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TOWN OF BARNSTABLE
SIGN PERMIT
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PARCEL ID 310 144 GEOBASE ID 22713
ADDRESS 300 BARNSTABLE ROAD ,y,g 5 PHONE
HYANNIS �' ZIP
LOT .59 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT HY
PERMIT 45997 DESCRIPTION BUCK A BOOK - 31 SQ. FT. f R
PERMIT TYPE BSIGN TITLE SIGN PERMIT
CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: $50.00
BOND `�. $.00 Ox THE
CONSTRUCTION COSTS $_00
753 MISC. NOT CODED ELSEWHERE 1 PRIVATE PF +' "�._ ;
* iARNSTABM
MASS._
1639.��
Bi�ILD > G DI ISI N
DATE ISSUED 05/10/2000 EXPIRATION,,DATE
FtKE rOr'yti The Town of Barnstable
Department of Health, Safety and Environmental Services
wuvsrnsi.e. = ,u Building Division
9� 9 16 .0� 367 Main Street,Hyannis MA 02601
HIED MA'S A
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Tax Collector-
Treasurer 's
Application for Sign Permit
Applicant:
cl •/C Assessors No. 37 df`O 70
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Doing Business As: �� Telephone No. ��
Sign Location
Street/Road: 7. I4 24
Zoning District: Old Kings Highway? Yes/No Hyannis Historic District?
Yes/No
1 "to oulos,- �-obi l�; n Pos, /V
Property Owner �,/ r
Name: �'/� Aft ,r't/�/1 �25"� Telephone: wl 7 �157-
Address: S4/-/ /�G Village:
Sign Contractor
Name: -Telephone: Sa 9 2 30-WY19/
Address: /3S � Village:
Description
Please draw a diagram of lot showing location of buildings and existing signs with
dimensions, location and size of the new sign. This should be drawn on the reverse side of
this application.
Is the sign to be electrified? e's o (Note:If yes, a wiring permit is required)
I hereby certify that I am the owner or that I have the.authority of the owner to make this
application, that the information is correct and that the use and construction shall conform
to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance.
2� Date:
y/Y�
Signature of Owner/Authorized Agent:
Size: • / /S ermit Fee: Sl,v�
Sign Permit was approved: Disapproved:
Signature of Building Offic al: c Date:
Signl.doc
rev.8/31198
BUCK A BOOK - HYANNIS w
800K
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BUCK 1% �o� O❑O(�K — H V V0S
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°FjN r The Town of Barnstable
Department of Health, Safety and Environmental Services
uxivsrnsie . . Bui2ding Division
v 1639. `0� 367 Main� Street,Hyannis MA 02601 prED MA'S a y
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Tax Collector .... 949
Treasurer
Application for Sign Permit
Applicant: �� � Assessors No. a�lFa 7d
Doing Business As: A;'�� Telephone No. S2:>9_5i72_ 0'?6
Sign Location
Street/Road: �r � S Aj 2-ff
Zoning District: /�l'' Old Kings Highway? Yes/No Hyannis Histori District?
Yes/No
Property Owner
Name: Pn�if Telephone:.
Address:, Z0�4 Village:
b x116!'
Sign Contractor
�sns � /�rwrr�w Telephone:
Name:
Address: /�.5" ?,&,1,ft�1 57� Village: `S � '7i Dp3 7S
Description
Please draw a diagram of lot showing location of buildings and existing signs with
dimensions, location and size of the new sign. This should be drawn on the reverse side of
this application.
Is the sign to be electrified? e o (1Vote:If yes, a wiring permit is required)
I hereby certify that I am the owner or that I have the.authority of the owner to make this
application, that the information is correct and that the use and construction shall conform
to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance.
Signature of Owner/Authorized Agent:
t- Date:
rr r�Size: Permit Fee: ��ow
/S � �Y
Sign Permit was approved- Disapproved:
Signature of Building Of ial: -w GJ Date:
Signi.doc
rev.8/31/98
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
n�
Map Parcel , —0 0 Permit#
Health Division Date Issued
Conservation Division Fee
Tax Collector
4J,
Treasurer f��• 0�
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
ZI KC11
Project Street Address 2 O k 6 RJ . rV 2 Q
Village - �l.l A y
Owner i P > w��►`&go ul®s Address
G !7 I-IT9 � ,3 6 /l
Telephone rr19
Permit Request � d o e cff 4 _ 2ooV <ronc
—%wa us. u,�i!]`� 7 d,�-e
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Estimated Project Cost kz700 - Zoning District Flood Plain Groundwater Overlay
Construction Type
tot Size Grandfathered: ❑Yes ' ❑No If yes, attach supporting documentation.
bwelling 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 2. new
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count
r
Heat Type and Fuel: t^Gas ❑Oil ❑ Electric ❑Other
Central Air: 5*?es ❑No Fireplaces: Existing New Existing wood/coal stov
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existin
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded 04#
Commercial YYes ❑No If yes, site plan review# `* gv
Current Use Proposed Use
�LL /BUILDER INFORMATION
Name ���1 j✓ �/J�( Telephone Number 6 17�/f ;7 Z-G
Address 2 Ob 57n--r License#
/c S—T it /1i6 Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUC SULTI OM THIS PROJECT WILL BETAKEN TO
SIGNATURE DATE ``� %'��
r r
FOR OFFICIAL USE ONLY
3
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. f
ADDRESS VILLAGE r
OWNER
DATE OF INSPECTIOA.�: `
FOUNDATION -
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL -
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT4 `
ASSOCIATION PLAN NO.
i
License: CONSTRUCTION SUPERVISORS,
Number. CS 052388I
Birthdate 06/14/1946 E
Eicpires 08/14/2001 Tr.no: 3392
Restricted To: 00 '
FRANK M POLAK" ++
166 MASSAPOAG RDA ! +T-^
TYNGSBORO, MA 01879` Administrator '
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The Commonwealth of Massachusetts
Department of Industrial Accidents
office ot/at�est/gat�oos ,
600 Washington Street
Cti
Boston,Mass 02111
Workers Com ensation Insurance davit
name: 19-4
location: ,v o u124 �1 1-4.0 2
city
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❑ I am a homeowner erfo gall work myself.
❑ I am a sole p rietor an have no one working in ano cavadtv
am an em 1 rovidiag workers' compensation for my employees.worldng.oa.this job.::.::::::.:::....:.::::.;•.:;:.;:.;;:;.>;;;;>::.:.;;:.;:;:;;}::;;;:;:;,,;;
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address:::..:
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insurance cam .. ::.;.:: .:•
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❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
e following workers' co ensation polices:
the mP ::.:..:::...............::::::.::::,......................................................... ..;,:.
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Failure to secure coverage as required under Section 25A of MGL 152 can lead to the impoaithon of criminal penalties of a Sae up to S1,500.00 and/or
one years'imprisonment as well=civil penalties in the form of a stop WORK ORDER and a tine of$100.00 a day against ma I understand that a
copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verincation.
1 do hereby certify the pen ury that the information provided above is tru,and correct
Signaturt: n ` �Dat
{ Phone# I�� 2-------------
G3a
Priest name
official use only do not write in this area to be completed by city or town ofHdai
city or town: permitihhcense# QBuiiding Department
QLicensing Board
❑chuck if immediate response is required ❑Selectmen's Office
77
❑Health Department
contact person: phone#; _ ❑Other.
(revised 9/95 P1A)
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