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0310 BARNSTABLE ROAD
45 l ik Oxford NO. 752 1/3 ESSELT'E 10% 1 } f 1010 sko WO be- HY0441VAJI-I i ; I - F SEARCH RECORDS PENTAMATION APR (0 3 on STREET FILES ✓ �`��� YELLOW COPIES ASK INSPECTOR RC FILES: °FT"El°�ti Town of Barnstable Building Department-200 Main Street Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-3595 CO Issue Date: 3/2/2018 Parcel ID: 310-143 Zoning Classification: HG Location: 310 BARNSTABLE ROAD, HYANNIS Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: STUART A BORNSTEIN Permit Type: Commercial- Business' Type of Construction: Design Occupant Load: 0 Comments: Tenant Fit Out, Unit 204, The Walden Group e Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition Tresa Copeland From: Damara Toohey, AIA <dt@gmiarchitects.com> Sent: Friday, February 23, 2018 9:33 AM To: tbusby@hollymanagement.com Subject: Final Construction Control Affidavit Attachments: MA Final Construction Control Affidavit Arch Flat.pdf Stu, I As requested,attached is the Architectural Affidavit for 310 Barnstable Road. Please let me know if you need a hard copy mailed to you. Thanks Damara Damara Sisti Toohey, AIA dt@amiarchitects.com GMIarchitects GMI - Bristol Studio Administrative Office BUILDING DEP R 412A Thames Street Bristol, RI 02809 FEB 23 2018 401-396-9898 x217 8L. GMI—Boston Studio TOWN OF BAHNSTA 35 Medford Street/102 , Somerville, MA 02143 617-423-9399 x217 Think before you print. 1 Final Construction Control Document ro To be submitted at completion of construction by a ' d Registered Design Professional ity for work per the 8th edition of the Massachusetts State BuildingCode, 780 CMR, Section 107 Project Title: Walden Behavioral Care - Date: 2/23/2018 Permit No. B-17-3595 Outpatient Clinic Property Address: 310 Barnstable Road, Hyannis MA 02601 Project: Check one or both as applicable:. ❑New construction, X Existing Construction. Project description: -Approx. 1900 sf of renovated office space on ground floor of office building , for new satellite outpatient clinic. Work to include new gypsum wall board partitions, new interior lites, and new kitchenettes. Office space to have new finishes throughout. I Gary L Graham MA Registration Number: 3946 Expiration date: 8/31/18 ,am a registered design professional,and I have prepared.or directly supervised the preparation of all design plans; computations and specifications concerning: [)Q Architectural { ] Structural [ .] Mechanical [ ) Fire Protection [ ] Electrical [ ] Other: for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge,information,and belief the work proceeded in accordance with the requirements of 780 CMR and the design'documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept, shop;drawings, samples and other submittals by the contractor in accordancemith the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. . 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine.if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. r1tE0 A 4y�1 h` •, Enter in the space to the right a"wet"or Q`` �y �'c Ayq electronic signature and seal: t �� No. 94` H BO TON : - � 55. r Jy Phone number: 401-396-9898 x215 tr, F ►saSSP Email: gg@gmiarchitects.com Building Official Use Only Building Official Name: Permit No.: Date: r . Version 06 11 2013 Town of Barnstable _ Building ' .,,ursew.-v - � -.� �s`*, Post T'is Card So That.�t,is,Visible-From the Street A roved P.Ians Must be Retained on°Job and this Card,Must be Kept 1AlEYVt1TXBL�.. • _ `: ,, : ,• $< �. �.;. 't�pp �< ., 's. �. a `'`: t �, ,��*\ `� �► M" $ Posted Until Flnal Inspection Has Been Made ibS9 a� d a 1Where a Certificate of®ccupancy is Required;;such Butldmg shall Not be Occupied,until a,F�nal ln,spectionhasebeen-made Permit >..:.:a.... s; ..,w.. . . ,.�. ea:. ..s. . . .a. .,: •_.,. . „ --.. v .--..M:...a .,.. .. ..mod _..; •„ <, _ Permit No. B-17-3595 Applicant Name: STUART A BORNSTEIN Approvals Date Issued: 11/16/2017 Current Use: - Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/16/2018 foundation: Commercial Map/Lot 310-143 Zoning District: HG Sheathing: Location: 310 BARNSTABLE ROAD, HYANNIS Con tractor,Name:' •STUARTABORNSTEIN Framing: 1 Owner on Record: 259 NORTH ST LP } " � V Contractor-License CS 018226 2 Address: 297 NORTH STREET Est Project Cost: $36,000.00 Chimney: HYANNIS, MA 02601 permit Flee: $427.60 ' Insulation: Description: REMODELING TENANT FIT OUT WALDEN GROUPPee Paid $427.60 Final: Project Review Req: m Date 11/16/2017 I - Plumbing/Gas r Rough Plumbing: � ' Building Official .� Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized iy this permit is commenced within sixmonths after issuance. All work authorized by this permit shall conform to the approved application and th approved construction documents foc whi h this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall�be in compliance with the local zoning by laws and codes. � . Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public mspect�on for the entire duration of the work until the completion of the same. H F � Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on thi permit. Minimum of Five Call Inspections Required for All Construction Work: a „ � ' Service: 1.Foundation or Footingj. h Rough: 2.Sheathing InspectionF. 3.All Fireplaces must be inspected at the throat level before firestflue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT , TOWN OF BARNSTABLE BUILDING -PERMIT APPLICATION Map Parcel Application #J Health Division ] Date Issued Conservation Division 17 ' Application e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board � U Historic - OKH _ Preservation/ Hyannis BUILDING OPT. Project Street Address ��� �f.UL( T USU�,IJ � act 17 2011 t ►Village -d_ STABLE t U - �Cc� re s G l � !* 5t,Owner , N O,1'1n,L� Telephone 2 ��31.(p !t&A"'_ Permit Request ihn I i Square feet: 1 st floor: existing proposed _nd floor: existing proposed Total new Zoning District Flood Plain ba Groundwater Overlay Project Valuation& Construction Type �th) i ,"I I. 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 '4 No On Old King's Highway: ❑Yes ] No Basement Type: X 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 I Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other Central Air: XYes ❑ 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 � � �1GG Telephone Number ��6�����'rry4� Address Writ(�f l � License# S `"01 {P M A 62(od Home Improvement Contractor# Email Q o1. arvuorker's Compensation # W ©00M I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE y. FOR OFFICIAL USE ONLY y APPLICATION # _4 DATE ISSUED `VIAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Z?il& DATE CLOSED OUT ASSOCIATION PLAN NO. EXISTING WALLS TO REMAIN 191,9., 9,1„ 9,10 HVAC OFFICE OFFICE G OUP 108.00 ft2 112.83 ft2 11'7" 15'8" b , ;,ft� h � I c HVAC -. ' • FFIC E 91.14 ft2 10'S" 15 >t 04 >. FFICE 139.33 ft2 14'8 ............. _.. _....Ii. ....... n^`+ $ 1r *. y P UP. � 11C SINK WAITING/ A1119. , uN: HVAC _ ......,........ 10'8" —► 24'1" 15,2, .� WALDEN BEHAVIORAL CARE 310 BARNSTABLE ROAD, HYANNIS, MA JOB NO. 12142 / TEST FIT 2 DATE . 06/28/2017 .. �1,,tecw UNIT ®COPYRIGHT GMI ARCHITECTS,INC UNAUTHORIZED USE IS STRICTLY PROHIBITED F EXISTING WALLS TO REMAIN 19.91. 9111. 9'10" J 1 HVAC OFFI E OFFI E GROC►P 108.00 ft2 112.83 ft j 11'7 15'8" 3059Y#fT t • 4 HVAC t. FFICE c> 91.14 ft2 _..._.. -- .._............ T l Fy 5'6" 102 04 FFICE - 139.33 2 14'8' F _ z x I� 1T 110 a SINK ❑ RECEPTJ �. i ,» . WAITING 11'9,,. oN , H SAC A m a �I� 10'8" 24,1,, _ 15'2„ WALDEN BEHAVIORAL CARE 310 BARNSTABLE ROAD, HYANNIS; MA JOB NO. 12142 ti�I TEST FIT 2 DATE 06/28/2017, U NIT 4-9 - ®COPYRIGHT GMI ARCHITECTS,INC UNAUTHORIZED USE IS STRICTLY PROHIBITED 1 EXISTING WALLS TO REMAIN 19,91. 911" 9110.1 J ' �— — FiVxC OFFICE OFFICE GE�OUP. 108.00 ftz 112.83 ft2 11 7, 4 ❑ " HVAC i. . :�u , FFICE 1 r 91.14 ft2 0'.T 04 OFFICE ❑ `° 139.33 ftZ 14'8" ' v3sCs x 17 ? 110 11 9" SI NK K � WAITING / JH DN moo HVAC � ■ �� ■ 10'8" 15'2„ WALDEN BEHAVIORAL CARE 310 BARNSTABLE ROAD, HYANNIS, MA JOB NO. 12142 / TEST FIT 2 06/28/2017. QA��I DATE U NIT a-A4 t ®COPYRIGHT GMI ARCHITECTS,INC UNAUTHORIZED USE IS STRICTLY PROHIBITED I EXISTING WALLS TO REMAIN Elm t OFFICE OFFICE {,4 GROUP 4 108.00 ftz 1112.83 ft- 11'7" 15'8 305.81 ft? I 1V 4 i =tSFFICE �` .l_IIJU� �• 9114 ftz 10'S" GROUP' -15'6 280.l6 ftz w 04 ++ t4 ' n FI+ FCE 139.33 ft2 14 8 GROUP'/ N9,,URI 253 sf �� r 17' S RECEPT./ F I : WAITING 11,9 10'8" 24.1" 15 2" i JOB NO. 12142 3caaterzt r, sbzai�lccideFrt� �SQD Qslam�g�aFt, Oct — .Boston,AM 02HI WttrlreM' CMMJ3e13saSim.lasm-2umAS Edavit B�m-lrle7JCGiir�SMW&k:2tnrmh�cabers A pIicaiEdInfaim=fIi PIeaSeBa€Ee� F -Name A,q Ease tt an employer? � .ckthe appralp iafe bar; L.! 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Jasm=e Company 'Porky 9 or f--im UC. V l(l�lJ ' l�piratiattDxde== � D Job Safelddsessr VJ Ciig/5taEeli: ) Attach a copy nfthe vwaxkers'compmsafiaapoNcy decTurafian paga(sh awing the pd cy lrmml er and eaTsation da4 Faffam tea sew eovecage ns requimdnndet S=6am 25A of AM m IS.£cart lmd in the impas oa of criminal.pmalh-es of a frae t* as oa e ate- kT'sow;as well as dvu P—,; igs is Ifiefgrm of a STOP WORK f]RDERandaffna • o€tEp to$25�.D4 a clap�ratasE the 4ioL�r. �e.advised#�a cope of this 3 W1f1LL�+�arayT2e farward�d{�6 tlse f3f Ece of J stega5aas a€9se J} f msiztaac cove�ge��frcaUMUL I`do Fcer•.a'txy estf�;fig rua�ar f#s pa�.s aredPsMaI�s a,�F�ru�t�af�'ts irt,�ort�iauprmdr�d aJb(m'j��is�L]Fzrs acid c:Qrxect.. a.Okfid to miry. Dc ad mrite fFas a'4 fa be cvl ted by diF artown mat CftyorTowm g'ercn:'r Ucence;9 I=hlg [fie 01w): L Board of Heal& Bning Deparfm.�cnt s cdyyrov.Cwk 4 mec(rical Impectnc .1'hmbhg In'pecfer 6 i k i k j. Massachusetts Department of Public Safety 1 N t Board of Building Regulations and Standards License: CS-018226 ° Construction Supervisor STUART A BORN&TEIN_'r, 297 NORTH STR9ETI HYANNIS MA 02601R' 4✓ t: / Expiration: Commissioner 10/31/2017 ,aco CERTIFICATE OF LIABILITY INSURANCE °ATE`MMI°°"YYY) 02,01/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - NAME: Joanne Sullivan DOWLING &O'NEIL INSURANCE AGENCY PHONE (508)n5-1s2o FAX A/C No): E-MAIL ADDRESS: jsullivan@doins.com 973 IYANNOUGH RD. INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: ATLANTIC CHARTER INS CO 44326 INSURED INSURER B: FRONT END CONSTRUCTION CORPORATION INSURERC: INSURER D i 297 NORTH STREET INSURER E: HYANNIS MA 02601 1 INSURERF: COVERAGES CERTIFICATE NUMBER: 123779 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR - LTR TYPE OF INSURANCE POLICY NUMBER MM/DDYIYYri MM/DDT LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR _ PREMISES Ea occurrence $ MED EXP(Any one person) - $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JET LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A \ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION /� STATUTE ERH AND EMPLOYERS'LIABILITY Y/N A OF ICERIMEMBEREXCLUDED?ECUTIVE NIA N/A NIA WCV01306601 01/12/2017 01/12/2018 E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH)If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 ' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 ` $ Daniel M.Croilir _ CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks'of ACORD CERTMICATE OF LIMITED PARTN$RSHIP 259 North Street Limited Partnership In order to form a limited partnership pursuant to Chapter 109 of the General .Laws of tho Commonwealth of Massachusetts the undersigned hereby sets forth the following information as the Certificate of Limited Partnership to be filed in the office of the Secretary of State of the Commonwealth of Massachusetts. 1. The name of the limited partnership is 259 North Street.Limited Partnership.i 2, The general character of the limited partnership's business is to acquire, own, construct, lease, operate, maintain, improve and dispose of real property, portions thereof and interests therein, and all other activities related or incidental thereto. 3. The address of the office of the limited partnership is 297 North Street, Hyannis, MA 02601, The name of the agent for service of process is 259 North Street Corporation, with an address for service of process at 297 North Street, Hyannis, MA 02601. 4. The name and business address of the General Partner is 259 North Street Corporation, 297 North Street, Hyannis, MA 02601. 5. The latest date upon which the limited partnership is to dissolve is December 31, 2050. IN WITNESS WHEREOF, the undersigned has executed this instrument on the day of January, 1995. 259 NORTH STREET CORPORATION, its GENERAL PARTN13R By: _ Stuart A. Bornstein, President and Treasurer FILED JAN 41995 - SECRETARY OF STATE -CORPORATION DIVISION I r � r 1 259 NORTH STRl3SI' -�upnRATIOIv 297 North Street Hyannis, MA 02601 January �'1, 1995 Sectetuy of the Commonwealth Corporations Division One Ashburton Place Boston, MA 02108 Dear Sir or Madam: 259 North Street Corporation, a Massachusetts Corporation, hereby consents to the use of the name 259 North Street Limited Partnership by a limited partnership to be formed under the laws of the Commonwealth of Massachusetts, Very truly yours, 259 NORTH STRtMT CORPORATION 00, By: Shrart A. i6omstei�nPt t . 90946.1 , i , r r .487219 1 FEE PAID o� JA g111ESR�Fr �� SE R _� -FORMArtVN:..:. 25.9. NORTH STREET LIMITED PARTNERSHIP Name.of Limited Partnership Formation — Awwdkmft Maas. GQneral Laws, Chapter.109 Filed in the Oifice of the Secretary of State JanuUAy 4, 1995 ° a Town of Barnstable Buildin� p iPo`st This Card So;That it is Visible F om the Stre t roved Pla Must bP RpfamPri nn;;Inh and th�c r" r sr r g ApP ns, ? d Must be"Kept ; N`''.til��! PWI'I"�rollllli N M n�it¢II Z �J.;VI'4 Jil,.k III: ... F A. d' ."'"' F 4 w°i 4 1 MASS: Q t .ww ., :' d '�" "i.w t,. a- :k r c,4:^ x. �' # ,�, rxm 4 't r • Posted Until Finallnspection Has Been;Made rv: � %§ :r i 16S9 ♦ ;nz - r " Where a Certificate of Occuparc is"Re uuired,"such"Buildin shalLNot be,Occu ied until a=Final Inspection has been;made j Permit .ate.. .. eR.Permit No. B-18-427 Applicant Name: Approvals Date Issued: 02/12/2018 Current Use: Structure Permit Type: Building-Sign Expiration Date: 08/12/2018 Foundation: Location: .310 BARNSTABLE ROAD, HYANNIS. Map/Lot: 310-143 Zoning District: HG Sheathing: Owner on Record: 259 NORTH ST LP Framing: 1 Y' Address: 297 NORTH STREET Contractor License 2 ,T,Est Pro ect Cost: $0.00 HYANNIS, MA 02601 �. Chimney: Description: Tenant panel 5 sq on freestanding sign Permit Fee: $50.00 Insulation: Fee Paid. $50.00 Walden Behavioral Care cDate 2/12/2018 Final Project Review Req: Plumbing/Gas Rough Plumbing: 4-1! Y�" Zoning Enforcement Officer Final Plumbing: + � s s �,ham:;•k This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six`months afterjissuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the"approved construction documents for whichWthis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning bylaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ' - ra Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work Rough: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building Department Services f Brian Florence, ,�DST Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601 ol www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Sign Permit Application Zoning District HG Permit # - 7-3595 Historic District ❑ Location by 310 Barnstable Road, Hyannis, MA Street address and village Applicant Walden Behavioral Care Map & Parcel=°= 10/143 Chuck Rossignol Telephone Number 781-647-2922 Email crossi nol@w Idenbef R vior dre.com cs sn: Wall ® Wall Freestanding ❑ Freestanding ❑ Electrified* ❑ Electrified* Dimensions Sign #1 5' X 1' = 5sf Dimensions Sign #2 Square feet Square feet Reface Existing Sign Yes - New Logo Added to New/Replace Sign Existing Freestanding Sign Width of Building Face ft. X 10 + X .10= Not Applicable *Lighting Type None A wiring permit is required if sign is electrified. 1 If jA I 1 � l V LOCATION OF PROPOSED SIGN -OVERALL DIMENSIONS: 5'-0" X V-0" RFOR ENTAL TION SPgCE NO!`�V MANAGEMENT ti 775-9316 bi D NOTE: NO ADJOINING STRUCTURES OR BUILDINGS ARE LOCATED AT THE SIGN LOCATION. SIGN PERMIT APPLICATION MAP & PARCEL NO: 310 143 JOB NO. 17192 G1Ikff R DATE 01/29/18 EXISTING CONDITIONS architects ©COPYRIGHT GMI ARCHITECTS,INC UNAUTHORIZED USE IS STRICTLY PROHIBITED 60" 12" Eo (g n ARTWORK OF PROPOSED SIGN DARK BLUE BACKGROUND EXISTING WHITE "SWOOSH" WHITE LETTERING FREESTANDING SIGN TO REMAIN o GMM ALUMINUM ' w a I/d e COMPOSITE SIGN behavioral care WHITE "SWOOSH" WHITE LETTERING FRONT ELEVATION SIDE ELEVATION NOTE: ARTWORK PROOF FROM SIGN MANUFACTURER IS SHOWN ABOVE (IN COLOR). NEW EXTERIOR SIGN BACKGROUND TO BE DARK BLUE. ALL LETTERING AND GRAPHICS TO BE WHITE. SIGN MATERIAL TO BE 6MM ALUMINUM COMPOSITE MOUNTED TO THE EXISTING FREESTANDING SIGN WITH SCREWS AT ALL FOUR CORNERS (SIMILAR INSTALLATION TO EXISTING SIGN). SIGN PERMIT APPLICATION MAP & PARCEL NO: 310 143 JOB NO. 17192 PROPOSED SIGN DATE 01/29/18 architects SCALE: 1 " = 1 '-0" ©COPYRIGHT GMI ARCHITECTS,INC UNAUTHORIZED USE IS STRICTLY PROHIBITED ',n r � y,r sJ • 1. '� a �# ar� .. :. � 4�•. � may"'' ._. m yti. -- y� . — ` i • '� t3 t3 C��+� fi dmage capterre:Se[a 2111 i 0 201 B Gcoole United Staia-.v Terms Reacrtt a prnbfern ' , O •' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TO V ry A RPRS;TV!, E Map 310 Parcel 143 Application # (' Health Division 2Li3 Al i' Date Issued rr,, Conservation Division Application Fe` V Planning Dept. g - Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ZS- 3 Project Street Address 310 Barnstable Road Village Hyannis Owner 259 North Street, LLC Address 297 North Street, Hyannis, MA 02601 Telephone 508-775-9316 Permit Request Exterior update to commercial building; removal of old windows and installation of new windows; removal of barnboard siding & installation of cedar shingles. Square feet: 1 st floor: existing)639 proposed same 2nd floor: existing 9639 proposed same Total new 0 Zoning District He Flood Plain No Groundwater Overlay Project Valuation $90,000.00 Construction Type wood Frame Lot Size 1.6 acres `Grandfathered: ®Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 2 stogy commercial building Age of Existing Structure 24 yrs. Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No -Basement Type: ZXFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 9,800 Basement Unfinished Area (sq.ft) 0 Number of Baths: Full: existing 0 new 0 Half: existing 6* new 0 *3 women's w/stalls & 3 men's w/stalls Number of Bedrooms: 0 existing _new 0 Total Room Count (not including bath..,,): existing N//A new N/A First Floor Room Count Heat Type and Fuel: UGas ❑ Oil U Electric ❑ Other Central Air: UYes ❑ No Fireplaces: Existing 0 New 0 Existing wood/coal stove: ❑Yes X3 No N/A Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ N/A Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ZkYes ❑ No If yes, site plan review # Current Use commercial / office Proposed Use commercial / office APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Stuart Bornstein Telephone Number 508-775-9316 (cell 508-328-9090) Address 297 North Street License # CS18226 Hyannis, MA 02601 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sandwich Construction Dump SIGNATURE DATE Stuart Bornstein ' FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED R MAP/PARCEL NO. ADDRESS VILLAGE ra OWNER T DATE OF INSPECTION: r ._FOUNDATION , FRAME rINSULATION _ 4 FIREPLACE I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f L GAS: ROUGH FINAL ` FINAL BUILDING •4f DATE CLOSED OUT ASSOCIATION PLAN NO. • o s The Commonwealth of Massachusetts Department of Indust-W Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ALpplicant Information APlease Print Legibly Name (Businesslorg/anization/Individual): Address: I� ' aL q,j /V��L City/State/Zip: 4 �Z Phone#: 7 Are on an employer?Chtck e ap ropriate box: Type of project(required): I. I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working forme in any capacity. employees and have workers' 9. ❑Building addition i [No workers'comp.insurance comp. insurance.$ ram] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LF]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. OtherWinAWit tP 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 arc doing all work and then hire outside contractors must submit a new affidavit indicating sach. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below.is the policy and job site information. Insurance Company Name: // d- Policy#or Self-ins.Lic.#: b �' 7 7 °�l �Z Expiration Date: I Q , / / /�/� /� Job Site Address: k�l Q (P �l�"� �� City/State/Zip: /L�d / ( l/Z661 Attach a copy of the workers'compensation policy declaration page(showing the policy number Ld 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$1,50,0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ar aloes of perjury that the information provided aabo a is true and correc4 . Si ature. - Date: / Phone#: —" Official use only. Do.not write in this area,to be conpleted 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#: i I G i ZURICH WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY EXTENSION OF INFO PAGE-SCHEDULE WC 00 00 01 ( A) .POLICY NUMBER: (6ZZUB-4971 P50-0-12) INSURER: AMERICAN ZURICH INSURANCE COMPANY 17965-MA INSURED'S NAME: SUFFIELD MANAGEMENT CORPORATION & RATE BUREAU ID: 000184953 EXP. MOD., EFFECTIVE DATE : 12-07-12 PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER $100 OF ANNUAL CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM LOCATION 001 01 FEIN 043071723 ENTITY CD 001 SUFFIELD MANAGEMENT CORPORATION & 297 NORTH STREET HYANNIS, MA 02601 CONTRACTOR-EXECUTIVE SUPERVISOR OR CONSTRUCTION SUPERINTENDENT 5606 161372 1 .62 2614 CLERICAL OFFICE EMPLOYEES NOC 8810 10400 .09 9 BUILDINGS-OPERATION BY OWNER OR LESSEE 9015 705000 2.72 19176 • i ------------------------------------------------------------------------------------ 2.00% EMPL. LIAB. INCREASED LIMITS(9812) $ 436 TOTAL PREMIUM SUBJECT TO EXPERIENCE MODIFICATION 22235 MERIT RATING/EXPERIENCE MOD: 1 .52 MODIFIED PREMIUM 33797 TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 33797 125.00% ARAP MODIFICATION PROGRAM (0277) 8449 EXPENSE CONSTANT(0900) 338 0.0300 TERRORISM (9740) 1116 4.20% MA WC SPECIAL FUND AND TRUST FUND 1392 . TOTAL ESTIMATED PREMIUM 45092 DEPOSIT AMOUNT .DUE 45092 DATE OF ISSUE: 12-26-12 CH ST ASSIGN: MA SCHEDULE NO: 1 OF MORE a PRODUCER VDAC ZURICH WORKERS COMPENSATION �. AND EMPLOYERS LIABILITY POLICY CHANGE DOCUMENT WC 89 06 00(00) I POLICY NUMBER: (6ZZu6-4971 P50-0-12) CHANGE EFFECTIVE DATE: 12-07-12 NCCI CO CODE: 17965 INSURER: AMERICAN ZURICH INSURANCE COMPANY INSURED'S NAME: SUFFIELD MANAGEMENT CORPORATION & This change is issued by the Company or Companies that issued the policy and forms a part of the policy. It is agreed that the policy is amended as follows: An absence of an entry in the premium spaces below means that the premium adjustment, if any, will be made at time of audit. ADDITIONAL PREMIUM $ 6603 RETURN PREMIUM $ NIL ADDITIONAL NON-PREMIUM $ 217 RETURN NON-PREMIUM $. NIL THIS POLICY CHANGE WAS PROCESSED PER A REQUEST RECEIVED FROM YOU OR YOUR PRODUCER. THE FOLLOWING ENDORSEMENT(S) IS ADDED: WC89041500-01 POLICY INFO PAGE ENDT WC89060000-01 POLICY INFORMATION PAGE ENDORSEMENT WC89061400-01 POLICY INFORMATION PAGE ENDORSEMENT o� THE INFO PAGE SCHEDULE(S) ATTACHED REPLACE THOSE ON THE POLICY. o� o m' o� min 0 n� o o== m� DATE OF ISSUE:12-26-12 CH CHANGE NO: 001 PAGE 001 OF LAST POL. EFF. DATE:12-07-12 POL. EXP. DATE: 12-07-13 OFFICE: ZURICH-ORLAN 809 PRODUCER:DOWLING & ONEIL INS AGCY 76RNJ 015055 . I 'Town of Barnstable o ' Regulatory Services t B"A Thomas F.Geiler,Director Q.s6; t� = p k Building Division Tom.Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L -4& vQ tz Utd6MV , as Owner of the subject property ! / &rahll herebyauthorize {�1 � to act on my beha}f, in aIl matters relative to work authorized by this building permit (AA&ess of Job) *'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. -Signature of Owner Signature of Applicant Print Name Print Name D2te QTQRM3:0W4ERPERMI3SI0NP00IS 62012 - 1 i Massachusetts- Department of Public Sufetc. Board of.Building, Rey-ulations and Standards' + ' Construction Supervisor License F License: CS 18226 r� . • . - - � �'ri h 4 N ,CFI .� ' " - ' .. -. . - - . n • _ STUART A .BORNSTEIN�A s{� ` 297 NORTH STREETt' HYANNIS, MA 02601 'c Expiration: 10/31/2013_ ` ('unmii.. iunr Tr#: 5910 s 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I - , Map Parcel / I Application 'Date Issued Health Division ` // Conservation Division a Application F l y Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address �a A��s-F��fe e� 1 ycoh;- S q Village Owner i h I�Qn Core Address 61.lnbtidjc � t� SSy�3�y r Telephone � �� ' 7 � c�e�/� -y5//��7 7� y Permit Request O¢4h w;a f a((vim i w s4c, S(Q So of �., c G-see+ , `F' (��5 �GY �f-i Vc•Lt:� Square feet: 1 st floor: existing 3Lb proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Q IH no� f Project Valuation S00 a 00 Construction Type P-e*,Je.l C, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suiporting documentation. � �►row,Dwellin Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ( Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Hi hway: WYes�-Q No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other � .v... Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existin `g new Half: existing new Number of Bedrooms: , a existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: UKs ❑ 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 B YRe-e�0_ Proposed Use 6F�� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name %YwK�-fjai✓ LL C Telephone Number ���r5 /�''Y., Address // �e yd�-t �}� License 7 j tsu Home Improvement Contractor# I,3 I �'/_` Worker's Compensation # � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO bje o � iD 544-fib✓ SIGNATURE DATE /Z 2-n 0 FOR OFFICIAL USE ONLY 'APPLICATION# DATE ISSUED MAP/PARCEL NO. f ADDRESS VILLAGE OWNER DATE OF INSPECTION: tV FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL-- PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .1 f { The Corn trt onivealth ofAfassachusetts Department of ludustriat Accidents Office of Investigatia.ns' 600,Washington Street Boston, AM 02111 ,Y• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaus/Plumberg Applicant Information Please Print Ledbly Name (Business/Organization/Individud): Lev % '�- City/State/Zip: OZM_ Phone.#: 7?P -3,fl�`. V I D ArKIam employer? Check the appropriate bog: Type of project(required): 1. employer with 4• ❑ lam a general contractor and I 6" ❑New construction employees (full and/or part-tune).* have hired the stib-contractors 2.❑ I am a sole proprietor or'partner-' listed on the'attached sheet T. ❑Remodeling ship and have no employees These sub-contractors have g• '❑Demolition worldng for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.•insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself. [No workers' camp_ right of exemption per MGL 12.❑Roof repairs insurance required_]t C. 152, §1(4),,and we have no employees. [No workers' 13.❑ Other comp.insurance required] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this aff davit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employers. If the sub contractors have employers,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site information. Insurance Company Name: — Policy#or Self-ins. Lic.#: 1/C 607'f'511651 Expiration'Date: ,j^ Job Site Address: 3!D ��vhC-fRh/t" �Q 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 crimi i4l penalties of a fine tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the'Office of Investigations of the WA for insurance coverage verification. .I do hereby certify render the pains and penalties ofperjury that the info rrnation provided above is true and co•rrecG Date: S Z. eta-la Si afore: - — Phone#: f !� "3 e/l Official use only. Do not write in this area, to be completed by city or town offtciaL .City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health "2.Building Department 3. City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6. Other information a*nd 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 tiustee 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 riot because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every staee or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable.evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the Commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance N�zth 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-contiactor(s)name(s),-address(es)and_phone nuinber(s) along with their certificates) of insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, ate 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 n6I1 be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current Policy information(if necessary) and under"Job Site Address" the applicant should write"all Iocations 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 fo any business or commercial venture (Le. a dog license or permit to barn 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 Depaztnent of ladustri,al Accidents Office of investigations. 600 Washington Street Boston, MA 02111 TO, #617-727-4900 ext 406 ar 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.govldi a c►+�roe ' -`fawn of Barnstable Regulatory Services . F 'STAH Thomas F. Geiler,Director L6a`�� Building Division Tom Perry,Building commissioner 200 Main Street,Hyannis, MA 02601 www.town_b arnstable.ma.us Office: 508-862-403$ Fax: 508-790, r Property Owte,r MUs t Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize LL.L to act on my behalf, in all matters relative to work authorized bytbis building permit application for. (Address of Yob) x 5116 Sig of Owner Date x �oS kA �,e t Ktp r VL Pant Name 4 • 4 1 If Property Owner,is applying for perm it please complete.the Homeowners License Exemption. Form on the,reverse side. Town of Barnstable . . YHE Regulatory Services Thomas F. Geiler,Director � 'a' Building Division PrfD �P. Tom Perry, Building Commissioner 200 Mairi.Sfreet;_Hy_annis, N A.02601 Rrww.town.bzrnstable.ma.us . Office: 509-862-4038 Fax: S08-790-6230 FiOMEO)VNER LICENSE EXEMPTION Ficace Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/towa state Zip code The ct cnt exemption for"homeowners"was extended to include owncr-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. ' DEFINMON OF HOMEOWNER Persons)who owns a parcel of land on which he/sba resides or intends to reside,on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) Tire undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/sh,e understands the Town of Barnstable Building Department m;ri;muIIl inspection procedures and requirements and that he/sbc will coruply with said procedures and requirements. t Signatiim of Homcowna Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any bomcowna performing work for which a building permit is required shall be czempl from the provisions of this section(Section 1 D9.1.1 -Licensing of construction Supervisors):provided that if the homeowner engages a pcason(s)for hire to do such work that such Homeowner shall act as supervisor." Many homeowners who use this cxcrription are unawm-c that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bftm results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot procccd against the unlicensed person as it would with a lictnscd Supervisor. The homeowner acting as Supervisor is ultimately responsnb)c. To ensure that the homeowner is fully aware of hivhcr responsibilitics,many communities require, as part of the permit application, that the homcowncr certify that hcshe understands the rzsponsnbilitics of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may cart t amend and adopt such a formIccrtifieation for use in your community. Q:forrru:homccxcmpt Nauset Environmental Servic6sinc. an Air Qual1 Qom Pant,,. 5 May 2010 NES Job#2-113 Report No. NES/ASB-10/1102 - Fernando J. Silva JF Construction LLC 11 Leyden Road Medford,MA 02601 Re: Pre=remodeling asbestos inspection& sampling at 310 Barnstable Road(Hyannis) Dear Mr. Silva: In response to your authorization Nauset Environmental Services, Inc. (NES) sent a certified Massachusetts Asbestos Inspector,William M.Vaughan,PhD to perform a pre-remodeling asbestos inspection and sampling at the Vinfen offices at 310 Barnstable Road in Hyannis. The inspection included photographic documentation found in Attachment A and laboratory analysis of three samples of suspect materials taken from the store. The laboratory report for these samples is found in Attachment B. 1 ASBESTOS On 3 May 2010 Dr.-,Vaughan conducted a pre-demolition/remodeling inspection at,the office suite limited to the two walls that will be converted to doorways. Dr. Vaughan is an accredited Environmental Protection Agency (EPA) AHERA (Asbestos Hazard Emergency Response Act) asbestos inspector(#10-4733-126-230916)and is certified by the Commonwealth of Massachusetts as an asbestos inspector(#AI 040812). Thermal Systems: No thermal systems will be involved with this limited remodeling 2) Surfacing: Flooring: The floor was covered by wall-to-wall carpeting on slab secured by tack strips. P.O. Box 1385 508/247-9167 [800/931-1151] East Orleans, MA 02643 FAX: 508/255-0738 Pre-demolition Asbestos inspection at 316 Barnstable Road NESIASB-1011102 Page 2 Ceilings&walls: The walls are sheetrock,but only two walls will be demolished/replaced during this remodeling of an area of approximately 200 Ft`. Because the sheetrock and its joint compound are a suspect ACM two wall sample were taken of this homogeneous area considered to be installed at the same time as the construction of the office space. Attachment.A documents those locations and Table I also summarizes the analytical findings. No ceilings will be involved with the remodeling_ The collected samples described above were combined with a Chain of Custody and sent to IATL, Inc. (Mt. Laurel, NJ) for analysis for asbestos by Polarized Light Microscopy with Dispersion Staining in accordance with EPA/600/R-93/116 Test Method. IATL is part of the AIA Bulk Asbestos Proficiency Testing Program, AIHA's ELLAP accreditation program, NIST's NVLAP accreditation program and a Massachusetts licensed asbestos testing laboratory(#AA-000092). As noted above, the IATL report is found in Attachment B. 3) Miscellaneous There were no miscellaneous materials(i.e.roofing,siding,etc.)that would be impacted by the planned renovation. SAMPLING RESULTS Table 1 summarizes the sampling locations and extracts the laboratory results from Attachment B. Table 1. Sampling locations and analytical results Sample# Location. Analytical results WALLS' 113-1 Bathroom wall Sheetrock- NO ASBESTOS DETECTED Joint compound -NO ASBESTOS DETECTED 113-2 Closet wall Sheetrock- NO ASBESTOS DETECTED White plaster- NO ASBESTOS DETECTED SUMMARY No asbestos containing materials'were found in the two representative samples taken during the site visit/inspection. Pre-demolition Asbestos inspection at 310 Barnstable Road NES/ASB710/1102 Page 3. RECOMMENDATIONS No special asbestos-related precautions need to be followed during the planned renovation. - - - - - - - - - - - - - - - - - - - - I trust the above information is satisfactory for your planning needs. Please call if there are any questions. Attested by: William M. Vaughan, PhD, QEP . Asbestos Inspector(Al 040812) QEP=Qualified Environmental Professional(since 1994) C:\BV Files-Dell\Asbestos-200s\2-1 13 JF Construction.RPT.doc IA�� T International Asbestos 9000 Commerce Parkway Suite 2 Mt.Laurel.NJ 08054 L{ L Testing Laboratories Telephone:856-231-9449 Fax:856-231,9818 CERTIFICATE OF ANALYSIS Client: Nauset Environmental Services Report Date: 5/4/2010 PO Box 1385 Project! J&F Construction East Orleans MA 02643-1385 Project No.: 2-113 BULK SAMPLE ANALYSIS SUMMARY Lab No.. 3945336 Description/Location: Brown/White Sheetrock. Cliertt No.: 113-1 %Asbestas Tvne °G NQn:,Ubftto.q Fibrous Material TV—.—YL'— %Ncn-Fibrous Ma,iaf None Detected None Detected 20 Cellulose 80 Lab No.o 3945336 Description/Location: White Joint Compound Layer No.: 2 Client No.: 113-1 Asbes %hTion-A-shosms Pibmts Material Tic o /sNon-Fibrpy� abe i None Detected None Detected None Detected Nona Deiectcd . too ........................_................... .. ............................................. Lab N - -------------- . o.: 3945337 Description I Location: Brown/Whito Sheetrock Client No.: 113-2 %-Mbestos TSJk °/N sbestns pjtirons Material aye "/o ibroux coat None Detected NoneDerectcd 40 Cellulose 60 Lab No.: 3945337 _ Description/Location: White Plaster Layer No.: 2 Client No.: 113-2 YR Asbcstns D w !Non-Asbestos ribWAMULhal �y %Non-Ebrow M sal . None Detected None Detected None Detected None Detected 100 NIST-NVLAP N o.110 11 o.10116" NY-DOH N AMA Lab No.100198 . Thin conJldenlia/reportrelatesOnly to thate Hem(,)ranedonddoes not reprotenf an andorsmnat Ly NIST-M2AP.411fA or orry apfnry ofth°U.S go°emmenr -' Ais mporrshall not 6.r°rodace eeseept info/(wuhow wnrtw approve!OfkU ln6orotury. - Analysis Method:EPA 600/R-93/116 Comments: (PC)Indicates Sn'"Oed Point Cam Method perfo need.Method nor performed unless stated.Quan669a6o3 w<0.25%by%Vhhroe 1s po8Able with this method.(PC—Tr"c)rcpreseMi 'this limit of quandtadon.(PC-Trace)means that asbestos was detected but is not gnantibabla under the Point Comang rogimm.Analysis includes all distinct sop&,-able layers in accordance with EPA 600 Method.if not reported or otherwise noted,Jaya is either not present of Ohs client has spailically requested that it not be artayzed.Snag asbo be missed by PLM doe to resolution limitations of die aptical microscope.Therefore,negative KM results cannot be guaranteed.Etc aroe fibers tnay xuun Miaoscopy can bo used as a coera®g� technique.Regulatory Limit is based up the sample inatrix. Analysis Performed,By: V.Smith Approved By:. Date: 5/4/2010 Frank E.Ehfen&id,to Page 1 of I Laboratory Director 1 Massachusetts Department of Environmental Protection Bureau of Waste Prevention . Air Quality 100105506 BWPAQ 06 Decal Number Notification Prior to-Construction or Demolition Important` A. Applicability When filling out pP y forms on the . computer,use only the tab Ivey A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP), Bureau of Waste Prevention -Air Quality Control Regulations 310 CMR 7.09. Notification of Ivey. Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10)•days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. B. General Project Description ICI . 1. a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?❑Yes 0 No 1.All sections of b. Provide blanket decal number if applicable: Blanket Decal Number this form must be completed in order to comply with the 2 FacilityInformation: Department of VINFEN CORPORATION Environmental Protection a.Name notification 1950 CAMBRIDGE ST. requirements of b.Address 310 CMR 7.09 CAMBRIDGE MA 02141 c.CitvrTown d.State e.Zip Code 6175943247 f.Telephone Number area code and extension E-mail Address(optional) 3500 1 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? 0 Yes ❑ No . k. Describe the current or prior use of the facility: OFFICE SPACE I. Is the facility a residential facility? ❑ Yes ❑✓ No m. If yes, how many units? Number of Units o< 3. Facility Owner: N: JAARON BORNSTEIN �o a.Name �0 310 BARNSTABLE ROAD b.Address HYANNIS MA 02601 c. iitv/Town d.State e.Zi Code �o 7748360866 f.Tele hone Number area code and extension .E-mail Address(optional) O AARON BORNSTEIN �Q< h.Onsite Manager Name ag06.doc•10/02 BWP AQ 06•Page 1 of 3 LlMassachusetts Department of Environmental Protection _ Bureau of Waste Prevention • Air Quality 1100105506 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition General Statement:If B. General Project Description Cont. ,. asbestos is found during a 4. General Contractor: Construction or Demolition JJ&F CONSTRUCTION, LLC operation,all responsible parties a.Name must comply with III LEYDEN AVE. 310 CMR 7.00, b.Address 7.09,7.15,and MEDFORD MA 02155 Chapter 21 E of the General Laws of c.Ci /Town d.State e.Zip Code the Commonwealth. 7813913413 �fconstructi0 comcast net This would include, f.Tele hone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an JOSE SILVA asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. J&F CONSTRUCTION, LLC a.Name 11 LEYDEN AVE. b.Address __ MEDFORD MA 02155 c.CitVrTown d.State e.Zip Code 7813913413 ctidti@conica'st.net f.Telephone Number area code and extension g.E-mail Address(optional) JOSE SILVA h.On-site Manager Name 2. On-Site Supervisor: FERNANDO SILVA On-Site Supervisor Name 3. Is the entire facility to be demolished? ® Yes ✓7 No N: I 4. Describe the area(s)to be demolished: 0 2 WALLS WILL BE REMOVED AND NEW DOORWAYS INSTALLED ._N �p -� 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: ------------- NO-PARTIAL DEMO& REMODEL _o �d ag06.doc•10/02 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection ■ L7� Bureau of Waste Prevention• Air Quality 1100105506 B�� �� 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑✓ Yes ❑ No If yes, who conducted the survey? WILLIAM.M.VAUGHAN <., b..Survevor Name .. A1040812 c.Division of Occupational Safety Certification Number 5/17/2010 6/2/2010 7. Construction or Demolition: a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: ❑ wetting ❑ shrouding ❑ covering ❑✓ other ALL IN ERIOR 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification I certify that I have examined the WILLIAM"M VAUGHAN =o above and that to the best of my a.Print Name .o knowledge it is true and complete. William M.Vaughan The signature below subjects the b.Authorized signature . -.N signer to the general statutes 1PRESIDENT _... =o regarding a false and misleading c. Position/I Me - _o; statement(s). INAUSET ENVIRONMENTAL SERVICES, INC d.Representing 5/5/2010 c0 e.Date(mm/dd/yyyy) o: ........................... -d: , �Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ I I OFFICE MCMI) ROOM " i I - 2E= � I , O ' O k MO KALL-5 ffi O N 0 I Dom�r LOCKCD MCD ROOM CD 15TING WALLS —I L pi���l0mimiaAID Dom � k--- --� III w0g� A imm AT I' \ I amen FY41"""j' I�C�IIOM MBA PoR ALO MN I lr Cl0l� "w1wr I i nppp -0 I` WALLS '110 1 aM GOD WIG ° ayi 4 ELM"am U n 0 MeCH P.CtL CREATED BY: CREATED FOR: PROJECT INFO: CURRIE DESIGN NZ/ of rl FLOOR PLAN SALE DATE 950 Cambridge Street 1/80-1-0n 310 BARNSTABLE RD RQ" BY' KDMC CBY� 9 Hilltop Circle Medfield,- MA 02052 Cambridge, MA 02141 os NUMBER 781.544.5810 fax 781.544.4074 Tel 1-877-2VINFEN R 4$�' t�9RRF S p DATE DESCRIPTION HlAN�, MA �_HY ' o , : n n�_�.VENTO 4 BUREAU, -- -- - Fax 1-617_441-1858 YAN ��� � 95 HIGH SCHOOL RD. EXI HYAWS, MA 02601 U y_� �'— Slk3l(o q lop °ard o fBuildt � ' HpMF jMpR °g egulatvO� , RegtSt oVFMENT aodStaud rapo� CANT acds ?31815 �CTpR JI Z 20 - I FFRF CDNSTjZ[J �:ype s p- 2010 / NANp p Cx�Tvp� 1 °lenient C 11�EY�F SIjA �iC h, aid M NAV �� FDFpRD M E , A 02155 f Ad* `� .. rorstrat0r � - - _ Witi�uchu�ctts- Dcpurtmcnt of Public SafctN w Board of Buildin- Regulations and Standards Construction Supervisor License License: CS 80769 Restricted to; 00 ANDO J SILVA FERN 11 LEYDEN`AVE_ r .. MEDFORD,MA 02155 Expiration 3/13/2012 ('iunniisiuncr Tr#: 18446 FROM p p OP ID S DATE(MMIDD""I ACORD CERTIFICATE OF LIABILITY INSURANCE D As A MATTER OF INF12101109 ORMATION aT aN PRODUCER THIS CERTIFICATE IS ISSUE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MESSINGER INSURANCE AGENCY INC HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 475 BROADWAY { EVERETT MA 02149 NAIC S Phone: 617-387-2700 Fax:617=387-7753 INSURERS AFFORDING COVERAGE _TT^ X.S. BROKERS MSURED - J&F CONSTRUCTION LLC __ _......_....... ll. LEYDEN AVE r !.;f`FFt.! MEDFORD MA 02155 uv'auF'r_F*.. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS,OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _,_____._. _ .,__..____._..._.__.___..----- - -�`•"POLICY EFFECTIVE 1POLICY EXPIRATION LIMITS INSR ADD•L' " — ; POLICY NUMBER 1 DATE MMlDDIYY DATE MMIDDfYY j LTR INSRD TYPE OF INSURANCE I f GENERAL LIABILITY LI•�bILli D--ui, ' I IVIED E.'.P nv 'i rs j - - J ,ti -----__--- . 111,r rv='n IFS I-•EH r AUTOMOBILE LIABILITY j i (181r rD>I,I.,S E'Ii,AI% II (E�cc i:1.V i —ti at 7 11" j ... i GARAGE LIABILITY j V AUi: �'PIL';-E.=...Ci_L'JEi•"T i+' _—� -- _l ............... �UI0 i)N_ti t. 1 EXCESS/UMBRELLA LIABILITY E4Cti CICC.URREt_CE AG REGATE j WORKERS COMPENSATION AND I EMPLOYERS LIABILITY A WC007454651 09/15/09 iI 09/15/10 F1 I Ft .0 E'a? 1000000 j fI f ItF F F7 JFI.L ;!irot �— --�_— _ E.L.rISEv E-EA EtviFLQ,EEj 1000000^ 'J s r sc ni I i r --! -,:fi„0..1_ iapw { EL I I r_,�F_-P L_+. -�i 1000000 s .. - (OTHER j I ! ( 1 f I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL J&F CONSTRUCTION_LLC IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 11 LEYDEN AVE MEDFORD MA 02155 REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE TIMOTHY LAROVERE CPCU LIA ACORD 25(2001108) ©ACORD CORPORATION 1988 I pGMGG I I RECORO ROOM ----- I � orRCG TEAM MEETING Q o DEMO WALLS 0 N IOC �'� LOCKED MED ROOM Ld ISTIN6 WALLS k=_= W1TMD49 B (U k\ ;ilk R04LWL AWPAgAT I i RS�IIO Me%F7R AW PM/ aka, 11WAGY aruwns J NEW WALLS VIM CAM GOD 8�[ � PING �o tq CM 4 RAM Um C eCH MECH O Q CREATED BY: CREATED FOR: PROJECT INFO: C NZ n fen FLOOR PLAN SCALE DATE URRIE DESIGN A50 Cambridge Street vapor-y1 9 Hilltop Circle Medfield, MA 02052 g 3V BARNSTABL- RD DVN BY, ;HKD BY, Cambridge, MA 62141 RMC RMC 781.544.5810 fax 781.544.4074 Tel 1-877-2VINFEN ��/ANNIS, MA JOB NUMB p DATE DESCRIPTION - Fax 1-617-441-1858 fl 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � QQ '' Map ® Parcel `T Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee T ,f� Planning Dept. Permit Fee _::307, Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1 ® ar n sAa h le eJ Village -fi \I G rnn� S MA oz (0 0 I Owner V 1 r1Ten Cnv Address 0 (fGM6rr J �+fee_ Telephone Permit Request 8 wc,IIS -FrGmQ Cowole- ��0S r'z (occ-Ee P fec_Eric e.-d.A ' , C c,D baA - `C ; nQ i C__ Q a Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new ( ►� Zoning District Flood Plain Groundwater Overlay Project Valuation _0 Construction Type e o C�r 1 r Lot Size Gra.ndfathered: ❑Yes ❑ No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) C 0Wg er;C-c. i Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: a,5dull ❑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 f or C Central Air: kles ❑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--0 Yes___❑_No^ _If_ es,site plan review# � C Y Y - - = Current Use Proposed Use kJl BUILDER INFORMATION ��-- _ r r l Name Telephone Number _. L(- i 3'- Address �" vC License# 0 1�1 d 11 , UY�Q_�•�d ,<APc Home Improvement Contractor# Worker's Compensation# I ® b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e S C Q L.- SIGNATURE DATE Z C O t' FOR OFFICIAL USE ONLY I PERMIT NO. DATF,ISSUED MAP/PARCEL NO. i I , ADDRESS- VILLAGE OWNER j DATE OF INSPECTION: FOUNDATION FRAME 0 CC--- ` INSULATION '�— FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING _ �� _0 — /7 t a DATE CLOSED OUT ASSOCIATION PLAN NO: The Commonwealth of Massachusetts Department o Industrial Accidents P of Industrial . Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): v� L Address:—(( City/State/Zip: M-e� , jZj Phone #: `� c`f 1 — 3 f ( 3 Ll l Are you aji employer?Check the appropriate box: Type of project(required): 1. am a employer with . ❑ I am a general contractor and I � 4 6.. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ [modeling 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.❑ 1 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' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 Insurance Company Name: �i C c�✓ lGi�er.=rG �,n�ct �`D u Policy#or Self-ins.Lic. Expiration Date: ��'✓.,�"o Job Site Address: �� / G�"f?s�Gl O<� /�-� City/State/Zip: a�ri'J S �fl¢ 0260 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a'copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi 7. der the pain d pen Zoj jury that the information provided above is true and correct Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Jlze CJao�vircoru�rP o��,� our/zuaetta Board of Building Regulation and Standards F. BOARD OF BUILDING REGULATIONS HOME IMPROVEMENT CONTRACTOR License: CONSTRUCTION SUPERVISOR ` Registration:A 131815 i Number:<CS 080769 Expiration: -9/21/2008 Type: Supplement Card a c , .Expires.,03/13/2008 Tr. no: 15156 J g F CONSTRUCTION LLC - ~ i Restricted: 90 FERNANDO SILVA FERNANDO J SILVA ,[� 11 LEYDEN AVE 11 LEYDEN AVE � // /� MEDFORD, MA 02155 - Administrator f MEDFORD, MA 02155 Commissioner AC-WP. CERTIFICATE OF LIA131LITY INSURANCE OR ID F' JaFCO-1 22/13 ,06 THIS CERTIFICATE IS 15 W r;D A;B A MATTER OF NwORhAAT= i�SS2i4GER rusuRmcs AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 475 RROADuRy HOLOM THIS CERTIFICATE DOES NOT AMEN,EXTEND OR EVEEiETT lidA. 02149 ALTER THE COVERAGE AFFORDED 9Y THO P ES OIACI Bckow, Fhoaa: 617-387-2100 Fax:617-387-7753 INSLACM AFFORDING CCVERAGE U$UREJD —� NAIC it INSURER A: •AMU IHSEA"I'lGNAL.camp �- J&F CONSTRUCTION 1NsuRER 0: "-!-- 11 LUDON Avli, INsuR�Ro: NUIFORD l+I& 02155 — . COVERAGES THE POLICIES Of INSURANCE USTEO BELOW H Ve BEEN ISSUED TO THE INSURED NAMED A190Y@ FOR THE POLICY PERLOD 1NDICAIW.NOTWITHSTANDING --- ANY Rtpu IvT,TWA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERYWICATE MAY eE ISSUED OR MAY PERTAIN,THE INSURANCE AFPOROEO BY THE POLICIES DESCPJ520 HEREIN is SLIBJfCrTO ALL THE iFams,kx=BIONS AND CONDITIoNs OF SUCH POLICIES•AGGREGATS LIMITS SHOWN MAX HAVE BEEN RGGUCED BY PAID CLAIMS. SR . p�q Lyn TYPE Of INSURANCE POLICY NUMBER �YjpMj DATE pIR�VY IL MIT'S GEWJ"UARIUTY EACH OCCURRENCE i COMMERCIAL GENERAL LIABILITY "D7UNAT;ETO-REtHi'E1T— PREMMSCS I£o aacuranc4 i r_• CWNS MADE OCCUR MED UW(Any oni perms) b rSRSONAt B AOV INJURY b _ GENERALAGOREGATE 3 'L AGGREGATE umfr APPLIES PER: PRODUCTS-COtdPlOA A(4i b I rcu l POLICY 7 PEST 71LOC -iT— AUTOM OBILE UABIUTY COMBINEO SINGLE LIMIT Ts ANY AUTO (EB Y4CItIbrd) ALL OWNED AUTOS BODILY INJURY uCHEDULSDAUTOS (Parpbraa<.) S i HIFtEDAUTOS - •.. ,r , BODILYINJURY i NON-OWXkU AUTOS - (P6r atlolamul PROPER6ldTY DAMAGE S (P6r oGaru) ' i GMLWA LUIBIUTY AUTO ONLY•EA ACCIUEN r s RANYAUTO OTHERTir EAACC�E �— AUTOONLy: ACG'S UCErMUMBRWAAL"U"Y - EACHOCCURRENCE 6 I OCCUR C.Aws MADE AGGREGATE _ i v i I RETENTION >l S WORKMCOMPENZATIONAND TOR-L IT Ej„ A BlIPLOYERS LIABILITY $971306 09/15/06 09/15/07 E.LEACHACCIDENT a 100000l) ANY PROPRIETOHIPARTNEAlEXECUTIVE oFFIGEAAwEI4IEk&CLU9EOT ILL.DISEASE-VA@MIPLOY_ 62000000 u yym.daarrabb I,nder SPHCIAL PROVISIONS bolow E.L.DISEASE-POLICY LIA9f 31000001T~ OTHER j i I OESCRIPTiOIt OF OPERATIMS I LOCATIONS r VEMI6/"",U2=2 AWED BY EH OR 6wv I VWIAL PRDVISKINS I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THB MOVE OESCIIIBED POLICIES BE CANCELLIiGBF+gOAE TI11I l:71PN�A710N DATE THEREOF,THE 16iWNGi Ul=WILL ENOEAYGII TO MAIL 0141111 WJIfTfill NWTIOE TO THE CERTIFICAU tIOLDER MM TO THE LEFT.BUT PAUM TO 00 3U STALL IMPOSF NO OBLIGATION 09 UABIUrY OF ANY KIND UPON THE a d1uAK ITS AC*WS QR REPRESENTATIVES. 4 11UTNORQED REPRESfWI'XT1VE 'ra mmy LArtovl;a> (.*PCV sLsA i ACORO 26(2QO I04) ®ACORD UNICIRAT011111IN 10 3@dd 383AOSV-1 ZOL6L8£LT9 8E:GT 900Z/ZT/ZT J&F Construction LLC 761 3s13413 06/22t07 02:42pm P. 002 DAD r i J & F CONSTRUCTION L. L. C. Licensed & Insured Q I Leyden Ave - v t Medford Ma, 02155 781-391-3413 ' Date: 6/22/07 Vinfen Corporation 950 Cambridge Street Cambridge, Ma 021 41-1 001 We hereby submit specifications and estimates for:310 Barnstable Rd Hyannis,Ma 02601-2902 According to floor plan drawn by.Robert M Currie plan date 6/18/07 Spec#1 , We are to demo existing walls that need to be demolished. install new metal studs where needed and sheet rock and tape. Build new desk in front area of office with finished plywood and Formica counter top: Relocate electric where need according to plans install new outlets where needed. Finish carpentry work in the new areas of office. One hadi cap bathroom to be installed and one kitchen net installed. We are to prime and paint office space where needed. Clean up construction debris and debris removal. Grand Total: $38,000.00 Vinfen Corporation is responsible for the followings Notify the building maintance of water shut off if needed to build new bath and kitchen. Voice and data work All flooring and carpet work Sprinklers &fire alarm work - - ------ --------_ ----- ----�- - - - -- - ----- A-hori d Signature Authorized Signat &F Construction L.L.C.) Print Name Date of Acceptance'- Print Name Date of Acce tance Page#1 I J&F Construction LLC 781 3313413 0Sl22/07 02:42pm P. 003 04 O Payment to be made as follows: " First 30%payment of$11,400.00 due before we begin:Second 30%payment of$11,400.00 due during construction.Third 30%payment of$11,400.00 due during construction and the fourth and final 10%payment of $3,800.00 is due when job is completed. This estimate applies to the job described above. It does not include additional materials or labor that may be required due to any unforeseen problems that arise once the job has begun. Any upgrades of materials used above and beyond original contract terms will result in an additional invoice by J & F Construction for the upgrade difference. Any extra construction performed above and beyond this contract will result in a Change Order Form that must be signed by an authorized agent/home owner. Extra construction costs will be billed by Invoice based on an hourly laborer rate of$30.00 per hour and a carpenter rate of$45.00 per hour and including all additional materials needed to complete the extra construction. Payments 30 days past the designated substantial completion dates will begin to accrue finance charges on unpaid balances at a rate of 1 %%per month. Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted by the owner of the pro J &F Constr ction L. y authorized to do work as specified.herein. h Au or d Signature �- Authorized Signat &F Construction jj / _1a r w J fir_� v_ S;j�a_-- /-Z�/0 Print Name Date of Acceptance Print Name Date of Acceptance *Note this proposal may be terminated and withdrawn by J& F Construction L.L.C., unilaterally within 30 Days. Page #2 TENANT LIMITS ------ ----- DEMO WALLS OFFICE OPFICE VINFEN LE55EE/RENOVATION AREA EXI5TIN6 WALLS Q� NEW WALL5 HB7so aoow s AHO Few Dom ArD HARGI Wre T.MArCM E%15 O SCOPE OF TENANT WORK RELOCATE PARTITIONS A5 INDICATED NEW/REU5E DOORS A5 INDICATED NEW 51N(7LE U5ER TOILET ROOM RECORD ROOM . - OFFICE TEAM MEETING L�� I�-•�' Lrj ROWM Po®6LA56 FMB \ ------------- Ii ORIS FIRE Op BUREAU.. FMIZATTD DOOR AND HAR AW HYANN E TIIQFN T LOCKED MED ROOM 95 H H00L RD.EX HYANNIS.MA 02601 CLO CLO IULF-WU AT FMU"M AREA 16T s'-0'OOOIL' FINW AND: _ Cho TO MATCH Ep5 _O MECH MECH ❑ O CAI O AIFUl .. - - - - - - - — - - - - PROGRESS 6-18-0 PROGR 7 ROBERT M CURRIE FLOOR PLAN - PROPOSED SCALE DATE ARCHITECTURAL DESIGNER 310 BARNSTABLE ROAD DWN BY, HKD BYE J + 3 Porter Street Stoughton, MA 02072 I 781•344.5810 fax 781.344.4074 JOB NUMBE c DATE DESCRIPTION fl 1 ANNISI MA i I I --TENANT LIMITS-- OFpI� � DEMO WALLS DF�Irs VINFEN LE55EE/RENOVATION AREA I EXI5TING WALNM LS I 'MmAT� R88E Do=MD wawtw NEW WALLS MN I 0 SCOPE OF TENANT WORK RELOCATE PARTITIONS A5 INDICATED NEW/REUSE DOOR5 A5 INDICATED NEW 51NGLE U5ER TOILET ROOM II -" RECORD ROOM I I I - TEAM OFFIrt. I.. �R84TR Fl7®6LA4f,rAea ---- , - '�""'�°°°""�"" "HYANNIS FIRE ON BUREAU"I HYANNI 1 E D ARtMENT I 95 H HOOL RD.F(i CLO GLO KW-#VLL AT$MCEP"AFMA ' I " HYANNIS,MA 02601 FDOSH MIMTL TO X D05 MECH MECH ' ROBERT M CURRIE FLOOR PLAN - PROPOSED PROGRESS 6-18-O7 ARCHITECTURAL DESIGNER SCALE DATE 3 Porter Street Stoughton, MA 02072 310 BARNSTABLE ROAD 781•344.5810 fax 781.344.4074 DVN BY. HKD BY. c DATE DESCRIPTION H 1 ANNIS, MA JOB NUMBE i jaj&FConstruction, LLC General Contractor I Fully Insured G,&, • Remodeling • Extensions • Tile Work Fernando Silva 11 Leyden Avenue Tel: (781)391-3413 Medford, MA 02155 TOWN OF BARNSTABLE BUILDING PERMIT°APPLICATION=,* Map 11& Parcel ,� � -Permit# Health Division < ;` Date Issued. Conservation Division Fee . Tax Collector Treasurer Planning Dept. Checked in By' DateDefinitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 240 94 R&s 229a GE Q� Village w Owner b? 7�' L� Address &f 2 Telephoner3`D� Permit Request �3 Square feet: 1 st floor: existing proposed . 2nd floor:existing proposed Total new Valuation c;?::C ooc ' - Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑.Yes_ ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑No Basement Type: 0 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` 7❑No `Fireplaces: Existing New Existingood/coal stove: -❑YesS t0 No . a pw _ ` - Detached garage:❑existing ❑new size Pool:❑existing O 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. w - BUILDER INFORMATION r Name �� �°� � Telephone Number Address o2/r'J License# C 5 19.S13F 4/ -,VA1` S e: �G o/ Home Improvement Contractor# Worker's Compensation# �y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /J / �970tiP SIGNATURE DATE Gc —1.2 —GZ? L FOR OFFICIAL USE ONLY t- 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. n uepar mt:rzL v1 `rcuu�criut necruenrs s=h- _ 600 Washington Street ' 3 Boston, Muss. 02111 Workers' Comensation Insurance Affidavit name: SIPPEWISSETT _CGNSTRUCTIQN CORP . location.- 297 North St . cin, Hyannis MA 02601 Phone# ( 508 ) 775- 9-� , r, ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity 2?/a /////%/G%//%��//%%%/%/%%/////%//%/% /I/%///////////%/////%///%//%/%///�%///l//%/%//////%%///%:;; ® I am an employer providing workers' compensation for my employees working on this job. compnnyname' SiDDewissett Constriir.ti nn Corp . address- 297 N'6r-th StrPPt eiri. Hyannis , MA 02601 phone#: ( 508 ) 775-9316 insurance co. •. nlicv#W.CC 5.000549012003 1" //,l/.////�%// ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and havt hired the contractors listed below who have the folloti%ing workers' compensation polices: comoanv name: address: r.r .. .:is .. insurance cn. camnanv name: address: '''° Cio. ......... Insurance co. %//// � FaIIure to.secure coverage w required under Section 25A orMGL 152 can lead to the imposition of criminal penalties of a line no to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 3100.00 a day agaiiut me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verineation. I do her ce ify tat the t:1 d en per- , the information provided above is tru.-and correct Simature. Date 6/27/05 Print name . Micha J . Roberts phone# ( 508) 775-9316 ofitdal use only do not write in.this area to be completed by city or town official city or town: permitAlcense# ❑Building Department ❑Licensing Board ❑ check if invnediste rrspon9e is regwrtd ❑Selectmen's Oftice ❑Health Depu13nent contact person: phone#: ❑Other �rcnacv 9,95 PIA) 1 oFIHIEro Town of Barnstable Regulatory Services BAMSTABLE' ` Thomas F.Geiler,Director 39. 6. � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 259 North St. , LP I, By Stuart Bornstein , as Owner of the subject property hereby authorize Michael J . Roberts to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) 310 Barnstable Road Signature of Date 259 North Street Limited Partnership Print Name I QTORM&OWNERPERMISSION ' ��� � � � ✓!ae -V�oryr�nnazcaea� o�✓f�aaaac�.�oe� 3j GREGEU,RLAVpT I1ONS BOARD OF BUILDIN JE License: CON&IkUCT40WSUtP f Number: CS 053861 Expires;i 02113 2Q06 Tr. no: 1,7095 Restricted; 00 h1 IC AELMOUOTHERDAPT.C6 CENTERVILLE, MA 02632 Acting C Tnis ones j u t r - Town of Barnstable Planning Division - 200 Main Street,Hyannis,Massachusetts 02601 ST,B�. v�p 03 � (508)862-4785 Fax(508)862-4725 rfD"A°y Thomas A.Broadrick,Director of Planning,Zoning and Historic Preservation October 28, 2002 Steven M. Shuman, AKRO Associates Architects ( 310 Barnstable Road, Suite 102 Hyannis, MA 02601 Reference: Zoning Board of Appeals -Appeal No. 2002-106 & 107 - Hubbard.Paint&Supply, Inc Dear Mr. Shuman: As you requested the above referenced appeals has been continued to November 20, 2002, at 7:15 PM. At the October 09, 2002, discussion of the continuance request the Zoning Board of Appeals questioned the issue of standing. This is the permission granted to you from the property owner to act on their behalf before the Board to seek the requested variances and special permits. The Board noted that the hearing is opened and the issue of your standing with regards to the appeals and locus has not been addressed. The Board instructed the staff to request you submit a letter from the property/business owner authorizing you to represent their interest before the Board (� to seek the relief being requested at the subject locus. The signatures on that letter should be notarized. Respectfully: tv ur P. Traczyk,Principal Planner File letters-2002-L-101102-shuman.doc C: ZBA files 2002-106&107 Daniel-M..Creedon,_II1,_ZBA Chairman Tom Perry,Building Commissioner c TOWN OF BARNSTABLE i R E J E C T E: D DATE OF INSPECTION q 0 ' F INSPECTION wl ri 'q/ # 7� f CODE INSPECTOR LOT OR PERMIT N0. I 4 { f Department of Health, Safety and Environmental Services THE � * s * BA>RNSTABLE, • MASS. 039. ED� BUILDING DIVISION y TOWN O PNSTABLE BUILD NN -PERMIT PARCEL ID 310 143 GEOBASE ID1 "V_ 12 ADDRESS 310 BARNSTABLE ROAD PHONE HYANNIS ZIP LOT C&1 PLN BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY j PERMIT 61316 DESCRIPTION RECONFIGURE OFFICE SPACE ' PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONV N QONTRACTORS: COCHRANF,MI CHAEL Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $385,50 BOND $.00 THE CONSTRUCTION COSTS $55,000.00 4g�' �► 323 HOSPITAL & I:;NSTIT. BLDG * • + E AMSTABM i. MASS. 039. BUILDING DIVISION BY 'DATE ;ISSUED 05/24/2002 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET-OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANTOFROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MAD .WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION'. x OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INS ECTI N APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 e 1 2 (� ���✓ L' 9 o a /� T 2 ' 2 •�... 40, '' . s 3 1 HtAflo INSPECT ON APPROVALS ENGINEERING DEPARTMENT 2 \ BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL t WORK,SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- NOTED MONTHS OF ATE THE PERMIT IS ISSUED AS TION PHONE OR WRITTEN NOTIFICA- TION. s I ' - NG n 777, e' 1� I 1 ,a .f Irk sa General Notes n SOUTH .,..I H R MENTAL HEALTH OU TPA TIENT MENTAL HEALTH CLINIC _ UNIT 201 "'A . 310$ARNSTAKE ROAD" HYANNIIS.MA. !' HENRY.ROSERT WESSMANN_ . - k1D A_CIATES.. .. SHEET INDEX GENERAL NQTES_ANDSYMBP-LB.' [ARCHITECT: BOSTJ3,.A .02 / .. .. __1 B4OSTDN,MA .0212P'. A c.ontr,mor..n.n r.ruy.D mm.peion.;Pd aobm+moc!. iHENRY ROBERT WESSMANN AND ASSOCIATESI 1--CO�BSNEET �B. Contrae for ibeh not ecele d—fnya: F._..cmvaetw_.n.0 . •.,.� . .92 TRAIN STREET 2_)STNG.PLANS BIDOSTING REFLECTED . "obiemw aOSTON,MA 021 22 _ p.LeUSW/.ELECTNCN/TAECHPNICgU5Pj10S(LER ;(Oil)282-5343 S nF[n ION.6 PROP.0.5ED MCNffEC3UAl.%AFH ae_eleetrleaL.p nL�. 9lene_I lipbtloOJLLuaa. A. fA3°FLOOR REFLECTED CEILING PLANS A LE.LSOP. 1—PLUMBING.and/or H.V.A.C.! BEOEPTION DESK ELEVATIONS.SECTIONS,6 Elpyetlan DETAILS' tj¢beel.No.ue }lndiealas.-Elefellnn: O..SCBEDULES A DETAILS Dateil.o[.Bestlan_Nc; S-manSED ELECTRICAI/LIECHANICAL/SPRINI¢ER. L Sbeet No,: }'Indlcetea 8eotlon.Merk' REFLEC3ED CEILING PLANS&PROPOSED D—il or8eclion.No. " ('>r- �'Ipdicatae,Dpteil 'SOUTH SHORE MENTAL HEALTH- ^ EIEC3BLUlJPLUMBING PUNS '/C�3-BIII—ma.. UTOAT�ENT MENTAL HEALTH' T Undicetae Co1Nmn Canledina - ' A� T CLINIC . -�Ber.2/2/08-Jndicatea Revlalort � 910.BARNBTABLE ROAD " jLKANNIS.;.MA. ;OV..SHEFT. s AMP W a.TY �—�. - ti�� General Notes I 1 ys..,iti --' - - EXISTING THIRD FLOOR ARCHITECTURAL PLAN EXISTING SECOND FLOOR ARCHITECTURAL PLAN SCALE:1/{':V ' ww:M �--�?...>r_s�-=� I ' i -1- -•1a=fi_( --I,.cl'?7-L.•J__I� ,i I ' ;e`a_� - -i^^y"�- - w..,..:...,.......°...v•.�+s __+1-_--_�'A`-�!w�=-= II-_I''_- -1'I-�II __�,`jI'_-__"�I�'- -'rIN'-'_-'T�__`�-_=�1--_1r�L vfI'�-�I >T•zi �MT -- ___fir, .: - .�,I-_-_-ti?f'-�n-4-_f'_'_'I-__-,}r_� 5-__-_I-_4`''�_!_-_�' _ -__ryI1I-=_^.=r.=-` -__--r'-w• -�..--_�-` 1'1,'-�r1}{rp1--i"- -;{i--ji- .....,w-..+-...u.e..,w..w-.... ww.. NENRV RORERr_ yp$BNgNN 'I }—t- and ASSCMTES '0.'!",.•..�r;C.y -�--W= 'I -- 1- "'Fa 7__*' L. _ /_ �.ai-� " I-_i_ - - -�'`� I ' > '• d.^ �".y> - - --'-- ,.w.,...•,....4-,.,.._ 92 TRAw.si. ' i I I I I I I I - •' n I I I I --- 617-m-&/B e•-a' --L- ._ a --__ -r-- _ 2Tr^,`i__'_T-'f _- � _J� __ _ F+.._✓.arr.wu..+ i l--i- 1"7'"f-r—i-Ir--' 1; �-- - r I I -=-�---�- -�-'r- ----,F�-'� �!���._' -�•:T-• k �- .....>.._.�.,.. -I-- - -�-- n1 Y r ' • ' I L t• i _ i I li -L __i�� _.i I '--t��^�_ _�_ � __ `�• I -I_ t�•-�-_. _M_ �__+_i`��<, T__ti www�um-'��'° �I _ j 1_ 1_� I T- ' ' _J_ S�J' _I_' • 1 ____ ___ __ � l c ...._«..a w. wae.m. SOUTH SHORE MENTAL HEALTH I I I .. , __I_ I I ' II II - I L�•4 I• I , ! II I I } 310 BARNSTABLE ROAD \r-- �c..•.r i �G al' _ l��N, A ; I I ' I ALTERATION9 J" -"IL -I- - NYANNNi:M_A.:. 1 I tf f, �I ivy,• .Yt-= �_ ,w. -P°��,' - � -J__ I �`' __r,_yif'i9.- -r _L.• �� �! -�' A � 1 �_ I i _'�- 'i i _•_y_, _ -- I ._..laJIL__r ra'"� I - {�.tl -IL"-. _ __•_ .;RE%E8LTE�INYOJ:.6P.'LlA�NI'LeI"BB.PLANE., OW%L JI_1J_J L_ -J_ y_ rkwtt F1EDT.)AECN:6 SPRINKLER. ' EXISTING TNlRD.FLQO.... ..LAN/REFLECTF�CEILI�LC� EXI:STING—SECOND FLOOR PLAN/REFLECTED CEILING a WITH ELE I ECHANI RINKLEB a��E_ WLTH..ELECTRICAL/MECHANICAUSPRINKLER. R xI �- L"' General Notes _A - WALL TYPES:. ._...:..... f .`" ^� Awn.rPrneoso..an..ewa `rt:y, T 1 I r-T-♦ -� r-r-h-T--- -r T_-; -i� � I I t_1-�.5�'1_ I,:•�I I I >c; I - T- I T 'yl -L L- - - ;-T- _i _L_rr�1_L -�i--{,'-� l_ i I 1 I I I I F_i_�`L_J__f_ti`T;;i I I � L_ fFr�__r ____ __ _i ,. _-Lr j_ ' J_Jc J_ 1`4�_grl_L_1_, _ 1•' lc� � l-`I-I 'I- ��11 L_ I II I V' �. 1 I T-t- •._..._.. J--`F-I ri--L-�r-�=r�trr-,- ,-?-ir-r l- f=�i T , I I .I I 1 , 1 f, r-*- --��L J_\ _f_�-J �- -ryj"il� -+-�'"`�-T-�-�.-��J�--I�X 1 r_r _ I •'1 II I -� L_T_»�__ L—I t 1 3R LQOBDE11dOL1TJON_P_LAN. . :, /`" G-VoL-- 2N"FLOOR DEMOLITION PLAN . ME ffi HENRY ROaERT WESSMANN . - � n0 ASSOCIATES Ma 7m MENTALNEALi . O � O © � O � ® ki',yTPATIcxT AIENS1.L.tl EALTX .i AMLBABMa.TAUF RDAR 'RimO �.. -� j]El, MON A PROPOSED ® AaMTEMALELANS PROPOSED THIRD FLOOR PLAN BDAIE:Vb , .. PROPOSED SECOND FLOOR PLANT : . .3 General Notes ® ® oo ® - M HA EE 101 1 1 1010 0 2- 7 IeBQPQSED3RD.FLQQB REFLECTED"CEILIN.C�PLAN- ,z PBQP_ EQ2ND FLOOR REFLECTED CEILING PLAN_ M�o ._. \, HENHV HOBERf,NESSIA,M, - �.,.�;,"�'*' "• - 'mbASSOCYITES �` �ti� M w� •.... 92 TRAIN ST. y .. ,I... _ BOSTON.AAA 02122 9=b."�s'..,•,u JNTERIOR.WINDOW A WEST ELEVATION RECEPTION DESKNORTIi ELEVATION ,�N PARTIAL RECEP776N-bES(d_$EcII6N: _ _ 3 .$GALE: 1/2'.:1�_ , we" -BGALE..,.tGZ:_.t .S^...:.:'.°11� _ MY . OF \ \ n.�+•r Ww+. •. •..ru.ac u OVT H MW m'~°Y•' T ALT e �PA TENT MEMTAL HE +,w \, :-ai.� ^• i 'a'�' '� �� =BABUSTABLE ROAD . ice. .,,........ .. .... ....,pA p.. •�. .. .:n - 3M.31,d1A�iREF1EG7.E aw srw.A ,•.ow•�>n - Ee/[ELEKATl¢NS. INTEBIOB-6!INQOJN A EAST ELEVATION �2EOEP IQN-DESk I.ON 4FSK SECSJ�L 3 3' SCALE;-1L2:_L.. 6�e. 15'at� � �GAL'E`c._,,•�: 3 l2'.:.}'. 4 e , * General Notes "-' INTERIOR WINDOW SCHEDULE NS _ DOOR SCHEDUL ILI- JNTERIOR WINDOW SCH D 1 — — — ASSOCKTIES STFdmT Im win DOOR.SCHEW E. ,{5.�'$y ELECTRIC FIXTURE SCHEDULE 43�' .,,..'t5-.':"� E u.o.n A1GF.3u655H 1Fd�3o.ai.Ilf+owb vawunrca�W �L i s �.vmvmmn wfmW. .4^ � C Nuww 3GP.330w1rSN3FAw n a'me rcw wev....o�ee. -"•^"'�i rx - - R P+bWm 34�nuomuu-m'miu.'w mm Eun-Piuu or wren � '� ^�-�- .e.naone w nva�arun. ��y�pmE raonrtu xEu TN nr .w..0 .- x.. ¢rx.�vy Pxrt uT pnmmNom.muiinummry mmu•meim smmm�s DUTPAnEN11dErrrAL HEALIKC iNJC tiMiprt. If 4]�BBB 4�,BtE 80lU puel llx _ �m OOM EINISH SQFjED-ULE:._ 9�P nem.s.w,aecN ccnm.w.oPmV.mn..,nni.r�,wrmex. roPwrn wew wxn m.mmm.u-cw.mn'xw�emw.m.r a.�..e miy. ' d0u1W ( axe^ixr 4AY.WYpmvnme)N-m:M'rumimmNnmmen.gmem, _ Y ' npNmrn.W e•nemvy .emVr .'' .^xcrn um m nFe.-iw PLUMBING FIXT xo URE SCHEDULE � om-. n.mmi. CaurbrSPeOv.i DIY Cwpvenon Wm•-e _........._.._ ��ewnm.wa.rm�ee�Pxm.ewem•r.m'e'.a e.w m. ' �bWeet-v.-MrFan SmMaN B1�1.0111-.�m)M1616.Ir3 e•wb1 �� WEeNo. • lTb.nt86 SS-a♦tluwro emP��r. '• -s - L w..x aenaEuxxv'I'N..xo a..rr s.•-...........0.ewM.l.+L eM tlrckmp rn mvenn�r1W r-e- .----.- t MlI 22!, CBI=ASII I A TVp INT TRUA DETAIL, PLUMBING�MBIN E1XT IRE SgHFj]11.I Fl.l F V-LECTRICAL EIXTLIRE.SCH.EDULE ^�- J94 _. crtal c• ,•�,• 1.— J General Notes 77 I' rt✓.sw a... I Fit a�ei".wa vim.'m. r�.�..'�Y.� •�r.�..� - .�;. ruy i 8ROPOSED.3RD EI OOR FI FC TRICAUMECHANLCALLSP.RINKLER Pf3QP-Q.SED-2ND FLQOR ELErT_RICAUMECHAN.LCAUSP-RINKLER RFFI�CTED CEILIN -P, SCAILZ l•a RE ELECTEDCEILIN-G PLANF7 s ti l'r �'r - — I HENRY" WESSIM/W nM ASSOCIATES •• t.. 92 TRAN sT:- _ BOSTON f+N 02122 (17492fi318.. IJ _ SOILTH."GRE..ENT♦, HE LT f.. ONTpATJEN7 MENTAL HEALTH d � E D. T �,D a.RNHTAH.L RGA 1 11Yr.NN.o yA. y uY �` OwpWED ELECfRICAIIMECNANICAL' II I I n p EBAEF ECJE �NGFIAN ` ✓. nrro�NBING S Hi RROP_O-SED'.3RDELQQR ELECTRLCAUP_LUMBING PLAN PROPOSED 2".° FLOOR ELECTRICAL PLAN �E'/.a� �.a�A�. g• ~Y.w✓ 9 TOWN OF BAR1 SikABLE BUILDING PERMIT APPLICATION ' �7 c c1 Map 31 b r 73 Parcel Permit# I (� Health Division f�61/1�J ' � �� Date Issued Conservation Division Application,F e Tax Collector O �. -' Da Permit Fee Treasurer f' d r�rzrf,h ,tttis��e P e tsv 00 Planning Dept. IT raven ;�+ Date Definitive Plan Approved by Planning Board OYO Historic-OKH Preservation/Hyannis Project Street Address -31U /1-,05�� G�w�f 2° / 'e- 30� Village Ct V1 f. ^ Owner 2 NoA S Aa�"•v0.S Address L f7 5-7 Telephone DO $ `7 7T c7 3 d Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District A,, Flood Plain Groundwater Overlay Project Valuati fS o 0 0.- 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 e Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ElOther - r_ E3 Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/co ove: ❑des :-U No cr.+ Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exis ing ❑r%W s4 ca N r Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ^' m Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name A tc," eL Co cl A" Telephone Number ( 17 - 21 Z- ,?J V z- Address P. U . Q License# 0 2 66 8,5-- �6d$ 2 o A- , 0 20 -7, Home Improvement Contractor# Worker's Compensation# 4JC ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 2—te !� 4 SIGNATURE tl DATE FOR OFFICIAL USE ONLY - w PERMIT NO. DATE ISSU .ED F MAP/Pt.RCEL NO. _ 1 ADDRESS ~" ''" VILLAGE r•OWNER DATE OF,INSPECTION:` FOUNDATION FRAME INSULATION �..;. FIREPLACE ELECTRICAL: ROUGH FINAL` . PLUMBING: ROUGH FINAL--� GAS: ROUGH e FINAL- FINAL BUILDING .3 2 DATE CLOSED OUT t ASSOCIATION PLAN NO. , 5-16-2002 4:07PM FROM HYANNIS FIRE/RESCUE 5087786448 P. 1 *WANMS DIRE DEPARTMENT 95 HIC,,H.,SCHOOL RD.EXT. HVANNIS,MA. 02601 �... { HAROLD S. BRUNELLE, CHIEF TIRE PREVEN-nON BUREAU 4 � A1Y� t7NNlNf YYd{t{liB QI/INl BD{NQN! E3USINIESS PHONE: (508)775.1300 FACSIMILE PHONE:(508)778.6"8 I.T. OONP1►LD IL C)Et%SE.JR"Cki LT.ERIC F.>FIrC78Llr t,CFI {. -.nkE.FREVJEN'l*l0N.0FFTClEK FIRE PRIE VIa YMN OMCIM 'BUILDING:. CODE COWIPLIANCE FORM y THIS FIRE PREVENTION BUREA'U•.HAS REVIEWED THE.PLANS DATED FOR THE PROPERTY.-LOCATED AT ALSO KNQWd AS:' THE .CHART BELOW INDICATES THE STATUS OF OUR REVIEW: P ;OF;CONS7RUC;I0 V'.i f'1CU MINT:: NIA RECEIVED REVIEWED COMPLIES :.`• 1-NARRATI1fE Rf?POR°� 2=FIRE.`FIG-10I ' RI II 3-HXDAANT LO..CATio l WATER OPPLY 4`-SPRJNKLER S`(t E ,S' •: ..... .; j +vt tY'r`�Ol)tl ,.; .':•; ,.5`SPRINKLER C(7N1"FtOL ECQ'U.IpAoIINT L✓ BTANO..PI,P.E: YSTE15;. ---� ,. � S'CAiN»PIPE ua�v� r<.dcaTIP1N, . & :lplw DEPARTtiq nlT:CONNECTiON•.• S i�fz2-T' 9 FIRE.PROTICTIVESIiSP+JALI[ r,,SYST. •1O-F.P.S.5. &ANNUNGIATOR':LOCAfION _ — 11-SMOKE CONTROL./EXHAUST 12-SMOKE CONTROL EOUtp.'LQCATION '— 13 L;FFSAFEZ••Y SYS7EM.FE,4Tl1FiES -- i4: hRCEXTINUUISHINO SYSTEMS IS-F.E.S. CONTROL;FQUIP LOCATION 16 FIRE.PROTEs;T10E ROOMS 17-FIRE PROTECTION irQtJ�&IONAGE 183,ALARM''.TRANSMIS$'I2N'METHOO, L/ .:J: :1.9-SEaUEn1cE.o�•�pi��Ar1oN-REPOT aJ ' 2U•AC•CEPTANCE.1ESTIN.G''CAJTERIA WE BE IEVI='THE DOCU'ME S COMPLIANT FOR THE ISSUANCE OP A BUILDING WE HAVE COMPLETlrO THE ACCEPTANC Its'FOR THE OCCUPANCY PERMIT AND BELIEVE THAT WITHIN THE SCOPE OF THE SUILDING PERMIT,THE ABOVE.ISSUES'ARE IN COMPLIANCE. 5-17.-2002 9:56AM FROM HYANNIS FIR.EiRESCUE 50877SG448 P. 1 'ANMS FIRE DEPARTMENT ant J"' 95,H}GH,SCHOOL RD.EXT.. H�'ANNIS,MA.02601 HAROLD S. BRUNEL.L,E, CHIEF r ; '�0$Phwilo� 37YOENT AYIERFNEET 01 iIRl EOYtnwN ,.o FIRE. PREVE1V'TI0N BUREAU BUSIN4SS PHONE: 508)775-1300 FACSIMILE PHONE:(508)778.6448 1,T.DoN- AXO I3.cm ASIE,.pt-:CFI LT.FRiC F.H(�LER,CFi i; FlFLE 1xtEVIv101'I'IOIY.OFPIC>QIE� FIRE PREVEil"MO0T OFFICER BUILDING CODE COMPLIANCE FORM THIS FIRE PREVENTION SUREAU.HAS REVIEWED THE PLANS DATED 11 FOR THE' PROP.FRTY. LOCATED AT' '3(0 02 ALSO KN(?WN AS; TFI.E CHART BELOW INDICATES THE STATUS OF OUR REVIEW: T`YPE;OF:•'CONSTRUCT.ION.�CSCUMENF:::`:> N/A RECEIVE D REVIEWED COMPLIES '1<::• . I-NARRA:TIVE.REP(3k : :a -E::FIGHT1Nd R CUB 3 HYDRANT LO.CATIO.N-1;•UVAT R<SIJPF'LY :a SPRfNKLER Sl(STIEMS.:'::.' 17ut4 D 'tn 1'T 5-SPRINKLER 6ONTR0I`6QUI ItNT' ,6-8TAN00.. SYSTEMS,,::: I✓, . .�w�.`- T�STANDPIPE-.Vawr= lC?CAT.iOf�1'S.,. B�EIRE DERARTMNT QONNECriON Su 9=F',IRE P016TtPTI.VE SI.QNALINO S'YST. 10-F.P.S.8.. &AN NUN CIAT4R LOCA'nbN T 11•SMQKI=CONTROL 1 EXHAUST 12-SMOKE CONTROL.EQUIP. LOCATION 13-LIFE;SAFETY SYSTN'.FEATURESILZ �- f+i=FIRE` EXTINGUISHING SYS�EMS RE.S-CONTROL EQUIP LOCATION _ FIRE.•PRO`TICTION'.F�OOMS:: . 17�FIRE'PROTCTIQN I`QUIP.4IGNAAGE i 187ALARM;TRANSMISSION METHOD 19•SEQUENCE OF QF RATION RE* OAT . 20-ACCEPTANCE'T'ESTING•:CRI°t �iiA WE BE IeVE;THE DOCUME S COMPLIANT FOR THE ISSUANCE OF A BUILDING PI�RMlT:. ��� l" Z WE HAVE COMPLETED'7HE ACCePTANC G-FOR THE OCCUPANCY PERMIT AND BELIEVE THAT WITHIN THE SCOPE OF THE BUILDING PERMIT,THE ABOVE ISSUES ARE IN COMPLIANCE. �1��1�� Rio �� i 1HHEE Ttp The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services 9 MASS. 0q 679. �0 �'°IEOMAy01, Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection /�/ Al p Location 316 RV Permit Number NypAIAII s Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: i9t ,6ae'c'-s f�Le'e-C _ C le-11- i/v 9, 7 o rS k i r C k Wa 0 D TIC n" r yv t,./ `v i? c VV eiz Fi X,4-,O, " y y✓p c(- Ta 6 K C L a S F& /A y r/r C i"e T,fr �f Please call: 508-862-4038gfor re-inspection. 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As quoted from the "law"., an employee is defined as every person in the service of another under any contact express or implied, orai or written. ' )loyer is defined as an individual; partnership, association, corporation or other legal entity, or any two or more of ,going engaged in a j oint enterprise, and including the Iegal representatives of a deceased employer, or the receiver or of an individual, partnership, association or other legal entity, employing.employees. However the owner of•a ig house having not more than three apartments and who resides therein; or the occupant of the dwelling house of r who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or appuitenarrt thereto shall not because-of such employment be deemed to be an employer. every state or local licensing agency shall withhold the:issuance or renewal chapter 152 section 25 also states that cense or permit to operate a business or to construct buildings in the commonwealth for any applicant who has -oduced acceptable evidence:of compliance with the insurance coverage required. Ad ditionally,.nei.thertpe onwealth nor any of its political subdivisions shall enter into.any contract for the performance of public work until table evidence of cn. li.ance with the insurance requirements of this chapter have been.presented to the'contracting 7ZI111111 icants ' com letel b checking the box that applies to your situation and co ens tion affidavit p y, y , workers'.* � ;E{ill in the work mp iying.comp games, address and phone numbers along-with a•certificate of insurance as all affidavits maybe :fitted to the Department.:of Industrial Accidents for confirmation of in *�Tce coverage: Also be sure to:sign and. the affidavit. 'The affidavit should be returned to the city or town that the application for the permit or license is requested, no't the Department of Ind„stn�Accidents. Should you have any questions regarding the"law" or if you required to obtain a workers' compenaatioa policy,•please c the Deparb= all 3at atthe cumber listed below. or Towns use be'sure.that the affidavit is'complete and printed legibly. The Department.has provided a space at the bottom of the ct you re ar the applicant. Please davit for you to fill out in the event,the Office of Investigations has to costa y g •ding aPP . the permitllicense number which will be used ' a reference number. The affidavit4 maybe rem to ,lire to fin , .-L ..�. :. .._ • . . Department by mail or FAX'unless"oth r`ariangenmentg have'beenmadz. ; Office of Investigations would like to thank you in advance for you cooperation and should you have any questions- ase do not hesitate to give us a call. e Departmeat''s address,telephone and fax number: The Commonwealth Of Massachusetf$ Department of Industrial Accidents DInce of lovestigaUans : 600 Washington Street Boston,Ma. 02111• fax#: (617) 7274749 phone#t (617) 7274900 eat. 406,409,.or 375. 1 6/7 �omvaaoeal o�/�cwoac�ivaP/la I' BOARD OF BUILDING REG U LATIONS License CONSTRUCTION SUPERVISOR j; NumberC5 026685 f I' E�cp�re�"�09/ b0 Tr.no:,.o. 5009 j esti'ic' f `00 I. MICHAEL E PO BOX 4$7 BRYANT ROCK, MA 02020 9 � ` Administrafor 4 I I s ,:Q J . J F Lb . I j i i S . j l VI { d 5 12 1 � S 19- r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel /'i/ S.a Permit � 2:7 Health Division emDate Issued r�� Conservation Division ' JUNai Fee Tax Collector ` STE Treasurer 21lO 1.a� M 7. 0 x Planning Dept. @ `:1)1N COMPLIANCE TH THE s Date Definitive Plan Approved by Planning Board AL Cr)r RE Historic-OK Preservation/Hyannis e TG19�A^ Project Street Address Village HYANNIS Owner FIRST LIGHT HOLDINGS-, LLC Address .310 BARNSTABLE ROAD, HYANNIS Telephone 508-477-0023 Permit Request REMOVE AND REPLACE INTERIOR PARTITIONS , CEILINGS%WINDOWS, DOORS -RELOCATE INTERIOR .STAIRCASE. NEW WIRING AND NEW PLUMBING. Square feet: 1st floor: existing 2000, proposed 2000 2nd floor:existing 2000 proposed 2000 Total new 0 Valuation _ 180,000 Zoning District BUSINESS Flood Plain C Groundwater Overlay Construction Type WOOD/CONCRETE K Lot Size Grandfathered; ❑Yes ❑No If yes, attach supporting documentation. OFFICE BUILDING Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes XA No On Old King's Highway: ❑Yes 10 No Basement Type: X Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 2000 (EAR T IALLY FINISHED Number of Baths: Full: existing 0 new 0 Half:existing 3 new 4 Number of Bedrooms: existing 0 new 0 Total Room Count(not including baths): existing 13 new 15 First Floor Room Count 6 Heat Type and Fuel: kD Gas ❑Oil ❑Electric ❑Other Central Air: P Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes �,] No Detached garage:❑existing ❑new size N/A Pool:❑existing ❑new size N/A Barn:❑existing ❑new size N/A Attached garage:❑existing Cl new size N/A Shed:❑existing ❑new size N/A Other:EXTERNAL BASEMENT ACCESS Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial X7 Yes ❑No If yes,site plan review# Current Use 0#ETCF SPACE Proposed Use nFFrrF SPACE DONALD H. PRIESTLY, MGR BUILDER INFORMATION Name RESOURCES CONSTRUCTION, LLC Telephone Number 508-477-0023 Address p.O. BOX 599 License# CS001023 ivTAREPFF MA 0 649 Home Improvement Contractor# 107263 Worker's Compensation# wc,2_- t 5_ 2 0 9 0_11 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 06/22/01 FOR OFFICIAL USE ONLY PERMIT'NO. _ DATE ISSUED ' ' MAP/PARCEL NO. ADDRESS ;>�.- VILLAGE OWNER' ' DATE OF INSPECTION: FOUNDATION. FRAME i` = LO s INSULATION 0 Z o { FIREPLACE ELECTRICAL:-- ROUGH FINAL ; PLUMBING: ROUGH • - FINAL GAS:, ROUGH = ': t FINAL ' FINAL BUILDING dfn DATE CLOSED OUT ASSOCIATION PLAN NO. ` a 7 Engineering Dept. (3rd floor) Map 3/0 Parcel 413 Permit# ,.. � House# -310 T1,- a4J- Xk Date Issued / " ?C? Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) �gw,4"Fee JQ , 0V WAVT MUST OBTAIN A SEWER Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 29NNEECTION PERMIT FROM THE ENGINEERING DIVISION p$IOR To Planning Dept.(1st floor/School Admin. Bldg.) OMTBUCTION �TNE rp;_ Definitive Plan A ved by Planning Board 19 ��; BARNSTABLE. °rE1 39. tee$ TOWN OF BARNSTABLE Building Permit Application Project Stre dress eG� Village Owner 0;76 zVOer/-/ -.-57-- �/� Address =2 97-yob T;3 S Telephone Permit Request ✓ e"V6y-q �X G 6/`%���°�' -!�Pweo'S , IVCl,O e��1--le T L4e.L:.,.G _ /Vd S ZVplc .First Floor &000 Si square feet Second Floor square feet Construction Type 4- Estimated Project Cost $ �� 1 o D Zoning District Flood Plain Water Protection ,- Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#-units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) c Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number `2 2, -9 3 4, Address License#—/-),6"3 F 4. / CPS Je,e yi Ile Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO (!/yv e e SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FO LOWING REASON(S) n FOR OFFICIAL USE ONLY � ~ � . � PERMI NO. 6�) . . . . . � . DATE ISSUED - » . � MAP/PARCEL NO. , ADDRESS VILLAGE . • , � .� OWNER DATE OFINSPECTION: FOUNDATION \\ . FRAME ` INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL-- PLUMBING: ROUGH FINAL «emP fo»& %&5g I G&± 3\\$ RROOM FINAL , FINAL Bmu-I G . - \Q$ DATE C/O\D OUT . . . §%2 AS OC A ION PLAN NO. . _ FROM ` TOWN OF BARNSTABLE Mr. Francis Lahteine BUILDING DEPARTMENT °367'MAIN STREET H`fANNIS, MA 02 ! Tom Cleric Y Phone: 775-1120 SUBJECT: FOLDHERE • " DATE - r - • d January 4, 1985 x{w� "A'_MjkS S A G E Work has been oorr under Pemu t 26728 �tabert Freec�n1♦ . _ „„_ �•b�'#F'Y.tsQ;sR3'-E+.i•2'a's 4RiRO+n.M'Ie'+.+?'?`i.+4{C�P ±�Mi�i.`11`21r V'�#-iEirtl'1^M'rorx;r.rn.P'•J4''s-lt.."4a4a<6.v.:.�. �•a 1.di..iv Pleas€F T ease�Bcnd: . DATE .. .. j f •.t� r . REPLY t, SIGNED .. Ne7•RmI RECIPIENT:'RETAIN WHITE COPY,RETURN PINK COPY — PP.INTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE"AND PINK COPIES WITH,CARBON INTACT. Assessors map and to �................�. t ��TbN1UWT TO T4 N J r If HE Sewage Permit number g d � Z BASHSTODLE, i House number .....3./. .................................................. ..... . y MA86 t :,. �p 1679. ♦� 0 MRY tr� TOWN OF BARNSTABLE ; BUILDING IN-SPECTOR APPLICATION FOR .PERMIT TO ................. ... TYPE•OF CONSTRUCTION`..................... :...... .. ...... ............................. ......... ......................... -- 19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereb plies for a permit accor, LLng to the following information: t.. Location ......................... ....:: ..... .. .......... ... .. ................................................................................................... ProposedUse ...................... .. ............. . . . . ............... ........................ ......... ........................... ZoningDistrict ......................:....... .........................:...:....Fire District ............... . ................................... Nameof .........U.. ... . .. ... ....... . ..................Address .................................................:.................................. ' x Name off I r, ....6 �'Yi..... �' .. ............Address ........... ..' ................................ Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................'................................Foundation ........:..................................................................... Exterior ........:...........................................................................Roofing ........................................ Floors ...................................................................................:..Iriterior .................................................................................... Heating ............................................................................:.....Plumbing .................................................................................. Fireplace• ......................................................Approximate. Cost ..................................................:................. Definitive Plan Approved by Planning Board ________________________________19_______ Area v 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 t e abo e construction. V f V co, re ; . ° Nafne J . . . .. . .................... � � 14 Construction Supervisor's, License T FREEDMAN, ROBERT 0. 26300 � No Permit for DF�IOLISH BUILDING , -_ r anie ...T....................................................................... Location ......310.•Barnstable..)r� ................ Hyatusus i ........... .. ..........................................: ........ t .j O r .......RObert Freedman.... , - y°.. - / Type of,' Construction .......Fr .. ' ` .3.. -. ................ r .......... ..................... .... Plof ............................ Lot... ..... ................. t '"` .• x Perms Granted .....pr1.. ..1...................19 84 '. Date,., f Inspection Date Completed ........ ... . ...................19- } —J u Assessor's map and lot number d r `. TN E Sewage Permit number 4 i 33AR33TADLE, i House number ..... fl.......................................................... 900,0,NAGL t63 NAY 6 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO —P"'�' �/t � .................pin.... ..• •�. ..�...................................•........•..............................• f TYPE OF CONSTRUCTION ........................................`.......... .................................................................... ti. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby—appli es for a---permit according to the following information: Location ........................ram—I-3t�J! /Y1.t�..`........ ..\.jC\. . .......................................................... ProposedUse ........ . ........:e........ �. ...... ... .................................................................. Zoning District ................. �. . ..... �Y .Fire District ............. .`t' (11� !f.s-.................................. g � .�! .��...�.�--�?'�.. ...........Address / Nameof.Gwne'r ..... ............ .................................................................................... x Name off !B der .P!.Y. . `Y ..� ...........Address ........... ..................................... Nameof Architect ..................................................................Address .................................................................................... Numberof,.Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing ....................................................................._........,..... Floors ......................................................................................Interior .................................................................................... Heating .................................................:................................Plumbing .............................................................................. Fireplace ..................................................................................Approximate. Cost .................................................................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .......f............................... Diagram of Lot and Building with Dimensions Fee ' v SUBJECT TO APPROVAL OF BOARD 'OF HEALTH tl i 1 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 .. . _............. �» ti. i... . .. ... t....................:'� ............ r . . Construction Supervisor's License ' `.....t 1 _ FREEDMAN, ROBERT A=310-143 26300'. DEMOLISH BUILDING No ............... . Permit for .................................... Frame ........................................................... ................... Location ..310 Barnstable Road .............................................................. Hyannis ............................................................................... Owner ....Robe.rt-Kreedm.....an............................. ........ .... .. .......... Type of Construction .......FT...aff....e.......................... .................................................................... ........... Plot ............................ Lot ................................ Permit Granted ..........Apr....3.1...1.3....................19 84 Date of, Inspectiori.....................................19 Date Completed ......... ....................... ........19 "y'r'--..+._..-+........-.........-..,w—.•vim.+.,._ r .�-•.r --,V 4GJ�.,-_�- ..r...:�,-+�-- ,•-. '...�....- .�.-rr.+.•TM�,.—,..-�r<._.. ..-r.�r.--. �.,..- ^:F� Assessor's map and lot number ..Jw.... .../..T ..... V� l/J 7y DTI ��YT4fT BE Sewa a Permit number Ss r'; :: ii'�` HIV fTHEl TOWN OF BARN*r*,BL 86HB9TADLE, � 039.D M BUILDING INSPECTOR PY a• � APPLICATION FOR PERMIT TO ..� dL� ..... !t�T 0��.......C, .. ,%/�...�......'JA ................... TYPE OF CONSTRUCTION .... ... ........................................:................................................... ................�...... ....../.4....197 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location C.!4 f -. 4.. -....� 15.�4�1 .�. ... d,�......J< !.�!4/�:�.,�...........�................. ProposedUse ....Cj-. d ........................................................................................................................................................ Zoning District ...........Fire District .. .tom �......................................... .............................................................................. Name of Owner � ��•••IY���.�L�£' .,�..�..............................Address ...... ...... ......... .................................... Name of Buildercj..),...Q4�14k....Sf•.............................Address.1...H. l ... .1.. !. . �.pp........�� ........ Name of Architect . ... . �--� ..: ..................... 2-4.00� .....!.! U".�.U�lr ��:....�. ............. .Address ..... ..... ,...... COANumber of Rooms .. ..........................................................Foundation ... -ii"V ...................................:. Exterior ....'` il. ........................................................Roofing .....ASJOM'face'......::.61-wKI . ce, ...................... Floors . Interior D .............................. IR Heating 1':.l J-t,....QC ..CQ. .........................................Plumbing .`!' .` , .............................. Fireplace ..... ...................................................................Approximate Cost .....ta?.,.. t. Definitive Plan Approved by Planning Board ________________________________19--------. Area ..................................��� ........ Oa Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ti - 1 e,01 I I i any s: thereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . CI.KJ . '.............�� 1 �r4 Doherty, Dick � / 17446 remodel Crystal ' No ................. Permit for .................................... � Palace � --------,----.------------- ^� Barnstable Road Location --___________________. "xa^"`im -------~----_------------- Dick Doherty Owner ---___________________. frame Type of Construction .......................................... .................... - ' . - Plot ............................ Lot ___________ \ ^ ^ ' . ~ . . � Permit Granted —. 'l4---.lP 74 Date of Inspection /7 ......`..........lA � r-~ ~ Dote Completed .. —�~�----lP ' . - . PERMIT REFUSED -----------_—.------- lA ' , ^ ' -----.--------------------.. - , '—_----.--------.----------. � f � ' '-----'------'^'—^----^^'—'----'' - '----------.-----------.---.. Approved ---------------'' lg ' - ---------------...---------.. ................ ........................................................... ' � � �� Assessor's map and lot number ...�3/0.........../ ..... . Sewage Permit number .. �.! x* 1c:...,?, .:. !3 l.. '+ �' Z• i yFTNET TOWN 'OF BARNSTABLE BABH9TABLE, i "6 9 ,e�0 BUILDING INSPECTOR O G m Ar. APPLICATION FOR PERMIT TO .. '� - �'�.�7"1~� `� ................................................ .......... ...... TYPE OF CONSTRUCTION ....a1. V D.............................: ............................. TO THE INSPECTOR OF BUILDINGS: t The undersigned hereby applies for a permit according to the following information: Location .QV. T�??� :. f � t?kC 1 , �'�t .f t'?;, .K �.n......�.`:�^� .�.............�:................ a...... r—, ... ProposedUse .... �: ( :. ........................................................................................................................................................ Zoning District .....................................Fire District, Name of Owner �?�=V r�Fac 5l Address ...CGfc/?�'.r'!!C�t= � .................................. ..................... Ft !1�' I'+e s+ lc i t'1 Ah.lea Name of Builder� r..............�. ... ......,.....:.............................Address .........�.....,............. ....,,......t.....:....� , Name of Architect :.? ..K / eti1t (.......................................Address ��# "llC .....{� l , t till I fQCQ , � 4 g.•...... ........... ...... .... Number of Rooms Foundation K-�� .. ......................................................... ..................... .........,...................................;........... Exierior ..... .......................................................Roofing r :.... ,...:.:........................ Floors �3� �' - thtiKX �.. (•t .............:.Interior .... ........................................................ -� ✓� ...n1 r b �P F-+�r .err--� -- G Heating .............. ....... .............................. ......Plumbing ...... � .�;;�._,�.�;�L�................................................... Fireplace ...... /.). .................... ... ..Approximate Cost ...... Definitive Plan Approved by Planning Board _________19 Area � � f r`'.................................. Diagram of Lot and Building with Dimensions . SUBJECT TO APPROVAL OF BOARD OF HEALTH (90 ec I � 1 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �. ((ip�o,. ( 9 Name ..:...,..,.......... ......................, ....,..............._.........�.... )fib Doherty, Dick h No .. 17446 permit for ... remo.del. . Cr.ystal . . ........ ......... Palace ............................................................................... 5 Location \0 Barnstable Road ............................................................... Hyannis ............................................................................... Owner Dick Doherty ...................................................... Type of Construction frame .............r........................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .......Kgmo[►.er..J4........19 74 Date of Inspection ....................................19 e� Date Completed ......................................19 t PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number .i--3./ SEPTIC SYT INSTALLEt Ids 0 IA CE Sewage Permit numbe .. ... .r....... WITH P"r� L� II si•_` IE, A:D. TOWN TOWN OF BARIVIS LE ref?N E t0 33AUSTADL 0 "b 9 .•� BUILDING INSPECTOR 0 M Ar. APPLICATION FOR PERMIT TO ..0tQ.W.!.-0. ..................................................................... TYPEOF CONSTRUCTION ................... ? .......................................... .................................. u�n ...� ,97s TO THE INSPECTOR OF BUILDINGS: The undersigned h ebDy applies for a permit according to the following information: P.,BLocation .......3[v...... i / �- ..../.?d.......Aldan !:Sic.. ... .................................. ProposedUse ....... 3A.rHgoon-)..ah em-��.................................................................................... Zoning District J `�.nQ .........................................Fire District .....414-AOMA 5........................................... • Name of Owner Pt...b0.H6C.).Z1...Address .,. .. �.. 1 .. � ../.. .... Nameof Builder Iyj). ...................Address .................................................................................... Nameof Architect ..................................................................Address ........................^........................................................... Numberof Rooms .........................................I........................Foundation ?.1. '?.. .................................................. Exierior ....................................................................................Roofing .................................................................................... Floors .........................................................Interior .................... Heating ..................................................................................Plumbing ...................... 4��............................................................. ............Fireplace .................................:..................................Approximate Cost ......4R.. . 12!4.................. .. ........... Definitive Plan Approved by Planning Board ________________________________19________. Area ... ....................... Diagram of Lot and Building with Dimensions Fee // SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . NamR�P.A.6.11a- 6. -.. � ..... Doherty, Richard P. No 17734 permit for ,,, add to commercial .... .................... Building . ............................................................................... Location- 310 Barnstable Road ............................t.................................. Hyannis ............................ .................................................... Owner Richard P. Doherty ......................................................... e� e Type of Construction .......frame ............................................................................... J 4 Plot ............................ Lot ................................ E June 9 75 ;F Permit Granted ........................................19 Date of Inspection ' Date Completed ......................................19 k PERMIT REFUSED 1 ................................................................ 19 F ......................................... ................................. R ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... E Assessor's map and lot number Sewage Permit number L?-* ! �?' ...`.. !'! .f....... ��QyOFTHE Tp��� TOWN OF BARNSTABLE Z EAHHSTADLE, i "b 0 MPYp`' BUILDING INSPECTOR ' Lam. I^.�.r. r� I v /�f"7/-f41�f_. APPLICATION FOR PERMIT TO ...... f........:..... TYPEOF CONSTRUCTION ............................Y;( t...........................`.................................................................. nA TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ?Ir7 r Location ..... �I! S7"h7.r t� 1f../� Et elf Yt .,`ti''��.5 ..'3 i iia!?i................................... Proposed Use .......!.. . .Thfr'1Y?t�'? tt1!!} tPl i�f.:+ 1 t .... ............................................ . Zoning District J 1- a 1 �Q ...............Fire District r-<!'fl ..j�................... ......................................... Name of Owner •�l1il�'`t" rl' i,'f1YrG� Address :x��.' .. "s����.gf/ "�` �. >'1/.�..k//. ..... ... .... .. ... . Name of Builder ...I..�....!.•.i...r..tf....... ...:..t... 7r Address ................:..:................................................................ Nameof Architect ..................:..........................:.:.................Address ............:.......................................................:................. r Number of Rooms ..............Foundation . ................................................... . ..............:................................. Exlerior Roofing ` ................................................. ................................. ..................:................................................................. Floors ..............................................Interior ................................: Heating ..................................................................................Plumbing ......................................:.................0......... ............... "r _hLS Fireplace ..................................................................................Approximate Cost .......:�.:.!....................................................... "7 Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... j --� Diagram of Lot and Building with Dimensions Fee .. SUBJECT TO APPROVAL OF BOARD OF HEALTH. A •I hereby.agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ; r Name z � r tAO ... L-L`�'t% p e l rim ........... Doherty, Richard P. A=3Y143rcj 17734. add toal No ................. Permit for .................................... building ............................................................................... 310 Barnstable Road Location ................................................................ Hyannis ............................................................................... Richard P. Doherty Owner .................................................................. frame Type of Construction ........................... ............... ................................................................................ Plot ............................ Lot . .................... I • Permit Granted Ju a /19 75 Date of Inspection ...... ..... ... ..........'.......19 Date Completed ..... .... 19 P IT REFUSED .... ................ ........... 19 ................../ ............................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE permit No. _._ 7i%)'3 I V..,n,>< Building Inspector cash MST • - f0)0• P �OtlPY�� OCCUPANCY PERMIT Bona Issued to Rn. F`maAman Address Wiring Inspector '. Inspection date jam' Plumbing Inspector; Inspection date - Gas Inspector 1 Inspection date e Engineering Department "` Inspection date Board-of-Health �� !`�, r �. �_ F i Inspection date 1,,, / THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................. .................. ......................................................... Building Inspector_ Assessor's map.and lot number ... ......... ....T... r /, of THEtO� + ZZ E�T= S WE P Sewage Permit number ........::..................................,,......... P+ 3�� r li BA"STADLE, i House number .........: '% "6 9 �e.. ...... D Mix 9 TOWN. OF: BXIMSTABLE . f BUILDING INSPECTOR APPLICATION t ... / '.N FOR PERMIT TO .. .... ... ..... . . . . .. .ay • TYPE`OF CONSTRUCTION'.................:...................wY+l . ..... ..... ...........1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ,ap for a permit according to the following information: ' M Location ` ProposedUse ............ .............. .... .. .................... ......... ................. ...... ....................... Zoning Distric ....... j....................Fire District ....... ..........:........................... Name of Owner ..... ................ Address .......... `.U� w.:......................... Name of Builder G...�!.......... .. .... Address ....... /l ............................W- -7-W..... UE/� ..��^TCj . .. ...:. s Name of Architect . . ........Address ..... Number of Rooms ...:......./. ..........................°.............Foundation ................................................. Exterior .... �. ..Roofing Floors ............. .... ... . ..... ..............'..............................Interior .... Heating ... ........ ........ .... ........ .......................Plumbing ............. ...... Fireplace ..................................................................................Approximate Cost ...... . ....//.. �o..�.. UD... ............ Definitive Plan Approved by Planning Board ---------------------------------19--------. - Are ... ... .. ..................... Diagram of Lot and Building with Dimensions e .�&t........... SUBJECT TO APPROVAL OF BOARD OF HEALTH ''• r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I'hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abov construction. v �yfA/ VName . 1 .... ��/ oT .V . 01d Construction' Supervisor's License .................`.......�........ j FREEDMAN., ROBERT t No 26728 Permit for .. ....la,. .9EVICE„B.LDG. c ;-: ---- CONA�lE�ZCIAL. �I?G.................................... I A Location 319....54Mastable..Road. ............ ....................+FyZaaS........................... - „ Ow►uE ....? b� ..k' eedman.................. { TypeWf Construction .......Fxam......................... .... .. ............ ............................ Plot ....................... Lot ................................. }_ Perm ranted ....J.uly..23i.: ......19 84 r' h Date Inspecti ................ ......19 �. eompl t d �................... T" • b t T Assessor's map and lot number: F THE t Sewage Permit number ...:.............................. ...................... rem R Y Z MAUSTAXLE, i House number ... /;�...................................................... . 90 M6 s O 9- 0 MAj a• TOWN OF BARNSTABLE f i BUILD.ING . INSPECTOR • APPLICATION FOR PERMIT TO ........._._...........................�.................... ...:��.................................... .,. TYPE OF CONSTRUCTION ..............................._ 7. , . � 1.. _ Yf }� .19; „ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap`pl.ies for a permit //according to the following information: Location ............................. .c. . ..��!. �t:�.... ............................................................ ................................... ProposedUse ...........!.�� ..N�'� . ....................................... I......................... Zoninp � � .�. S. ...........Fire District ......... - t g District,._................ ....... � � ........................................ Name of Owner 1,ti(5,(�!...,...!:..}� ....................Address, ..........(... ..............- � �, ZName of Builder Address ....... ' ..:.....L ��� . Name of Architect`� - n..... 5 f ..,....11. ........Address ...,.,.. . ? ... .........: .....:......................................... Number of Rooms ............ . --''"�....................................Foundation .. ......,.•.................................................. Exterior ....0) r'-.......:.. ...... I.GIi(l�' ....!..r� ? .... ..Roofin ,..... g / .... t � `Floors 1.?r' A.. •................ ...........................Interior .. ......•...... ......................................................... Heating T�'�( a �'a i!........ Plumbing ........ ..... ....................... .... !' .....J.............. Fireplace ...... .......'+ :..................:........Approximate. Cost .....,..:.... ., ...:....................... Definitive Plan Approved by Planning Board ________ -_----------------19________. . Area ....... .......,!�'................. Diagram of Lot and Building with Dimensions Fee ... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH HEALTH �r i \' 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. a Name .� .... r 0/ / � 3 Construction Supervisors License � �< FREEDMAN, ROBERT A=310-143 ' 26728J BUILD OFFICE BLDG. No .....:........:. Permit for ............... v ` ......CCbMECCIAL.BIM.................................. Location 3.IQ..B.A.1-YIS le..Road ............. ............................................. Owner .......ku;)Q.t.Frgedm rl.......................... Type of Construction ...FTaW.........:.....'............ Plot ............................ Lot ................................ P Permit Granted July 23;; _...............19 84 Date of Inspection"•....................................19 " Date Completed ......:.................................19 - f The Town of Barnstable • saarrsrnBM • 9� , � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 23, 1998 TO WHOM IT MAY CONCERN: Our records indicate that the elevator atr310 Barnstable_Road,:Hyannis-is in compliance with all state codes and is fully wheelchair accessible. Should you need any further information,please do not hesitate to call. Sincerely, Ralph M.Crossen Building Commissioner RMC/km W g980923c F.�X 775-652 � �� -_lU Chi - �r, .�P� ��� � � --- �� - ����- x�'�`c�-vc ---- -- - --- - - - �, _j � .. i s ` 1 .. - � FROM TEL: SEP.22. 1998 3:2e PM P 1 HOLLY MANAGEMENT & SUPPLY CORPORATION 297 North Strect Hyannis,Massachusetts 0260) -(508)77 5 9316 FAX(508)775-6526 FACSIMILE TRANSMISSION COVER SHEET DATE: September 22, 1998 TO Ralph M.Crossen,Building Commissioner Town of Barnstable FAX No. (508)775-334 FROM: Stuait Bornstein RE: Elevator @ 310 Building Dear Ralph: I would appreciate something in writing from your office stating that the elevator in the 310 Building is wheel chair and handicapped accessible. For the last four years, Cape Cod Human Services which is affiliated with the hospital were tenants there and had no problem at all with the elevator. This is something we need as soon as possible. Thank you! SA Ck ' •Vd -" w o_ s � � 4 r O:. ^.. fM _«5.t...:+.k b„'�G`�{+L�i'rN"'�SNcE3,,'`"'.r aek'1�bh�' .r 7+°kN'A°(�✓�'' .7'�..y:._ � r r � f ' f O R /J r � P N ' 0 r � 1 1^� 1 1 to o. s a 1 tl 0 o • � _r Die Cn.../..u.....ealtlr of alassac'husctts %471� ':_-`.1:_�- DepartitieW tjludastrial Accideirts , ,...._. 600 !i itAirr turn Street .� B(alua, Alma. 02111 Workers' Compensation Insurance Affidavit dIllicant Information: Plcasc PRINT Ic il1j� ....-...._ _ -....__....__.. ._.. .-_ ........._.....b... ......LTL..-..__......_..__... ......._I._....._. ......_.._...-.. name: STIIART BORNSTEIN FOR 259 NORTH eT I. _P- (mn BARNSTABLE—RD location: 310 BARNSTARI F RD_ cite- HYANNIS. .MA... 0260 775-9316�_ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an cniployer providing workers' compensation for my employees working on this job. cotnpanv name: SUFFIELD MGMT/THE BORN STEIN COMPANIES address: 297 NORTH ST: City: HYANNTS%I MA phone#` f 6 1 776 9;16 insuranceco. HARTFORD INSIIRANCF r0_ policy# .1aWBFT6953 1• .. .. -�_ ....C1..1`_an....M.►'w'!'�+!w!r.'M 1�..... . r*.yY...;..w+.1u�.wgrw+r.^r `�•....r....._.+....��..�n... ... .ter. +a..... - :... '•....� _ -...:._ .. �. . _ .� __.. :.t-. ....:'. r.� ;w - ...r_..✓./ ' 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: company name: address: cih•• phone#` insurance co. nolicv# •r:. :+�"vy-s�r,y.,..�„�.,.F �- .._.. ;u�•. �a�^.k�'a!:. b�:..7"::r,•• :r:.-- -�c-•�••--"'r __...�_...._.-v.- - ..._._. ..:.+isc -- ...... - ., .yam L'•""- -'''�- - T-�^9�'• i:�i.a:�nirar..: -.a.u:tanc comnans• name: ,address: tits[ phone#` insurance co. policy# Attach adJilio9._ cct if neccssa --:.'" _'`"__: r. �;t..;,c" ✓�;,"u�::....�. .,,.r, ^ r-::::.. ''_ _ ._ `. _._7��:.r'. - v'.fl••�— � -�=�11.' ....s...... r:.cv�..:ro.ir�:.f.� .w.r...n. railurc to secure coverage as required undcrSeetion 25A of 1IGL 152 can lead to the imposition of criminal penalties ol'a line up to S1,500.00 andior unc,cars'imprisonment a. „cll as civil pcnallics in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cups of this statement may he forwarded to the Officc of lm•cstirations of the DIA for coverage verification. 1 do herehr certifl•udder the pains and penalties of perjun•that the information prorided above is true mid correct. Signature 0� a Datc 11T15,/-0�5 Print name STUART BORNSTE I N Phone# (508) 775—9316 official use only do not write in this area to be completed by city or town official cily or town: permit/license# n(3uilJin,,Department pLiccnsing Board O cheek if immediate response is required pSclectmen's Office ` 011calth Department contact person: phone#; nUthcr ,; Irt.ncd il'*P)A) - �� OEPAKJNT E eER SAFETY © ? y»< UNSTRCII ON aRREa LI, d ' /?y&ee �� �z . e r H kJ R§2 . . a w ~ a-y PO Box. 168 Er(RR R. # 9«! 11/16/98 TOWN OF BARNSTABLE PAGE 1 REVENUE COLLECTIONS PERMIT TYPE TITLE TOTAL A3 ASSY/LECTURE HALL <400 80.00 A4 ASSY/CHURCH LOW DENSITY 40.00 COMVALUE COMMERCIAL VALUATION FEE 1,152.90 E EDUCATION 40.00 EALP,RM ALARMS - RESIDENTIAL 180.00 ELECMET METER, MISC 20.00 ELECSER RESIDENTIAL SERVICE CHANG 120.00 ELECSERC COMMERCIAL ELECT SER CHG 40.00 ELECTC COMMERCIAL WIRING 10.0.00 ELECTCA COMMERCIAL WIRING ADD/ALT .160.00 ELECTEMP TEMPORARY SERVICE 40.00 ELECTR RESIDENTIAL WIRING 60.00 ELECTCA RESIDENT WIRING ADD/ALT 240.00 ELREINSP ELECTRICAL REINSPECTION 25.00 GAS GAS INSTALLATION 780.00 I PLUMB PLUMBING INSTALLATION 1,830.00 I R1 HOTELS, LODGING HOUSES 120.00 RES FLAT .RESIDENTIAL MINIMUM FEE 250.50 RESVALUE RESIDENTIAL VALUATION FEE 3,278.76 SIGN SIGN PERMIT 75.00 TOTAL REPORT 8,632.16 i da SD �cNQ.�. 1 4 IX RUN DATE 11/16/98 TIME 12:36:38 PENTAMATION - PERMITS MANAGER •1��'t,t'Ir.: �ip��-rnT�--:'A'Tr.T-c-?rn.ri`l�.'- Tpk o TOWN\ ®1 BAR \ IJTAB.6 E 1 DA➢39T&UlL i y YABQ 16'4• Office of the Building Inspector � FO FIAY a' r i #24 PERMIT TO ERECT SIGN IS HEREBY $50.00 'dov 84 GRANTED TO �.. . ........... . . ................ ........................ 310 Bamstable Rd Hyannis LOCATION ........................::.....:.......:.........:.........:.:......:..: a ................................... 't ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT I j i ` q sf ` p Building Inspector^ THE TOWN OF BARNSTABLE � ` f070.639 SIGN APPLICATION 7 �Yl \ � 19Y Owner's Name P&S 4—Rtt—=U0A4A-Q Address —j (W-'gam Location ` L Name of Builder. - COO���, 11.9-� 1 P0,Q Address 3`7, Type of Construction 644rCO- Free Standing or Attached Zoning District Fire District hereby agree to conform to all Rules and Regulations of the To o Barnstable regarding the above construction. All permits subject to approval of the Inspector of Wires. Name Diagram of Lot and Sign with Dimensions to be placed on reverse side. �� � q � ..� � �� I �. � � . �. ate- d j _ . . . _..r____ � � . . . - r ... - — - -- -- 77 ..... �r' d _._ - - ._.. .. .. __ ' � f; ~, i, x-; c. . .?d$x . . .0 L .. 4 - .E .. «__-_ —_--__V .. —��- 1. :,: u "Iylh .. ..h '� , r'� - air{ J .f x r ' f y. t' . - � :� , t f - 1. k 1I. �;� 'h`ti 4 f y' N 4 1 t 4- Cot a4 b. _ �' mot ' . �' c\ c, . S ( t }r' r ' `1 �� t I— t I t S i P ^ ..+ F—SI _ Y .4 . `� r :)� , ''f a t _ z. 11' .. 4� H {� t R s I .I x ' s ° wit rid ! ''r .` � 11� _ , -so ) _ y 1. "�11;'I��:'. '�I..: � � , �y .:" � i - � / ,_/ f i 4 . �,y p.{.t,4 s �x .+ 3 s., N d ,a P fi :i ,� ! 1:..�:'. ; p t s �._ � R 7rhk F P �; j �J a H r 1 ,:fi I ' i r-�--- __1; fir"___. f , � 1 r t �II k `' ,i �.� 1 ft - t _ 11 's d - I t \�?� r d 'r K t �. f. } .} SAW ' r- i 4 C { [ �l'. e ! J }' t i ''?✓ 'e-\ y �_v t I11 F�. I € .�, ter''": I \ r mot: I - 1,�� _'. l t 1 n4 V` i. .t._� ' c a w j { II t I c. �` r ., ! i �: i { ( t '} f { - 5 tO ; i ! - f.. j.�_.'. ) 4' 1 ; ,` .J a J ate` ^q J_ -_ 1 N" �t% � r r F Y ) - f V� V. y + - �, V a e y ' N 11 i 'Cl1t�.f r Y �t l { 7 J f >`i i t'_l t .�"I I t �' i I ' � MONK 1 _ _0:711 - - i .... .+-gin.. r - 1 Y ` y r 1 S w t 3 l i f h { �50, JMjt FF : • i 0 United Way of Cape Cod, Inc. Serving September 12, 1997 the Cape and Islands Board of Directors Mr. Ralph Crossen, Building Inspector Stephen J. Guimond Town of Barnstable Chairman 367 Main Street Hamilton N. Shepley Hyannis, MA 02601 Vice Chairman Susann R. Patterson Dear Mr. Crossen: Treasurer ' United Way is gearing up for the 1997-98 campaign to help Maura Kelly people on Cape' Cod. We have thermometers that we would Assistant Treasurer like to place in each of the towns on Cape Cod displaying Peter Campbell the progress of our campaign. The thermometers are 8'x Clerk 4' and will display each town' s progress toward the goal Townsend Hornor of the campaign. Past Chairman Thomas Barrette We would like to display the information from the end of James Botsford September through the holiday season. United Way will be Kathleen Laird Earnshaw responsible for updating the information on a weekly James Higgins Linda Horgan basis. James J. Keane James Lehane The desired location for the sign is the Barnstable Peter D. Meyer Municipal Airport at the Airport Rotary in Hyannis . Ben Robert H. Murray Jones, the airport manager has already given us Victoria Ogden P g Y Diane M. Petrella permission . to erect the sign. A sketch of the sign Sallie K. Riggs layout is - enclosed. Rabbi Harold Robinson Dennis S. Sullivan Richard J.Sullivan Thank you. for your consideration of this request . Please G.Richard Weir feel free to call me if you have any questions . Lois R.Andre Executive Director4Sincer4e Executive Director Enclosure _- cc : Ben Jones, Manager Barnstable Municipal Airport r 31�IZrn stable Road • Hyannis; MA 02601Phone: 508-775-4746 Fax: 508-778-9228 Info Line: 800-462-8002 C: BARNSTABIX OUR GOAL - Size 8 by 4 -_ - $177 f 23Q White backbround i00% Black lettering & numerals Black thermometer outline 9 Red fills in thermometer as funds are raised so 70 60 50 40 30 20 0 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 310 143 GEOBASE ID 22712 ADDRESS 310 BARNSTABLE ROAD PHONE HyanniB ZIP - LOT C&1 PLN BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 21688 DESCRIPTION HYANNIS DENTAL ASSOCIATES (2> SQRS_ ) PERMIT TYPE BSIGN TITLE_ SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 , CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE *+ * DARN3PABLE. " MA88. I OWNER BORNSTEIN rr STUART TR ADDRESS . 310 BARNSTABLE RD R E TRUST 297 NORTH STREET BUILDING DIVIS ON i � HYANNIS MA BY '. > /` / -� !L DATE ISSUED 03/13/1997 EXPIRATION DATE --------------- The Town of Barnstakle t no. Department of Health, Safety and Environmental 'ices 3�3 t i Building Division dace b7 367 Main Shu:4 Hyannis MA 02601 fee Application for Sion Permit At b Qh nIJ Applicant: clop, Z�k,2is Assessor's no. :/n- A.0 Doing Business As: AeTf�4sXd cf, 41-elephone Sign Location Z l street/road: Zoning District a-r) e S F Old Kin 's I-Eghway District? Yes n� Property Owner Name: / ,,p . ��7�v�R�..- elephonei-� 1 �h Address: //� CDC Village Sri% Sign Contract p. Name: Telephone / Address: Village !` Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new si_ to 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) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. �; 11 Nate - Signature o Owner/Authorized Agent Size (sq. ft.) Permit Fee Sign.Permit was approved: disapproved: —i/ . - Date Signature of Builder 73 CENTER ST. AW , HYANNIS, MA. ItA 508-775-2501 fax# 508-775-2502 6611 � 11 HYANNIS DIENTAL " AS- - CIATES 33p r GLENN R. HARRIS D.M.D. JACK S. MASSARSKY D.D.S. 11 ° GLENN R, HARRIS D.M.D. HYANNIS DENTAL ASSOCIATES L.L.C. JACK So MASSARSKY DeDoSs IPAUL D.THOMAS D.D.D (PAUL Do THOMAS DoD.D) HYANNIS DENTAL ASSOCIATES L.L.C. GLENN R. HARRIS D.M.D. 2 front signs $300. JACK S. MASSARSKY D.D.S. 2 small front signs $75. fit) S PAUL D. THOMAS D.D.D 4 small signs $60. 1 med. small si&n $25. U 1 window lettering $125. H YA N N I S D E N TA L . total $585. ASSOCIATES L.L.C. �,► ham e.; 'Thank Goa, _ _ Bo6/t�tc�onoa9ti 0 Unified Vft!j of Cape Cod, Inc. Serving the Cape and Islands 310 Barnstable Road Hyannis, MA 02601-2902 April 19, 1996 Mr. Ralph Crossen, Building Inspector Town of Barnstable 367 Main Street - Hyannis, MA 02601 Dear Mr. Crossen; The United Way of Cape Cod is requesting that a 4x8 sign picturing a thermometer of amounts donated to the current campaign be erected at a cnvenient location in the Town of Barnstable . We appreciate support to previous campaigns and hope that permission to give further public support to the many residents helped by United Way' s 26 member agencies will be granted. Thank you for your consideration to this request . If more information is needed, please call Irlene or Sue at 775-4746 . Sincerely, t Lois R. dre Executive Director 3 TELEPHONE:(508)775-4746 • INFO LINE:(508)775-0464 or 1-800-462-8002( /TDD) • FAX:(508)778-9228 L ssessor's Office(1st floor) Map U Parcel 1 3 Permit# conservation Office(4th floor)(8:30-9:30/1:00- 2:00) IRvi6 \ e,C..aS_ Date-Issued /d2 d2(o nJ� / ICANT ,./Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) iPomal"T10 n� ok0 a: 0 O EINUUNg MSIOM I'BIO CONSTRUC170N B TO ngmeenng Dept.(3rd floor) House# ��� a THE • BARNSTABLE. MASS 19 , zew• .� rE0 MPt� ` TOWN OF BARNSTABLE Building Permit Application Project ress 4:�Zo � ,E`i7�'�e L La r Village Owner �% % OE' S'%t°�� Address ,y _,5� �ai✓f Telephone �U� - Permit Request U e4 e-h/ First Floor p?D a 0 square feet , Second Floor Isquare feet Estimated Project Cost $ S�Oo Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial �� Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other f Builder Information Name 0�/e,49z C. D��'�'�S Telephone Number . r Address lee P3612 License# P410 IV Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE r DATE �� - 2 BUILDING PERM DENIED FOR THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED P , MAP/PARCEL NO. ADDRESS i VILLAGE t OWNER DATE OF INSPECTION: ` + FOUNDATION ' FRAME INSULATION P i FIREPLA'C QiE ELECTR 'I' ROUGH FINAL ! a , PLUMBlim! ROUGH FINAL GAS: _ ROUGH FINAL j 1 i FINAL BUKLDG _ x cti ' DATE CLOSED OUT ASSOCIATION PLAN NO. , -71. DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nueber:' "' Expires: a. Restricted To: 00 MICHAEL J ROBERTS 16 HARBOR HILL OR BOURNE, MA 02532 r•` "a G.�re_�vo�wr° "�aa��i _p./�aWeaadEusella f 1 {, WON , N M ti �.a9 Z - _ R HONE IMPROVEMENT CONTRALTO }{' n Reglstratloa 01119 ; Type � INDIYIOUAL ,Expiration x 06/25/96 �C �� err 7i• Michael Roberts >, ichael J Roberts �z , -16 Habor Hill Dr+ ADMINISTRATOR a -. ;r •r k Bourne MA 02532 y° vow 11/02/94 17:02 'C6177277122 DEPT IND ACCID Q001 J� (f01 ina1uuea&z. o/ MaJJac1zttJetb ' �aParfinenl o�.�nda�EriaL,�lcc�nfd 600 V(/aa�ein�rton.�EaE ,lames J.Campbell &61on, ///aseackmi fe 02f f f Commissioner Workers' Compensation Insurance Affidavit ]� STUART BORNSTEIN (Ikentec�permatee) with a principal place of business at: 297 NORTH STREET, HYANNIS, MA 02601. (cnyist&#JzlP) do hereby certify under the pains and penalties of perjury, that: ( I am an employer providing workers' compensation coverage for my employees working on this job. THE TRAVELERS 6N-UB-695G760-1 Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: STUART BORNSTEIN THE TRAVELERS, 6N-U_B-695G760-1 Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this 20th day of January 19 95 Licensee/Permittee STU N Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # 37395" 4" THE TOWN OF BARNSTABLE 1 BAAX*"LE, i Office of the Building Inspector MAO 00 t63 a M Date ........J.ui.i.e....1.0......19.86....... Fee ........... ......................... Permit No. ...2..2.1....................... PERMIT TO ERECT SIGN IS HEREBY GRANTED TO ..........lbagh...Findlay 11.. .........................................................;...................................................................................... D/B/A ............................Olde Cape Cod Insurance Agency ................................................................................................................................................................ LOCATION ................310 Barnstable Road ........................................................................................................................................................... Hyannis ..................................................lo.................................................... ...................................................................................................... ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT ----------------------------- Building Inspect TOWN OF ' BARNSTABLE •� i BUILDING DEPARTMENT TOWN OFFICE BUILDING rua '�" Ly ,as¢ ` 1iYANN1S, MASS. 02601 APPLICATION FOR SIGN PERMIT DATE 6-2- 1986 Application is hereby made for a sign permit in accordance with the description and for the purposes hereinafter set torch. This application.is made subject to• all Rules and Regulations of the Town of Barnstable .now in force or that-may hereafter be enacted affecting or regulating thereto and which are hereby agreed to by the undersigned applicant and which shall be deemed a.condition entering into the exercise of this permit. INSTRUCTIONS 1. This application must be filled out completely. 2 A drawing, in duplicate, showing the shape and dimensions of the sign, lettering on same, height, method of securing to building, or if freestanding,.method of erection. Drawing must show sizes of structural supports, and size and deptri of foundation. SIGN LOCATION ; Owner : Hugh Findlay-Olde Gaffe Cod Street- Rd. 310 Barnstable Rd. �Hyatln4 e Insurance Agency RarnGtal,1 p Zoning District Fire District OWNER OF PROPERTY Name Robert Freedman, DDS PC - Address 310 Barnstable Road City Hvannis St. MA zip 02601 Tel No.(617 ) 771-4044" Area Cod-- SIGN CONTRACTOR -- Name Doug Amidon - Amidon & Company, Inc Address 376 Route 130 - P.O. Box 681 City Sandwich St. MA Zip 02563 Tel No.( 617) 888-0565 Area Code Type of Construction Wood Sign Free Standing or Attached Attached DESCRIPTION DIAGRAM OF LOT SHOWING LOCATION OF BUILDINGS AND EXISTING 2161r x 3161r , SIGNS WITH DIMENSIONS LOCATION AND SIZE OF THE NEW SIGN r'Olde 'Cape Cod Insurance TO BE DRAWN ON THE REVERSE SIDE OF THIS APPLICATION. Agency, Inc. " Is there any electrical wiring required for this sign? Yes No NO If "Yes.11 who is the electrical contractor ? FOR OFFICE USE ONLY Area - DATE DATE DATE Permit Fee �, DEPT. ROUTE RECEIVED APPROVED REJECTED INITIALS PLANNING Mail permit to: & ZONING ELECTRICAL INSPECTOR BUILDING / L/C ' INSPECTION y �C hereby certify that I am the owner or that I have the authority of the owner to make application, that the informatio- given is correct and that the use and construction shall conform to all the Rules and Regulations,of!the Town.of..Born which are.imposed on the property. T r 88:8-0,565 Fancy Giese oo Phone • Sig re of sign owner/suthori2ed agent i pC?o bsty sl(l = TO 0A)a aELow �,o -2,4RAl i mzE /Tb COLORS `t�o ISE i ► CapeI a .,ace 7 , Age AMIDON 0 COMPANY INC. WOODCARVERS/SIGN MAKERS 376 RTE. 130 P.O..BOX 681 -- SANDWICH, MA. 02563 (617)888-0565 l f ® " off i i 9 t.. ��QyofTHE.r TOWN OF. BAR.NSTABLE Z BARNSTABLE. i "6 o MAXDUI DING INSPECTOR a� APPLICATION FOR PERMIT TO ....,remodel existing building. TYPE OF CONSTRUCTION ..........!'food, frame rD, 'j,, 1 ' .................................................... April..... ......19.... 70 r.. ................................. ... .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................Barnst. . . ..a. ... ble Rd.. ... Hyannis. .,M.a.ss. . .. . ...... . ...... ..... .......... .... ... . . ......................................................................................... Proposed Use Office. . . ..Buildi. ...ng p ...... . . .. ........... . .......................................................................................................................... Business Hyannis ZoningDistrict ........................................................................Fire District .................................................:............................ Name of Owner RENE L.POYANT TRUST 279 Barnstable Rd. Hyannis,Mass. .....................................................................Address .................................................................................... Name of Builder Leo Gregoire Barnstable Rd. ...........................................................Address .................................................................................... Name of Architect A chard. ... . Galla. ............gher Route 6A Barnstable ...... ........ ........ . ........ ..............Address .................................................................................... i Number of Rooms ...... office concrete ........ . ......................... .....................Foundation .............................................................................. Wood shingles Roofing asphalt Exterior ................................................................................. .................................................................................... Floors car ets sheet rock.......................................................... Heating Hot air 2 men's rooms, 2 ladies' rooms ..........................................................................Plumbing Fireplace no ...................................Approximate Cost $ 9. 000 Difinitive Plan Approved by Planning Board ________________________________19__70 Diagram of Lot and Building with Dimensions See attached plan METHOD OF PROVIDING FOR tTHE PROPOSED ®�o SEWAGE pISPOS SANITARY WATER HERE Y Ai'Pd D AND DRAINAGE'/ TABLE. Ll, RNS C,/ TOWNn OF � .: �a. o L R MNST 051PLIN LICENSED 1NSTg1- SYSTEM. A 4 ANp 1NST.p,LL PERNt1T, hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Rene L. Poyant Trust i DE,,C 11910 F.. 'j,V4o ... g86.. Permit for ....... dd to &........... remodel commercial building k ...................................................... �a.rns R Location ...........................table.............oad........................ .........................Hy,ann §...................................... 6 Owner Rene L! Poyant Trust Type of Construction .........f r me...................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........AV� ..9.................19 70 ; Date of Inspection ....................................19 1970 Date Completed .. ........:. �r.....�. ........ i PERMIT REFUSED b ...................................................... 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ........... 19 ............................................................................... ..................... ......................................................... V .bMNMW(',tr nAa• .,. ..,- '— .-, /A+^'•'AR!'Y'.+"°N.M NWyWp411ypRq �� .1. ,, , 2 , . w LOCO S LOCATION MAP SCALE 1 26 0'64 L 0 T ;r 850 17 , 47" w -- 156.1 40.00 � �I ti T T'AL ARE A � l RES 10t NTIAL. 2. 9043' S.F `- - . L .0 T A .- 0 4s 103 04 �_.:,.: ..... ,, , .•.::- < _. _: —ate..._ - _ y� w 4✓ F 'S f • /X3. BUSINESS .. ° i� 17. f >.. ✓ #"g y� F, OF e I( , L T , ti CLAN R �-, RE N. 0 E - L .C. NCB. O64 IJ . [ 3 .„,.+..�w«*��,K....,,,......,...,..,,.....A-.,.w,.,„...,.,,:.-..,..,,....�,.......,.-.,.,......a.,,.�,..-......�-.,,e...«.«......:,.,w...,..,.....,.,,,..,.,a..............«.c:wr.••......,..;.,...,...w,w.,« ..... �,�,.�•.+...ra+. ,a..:.,..,«,b LOCATED TN B . AR ' TABtE H AN MA . �' R EPA R t D .A r DEVE Ft , �L ;Qy-i{� �jt{ /+y c EL ,,•' _. ' ,ate''. 'r , . ,^ , N bur A�W�` . ,.. �^. �»w.w.�,.:+F- -+w�,;n> M A U R V`f'Y i N' - ,.......,.»....ww.� .w. ry w' +.m✓e..«. W.r.......,..m,.........,.�...__... _....._ ._...1. __ P T .• * l "t