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0055 IYANNOUGH ROAD/RTE 28 (3)
i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. , � ParceOD5 Application # d Health Division Date Issued Conservation Division _ ' Application Fee Planning Dept. Permit Fee J S� Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation/Hyannis Project Street Address �� Two 0 �d Village Owner 0101, I (vd fKKS Address 55 & Ar,0 L � "l, �7�> Telephone 5��'743�'���31hC` ®Sirhmld Permit Request ker2)kA fi&As tb &6 .c 5A6M P,0J_, 441 )1 em- �l i'►C cm, bAilll�_ "NUAtI&IS d4 /VW b aA P-mo pee- Square feet: 1 st floor: existing M propose4163 2nd floor: existing proposed Total new C� Zoning District Flood Plain I, Groundwater Overlay _ Project Valuation ttT7 Construction Type �b3� 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) Nur 'er of Baths: Full: existing new Half: existing new 3 Number of Bedrooms: existing _new Tonal Room Count (not including baths): existing J-1 new 1 _First Floor Room Count Heat Type and Fuel: l(Gas ❑ Oil ❑ Electric ❑ Other Central Air: kYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No /2(etached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ eng ❑ * sg_ ached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: � Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ' Commercial Yes ❑ No If yes, site plan review # h'' j .Current Use_ .. — — . - _- ---T- Proposed-Use._. APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ep o e T' I h n Number r e Address 1 Box ?x, License # WS Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q � SIGNATURE ' DATE t t FOR OFFICIAL USE ONLY F APPLICATION# s DATE„ISSUED z:,-<,aa ; :r MAP L PARCEL—NO.. } r '> ADDRESS VILLAGE r OWNER DATE OF INSPECTION: _ �FOUNDATIOND-" s FRAME INSULATION;-. FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL ,GAS: ::. .ROUGH,,, FINAL -FINAL BUILDING I� DATE CLOSED OUT ASSOCIATION PLAN NO. t P-LEr Town- of BarnEtable Regalatory Ser-Ces kLLM Thomas F: Geiler, Director BLiildir g DI'PX510Ii Thomas Perry, CBO, Building Commissioner O P 200 Main Street, $yanai ,1YIA.0260I' Ci . x�'w.Eo�n.b arnsta b l e.ma.tis . 'Officcc 508=862-4038 Fax: 508-790-623C PLAN REW Owner-.D Oy M 1 U kr::Xa �'"� Map(Parcel: Projcct Address WSJ Y�+KFf Oy Cam{ B uildcz' The fodlowi)ag item' s were noted on reviewing_ e ' `M G f� p u>f-r14 c ti S E c 'f7 fl N 7 c-tr a-` l ` I Regiewed by: Dater ( . omraonwealth ofMassachuselts _ Department ofln&wftial..accidents O,f Ce of fn-pad atioas -600 ffrashinkton Street BostarT,MA 02111 wwH.mass govAfta Workers' Compensation how-gn:ce Affidavit: Budders/Contractars/Elecfricians/Phrmbers AvWicant Information Please Print Le Effilv Name(Business/ 'Address: City/State/Zip: �► N��iad c� �i� ���` Phone.# � 7 Are you an employer? Check the appropriate bo= 1.� I am a employer with � 4. [] I ana general contractor and I 'Type of project(required):: employees(full and/or part time).*. have hired fe sub=contractors b ❑New construction . 2.❑ I an a'sole proprietor or partner- listed on the'attached sheet 7. f]Remodeling, ship and have no employees These sub-contraaton have g• Demolition working for me iir my capacity. employees and have worlmrs' [No workers' camp.insurance comp.insurance.$ 9: ❑BBiIding addition required_] S. El We are a corparation and its 10.0 Electrical repairs or additions' '3.❑ I am a homeowner doing all-work officers have exercised their IL.Q Plumbing repairs or additions myself:[No workers' comp. rt of exemption per MGL msoraace rcgm=d.j t c. 152, §1(4), and we have no IZ.❑Roof repairs employees. [No workers' 13.❑ Offer comp,Insurance required.) *Any applicant fiat checks box#1 mnst also SIl outf c section below showing their workers'compensation policy in:hmation. t Homeowner;who submit this affidavit indieafng they are doing aU work and than h=outside conta ctohs must subiait a new of davitmdicafing such �(— n cton that check this box must attached am additinnal sheet showing the name of fhe sub-oontractars and state wbod=or not those entities have emploYees• If the sub-conftactrs bave employees,&oy mustprovide their worksrs'comp.policy number. I am an employer that is providing workers'concpensat on insurance for my employees. Below is the policy and job site informadott,Insurance Ccmpany Name 1� Umt Policy#or Self ins.Lic.# Expiration Date: Job Site Address: Griy/State/Zip: Attach a copy of the workers' compensation policy declaration page'(shovring the policy;Umber and expiration date). Fafl=.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of MiminaI penalties of a. ne fi up to$1,500.00 and/or one-year m5msomnmr; as weIl as'civil pmahms in the farm of a STOP VTORK ORDER and a fine of vp to$250.00 a day against the violator. Be advised that a copy of this stutenmit may be forwarded to the Office of Investigations-of the DIA for insurance covers a.verification Ida hereby fy er d penalties of perjury that the informadox prauided above is true and correct Phone [0ther only. Do mat write in this area fo be completed by city or•town official I PermitUcense�ority(cir••c1e one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspectorson: Phone#: Client#:40595 2NORTHBAY AS ACORD,ti CERTIFICATE OF LIABILITY INSURANCE " THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO 01/30/2012 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,t7(TEND OR ALTER THE COVERAGE AFFORDED TE HOLDER.THIS _ BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING i�Ng�ED BY THE POLICIES REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER RER(S),AUTHORIZED IMPORTANT:ff the certificate holder an ADDITIONAL INSURED the li res must De s the terms and conditions of the policy, ) endorsed.If SUBRO%w%l gum I*WAIVED, to po �►,certain policies may require an endorsement A statement on ffiis certificate does not confer certificate hoiden in lieu of such endorsement(s). rights to the PRODUCER Dowling&O`Neil NAME BONE 508 775-1620 Insurance Agency No:W87781218 9731yannough Rd., PO Box 1990 Hyannis,MA 02601WSURER(S)AffORDINGCOWERAGE Nmciv INsuRED WSURERA:National Grange Mudrat iTrsuranc Joseph Butler INSURER a:Travelers Insurance Company DBA Northbay Associates INSURERC: P.O.Box 1197 IMSURERD: South Yarmouth,MA 026" INSURER E: COVERAGES INSURIER F: CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR O NAMED ABOVE FOR THE POUCYPERIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THERESPECT TO CH THIS EXCLUSIONS AND COIdI)TTIOPi$ OF SUCH POLICIES. IlMITtS SHOWN MAY HAVE BEEN � HEREINIS SUB.IEGT TO ALL THE TERMS CLAIMS, !TR TYPE OFU�lRANCE POLICY NUMBER �� �t�YE)0� A �0m MPF7496Y uerns X COMMERCIAL G8 3M Uelea M 1/25/2012 01/25J201 &ZH OCCURRENCE $1000 000 CLAIMSMADE C7x OCCUR $W8 000 HEED E P(any one pMu„) $10 000 PERSONAL a AM INJURY $1,000 000 GENERALGE LAGGREGATEuuIrAPPUESt t AGG TE $2,0�,000 POLICY PRa El LOC PRODUCTS-COMPYOPAGG $2,000 000 AUTOMOBILE LIABILITY $ ANY AUTO SINGI E LIMIT ALL OWNED SCHEDULED BOMyKIURY(P4wPenzn) Y AUTOS AUTOS HIRED AUTOS NON-OWNED BODILY INJURY(Per $ AUTOS PROPERTY DAMAGE g , UMBRELLA LIAR OCCUR $ EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ DED RETEfdTEON4 AGGREGATE $ BAND WORKERSCOMPERSATION EMPLOYERS LIABILITY Yin IEU53996X81212 RS2012 125f201 X WCSTATU- OTH- 3 OFFICEWINR P p((A a N!A EL EACH ACCIDENT r(Madatory in NH) SJ00 00a If yw,descrbe OFunder O DESPTI g (ro DESCRION OF OPERATIONS below E.L.DISEASE-EA E-L-o66-SE-POUCYLIMIT s�0;000''s DESCRIPTION OF OPERATONS I LOCATIONS!VE1BU Insurance coverage is limited in q ES(pttaelr ACORD 101,Attd Reaazkg terns,conditions,exclusions,other limitations and d endorsements. Nothing contained in the certificate of insurance shall be deemed to have allereck coverage provided by the Policy Wovistons. waived,or extended the CERTIFICATE HOLDERCAN CFI 1 A jTQN Town of Barnstable SHOULD ANY OF THE ABOVE DESCItlBW POLICIES .BE CANCELLED 200 Main Street THE ExPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISION& AUTHORIZED REPRESENTATIVE ACORD 25 2010/ @ 1988 MO ACORD CORPORATION.All rights reserved. '( 05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S91071IM91070 LS1 Massachusetts Department of Environmental Protection LBureau of Waste Prevention .Air Quality BWP AQ O Decal Number Notification Prior to Construction or Demolition Important A. Applicability When filling out `!r forms on the computer,use only the tab key 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 key. 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 1. a. Is this facility fee exempt-city, town, district, municipal housing authority,owner-occupied Instructions residence of four units or less?❑Yes ✓❑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. Facility Information: Department of FOgO Environmental Protection a.Name notification 55 lyanough Road requirements of b.Address ` 310 CMR 7.09 H annis rMA 02610 c.Citvrrown d.State e.Zip Code (508)534-9793 f.Tele hone Number area code and extension E-mail Address optional 2,163 1 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: y Restaurant I. Is the facility a residential facility? ❑ Yes ❑✓ No _o m. If yes, how many units? Number of Units _0 3. Facility Owner. =N D'Olimpio Realty trust o a.Name �0 55lyanough Road b.Address annis Ma H 02610 �(D C.Ci !Town d.State e.Zip Code �o (508)737-5853 f.Telephone Number area code and extension .E-mail Address o tional Elizabeth hurley �Q h.Onsite Manager Name ag06.doc•10102 BWP AQ O6'-Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality Decal Number BWP AQ 06 Notification Prior to Construction or Demolition General �B. General Project Description cont. Statement If � p � ) ' asbestos is found during a 4. General Contractor. Construction or Demolition NOrthbay operation,all a.Name responsible parties must comply with IP O Box 306 310 CMR 7.00, b.Address and Chapter east harwich ma 02645 Chapterer 21 E of the General Laws of c.Ci /Town d.State e.Zip Code the Commonwealth. (508)760-4949 This would include, f.Tele hone Number area code and extension .E-mail Address o tional " but would not be limited to,filing an Joseph Butler asbestos removal h.On-site Manager Name notification with the Department and/or a notice of releaseofa of release of a C. General Construction or Demolition Description ' hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. Northbay a.Name P O Box 306 b.Address east harwich ma 02645 c.City/Town d.State e.'Zip Code (508)760-4949 f.Telephone Number area code and extension) "ress(optional) Joseph butler h.On-site Manager Name 2. On-Site Supervisor. Joseph butler On-Site Supervisor Name 3. Is the entire facility to be demolished? ❑ Yes_ No �0 4. Describe the area(s)to be demolished: �o Storage area with cooler N a. ' h -O -0 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: � new storage area with new bathrooms and cooler. 0 - �o �d �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention .Air Quality BWP AQ 06 Decal Number Notification Prior to Construction or Demolition LF�J 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? b.Survevor Name c.Division of Occupational Safety Certification Number 05/01/2012 06/15/2012 7. Construction or Demolition: a.Start Date(mmldd/yyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving❑ wetting shrouding b. If other, please specify: ❑ ❑✓ covering ❑ other 9. For.Emergency Demolition Operations,who is the DEP official who evaluated the emergency? F77- a.Name of DEP Official b.Title c.Date mm/dd of Authorization d.DEP Waiver Number D. Certification c') I certify that I have examined the lJoseph Butler -o above and that to the best of my a.Print Name -o knowledge it is true and complete. The signature below subjects the b.Authorized Signature �N signer to the general statutes Contractor =o regarding a false and misleading c.Positioni I Me 10 statement(s). INorthbayl D'Olimpio d.Representing �(0 e.Date(mm/dd/yyyy) �o -Q ag06.doc•10/02 BWP AQ 06•Page 3 of 3 �VE Town of Barnstable Regulatory Services • wetvsrnsta. • 9 Mnss Thomas F.Geiler,Director 6 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 , www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner.Must Complete and Sign This Section If Using A Builder I, Y► )al 1 j , as Owner of the subject l property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building permit. ago� � (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all ins p ctions are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS REScheck Software Version 4.4.2 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments:. Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.410 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk, asketed weatherstri ed or otherwise sealed with an it barrier 9 9 � pp a ba ier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier: Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Project Title: 55 Rte 28 Addition � Report date: 04/09/12 Data filename: Untitled.rck Page 2 of 4 Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Fi Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: ❑ Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). ❑ Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: ❑ Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. ❑ Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Project Title: 55 Rte 28 Addition Report date: 04/09/12 Data filename: Untitled.rck Page 3 of 4 ❑ Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and—40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: 0 Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement V). Certificate: ❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) . 6 Project Title: 55 Rte 28 Addition _ Report date: 04/09/12 Data filename: Untitled.rck Page 4 of 4 . 2009 IECC Energy Efficiency Certificate Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.33 Door 0.41 NA Heating System: Cooling System: Water Heater: Name: Date: Comments: > 'VEEWCOKnucR 3 DBA TOM T1Y _� i� SOUTH Y ,.— �? umdnnnlduy -Dcllartmcnt of Public Safct% Board of Building Rcsaiations and Standards won Supervisor License License: CS 71488 JOSEPH A BUTt ER PO LOX 30ti _ E K4RWK:K NIA 02"S Expiration_ 524=3. Tr= I m6 BIKE Sign TOWN OF BARNSTABLE Permit " * BARNSTABLE. ' MASS. ��iejFO p� Permit Number: Application Ref 201200182 20070700 Issue Date: 01/17/12 Applicant: DOLIMPIO, VINCENT P SR TR Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ -50.00 Location 55 IYANNOUGH ROAD/RTE 28 Map Parcel 343005 Town HYANNIS t , Zoning District MS _ Contractor PROPERTY OWNER Remarks 16 SQ FT WALL SIGN FOR STUDIO W HAIR SALON W STUDIO HAIR SALON Owner: DOLIMPIO, VINCENT P SR TR i <. Address: 75 POWDER HILL RD BARNSTABLE, MA 02630 Issued By: PC . POST THIS CARI) SO THAT IS YTSTB�E FROM THE S ET _ VU-a,-,D oFETq,,, Town' of Barnstable ------ " .�ti Regulatory.Services d � snaivM= 9 ass $ Thomas F. Geiler, Director rFo�u►+'' Buifding Division Tom Perry; Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 g Fax: �508 77�'J0:623 b Permit# k y Building Official approving , Application for Sign Permit ' Applieaiit_V f V 1pt N in/K!" 10 A 6E; Assessors No. 3'1 3© 0 57- DouhgBusiness As: S/VPi 0 W Ph° )IL S)4/0N 'Telephone No. 33/-19 Sign Location StreeVRoad: �N T1 /1','� Q 2.(00 Zoning District Old Kings Highway? Yes , Hyannis Historic District? Ye4o o Property Owners 5o g Name: V 1 CQ\)T bo j 01 h/j Teleplhoile:.7 Address: .733 POW,9 Pill Village: Sign Contractor. Name: I A L)I ,l' o - �/ / Telephone: S0 a o nn 7�p(C Mailing Address: 7 WA FOO: A V f"t'41VAI/r 44 A Description Please follow the.cover directions. You must have ui accurate rendition of sign with dimensions acid location. Is the sigh to be electrified? Yes (Note:II'yes, a wui»g permit is required) . Width of building.face 2 , I1 ft. x 10= x.10=_ Check one Reface existing signz or New Total Sq. Ft of proposed sign (s) II'you ha ve additioji d Sib-7js please attach a sheet Ils6iff earl) ogle wrt11 dirnelJsiolJs If refacing an existing sign please provide a picture of the existing Sign with dimensions. I hereby certify that I am the owner or that I have die authority of tic owner to make this application, that die information is correct and dial the use and construction slhall conform to die provisions of §240-59 through §2/1-0-89 of die Town of Banis 11c�=/oning Ord•hahhce. Signature of Owner/Authorized Agent: V"t- f Date oFT"ErGyti Town of Barnstable Regulatory Services 9a MASS i639. g Thomas.F. Geiler,Director �Jo �0 Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: .508-790-6230 SIGN PERMIT REpUIltEMENTS i 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building— For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1)' The type of proposed sign (wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it,to the sign and to the building. ' Minimum scale 1"= P. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. . 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. 96" T , r . � Q�e�R � e�Q�,e � e pQ�R , i MlrYe' i�uud�pga ,- Ate.. �� mWoomb" wY Imarim •., - .4 elYJlrDI .rsv'aequiiY...::�� —4.'' Y0 �V - r��iY11iY�pt y�j` `,•'.. Musa, .+wyry; Par..s;gaY - .:b — ,,..i6aMrn d yr .cu'Yi- i'Ylh.•' is ;;� ,W AM 14 - r �£ YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years)..A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, NIA 02601 (Town Hall) II�I! b31R ?iaY E�sr - DATE: 0 Fill in please: APPLICANT'S YOUR NAME/S: &VIOAG V l I✓I,f n_, SS YOUR.HOME ADDRESS: 400'S S}" 4- 3 999999���••••••pp' ' pp '> ELEPHONE-# Home elephone Number - NAME OF CORPORATION: VI` ' ' S 2 qp - NAME OF NEW BUSINESS " ' SA-L,,OPJ TYPE OF BUSINESS '- Siq 110 N S I THIS A HOME OCCUPATION? P N . YES O �^� ADDRESS OF BUSINESS l� lYl H4 OJ MAP/PARCEL NUMBER J?'f.5 00 _(Assessing) , When'-starting a new business there are several things you must do in order to be in compliance with the rules and regulations of thie Town of ' Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST QUO TO 200 Main St. (corner of Yarmouth. Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in.this town. 1:. BUILDING COM 510 ER'S OFFIC This individ al has n4mfo m of ny ermit req irements that pertain to this type of business. ut orized Sign • e* COMMENTS: b 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual.has been informed of the licensing requirements thatpertain to this type of business. Authorized Signature** . COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on'this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 151 Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get I the Business Certificate that is required by law. -2,a fq DATE: VOtm a - Fill in please: ;. ` 11 r _w, oY APPLICANT'S . YOUR NAME: BUSINESS YOUR HOME ADDRESS: be TELEPHONE # Home Telephone Number: .. .3 D NAME OF NEWBUSINESS i. TYPE OF BUSINESS IS THIS HOME OCCUPATION? YES NO. " Have you=been given appr vaI fr the building division? YES NO ADDRESS OF B'USINES /UN0 G - :M MAP/PARCEL NUMBER �- When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is, intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner.of- Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING B ILDIN CO IS NERI S OFFICE This indivi ual has en 'nf d n~y Permit requirements that Pertain.to this type of.businessf A thorized Sig ture** ' 'COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY This individual has n,mfor d of the li n e ui ments that pertain to this type of business. Aut orized Sig ature** COMMENTS: r2.✓I �C C,cJ lTvl� ! `S� L��L --� YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU-MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the-necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,;1" Fl., 367 Main St., Hyannis, MA 02601(Town.Hall) and get the Business Certificate that is required by law. �ry ��"�: u�� - ,� 'DATE J��--/y Fill in please: APPLICANT'S YOUR NAME:. � ter` BUSINESS YOUR HOME ADDRESS: IU T ��T� /✓6t//5 /Y7Lj c��2�O I TELEPHONE # Home Telephone Number: C 3 O , NAME OF NEW BUSINESS TYPE OF BUSINESS _C)P IS THIS A HOME.OCCUPATION? YES NO y Have you been given appr val fro the building division? YES NO ADDRESS OF:BUSINfS NN..O G — M MAP/PARCEL NUMBER J v� I When starting a new,business there are several things you must do in order to be in compliance with the-rules and regulations of the Town of Barnstable. This form is.intended to assist you in obtaining the information you may need.; . You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses'required to legally operate your business in this town. . 1. BUILDING,(T IS NER'S OFFICE This indivi ual f1as en.,nfyGried f ny permit requirements that pertain to this type of business: " y1 A thorized Sig ture** j `COMMENTS: 2. BOARD OF HEALTH This individualha5 been informed of the permit requirements that pertain to this type of business' Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY This individual has ,en infor d of the li ,n e ui ments,that pertain to this type of business. . Aut orizedSig ature** � ,,� � •l/,_ COMMENTS: �i✓1d,, z YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: ���%� -1 C7 Fill in please: tM ®" APPLICANT'S YOUR NAME/S: Sl d X one' k� l �j' s 3 � � xrt� • _ U NESS YOUR HOME ADDRESS: � IZA A n�E� C(Y� .. �,�' rn�0��6 ' +i t''a` a TELEPHONE # Home Telephone Number. - NAME OF CORPORATION: Se- NAME OF NEW BUSINESS '� Gr !ii. TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO . ADDRESS OF BUSINESS --� I Q (;a 0 MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO.TO 2®0 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SIO R'S OFFICE This individua has e i fof`Pne an p mit equirements that pertain to this type of business. uthorized�ignature COMMENTS: ' -. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: - 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual ha infor f tfie lice i �rirements that pertain to this type of business. Autho ized nature* COMMENTS: C)