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HomeMy WebLinkAbout0282 BARNSTABLE ROAD c310 ``f3� �CTI' v •= TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma V Parcel `�' D D TO'N! tO F RN T LE Application lication P PP Health DivisionGx , -� r Date Issued 7 T W_ Conservation Division Application Fee Planning Dept. Permit Fee 5 �� ,, r'P Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner A.Zez Address Telephone ll Permit Request ' Q �QVI �' ' �� + V14 WV�S I ��� Il)(/1 �i vot 01 t)vS i rlff S : Trt&�-wd T", ys off- tAe,5,sgc.ku3e ds ClL �.h•� � �� Cod Pee±VV j Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number" 7 9f• Q+✓G ? Address 2-�5 2 �,'}" License# Home Improvement Contractor# ,Erriail! -Io�' �� ���1 Y�� b�` Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 'mow/• 604",-. DATE ?/Zo o 7 y FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ` FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL -v FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. NoVemb_er 1:0,._0 201.6' _ SUMMAR)tQV LEASE TERMS' 1;: IESSOR: IVlarcel;R Poyang.' LESSEE' Treatment Partners': of Massachusetts; LIC . Plus Personal_: Sgnaturesof Mathew Ggrinan:Scott,Tobin .2: ADDRESS-I:EGAL: LESSOR 20F Camp Opechee Road;Centerville,;MA 02632 4 LESSEE: 282 Barnstatile_Road;Hyanrus,MA 026QI . I. PREMISES'.LOCATION.OCATION.282 Bamn tdbleRoad,Hyari us,NIA 02601, 2 13.0.sq; ft first floor:2130+%-full:baserrient. (hT:o arantee for-<use) e6rv� � 4`. LEASE<TERIVI One Year:. OlDecember 31.,.201.7- Lessee:shall be;permitted to take_occupancy upon signing,of the Lease:: 5. . RENT' YE TERM P/S/F ANNUAL MONTHLY W/0, RENT RENT ' BASE" l _ /O1%17 .12/31/17� 31.6:34. `$30,00 $2 90Q` Deposits:A.security:deposit of$290,0 shall be;paid to.the lessor:upon signing of` the Summary of Lease Terms. The first morth's rent of`$2,9OQ 00 shall be payable-upon signing;of the Lease. Ari additional<seeurity deposit;of$2900 OQ shall be'paya e,m,the.fortri,_of a bank,.checic upon occupancy of premises, The. key to the premses will not.be transferred untxl,the,third$2,�00 0,0 is payable.. 6..; QPTIQN Lessee shall have one(1)one(1 year option and,one(1Y.five(5)year option upon the same terms and' conditions; except• that the rent• shall be. as follows, Q n 0' tp ion 1'. -0z/01/18.1.2/31/18 $I A.0 Annually$2,90Q.'monthly Option-2: 2019... $36 000.Arin sally$3,000.mon-Y _ Annually 14U monthly $3,8;400 Annually$3,200 monthly,° $3.9-;GOO,Annually.$3;300.inbhthly' 2023.<:: ... . .... $40:8Q0 Annually$3.,4` monthly S� Lessee will,notify Lessor of intent to,exercise both Options QNE HUNDRED EIGHTY(180)days::prior to expiration of Lease:: f 7. TAXES v Addit onal Rent=pro rata taxes(;1 U0%),over baseF Year Assessment Fsca12Q17(July l,,2Q16 June 30,;2017) 8, INSURANCE ;Adcht onal Rent pro rata;insurance (100%).rover: any increase; subsequent to Fiscal, 2017 (May 31 2016=Ivlay 3'1, 2Q17) liability;. fire: 'replacement and'rent loss. i 9. :COMMON AREA EXPENSE&:Lessee`to pay;as additional;rent pro ratashare', 000%)of the.commmon area,;'repair,:and maintenance expenses; includf but not; liriuted to:drain.clearurig,sewer system.charges.plus cleaning attributable to.:water use and Handicapped $igns.,Lessee,agrees:to pay Zirectly.for parking;lot lighting aril striping;landscaping maintenance,extermIna ting,,sno..w"rerioval,andplowing, automobile towing, djsposal=andstorage Capital,expend ture"f any`"are note Part of the:common-area expenses: 10. UTILITIES Lessee,pays all utilities,; 11' SIGNS• "Lessee shall shave the right to.erect<a sign 7on`the premises subject to> prior written approval..,of the Lessor aril in ,compliance with° the Town. .of Barnstable Zoning Ordinance:, Notwtlstandug;the.;above; the Lessor shall have the right to'approval any sand. signs, as:!to size,; color compatibility, content aril ,precise x.location:there; which consent and approval shall not be unreasbnably`wrthhel"d or unduly:delayed,and: the Lessee agrees that_all signs shall°be fabricated and erected?through Plymouth Sign Company in South Yarmouth, lVlassachusett , or a company approved by the Lessor,and all signs,shall.conform,.to all-rules, regulations and ordinances of the Town of Barnstable or;other applicable autliontie f 12: ASSIGNING AND SUBLETTING; Upon written appxoYal..of Lessor. I3 USE OR PREIVIISESt' Purpose of conducting tYere a;-year round office facility ,offering out patient counseling., s 14. KEEPING PREMISES CLEAN.: :Lessee responsible°for rubbish and for ,keeping sidewalk free from now. I , 15;: NO�TIC,ES LESSOR# cL'o.Marcel..R Poyant 2QF Camp Opechee Road,C:e rite r�ille,MA 02651 LESSEE:282 Barnstable Road,;Hyannis;.MA 02"601 16. LESSEETO MAINTENANCE INSURANCE:, A) GeneralLiabilty$1,000,000/$2,000;000 , B) Property>Dam4 C} combination`mg.e Limit.$ ,000;Q0U 17.. M:AINTENANCE A11 interior maintenance including plate glass}by Lesseee,. 1Vlecharncal11 s (HUAC;.piurnbing and electrical:}to be.maiiitairied by Lessor 18 ALTERATION To be perf' I&by:Lessee at:Lessee's s.o c;"e perise subject to Lessor's approval. 9. PLACEMENT'.OF`.`FOR"'RENT"'.SIGN: Lessor shall have the right.to.:place a, For Lease, or ,For Sale ,sign m the vumdgw or.on building exterior:one hundred eighty (180); days prior to the:expiration;of the Lease,;• 20. FLOOR COVERING Lessor shall provide carpeting:at his expense;but.iriay j utilize existing carpeting. Color selection to be mutually agreed upon:, 21: 'SEP.TIC"SYSTEM, .Not Applicable Subject is tied to townsewer 22. ADDITIONAL The:Lesseeagrees;to aceeptpremises on an"as.is";basis:; E i 23: BROKERS: The.Lessee>°eo-venants.that t,has`not consulted any, other brokefin. coruiecton w�tl ,the Lease;of this'property,otherthan GJSW;tNC. DBA;Premier -C Ito whom a, fee utall be payable by Lessor:; The :Lessee further covenants that if as aresult:of thts lease any other fee shall'.`be payable;"Lessee shall:hold the Lessor:harmless: The I essee:has-negotiated with Rene. L. Poyang; Iric property manager'of`the''subjectpreihisesl 2+ 'STIED EXCLUSION. The wooden shed located at: the rear." prertuses=is ex luded.frorn.tliis:lease.; i ZS PERMITTING".CONTINGENCY: Subject,to Lessee:receiving Permits; from .Town,of BgMstable:,to MAP Out Patient Counseling Center byAleve, iber 30; 26; RI6I3T:OF FIRSTREPI—I , Lesseee shall have the R%glit of'First Refusal to purchase,the Leased property-during the;first:54S.days of.the_`Lease`::. 27. PLACEMENT 0'F FOR TJEASE OR,FOR SALE.SIGN: ;If the;Lessee.does drd`not exercise eth wthir ntLBne !,kme eighty days from the commencement of,the original:orxe year term of.the Lease; the 'Lessor slalhhave the right to'place;a"For Lease" or"For. Sale" sigri;on:the_:front- of the,Leased premises: 2 COMMENCEMENT-:OF-,ESCAtATOR CHARGES:, If Lessee exercises its Fide Year Option, Lessee shall pay as..additional.rerit a tax and insurance escalator . over,'tlie base year 201.E L7- 29 , IESSEE; TO :'HAVE ACCESS TO PROPERTY„ ACCOMPANIED BY REALTOR,FOR PURPOSES OF LICENSING: NOTE; ;The Parties mutually acknowledge that'`this Summary'of`Lease Terms';is quahfiel l that,they contemplate the drafting and execution of a,more detailed Lease'Agreement. They intend to:be bound only by the execution:.of such. an agreement and, not by these .preliminary, documents. This is .offered for the purpose of negotiating a mutually, agreeable lease I£a,lease is. not`,srgned, the Secun., a ;"s_"t vv�ll be eturn x G?y�R Marcel Poyarit, Lessor ACCEPTED THIS._, /,27�.. ,DAY'"OFNOVEMBER,2016` TREATMENT'FARTNERS OF MA" .LLC_ Mathew OGorman,Fresdent: Mathew O Goritian,Individually -S'cott (a) Tobin;:>Individually, i DocuSign.EnVelope IDs-.31398F97.31CB-40B5 93CA=777A6G,QAB640 ;f` - rt�n. 6"'0.,fi t I L� _ \. is v., t� _ ��"...� r• � �, 1p LO l � ,', r1A71L'F1fR'/.>i,'T.A`V+•d:.. M �1;'if � t�UK`1�AE;ir [:YSI'E Tt4I� pn fi�rvi) ��o < •jcm Id ;w �rh itLGlbTt2Y` owv�,� lt1 �, 13V�Li::`.BEFIb'A�k'G ' i�A�l;lr. �lJ�i1�1 ::._. Y.. .�..:_ A,.. F�F: r �� � ,"" _•'- `5Za1�.. i"_ � t•1.: J. THXT THE' BUit17 �tiC�Yih �s :-Ijws n''& ,:i,Lr�ti1Rfh1L LAWs !'fitAGKA'T-D?D E0�;. :T,H6 OCAO;OKVID AS t f its P.o1 1Qs ?Q FOR " _ Ct G Q()t3�f- :YL,1�T T£•A2h); .S: t,gU1R 3��1~:3 OF THE 1 �►TlvN INDI4 T3Y RQAD P'LGOD WArZD.: tt�Rs:os�� -+IU tl h�.4���8 AIREX I wK o i•!1r a D „9a DM c.U. i DocuS gn Env„elope ID:31'398F97-3;1CB 4OB5-93CA-777A6COAB6dUP . � x` GBOL'`t FL00A ELA1� t. y E r . I ij 1 i I. r s, R rid 41 I .Y ff' Di I rc� i,_ f Docd$ign Envelope ID M.SW97-31C946B5 5,C' 7A6C040,4 �; BASS 3E\T rLOQR`PLA:\: sa , an 47 x Y .t_ ,•r'^T �','•'L,..�.: ! s': �. "� ES .3 Cj,_ 1 t.... � 3 ' � L t� ��.. .53.-,mot:' 7C••' S^--�.�� 3' .,,«': . t r > ' .. Srti i L J jts s 5 .. .w �5., '? .r.:M t �t s.•.-^-- L: V. =c .eR ^`.^''� ".rI♦. . +" `.'.f .. y. t. ... rn::'I»-'' _� 2M t S * P . ll} PREMIER�COMMERCIAL G` ESGROW.AC000NT: -46 x� f'O BOX 731. j saotan7�o ', CENTERVILLE MA ow OZ31 x Pay to the< , po Girder of— < ✓ �: Dj'. QG: t - y :>. Citlzen5;Bank; a Massachusetts �. _ b _ f Foy - 21{10701 .:s L320550735i1' 1L46 . „� �-+z 4c a-3r.,7'.p•v13+►�!� -s� ��� _..:.t,t.� ca_:_3:_*���_�`..3�'.� t —r �- ___i�•.��"1r 7,t�r'Y — �-2s==.;,�x.�+"� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. DATE.5--2,4- 17 Fill in please: APPLICANT'S YOUR NAME/S: M trMgot ) CC=rmca 0 BUSINESS YOUR HONE ADDRESS: do& 6 h1CV1 1� TELEPHONE # Home Telephone Nu ber'F59 '4t'SlI'll.'r'� NAME OF CORPORATION: S 5 e L!-C NAME OF-NEW BUSINESS TYPE OF BUSINESS C,(F,t, nn' QDurko.;-r C,T IS THIS A HOME OCCUPATION? YES NO MAP/PARCEL NUMBER U �l IJ U ( [Assessing) • ADDRESS OF BUSINESS. .: ' '1 When starting a new business there are several things you m-ust do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth ' Rd, & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSID R'S OFFICE This individu I en ' d f y er !t re uire Brits that pertain to this type of business. Auth rized Signature** COMMENTS: 2. BOARD OF HEALTH - This individual has been informed of the permit requirements that pertain to this type of business. ; -Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized.Signature* COMMENTS: BIKE rpm Sign Pv TOWN OF BARNSTABLE Permit �l * BARNSTABLE, MASS 16 9. Permit Number: Application Ref: 201501730 26071086 Issue Date: 03/31/15 Applicant: POYANT, MARCEL R Proposed Use: GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 50.00* Location 282 BARNSTABLE ROAD Map Parcel 310436001 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER Remarks REFACE EXISTING 16 SQ SIGN BEHAVIORAL CONNECTIONS Owner: POYANT, MARCEL R Address: 20F CAMP OPECHEE-RD CENTERVILLE, MA 02632 Issued By: PC POST THIS CARD SO THAT IS VISIBLE FROM THE ST ET i „ Town of Barnstable Regulatory Services 'STAB Richard V. Scali,Interim Director 9. 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 Permit# Building Official approving__ _______ Application for Sign Permit 6 bo �' � 3 Applicant__ ��OL ___G�Lc.��/v�� _Assessors Doing Business As: ¢v_i��r,�n_ i�a� 'on3 ____Telephone No. S dT -jd— Q Sign Location `, Street/Road: -- -- »S� dle_--£ ----L� C�nni's ------------------------ Zoning District Old Kings Highway' Yes/ To Hyannis Historic District? Yes/ u _ _-, - a Property Owner Name:-j`'- c—1 �--��-'�-r----------------- -Telephone: 0$ d � a ---- Address: � "-►-�- ��5 -Z--��-----------Village:-- +J v_f '�' ------ Sign Contractor _ Name: f>t ✓riot-�f�---��4h--4=----------------Telephone:,�1� r _ j M Mailing Address:_ (z3-��-D om'-'---fit--- =— `si -----MA--- Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes/ To (Note:Ifyes,a mir gpermitis required) Width of building face fL x 10= _x.10 Check one Reface existing sign or New Total Sq.Ft, of proposed sign Ifyou have additional signs please attach a sheet listing each one with dimensions i S` If refacing an existing sign please provide a picture of the existing sign with dimensions I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barns Zo g Ordinance. Signature of Owner/Authorized Agent_ Date�a�l { SIGNS/SIGNREQU revised 110413 Behavioral Connection's 1 !I � ABAI ., the • e s .- 11 APPLIE D, O l I 1� TAL�K. viorai connections APPLIED BEHAVIOR ANALYSIS � k I - ,' - I. h' Ir t Sx L r f 63 OLD MAIN ST S. C-- 2-I C5 t ,OlJTI 1, MA_ 0266'4 i � � � � C508> 398�2708> 7Cn0�3'130 .dux • � - • - ' • 11 - . U.2 N , 0 41-0*4ga G. ro ILtiff ljj CC • ,oz ,02 ,off � b NIJ ij •� o a • ,00L/ - � 4-1 a ` Town of Barnstable Re Mato "x3t Ser,000.s [ snxri Richard V:.`Scali,Interim Director- 9 16_19. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town barnstable,ma.us, Office .508-862-4038Q Fax: 5.08.-790=6230. 7 Ci Q . Z j� Permit,## 13uildmg Official.approving---- -- f z .Application for'Sign e'rinit; -- 1- Aplilicarit:� -----Assessors 1\'o;_ Business As l' _ g /l.l v 1?elepho�ne o..- Doin Sign.Location --- Street/Road:, L(:CY ` Zoning District: Old Kings IIighway. Yes/No Hyannis Historic Distriet� Yes/N0 Property Owner 1 Name:___ Address: Sign Contractor• Naive: .. ------ — --Teicphoiic Mailing Address:.---�_--- Description Please follow fl!&cover directions,You ri ust have.dui accurate rendition zif sign midi ciimcnsions:and` location. Is:die sigh lobe electrified? • Ye,:0, (Noce I/Yes; 'csvart pcJrtut sicquirccr) Width of building,face; ._ ft x I0' ;ic.;IQ" : Check one Reface existing sign. or New -.Total'Sq.Fti of-proposed sign.(s) II totr h�ue:addifo>><ils�es plc.�sc<�llarh.�slicetL"stu���rail!i»Ye rsnth.clrrrr�ls�oris' • If refacingan existing sign'pleas'e provide:a picture of the,existing;sign,w th dimensions. I.1icreliy certiiv that;I ani d e.o�vncr or di&I have die authority of:die o�viicr tei make.th s application;; Qiatthe information is eori-eaand'that'die use acid construction shall cal foirii to die pro�iSionS of, §240-59 through§"0-89 of the Town of,.,.Barnstahle'Z66i g Ofd naiice,.:; Signature of:.Owner/AutYiorized A:genL. Date SIGNSISIGNREQU revisedl:10413 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Clustom Map Abutters Map Size ® r.l9 Zoom Out ' In q ® �m, l N. c/rR Q ;rq— 9=7PG Map: 310 Parcel: 436-001 Full Property 310142 N 314. 31014fi '32�' Location: 282 BARNSTABLE ROAD Info Nei N84 310143 Owner: POYANT,MARCEL R .N31D ^''� - -_- 310148 328003 N65 ,Nan Location Information Map&Parcel 310436001 Location 282 BARNSTABLE ROAD 3N300 328004 Acreage 0.51 acres 2 � Current Owner Mailing Address POYANT,MARCEL R 310174 `it1 310438001 328005 328038 ` 20F CAMP OPECHEE RD N 201 'A X282 842 N9 CENTERVILLE,MA 02632 d Appraised Value(FY 2015)— 1 , 328006 328D35 Extra Features $68,300 310438 D01 N38 N8 Out Buildings $13,400 N274 Land $182,100 Buildings $194,200 328007 32N74 Total Appraised $458,000 ` 9 310172 310380 N284 ASSBSSed Value(FY 2015) N 289- 310171 328008 '328033 Extra Features $68,300 �k Fe N24 81 Out Buildings $13,400 No w 10175 - 310145 �326009 Land $182,100 N250 A'1B - Buildings $194,200 Total Assessed $458,000 Set Scale 1" = 102 i Aenal Photos I� MAP DISCLAIMER Copyright 2005-2010 Town of Bamstahle,MA All rights reserved.Send questions or comments to GIS BarnstableMA V1.2.5478 [Production] n� http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?propertyID=310436001&ma. . 1/12/2 115 SINE Sign • Permit BARNSTABLE. ; TOWN OF BARNSTABLE y MASS. s6 � OTF 3.�A� Permit Number. Application Ref: 200706000 20070091 Issue Date: 09/24/07 Applicant: POYANT, MARCEL R Proposed Use: GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 25.00 Location 282 BARNSTABLE ROAD Map Parcel 310436001 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER Remarks NEW FREE STAND SIGN 12 SQ 282 GARNICK& SCUDDER Owner: POYANT, MARCEL R Address: P O BOX K HYANNIS, MA 02601 Issued By: PC POST THIS CARD SO THAT IS RISIBLE FROM TFIE S TREET Town of Barnstable n/ r - 1I Regulatory Services Thomas F.Geller,Director 9""'MASS.�' Building Division jE059. Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 " www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Application for Sign Permit Applicant: � Q N tCi � � Map&Parcel# Doing Business As: J Telephone No. 7) Sign Location Street/Road: Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner r Name: V Telephone: Address: P CPva P Village: Sign Contractor Name: Telephone: �Q'371 9 Mailing Address. A tjoa 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:If yes, a wiring permit is required) Width of building facet/ ft.x 10= ()('MUx.10= Sq.Ft.of proposed sign 1�r 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 a ction s 11 co form to th iovisions of§240-59 through§240-89 of the Town of Barnstable Zoning Ord ce. Signature of Owner/Authorized Agent: Date: Cv Y Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. Q:{WPFILEMSIGNSiS1GNAPP.DOC Rev.9112106 i - I i 1 RN C-)N --t�41 ' F CUD ATTORNEYS AT LAW .� • r 68 C7LD MAIN ST. S. YARMCUIJ ; MA. 026F4 it Inc. Slnce 1J56 '1 '0 � •g •. J 3 a ii n A ,S 3Fa.ci � � xy1t e _ r V _ _ ® # n i � . Es j .e c i t' r v, f e t 1 NM LiJ Zj 1 !a��la� r �ilSEK"�"r.,$.; �M�'^G4n i •fi M�'k` t r�.• �t 1 'ti �7 is YOGI WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which.you must do by M.G.L..-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. - Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is- required by law. m DATE: /c i` Fill in please: y.; r :: :' APPLICANT'S YOUR NAME/S: �Sasc� n �c�Qi�► BUSINESS YOUR HOME ADDRESS: .9 TELEPHONE # Home Telephone Number 1 sr' P :r u.. 9 �- �yy 31`� � NAME OF CORPORATION::..: a, ' 0 C - `: NAME OF NEW BUSINESS TYPE OF.BUSINESS ,v- l . IS THIS A HOME.OCCUPATION? YES NO zC ADDRESS.OF BUSINESS. t MAP/PARCEL'NUMBER .4o_ (o C. (Assessing)' When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has b formed of permit requirements that pertain to this type of business. _ Authorizecf Signature* COMMENTS:P,0 2. BOARD OF HEALTH This individual he inf m d f t e permit %quir nts that pertain to this type of business. Authorized i ature* US* MUST COMPLY WITH AU ue�wonnERIA EGU LAIJUNtil 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of.business. Authorized Signature* COMMENTS: 6 f •u TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 310 Parcel 436-1 Permit# Health Division 7 3 Date Issued t . Conservation Division Fee _ Tax Collector ' . ��' &( , S Treasurer �`' ��1�-�� Z "� 0 '`=' `�' == SEPTIC SYSTEM MUST BE ' FEB 2 6 2001 J INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 � • r�� .� ( - ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board ` ...==~ TOWN REGULATIONS yy I Historic-OKH Preservation/Hyannis - I ` Project Street Address 282 Barnstable Road, Village Hyannis Owner Marcel R. Poyant Address 282 Barnstable Road, Hyannis, MA 02601 Telephone 508--775-0079 Permit Request Request permit for office building alterations: update two lavatories, reinforce the rafters with gussets, and replace windows and clapboard portion of front of building. Per plan by Stanley F. Alger, Jr. Architect Proj . No. AE009-AE0012 February 12, 2001 shts 1 & 2. Squar feet: 1st floor: existing 2,252 proposed 0 2nd floor:existing N/A proposed 0 Total new 2,252 uT ation f 35•,,OOQr; 2ftZoning DistrictBus/RB Flood Plain No GroundwaterOverlay WP Construction Type Wood Frame This building is scheduled to be tied onto the Town sewer in April. Lot Size .51 ac Grandfathered: 3Yes 0 No If yes, attach.supporting documentation. Dwelling Type: Single Family ❑ Two Family 0 Multi-Family(#units) office Building Age of Existing Structure 55/6 7/69/83 Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes )]No Basement Type: LIFO ❑Crawl b Walkout ❑Other Basement Finished Area(sq.ft.) 946 Basement Unfinished Area(sq.ft) 1576 Number of Baths: Full: existing new Half:existing 2 new 2 replacements Number of Bedrooms: existing N/A new N/A Total Room Count(not including baths):existing See plans new same First Floor Room Count See plan Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air: IN Yes O No Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:O existing 0 new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial 10 Yes ❑No If yes,site plan review# N/A No change in use. Current Use Real estate of f ice Proposed Use Real estate off ice No change in use, merely -ma,d.ernizing. BUILDER INFORMATION Name / Philip S. Butler CS Telephone Number 775-0079 Address 282 Barnstable Road, License# Const Super # CS 014218Employee of Rene L. Hyannis, MA 02601 Poyant, INc. Home Improvement Contractor# Worker's Compensation# Rene L. Poyant, Inc. 1-UB-862W288-1-00 ALL CONSTRUCTION DEBRIS RESULTIN FROM T IS PROJECT WILL BE TAKEN TO Barnstable Town d SIGNATURE DATE February 26, 2001 FOR OFFICIAL'-USE ONLY it PERMIT NO. DATE ISSUED MAP/PARCEL NO. :< .o, ADDRESS VILLAGE 3 OWNER l DATE OF INSPECTION' FOUNDATION FRAME INSULATION _ — FIREPLACE ELECTRICAL: ROUGH FINAL + y :r PLUMBING: _ ROUGH ' FINAL `— — GAS: ROUGH FINAL _` • `~' s i r FINAL BUILDING m .�- m0 - DATE CLOSED OUT ASSOCIATION PLAN NO. i ' ,1 I The Commonwealth o,f Massachusetts Department of Industrial Accidents { :i •��'`.�� . -_� , OfifCt Of/QYOSlIg81fOQS -�- _ 600 Washington Street Boston,Mass. 02111 —v Workers' Com ensat.an Insurance Affidavit tee: Marcel R. Poyant /Philip S. Butler CS location- 282 Barnstable Road. city Hyannis, MA 02601 ohonetl 775-0079 ❑ I am a homeowner performing all work myself ❑ I am a sole aloe and have no one worldn in aav=amtr I am an employer a my empl•,• • working tm this job. workers compensation f ovees P P� tap or . ..::;;:J:;•:J::::.:;;J: address... ....... ..... . ....:...:.:. ....:..... ® I am a sole proprietor,general contractor,or homeowner(circle ogre)and have hired the c onaactors listed blow wlu have the following wcrkers'.compensation polices.• :.:::..:::.::.::: . :::......:....:..:::::..:.......,....:........,.::.::.:...,. ::.:::: ::•: . :...:::.v:•.:':::::':.....................:::{.:}':.::..•::.:is ••i:i:!:i p::•:!�r.: .y.:::.}::••;.}:{:?:vii:.}Y.Y,•.}i}5:;4::v...S:.} ;.}:.}:':;:::5}S};({'.•;ice::{r� .r.`.:p:::•.::: .:::::. :.�.,y.....n:..:.�.�.v:::"::.�.::�: '.:......:..':::::-:':':':':':':vi:':':::ii:ii.v:::::. ............. :: ::::::.::.:::.:.,.. :.:.::::::.?;.;:...:»IZrie><:1 P. . apt. . xr ..... 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I do hereby certify the puss andppiqWcs ojpeU'ury that the in rovidrd above is aw and correct Sigaaturt `J Datt ebruary 26, 2001 Philip u er Printname Marcel R. Poyant, Pr Us & Treas. Rene L. Poyant, Incp�e# 775-0079 oincw use only do not write in this area to be completed by city or town omdai city or town: perudocense 0 [3ftildlnt Department ❑Licensing Board ❑checltlf immediate response is required ❑Selectmen's Oflste ❑Health Department ` contact person: phone#; ❑other_. 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The policy period is from 10-19-00 to 10-19-01 12:01 A.M. at the Insured s mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our . liability under Part Two are: Bodily Injury by Accident: 5001000 Each Accident Bodily Injury by Disease: . 500,000 Policy Limit Bodily Injury by Disease: $ 500,000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: AL, AZ, AR, CA, CO, ,CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, OR, PA, RI , MI MN SC, SD, TN, TX, UT, VT, VA, Wig HM, NY, NC, OK, m . D. This ppolic includes these endorsements and schedules: WC200303�OB; -001 WC200 01 (00; -001 - WC200601 (003 -001 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating :Plans. All rep ired information is subject to verification and change by audit to be. ,= made ANNUALLY DATE OF ISSUE: 09-18-00 MG DIRECT BILL OFFICE: BOS/SMA 853 DISTRICT:r PRODUCER: DOWLING 0 NEIL INS INC F082 82 r( a A iJu.•c9,nrcWw'w.ri:a." ..:ob+s+:.-/?a�...uuxp«..u.......,�w c'^^!..,,/�.�✓/,.a .a�... .-..,,x.:. �. t F . k � - — - I ✓� 'C/)O7It/nt40tA/I�QAC�L 0�.; �LUGP,�6 �i j' BOARD OF BUILDING REGULATIONS '! License: CONSTRUCTION SUPERVISOR NUmbei•: CS 014218 Expires i0/09/2001 Tr.no; 7367 r } Retricte `To: 00 . i PHILLIP S BUTLER PO BOX 1876 G'�+"� ` HYANNI MA 02601 Administrator S, 1 DRAWING NOTES EXISTING PARKING LOT 1 - 2-1/2"t Bituminous concrete walk on 6" Ex Fin Grd•EI:42.84'(-t) compact crushed Bluestone. +rY < < < < ; < 2- 12"t Reinforced Concrete Slab w/ rZ Y,,YZ rZ rx YZ YZ Y�r <,<,�<,�<,�<,�<,�<,�<,�< #40'tods @ 12"oc ew T&B: r,1 r l rX Yx r�rx r-t rZ r �z<z<z<z<z< 3- 8'0 x 24"dp Sonotudes -concrete filled. .4- Ramp& Landing System: rZ YZ YZ YZ�YZ'rz Y�rzY Posts: 4 x 4 Td SYP on KS-9A 44 Anchors o/ r<zY<z�<�<�<�< \y w/HSL 3/4 Hitti HD Bolts O yk ),AVA < Yzcykcyzy \I, Girts: Dbl 2 x 8 Td SYP yz`� 1 ztzi CD Joists: 2 x 8 Td SYP @ 19"oc / y IVIV,k M Deck: 2 x 6 Td SYP @ 6"oc ytiyx'Y'xyx%yryzIyrr O NOTE:Completely remove 5- Rails: 2"0 x 3.65#plf- HD galvanized o Ex concrete walk&ramp after fabrication. See Details. 3 co ;zCQncrete Shy \� CL 12"0 Sonotubes 6- 12"dp 3/4"to 1-1/2"Screened Stone under 0c6 yam- !.�y�y - - " entire Ramp& Landing System. C vJ Z YZ Y j Y j Y Z YZ YZ�Y `�y11 Xy�: YYY�` 1'3 1 " \ 5'3-1/2" r Y� cQ� �Y Ramp Length I Ramp Wiath LEGEND tz<z<x<z tx<z;z;z< 3 @ at �<zX<z�<Y<z�<�< Edge ofscreened Stone Bed 3 9 CL Center Line -El:43.01'. ;' Dbl Double _ FF•EI.44.18' � iv dp• deep 2 ..: 5 c El: Elevation o A 4 ew each way w E w--� N m FF Finish Floor LL 5 KS " Kant Sag 3 oc on center :.FF•EI:43.51'.•.•' 4 0 round CD — N cn o @_ 6 co C 3 r Rs Riser b m SYP Southern Yellow Pine t thick �., FF•EI: 44.94' L m T&B Top& Bottom a' S c g Td Treated (Pressure) - J w/ with Ex Condenser CO w E - LL on concrete pad "' Fu 5 4 Zo ^ ; D ARCy� OFFICE I.UILDING ALTERATIONS LL 44.30' =1 i a �, MARCEL R.POYANT h` 282 BAL'NSTABLE ROAD•HYANNIS•MA r NO. 1Z67 ALGER Ente Pro No: AE009 AE0012 STANLEY F.:1LGER.JR fppTHRYfLLE. VA A R C H I T E C T< Date: February 12,2001 38 LEONARD DRIVE FF-EL: 45.00' �b (Assumed) OO2655-,2416A Rev: ± C - /_ 02655-2416 / MASS REG No 1267 !/ TEL: sox 428-2383 Scale: As Noted g6'-6" I FAX: 508428 2 X 10 Td SYP Ledgers V Dwg No: I g N «__ _ ) GENFRAL CONTRACTOR SHALL. g� w/2 x 3 Td SYP Hailers. Lag to VERIFY ALL DIMENS;ONSAND Of: 4 Ex structural floor systems. CONDITIONS ON 7`1 tE SITE. 3 Scale: 1/4" - 1'-0" RAMP- PLAN VIEW GENERAL NOTES A - All lumber shall be Td SYP B- Preservative treat all exposed ends Rails shall extend 12"beyond 2x 4 on 2 x 3 C- Use 20d GI finish nails for exposed T&B - Typical Handrail countersunk. + placement upper&lower ends of ramp Td DYP Top Rail D- Handrail Systems shall be hot dipped galva- nized after fabrication. 1wCV Anchor Rails w/ E- All thru bolts shall be HD Galv-Cariage type co Anchor Rails w/ O 1/4"0 GI lag bits w/GI washers ea end. o - 1/4"O GI l 11,11 - F- Pyramid cut,all posts and preservative treat 2 X 4 Td SYP Bot Rail Re-Grade&Seed co ► Solid Bridge� ® O ea side of Bit wat DRAWING NOTES 0 0 ramps& landings Ramp up @ . 833 fpf max—� -El:43.49' r FF•EI:43.49 @ midspan 4 1 - 2-1/2"t Bituminous concrete walk on 6" _ >< .-.a.x Yz rz x r� V - � •�^� '4 __ _ 4 ——— —_ —— — compact crushed Bluestone. 2 ::::::::::::.;.:;:::-.. •:::•:, ____ _ 2- 12"t Reinforced Concrete Slab w/ ~• 6 ::•:'�:'�'•:':•.�.:'-:: '-�':.. 6 ..: ':�:':�:':�:'�"•"•':'.-:�.: #40 rods @ 12 oc ew T&B. x 12 Ledger w/. ... 3- 8"0 x 24"dp Sonotudes-concrete filled. 2 x 4 Nailer. 3 2 1/2"0 thru' ; 4- Ramp&Landing System: 2- HSL 3/4 HD Hilti bits @ ea post Posts: 4 x 4 Td SYP on KS-9A 44 Anchors SECTION A w/HSL 3/4 Hilti HD Bolts 2x4on2x3Td DYP TopR it Girts: Db12x8TdSYP 1-1/ r Joists: 2 x 8 Td SYP @ 19"oc Rail to Post 4'-0"Clea Deck: 5/4 x 6 Td SYP @ 6"oc 2 x 4 on 2 x 3 between rails 5-1 Rails: 2'O'x 3.65#pif-HD galvanized Step Rs Td DYP Top Rail after fabrication. See Details. Finish Floor& 1 x 6 Td SYP 6- 12"dp 3/4"to 1-1/2"Screened Stone under Dbl 5 O O entire Ramp&Landing System. Upper Landing 2 X 4 T SYP Bot Rail 2 x 8 4 x 4 Post w/ El:45.00' Girt (Assumed) KS-9A 44 2 X 4 Tdisy P 4 P Anchor& Bot Rail '— bl 2 x 8 �. /HSL 3/4 HD Hilti NOTE: Add two additional coats of field 4-2 x 10 Stri ers --- - - 4 --- applied preservative treatment to all wood g Slab pitches up @ 0.0104 fpf members partially burned in screened stone. _.ti. ..ram- r•s•.ram: - -r •t-r ev*ly 1c, rY 2 x 6 Ledger w/ 2- 1/2"0 thru OFFICE BUILDING ALTERATIONS ' 2 x 12 Ledger w/ 2 x 12 Ledger\ 1/2 0 GI bits • • • • • • • • • • • • bits @ ea post 2 x 4 Nailer.SECTION MARCEL R.POYANT w/2x4Nlr ARNSTABIE ROAD•HYANNIS•MA ttj 4-3/8"0 lags SECTION C ��a�AReyr ST NLEY FnR R Proj No: AE009-AE0012 to Ex framing F.A(s �Cr ®.>A R C H I T E C Date: February 12,2001 '� a1r �p , 38 IEONARD osTERvau•MA Rev: '+ q 02655-.2416 N0. 6 TTEEL__' 5SS 500�8G4zsi3ffi Scale: As Noted B FAX: 508 428-238i �, NO: g GENERAL CONTRACTOR SHALL VERIFY ALL D[MENStONS AND of' 4 4 CONDITIONS ON THE SITE Sc RAMP - SECTIONS i 521 CMR: ARCHITECTURAL ACCESS BOARD 1 24.1 GENERAL Any part of an accessible route with a slope greater than 1:20(5%)shall-be considered a ramp and shall comply with the requirements of 521 CMR 24. 24.2 SLOPE AND RISE Ramps shall have the least possible slope. 24.2.1 The maximum slope of a ramp shall be 1:12(8.3%),measured between any two points on the ramp. (There is no tolerance allowed on slope) 24.2.2 The maximum rise for any run shall be 30 inches(30"=762mm). See Fig.24a. 12 1 r-- Surface of Ramp Level Horizontal Projection of Run Landing Level Ramp Slope Landing Figure 24a Exceptions: A slope between 1:10(10%)and 1:12(8.3%)is allowed for a single rise of a maximum three inches(3"=76mm). 24.3 CLEAR WIDTH The minimum clear width of a ramp shall be 48 inches(48"= 1219mm), measured between the railings. See Fig.24b. 48" clear 1219 IF Wall 48• clear 1219 .. :' :•: �;i r r r ,31;,f.r_Y1s.". r .+r .r. sls{.,7 r, ,.3:•>'.:r. r Ramp Width and Handrail Height Figure 24b 24.4 LANDINGS Ramps shall have landings for turning and resting. At a minimum,landings shall be located at the bottom and the top of each ramp and each ramp run,and whenever a ramp changes direction. The maximum length of a ramp run between landings shall not exceed 30 feet(30'=9m). Landings shall j have the following features: See Fig.24c. 2/23/96 521 CMR-93 521 CMR. ARCHITECTURAL ACCESS BOARD 60' min NOTE: See Figures 26d and 26e 'I. 1524 Level Lancing ........................ Level Landing W a . .. I. 60' min L 30' max 1524 9.1 m NOTE: See Figures 26d and 26e .. .::::•::::• �::r: Level .........::�:• m N 1 Level : .!-;:�:' Landing �•..�:: �' Landing ::J :: .:i::::::i:..::.:: 457 60' min 4 30' max 60' min 30' max 1524 9.1 m 1524 9.1 m Maneuvering Clearances at Doors ::= ..... ................. .......................... .................. =................................. .......... ..................... N Level Landin g N 9 , • e 60' min 30' max 1524 9.1 m Minimum Landing Size for Change of Direction Figure 24c 24.4.1 General: Landings shall be level and unobstructed by projections and door swings, except as permitted by 521 CMR 24.4.6. 24.4.2 Width: The landing shall be at least as wide as the ramp run leading to it. 24.4.3 Length: The landing length shall be a minimum of 60 inches(60"=1524mm)clear. 24.4.5 Dimensions for turning: If ramps change direction at landings,the minimum landing size shall be 60 inches by 60 inches(60"by 60"=1524mm by 1524mm). See Fig.24c. 24.4.6 Doorways at Landings: If a doorway is located at a landing, then the level area in front of the doorway shall also comply with maneuvering clearances in Fig.26d and 26e. 24.5 HANDRAILS Handrails shall be provided at all ramps. Handrails shall have the folowing features: 24.5.1 Location: Handrails shall be provided along both sides of ramp segments. 2/23/96 521 CMR-94 521 CMR: ARCHITECTURAL ACCESS BOARD 24.5.2 Heights: Handrails shall be provided in pairs, one at a height between 34 inches and 38 inches (34"-38" =864mm- 965mm), and a lower one at a height between 18 and 20 inches (18"-20" _ 457mm-508mm),measured vertically from the surface of the ramp to top of handrail. 24.5.3 Continuous surface: Handrails shall be continuous without interruption, except by doorways and openings,so that a hand can move from end to end without interruption. 24.5.4 Extensions: Handrails shall extend at least 12 inches(12"=305mm)beyond the top and bottom of the ramp and shall be parallel with the floor or ground surface (see Fig. 24d), except where the extension would cause a safety hazard. 2' In 30 � 30 o Level Level La riding Lending I g Handrail Extensions Figure 24d 24.5.5 Size:The handgrip portion of the handrail shall not be less than 1'/4 inches(1'/4"=32mm)nor more than 1'/2.inches(1'/z"=38mm)in outside diameter. 24.5.6 Shape: The handgrip portion of the handrail shall be round or oval in cross-section. See Fig.24e. 24.5.7 Surface: The gripping surface shall be free of any sharp or abrasive elements. 24.5.8 Clearance: When a handrail is mounted adjacent to a wall,the clear space between the handrail and the wall shall be i'/2 inches(1'/2"=38mm). Handrails may be located in a wall recess if the recess is a ma-,dmum of three inches(3"=76mm)deep and extends at least 18 inches(18"=457mm)above the top of the rail. See Fig.24e. 1-1/4 1-1/a• to to • In r. 1-1/4• to 1-1/2' 1-1/ • 3 Handrails L 3• max Figure 24e g 2!23/96 521 CMR-95 521 CMR: ARCHITECTURAL ACCESS BOARD .{ 24.5.9 End condition: Ends of handrails shall be either rounded or returned smoothly to floor,wall,or post. 24.5.10 Handrails shall not rotate within their fittings. 24.6 CROSS SLOPE The cross slope of ramp surfaces shall be no greater than 1:50(20/6) 24.7 SURFACES Ramp surfaces shall be stable,firm,and slip resistant. Ramps may be carpeted only if carpeting is installed in accordance with 521 CMR 293,Carpets. 24.8 EDGE PROTECTION Ramps and landings with drop-offs shall have edge curbs, walls,railings,or projecting surfaces that prevent people from slipping off the ramp. Edge curbs shall be a minimum of two inches (2" _ 51mm)high. 24.9 OUTDOOR CONDITIONS Outdoor rumps and their approaches shall be designed so that water will not accumulate on walking surfaces. If gratings are used to disperse water, they shall comply with 521 CMR 22, WALKWAYS. 24.10 CIRCULAR RAMPS Circular ramps are not permitted,except with the approval of this Board. 2/23/96 521 CMR-96 e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# a 3 Health Division Date Issued a �� Conservation Division Application We Tax Collector Az, / Permit Fee 4P S`o . a Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street AddressI�IISf Village /� J Owner b Address u) I1/�.sfat le Pa Telephone Permit Request Le- (a1r-e 4 r bbe.raeA rw+ 4,110 Square feet: 1 st floor: existing Al proposed 0 2nd floor: existing 0- proposed U Total new, 0 Zoning District /U G9- Flood Plain /V lk Groundwater Overlay /y e�^ oQ �Project Valuation 2,QO� Construction Type - Lot Size r'A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. , Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 1/0•t^.VA" Historic House: ❑Yes C�fdo C�On Old King's Highway: ❑Yes -No Basement Type: &-rreull ❑Crawl �❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) N' Number of Baths: Full: existing M�_ new 6�2 Half: existing N` new o Number of Bedrooms: existing /V/I- new Total Room Count(not including baths):existing rVA new O First Floor Room Count Q Heat Type and Fuel:- ❑Oil ❑ Electric ❑Other Central Air: ❑Yes u-No Fireplaces: Existing /�'/V New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size M`� 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 K E, e� Proposed Use BUILDER INFORMATION Name #10-ock � `' ':0<, Telephone Number Address I I FZ_ H,I CL ti 4- License# q5 ,SS Co HA- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO UJD VA b 'Ra r d5l-btle— SIGNATUR ` � DATE S FOR OFFICIAL USE ONLY r .,PERMIT NO. DATE ISSUED — r MAP/PARCEL NO. ADDRESS ` VILLAGE OWNER a ` • i DATE OF INSPECTION: FOUNDATION FRAME ` INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL � a FINAL BUILDING ,� �/A/ { DATE CLOSED OUT ASSOCIATION PLAN NO. S' F COMMERCIAL BUILDING PERMIT'FEES APPLICATIONTEE .: New Buildings,Additions $150,00 - Alterations/Renovations $100 00 µCl D,.0.0 Building Permit Amendment FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS-OF EXISTING SPACE ... square feet X$96/sq.foot= 0 ® 4 X.0081= �0. 0 O STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprojcost Rev:063004 r Y L ra� The Commonwealth of Massachusetts = Department of Industrial Accidents Office 811avestiffs0fts . t• 600 Washington Street Boston,Mass. 02111 Workers' Com,�Pensation Insurance Affidavit name: IM location 61 . ci hone# ❑ I am a homeoikner performing all work myself. ❑ I am a sole r rietor and have no one worki>i in an ca achy / /g%%///%% %/ /%//%//G%///%/%O%%%%/%%%/%%/%%%%%�%%//G//G%%�%�%/�%//G%%%%/�% I am an employer providing workers' compensation for my employees working on this job. :company an ;;name.:.:, .:::.....: '`�. ....: .. ....,.,. . ......... : �..... �� aX. ,�i ...........:::::::::..:.....:......:.. :... :..:..::.:..... c� .:•:.::.. :.:. :.:: �: : . one.: # ...... .. lifsurance ctv;:.,. .<:.. ; ,.. h .. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: tomZZpany name.:::... .:; ::><:::>:»:;:.:::... Litl:C5S3>iii< !'G%'' %i2 '>' 2i%G3 !iyj ' S?Cjj ! 2< Fjifv< <2> " % ! ! fills'<%lY<fas4< ii •''% 'i> ei#y: ::;:.;;; > > :,: ::::«:; :: : :;::::::::::.::>: :<.>::.:..: :>::. .>::>:>:::;::.::.:. ::.:::::::::shun ..... . .:::::.:::::::::::::::::.: :: .:. .::::.::::.::::::::::::::::::.:::::::.1/%%Ill%%I//1:. ..:..:..... .: : El. ................................. ...... :_:•........:•:....: I �nSnran Ct:C ...... Failure to secure coverage as required ender Section 25A of MGL 152 can lead to the Imposition of criminal penalties of a line up to$1,500.00 and/or one years'imprisonment as well a9 duff penalties in the form of a STOP WORK ORDER and a Sue of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verlflcation I do hereby certify under the pains and penalties of perjury that the information provided above is trup and correct Signature Date (5� 1. Print name SP Phone# `' ,y-&qC)s official use only do not write in this area to be completed by city or town official city or town: permit/license# ::00 Building Department Licensing Board ❑checkif immediate response is required []Selectmen's Office Health Departmentcontact person: phone#; Other Oevised 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states-that every state or local licensing agency shall withhold the issuance or renewal license or permit too operate a business or to construct buildings in the commonwealth for any applicant who has of a p p g in' the produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the into an contract for the performance o f public work until commonwealth nor an of its political subdivisions shall enter y p p Y � acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required.to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of fide 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 pi number which will be used as a reference number. The affidavits may be retuned in- the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Inllestigauens 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . �� �le�`�abm�rizo?uireald�o� aclusaet7d ' @.i BOARD OF BUILDING REGULATIONS k `'S•, , c se CON TRUCTI N SUPERUI5 R yunib•.��r N 043556 , k :I m SCOaTTE,,CRO �. , � �' _•*>' .. OSTERVILL.E MAC �°y '^`^' Commissioner " �fce{oomvn�muvea�c o�./�aaaac�ecsaella L1 • Board of Building Regulations and Standards �, License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards 11e918; o►t 131378 One Ashburton Place Rm 1301 E — :n—.—.1312006 # Boston,Ma.0.2108 (�l yA e Corporation jj Ype:-. r PEACOCK&CRQS E S INC. SCOTT CROSB � 1112 MAIN STRE ".UNIT 7 e ex L�, , r.✓ OSTERVILLE,MA 0265 Administrator Not valid without signature i r 02/15/2005 11:43 150877856BB RENE POYANT INC PAGE 01 Fo�h -15 05 12: e5P t5061420-3399 0.2 b �0 I Dn �eln4 • C It•-( aVc.�iaaaa.Q.L'�- 1=trr,w.r.�.oUR - `\i c hamar Y.Uffler,Director ]�1I��t�iY1g`10� Tom Perry, BuOdivg Cornaisrioncr 200 Main Straq Pyannis,MA 02foJ Office: 508-962A439 Fax' <SOB 79D1 ,30 Property QnynM S� cr� fJ �A -�311�C1+za I1,�1 r as Owmer of the subject property ,herreb i authorize toi d Oil to:c;on MY,behalf) in call masers refatbse c4 woe �l�r�ivrized=Y �,7 :�n►t.opr?:cat�Oti icr(address of job) VL&-1 PA�7v signs e-of-own"- _ fry e-t f Print None I, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Jb /001 �� Permit# J Health Division �® ®� GG� Date Issued ® _ Conservation Division /7 31101d Fee O l Tax Collector _ Application Fee 100 . 00 l • Treasurer �G Planning Dept. � Checked in By ` - Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address Village kAoontS Owner P.� Address 5 8eo_,aA'P l�,(� (�T V�4etuillp_ Telephone 06 71 Permit Request s 04 VV G Square fee : 1st floor: existingA3q proposed O 2nd floor: existing proposed Total new Valuation 3 bob Zoning District a----- Flood Plain �- Groundwater Overlay � 9 Y Construction Type WV64 621a - _ Lot Size t7. 5( 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: U1,411 ❑Crawl ❑Walkout ❑Other 77 � " 06 -1- 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 AIA new First Floor Room ount `� Heat Type and Fuel: &das ❑Oil ❑Electric ❑Other Central Air: QYes ❑ No Fireplaces: Existing _--- New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size -Pool: ❑existing ❑new size lU, ` Barn:❑existing ❑new size Attached garage:❑existing ❑new size -Shed:❑existing ❑new sim-011 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial aTes ❑No If'yes,site plan review# Current Use Proposed Use _ BUILDER INFORMATION Nameka-co-tv 4 lB, Telephone Number ' SM- Ta� b qb C� — Address J 1 LQ LVl �1 �Q.j/l [�`� License# 6 q3 5j (0 i n' - l?r .l) Home Improvement Contractor# Worker's Compensation# 5 a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE. I DATE 3—1,4 6 5 L , " FOR OFFICIAL USE ONLY e, PERMIT NO. DATE ISSUED MAP/PARCEL NO. '4 ADDRESS- , VILLAGE ' OWNER r DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION 'ol'�"%� rd r ,t FIREP„ ' � ` ELECTRICAL: ROUGH FINAL F` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 03/14/200S 11:19 5087786448 H`.'ANNIS FIRE PAGE 01 rIYA'!'A+ 95.HIGH.SCHOOL Rp. EXT. HYANNIS, MA.02601 {... W Jai HAROGD S. SAON'ELLE, CHIEF IVIRE Kg�aC y ' 'iYOiNYAWFf SAC t0YtA1ICi1 s ' BUSlNES3 PH6Nj6:(506)775-1300 FACSIMILE PHONE:(508)778 5448 I-I,ID(944f.' D I3.CISE;JR.,CFI LAC.ERIC E.HJBLER, CEI n" FI +:R 1P tE�3N7CxClN't3k + l�R )FIRE PREVErJ'I'ION CD'iHfi'Ir C>ER f3'UlLDlNG-. 'CQp.-p COMPLIANCE FORM THIq'P1i�1= F riE�IENTIPN:BUREAU.HAS REVtr:X E. 'THE- PLANS DATED FOR THE-PFt(�pERT-y Lo(,A7tD AT �' ' ► � E.�`�.,_ ..�.., AL$O KN4?.V* As THE CHART Rf"!QW INWCGATES.. THE STATUS OF OUR REVIEW, N RECEIVED I; v�EI�r COMPLIES El - ; li"IHE FII;HT,I fq Cl.l AOC Sa , .. :1.. �.+.. .. . H1rDf l#NT LOi Tl 1N�<V'A ' ;'i stiip�P'L . :4 SPRNKLFR 5F'F�11CLR (VTFtO[ QUIPIv9P1T 8 I=1R `DEI�ARTt�I. N 'dCCi(NFG I' N, r 9 FIRE E' l. o CI\f"'r`�lOF>1g4 !►VC'�,,�`+Z'ST _w _ r 1�NNtj�IOlATC3R LbCAIIOPJ': w.J 11-SMOKE Ct]Nti1 ..%LXkAU T• — r, SMOK1= �NTROI EtoUi' LrlW�4TJN i 13 L!.FE 5�FETY SX1`lN�� ATUGi x i4 FIFA± >=}�Tli��illSFiil`JQ SYS*EMS GO:6 �"q ECJUIR LOCATION 9n. kV ` i�lAl_ARM T '.'°x4,hq'i55.,0".t�`M�T 0 _,�„�. a •� w.m 1t, Od"r I ArtIC9i Fir,'PT _ ACC>rI�YANC 7ET1 tar- V T ! D!�Q I- T 0 PLETE AND COMPLIAN i-FOR THE ISSUA.liCE OP A BUILDING WE NAVE GGNPPLF' "C7.THt AOC9PTANCE� � 1i THE OCCUPANCY PERMIT AND BELIEVE.THAT' WITEtiIN TFiC 5 �PE'OF TFiE 13UlI�L IIvC I'' HI�11T,�FfE,A,Br-ails!SSOF-S AHE N COMPLIANCE_ °F1HE, , Town of Barnstable Regulatory Services r sB M� '� Thomas F.Geiler,Director °rEo;AAA,` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-79076230 Property Owner Must Complete and Sign This Section If Using A Builder L MARCEL R. POYANT as Owner of the subject property . hereby authorize PEACOCK & CROSBY BUILDERS, INC to act on my behalf, i in all matters relative to work authorized by this building permit application for: 282 Barnstable Road, Hyannis, MA 02601 (Address of Job) Marce R. Po ant 3/3/06 Signature of Owner - Date MARCEL R. POYANT Print Name Q:FORM S:O W NERPERMIS S ION -ru. ,r:"gnu Luna ovo uzo ovoo iV.-ea COCK 6'�roSCy L/ale.llol Lv'Vu IM,u.O!.7A.V DATE(MMIDDIYY) AC014D,. 4/5/2005 PRODUC-2R ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER, THI8.CERTIFICATE DOE$ NOT AMEND, EXTEND OR 808 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, OSTERVILLE, MA 02666 COMPANIES AFFORDING COVERAGE COMPANY GEMINI INSURED COMPANY - PEACOCK&CROSBY BUILDERS INC. B AIG P.0 BOX 151 cDTnaNv OSTERVILLE, MA 02655 C . COMPANY .. _. D ----------------------- ----------------------- ---------------------- 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;TKE tWSLIR•AUCE AFFOROED4,Y THE POLICIES DESCA48EDHER-E IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COI TYPE Of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PUtA71QN LIMT17 LTR I DATE(MMIDDM/) DATE(MMIDD/YY) A FGENERAL LIABILITY GENERAL AGGREGATE S 2,000000 I X COMMERCIAL GENERAL.'ABILITY i VIGPOO5709 _ 3.12.05 3.12-06 PRODUCTS-COMPIOP AGG 6 I" AIMS MADE n OCCUR I . PERSONAL 8 ADV INJURY S OWNE.R$_&CONTRACTORS PROT I EACH OCCURRENCE I 1,00 OOO L—� FIRE DAMAGE (Any one fire) 6 - ME EXP (Any One DerSon) S AUTOMOBILE LIABILITY I--- COMBINEO SINGLE LIMIT I S 1� ANY AUTO I ALL OWNED AUTOS Dllr w uar $ SCHEDULED AUTOS Ieraersan) MIRED AUTOS BODILY INJURY S NON-OWNEDAVTOS (Per 9CC!09n!) PROPERTY DAMAGE g I GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. ~~ EACH ACCIDENT 6 AGGREGATE I S EXCESS LIABILITY EACH OCCURRENCE I UMBRELLA FORM AGGREGATE 6 O--ER THAN UMBRELLA FORM S _.. wC S7Al U. 0'y.- _ B WORKER'S COMPENSATION AND TORY LIMITS ER EMPLOYER$'LIABILITY WC 884.45.52 1,12.11 3.12.08 EL EACH ACCIDENT 6 111,110 'wE OROORIETOR, I�INCL I - EL DISEASE•POLICY LIMIT s 500,000 1 FARTNEq&EMECUTi4 OFFiCER9 ARE EXCL I EL DISEASE•EA EMPLOYEE S 100,000 j OTHER i i DESCRIPTION OF OPERATIONSILOCATIONBNEHICLESISPECIAL ITEMS --------------------------------------- SHOuL0.ANY DF THE,.Aftavp,DESCRiMM POLJCIES. BE CANCEL I Pfl BUORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENOEAVOR TO MAIL 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, • - _ BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY . OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES , AUTHOPMp REE�PR�E�SSEdNNTATIV w' --------------- I • Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date: If found return to: Registration: 131378 Board of Building Regulations and Standards Expiration:.7113/Y006 r One Ashburton Place Rm 1301 Type:_Private Corporation Boston,Ma.02108 PEACOCK&CROSBY•BUILDERS,INC. SCOTT CROSBY 1112 MAIN STREET,UNIT^7` � � OSTERVILLE,MA 02655 Administrator Not valid without signature 07k. i i BOARD OF BUILDING REGULATIONS f { F i License: CONSTRUCTION SUPERVISOR ' 1 I Number 'C� 043556 ' p1. 1 _1 12006 Tr.no: 5008.0 SCOTT E CROY 62 CROSBY CIR G OSTERVILLE, MA 02655 Commissioner P The Commonwealth of Massachusetts Department of fridustrial Accidents " Office.of Investigations 600 Washington Street Boston,MA 02111 ' www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A 1icant Information Please Print Legibly N21Ile(Business/Or=Azation/Individual): � Address: City/State/Zip: Phone Are y an employer?Check the*appropriate boa:. Type of project(required): I . 4. ❑ I am a general contractor and I 1. I am-a toyer with 6. �remodZg coction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet t ? 2.❑ I am a sole proprietor or partner- • ship,and have no employees These sub-contractors have 8. ❑ Demolition working forme in any"capacity. workers' comp.insurance. g• 0 Building addition o'workers' comp.insurance 5. ❑ We are a corporation and its [l`T 10.❑ Electrical repairs or.additions required.] officers have exercised their ' 3.❑ I am a homeowner doiAg all work right of exemption per MGL 11.❑ Plumbing repairs or additions Myself..[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.].t employees. [No workers` 13.0 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 andthenhire outside contractors must submit anew affidavit indicating such =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'pomp:policy information. 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.#: ('06 Expiration Date: Job Site Address: Oko City/State/Zip: a M 0C\S a�D f Attach a copy of the workers' compensation policy declaration page(showing the policy number andexpiration date). Failure to.secure coverage as required under Section 25A of MGL c.,152 can lead to the imposition of di=m alpenalties of a fine up to$.1,500,.00 and/or one-year imprisonment, as well as.civ>7 penalties in t&e form of a STOP"WORK ORDER and a line of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to,the Office of . Investigations of the DIA for insurance coverage verification. I do hereby erti under the ins and penalties of perjury that the information provided above is true and correct Date: Si ature: Phone# c�_ Ofjccial use only. Do not write in this area,to be completed by city,or town official City or Town: Permit/hicense# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.C4/Town Clerk 4.Electrical Inspector 5 Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions. ter 152 requires all employers to provide workers' compensation for their employees. Massachusetts General Laws chap person in the service of another under any contract of hire, Pursuant to this statute, an employee is defined as"...every p express or implied,oral or written." ,association,Forporatioa or other legal entity,or any two or more An employer is defined aS.:pn iu •=P to er,or the of the foregoing.engaged m a Joint enterprise, and inchuiing the legal representatives of a deceased emp y partnership,association or other legal entity, employing employees. Howev.••er. .e receiver or trustee of an individual,g apartmentshan three owner of a dwelling house having not more th o maintenan e ms, construction or repair wo kvn sd who resides therein, or.the uch occupant dwe ling house dwelling house of another who employs persons urtenant thereto shall not because of such employment be deemed to bean employer." or on the grounds or building app 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:" pp ter 152 25C states"Neither the commonwealth nor any of its-political subdivisions shall Additionally,MGL chap .. § (� enter into any contract for the performance of public work until acceptable.•evidence of compliance with the insurance iequirements 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-contracroor(s)name(s),address(es) and phone numbers) along with their certifieate(s)of insurance. Limited Liability Companies (LLC)or Limited Liabi'litytroP �e f an)LLC o with no employees does have than the members or p artners, are not required to carry workers compensation employees,a policy is required: Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. ermi Alsebet is ense is� g requested,�not the Department of should. be returned to the city or town that the application for p 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"Town Officials Please be sure that the affidavit is complete and printed legiily. 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 bused 'a reference need only submit on affier. In davit indicating tion, an current ant that moist submit multiple permittlicense applications y givenY 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 of that�a valid affidavit is-on file for;future pi , n t�atedAto any affidavit must orscobe filled out-each mmercial venture year,Where a home owner or citizen is obtaining a license o permit (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 IndustrialAccidents . . .. .. Office of Investigations a r 600-Washington Street, . Boston,MA 02.111 u ' Tel. #617-727-4900 ext 406 or•1-877-MASSAFE Fax#617-727r7749 Revised 5-26-05 wWw,mass.gov/din TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 10 Parcel 'y�� � Application# cX6 ��S Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee f Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address C� at1` c_ Village � Owner T Address Telephone �_6 Permit Request Z '1?�vl L W �0,� rr Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total-new Zoning District Flood Plain Groundwater Overlay - J QQ Project Valuation / dO Construction Type Ind Lot Size Grandfathered: U Yes ❑ No If yes, attach supporting documentation Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Azu ( I - Age of Existing Structure A10 4 Historic House: ❑Yes 4,pd/ VV On Old King's Highway: ❑Yes Q mo Basement Type: UP�u`ll ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) SAD + — Basement Unfinished Area(sq.ft) '5_00 `— Number of Baths: Full:existing new Half:existing new C3 Number of Bedrooms: existing d new 6 Total Room Count(not including baths):existing /1/ new First Floor Room Count Heat Type and Fuel: 9'Gas ❑Oil ❑Electric ❑Other Central Air: es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes UFNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size 9X 0 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑No —If.._es,_site- lan_review,#-- y p — _-- - Current Use Proposed Use BUILDER INFORMATION �-tpf$ ✓� Name c Telephone Number Address i® 4 w% License#�`/ Home Improvement Contractor#(�-C✓ 02h � Worker's Compensation# [nJ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE " `~ r-11_11 '�11L_ DATE 0 ob j' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO: ~` ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE } ELECTRICAL: ROUGH FINAL i' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING `O1�-- ` r l S DATE CLOSED OUT f ASSOCIATION PLAN NO. i 1 ne C,Ommonweairn ui mussuvnusemi Department of Industrial Accidents Office of Investigations ' a 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluli3abers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): Address: 1p q6 W q City/State/Zip: (� � Phone# 6 Are y ployer? Check the-appropriatE��eneral 'Type of project(required): 1. am a employer with 4. contractor and I�P Y6. ❑ 7emodeling construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partrler- listed on the attached sheet.t 7• ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. (No workers' i3,❑ Other comp.insurance required.] . *Any applicant that checks box#I 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 subcontractors and their workers'comp.policy information. 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. #:nK Expiration Date: Job Site Address: )� WCity/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy num 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 ORDFIR 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 ce�naler t e sins and penalties of perjury that the information provided above is true and correct Si afore: r � Date: .—fO 66 Phone#: �'� b 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.Electricai inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructors Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their emplaytes 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." a 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." MGD chapter 152, §25.C(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),addresses) 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 permivlicense number which will be used as a reference number. In addition,an applicant that'must submit multiple'permitllicenseapplications 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 thathas been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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'aiid fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 T'el. L 617-727-4900 ent 406 or Y-877-MASSAFE Revised 5-26-Q5 Fax �; 617-727-7749 ww w.mass.go v1 caa 08i11/2006 12:39 FAX 5084283068 GERMANI INSURANCE [ao01 8 11/2006 I. ua.,.r�a+wa'.;.rc,r,a..,r.uv.�.W.a.4'I (x"l,li ayl;.(v Nd .",li"j >•.,: ,.I .5...., :$�uu :. , .((_ .�, I ),.1�(`..1.Ili PkQDUCER THIS CERTIFICATE IS 133UED AS A (NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR DOB MAIN STREET L ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02055 ___ COMPANIES AFFORDING COVERAGE COMPANY A ESSEX INSURANCE 00. INSURED COMPANY AIG AMERICAN HOME ASSURANCE CO- PO PEACOCK BUILDING&REMODELING _ B PO BOX 171 i COMPANY �— --- p'V----�------ OSTERVILLE,MA 02666 C 1. ..... COMPANY r--�- r-.•r� �, I w7I lI y`fil'n sj , :, ',,I I®.I,. y I _.i,, 1 �i '' �.' rI t'R1S'�;I ti'� f'*�T^^•�-r!".^^I'^'�.7" 7^ li V17E� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN`$SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERt1FICATb MAYBE ISSUED OR MAY PERTAIN,THE IN$UR.ANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT;ONS CF SUCH POLICIES;LIVITS$HQ11VN MAY HAVE BEEN REDUCED BY PAID C:AINIS: _ TYPE OF INSURANCE POLICY NUMBER CO POUtY EFFECTIVE I PdUCY EXI'IRAT�N LTR � I DATE{NNfODlYY) , DATE(MAIdDD!W) LIMITS GENERAL LJABILITY. I � GENERAL AGGREGATE 15 Z,OOO,OOO A ; 13CU9429 07f06i06 07/06/07 --- --._. t QMMERCIAL GENERAL LIA11-ITY I PRODUCT3.COMP/OP AGG $ 1,000!00Q i CLAIMS MADE 1.1 OCCUR PLR6_ONAL b AOV INJURY I$ 1,000,000 I DINNER'S&CONTRACTOR'S PROT! EACW DCCURRENCE —I�_$_ 1.000 CQQ _ - L_ ) i FIRE OAMAGi (Any nhe are)1 5 _ 50,000 I 00 MED EXP (Any ano perms) S 1 O00 i AUTOMOBILE LIABILITY I T--- COMBINED SINGLE LIMIT l$ ` ANY AUTO ALL OWNED AUTOS BODILY INJURY $ t I SCHEDULED AUTOS ! I(Per person) BODILY INJURY ` HIRED AUTOS j 1 (Por accident) !$ ---- NON-OWNED AUTOS I i I -- -- •'--•--.-.. I - PROPERTY DAMAGE $ j GARAGE LIABILITY jI, AUTO ONLY-EA ACCIDENT S i I ANY AUTO j 1 OTHER THAN AUTO ONLY: r. L... .._. -.,-rA0HAGGIOENT I$ AOGREGA'rF S EXCESS LIABILITY I EACH OCCURRENCE $ UMBRELLA FORM —�- '_AGGREGATE i$ --- OTHER THAN UMBRELLA FORM - -_— —� --,- _ �_._��.1QT3-I - I - � uip OTATW OThF - 13 /YORKEyt&COPdPEN&ATICN AND 20-5005104 06i22/06' �06122/U7 °� '� i EMPLOYERS'LIABILITY100,000 .. EL EACH ACCIDENT 3 j THE PROPRIETOR/ 1 I INC4 ! i EL aISEASE-POLi£Y LINiLT b 600,000 pARTNERPrEXE°UTIVE F--I i. --.......—._.._..___...--}�... i OPFICERUARE: I EXC,. I !ELD!SEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERAl'10[4SJLOCATIONSNEHICLESISPECIAL ITEMS I ..'.,,....�„-•..a.IP•'-^-'r,�+�•� :(!l ,,, r I 11 ;'_ 11��)1{jl i'IIII< f ' l I - r l ._r, I'. C ..,:' Itl,Ys�,i SHOULD ANY OF THE ABOVE DESCRIBED PCLICIIS 66 CANCELLED 91KA& THE TOWN OF BARN STABLE EXPIRATION DATI3 THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1 DAYS YIRIT`EN NO'nCE TO YhE CERTIFICATE HOLDER NAMED TO TYE LEFT, - FAX,*:508-428-7626 IWY FAILURC TO MAIL SUCH NOTIQF SHA.L IMPOSE NO OBLIGATION OR LIAB-UT-Y OE ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHOpjFp RRE���IPR��,E�BBSENTATIV rya n,y e I y I, m r ;,•, 9 -Comwwwweald Board of Building g Re ula ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 151853 Type: Private Corporation t `-= Expiration: 7/7/2008 SCOTT PEACOCK BUILDING & REMODELI JAMES PEACOCK PO BOX 171 OSTERVILLE, MA 02655 Update Address and return card. Mark reason for change. �_J Address 1 Renewal i Lost ost Card DPS-CA1 0 5OM-05/06-PC8490 -- ✓lie ioomzmancuea`C�z a�✓G�aaoacfuaelta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 9 d -Registrat on:-,151853 Board of Building Regulations and Standards Expiration; -r717/2008 One Ashburton Place Rm 1301 i:: Boston,Ma.02108 s Type Private Corporation SCOTT PEACOCK BUVILDING;&'REMODELING INC ,TAMES PEACOCK 1046 MAIN STREET SUITE 7 OSTERVILLE,MA 02656 Deputy Administrator Not valid without signature 6 I / 7ppp�¢y�y� ' %itvBUHKU'UF tS�iLUIIYIa�� l�U`H� I License: CONSTRUCTION SUPERVISOR 9 Number:,_CS 094500 t Expires 07/2212010 Tr.no: 94500 Restricted 00 .- JAM ES S PEACOCK t PO e>JX 171 'T OSTEVILLE, MA 02632� ' A" '` Commissioner i 1 r U.NIT 77 d — .. COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $100.00 Alterations/Renovations $50.00 Building Permit Amendment $50.00 FEE VALUE`pVORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0061= ALTERATIONSIRENOVATIONS OF EXISTING SPACE tZ z7 A square feet X$96/sq.foot= X.0061= 02, STORAGE BUILDINGS ONLY __square feet X$32.00/sq.foot= X.0061 Roma, Paul From: Perry, Tom Sent: Tuesday, August 15, 2006 4:23 PM To: Roma, Paul Subject: FW: 282 Barnstable Rd fyi -----Original Message----- From: Lt. Don Chase [mailto:dchase@hyannisfire.org] Sent: Tuesday, August 15, 2006 4:20 PM To: Perry, Tom; Larned, Nancy Subject: 282 Barnstable Rd Hi, Saw the plans. All seems ok for permit. Thanks Don 1 8/1.1.'2S1.i6 fit._ 33 1.5087785GES RENE FiOVANT IhJC PAGE o1 F - IFOW71 Of-B xustable # R toxy Bekaa now IF,t•1si vo Mmier , 'Tam 110m, IWAng cff to aez amu F= $09-700-6230 Propefty OwnerMust CoMplete and sign This scction. Xf TJB' ABuilder MARCEL R. 1'.MANT U Q.wur d the Subject �resr sac=g° b�1f, in an=tbm A+m to vo*=607ind b7this b=VMI P=h q&g1j=fey► . 28? Barnstable Road, jH- arrr►is, MA. 02601 k \--tj =�1 f . August Ii, 2006 Fi e J " MA,HCEI, R. fOYANT _ r Q Sl1401rA r'EF-br allc id !tiwz:80 t t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D Parcel 6 Application# (J�� � Health Division Conservation Division Permit# Tax Collector Date Issued 5 ,60 Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ®L Historic-OKH Preservation/Hyannis gen Project Street Address Villageuyj& Owner Address Telephone Permit Request rILA nd Co on Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new .a, Zoning District Flood Plain Groundwater Overlay Project Valuation 00 Construction Type - r - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. rN� 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: 0 Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use '✓ Proposed Use = - BUILDER I FORMATION -710 Name _ Telephone Number R q - Address ense# �� N► IY1 �1,�f qL�Qo Improvement Contractor# 45J 1 Worker's Compensation# cW ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' SIGNATUR DATE FOR OFFICIAL USE ONLY b 1 PERMIT NO. DATE ISSUED } MAP/PARCEL NO. '+} ADDRESS VILLAGE. - OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION R FIREPLACE ; } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t , GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT v } t ASSOCIATION PLAN NO. ih The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations W 600 Washington Street Boston, MA 02111 - y� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluinbers A licant Information ]Please Print Le 'bl Name (Business/Organ izat io n /Individual): &Apla�o Address: City/State/Zip: Phone#: Are you an employer? Check the-appropriate box: Type of project(required): 1.� a employer with 4. ❑ I am a general contractor and I 5. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ Remodeling ship and have no employees These sub 1 contractors have 8-. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Budding addition [No workers' gomp.insurance 5. ❑ We are a corporation and its required.] II , officers have exercised their, 10:❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. - c. 152,§1(4),and we have no 12. oof repairs insurance required.] t 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 contactors must submit anew affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. c Insurance Company Name: Policy#or Self-ins.Lic. #: S SOl7 Expiration Date: ? Job Site Address:_ 2&fiW A, City/Statc/ ip:_ 6 ),63 , 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$1,50Q.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 ce under th aim �ad nalties of perju hat the information provided above is true and correct: Si afore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town offZcial, City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Hemith 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 ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that mast submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel, 617-727-4900 ext 406 or 1-077-MASSAFE fax t 617-727-7749 Revised 5-2b-OS ww-w.mass.uov/dia Town of Barnstable ti Regulatory Services B"NSTABi'E Thomas F.Geiler,Director 16;9. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type_of Work: RL Estimated Cos# Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Jqb Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent o e owner: Date Contractor Name Registration No. OR Date Owner's Name Q:formslomeaffidav - License: CONSTRUCTION SUPERVISOR Number=_CS 094500 I `t Expires 07/22/2010 Tr.no: 94500 Restricted 00 JAMES S PEACOCK g. OSTEVILLE, MA 02632 .`:: Commissioner 91te &wmomm.�ld Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement"Contractor Registration Registration: 151853 Type: Private Corporation t Expiration: 7/7/2008 SCOTT PEACOCK BUILDING & REMODELI, JAMES PEACOCK ' PO BOX 171 OSTERVILLE, MA 02655 Update Address and return card. Mark reason for ch:PS'ae. Address i Renewal i ; Employment Lost a ascY DPS-CA1 0 50M-05/06-PC8490 ✓/ze 1�amrrioruuea`�i o�✓T/�aaaaccltieaea Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration;051853 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration:<j�j�2008 Boston,Ma.02108 .Type: Private Corporation SCOTT PEACOCK BUILDING;&'REMODELING INC .TAMES PEACOCK 1046 MAIN STREET SUITE_ 7 OSTERVILLE, MA 02655' T Deputy Administrator Not valid without signature p 08/11/2006 12:39 FAX. 508421&3088 GERHANI INSLRi kNCE 0(31 + i I 1 I alarL3 'M(YUlaCJ1W ,; 'I I N 1 TM n IY A1S 11 4 1111t IAII Ai I ..i.,� I J I I I{✓1 I,� .[ Eriws®.11 I ,ur. If'.�If'.Ir l III'll'., ru,r.,..t4_•(..1...,-IL. S,r 1... ,....u, a4a�ur..a w-,[I a.� . PRODUCER THIS CERTIFICATE IS 1$3UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13ERMANI INSURANCE AGENCY � HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR D08 MAIM STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02055 ----_-----,_—_-- COMPANIES AFFORDING COVERAGE. ._...._ _. . COMPANY A ESSEX INSURANCE 00. IN4URE0 COMPANY _--... .. SCOTT PEACOCK BUILDING&RE WDELING g AIG AMERICAN HOME ASSURANCE CO" PO BOX 171 i COMPANY _— —— --- ----------- ----—-- -- OSTERVILLE,MA 02655 COMPANY D a I ,l t I 1 a A' } � I >7 i�t.m, n •+p^"4'J � L THIS IS TO CERTI=Y THAT THE POLL.IES CF IN:URANCE LISTED BELOW HAVE BEEN:SSUED TG THE INSURED NAMED ABOVE FOR THE PO JOY PkRiOO INLIICATcD,NOTW!TH�TANDINO ANY RCRUIREMENT,TERM OR CONDITION OF ANY CON-RACT JR Ca'HER DOCUMENT WITH RESPECT TO VVHICIi THIS 0ZI iFtCATZ AV Y BE ISSUED OR rv?AY PERTAIN,'I'HC!,NSURZANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E)fCLUS10NSAA{l?CONOI?'.OIV$CF SUCIII .ICIE$,LJ PGISAIT$SHgi'dN MAY HP.\JE gEGN iEDUCED B?'PAID C'AIh9S ....._....... ....... _ __... __..--- -....- .. ..- _.... .. . .. CO ( 1NUMBERi FOLICY EFFECTIVE i POLICY EXPIRAMN i._._...__.-_-------- - ------ LTR I TYPE OF INSURANCE POLICY .M LIMITS ------INSURANCEDATE jM141001M I DATE(MNJDDYj - GENERAL LIABILITY —r GENERAL AGGREGATE 1 S 2,000,000 l3CUg420 ; 07106,06 0?/Q5ro7 --- ____..._. ......._.. A COMMERCIAL GENERAL LIA.31LITY I PROgUCT3-COMPi0F AGG�.;� ,000.QQ'Q J --' I ..1_ ....._.......1,0 0. 00 I I I CLAIMS M,QDE _._.•I OCCUP. i I PCAgpNAI$AOJ INJURY '3 1 OOQ OOO OWNER'S S CONTRACTOR'S PRO", I EACH OCCURRENCE —II$_ 6----i _ 1000.000 FIRE UMIAGE jAnr nhe erei�s 50r000 I MED EXP (Any one pe<oa} S 1.000 AUTOMOBILE LABILITY ANY AUTO COMBINED SINGI.E LIMIT I$ 1 I . .I I ---------------........_..._...----. ..... .. .......-- -1 ALL OWNED AUTOS � BODILY INJURY I$ SCHEUULEC AUTOS �: I Morperean) I HIRED AI,ITGS I - I I BODILY INJURY �---i NONZWN�CIAUTOS I (Pore�dantl - -- 1 i I I PROPERTY DAMAGE I (yARAGE LIAQILJTY AUTO ONLY•EA ACCIDENT I$ ANY AUTO i I 01 HER THAN AU 1-0 QNLY: I EACH AC91DEf t$ r AGGREGATE I;_...---- — EXCESS L"ILITY I EACH OCCURRENCE $ UMBRELLA FORM AOORkGA,TE.. C OTHER THAN Utn--l A FORM WORKEA'S CQNPVN3ATIQN ANpvTI+ LJi j I�Q-SOG51v1+ j QQ%��%lad 06/cZ/G7 o�T+_�L�.._L:_1.JR— --..._.. "......-.. .. EMPLOYERS'LIABILITY � ! EI L E.1CH ACCIDENT $ I QO.QQO THE PROPaIETpAl IINpI, I - I,15U P15FASE-POLICY LIMIT Lq.. .............rJ0000Q PN7TPoF.Re[EyECi1TIVF, —••� i ` 1 _.,—..__._..--�— — I�7FFiC_RS.ARE: I I EXCx I ! 1 EL DISEASE-EA EMPLOYEE i 4 'IQQ,QQQ t)THEF� ' I i i DESCRIPTION OF:tPEHiAl'lOh4SILOCATIONSNEHICL.ESISPECIAL ITEMS _ k �I��L"ATEI�L'S�II..�7b�,— ,�. '.!:II i - �r I �:II 11 j1�1]I�✓<11111�'IN�,)I j�,, ;i II.�I�I' l��l..�.N.,l (��1.,.��P��Ib•�Y ICI l7 I S +1i 11 .i f 4 '.,:,., ..�. ', i u ,.,.II.:, ,1.1Jr.'�T.•JP.��.. a � • I A,..r.� , ..a�(.e 1:_,.i �r SHOULD ANY OF THE ABOVE DESCIRIBED POUCH'& 09 CANCELLED aECOM THE TJINN OF DARt�STABLE EXPIRATION 13ATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL, 110 DAYS VYRIT��N NAYICE79 THE CERTIFICATE HOLDER NAMED To THE LEFT, - 4 F,AY,#:508-428-7625 DUY PAWJRr TO MAIL SWCH NOTICE UHALL IMPOSE NO OBLIGATION OR LIABiL'T! - Of ANY KIND UPON THE GOMPA�,.ITS AGFJVTS OR REPRESENTATIVES- ALITHOPW �EPRESE�NTATIV , I �' r 1 1., I r., r ,, 1 I 1 y :4 p. p„ rr l y, I r•v.• 1 ,w 1 09/16/2006 15:10 15087785688 RENE POYANT INC PAGE 01 F'2 . FN:; N0. '1 L154 87Fi25 yes. 19 2nW, 12:43pM P2 '.own of Barnstable 203 Usizi SUW, Wia,SA U601.. ...... ,. r�r.aar+r�,barable.�s�us . C 506462-4038 fax: sbta7 3a Propel Owner Mtut Complete and Sign This Sector If sing B uil&r NiARCEI. R. PDXANT _ am Owber of the subfec'pto trr r Alp iaAwAmn.mlitivo w wrk mhot°lwd 'this bt Wag penxrit appbc a ian for. ss of job) sDate MARCEL R. pOY,ANT Larned, Nancy From: Lt. Don Chase [dchase@hya nn isfire.org] Sent: Tuesday, August 15, 2006 4:20 PM To: Perry, Tom; Larned, Nancy Subject: 2L82'Bamstable"Rd Hi, Saw the plans. All seems ok for permit. Thanks Don 7 1 03/14/2005 11:19 5097786448 HYAMIS FIRE PAGE 01 ?'. DTI FUM DEPARTMENT e ;•, 951. 11GH.SCHCOL RD. EXT. HYANNIS, MA.02601 ' + oil. FiAF16Lt77 S. BRUNELLE, CHIEF S*,E !'p1 J(Bifa 7tYp{�'AWAR1 110►•A6t MOWN BUSINESS PHGN6:(PD )'7751300 FACSIMILE PHONE:(608)778-8448 I3.CiE3ME;�.;CPI LT.)FRIG F.JEiYJBLIIB. CJFt n' F•M.E Jowvv V',l4 os—oikcm JFM E PREVENnON O1F�CER SIILCJIRIii. 1 'p �•06LI�1h(Ct�RNI THl 'PIRE'Pi �11ENTIQ�18�3fii�l}.HAS'R VI IC1"C_Hw Pt�4NS bA'TEb. / `p�O' FOR rHF'pF d R'TY ATED AT ` THE• .C✓ AAT 'BELOW INPICCATES. THF. STATUS OF OUR REVIEW; `C.-Mir 4-T RECEIVED REVfE FD CO PLIES sib'' •,:. :�,. �: •..; .... ":..,�,-:; :;;� , '. �1 R"tip ^`':''toys^�A.°'�:::'•;. {fir .'���'� �rl"1�3C,•,'.��W�f.I��4'f�''C.+ tifti:l���7sb���`:' •a ,itil•SG'. t`a, �11JT,1:CJ; aTtE .1>t,�lAl1R' :f1F?"PL�f _ ;NSF? iNKt' R'SYS. •�tV�&�•':��.:::: .�:?.�;:,.: ��'• ' 5;.��PFi7fKLR TFtO Qli3P" N7 . :. e<�1i���i�i�pRTM�N�:�G�(V1VEG'����1:.�' ":��';:"���. • .��` FIAT•.POri~ 1 ;. � N! 1.1St, •'' �•�••n-t~:��.�.�. •�t1;Nx�f.ui�'GiAr�R��di�A�ldt`i`: .:�.' ,,:�-' . .• �r-. ''' •11-S1IAOKE C�7NT'i�QE•%EXHAtJ�T ' ' .S G TR �.� ;.... -I MOJ�E Old! O SAFT�!� 57 .. ly!4TU.R, + 4. Fll�ir XTii clllsFil�d sy. TEMS• �. .. �QUi'P Ti®N 9 b-ALAF#M TI A)° MCiI ; l `)1111 T l l a 1,3=§i^.�w c 't �:�; :�lx-rt•�C] f�7A�!•Ci�:�`��T)�j �?f��,l?�4; •� .`..,.� wit,51_LI V• T ' D�?I�UIVII�JVT O PLETE AND COMPLIANT FOR THE ISSUAPdCE OP A BUILDING WI-HAuE CpMf�61 T CI TNl;ACCEPTANCE R 7Hl"UC^UE'ANCY PERMIT AND BELIEVE THAT WITHIN rHE 5CQPE'OF Tf -1301LDI EG P F h1IT',THE`` 0" 'iS8UE-8,05 iN COMPLIANCE - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel ", � I Application# � � Health Division Date Issued L-q 14 tog Conservation Division 'Application Fee ' Tax Collector °:Permit Fee Treasurer T Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 0 Village OwnerattzcBQ P Address � U / G�-�-� ��`, 61-1 Telephone Permit Request Square feet: 1 st floor:existing proposed 2nd floor:existing proposed — Total new — Zoning District Flood Plain Groundwater Overlay Project Valuation 31 0007 Construction Type W_V /Z Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structures Historic House: ❑Yes 346 On Old King's Highway: ❑Yes Ulq'o Basement Type: Wull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 1006 f Basement Unfinished Area(sq.ft) �00 4 Number of Baths: Full:existing — new Half:existing new O Number of Bedrooms: existing new c7 Total Room Count(not including baths):existing new First Floor Room Count f_Z1_ P a Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air: 3-�fe J No Fireplaces: Existing New 0 Existing wood/coat ,ve: ❑iYes zW No Detached garage:❑existing ❑new size z�9- Pool:❑existing ❑new size e5-- Barn:❑exi g ❑new sizes Cam' Attached garage:❑existing ❑new size -Shed:LKxisting ❑new size etV- Other: , r� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 01fes ❑No If yes,site plan review# -Current Use Proposed Use BUILDER INFORMATION c Name (� c Telephone Number ioq` Address I O �--�C� �l r� License# Home Improvement Contractor# j���5-3 Z6`; Worker's Compensation' k/O 6 -26 4_1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L r SIGNATURE DATE i _, rw FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP[PARCEL NO. ADDRESS VILLAGE 11 A OWNER • DATE OF INSPECTION: FOUNDATION FRAME INSULATION Nk FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT R- - ASSOCIATION PLAN NO. r� -x The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street .Hw Boston,MA 02111 ' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): ftx&er, 5 ire Address: ID Man . Suk3 �J City/State/Zip ivl.A 0 UqS Phone#: Gb$' q2 Are you an employer?Check the appropriate box:14 Type of project(required): 1. I am a employer with_�� 4. ❑ I am a general contractor and I * have hired the sub-contractors 6: ❑New construction employees(full and/or part-time). . 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' ❑ 9: Buildingaddition required.] workers comp.comp. insurance p'insurance.: 10.❑ Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ 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#I 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. 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. Insurance Company Name: Policy#or Self ins. Lic.#: 0(6 -7694Z. Expiration Date: 06122 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 rtit u r the pains penalties of perjury that the information provided above is true and correct. Signature:/_ Date: 0 a� Phone#: 0 r 7 7W O 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#: DATE 81 26/2008 Wo. PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER or INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE, MA 02665 COMPANIES AFFORDING COVERAGE COMPANY A SAFETY INSURANCE INSURED COMPANY AIG AMERICAN HOME ASSURANCE CO. SCOTT PEACOCK BUILDING&REMODELING 0 PO BOX 171 COMPANY OSTERVILLE, MA 02656 C COMPANY D THIS 15 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 0 Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. .7 cc) LTR' TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LIMITS POLICY NUMBER DATE(MMIDD" GATE(MMIDONY) GENERAL LIABILITY GENERAL AGGREGATE S 2,000,60F A 1 P00001152 07105/08 07105109 i X COMMERCIAL GENERAL LIABILITY PRODUCTS-CONPIOF AGO $ I CLAIMS MADE Lj OCCUR PERSONAL&ADV INJURY S 11 !---- i OWNER'S&CONTRACTORS PROT EACH OCCURRENCE j S 1,000,000 FIRE DAMAGE (AAy and fire) i S MEG EXP(Any me person) AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT Is ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULE[)AUTOS i (Par person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per acciduni) PROPER"DAMAGE GARAGE LIABILITY I AurooNLY-EAACCIDFNT ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT 6 AGGREGATE 5 EXCESS LIABILITY I EACH OCCURRENCE : UMBRELLA FORM AGAGGREGATEIS OTHER THAN UMBRELLA FORM W 1I.T%&T_ Y� .[...j0Tl*l WORKER'S COMPENSATION AND B i WC 696-7"2 06/22/08 o6rmog I EMPLOYERS'LIABILITY EL EACH ACCIDENT i 1 OO 000 THE PROPRIETOW INCL EL �-.POLICY LIMIT 6 500,000 P.�'t TNLWAWXECVTPIF QFFICERB ARE: i EXCL' EL DISEASE-EA EMPLOYEE S 100,000 OTHER DESCRIPTION Of OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS COVER PROPERTIES AT:MARCEL R.POYANT 269,274,282 13ARNSTABLE RD.HYANNIS,MA 02601;1620-72 FALMOUTH RD.CENTERVILLE,MA 0262 2; PLAZ TWENTY-EIGHT NOMINEE TRUST, 18 1-195 FALMOUTH RD.HYANNIS,MA 02601;CENTERVILLE SHOPPING CENTER I NOMINEE TRUST, 1676-1698 FALMOUTH RD.CENTERVILLE,MA 02632:20-30 OPECHEE RD.CENTERVILLE,MA 02632 4"11Tj SHOULD ANYOF THE ABOVE DESCRIBED POLICIES 09 CANCELLED BEFORE THE EXPIRATION DATO TKFREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL A17N.: SALLY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIAMUTY TOWN OF BARNSTABLE OF,ANY KIND UPON THE CQMeANY, ITS AGIENTS OR REPRESENTATIM. FAX#-. 608-790-6230 AUTHOPfIEPREPREWNTATIVi -y' �e �'ammiaruveallfi o�✓l�aavaclu�osfta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,, 151853 Board of Building Regulations and Standards Expiration 7%7/2010 Tr/1 271501 One Ashburton Place Rm 1301 Type Pn ate Corporation Boston,Ma.02108 SCOTT PEACOCK,BUILDING"REMODELING INC ti JAMES PEACOCK- 1046 MAIN STREET SUITE 117,v fi OSTERVILLE, MA 02655'_ Administrator Not valid without signature i ' t E I License: CONSTRUCTION SUPERVISOR Number: CS 094500 Expires:07/22/2010 Tr.no: 94500 Restricted: 00 JAMES S PEACOCK PO DX 171 OSTEVILLE, MA 02632. Commissioner n Aug 28 08 01 : 07p p. 2 0sWArTown of Barnstable Regulatory Services Thames F.Ceiler,Director Building Division Thoom Perry,CBO Bn"ag CwnmLsxioner 200 Morin$trt�k Hyannis,MA 02601 www.tawoJuresuWarns w OPliec: 509-9624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder !_ Marcel R. Poyant ,as 0W=of the subject proputy hereby aurhorize. •Scott Peacock Building & Remodeling Ineb act on my behalf, i1�ali marten; rely rive to work authorized by this building pennit application for: 282 Barnstable Road, Hyannis, 14A 02601 *reroof siouth side of building (Addres'of Job) 8/28/08 Sigoature 0'r owner ( Datc Harcel R. Poyant Print Name Q:4untlSakiildin�crm i1 S/Ox j11Cs5 UvLW 121107 � J win. n�i nnn n c� irn-�vnn v.'1nnu7J In"o dooton an ! 7 2nw 35, i Assessor's 6ffice'(1st floor) Map a Lot 3 6 0 O Permit#aa, l Conservation Office(4th floor) Ql(Qn Date Issued Board of Health(3rd floor)(8:30-9:30/1:00- 2:00)P3-10V7: �° Fee'��' G-00 Engineering Dept.(3rd floor) House#1 ;;L!�a; f ` SEPTIC Planning Dept. 1st floor/School Admin. Bldg.) +9�TO A LEo De ' tiv P n Approved by Planning Board 19 �' R< TOWN OF'BARNSTABLE" ' ,b-� Building Permit Application Proje treet Address Village 14496n„n t� ,� r Owner Address 9LIFa- Telephone ')I S_-0 0;-1 Permit Request c, C Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Wb-ca Q.�. . Commercial `� Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished -Historic House Unfinished 90 Old King's Highway Number of Baths 2, No.of Bedrooms Total Room Count(not including baths) I First Floor Eck Heat Type and Fuel 041 Central Air Fireplaces Garage: Detached A ICD Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name � tt ��r Telephone Number L4V_bgC6— QQp� ®l:Ct Address J 0� C4 a License# &q 3 S-5-6 ~ �/t'ls. d VA,,\_ Home Improvement Contractor# l63S7-X Worker's Compensation# 6M V8Y4K91?1 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 DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 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 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i i 4 .: Ir 131 r ig{ , W t41. A, n f'41 4 Y ' 1 'A � 1 yE �-*�s..�:..�r��s:: ����.'�a'��`�'y���_."'.::����`;': "`� �'S fy� g ,-• ^ .f S } Remove exi 49;3� 1"17•;f rt'}fls. ! i. id rfl'"!ij'fy ..'rIj!i7 'z'.;,.I) Ili r9E.14 .Ji:bi fillYi:� f 1 � ! .. `.. N! be' d:r.'M � 12 x. !� l)' 1 �d"l. t i a t"1 I 'Sh'?jt`rl•}! {'1•' dti♦•:.il. 1 rods. ' s tlt �@f: t1PS a1�"i { �.-q -vtig till @ j • 2 Y 8 1 t.e-SY P$CP1:i 5 16 t - 11'Fa e_ ` f° d t#, 1ia'. 6' oc ,I"` i J �+ EA da k Yt°iYJ'�CC7llPP'fid1J iC ili(Si ;d23PT!Ilti�k4 1f4"i:` (.aJ Gc�(r!ai e �y } .I .- ; . .? 6Wls.t�til Sl ly Yt',} C:YT'a 4!I T! :l i> >. 'ta „ 1 i r. :�a,:,d.1`+"� d,, 1 to t d. y,E t k t,'tiAq n�S.ifig we i 4 F41� 'j 1;4h!q�; I�i�iP$, 5 f a"JW"Kati 94ep sliflO ;ets of 2 x 10 Td-SYP w ttosi 3 s.raf)ger< o zz r},jr r y 6 Install Iwo(2) 4 x 4 Td -il it weI b;ti7n) t�7 �0It t5 y1 _t..._ F: Sart�� s tu,� 6..q ::k ",'�' "�`' ••� �: i' Anchor f3aSiftlngi ir}siheSrl_. ZA °sM 1 '21S, i H<E) l .er.lk43"H11 I ' Br}r;{ Nt P d31 t call 1!q'4 r t"_J I FaL,i3«I1::3g 1 _ I i �' C 1 Y f.u1S4 1�r ,t I 4 ( ' °i 1. r. Ls �neale rie 'h�ndrali., i_r 1- „2 ��r: 1 € _ F �i� IF x 0 f: ' c , } Pawl AsserntV : LaCu i a.tQ 'r . • :any c ck: d'_nUt fVi t111"ct r O ? - fy,31I 1 f2 0 x 2 r;;' f•:J. :�.li L. r.',: Vl Jt7;:�"<itt .L'S P'rifTlr,: p iUS- tveo (2? t,::'�.iS Vv'hiie . Briickcts: 7-ti2 # 14'} Nan ,l . 4 E?(n^k�r5 Vlaac;'i Ydif 5 " e.a, � � 1 -y ti lJt`�t Yt irff 'Ins. 21 reel flat c;a; L'l.>nSln 4'eel 23(I U grhd 1 15...�.�� ' R'q C Jj t' F' , L'1rE !1'1d J Fi:;'L'li ii i•i. {.a�r+i dC5i2 C':i lfitii W?Sf )c,r .: '�' P1- 1'i' l(S• Wz��S_ L ti 31 �k:i f7 iCi tel"j. t ,/ii ...._ {� I,`°r ,. E I� .s>` y ;ti' � {4 'i. t_=i l,E��,� ea f °-_y. .~C ca( Iaac bui,l �' t7 '..i3:?•:;".ti; er 1f r C` f G1 ii'.t I I.IF KS KML Solt r 4. 1 �,i; at f rQlr eD each Sr��i f-�Ut�s't �: a /lt 1 Sfllrli r to . fit ,ll i ♦ i+A i �I� t". !C8 �ca?i r `•'•. u "-. ! -� r ',� { + CS o �•'. Y.. t t- _ Mom' n:Ji e K y '� tE}Pi c W)t?�G s 2'lu' (tc. Ft,aStna r- Jy�' �i� tl{JtR i�lrl�, i '1• I' o ti• ! Ex 'fii.1iiiri ba5,.' '�Pr a +. iarS,.t-� {CEk) 1 -.c., r11c.�'�. t.� c .r:!5tlt'ir�. ..�i b;WWII cen S; � �c C11) eewipF T • �., Lt 4-i w� # b ,10N : G �trTd:f{ i' tlE �" r i �r :.�. C3r�f.,leie� itarz�c�•>r t�:: v,'tih q •i '3l'T4C j Scale 1 lr2" ; S, �i„ Fi F,^_1irla P la f, Win; � __ �_, � ti � � ♦ 1 � j � �► -- � -•- ` • • , g � �• � ,. � .� f . . � F- -� � tl �rl �.� 1 . - - - 1 ----- v. f .: . �� � ► - ., � .� 1 1 r' � � � r�� • �� � t _ _ l� � , � \` � . . �� .1� �j�' .. _ _ + _ r�� '� �` � • ���►��, � � � p _ � � • • � — arm `_.c I . . I � � �� �..t.� ,,. �•� � � t �� � � . �� `� • �� � . COMMONWEALTH OF MASSACHUSE-T=� =Ec DEP %.-JM\TT OF T?-TDUSTRi11&oACCIDFNTS 600 \:71LSHiT'GTON ST-R1�'I- ames.' Gan�aes BOSTON. MASSACHUSL-i 3-S o2111 c--r:ss•ane .WORXERS•COMPENSATION INSURANCE AFFIDAVIT (liccnscdper:niacc) with 2 principal place of business/residcna zt: do hereby ccrtifj; under the :p2ins and pcn:ltics of perjury; that: () I am an cmplovcr providing the following workcrs'compcns2tion coverage for mycmployccs working on this job. Insurance Company Policy Number ] ] am 2 sole proprietor and have no onc working for me- (] I 2m 2 Solt proprietor,gcnerd eontnaor or homeowner(ardc one) and have hired the eontr2aors listed below who have the following workers'oompeasation insumncc policies: Ymmc of ConrMccor Insurancc CompznylPoIicy Number N2mc ofContraaor lnsumncc Company[Policy Number X-Ime of.Contraaor Ins=ncc CompznylPolky Number Q I 2m 2 homeowner performing 211 the work mysclC DOTE Plcasc be aM:rc't 2XI-oL7c l:oncowacr:wbo crnploypersoos to,do ra:iotcasacc,coostrvctioa or rcpsir--ork on s Z%-C11;ns of not more tbam three waits is%vU6 i3c bomco%zcr also resides or oa the V-06 appurtcaant tbcrcto ant Doc EcncrzU)' eonsidcrcer to be employers uz&r the Gor:•cri Compcasat;oo het(Cl-C.152,eccL 10)).appl;ut;oo by s kemcc—act for a I;CGDrc or pern;t r-:y cvidcocc the IcfJ-surus cry cr_:layer uodcr tic'Workers'Corapcosit;oa het. i u-ccrstanc tn:t a copy of trus st_�tcmcrs.•;c oc for-a ecd to tic Dcp::: .cnt of lndustr;J/,codcnu'Orscc of lnst:::ncc for.covcrz;c 'wrifrcztion zn d th:t 611urc to zccutc coYCr�c::rcSuircd under Section 25h of MGL 152 can lcsd to d K impos;uon oWminal pcnJucs eons4dng era fine of up to 51500.00:nd/cr iraprisonncnt of up to onc year and civil penalties in 6K form or:Stop Work Order and J fine of 5100.00 a day against rrv-,.' Signed this l Jt� d2y of � Uccnscc/Pcrmittcc Liccrisor/Pcrmiaor �a�o'ommonuedlh4 o`✓ta!aeaaa�uaelld HOME IMPROVEMENT:CONIRAC.TOR. . u Registratlon ,143581 Type - Expiration ` O7/09/98 PEACOCK &,CROSBY BUILDERS r4 Scott E. :Crosb Y K '�ice�✓leq 'i �.p'�4it Crosby (:1Pµl'lb' ADMINISTRATOR OSterVliie MA Twit j �j r /ze L�oviv�novz�ue� o��ac�iudel76, OEPARIMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE -Nuober; Expires: Restrlc"ted TO ' `00 SCOTTE CROSBY 62,.CROSBY CIRCLE OSTERVILLE, NA 02655 Assessor's map`and lot number, ... .�. .:'..�?i 3 r - _ Sewage Permit`'number ... ....:.......................... ..................:. I i Z 21AWSTODLE, i House number ..................................................?.....................: ro NAM Os,1639. \00 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............................. :....1.../... !^" ! `�Z.............................................. TYPEOF CONSTRUCTION .....................°s ........................................r............................................... 1�....":... . !.... ...........19R3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a . ermit according to the following information. 9 Y PP � p 9 9 Location .......�AAA,'jV:1� .....!.L✓> l.s. .......... C.I, ............7... J' 4 .... ..................... ...:..... Proposed Use ............cXGe.........T�. ......... # y� .... O � � ZoningDistrict ..................I ................................................Fire District ........ . .... ... ?;.<L?.................................... r �L. yName of Owner . ... ........ ...... ........Address ... .... /!!���..� .................. Name of Builder !............................... ...............Address ./...��J... ....�f� er t `'�" Name of Architect ........ 1Y ............Address ...... ........... . ...; :. :'_L... ............................... Number of Rooms ...................................::........:...:....°................Foundation ............w... ?! .................................... Exierior ......;Aj..(...... . ............................Roofing ............av,X . y ..... .................. ............ h Floors .....✓ ......!..(....?l.�-✓2......................................Interior ....`��..4 ... ......... .�.. ............ r Heating ......e 4............................................Plumbing .......... ......................................... Fireplace ...................................................................................Approximate. Cost .:r.,.... ...:....Q: n . ................... Definitive Plan Approved by Planning Board --------------------------------19--------. Area ilva.l..f'Fc}?.!...... . O Diagram of Lot and Building with Dimensions Fee .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH .� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules. and Regulations of the Town of Barnstable regarding the above construction. Name .................. ........ ............ . ... ..... ........ .. .. . .. Construction Supervisor's License / r........... RENE L. POYANT TRUST A=3-10-436 No25776 . Permit for MOVE �LDG- ................. .................................... Commercial Bldg. .................................................................... .......... AIW-9 Barnstab Rd. Location ........................... ................................. ..........................Hyn...................................................s t. . L Owner ....R ..ne....L ....Po.y.an.t...Trust. ........... ....... .. Xa istru Frame Type of Constru­i.. ........................................ .................................................... .......................... Plot .......................... . Lot .............;................... Lot ....... .Novembek 16, 83 Permit Grant. ......... ............................19 Date of Inspection ................... ................19 Date Completed ....................... .............19 �m F U 1.,DING PERMIT 40& PARCEL ID 310 436 001 GEOBASE ID- 82989 ADDRESS 282 BARNSTABLE ROAD PH 13yanni:� 20� 99IP -- LOT 61 BLOCK DBA DEVELOPMENT 5TkiCT HY PERMIT 18377 DESCRIPTION REPAIR NRONT STEPS PERMIT TYPE BREMODC TITLE COK.MERCIAL ALT/CON I CONTRACTORS:. PEACOCK &: C►2OSBY BUILDERS, INC., Department of Health, Safety ARCHITECTS: and Environmental Services I TOTAL FEES $50.00 BOND $.UO f CONSTRUCTION COTS $1,000.00 434 RESID ADD/A:LT/CONv I 'PRIVATE P BARNSfABLE, + MASS. OWNER POYANT, RD4 1+ rL TRS 4634' ADDRESS POYANT MARCEL R TRS I? C►. BOX KBUILD DI. ON HYANNIS MA B_ DATE ISSUED 10/04/1906, EXPIRATION DATA THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN' CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROMTHE DEPARTMENT OF PUBLIC WORKS.THE.ISSUANCE'OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY.APPLICABLE SUBDIVISION RESTRICTIONS. i MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINALwq&ECTION ::PE RMIT$ ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A.CERTIFICATE OF OCCU- i (READY TO LATH). FANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTIONAAS BEEN MADE: ANICAL INSTALLATIONS: 4.FINAL INSPECTION BEFORE OCCUPANCY. ■Mesimmsoni r , BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION,APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN'REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD-CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. - 4 • S" .. 4 . Rest Trans ome Sash w/ rabbeted s h opening " 3 0 x 14 -SSB 2"x12 r Rect Transoms Sash w/ 04 rabbeted sash opening '+ a Z-9"x 114"-SSB 25"xi y. Solid block in joist space below as directed by AE M NewGirt: 2-2x8 S o I ® I I I I w/1/2"t Underlay . ,E I I 1 i to ' m I I r I 13�-6" t ! t Grab Bars j a II ICE IC_—.71 t I i I I Fill in existing attic I / I I j ------- I i II access panel I I I Solid block in joist space New access nel I / I Closet 0 pa I Closet i I below as directed b A -- - I c" , i $ I. Y in hall closet. I I NewGirt: 2-2x8 SYP w/1/2"t Underla Details Sheet 2 j L_ -----• -- I---------- L a,�, " ------ -- Remove Partition CL of 4x YP S Co umns RECEPTION 4 i This wall shall be located to center on bearing wall below NOTE: Relocate gas heater vent riser in space between two new closets. Use existing roof vent-correct weather leak. New, instUlated Aluminum Door to fit Existing frame-3M(t) Baked Enamel finish w/insul glass. WAITING Vlleathersstripped. Finish Hardware spec to follow.Side and top rails=5" AED ARc rr Bottom rail=10" _ F.A<c OFFICE BUILDING ALTERATION VI rA No. 1267 ' >_ ADL(SSB) ST INS GL ADL(SSB) ADL(SSB) ST INS GL ADL IWO 6MSRVILLE. MARCEL IL POYANT 4/4-8x10 3-8 x 3-9 4/4-8x10 74/4-8x10 3-8 x 3-9 4/4- ,� zBZEARNsrAHISROAD•HYANNIS•t.IA AI GER r Proj No: AFA09-AEM12 sTnxt$rF. rnADL(SSB) ADL( 1,.>ARCHITECT< Date: Febnlary 12,2001 4/4-8X10 14/4-8 TH©f '• 38 I.E 11 DRIVE Completely replace all window,sash, •°' osTeRVE IE•b Rev: P Y P Completely replace all window sash, 16FAM02655-2416 frames,and interior&exterior trimm frames,and interior&exterior trimm �550842s REG No s' Scale: As Not BROSCO Authentic Divided Light, with BROSCO Authentic Divided Ligh FAX: sos4M2383 Dw No: dual glazed ' k dual glazed N GENERAL s TOR AM pf 2 ~ ,SMNDITIONS ON nM • Replace all shingles with IRed Cedar Clapboards-Stained CO . -- MAIN FLOOR PLAN i 11 1 R 11LQ" 1 11 1 R / N 1 R 60 1 Ridge Gussets(ea s' e 44"x1/2"x8"(OA NOTE: Glue all contact _ ° -F '•, '' z:::. surfaces w/PL-500 in - 1/4"continuous beads Cc v fl 2"oc. Nail w/screw typ,, Q 4 alas 2"oc,ea way :;it ; No change in Cupolas,Chimney or Signage Install Fou ew 2x4 inter! members w/1/2' underlay pbwd gus , 18"x1/Zlxl 6" 16"x1/2"x1 sets each side of two 6"x1/2"xl2 M _ ea side,with nderlay Gusse rafter and collar tie sets. - Underlay GusseEDI block filters „ ea side. 4 Total _y R One each side of hatch r ea side. 4 Total 1 glued.&nailed ? .c + ILIJI each end. " " " *. . :.. 22'-0n 60 RAFTER& COLLAR TIE MODIFICATION Existing to remain New Windows, Door,Siding,&Trim Existing to remain (Make Two) " Entry Porch to remain. See Sheet No. 1 Scale: 1/4"=1'-0" FRONT ELEVATION Scale: 1/8"=1'-0" --_--- — Existing Collar Tie : 12"X3/4"N491/2" R UL panel ea side 32"x34 tl access hatch.Glue 'yl 3/4"UL ft, Existing Collar Tie nail s wi Busse : f Push up I ---CLOSET BELOW Rafters&Collar TOILET BELOW :Y` Panel Rafters&Collar I Ties Modified ---------------------- 1t _________ i Ties Modified { Remove existing Attic ;t Bottom chord of new"built-up"Trus hatch and framing all 11 1 UR u ' ---2x6 collar tie filter and , __________ __Bottom chord of new�uilt_up Ttiss ti'- si e. G 1 ue na PLAN VIEW OF ATTIC SHOWING RELOCATED HATCH Scale: 1/4"=1'-0" .. i RED ARCH/r OFFICE BUILDING ALTERATIONS i.aes�Fc� MARCEL R.POYAIVT I 4 ip 2S2 BARNSTA=ROAD-HYANNIS-MA 4`Y 1 N0. 1267 Proj No: AE009-AF.0012 AN[EY F. JR 3 0 OSTER,VIILE. VA738 ARCHrTECT< Date: February 12,2WI IFANARD DRIVE / osrFx �vn •MA Rev: PV FAR 02655-2416 rH' MASS REO No IM7 M 508 42S2M Scale: As Noted FAX: 5W 429•2M Dw NO: f . GENERAL MDMEMONSA m Of 2 2 CONDITIONS ON THE S118 4, FRONT ELEVATION& ATTIC STRUCTURAL DETAILS i 1 �I • � µ�, Y �, lil � � ,I 91 i -.... rl 141 e� s . ti III - \Pi i + of 4 ►Zl tic�?:1i'. - i Q �. zl di�ILI r 2 e 1- t