BY: NO.: - - - - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel c' v - Application# . Health Division Date Issued � a Conservation Division Application Fee Tax Collector Permit Fee Treasurer . a Planning Dept. t. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Q Owner vtz e,­P% Address GAASe- 5`1 Cil�4 Ct r�W a Telephone Permit Request �� �►1 �X 1�-z t N '� � N A C.'C -C1� Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation eLfon 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: ,,honing Board of Appeals Authorization ❑ Appeal# Recorded❑ f Commercial ❑Yes ❑No If yes, site plan review# _ Current Use Proposed Use w BUILDER INFORMATION Name lJ Telephone Number 60% c3:tO Address 6,(14 A 4r 5 (Artly, License'# Home Improvement Contractor# 4 co 96 r-- rn ®-`X. � Worker's Compensation# C.23 ALL CON TRUCTION DEBRIS R�LTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE vo FOR OFFICIAL USE ONLY. APPLICATION# - 'BATE ISSUED _ MAP/PARCEL N0. i .ti ADDRESS VILLAGE , { OWNER r d DATE OF INSPECTION: ; FOUNDATION FRAME INSULATION ' y FIREPLACE is t r 4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL �- FINAL BUILDING I • DATE CLOSED OUT ' ASSOCIATION PLAN NO. �T Town of Barnstable. °* Regulatory Services Thomas F.Gelller,Director a63� A1� Building Division a Tom Perry, Building Commissioner N , 200 Main Street, Hyannis,MA 02601 1„ , www.town.barnstable.ma.us �. Fax: 50&790-6230 000: 508-862-4038 �ti r , Propelly,Owner Must C�plete. 4u&Sig."I:This Saction- v r-t'" ,as C vLe of the subject propertyl s ��•-i.V L � t.�,�l' ,.:�to act on mybeh4 hereby authorize in all matters relative to.work authorized by this Molding permit appl—tdon for: . (Address of job} suture o er - riot Name OYORMS:OWNME MISSION Iva E 9 I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �# Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busine ^ss/Organization/Individual): I )L'i;a L. UaLZ J`'1 Address: r�' Cr2 u�t✓ (.a�� City/State/Zip. L Phone#: Solt -t-f L1 A,ree,y/on an employer?Check the appropriate box: Type of project(required): 1.L3 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 workingfor me in an capacity. employees and have workers' y9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 101]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I l.❑Plumbing repairs or additions I myself. [No workers' comp. right of exemption per MGL 12.[; Roof repairs insurance required.] t c.152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees_ If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Namet, P, n11711iAi_ Policy#or Self-ins.Lic.#: '6 ®� 0?-(:2 Expiration Date: IT 12- 1 Job Site Address: 3 S � L� City/State/Zip: 4 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceM under thepains andpenalties ofperjury that the information provided above is true and correct Si afore. Date: 5 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: P Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,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,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of - insurance. Limited Liability.Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials t provided a ace at the bottom Please be sure that the affidavit is complete and tinted legibly. The De Department has ov ded P PP P . � of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia 1 Liberty Mutul � P Lib" I ttl JAN Box 7202 muwme Portsmouth,NH 03802-7202 Telephone(800)653-IM— K, 431-5693 Janucry 9 2007 F TOWN OF BARNSTA13LE ATTN. SALLY 230 MAIN ST HYXNM.MA WWI RE: Certificate of Workers Compensation Insuranee Insured: OLIVFX KElJ Y , 9 PEREGRINE LATE S YARNIOLTM MA 02664 Policy Number: WC2-31S-338804-026 Effective: 12.282006 Expiration: 12/282007 Coverage afforded under Workers Compensation L'w of the following state(s):. MA Employers Liability. . Bodily Ia jur By Accident- $ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person . Bodily Injury by Disease: $ 500,000 Policy Limns As of This date,the above-referenced policyholder is insured by LibertyMutual Fire Insurance Co under the policy listed above, The insurance afforded by the listed-policy is subject to all the teams,exclusicas and conditiM,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate maybe issued. This certificate is issued as a matter of infbmiation only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled behue the stated expiration date,Liberty Mutual will endeavor to notify you of such. cancellation. JV�' b l AunfoRImD Rmw—cmNrA'nvE U BERTYWOrUALIMMAM GROUP M Cer0c*is emtukd byLMO TY MMIAL MC-RANM GROIP as asp dsma umnm as is aSaeded by Ease w. pages. cc: Insured: Producer of Record: OLIVER KELLY SANDPIMR.INSURANCE AGENCY INC 9 PEREGRINE LANE 12 ENTERPRISE RD S YARMOL.'I t MA M664 HYANIMS.CIA 02601 To Data Time WHILE YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message i2e2. aa_ % rvr AMPAD 23-021-200 SETS ' EFFICIENCY® 23-421-400SETS CARBON LESS 9A pool v f JI W 4 Oa �s 7 . u TOW14 OF BARNSTABLE SIGN PERMIT X PARCEL ID 310 170 GEOBASE ID 22738 ADDRESS 235 BARNSTABLE ROAD PHONE (508)367-3700 HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 29187 DESCRIPTION CAPEWIDE FURNITURE (1 X 30' ) PERMIT TYPE BSIGN -TITLE SIGN PER1.1IT t CONTRACTORS,: - Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES.:. $50.00 DIME BOND " k $.00 CONSTRUCTION/COSTS $.00 153 MI SC. 1'6OT CODED ELSEWHERE : BARN3Ti�►BLE. i6gq. A�� FD MA'S B LD G D SI B A f M DATE ISSUED 03/02/1998 EXPIRATION DATE • Safetyand Environmental Services` _ . t Of Health , = De�arfuieII , . rsd Building Division w � 367 Main Strom Hyannis MA 02,60I , Raiph CIDSM Office: 308-790-6227 Building Commission: Fax: 308 90-Mo licadan for Sign Permit 3 - Applicznc 'I % Uk(, fz Assessors No. 31L Telephone Doinz Business As: Sign Loon js -X4Ila GaP71 Street/Roark o�.� 7 - 2 G Zoning District Old Icings Idigh'= ? Ye-,6NO) Property Owner Name: D�jJ �l�Is�r 019 Telephone: 397•3-700 Village: Addre=s• T o� Sign Contractor a Teiepiione: Name: �J -l"th r16- VSi 12-�� c. V'ulage: ��rbr�STELE Address'.—T BUILDING DEPT. FEB 2 7 "1998 Description Please draiv z diagram of lot shoeing location of bU.U" ngs and e.Yis=* g signs nith dimensions, location and size of the neir sign. Ms should be dranin on the :ererse side of this applicarion. Is the sign to be rie=ihed? I- fiVotc: zs requirrO I hereby cei* that I am the owner or that I haS•e the authority of the owner to snake this applicudon, tha=the Xfa=adon is cone=and that the •are and construction shall conform to the provisions of Sec:ion 4_3 of the Town of Barnstable Toning Ordinance. Si of Owner Authorized Agent: . ����.��, ��, Date: o� a 7-ff gnature / Size: X 3 0 Permit Fee: Disapproved: Sign Permit was approved:-- r C S Lphlt- �' - a�'� Daze• J —,z —0 l'T OT^"TTTrA r1��11T2 •�^rS O111Gzi. fy U� • "r �•..r �: Ur /}T 77...r•�S) J 1 s J1 � ------------------------------------------------- F 43 - Ot- T - 1 k] FR I o = 1 != ` TOWN OF BARNSTABLE SIGN PERMIT . PARCEL ID 310 170 GEOBASE ID 22738 ADDRESS 235 BARNSTABLE ROAD PHONE (508)36773700 HYANNIS ZIP - - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 24959 DESCRIPTION MATTRESS WORLD (65.63 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services-, TOTAL FEES: $50.00 BOND THE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BARNSTABLE, MASS. OWNER KEEFE, DANIEL T TR i639 A�� I ADDRESS ED MA'S W7YARMOUTH MA BUILD Y DIVISION / BY DATE ISSUED 08/12/1997 EXPIRATION DATE r of Ba stableThe Town � r Department of Health, Safety and Environmental Services "MS Building Division ' i► 367 Main Street,Hyannis MA 02601 I Ralph Crossen )Mce: 508-790.6227 Building Commissioner 'ax. 508-790.6230 Application for Sign Perm t Applicant:_ rt�� y�`C � Assessors Ito. Doing Business Telephone Vo. jo -775 1� 6) Sign Location 1/4 S LA 90 Streev Moad: 3 Zoning Dist rict Old Dings HEightvay? YesG 3,61-3 -100 Property O er P— P,615 Telephone:_ Name: t�t� �c'��c c 0n D vv V4Ac4o rl GAG Address:, _ l A-Fr Village 1 -- 23 Sign Contractor Telephone: °'�JQO-001 Name: (3 Address• j jo ALOATI 5 Village: Description Please draw a ding= of lot showing location of buildings and e:aisting signs withdimensions, location and size of the new sign. This should be drmvn on the reverse side of this application. Is the sign to be electrified? Teu '✓ N°te:If'jrs, a TWirigpermit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this conform to the application, that the information is correct and that the use and constriction shall provisions of Section 44 of the Town of Barnstable Zo Ordinance• Signature of Owner/Authorized.gent~ Date: �� S �� Permit Fee: Size: . Sign Permit was approved: Disapproved: J Date: 6L Signature of Building O$Iici, ` f r TOWN OF BARNSTABLE SIGN, PERMIT PARCEL ID 310 170 GEOBASE ID 22738 ADDRESS 235 BARNSTABLE ROAD PHONE (508)367-3700 HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 24961 DESCRIPTION CAPEWIDE FURNITURE (33 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS Department of Health, Safety ARCHITECTS:° and Environmental Services TOTAL FEES: $50.00 BOND THE CONSTRUCTION COSTS $.00 Qi► 753 -MISC_ NOT CODED ELSEWHERE * } * BARNSTABLE, • MA83. OWNER KEEFE, DANIEL T TR i639. A�O� ADDRESS Fp MIr►l 175 RTE 28 W YARMOUTH MA BIVILDI G DIVISION DATE ISSUED 08/12/1997 EXPIRATION DATE BY ' The Town of Barnstable 110-�� /I • DepartmasMVVrA s ent of Health, Safe and Environmental Services ► Building Division t� 367 Main Street,Hyannis MA 02601 'Office: 508 Ralph Crossen-790.6227 � Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: �C'lq jq M 0(C1 Lj- Assessors No.�3 '0 - DoingBusiness As: (2 91= ,j i D L-� FU iZW iiUR Telephone No. IT'S-3-1 bt Sign Location n I 'Q� N�i Street/Road: 3 Zoning District: - !� Old Dings Highi;-ay? Yes Propertywner O 3 Too Name: fYL-`M "�L5-'J Telephone: Gff"W"�C /O D �I�Z l�C f✓�Ti: Address: 75 Village: 6t-1 r YA 2rL cOvTI-, 9�2 1, ,3 L Sign Contractor Name. � i eleplione: Address: Village: Description Please draw a diagram of lot showing location of buildings and e.�isting 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' is o (Note.Iffrs, a i ringpermitisrequired) 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 Torn of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: LDate: awl l size: '3 350 Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: /a / gn g • e S r' I t r r • ' 3 a u . I � 1 f ------------- 1 IJ JLJAA v� K F � j J > d . o r � TOWN OF BARNSTABLE ` SIGN PERMIT PARCEL ID 310 1.70 GEOBASE ID 22738 1 ADDRESS 235 BARNSTABLE ROAD PHONE (508)367-3700 HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT NY PERMIT 24954 DESCRIPTION CARPETS OF CAPE COD (43. 13 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety i ARCHITECTS: r and Environmental Services TOTAL FEES: $50.00 BOND THE CONSTRUCTION COSTS $.00 �T Qi► 753 MISC_ NOT CODED ELSEWHERE 1 PRIVATE' P.;;{*11, 41 1ARNSTABLE, # MASS. OWNER KEEFE, DANIEL T TR ADDRESS FD INId W7YARMOUTH MA BU` LDI ING DIVISION' DATE ISSUED 08/12/1997 EXPIRATION DATE L��_ The Town of Barnstable � s Department of Health Safe and Environmental Services uT . Departm Safety KM Building Division Eo mat 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant:_-0 114 4 Z_ IT v4 S P Assessors No. ��d �" (40 Doing Business As: r 14 Of K41M Telephone No. Sign Location Ci G / `� AMA MA Street/Road: �` oxco Zoning District—T Old Dings Highmay? Yes/No Property O er 36 �-' 3�0 Name. A- j T Telephone: • Address• ) 7 k(J 1(f 92 Village: L41 }�/�a� �f OJ��r G � Sign Contractor y Name: a 1Zael m a :.i I Telephone: Address: 204 A/412L S% Village: A/f Description Please draw a diagram of lot showing location of buildings and emasting 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;Ni o (Note.Ifiri, a cvitingpermit 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 B le Zoning Ordinance. f "Date: Signature of Owner/Authorized Agent: Size: q3 / Permit Fee: Sign Permit was approved: Disapproved: Ell Signature of Building Offici •!%� %" ? Date: < tr .ineering Dept.(3rd floor) Map 3/ 6) Parcel 170 Permit# 3 House# S� �� Date Is ued °] ' Board of Health(3r�oor)-(8:15 -9:30/1:00-4:30 Fw Conservation Office(4th floor)(8:30-9:30/1:00-2:00) {o Planning Dept. (1st floor/School Admin. Bldg.) AP iWCANT T l►MMR CONNECT n THS Defird ' e Plan pproved by Planning Board 19 SNa B TO CommSTABLE. CO MASS. 16S9• rfD N1A�s TOWN OF BARNSTABLE 22 Building Permit Application �P oject Street Address ) Village NIJ 15 7Telrer hr 1KV D/+AI C1 e- Address _ ,s' yu '. YoRmufw Aw t hone 6 ^ 340o ®.26�3 Request Vl i li L-i ouFirst Floor square feet Second Floor square feet Construction Type timated Project Cost $ 3. 00o Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑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 No. 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 - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name_ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS ESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0�6 BUILDING PERMIT DENIED FOR E FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - DATE ISSUED MAP/PARCEL NO. + 1 ADDRESS VILLAGE - OWNER• 4 ; , DATE OF-INSPECTION: f i FOUNDATION _ • r i FRAME i INSULATION FIREPLACE + ELECTRICAL: ' ROUGH FINAL PLUMBING: ROUGH FINAL GAS:` FINAL A ' •te�.rr� _ +. � FINAL BUILDING c -> �" a ac tr DATE CLOSED O> - ASSOCIATION PIC3O. �caa r r Tltc• Cutrrrrrutrlvculth of:l tussucbusetts ;., ''s.�__:•1'- Departtrretrt of Industrial.4ccidents p>fcEallayestlgativns 6110 ti a-v/11rt(;tu" Street 'y�•. � _,;.' $ustutr•91usr. (13111 Workers' Compensation Insurance Affidavit _ i ii n int r�ni it on n.. —_'_.--• _ — --r�-~�. �i k C-u GE C "�I G� ' n• �� o Zi t ��' �— F�A-0 LL 3,4 P- { •Q flan am a sole proprietor�a�n�dve no one%voZi _= in any capacity - ._. . [� I am an employer providin workers' compensation for my employees working on this job. nm inm• namr! - •ititl rrcc� hnnc N• n. olicr a inciirnncc cn. - [I Jow wner(circle are) and have hired the contractors listed be' I am a sole proprietor. ;t neral contractor, or fiomeo u the following workers' compensation polices: cnm nnv name• adtirrcc• hnnc a• cin•- incvirnnrr rn. T... ._,� :�--:_-��:�•-•.r••-�1• *''._ cnm nnv natne- atltlrrsc� hnnc#• cin•� nfic•>s ^_ insurance co .. -�-- .., .:.�=:. __..•— -: Attach addict'nai sheet if neces_sary....>•` ": ��-•"'';""""�`��i3 Failure to secure cowerace as required under Section:SA of A1GL 1S_can lead to the Imposition of ertmtnal penalties of a line up to SISOU.UL une s cars'imprisonment'is well:is civil penalties in the form of a STOP WORK ORDER and a title of 5100.00 a day against me- 1 underztani cop.•of this slatclltctlt ma,, be rn•arded to the olIice of Inc esti>:ations of the D1A for covcmre verification. /do Itrrchr crrrif•turd rl •pants a td p aloes of prrjun•that this information prodded aboZ6� mt correct. Dat Si_naturc Phone� Print name .y.W1YY/r. •nRciai use univ do nut.write in this area to 6e completed b� sin or roan ofliciai permitllicense d _-riouildinz Department cin•or town: aucensing Huard 05ciectmen's OlTcc v. ix-rd- .,t...itt, Ocnartmer: iassachusetts General Liws chapter 152 section 25 requires all employers to provide workers• co upettsation for`t,4lei nployecs. As quoted from the "fay%•". an empigrce is defined as every person in the service of another under::av mtract of f ire.`cxpress or implied. oral or written. ,I c•mpinrer is-def ined as an individual. partnership, association. corporation or other legal entity, or ariy two or more fore:oim_ en�:aged in a,joint enterprise, and including the legal representatives of a deceased employer, or tite _civer or trustee of an individual , pannership. association or other legal entity, employing employees. However tite .,ner of a dwellim_ house having not more than three apartments and who resides therein. or the occupant of the •cilin" house of another who empiovs persons to do maintenance , construction or repair work on such dwelling_ hour on the _7cunds or building appurtenant therqu shall not because of suchemployment be deemed to be an employer. 3L chapter L52 section _5 also states that eyeik•'siate or local licensing'agency shall withhold the issuance or ICIV4111 of a license or permit to operate a business or to construct buildings in the contmonjrcdith for any ilicant,olio has not produced acceptable evidence of comhliance-with the-insurance coverage required. ditionaii•,. neither llie'commonwealth nor any of its political subdivisions shall enter into any contract forihe iormance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha n presented to the contracting authority. )hcants se fill in the workers' compensation affidavit completely, by checking the box that applies to your situc.:on and Alvin__ company names. address and phone numbers as all affidavits may be submitted to the Department of stria) Accidents for confirmation of insurance coverage. Also be sure to si-n and date the affidavit The cvit should be returned to the city or town that the application for the permit or license is being requested. .he Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required �:ain a workers' compcnsatior policy. please call the Department at the number listed below. or Towns be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of itdavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas -e to fill in the permit/iicense number which will be used as a reference number. The affidavits may be returned to =parttnent by mail or FAX unless other arrangements have been made. -Rice of Inv�esti_ations would like to thank you in advance for you cooperation and should you have any questions. do not hesitate to give us a call. . eparrment's address. telephone and fax number. The Commonwealth Of Massachusetts :. ... _ - Department of Industrial Accidents Office of Investigations ii • 600 Washin;ton Street Boston,Ma 02111 fax #: (6I7) 727-7749 phone #: (6I7) 7274900 ext. 406, 409 or 375 ' r 239 Barnstable Road, Hyannis, MA 02601 775-1950 • Fax 775-2292 Toll Free 1-800-893-BEDS Arthur Resendes Orleans, MA Dennisport,MA Falmouth, MA 240-1073 394-0225 64-0633 9 � �. d ., 3 A t . � h i - � �. _ . i I a. ' Aviv � j � ' �'` ,� ` �� r/�\ ,'` 1 e"' �. -0.Engineering Dept. (3rd floor) Map y ) 0 Parcel 170 �S Permit# House# a:!JS. Date Iss d T ! oar o ealth(3rd oor . :15 9:3Q/1:00=4:30) Q >I%�j Fee Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) 0 Gr Planning Dept.(1st floor/School Admin. Bldg.) JINN De f' five an Approved by Planning Board 19 • BARNSTABLE. TOWN OF BARNSTABLE 'F"��'�� Building Permit Application Project reet Address �35 Village &&wN t. , Owner eTno to/n►c% t2 us r /7-)4w I eL Kee{ Address _ 1:7-5- 2 u/ - yA2ovrw Telephone 36 b Permit Request Fir tFloor square feet Second Floor square feet Construction Type .\/ - stimated Project Cost $ p-Z-V Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial U,1 VeL1 No If yes, site plan review# - Current Use Proposed Use Builder Information Name LTelephone Number _ d ff - 113 2 6P079 Address (t oCt License#el, :2,2 C0 , 1 � .�4 6 2 i Home Improvement Contractor# /J7 7 r'.� Worker'sy-��- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE v DATE ✓ 4— J.3 -1 7 BUILDING PERMIT DENI FOR THE FOLLOWING REASON(S) 4 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. �` T .a _�1 _T� �__ ( � � � -� � � i _�nn.�.11 � _� _ �tJ _.� —� -� -- ---� V] —— _. .,�t __ — __ _ .. ��L _ _— _. '� —._— _. __� �- � ��t i — — — — --�-----1- - -- — — -- — — - — —rs -- — -- -- — -- - -- —+ — — - �� 3 a_. ,_y1 - _ - -� 3-{7. i- _� _ --I- - — -{ —— - -—1-- � _-� - - - - --- - - �--I---� �� �s �- 4 ; ._� _ � _ .- � � �----; r ' ��` — �=�.- -- - — — -- — --—— -— -- --_--�--�— --� _ � _a _._ _ _�� E � I I � ' ;�_-__ i � r -- i_ i -- -- —�- �- � -- - -. L_. -:-_--.---- -- - - -- - - --t-- - - - - - - � - --- - ._ i - -- - - � - _ - _ - - - —_ - -- - — -- — -r— — -- --- — -- --- — _ __ 'i I 'i r - � � �� I -- t� - - � k= - - - - � � 1 � _ t �� '�: r _ - -- - � '�~ �i i � = =_ �� - L +-''_ � '�� + fi _ '� � - � r � �ar � � _ , _ � '� r a — I , ' I II i � �� �� Il�� � _I I I I I I _ I i I I I I I I C2 "X i Sill 4-1 -+-JAG/CS- bl ' I ; C�2-6 N 's y . a Y ' e �I� I - life lip, - I I I I A i . I . ill , , I I I I I I I � I` � ' ' - f I fi � � - 1 : � � �- -�:- _� � J 1 �� t �� � � = I �-r - - i r1 - I� 11 ' - � _ �� i � _' � i -- =j � , 406 i".. • Tltc• Culttltlr»tlrcttlth of.- tussuchusctts Depart!"C111 of Industrial.4ccidents office of 10yest/917flaffs �,•::+' ON !f ashbi inn Street .y., ,. Bustutl.MUN.T. (12111 J '�{►�=1'�� Workers Compensation Insurance Ati�tid��'t^t -- PI PRINT' - Atijlic:lnt in rni inn: [j I am a homeowner performi a all wort: myself. ant�•ca achy o „��.._....--......._-- I am.a sale proprietor and.have no one wri:ins in P -- _ C i am an employer prov�ui,�_ -, c:•`-crs' cc!n sailor! forms etnpioyees wori:in� on this job. c011111•inv n tmc• •tdtlrccc• I n— • hnnc i!• ,• iicv tiY _..r._.� insnr�ncc cn. _ - --��•-�-�• - ,C] I am a soic proprietor. general contractor. or homeowner(circle ate) and have hired the contractors listed beio�t � the foilowina workers* compensation polices: enm alit• name• atltlrccc• lift" in-mr:inrr rn. _ ,�...r... :_- __rw:����:7••.r�.�.,.•s: "� a(ltlrc(c� 11nnC�� rift" nli •it! ��,�.. insurance c ter-- .., -.�;;•i� Attach additional shee!if neeaia - .�,;;.r::.� ; Failure to secure cttt crage as required under section 3A of 111GL 152 can icad to the imposition of crtmtnai penalties of a tine up to S1S0U.UU unc t cars• imprisonment:ts wed:ts cit•ii penalties in the form of a STOP WORK ORDER and a title of S1ne.00 a day against ma 1 uaderstanc to the OIGce of lavestigmions of the DIA far coverage verification. cape of this statement mad be fornnrded 1 do herehr cent , larder the pains and enalties of perjury that the information provided above is tru td correct. Date Sinnature Phone 0 Print name o(rui!use unh do not write is this am to be completed by cite or roan at�ci�i permitlh' Ise# r•Ttluilding Department L cit} nr intro: QLicensing Board E asciccttncn's ORcc —mired r.+11—ifh Ornartmer., tassac:husetts General Laws chapter 152 section 25 requires all employers to provide workers cc�inpensation for tlici' »p%ovecs. As quoted from the "1aw**. an esrplgrec is defined as every person in the service of another unn``, ,:nj • Mntract of hire. express or implied. oral or twitten. n c•»rplurcr is defined as an individual. partnership. association. corporation or other legal entity. or an , two or more _ fora=oina, cnpaged in a,joint enterprise. and including the legal representatives of a deceased employer, or the cciver or trustee of an individual , partnership. association or other legal entity. employing employees. However the .•ner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the -elfin`_ house of another who employs persons to do maintenance , constructiorilor repair work on such divelIin�_ Itou. oil the ;_rounds or building appurtenant thereto shall not because of such employitient'be'deemed,to`be an employer. �L chapter I'5'1section 25 also states that eyern•state or local licensing agency stinli withhold the issuance or tei�a! of a license or permit to operate a business or"to constructJ)uildings in tlrc.commum�•calth for am• -)iicant who lias not produced acceptable evidence of compliance with the insurance covernge required. ditionall•,, neither the commonwealth nor any of its political subdivisions shall enter into any contract for;ihe iormanee of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha n presented to the contracting authority. )hcants s: fill in the workers' compensation affidavit completely, by checking the box that applies to your situa:on and )iying company names. address and phone numbers as all affidavits may be submitted to the Department of strial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The :.Wit should be returned to the city or town that the application for the permit or license is being requested. -he Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required ,:ain a wor}:ers' compensation policy. please call the Department at the number listed below. - or Towns be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of jdavit for you to Fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas re to fill in the vermit/license number which will be used as a reference number, 71he nfrHavits m2ry be returned to =artment by mail or FAX unless other arrangements have been made. Tice of Investigations would like to thank you in advance for you cooperation and should you have any questions. do not hesitate to give us a =11. ,epartment's address. telephone and fax number. The Commonwealth Of Massachusetts '-_•-•- Department of Industrial°+.Accidents ' Office of investigations i:) ;Y f 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone r: (6I7) 7274900 ext. 406, 409 or375 f a , o �• �Jlte'IOMPo9/LO�iGI1(><tI�O�✓lR•Q.'kXICI2UJ641O ! 1 � c W 2X'. v_~i c HOME IMPROVEMENT CONTRACTOR Registration 117798 a - - Type - INDIVIDUAL Expiration 11/22/98 GARY M LANGILLE GARY M. LANGILLEM ` - - &MAIN ST, RT. 28 b a ADMINISTRATOR HARWICH MA 02671 ' F � --- a r .=• N - 2 w u s (o 1 6 f� 1 �• f i 1 ' Y i 1 yoF•rMe raw TOWN OF BARNSTABLE ]IMSTAM rasUa : Office of the Building Inspector •lop 039. ` .e�,0 rAY k• Date March 6, 1995 Fee $50.00 Permit No. 33 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO Arthur Resendes Mattress World DIBIA LOCATION 239 Barnstable Road Hyannis, MA ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT s r '—Building Inspector i i of"'E'er (508)790-6227 BARNW.o,� G�t� ,619. GLORIA M. URENAS ZONING ENFORCEMENT OFFICER BUILDING DEPARTMENT TOWN OF BARNSTABLE TOWN OFFICE BUILDING 367 MAIN STREET HYANNIS,MA 02601 CALL FOR APPOINTMENT f "# PPRMIT NO_ r r DtlTE• BUILDING DEPARTMENT 367 MAIN STREET HYANNIS, MA Q2601 APPLICATION FOR SIGN PERMIT APPLICANT: �-RT (�ye I_Sr�f�17 :,ASSESSOR'S x0.,_ ----------------- DOING EusnmSS as: iZOt �h T T�r 5 S !/�/G� l- sEr.EPBorjE: 7 5 /1 SIGN LOCATION Street/Road: ZONING DISTRICT: OLD RING'S HIGHWAY DISTRICT? yes no PROPERTY OWNER c /_Name: Address: TE()Q f f <5u n ff �oe City: _�Avh� K��l[rrL State: Zip: Q Tel. No.: ®�// SIGN CONTRA 'OR Name: 0M6 `- Address: a00 city: R � state: //�� Zip: �c1 - � ''" Tel. No. : DESCRIPTION SIZE IZE OF OF THE NF'H SIC?; LOT SHOKING LOCATIOR OF BIIZLDINGS AND rxISTZNG SIG2:S KITS DIlfENSIONS� LOCATZON AND i TO BE DRAWN ON TEE REVERSE SIDE OF THIS J.PPLICATION. Is the sign to be electrified2 yes no ��;o:E: If Fes, a wiring per nit is required. I hereby certify that I an the owner or that I have the authority of the owner to make application, that the inforration is correct and that the use and construction shall conforz: to the provisions of Section 4-3 of the -n of Barnstable Zoning Ordinances. Date signs u e "u horized x9en For office Use Size (Sc. Ft. ) Pe^it Fee7(� Approved Disapproved Date si ature of Euild Off—al el KZSC< 1: YHUTOGR�4'ti A >photograph showing the existing facade, on which* has been indicated the proposed sign location_ The photo- c=a_oh is tc inciuce E _I.ortion er acjoinna_ stores or build nos _ For a Dr000sec buile-ng or new facade, an architect' s elevation. -.ay oe s_ Lhr�tteci in lieu of a photograph_ 2. SCALE DRAWING OF THE PROPOSED SIGN A scale. drawing indicating 1) the type of proposed " : sign (wall; hanging, free standing) ; 2) dimensions of the proposed sign and any designs, logos, or let- tering; -3) colors; the drawing may be black and white, _- but color chips must be -attached_ for colors other than black, pure white, or gold leaf;' 4 ) materials; what the proposed sign and letters are to --be constructed of; and, S ) a cross-section with dimensions showinc u " edge detail. Minium scale, 1" 1 . Minimum sheet size, x 11" . Two sets. J 3. SCALE DRAWING OF 'THE BRACKET A scale drawing indicating dimensions, color, material, _ and method of affixing it to the sign and :o the build- inc. Min1:7ulin Scale, 1" = 1 ' . Mini rim7-i: sheet- size, s'<. x 1 1" . Two se is 4. TOKIR OF E RNSTABLE SIGN APPLICATION A coroleted Sion Loplica ion, inciudinc scaled diacTam shok-inz location oT s_cn on bui ldiDc or loca=ion o= free-st-aneinc sign. Show dimensions_ j` i i a t , 4 I I _ R f F ' C 4 I� I 1 , i I I I I ! I I R e R a', NAME.O,FO E '.'R l.Y'K BA � 4677.4 TOWN OF ADDRESSFOFFENDER 7,. BARNSTABLE CITY,STATE;ZIP CODE �iHE rOk, - - MV/MB REGISTRATION NUMBER • OFFENSELLi �fjj//Jf��,//'/,f//�' ry1"j' "}y (/./ }ff ,/ ♦ g,,� -..jyL+�-ram /Jf [/ ///I�y_/y y}I ,//.9 HANI SS91.F. TIME AND DATE OF VIOLATION) n e7e' / LOCATION OF VIOLATION - w NOTICE OF oN ?= �-~ --�s ;G;�� <L� i�f l� . a SIGNATURE OF ENFORCING PERSONS ENFORCING DEP,T'.;;,r BADGE NO. - W VIOLATION . ��»;r .� /. A! � ; ', Q 0 OF TOWN UJI I HERB ACKNOWLEDGE.RECEIPT OF CITATION X ii ORDINA`1V C-14�Unable to obtain signature of offender. THE'NONCRIMINAL FINE FOR THIS OFFENSE IS Sure A W \ Date mailed w OR• '' 1—YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS.MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION ,,you may elect to a the above fine;either b appearing in person between 8:30 A.M.and 4:00 P.M.,Monda throw h Friday,legal holidays excepted, Q Y P Y Y PP 9 P Y 9 Y 9 Y P ul before: The Barnstable Town Clerk,367#Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, nJ. P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS,OF THE DATE OF THIS NOTICE. 121 If you desire to contest this matter in a noncriminal proceeding,yyou may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Aft:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. 13)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against.you. I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature, NAME`S BAR J —�' "''". ` ��•tf G% vim '•�",IV BAR 1 iVVJ TOWN OF AODR�S OF OFFENDER � r f7 � (� ss�� �J/ •7`1.�''i C tHE►D� - - - MV/MB REGISTRATION NUMBER • 9FF NSE' RARNSTARI.E. I /,/ > -*�-ey^� ,S/r��rp ,r� ^� LU y 'mnss .� cad yr�r „l.. S A$Y�'e' !" e l..Y �` 'L• d PEED MAC A, /,,��,...�,,.+� 1 1 7r• J ",,� f .. LU J " TIME AND DATE OF VIOLATION - �;? .�/ LOCATION OF VI 'TION W NOTICE OF 1, (A.M,,'/,,&,,M..)ON - �--�9 f fl:.1 r.; `' Q ir VIOLATjON SIC"A��f � EINGPERSON� /. � ENFORCINGDPT e BADGENO: Cl)W //xtfl.7p (/C f� o . OF TOWN .ICE E Y ACKNOWLEDGE RECEIPT OF CITATION X _ �s r Q ORDINANCE u Unable to obtain signature of offend THE NONCRIMINAL FINE FOR THIS OFFENSE IS 5,,1� w Date mailed / w � _ YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1).OR OPTION(2)'WILL OPERATE AS A FINAL a . DISPOSITION WITH NO RESULTING CRIMINAL RECORD. ua REGULATION 11)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00'P.M.;Monday.through Friday,legal holidays excepted, w before:The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstabl;Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. tv� 121 if you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, 51 FIRSTBARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA02630,Att:21 D Noncriminal Hearingsand enclose a copy of thiscitation for a hearing. t 13)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined.at the hearing to be due,criminal complaint may be issued against you. ❑-I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NA' OF OFF NOERr �t / A D /(617 )2 - TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY T TE,ZIP CODE - 4'T-^ JI, - - - IHF Jp� MVIMB REGISTRATION NUMBER ` V �M OFFENSE � 10 AkNiAn o AS . � , , r lee- �—,/+ ZC r O •RFD NIA�, ,�" .: LU 'TIME D D TE OF VIOLATION ZIV LOCATION OF VIOLATION NOTICE OF ;t% (A.M.i eM<. ON 3 s� rlt�, �-r�� Ile e, • SIGNATURE 0 ENFORCING PERSON ENFORCING DEPT. BADGE NO., N VIOLATION C ,�` ar � �"• !xlf . �? /- ,�fr OF TON I HER RY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE f- nable to obtain so nature of offender �'' c" THE NONCRIMINAL,FINE.FOR THIS OFFENSE IS •I"Ci Date mailed \---3 w LLI OR Lm_-.YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD.. w REGULATION (I)You may elect to pay the above fine;either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailin a check,money order,or postal note to Barnstable Clerk, a J/ P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS,OF THE DATE OF THIS NOTICE. ►�r,y (2)If you desire to contest this matter in:a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAINSTREET,BARNSTABLE;MA02630,Att:21 D Noncriminal Hearings and enclose a copy of tWs citation for a hearing. k (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined.at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess,to the offense charged,and enclose payment in the amount of$, Signature j f I NAME,OF OFFENDER.. --' � - � - - � `�,��'.�.���r�° :�� '�:� ',��,�_.�;�� . BAR 4677 TOWN OF ADDRESS OF OFFENDER 1 BARNSTABLE CITY,STATE,ZIP CODE 7 7 pf IHE r - _ MVIMB REGISTRATION NUMBER OFF NSE • ItAR\SlAR1.E: /`j (J`,/���� J j/j � (// ���9r.,� / y�� ,Fr,(R` ��y� (/,�t yy ,9 MASS $ £,;C e �f- w � t F"/t� e� A ;� f.�(... _ �'"•"` ;J" -�T... ..+ d 2,0 � - �I+' +.,, „� z ✓c-�...r. - > TIME AND DATE OF VIOLATION .ti ,..r�,l�� LOCATION OF VIOLATION..y El � W NOTICE Of f �/a (A.M./(P M+)ON el � t�`1�//r' "fl .�dF�'f�'>d�`� �`��` a SIGNATO�E 7// PERSON��` ` f� ENFORCING DE M Y ' BADGE NO,,,,�,;,,,,�, w I VIOLATION {/ f O !( f "' tTOWNf o zi I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a OF ORDINANCE ®'Unable to obtain signature.of offend r. I— y M � THE NONCRIMINAL FINE•FOR THIS OFFENSE IS ill 7, ,� Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER.OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL °- DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION 1 You may elect to a the above fine,either b appearing m person between 8:30 A.M:and 4:00 P.M.;Monday through Friday,legal holidays led, Q Y pay Y PP 9 P Y 9 Y, 9 Y P w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to,Barnstable Clerk, i P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL (2)It you desire to contest this matter in a noncriminal proceeding,you may do.so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MAO2630;Aft:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you: ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature 1 7-y TOWN OF ADDRESSOFOFFENDER BARNSTABLE 'S ,f�I�CODE t ? y �tHE rCyr, - J - MVIMB REGIST�B'ATI�ON NUMBER OFFE SE)tAR A If +77 /f(} � W S. ED MPS �,' L.�'"'."Ir�/ �'f'/'�'J✓.l" T�ld� f- .a� (.r+ .^Wr.f] .:J,63 TIME AND QATE OF VIOLATION J r 7 ,.�,("i. �' LOCATION0 VIOLATION - Z NOTICE OF . �n (A.M./ P. '.)ON119 fer vr.l SIGNATURE OF ENFORCING PERSONS ENFORCING DEPT. C BADGE NO. W OF TOWN I HPE Y ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE ®Unable to obtain signature of offender. p� F- THE NONCRIMINAL FINE FOR THIS OFFENSE ISFst�G.�d Date mailed "-y - � — w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION Q p)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and4:00 P.M„Monday through Friday,legal holidays excepted, w before: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,.money order or postal note to Barnstable Clerk, a ' P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF.THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Aft:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature I ( NAME"e q, /r 9!"/✓- f' "'e'C Ci �i�' !7. t'�1.Y.� 8 A ti �Y / W TOWN OF ADDRESS OF fENp R / BARNSTABLE CITY,sTAT-E,2/IP f l^J� I WE Ip - - MV/MB REG I, S!Tw RAl[ON NUMBER O NAN\.17ANLi:, y �tnss. g k OFFENlr-%tom �/ L` �_ JI 'T : C<I`.'t� /` +�� 1 „�. i LLi � i6}q' ♦0 - - i O LLI FD IAP� J T17AND DATE OF VIOLATION LOCATION OF VIOL ZION - Z UJI NOTICE OF +� (A.M./ F�N)ON j +fig"irr rlr} Gam- e SIGN TURE OFJNAORCING PERSON ENFORCING 0 PT../ y - BADGE.NO. VIOLATION t >r' I' �1✓ ,/�.IJ ,�^�. o OF TOWN v '' '� Y f 1 / '�✓. ' .`sr - , I HER BY ACKNOWLEDGE RECEIPT OF CI ATION X Q ORDINANCE nUnable to obtain sign ture of off e der. " THE NONCRIMINAL FINE FOR THIS OFFENSE IS S �i. n•f'G J Date mailed "" w w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER:EITHER OPITON(1)"OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w y REGU LATI N (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w of before: The Barnstable Town Clerk,367 Main Street,Hyannis, MA 02601,or by mailing a check,money order or"postal note to Barnstable Clerk, P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL \ .(2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT, FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MAO2630,Att:21D Noncriminal Hearings and enclose a copy of this citation ti for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against.you. `� h ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature /4 7ff- 1/83 APPLICATION _L Architectural Review Committee (ARC) SIGN REVIEW J DATE. ARCHITECTURAL REVIEW • 1\ 1 - / �i Address of proposed pro3ect y " �avy14�_Fd Owner jo& f /1 2 ✓✓z 9 y Mailing AddressjQY Al ) // 6d Z11,4 Telephone Number(duri ng, office hours) 7 OK o;� Agent or..Contractor- . t. Address - --- - _ Description=flf Proposed--Work use back -of form if -more -sgace=is needed): -(please indicate dimensions, colors, lighting, site location, and if a sign, - methods of-attachment) y� � �v�,�--•mod �� � �$ / 0✓l� �hc� D Of Sz I I /moo✓e LjAt v ��✓�� � ` t t7 . , • _ i • >.6 ` . I FOR OFFICE USE ONLY PLEASE DO NOT WRITE BELOW THIS LINE I -----_-------------- - -`_------------------ --}-------- Sketch Attached Photograph .(s) w Received on by ff Action Taken _ Date of Hearing _ Building Inspector Notified , �.' , � � / �/j�Q� �� �i s����' - � I I �� �. /a��I �.�'� D. u� / k. .. / lL . �., ,, /� t/ � .. /� �� /6 -� � C�� o - 3 �__ ��-� � ��� _; ;- �. � .,.» _ i - •g `:;q ...� .f �„ f, � � C� `1 ,5/-7 1 5 7 cL� rt-T yo r � 0 s , r 7 ERA 0 A 70. 1 TAX. ACCOUNTING L'. I 26966—E 2273831 31 1 QECEIPT NO. PAYMENT TAX YEAR/B.G. AMOUNT DATE TYPE PID �r f.. 7. `'' 1 :21\1D I"iUE ",-9701. l 3, 871 . 783 c 3 r_ =�71 E'er:7 7 :• E 1 :. 3 FULL DUE 9701 ' 3, 871 . 783 '-Cr:=;c_397 a E F 3 CERTIFIED OWNIER------ TAX DUE 7, 743. 56 1 OUTSTANDING 3, e71 „ 78 ROSEIUDERG, JASON S TR I TAX CODE 400 1 CITY 071 DISTRICTS HY — - JANUARY I OWNIER------ ACTION I MORTGAGE CODE `''00001 ROSENBE'RG, JASON S TR J ----CERTIFIED VALUES---- — ----CURRENIT OWNER-------- TAX EXEMPT . 00 7 ROSEN BERG JASON S TR I TAXABLE . 00 :1 BETA HOLDING TRUST I RESIDENIT"L . 00 . 525 SO FLAGLER DR UNIT 25A I TAXABLE woo :1 WEST PALM BEACH FL 334013 OPEN! SPACE . 00 1 cjc?001 TAXABLE „ 0 o I , ------LEGAL DESCRIPTION------ COMMERCIAL 496 700. 00 a #BL DG(S) —CARD-1 3 370, 8001 TAXABLE 496: 70s. c'0 :1 #l-AND 3 11779001 INDUSTRIAL . 00 1 #PL 235 —251 BARNISTABLE RD _I TAXABLE . 00 1 #RR 0076 0::3:1 1 AC r I oN CANCELLED XMT E^7 F r V / 17,0 R310 170. LOC 0251 BARNSTABLE ROAD CTY 07 TDS 400 HY KEY 227383 - ---MAILING ADDRESS------- PCA 3221 PCs 00 YR 00 PARENT REGENT FINANCIAL CORP M Af*-' AREA C007 ill,, 0 0,000 222 THIRD STREET spi SP2 SP3 SUITE 2325 UTI UT2 . 74 SO FT 40676 CAMBRIDGE MA 02142 AYB 1940 EYB 1970 OBS CONST 0 1- 641100 OTHER 1600 000 LAND 149300 imp ----LEGAL DESCRIPTION---- TRUE MKT 792000 REA CLASSIFIED WAN12 3 149, 300 ASO LND 149300 ASD IMP 641100 ASD OTH 1600 #BLDG(S) -CARD-1 3 641 , 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE *OTHER FEATURE 3 1 , 600 TAX EXEMPT .#PL 235 -251 BARNSTABLE RD RESIDENT"L ORR 0076 0231 OPEN SPACE COMMERCIAL 792000 792000 792000 INDUSTRIAIL EXEMPTIONS SALE 03/94 PRICE 315000 ORB C35233 AFD I L LAST ACTIVITY 06/15/94 PCR Y R310 170. APPRAISAL I..' A. T A •KEY 227383 REGENT FINANCIAL CORfr:' LAND BLDWEATURES BUILDINSS NUMBER ZNIFL=B 149, 300 1 ,600 641 , 100 1 A-COST 792, 00C) B-MKT 956, 500 BY 10C) BY 101-1 C-INCOME Cr_ E 406 A TA 79203221 PCS=00 SIZ = 7c. jUS -VL , 00 LC:W40-D CONST-C ----COMPARISON TO CONTROL AREA C007 -- TREND EXCEEDS STANDARD COMMERCIAL AREA C007 PARCEL CONTROL AREA TREND STANDARD W) 30 . LAND-TYPE 149300 LAND-MEAN +0% 792000 161109 !MPROVED-MEAN +298% 50% FRONT-FT 100 DEPTH/ACRES TABLE 02 100% LOCATION-AW APPLY-VAL-STAT 1 LNR LAND ,LFT/IMP ADjS/SB/FEAT STR STRUCTURE ARR AREA-MEASUREMENTS NOR NOTES COM MARKET INC INCOME PMR PERMITS ORR GRAPHIC F.-UNCTI 0 STRUCTURE-CARD NO- 000 DATA- XMT ? 12-24-1991 140 List of Businesses in the Town of Barnstable Business Name / Address Proprietor(s) Village Book Page Date Status Mailing Add. if Different ------------------------------------------------------------------------------------------------------------'------------------------ UNDERCOVER TENTS ANTHONY R. PRIZZI, II COTUIT 162 98 02-19-1988 35 LINGFELLOW DRIVE CENTERVILLE MA 02632 NEW UNDERPINNINGS, INC. DALE E. CROWDER, JR., CLERK HYANNIS 162 43 12-03-1987 599 RTE 132 HYANNIS MA 02601 NEW UNIQUE REAL ESTATE ANN S. RYAN OSTERVILLE 168 063 03-21-1991 404 MAIN ST. CENTERVILLE MA 02632 NEW UNLIMITED EXPRESSIONS PAUL POTASH WEST BARNTABLE 169 89 09-09-1991 PO BOX 435 WEST BARNSTABLE MA 02668 NEW 145 YARMOUTH RD, HYANNIS, MA 02601 UPPER CUT (THE) KATHY G. STANLEY HYANNIS 166 123 03-12-1990 L 6 T ASSOCIATES, INC. 3821 FALMOUTH RD. DALE M. STANLEY MARSTONS MILLS MA 02648 NEW tUS FURNITURE MFG. CO., INC. LILLIAN CHARROUX, PRES NEW BEDFORD 165 130 08-25-1989 US FURNITURE MFG. CO., INC. 233, 235, 237 BARNSTABLE RD. HYANNIS MA 02601 NEW V.I.P. LANDSCAPINIG JAY M. WALSH MASHPEE 163 69 09-21-1988 79 ST ANDREWS DR CHRISTINE K WALSH MASHPEE MA 02649 NEW 30 PERSERVERANCE WAY, HYANNIS, MA 02601 VACATION RESORTS INTERNATIONAL ROBERT C HOLLENBACH, V.P. OF ADMIN CENTERVILLE 168 138 05-30-1991 297 NORTH ST HYANNIS MA 02601 VAN-GO PATRICK L. CASSIDY HYANNIS 160 171 07-17-1987 22 Hiramar Rd. Hyannis MA 02601 NEW VAN-GO PAINTING COMPANY PATRICK L. CASSIDY CENTERVILLE 168 126 05-22-1991 1157 OLD STAGE RD CENTERVILLE MA 02632 NAME F FE _ BAR 4 11. 8 3 TOWN OF ADDRESS OF OFFENDER 3 BARNSTABLE CI T ,ZIP CODE r �.IME►q,. OF G IIAN\x1Ael3:. r w yzzeelw Lr a� Z TIME N DATE VIOL /� LOCATION OF VIOL W • NOTICE OF �' o (A.M M.)ON / — 19 SIGNAT OF NFORC ENFORCIN�E BADGE NO. VIOLATION GYirt� / o I— LU OF TOWN I HKRIEBY ACKNOWLEDGE RECEIPT OF CITATION X a a Unable to obtain signature,of offs der. ORDINANCE THE NONCRIMINAL FINE FOR THIS OFFENSE IS S k5O Go LU Date mailed W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL d ' DISPOSITION WITH NO RESULTING CRIMINAL RECORD. cWi� REGULATION II)You may elect to'pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, i before:The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601, or by mailing a check,money order or postal note to Barnstable Clerk, a P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. . ! 121 If you desire to contest this matter in a noncriminal pproceeding,you may do so byy makingg written request to DISTRICT COURT DEPARTMENT, FIIRSTIBARN�STABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Att:21 D Noncriminal Hearings and enclose a copy of this citation for a 131 If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature • is 1°�l � l7' '; 1 � �A_.�f V A� 't• � �"y ��,,Z' "l:xi pt�5 .s�`t ,� u'k, r �:.' 1. r ,ti"v-,[,i t.#tP}-" � '�' w �S - �y -y-�� x.F.�YA ',yv r`'y la`k? .•¢�.t•'T'M„y' 1Y r °}'f v t, f ,i• xti �� a a,7 r u- ;9 T}; t:1 - r � F; :M�,�t t A��'Y"' ♦��"�f F+��� r`ra+k'h fi� r r�LC�V'/C�l+�'��d .:�/'�� �.r r1.f•■ • ���/� � ..:.�} F OFFENDER < -.s.. .•t 9 :,j r s i-''. t i _ OWN OFF ; pE�g A. Y 1 �_,= ,a -, u r'• ti�w• '' ��' Ctjy° E.LPCQ.UE s I w1 ' ry :' .,,rQ �.a ' .. r s( �:"' (�° � - tr" S ira �xl3e I' �}a�r�wB.• a3 ' < y fi t` / ` 7 •=' �n v r % /" f,•', LU ',cur Ywsss �il / /rf1,y%,��,T( `4�•>� '�9 •Ir/ / 1 .....1/,. a /.r(.!'>�C� P....�r'v! f�� Ir`G��.Ft'�/ dlJ/,, P�' _.✓Cnr, IIC:LJ /f/2/' i� TIM D�T VIO LOCATION OF VIOLA N W 40 OTICE OF M>oN �`�. �s % lei// d- , as �1 .. f9'i^, 'hbXF t,'_. `+c4y ! .rrr Q �:q •y;,. } SIGN RE O ENFORCING PEp30 ENFORCI �Ex../ BADGE N0. ,y �3 "TI ` IOLATION (� o t {F TOWN j H BY ACKNOWLEDGE RECEIPT OF CITATION)( ii �` d RDINANCEr tunable to otitai : gnat r f otfgader THE NONCRIMINAL FINE FOR THIS OFFENSE IS Z �>� r� ~ w ? w fi�_ R 3:2 Q, r_1ti-,r YOU3NAVE HE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPITON(1)'OR OPTION(2)WILL OPERATE AS A FINAL �� '.i y '` �fF x` OISPOSITLU ION,WITH NO'RESULTING.CRIMIN.AL RECORD A EWLATION: '' t You iris eledt td ppa 'the abdve fine;either by appearing in person tietween 8:30 A.M and 4:00 P M.,Monday through Friday,legal holidays excepted, W ` 'v) _ - �� ' h ;�efore:The Barnstable Town:Clerk;i367 Main Street,Hyannis,MA 02601,:or b 'mailin a check,money order or.postal note to Barnstable Clerk, a$ y g i, {tf �t,f / P 0;Box2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. , ff21 If.you desire to contest this matter in a noncriminal proceeding,You may do so byy makingg written.request to DISTRICT COURT DEPARTMENT, ?� r xfa. " .FIRSTBARNSTABLEDIVISION COURT COMPOUND,MAIN STREET BARNSTABLE,MAO2630,Att:21DfJoncriminalHearings,and enclose a copy of this citation a for a hearing .. 4 r t y E, Erhard - = Y P Y q 0 days, Y pP g P Y Y� ,,9j It' ou tail to' a the above offense'or.to re nest a beano within 21 da s,or it you tail to a ear focthe hearing or to a an fine determined at the �earing to be due,criminal complaint may be Issued against you. 14.NEREBY.ELECT the first option above,confess to the offense charged,and enclose,payment in the:amount of E Signature lk' '• . * Y�a•"�`A�NaI ` s +�j" fxA 9 v' .. 4 r, Y - x- 5. i h K "� h `fit 4i g � 4i � ¢ �•r zy'�,t�a�cpp7F��'�!�� a��'C t��'� H '''��+ t ` $1ai to Y +� ?�p y,.�l.},�,•,�'a,+,�r , '4x ae���r E°`'i''F,��� yx? w r.,.. _. _ 1! w g rr F Rim 45, bs �.:: "��✓"TV`-. ff"=a F'xa,6, �'r+�5..P �E#r, ; E ,1" r_ .._�:at�'Ir�"� xs t.T'����)1 7 i n�",}* "r io 44 •e .. .. II Pa t k SF�s. r...x .✓ sL f��� .,a,� � r E �t �F., ct••*six f tt;G;'�, ;.�`stx5 T�s� 'i �'tt t,. +.A } j . p I 1 I t k\� '� v i Y M � L�� d�.,� _�; -- = � ,-�-lam '�r'- /.�/sue y__ �� ��i�.3 C'� �t.�' �-� � �o x 761E v c 1 EN E OWNER IS . ROSENBERG E E� � 233.239 x �� BARNSTABLE ROAD ��� { E E';s;a" �, >� � �,. .- :. ,:•(. :'SAE .. a. ,,.'.••E �j",,!`.t.(•k.'�5 PAUL l p « ' ; SAME F Sit A 775-3766 - EE. .E CAME THRU SPR AS "KEEFE BUILDING" x:E AND WAS WITHDRAWN.APPARENTLY "€€ n NEW BUSINESS IS GOING IN WHERE E USFURNITURE WAS. BUSINESS IS SOME IMPORTING OF FOOD FROM BRAZIL. THERE ARE UNREGISTERED VEHICLES 99 � •. �� E EEaEEI y � � Y£ E rt �Es • 1 t �J r [ ] [R308 191 . ] LOC] 0017 CHASE STREII CTY] 07 TDS] 400 HY KEY] 221708 ----MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00.., . PARENT] 0 SALTS, JAMES E MAP] AREA] 61AC JV] MTG] 0 0 0 0 P 0 BOX 132 SP1] SP21 SP31 UT11 UT21 .22 SQ FT] 1485 HYANNIS MA 02601 AYB11980 EYB11980 OBS] 100 CONST] 42200- 0000 LAND 21300 IMP 62700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 84000 REA CLASSIFIED #LAND 1 21, 300 ASD LND 21300 ASD IMP 62700 ASD OTH #BLDG(S) -CARD-1 1 62, 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 17 CHASE ST HY TAX EXEMPT #DL LOT B RESIDENT'L 84000 84000 84000 #S1 08/79 24 $00035500 I OPEN SPACE #RR 0287 0066 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE112/83 PRICE] 39500 ORB13965/232 AFD] I LAST ACTIVITY] 09/03/92 PCR] Y R308 191 . •P P R A I S A L D A T P� KEY 221708 SALTS, JAMES E LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 21, 300 62, 700 1 A-COST 84, 000 B-MKT 57, 900 BY 00/ BY ML 4/90 C-INCOME PCA=1091 PCS=00 SIZE= 1485 JUST-VAL 84, 000 LEV=400 CONST-D 42200 ----COMPARISON TO CONTROL AREA 61AC ----------------------------- NEIGHBORHOOD 61AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 213001 LAND-MEAN +0% 840001 74880 IMPROVED-MEAN -160 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1000] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R308 191 . P E R M I T [PMT] ACT*[R] CARD [000) KEY 221708 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B30794) [06] [87] [AD] 50001 [JM) [12] [88] [000] [NEW ] [HY BATHRM. ] [B35015) [04] [92) [AD] A 25001 [LK] [01] [94] [100] [NEW ] [HY ADD'N ] [ ] [ ] [ ] [ ] ] [ ] [ ] [ ] [ ] [ l [ ] [?J I NAME OF OFFENDER q r lq'9 �a � « V,VAI BAR 6.6 TOWN OF ADDRESS OF OFFENDER z 06/T 4"V_C r 9 a -,or BARNSTABLE CITY,STATE,ZIP CODE `pp IME�pw - MVI M9.REGISTRATIOff NUMBER NWP OFFENSE HARNSIABLE, - (./'�,//�y y♦� �yt•'}� �'j `/� Al `'` LLI MASS $ ~ I • I T ® A l d.- A Y�i�l'� Sl 4 - / d ,e +639- CD J lF0 MPS sLU TIME AND DATE OF VIOLATION LOCATION OF VIOLATION LLU NOTICE OF A P.M.) � 20 ` " �4 fG } . i/i a SIGNATUR F ENFORCING PERSON ENFORCING DEPT. BADGE NO. Uj VIOLATION ,( ,, " " U/c .4/•-,g OF TOWN LU I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X Q ,ORDINANCE Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $/40r 00 J Date mailed LLUU ,;OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINALCL 1 DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LL.I REGULATION w (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, _ before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.C.Box 2430, J #. Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. _ CL (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST tt BARNSTABLE DIVISION,COURT COMPOUND, MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a:opy of this k citation for a hearing. 3 If you fail to a the above offense or to request a hearing within 21 days;or if you fail to appear for the hearing or to a an fine determined at the hearing II Y PY q 9 Y� Y PP 9 PY Y 9 e to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above;confess to the offense charged,and enclose payment in the amount of$ Signature ..- ;�..� ,..r•,..,z..-..`...,..,.,....,+—.,,.,.rr,...j�-�..-.+ram-.'•^•�,,:�'^+' �.,..�>w.:e.,�c,z,..=T--�.s �.....,::i`?..'"4-�„< ;M;.>:xan,.�..rv...�.��:....r,.,a .----•..-� ..,^+s*'..^„..r...�-�... „-.r-.-r-'-�-x.,..H:.-..._-: ...__ . TOWN OF BARNSTABLE BAR-W 02 Ordinance or Regulation A,x WARNING NOTICE Name of Off ender/Manager ?� y . Address of Offender MV/MB Reg.# �µ Village/State/Zip 1/t11Q,,y,1v1 X zl>/-) . fl �-2 I ��'d? '...?:n �/pm; on , Business Name � � �,fd�' 200 Business Address S'loo Signature .of Enforcing Officer Village/State/Zip , ? ,/ Location of Offense Enforcing Dept/Division 14 Offense / - °' ��� �l0 f � � .� I��x l�r t"' r �"�`✓.� S/ } Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. ,y °Ft ►�ti Town of Barnstable i _. . . .. ° Regulatory Services -- r I EMASS Thomas F.Geiler,Director c �►�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 a Date �' 4 Address 23 3 To Whom It May Concern: Our attention has been alerted to the fact that you are flying illegal / contrary to the Town of Barnstable's Zoning Ordinances.The Town has a sign code which is explicit regarding flags. Section 4-3.3,Prohibited Signs(1)"Any sign,all or any portion of which is set in motion by movement, including pennants,banners or flags,except official flags of nations or administrative or political subdivisions thereof." Please contact me at 508-862-4033 when these flags have been removed so that I can inspect the site.Thank you for your anticipated cooperation. Since ely, David Mattos Building Inspector QABUIIAING\WPFM\DMATT0S\Mega1 Fiags:DOC ;4 c� pfTME Tod, Town of Barnstable ti Regulatory Services r BAMMBLE, • v MA & Thomas F. Geiler,Director �p •i639 �0 TEo 391% Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Barnstable District Court First District Court P.O. Box 427 Barnstable, MA 02630 RE: 233 Barnstable Road,Hyannis Dear Sir or Madam: The following shall represent an overview of events and circumstances resulting ng the fines assessed to Labor Ready at 233 Barnstable Road,Hyannis: 1. July 30,2003 Oral warning given for a Fram Sign(folding) Zoning Ordinance 4-3.3 #8,11 Prohibited Signs 2. March 18, 2004 Written Warning for the same violation 3. June 8, 2004 Town of Barnstable Notice of Violation Fine assessed for Ordinance 4-3.3 #8,11 Prohibited Signs Sincerely, d� David Mattos Building Inspector , 41 . Real Estate Sign: A temporary sign advertising real estate upon which the sign is located as being for rent, lease . or sale. 42 . Roof Sign: Any sign erected upon a roof and wholly or partially supported by the sign structure placed upon the roof. , 43 . Rotating Sign: Any sign or device which has any visible moving part, visible revolving part, or visible mechanical move movement but not including methods of changing copy. 44 . Sign: Any permanent or temporary structure, light, letter, word, model, banner, pennant, insignia, trade flag, representation or any other device which is used to advertise, inform or attract the attention of the public and which is designed to be seen from outside a building, including all signs in windows or doors but not including window displays of merchandise. 45. Special Event Sign: A temporary sign advertising or pertaining to any civic, patriotic or special event of general public interest taking place within the town. 46. Street Banner Sign: Any banner which is stretched across and hung over a public right-of-way. 47 . Subdivision Identification Sign: A free-standing or wall sign . identifying a recognized subdivision, condominium complex or residential development. 48 . Temporary Sign: A sign not constructed or intended for long-term ,use. 49. Under-Canopy Sign: A directional sign suspended beneath a canopy, ceiling, roof or marquee. 50. V-Shaped Sign: A sign with two (2) faces or panels not supported -by one common structural member and which faces are not back-to-back. 51 . Wall Sign: A sign attached parallel to and extending not more than eighteen inches (18") from the wall of a building, including painted signs, individual lettered signs, cabinet signs and signs on a mansard. 52 . Window Sign: A sign installed inside a window and intended to be viewed from the outside. 4-3.3 Prohibited Signs . The following signs shall be expressly prohibited in all .zoning * districts, contrary provisions of this ordinance notwithstanding: 1.' Any sign, all or any portion of which is set in motion by movement, including pennants, banners or flags, except official flags of nations - or administrative or. political subdivisions thereof. . A u 2 . Any sign which incorporates any flashing, moving or intermittent lighting. 3 . Any display lighting by strings or tubes of lights, including lights which outline any part of a building or which are affixed to any ' �. ornamental portion thereof, except that temporary traditional holiday decorations of strings of small lights shall be permitted between November 15, and January 15, of the following year. Such temporary holiday lighting shall be removed by January 15. . . 4 . Any sign which contains the words "Danger" or "Stop" or otherwise presents 'or implies the need or requirement of stopping or caution, j+ or which is an imitation of, or is likely to be confused with any sic ; ?. customarily displayed by a public authority. 5. Any sign which infringes upon the area necessary for visibility on + corner lots. 6. Any sign which obstructs any window, door, fire escape, stairway, ladder or other opening intended to provide light, air or egress fror a any building. 7 . Any sign or lighting which casts direct light or glare upon any property in a residential or professional residential district . 8 . Any portable' sign, including any sign displayed on a stored vehiclf except for temporary political signs. 9. Any sign which obstructs the reasonable visibility of, or -otherwise ' distracts attention from a sign maintained by. a public authority. +. 10. Any sign or sign structure involving the use of motion pictures or projected photographic scenes or images . 11. Any sign attached to public or private utility poles, trees, signs other appurtenances located within the right of way of a public way. 12 . A sign painted upon or otherwise applied directly to the surface of roof. 13. Signs advertising products, sales, events or activities which are tacked, painted or otherwise attached to poles, benches,. barrels, buildings, traffic signal boxes, posts, trees, sidewalks, curbs, roc} and. windows regardless of construction or application, except as w''•�i ,,; otherwise specifically provided for herein. A� 14 . �Si ns on or over TownrP P ert ro t' except as authorized by �the Buildin.g Y, Commissioner for temporary signs for non-profit, civic, educational, charitable and municipal agencies. ` + TOWN OF BARNSTABLE SIGN PERMIT ' PARCEL ID 009 018 GEOBASE ID 231 ADDRESS 4681 FALMOUTH ROAD (ROUTE PHONE COTUIT ZIP -- LOT • PARCEL BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 59850 DESCRIPTION BELL ONE REAL ESTATE - 6 SQ FT & 5 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety y ' and Environmental Services TOTAL FEES; $50.00 BOND $.00 IN ' CONSTRUCTION COSTS $.00 i 753 MISC. NOT CODED ELSEWHERE * BARMABLE. MASS. ED MIS./, BUILDING DIV SION� -�-�-- BIr' DATE ISSUED 03/22/2002 EXPIRATION DATE Town of Barnstable o Regulatory Services Thomas F.Geiler,Director - BAMST"LE, MASS. .� Building Division 1639. A� iOrE 39.E Peter F.DiMatteo, Building Commissioner .200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit !. Applicantj/�fb Assessors No. 00 Doing Business As: / �: ' Telephone No..%<ik Sign Location �-L�J� Street/Road: / < Y_ dGIG� Zoning District: . Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: V Telephone: Address: ����� Village: Sign Contractor Name: � -Telephone: Address: 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 ote: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. Signature of Owner/Authorized Agent Date: I �� G` " Size? / Permit Fee: �O • O O Sign Permit was approved: Disapproved: Signature of Building Official: . �� %'<'/ �� Date: _eA 6_Sign1.doc rev.1228i1W� i Y TOWN OF BARNSTABLE SIGN PERMIT PARLEL ID 310 170 GEOBASE ID 22738 ADDRESS 235 BARNSTABLE ROAD PHONE (508)367-37001 HYANNIS ZIP I LOT BLOCK LOT SIZE: DBA DEVELOPMENT DISTRICT HY PERMIT 59856. DESCRIPTION FURNITURE CITY - 30 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services ( TOTAL FEES: $50.00 TFIE BOND $.00 per CONSTRUCTION COSTS $.00 i I 753 MISC. NOT CODED ELSEWHERE * BARNSTABLF, + MASS. 039. Ep�Cl <. BUILDING DIVISION BY ` 7 . DATE ISSUED 03/22/2002 EXPIRATION DATE t�-' C i N Town of Barnstable t °FT"E r Regulatory Services Thomas F.Geiler,Director sAR SUBLE, 9 MASS. Building Division i639• ♦0 iOtEp Mp.(a Peter F.DiMatteo, Building Commissioner .200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: L e,�k k. ��t �G w I `L Assessors No. DoingBusiness As: J I 1 c c t Telephone No. S O� b 8 I 00 3 E � ! � P Sign Location o�JG Street/Road: Zonin District: �J�. Old Kings Highway? Yes To yannis Historic District? Yes o g 1' Property Owner G�� T Q S Name: / Telephone: Address: / 7 ✓� �T Z Village: Sign Contractor Pas-,� J E L , Telephone: Address: 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? Yes o (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. ; C/ J Signature of Owner/Authorized Agent: -'4i P, Date: 4 Size: Pe 't Fee: Sign Permit was approved: Disapproved: Signature of Building Offic Date: �� —dm2 Signl.doc rev.122801 �P P TOWN OF BARNSTABLE SIGN PERMIT PAROEL ID 310` 170 GEOBASE ID 22738 'ADDRESS 235 BARNSTABLE ROAD PHONE (508)367-3700 HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY V PERMIT 59855 DESCRIPTION FURNITURE CITY - 36 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety I� ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 BOND $.00 Ox TME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BARNSTABLE, • Rj 1639. ED INP►�A BUI� DIN = DIVISION DATE ISSUED 03/22/2002 EXPIRATION DATE (508)862-4039 FAX(508)790-6230 MASS eso- toMn�� LOIS BARRY TOWN OF BARNSTABLE BUILDING SERVICES 367 MAIN STREET HYANNIS,MA 02601 t ;: �: �a � �. � - _ G � � �' � � � �, �� �" � � � r_ . � '� �" ���' � �, -� `� -� . � _ �� : � � --� _� 3 ®� �� _, -� r o Town of Barnstable �OFTHEA Regulatory Services } Thomas F.Geiler,Director • HAMSrns[.s, 9 MASS. Building Division i6;q. i0tpp 3�A Peter.F.DiMatteo, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit �G Applicant: L c 4. "L Assessors No. -70 7/ ii Q Doing Business As: I u r h i I C 1ln Telephone No. S"eR Sign Location Street/Road: S �l Zoning District: Old Kings Highway? YesoWannis Historic District? Ye /No E f, Property Owner (� Name: �N a n��� ���L Telephone: Address: S V`0 L&tc- Village: rn 1 c� Sign Contractor Name: - ' S C Telephone: t `} Address: 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? Yeoi (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. Signature of Owner/Authorized Agent: A_ Dater Size: Permit Fee: U Sign Permit was approved: ✓ Disapproved: ZZSignature of Building Officia Date: z ll U Signl.doc rev.122801 BAR 46769 gyp+ NA OF 0 DER n Y FEN M > I 0 y.,i -. W O D: ADDRESS OF OFFENDER I I n K r" yQ LU OF 3 < xy I CITY,STATE P ODE �� /_ D // O ,h ir��w+ ABLE v n W W MVIMB REGISTRATION NUMBER > > > - I N p y Q I C W x W O CL FE E y O f I < <4 OJ I n W m W ^� Azo! TIME D DATE OF VIOLATION LOCATION OF VIO N I W )t W (A.M.I P N 3 7 cam- a 1 " Wo r," o 10 301 t110TICE OF ENFORCING D BADGE NO y ) ~ O ~ SIGN flE OF W RCING PERS Y�LATION W < OF TOWN I H Y ACKNOWLEDGE RE IPT OF ATTON X n i Unable to obtain sign lure of otte der. THE NONCRIMINAL FINE FOR THIS OFFENSE IS i Al ORDINANCE _ prn �p Date mailed a rr' Vn YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THISMATTER.EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL W I n > ' ; G1 y p DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N I rn C rn FI 9f' lPJ ) REGULATI I You may elect to pay the above tine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, J I n _ _ i �efore: The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk, 1 _ o G P.O.Box 2430,Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. < < < I n W W _. {�, r 121 If you desife to contest this matter in a noncriminal roceedin ,you may do so D makin written request to DISTRICT COURT DEPARTMENT, I �• p gg y yy oncriminal Hearings gsandencloseacopyofthiscitation r t !+ � for a hearing. (3)I(you tail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the o w Y / hearing to be due,criminal complaint may be issued against you. 0 IS 3.0 ' z W < W ,J ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of 8 I n O in O < � � Signature it :Iif I r�+a!' X i 5 •� i.t - �.�^ �. � �'.�_ `•Y. r )�rr a� j.� , ,�' �, 4".. _ r� .:*�, �.mod � t;• M'�i l�i + Y�Sr t�y=`.. wr �✓ `-� � s •^y t �1,, �.�—=.. �a�3.,�r C +.1♦ "� �� ,;r rt 'u!', �.•.^'.. `"'.� t Q !xY I' �, rx! � 1,'q"df r.'j�•. f. --'_ 3Y+ {:�A`� f" �'aY•� r� rr 4 s r r \ �p J�,, G _�.`r O_,it �"�?'.. ' + .c? i�' i``Si Y.r� r .:' l�� r.j � r� lti.4•c js`�• ,''� , e` � . .rl ��Ti 9;-t , .,•%t 1•., �aP r�Jx c+ 3� ° �1'll r 7.y • F xr,�x.� _ r. ��'� •- �- - b -1i ,!t t'yp++t h 1 ' tlrr'd t - { �} I.y a° 1 U "i•+j., r _'^•r. . .s ;{ ',.a u. -.t i� .f ,.a.:+�;,,t..:.��,,���,,.�`•arf� rpf�! kirk �i! .. �� ..i•?..�"f, � + �� • r . • , ,.� i• K! � f f «F.n+} •�y�,t r y��,t ft' '�� ���p��� �� �¢ r r`''�• f ���'r • rye. P, � „�*1 x,.... v er+•4 s,�."'*�, �"ra� r+'�. �s b°2 „`P fib ,�_�". -} r �'i.,,re�.t` , •1, a7 .. � •• .• ! �$'r.n.,,fir .+.,.'v1` �`'*^.',,�� � �rti;f� rk r � ' i kh� ,r.y�+t -s � � tt,-w'• �. tii"S r,,,�tM�' " �� �'��; S f" � 1 j e x. w^w.�•,.. ....,,�«r�.."I+?..- r Wit v • .� *y}}��td,i `JTiP R�@; •__.}} � �^T�,'»r ,.� 'a{r �ay�� q �� j � 4�:t a.�KS�.b T•:u��-1� 7 y ��91q;�� P�`� �'r�° �j, N, r 'FY a »�s ��v � t L t.� x�t' •... � if 1 •b .».,y 4-. +44t fF 't'µ• �' .. t t � ' EMER'ilt� • �, 1 _ _ r • c OSTEEVI E §6 Y �':x,at ♦. , R r�r sT SAS F, :rti . .r y Ir t . .t T� 4, c `n d`�,* �(,•,a� �t r � C1 ,.fit r., s: '' ���� �` `a:� t �'.afi , .:�� �`�►s�"�"J.a.«i� p *��a, � .t�:';-,g,o ,tom` ,� i v � �k ,�� , 'ti ....\ { }. • tr•• `' i '�. 1 1.° fit'. !` r��„d' 1:Y,- ���`,y�r: ^c" ,�R �+�.tl}�a*D�yr�°� ,aw+�^J',.'.•��:� �e.�. ,�fp„ � S-,�„p. *�,� �� ��' !'� . .9� -4+➢ A/fir;`,� i.,,y`•,•�.. '1""lrV- r: � �.. `'�35.}� .s:.,. r �. : 3161 I i w. Y" ,.g '� ;... ffi .� 'r�.�. ft may:_•, y=,�,�,,, y.,.,, .�" " ate =•► All oo ati 'r.. a.. ye /M.. rya Cq 6e. 1•v • w a - IAsf.'j' r r �r t k t .17 t y r +• �_ .-... �. � ....�, ram`-r,.- ,. .. � ... .. �.: -��� r°��o� The Town of Barnstable SAE. 'MASS. Department of Health Safety and Environmental Services i639' `0� �F639. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection CID Location g:. 3 �j y�, '� Ui Permit Number 0 Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: W Please call: 508-790-622((77 for re-inspection. Inspected by Date v r i t - ... i i i _ 1 t _ �.._k Designers 6Fa 4tbricators of Reste> ,� 508�75-6812 3o^Pe+�:everercer �1y =so r � _r8006773-�s8:12 Fax 508l775- ;9RIWO6�y .` PROPOSAL SUBMITTED TO PHONE IS �w­Iql­ Q-, STREET , JOB NAME 5` U r c 3-7 $4 ,� CITY,STATE and ZIP CODE JOB LOCATION 'f ARCHITECT I DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for. r ►, Y r jM�/v U�flC�uce f _rNS[a q (C)/UE� r!'/�nroP 3"V )c q6 a,, y 0. 3-0 2- 4 �Utlbise,lip �wN1 j�°?UG•;C�U ------------- SYIeY6GG 1_i 6" iMp'YNc(7= � 00 T �N .3a Hie prapage hereby to furnish material and labor complete In accordance with above specifications, for the sum of: % y r�JOWL) dollars($ � ,w ) . Payment to be made as fws: Zj S. All material is guaranteed to be'as specified. All work to be completed in a workmanlike " Authonie v specifications fr m abo e or deviation o r ti es.An alteration . r rdin to stands rd ac c manner according P Y .- i nat ure= r .S 9 ' n orders, and will beco me.an extra I upon written o ,.,-__ will be executed on , involving extra costs y P - 9 'y charge over and above the estimate. All agreements contingent upon strikes accidents Note:This proposal may be a f or delays beyond our control.Owner to carry fire,tornado and other necessary insurance Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within, days. Arreptantr of proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. 1 Date of Acceotance: Signature .. r� \vV` V �' Town of Barnstable Building Department Complaint/Inquiry Report Date: /®�/ Rec'd by: 'ono— Assessor's No.: d Complaint Name: e Location 5�3 - l� Address: MVP 1"A '" U Originator Name: 0 �Qo �c)r Street: c2a 3 86_r' Village: ty State: zip Telephone: D/E Complaint � . Description: i v4f.,7" Liquiry .crud Wit`' Lt/?9viQeS �.t'J G Description: 414!1��o For Oi ce Use Only Inspector's Action/Comments Date: / � Inspector: �t. f C Follow-up Action Additional Info. Attached Cop},Distribution: White-Depamnent Me I'ellory-Inspector Pink-Inspector(Return to Office Afanager) z� � � � � �� a CARPET F CAPE C D mow ;.: iY� Y, _ i - ; � _- �Cl�• ;� �� � f ,=-�_, _� . ';- .� �_ � � .�. ' -i / � ♦ 1 .� yl���!, �) w. } to :. i I� t' it -�- � � � , ,.. 1 -r�.rr ;- --,._: .� �• '�"' 1�� ,. _� x _ , � - J �� h o 1� ..+rF-i �,�ti,.T ' �,� �"" � �'�' i , � � , �� �� � :I�. _� --�..�. -- _ a. ( a l�� CARPETS _ . MATTRESS WORLD------ OF CAPE COD A , r . I d �Ulc.dltiiG . 21 T// ' "' . a_—;___�'12_c..�t�,�-�-1...C�/-/_. -_[��TiN I L %Z`t =! �`pr - / . � 5-FL7I0► l_-7Ji✓L� %Ln- / /-O " Artwork is Exclusive Property of: , Beaumont Name: Date: `ol f� fi T IZ i�S s W c� i2� v� to I L� g 7 PIE 1Z M A NJ KI R I G'o i� A W nl i,�(C— SI Gti/ Sign Co., Inc. � � -� Grass _y.LLow \,/1 WVL- COV► _sZ Scale: Number: 200 North Street New Bedford, MA 02740 508-990-1701 r i - 1 t �r a . 0 � P 1 4 1 1 Zvi ry .. if s f 1 ' I � . 4rL •c , r a - 4 ``Y I MAR - 3 - 9 5 F R I 1 4 : 0 4 P _ 0 1 PL��� eaumont Mogn Co. INC Date: S� f° SE11R*4��'�ti "Signs of Quality" 200 North Street, New Bedford, Massachusetts 02740 Tel. 508-990-1701 Fax Number: 50 -993- .23 FAX COVER OF PAGES includes this half cover page a e TO: r2. r �-) � �' N(�FtJ—• [�r C r-I 1�-: � �„� l� c� S r Cis � F=/�r-3 t-2 r�i7 �� � FROM. L V M I 11.1'-" I G-J ! tz-! 0 V� "G 5 `� . ,� hs e-LVIVt -j MESSAGE: J c. v l 7'r.! G C5 r7 vrQ �_ t o � 04 1 , o � . I I t Q i Artwork Is Exclusive Property of: Beaumont N. _ SignCo, Inc. V l6 5; I 200 North Street S a e: Number: New Bedford, fvlA 02740 500-990-1701 _ 03. 03. 95 . 03: 25 PM P01