Loading...
HomeMy WebLinkAbout0102 MAIN STREET (HYANNIS) C� ery - GROUP•"INCORPORATED } Match 2, 2005 Mr.Thomas Perry .Building Commissioner,:,., 'Town of Barnstable' .. Town Office Building 200'Main'Streef Hyannis, MA 02601 Re: Demolition Permit#719.98 102 Main Street,.Hyannis, Dear Torn: . In response to our in ui with regard to the destination of construction demolition p y q ry g materials. from tfie above referenced site I would like to update your file for'fuiure reference. We-have subcontracted the demolition.:of the house and garage,at 161Main Street,and a portion of the house to,be removed at 110 Main Street to Crowell Construction;'Inc:,P:O Box 309,.S. Dennis,MA who:in%turn;is transporting the'debris Iby•their truck to S&J Exco, Inc:;'2p0-Great Western Road, South,Denni&,,MA: I spoke to Carolyn at S`&J's office ioday'and she verified that the'frsi truckload had just-arrived-at her facility. She represented that S &Fs facility is aDEP licensed large,solid waste,handling facility;(C&: ; D Transfer Station); DEP Transmittal Number WO`1:7375. _ Keith the foreman.of Crowell Construction, Inc. indicated that some subsequent`loads of debris might also be"sent.to Resource;Recovery of Cape Cod, Inc.,,295 Service Road, E.` Sandwich,-MA: Miscellaneous construction•debris handled by,our own personnel will be placed in a dumpster and.sent via Atlantic N rth or Mitchell.Industries-to one of the above facilities or' another licensed facility that theVrriay routinely use. .,_,'Please let me know.if you have any further questions m regard to:this matter. V ly yours, 'Roland B. Catignani , •President. . • ConSery Group, Inc Home Office: ,Hedges Pond Crossing, 2277 State Rd'., Suite H • Plymouth; MA 02360 Mailing Address;-P.O. Box 278- Sagainore.B,each, MA,02562 " Phone`.508.888.6-555 Fax: 508.888.6566' ; oFti�tqr, Hyannis Main Street Waterfront i ','�i^rI Clc")'� BMWST,,MZ : Historic District Commission BARNST"� 'a q 230 South Street ArFD N4P�p Hyannis, Massachusetts 02601 21-03 MAY 30 S2 Phone: 508-862-4665 /Fax: 508-862-4725 CERTIFICATE FOR DEMOLITION OR REMOVAL Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure or part thereof, under M.G.L. Chapter 40C, The Historic Districts Act, for proposed work as described below and on plans, drawings or photographs accompanying this application. TYPE OR PRINT LEGIBLY DATE 4-15-0 ADDRESS OR PROPOSED WORK='102 Main Street: ASSESSORS MAP NO. 327 OWNER William G. Johnston MD & Evangelos Geraniotis MD ASSESSORS LOT NO. 194 HOMEADDRESS_c/o Evangelos Geraniotis MD, PO Box 1091 TEL. NO._(508)' 771-9550 Orleans, MA 02653 NAMES AND ADDRESSES OF ABUTTING OWNERS; Include names of adjacent property owners across any public street or way. (Attach additional sheet, if necessary). AGENT OR CONTRACTOR ConSery Group, Inc. TEL. NO. (508) 888-6555 ADDRESS PO Box 278, Sagamore Beach, MA 02562 DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of building must accompany application. (Attach additional sheet, if necessary). Demolition and removal of existing residence building.iRelobabion 6ff—site of existing two—car garage. This 44ot will then be added to 110 Main Street in order to complete an addition, renovation and preservati of the existing medicalT'+-' 1?:",,; office building and rear barn structure. - 7 t✓j G�T Note: If approval is granted for relocation, a separate Certificate of Appropruateness is required/for new location if within the Hyannis Main Street Waterfront Historic District. SIGNED Owner-C ntractor- Space below line for Committee use. Received by H.D.C. The Certificat is he eby Date L Date Time By A C"Ak L Approved IMPORTANT: If Certificate is approved, approval is subject to th6 20 day appeal period provided in the Ordinance. Disapproved El oFc►�roil, - - ,� Hyannis Main Street Waterfront 'Oi�i, ,] C; EF-i'k, BAMSrABM Historic District CommissionHASS 230 South Street AIFD"`"`A Hyannis, Massachusetts 02601 703 11AYd 09; 52 Phone: 508-862-4665 /Fax: 508-862-4725 CERTIFICATE FOR DEMOLITION OR REMOVAL Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure or part thereof, under M.G.L. Chapter 40C,The Historic Districts Act,for proposed work as described below and on plans, drawings or photographs accompanying this application. TYPE OR PRINT LEGIBLY DATE 4-15-03 ADDRESS OR PROPOSED WORK 102 Main Street ASSESSORS MAP NO. 327 OWNER William G. Johnston MD & Evangelos Geraniotis MD ASSESSORS LOT NO. 194 HOME ADDRESS c/o Evaneelos Geraniotis MD. PO Box 1091 TEL. NO. (508) 771-9550 Orleans, MA 02653 NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across any public street or way. (Attach additional sheet, if necessary). AGENT OR CONTRACTOR ConSery Group, Inc. TEL. NO. (508) 888-6555 ADDRESS PO Box 278, Sagamore Beach, MA 02562 DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of building must accompany application. (Attach additional sheet, if necessary). Demolition and removal of existing residence building.lRelobat-lon off—site of existing two—car garage. This lot will then be added to 110 Main Street in order to complete an addition, renovation and preservation of the existing medical1y+-:':1f'':''Jj.. office building and rear barn structure. Note: If approval is granted for relocation, a separate Certificate of Appropriateness is required for new location if within the Hyannis Main Street Waterfront Historic District. SIGNED �) Owner-C ntractor-A .Space below line for Committee use. Received by H.D.C. The Certificat is he eby Date L Date Time By � � Qft c Approved IMPORTANT: If Certificate is approved, approval is subject to th6 20 day appeal period provided in the Ordinance. Disapproved - �, Hyannis Main Street Waterfront Historic District 0 ,,, �E MASS. p Commission Tv�,�J Cr L_RK 1639. � 230 South Street BARNSTABI T IA�S. prfD"u'�a Hyannis, Massachusetts 02601 Phone: 508-862-4665 /Fax- 508-862-472&13 MAY 30 Ate 9- 52 CERTIFICATE FOR DEMOLITION OR REMOVAL Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure or part thereof, under M.G.L. Chapter 40C,The Historic Districts Act, for proposed work as described below and on plans, drawings or photographs accompanying this application. TYPE OR PRINT LEGIBLY DATE 4-1 -0 ADDRESS OR PROPOSED WORK- 102 Main Street ASSESSORS MAP NO. 327 OWNER William G. Johnston MD & Evangelos Geraniotis MD ASSESSORS LOT NO. 194 HOME ADDRESS c/o Evangelos Geraniotis MD, PO Box 1091 TEL. NO. (508) 771-9550 Orleans, MA 02653 NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across any public street or way. (Attach additional sheet, if necessary). AGENT OR CONTRACTOR ConSery Group, Inc. TEL. NO. (508) 888-6555 ADDRESS PO Box 278, Sagamore Beach, MA 02562 DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of building must accompany application. (Attach additional sheet, if necessary). Demolition and removal of existing residence building.I.Re-lobat,ion 6ff-site of existing two-car garage. This ,1.ot will then be added to 110 Main Street in order to complete an addition, renovation and preservation od the existing medicall,i::':.i.: : office building and rear barn structure. Note: If approval is granted for relocation, a separate Certificate of Appropriateness is required for new location if within the Hyannis Main Street Waterfront Historic District. SIGNED(�� �) Space below line for Committee use. Owner-C ntractor-A -Received by H.D.C. The Certificat is hereby Date _ D ate Time By t C f Approved �` pp ❑ IMPORTANT: If Certificate is approved, approval is subject to th�daypeal period provided in the Ordinance. Disapproved ❑ a _a'.r .,�.,Y use 'iZ 3 e+ss '1 6J .'�• p ''>•s+rya.,,# 9> ' 4 1}h' �}``Yfe�'9R}C- t -,' r#s `S «C to ! _ e 7 C,rYM r A sa ro 4 6±�} y �.f.t#•• x Y, t' r § w A- qmm� ./imk*` '1 2ND $c INI�L, ETLY\f YLY(LltO ' y a mmmmmm=�H. Fs :t 5 � , E PA lux3'273 � ,. GC $AS D 95 3s t t '74 -# ty 1s: M L 'p '� 3 -#4.3 ( T s!>( aF ;tif�3,��NiFx AD3JfWWS F10} HATN THE 4 H1'A1 Nr h # s 1 t �Ty� ,,ATh .i•? q '•� "� 9 '! f x .`s}�-c "�zsi' a"� mi SO* fty.L&L, 3 6 6 f h' fiy TrX Rag S * r ,� Y -�dr<2' L f ��y3'�� } s,.t»,,-. g k•r$ j r .,.,s ur. a 3 t � � a >�`''{ x„ ' z � + •�� k3r >Psr•,,, tmF $ �$ �£`� `4 i ( r�. :. kitdN�{iiiiyy Fi - A:° 0 }s!,rp -vc; § s' - �jx's.,RS«� � �' .k. `� IN9•>~ � �. M ��' �{rc ��4�r��•r� �z� a'ce;z� � � } �i`!'.�"�•�°. it x" R"�ra���� ro �}'.� ;�a;% t .�. � .h(Y � �•�{�t: �Y �,,� � Mrs� � � � # ��< �: -� �� , :� .�,`>* . ,_q�De� art�me #g�t:�of � � � :y ii C 5{ u�;{���•j� � e��Vy� 47�x rz 7'S-_n-,�> s� �}�±s,'�u � t ,* P i_'"}�. y. .'�S'�'�,. {�{�.';'rr� '#' �t'k`�.. $�,C' :z i�4.- n i4'.._ �4'+1+ i�` �..t rT� #��o- �� •�, ��i � ,s �,�, T�. � ���� �. � �� �:, Re` .t�atorfiySer-�ices�� :j.:5�`.. '4 1` S ���� s��z � -` f{ 1� f�•. � x£ , iy,�,�(`1 �� l� 1 Ec�' 'k .�, O100 f tskz�:,.t R'`J 4 1 iW C�r p sj-+Y 2PX� '� �• �' R#' r ,Q _ �irrr•• ';:k��';�C! f .sr ,�� � # 3' �>s,r'sts .� #�t t�{3 � 7§€, �'a 'k may_ d .$ a -ti,`'s ; } e$ •: .i i -r.�} ;:c >'. -.f3'• r MAIN t� -�� t i,`;*� ,..� '��R^F ��r�i= �C.�+'�: a� �i.���`.,'.a y �f'�- ��-- `'�„e �'�`�s�• {'3._ �3."' ffi - BEY`- d ,rye,,° G� � �`' i#E r: 'Ji-�y�+ �- zr 3 'E a-` ��'.�� � ��: ( ���� e ,� D '�,L� V;�`' �f 'i1 �.� ��lJ1Y}E � ;�a•���;t � �®����#��.�� � f� 1 �' '.� _ s R. to,r < .m� i'� ¢'-.�� d' � s� ash;r c-��3 >=Y,,, r r� � p-�u _ f, ' raj$±��i'� •r � }11�>�tx7�:€ `eL i .,.°>aF' t;SN�'S ,g. �+:ri r y '��" � 1�'•" * }{E•I"f y k '{fiat 'r j" .x '��� s�`$�r€•><" $ .-. �.w�-• y E_ -�'� F-� �-r' y F a•4�" I'll , �..t Q' �r. •,.'r $'' ON ffpr.' h e b'a2IN' i }�1,.N r i e-�»�•,1 S:&Ni,. ;{ 5''' 'it v RF Flys ' , Ha.N.:t• 4 hj 7.♦.. lift 'i?;>' :K c J'` -`` s (� t 1 w � :• . 'kk tp ,�{Y §.' S' e M1'�G$. x ^4,F,t,� �r' ,✓7. t 4*,, `.S ,q..1.taY a : C�•. 1 f9.R �»d:. .Ts� ,+� :u `, y<.% _ «; >. �+•s c[-A '�s I:h B.,n r ayi4:z,53 s ,r., :r- wyr j' �».;. 1 5,�.� t$ y_,, e£,F > ^ i ,4I wr dye.. 'y ,, F •,a.. . rF >;�r5�u'£/4 j`���°!`.K-.,rt� vM- - f 4 { ��ti 5..�� � � ��d' � � :��n 2 "''jYNv �tY.q- t �' l;✓{�" F:�` f'..A' f ;J/rr$���.ysy��T ,. ���'. s `xT r:i•�'� �A°5s '�:�e,„�r '�;'2+t. a '�-,4 �k,- �� �f5 '�t'� t �',d � ��� .LriL�,�r { - t � L3 3 ,�'d-,'�S''. 3�t�� ��s' 3:H., y;R y^� tf � ��" -.Yy ISM". y1 .E'f. t l.;l,'J.«!©47Y A1121r.Ld(• tom'' a- +' s ,< e a a S'y�p L tl1},z Y4- r� hA. t F '. "r � 5x.�k6G' A� g ::>fs � f. :3 f �s d''� R%:i SaR'k.Y.�.' ° �y 'y a v2 d �y"�4 k�fi '..S 5 M� T � C �is .�'�w�o-•{�t 4� ' �•��� :i�TH �� .'- � i� ra� t�i �f �• 5 7 ''s4�a'a�, 5' � ;� ,� h �? s��n:�� �,.: 1 .kt���'•"_� _S.a{,g`a'v : � t � epartnatof � ;= ,z y W t Y ,. � � 3 �11 �� � F t >F� fRe, laktory� er�ices ��- :_. �r. t,� N*���..K ay�r'�-�Y ��"� H'•d': r� � t'# �� 1.z 2z � '�� �t �s ; �tG�:.;err' °. h ';. } �sr d .t ra•`�'a,� .0` ��'.' ,� �i.� ;�i�'� ,r .�:V� 8��x,lw-� '"rf % t �"�f+ n#��e,t'v5'yt� . S'��: j� ° # 4'y�, [ t � +rru.a a�i... m,F •5r �:'� s �' C�' 1 fr, � ➢':t:. ak.,'�'yk s%; s � At k(��r r ,'� �.r��y ��� .*�`�'� ttf ,s �e� � `+��y' 1 �''� + s'�w a Y,S-py� '�•� s ���'.` �� � E��.s`�.., � },� t� .. s x ty 1` h, b,"yt�, �y �r'' 'F .a• " ,5 -€o f `rfl '`'FFjj� t y° f' Rim I t;'- 'a - J Ali �' + � _ `:s r �� �` a :�r `s� � .s 8 "•�-its �� � �r �? ���,a x �' ? � �� ; h} h arg '*:, s it,�dr.;., �,� "� -�„ r. r�' 4n r§' say:i ]r k:: 't,'.. f� �s. �P..� �= ,,€l�hr,�'r� g,�.�F,:u. �•( 3� «. ��'�.y � zt £r k �4 h`� STTti 1 e. p r7 WE" �"s:H�' �. ,� �• BJ.B fa Zy��SI - '€'Yr r ` Y.. ":}.- 1eu,;:-ri'..X X'�^17'>3 ,,., [ y rump; �a i fir: 31, d .. s�T'`_: 4-y t f.. ; 'S5 s: r ;t''F,i ''^, h {�C� #..';... ®r e GROUP. INCORPORATED September.13,.2004 . Mr. Tom Perry, Building,Commissioner Town of Barnstable RegulatoryServic 's;Building Division Town Office Building -2.00 Main Street'. . Hyannis, MA 02601 ;Re: Issued Building Permits for 102,& 110'1Vlain St., Hyannis Dear,Tom, I am writing to ask for one additional extension to Demolition Permit (#7199.8) for'l02 Main Street and the Building Perrnit#71992)for V1I0`Main:Street.These permits issued 'approximately a year-ago,justbefore.the deep cold set,in. The 110 Main St. perm it is for an expansion of Urology Associates of Cape,Cod and the house at 102 Main is slated for demolition to make room for new parking to accommodate the upgrade at 1.10 The.lateness of the season made it^diffrcult.to break ground last year before.frost. As a result, the,Owners asked us to reschedule the'start for spring 2004.,_'When the start date came;numerous,legal and financial issues'prevented the.doctors from;allowing us,to ' ' . move ahead: These seemed to,have'resolved themselves'for the most part. Wewould L appreciate 6-month extensions to.the perrnits•referenced above. Copies are enclosed for c yourreview.Please call me if you have;any questions.Thank you'for your attention in this matter. Very truly yours, - ' Roy Catrgnanr;Pi sid nt tl G ConSery Group,Inc., Cc Dr. William Johnston n Home Office: Hedges Pond Crossing, 2277.State.Rd., Suite H •`Plymouth, MA 02360 Mailing Ad'dre'ss:-P.O: Box'278 • Sagam.ore`Beach,`MA 02562 Phone: 508.888.6555 Fax: 508.888.6566 TOWED OF BARNSTABLE j PERMIT EXTENSION GRANTED -- EXPIRES 10/02/200 i PARCEL ID 327 194 GEOBASE ID 24296 -� ADDRESS 102 MAIN STREET (HYANNIS PHONE HYANNIS ZIP _ LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 71998 DESCRIPTION DEMOEXIST. RES. & GARAGE FOR UROLOGY PARE PERMIT TYPE BDEMO TITLE DEMOLITION PERMIT CONTRACTORS: ROLAND B CATIGNANI Department of ARCHITECTS: PERMIT EXTENSION GRANTED Regulatory Services TOTAL FEES: $100.00 BOND CONSTRUCTION COSTS $5,000.00 i 645 SFH DETACHED DEMOLITION 1 PRIVATE 0 _.._ * BARNSrABLE, • MASS. 039. ED M� i BUILDrG ISION BY I.' DATE ISSUED 10/02/2003 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 OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INWLATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL arsons contracting with unregistered contractors do not have access to the guaranty fund i (as set Earth in MGL c.142 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION, NOTED ABOVE. TION. TOWN OF BARNSTABLE PERMIT EXTENSION GRANTED - EXPIRES 10/02/2004 PARCEL ID 327 193 GEOBASR ID 24295 ADDRESS 110 RAIN STREET (HYANNIS PHONE HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 71992 -DESCRIPTION ADD& ALT- EXSITING MEDICAL OFFICE PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONV CONTRACTORS: ROLAND B CATIGNANI Department of ARCHITECTS: PERMIT EXTENSION GRANTED Regulatory Services TOTAL FEES: $2,412.50 BOND $.00 CONSTRUCTION COSTS $375,000.00 437 NONRES./NONHSKP ADD/CONY I PRIVATE. . 0- STABM 039. BUILDIPW,1.DI/VISION BY DATE ISSUED 10/02/2003 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 OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU_ ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. I I x.-I b N Mm BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3. 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL Persons contracting With unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A) WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. oS:er GROUP, INCORPORATED : March 1.6, 2004 Mr.`Tom Perry, Building Commissioner. Town of Barnstable ,Regulatory-Services, Building Division Town Office Building .200 Main Street Hyannis,MA 02601 . `- Re:'Issu•ed Permits for 102 &4 i 0 Main St.jlyannis Dear'Tom; I am writing�to;ask for an extension to Demolition Permit (#71998)'for 402 Main Street and the'.Building Permit(#71992) for 116 Main-Street: These permits,issued justbefore the:deep;cold set:in this.past.autumn: The 1.1 0 Main St..permit is for an expansion of Urology Asso'., s of Cape:Cod and the house:at 1.021V1ain is slated for demolition to make"room for new parking to`accommodate the upgrade.at 110. The lateness of the-season made;it difficult.to.break ground before frost. As a result, the Owners asked us to reschedule:the start for 2004. We would'appreciate 6-month' extensions to 'the-permits referenced above. Copies are.,enclosed for your review. Please call nie if you haye,any. questions.Thank you for your attention in this matter. - Very trulyyours, • RoyCatignani,.Pre dent' ConServ.Group, Inc _ Cc:-Dr. William Johnston Dr. Evangelos.Geraniotis Dr. Robert Hartnett Horne Off ice:.;,Hedges Pond Crossing, 2277 State Rd., Suite:H •.Pl:yrnouth,•MA 02360 Mailing Address: P.O. Box 278.•Sagamore Beach, MA 02562 �,Phonb: 508.888.6555,•, Fax: 508.8.88..65.66 f LDI G P IT ` f g PP 194 G I t�33 102 MAIN STREET (rTM . li YA� I ZIP ` ems. r S OM ,Yll LOT SIZE ,e�fa.w DIST D DESCRIVION DEMORK IST. RES.Q TITLE P IT F PEW IT TYPE BDWO aNT a ROLAND B iliATIGNPI Dep rt�nent of.- ARCHITECTS: laeulat ry`Services E ?V s YY TOTAL FEES: e Q CONSTRU - I DUTACHED D LITVON 1 PRIVATE645 mugs r BYYLD�7,G' �ISI,f71Y r`. r2003 EXPIRATION DAM, DATE ISSUED i4 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 LOCATIONALLEY GRADES AS WELL AS DEPTH AND A E OBTAINED PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SO BD V SION RESTRICTIIONS.BLIC WORKS.THE ISSUANCE OF THIS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. w so BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 1 HEATING INSPECTION APPROVALS 3 ENGINEERING DEPARTMENT (BOARD OF HEALTH 2 SITE PLAN REVIEW APPROVAL OTHER: ONS Sp ONS NDICATED N THIS WORK SHALL NOT PROCEED UNTIL STflUCT®N WORK®S NOT STARTED WITHIN SIX FIN D CAME NUL L AND VOID IF C IN BE IARRANGDFOR BY THE INSPECTOR HAS APCA- VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS PHONE OR WRITTEN NOTIFI a�nTcn ep/2VF. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Ja Parcel ` �� ��� Permit# Health Division Date Issued A-1 O,? r*-,conservation Division .�. r ! ® r �' Application Fee Tax Collector bl?�z k-- �ri c�(6J'��er Permit Fee o Treasurer ('7 ��.L �' � a?)y-1} 'SI0R - Planning Dept. Date Definitive Plan Approved b Planning Board Historic-OKH 0� - b P 9�Azservation/Hyannis Project Street Address 10 a� /f/�QI ,/ Village Owner Address 6rwlians , pd OW-10F/,oacc t, Telephone' (rSc 77/-17zb Permit Request _D9M67_4sH- &-xt,97W4 :551,06W- C,6- 4 45*-e446" • �� T MBA nrA)AX rage_ Square feet: 1 st floor: existing 11 D� proposed_ 2nd floor: existing 7&* proposed _ Total r�ew ,s,4 Zoning District CA10 Flood Plain Groundwater Overlay W10 Project Valuation Construction Type Sri Lot Size • Z 6- A Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. f Dwelling Type: Single Family Q"' Two Family O Multi-Family(#units) Ar,J $ 1tLS(ae c L Age of Existing Structure Historic House: 0 Yes 0 No On Old King's Highway: (9'<es ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes G o Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 0 No Detached garage:t(existing ❑new size Pool:0 existing 0 new size Barn:0 existing ❑new size Attached garage:❑existing ❑new -size Shed:❑existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No If yes,site plan review# Current Use 'S rJGt r;5;_ N ti '40-11 ft-ir Proposed Use r�o1 St °rrFz f. c� BUILDER INFORMATION Name Telephone Number � �� Address `P 0 &5X 278 License# &S aDSi57 5k64yv� ZgIkC4, k A D a.Slz Home Improvement Contractor# Worker's Compensation# k)6 6 7 Y-.r, 1 �3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO AT?A- n e, nJ J� SIGNATUR DATE 9�!�)6- i 1 FOR OFFICIAL USE ONLY PERMIT NO. '•�: _ '\ r tee* —• •. DATE ISSUED r y MAP/PARCEL NO. ADDRESS ^ VILLAGE OWNER . , • ' �r DATE OF INSPECTION. r" ` FOUNDATION FRAME r _ s INSULATION Sr FIREPLACE �! {, ELECTRICAL: ROUGH FINAL"'• T t S i PLUMBING: ROUGH FINAL- GAS: ROUGH • FINAL FINAL BUILDING ' -- c-- DATE CLOSED OUT ? �V ASSOCIATION PLAN NO. ',AIV:a� ,ram�` ..� �� -i'✓..: j .. . � I ._ 09-22-03 12:48 From-NSTAR VOICE OPERATIONS 6174243939 T-214 P-02/O2 F-004 NAR One NSTAR Way.Westwood,Massamµk-mus 02090-9230 EL�G TRlC GAS September 22,2003 Dear Customer: This letter will serve as confirmation that the electric service at 102 ,Main Street, Barnstable was removed. Based on this information,there is no electric power to this building and you may proceed-with the demolition. If you have any questions,please contact me at(888)633-3797. .Sincerely, ci<� - -- -- -------dicky-Cho- -—- —-------- ----- -- - Customer Service Clerk SEP-22-2003 10:46 BARNSTABLE WATER COMPANY 508 790 1313 P.02i02 Barnstable Water Company Old Yarmouth Road P. P.O. Box 326 Hyannis, MA 02601-0326 ASMSIOlA0.Y Or CONM1nCnarr WAin Sravcr.,two.,��+^r Office:508.778.961.7 Fax:508.790.1313 Customer Service;508.775.0053 September 19, 2003 -Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 RE. Service#2115 102 Main Street,Hyannis Dear Sir: 'lease be advised that the above'water service was shut off and the meter removed on September 19, 2003. The owners have informed us that they intend to demolish the building at that site. Sincerely, - ane Morse, Clerk Barnstable Water Company a TOTAL P.02 ofI)Er Hyannis Main Street Waterfront snaxsresM ► Historic District Commission TOIAIP4i 230 South Street SARNST/-Bi' ri J Hyannis, Massachusetts 02601 Phone: 508-862-4665 /Fax: 508-862-472&T3 P1,,i 30 AN 9- 52 CERTIFICATE FOR DEMOLITION OR REMOVAL Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure or part thereof, under M.G.L. Chapter 40C, The Historic Districts Act,for proposed work as described below and on plans, drawings or photographs accompanying this application. TYPE OR PRINT LEGIBLY DATE 4-1 -0 ADDRESS OR PROPOSED WORK 102 Main Street AS MAP NO. 327 OWNER William G. Johnston MD & Evangelos Geraniotis MD ASSESSORS LOT NO. 194 HOMEADDRESSc/o Evaneelos Geraniotis MD. PO Box 1091 TEL. NO._(508) 771-9550 Orleans, MA 02653 NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across any public street or way. (Attach additional sheet, if necessary). AGENT OR CONTRACTOR ConSery Group, Inc. TEL. NO. (508) 888-6555 ADDRESS PO Box 278, Sagamore Beach, MA 02562 DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snapshots showing all views of building must accompany application. (Attach additional sheet, if necessary). Demolition and removal of existing residence building.iRelobation 6ff-site of existing two-car garage. This J.ot will then be added to 110 Main Street in order to complete an addition, renovation and preservation od the existing medical1­ office building and rear barn structure. Note: If approval is granted for relocation, a separate Certificate of Appropriateness is required for new location if within the Hyannis Main Street Waterfront Historic District. SIGNED �) Owner-C ntractor-A - Space below line for Committee use. Received by H.D.C. The Certificat is he eby Date L Date Time By " C Approved pp ❑ IMPORTANT: If Certificate is approved, approval is subject to th 20 day appeal period provided in the Ordinance. Disapproved 0 _ The Commonwealth of Massachusetts Department of Industrial Accidents office o/%st/gatioos _ t 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insnrance Affidavit name: location: ' city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole I; net and have no one worlds in ca achy %//------ /%%%//%%...... I am an employer roviding workers' compensation for my employees working on this job. ......................................... 'a do any n �::::::::s�`-.:::; :;:; ;::?::i:<:<: :r::: :t::<5:::::2:ti .`•,•.,`.:::.?.'3:s:::{:r5:'•,••:>:�:2::::?::::::::::•`.�#'�;irSr�>:;:j :�::r.•.. .................... .. ....... ........ .............................. rr.v:::.v::::-.n........... nv:.......:::::.... .....-._ n t.::vr•:.•R�.'•..v:•r5: ............... .. .... ...... .... .v..............v::::n:v::::... ........nr.•..v...........;;. v:::::,.;T.:.,}i.,:nv:::.:itiv'vi}:{4:}yv.}v:.}::n:v t•4i ....... : ...r... .........n ....t.........................n..:.v:.v::•.vn•.v::•:.•.r.......;..... r.5'4:;v;:n.. t....r.v..:r.:::. ...........v...... ... Sole ...... .. ..v...................r............ ,w::.v::::..t, r. ..:::.... .;tiY•tS,ttr .y... ......x.n:..t•........ ..... .. ..;r...:... ...................r. :.:..:•?::;•:::••n•.:...., ,......::.:{}:45T}:{4:4::.....,...............\.........::::....... :.....r...:..........v. I i:Y::�::::YY•;i::iii:�ii:�i;::::.:::y:::::::::::{...::::::: .. i ..:..}..:. ....:..........:................. 9bsusairce;c0•:>>,..'.:::.::5,'�!. ::;:<; <.'.::::..:...:�>:<>} �:::: ��✓ ..��•,.;:.::::.:::::..::::::.::::::: b. lifi�:#....... .....-�............:..:.....:.... ..... ////i ....... .........:.:.::::,:...:::. V117117111711711711117111171111711117111117111711117111711171❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the followink worers' co ensation polices; nG ��yyyT� ..........fr...........................................:•::•:::::n•:.v::::::::::r:L:{?.}:::::::t:.:.:..v....t;.v....::nw:::..........:-::.:v...t}v{.}T:tiffs}};.\nv.}:.x;.}5}:n.:ix<ni:� ':'i':'{::tiff?::YY:�:i.4:vii:<vi:YY4:•ji:�ti:ii:ti: :;:}}• :4}:i:v::v:i}}}i:}:45:•:�;4:4:v:?:ii}TS}:v::::::•}:•::v}T:?ti4i:v::.T'•}:4}:4.v vT+:4::v:::::'titi4}::}:5!.ii++5:'•:T}.:'{{•;..::{!}'ti:::} ....................r::::::.v.v::::::.:.v::.v::.�:n•.v.5v:: :.�::.v:.J'.v:.:..?c:;•Jr:}:.::.:}:4.;:•:5::•::J555}::<::.•:.;r:._n:•:: :r.,.::::::.v:.v::::v:::.v::.v::::nv.v:.::::n•::::::::::.hti.Y;}??:;}5}T:::::}:.�.:::::::<! ................ ..... :.::::nv::n. ............. :.{•.};nv:;:::n:v::::::::nw::n:w::::::.:vi}:4:j4::i;}:;:,\v:vi•.�ihi�i:iii iiYvi{Y>:!:ir55 ...................:•...:...................................................:..................................... ..............n.........................................................................n.......v•:::•ii'rv,{.v:.v:w:•::•:::•:::::v::n}}: mm ' ` j{>'s':<'y`' �' ` � '' V>'%`'% <:; <?`: '`:` ::''};`: :: :::;'::: :;; .::5;::'•:r::; s::k:::a:: :2::::::::{::v::.;::..:Y>.':::::::?:::;::::':?::::::::::::>`:::::::::�:Y;::.:5.5:?:>::':<.::�:{:;�:5:`::::;:}'P.M.-paine ...............�::.�:::.:..::<.:.;:}.:T:•:::.�...:>:::.}:�•J:•T:}:a}};}.:}�:::::::::.:::n:•::::::::.v.}:+T}5:-}:-5}:•:4J:4}5:i:;•}:>:•JS+:•T}::::.::}::.:.,.::.v::-:::i•}:.>:•}.J:.TT:.:;Y<:<:., ... ..... .................. ................ ... .,. .. .................... ..... .. n....vw:::v.:v,}..r..,::.:::•.•...:. v.::::•;•Y:ii+:{::�:ti' r.•v:•:env::r. ':{:YT:?':ii:vSisY:isYY:ii'iiFY4:?i{i:+vii:?:?•}:?Y{?v+}}:4:4J:t;}:{.;i4 in{r. ��i:;,:i4:ti4}:-:ti:$55'??{n}'ti4:{-:•T}}YY:}}i:r:}:4:•}5}::::•:v .................. ,:v..... ,.......t:::t::J•::t:ti?.v::�::::::r:•r: ...........:...::....:.. .. .....:...........v......................... ....:::>:•.w:::::v:::.:......•{455}:4: :•YYi::Jiro:}.}:;•iJ:r•J}:vv:4:•.{{d:vti�ii:Yi.}:Y<'vi�tTT:4:4+i}:�?T}}:4T:^-•�::;?n}:t•:{:};.}:+:•:r4ik T-?'Jiff}5;. ... .............v....+......... ......................rv.... .. ..........t.................................................. .......v}v..:r.}:•}::{:::.v:•}}:4:4i:<•:•}:4}}::45rY;ii;Y:i?•}:?v:^::::i.• ;.... µ:y.. ..:.:. .r......•:}•v:r:r•vr•:^.v:v::.v:n:v:..n•..:....... :.....v.w:�::•.};n:.}}}v::.;..:.;.. .........ehti,it I{i;M.,tt?h-\+}..,r...�.....,!._.{....:::?:..:::v:::::•:r:•:::v,.,nv.v::.}::;:v:nv{::?.:�S::v:{-.}t�:.}:ny:.:•::.::•.::...:... ..:.:...yam]j�,��O�yuu .... .......::r;}:•}:{?v'•.::v::nv.:.... ... ............. .::::.:....... ........................:.:.v.....Y.vi:ii:Y>YYT:{i.`:i'r:'iRti'.'T ................. ............... ...r....,............ r.:v::::::::v w::::::,'::4J}:;w:::::.v:.n:v.;v.}::•• ..'.�?Yk;nr:vnv.:n+.:.:.v.}.?J.:}:•:4tii:Y•'f-.,.._.;..••:,f:4.;:.•m•.ti;5,.:}}i::.yT'; ......r.....:........:.......,.n..n.......... .. n..............{........... .:':.::?v.v:-.v.:..........., ,.......,. r..:.. {.v.:....4:::�}:�Mn`•:;.ri�•' <vv•.-. ........ .... ...:...n.r. ................... ................ r..:n•.:vnv:•}:OS:::r:::T:.v::+.::.-::.:r:�w::.:v:T:n:::..::::r r.:r....:.....t .v'4.t..vnJvv..v. w:i ............. ................ ..........:..::::.v::.r........t..........v.::::•.w.:�::Y•iii:5::::.:v::::::................5::ti•::::::.v::w::; ,:.....,..t,•. '•... .r...rr.... r.......}..........n..... ............,.........}.. .n....n.....Y.............. ............. {..,{..ti:.w:.,.•'}-+w:•:S:.v::::'•::•::T::•: i:y;. '•ii<4. nvn?v::r.v:•}J:;ry:v....•::•.v::T::.....r::.•:::r::w:::•• n..... ::::::.}'::::n.•:....v:::.::........nw:.......;.......nv:5:::.......:::::.;:.}J5+'•iTT}:•}::::::::{4:?};}:: n:??j:};5,;: .nv::+.wn.v...... ............ .. n.•}vv::::::•+:•:{4}:•i>YTi::i:i;;i• '}i:t; .. ................v:^:r...n..••r.v?+.4'•}:4}}5:'}::iSi}::i: :ntt.::...viJ:i}}:{•::}:3}:tin}}:?4:::inti4::;:, V:.i•:{n:{Y lily" ..�:.....,. •.:4.v: ;{4:{•}:?{•}i:•}:;4;4}SSCii}:}:iiiii}}.'•::n'-:•::::nv:::•::?:.:{{{:;{{•:4:::..Yvi::i:Y:i 1i:ii}:::::::}S:{iv:ii:YY:iii:j:Y:i:v?•.5..:.}..vv:t:vn•::::::T:::::v:•..::5}}:4'v+'•it:v YT:;}i:v:J-?:�?•}}}i:{:{^:•Si:'r'i}}i:;i::}iii:;:�i•5:{4:::4:iv:4'4:>..:{?:4+'•5:•5:•i:•Si:: }:^:?::;v':"{j4'!r:; ..... .......:•:.v:.....n..........:...........T:n.t......... .... ...........:.....v........ ..... ....:.n...........:..w;nn..r r.:......n.v;}.v.v::::,{.....::•:r:n•:n{w.v:.:::.:::n::;w;:::•.ttv:v;rrv4:•:{:4K:•:4;.viw:. , ...nv.....y::........................n.n•.v:•.t..............n:..n.v..........v....... ::: nr....:n.........:. +..:•n:{.r. .,...:...................... ......\........ ....rr........... ... .................. ................................................:•.n•.�::•:w.�::::::.::..••:vJ.v........,n.t•.w:\;nn.}:r.v:::: , v..}r..,r...... +:�::{ •:+.iiv'�:Yv': ...r........nr.............•.v:.r..rft..... ...............:•.v:•.....t.........r........v...........•r w:.v:.w:.v........t.v............v.:•.:......... ....,.:...v.:..:....+.... •Y.•::{••5i}}:vn•:?•:{::T4?{{?•::.v....,..;.}5::Y}J: ,iv, ..{.....::n•::::.v:•......t T....,.......... ..a::•. : rtT,.Ct. �4:�. •r.:v::::::•:::.�:::::r.::.•r.�.t•.4r.?-.,.v. .r... +•t•...•...-. .r... ....... :r::::::::::.:::•:n•::::::• :..:::•.:v:.:t::{;r.;.,...t•:r::::::};.,;...-••:+:n•:::••: w.,1b:+o-:>n ....... ....... ..... ... -.x:...r:n{•::::::::•:LY.{?JT}:4:J:::::i5i:{Yv`':ii?:{;v::.. v.v ...:..4............:r:........ ...v.n.,,.,...... :•:w: .............. ..n.5...v.... ..n...........v. .,.:..rv:n.:.v:.v:.-r..,.......:.: :Jj?4.ivnv::r x:r::hv.:5}:}r.�{S�+t•!:::5:};+%:5'}::•5•:`�.•::::::...t....:-4':••-nw: :::•:•....................:::•:}:::rvr:......t..n...t.....::::}:::::: ttv::::$:n:::n............v::v::nvn. n:•:::.v.:::::.::....:.... .. ......v.......................r.r.., .........::ii:v:::::v.v{:::n•.v::::•}5:•}:?4'{Y-:•}........:•:•:::::w::::::::•:.. .. ... hsteran¢e:�a::.}:;.}!:4•.;•::.;:.;::.<:.�?;:.:;.;;};:.T:.;Y{{.:::::.:.:,,,::.:-.:::..::.:::::r::.......:....,. .... 8 eP :...................:..:::.::::}.;4::::;.}:.:. :.::::::.::.:.:.::::.::::::::::::::.:::....:.::.;:::.: .... :...................r......... .:..................................... ::::::. xo :.:.....:WY:r:•i}:4:::........}'• i.v}5}}::::.}:::.}•.;t.!::::n:...:::{iT:iT:Y•r!:}i:i:}•nv.v::::.v:t:v{:Y::S}:?T}:{{•}:it i..::::: :.:m:r; ........ ..y:4•:•::: :iii:• :•'t•-. ...........:.....:....:.v:.:.......•v,., .... .. ....,.;.... .:i•}v:vi:J:• :i;Y:;;}:::}4!•}v:.}:iiiii}55:::?•}}:•T'::?v::}i4:•-,:}}}' ....:......::. ' ei:'Sr}:;:,;:•>'??•}:?i<:?Y?•»:•>�:???•}:•::;•:•:•::-;;•}!a:4•}?4:oT:•::::•:}}}Sx}:•::}::•::.?•;?.}.}::i; ....-.:ii-:::a:d}.o::,.,}}:;:•:.:.:;;:ti{:?}.}}?;:.H:::::n.n:::?.:env.{.::.v.?;-::-::•:::}...:.:.}}}:::::t....:..n......:..::.ti:}:::'::?:::: •{'?>�>iii:';!$}:::YSY%Y y�ii ii:�i;•vi';. ::i:'{:'?�i:?i�:i?:L�$:i:4'�'t4.'v :•:tiff it•....A\..................... •w:::::. '::•i:•;:':Y{4:•ii:�Tr::;::':.}::is?:}}:??iv:•}::•}}}T:<'t i::ii::i;w::::::::w:{Y:...:..,:•. .. :........:. r.. .. ..4r;•�S:Y:<ii�:}t;i;xi4.4}:},•::.,:.;.,..••:::•:::.vn:•r::• :.v:.vn:v v .....{...n......... i.•5�i4:Kwn.:.vv:i.v:?4:•}5:4:{{v:t:ni4:L+::::4J:•JS:....:.:{ti4::Y�ii!:C{Y}}^};:YY{:;n}T:{F•}ri:t}}.5•?t:::4�F+.:...:...:.:. v..,4::••v:•J:•JT};...........: ?::i\y:':::::$::Y;i::i!:C•'ii:iii:i:�:>i: .i:V•:::"'::y };j:�: iiii:;}i-:::r:::$::s�::i:•:i:4::Gi}::i'J>}:}i'}:{::::`iti4'}tiY:i:ij?.iii{:? }}iiii}:::ii'i:}iiii:>:::iii:•}}i iii}}: :tit{:i;:{i?-Y+�}:+i:�}{%4::�ii1:'r .;:•.•:..-:::!:•:{•SY4:•}}:?::.y:i:;T:i'i:•}}. ...{.:::�v::::::::::::.::::.... Vnty:f,•::'....... .. ....... .... .... ............ ......... ........................... .::v::;•......... ..:.........r. nv:;::.}•}� :...::::.:•+.•:?•y:..tiff}'pv T:'}:i^:i;:;}:{:tiviii:•i;Y:}:•iiY i55t: '':1v'n,iii:;i:•:•:Y;i%iii ii:.:::....:.v...............v...v iiii:�:nv v i::i i:}4irir Yintr<Sy v: 55:+.•:?:::;;.y:::.}}}}i:•;}}:;;.;}'.......:........n. .:pnv.:...;:.....:::............. ....: .. .... .::i•.v,v,•.:v::x:{x::v:•.v. .:. :...nvn•:nv::::.'.•:ti;:}•::::}::::.S:v':}w:TSpy....:.:r:...v.vn...::::.vnv::...:::::t•:::n..n•:n• ......:.::•.:......... •T:4:ww::.:•:: .... :::::::::•:::.v::::::::nv::::?•5:•i}}:;::::::n,..v:::::ti•T}is;•}}+:•T:}.•:•}:4:4:?h:::;{...n .......... ..: ......:::::::::::.:v:.:...:{:.}::.4:?{•}}:i•}5}:b::v:•}:{<•:?...::::.{.nw::::::::.w::::::........n:w::.vn-:::n........\w:::nv::::..:}::;;ii:}iY.. ......n....... ......n... .............n.......................... ......: .:••::•• vv:::rJ:::•}:•.in+'v:4:::.-:...,v::::.:,•tiff:{•}5}:?:.vn;{.Jv::.}i:?•:J::'r"::•.... ..........nn...... ...+............:........ ..v n.n.........,..n.....v..n. ...........{...........;;. ..... ........:.........}:.•.•.•.::r:::•::•:•}'4:•T+}:::::.•.•::T}:•}•:-;{•:ti:v:•+:i•}:vv..v:. v.:. ••.v}:t4:i;T:;ST:??;:' .........n....•vn{•v.,.......+r.....+....+...r.r.:{x:h..........................:........................n.r....:.........,...-:v v:r:•..x:::.v:: �.v:::............ ..r.+...i...t.....:.vv:::^::::::.vvn.k.n.....O•.:•v: .:nv.. •:vv::::n•..........;:.•:•:::::::::•r.:{:?:ni..;{.y.v....:w:vnv.............. � :#:!{:+'Fv}T:::iT::i}:•:?is�:.:is5}}:•.•:•:v::i}i}:?•}T:v.:.!?^•.}::::.:,:....;......:v:..v.::.:. runrance:ca:4.T:•:?..:.:n!:::?<:{.:.::;...::i;.:;::::!;:;•:i!;;YY::;:}:Y.:.>:.i:<::::::<::::<:;::�:::>i:::Y::<Y::<::Y::�-::::>:<.:?.}}:;;::.}ii::::}5:-:ti.::.::.:<.:.:;.:::.:.:;:iY.:; gaflute to seeme coverage as required under Section Z5A of MGL 152 can iead to the imposition of criminal penalties of a Sue up to S1,500.00 and/or one years'tinprisoummi as wen as civo penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against mc� I understand that it copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification I do hereby c under the pains p allies of perjury thj3g4he information provided above it trim.and correct r Sigaatune Print name ' ��-,4s,1`� (.A-fL Gi s./r�►�•�i 1 t�5 Phone# 65 w R R 8 'G sss official use only do not write in this area to be completed by city or town official city or town: peradt/ficense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; _ ❑Other, (jmwd 9195 PUa ei Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer: 5 MGL chapter 152 section 25 also states that every state or local licensing agencyrshall withhold the issuance or renewal of a license or peiznit'to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with ltl e�insurance coverage-required: Additionally;neither the commonwealth nor any of it! political subdivisions shall enter..into any contract for the performance:of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants %3 Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and company names,address and phone supplying e numbers along with a certificate of insurance as all affidavits may be cidents for confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Ac date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is dents. Should you have any questions regarding the"law"or if you being requested, not the Department of Industrial Acci are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of 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 pennitillcense number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. %/ -�/////%/%�//%/////// �O//////���0�/O���O///////O////� /�/�/��0��������%//00���//�����������///ice%% east's address,telephone and fax number: The Departm The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 �t rw,ti Town of Barnstable Regulatory Services �'�'�`'Mass.14 ' Thomas F.Geller,Director �p�EDNia'i►�e� 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 I, VAH6Et,01 6En Atir--T-6 , as Owner of the subject property hereby authorize C0•J JM✓ t C-- to act on my behalr Dew o t-vrio;.1 in all matters relative to work authorized by this biagg permit application for: (Address of Job) afore o ner Date Print Name Q:FORMS:OWNERPERMISSION h►. , ;. wit No.: a�7 TOWN OF BARNSTABLE DEPARTMENT OF PUBLIC WORKS ' SEWER PE Connection: Modification: Disconnect: Repair: Assessors Map No. -3 0��12 7)) WATER SUPPLIER: Assessors Parcel No p t q `t SEWER ACCOUNT NO.: Street: I O�2(- (�At� SEWER ACCOUNT NO.: �— Village: 14 PERMIT FEE: $ . CWAZ�--- Septic Abandonment Permit (1)Residential Bldg=$420.00 (each addt'l.bldg on same service=$200.00) Obtained From Health Department: (1)Commrc'I.Bldg.=$875.00 (each addt'l.bldg.on same service=$200.00) Connections requiring installation of a pump,add$300.00 to base charge. Abandonment Permit Not Required: PROJECT CONTACTS PROPERTY OWNER (Mailing Address SEWER INSTALLER Name: (a-vuG ez� G ;I cF(7S Name: Address: P.0 � n - _ V vQT , 014 n109 ( Address: a—k 7-7 1�eJ�tU 6(Z�� 1x�S 1 v l Phone: M Phone: . ) o PROJECT DESCRIPTION REGULATORY REQUIREMENTS The installation of all sewer connections must be done in accordance with FACILITY&LAND USE DATA the provisions of Article XXXVI,Town of Barnstable,General By-laws and regulations issued by the Department of Public Works. Before excavating NUMBER OF UNITS METER SIZE FIXTURE NO. within a Town Way the sewer installer must also obtain a Road Opening permit and comply with the Construction Standards and Specifications RESIDENTIAL: outlined therein. At least 48 hours prior to the installation,the applicant must notify the Department of Public Works, Engineering Division for the COMMERCIAL: purpose of inspecting the installation. The Inspector will complete the RESTAURANT: Compliance Sketch locating the installed lines and connection. INDUSTRIAL: By signing the Application, the applicant acknowledges and understands the regulatory requirements and understands that failure to comply with STANDARD INDUSTRIAL CLASSIFICATION NO.: them shall be grounds for revocation of the Sewer Connection Permit and the denial of any future application. This sewer connection permit shall be NO.OF BUILDINGS: NO.OF BEDROOMS: valid for 180 calendar days from the date of D.P.W. approval indicated below. The required notice must be given and the installation SIZE OF PARCEL: ACRES: commenced before the end of that period. Otherwise, the permit shall become invalid. When that occurs,a new permit must be applied for and ESTIMATED DAILY SEWAGE: GALLONS a new fee paid. PIPING: LENGTH DIAMETER Detailed engineering drawings must be submitted with each commercial EXPECTED INSTALLATION DATE: permit application and be approved prior to acceptance of this permit. SIGNATURE(INSTALLER. DATE SIGNATURE(DPW APPROVAL DATE THIS PERMIT EXPIRES ON: FORM Sewer Conn.Form(REVISED 02/03) s'.' �Yr r '� /� ��� � p l �� ' J� _ \ . ► � �` ,. , \� �� ��, ' � � � � � \ ,� .. �- .. ._ '.� ..� � .. _......d vim.-�ti.,�. ..%�•_ �>R�.�, -SEP-29-2003 MON 10: 15 AM KEYSPAN ENERGY DELIVERY FAX N0, 17818904898 P. 01 KeySIM Energy Delivery EI';;;f,+y LD 201 Riverinoor Street Wes[Ruxbury,Massacnuselts 02132 Tel 617 723-5512 Septernbcr 29, 2003 Robert Mac0ratti Re: 102 Main Strcet Ilyannis, MA To Whom It May Concern, This letter is to confirm that there are no.underground natural gas facilities to the above referenced property. This was confirmed by our representative on September 29, 2003. 1 can be reached directly at 508-760-7502 should there be any further questions. Sincerely, Johanne Ouellette Field Coordinator Distribution Department