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Home My WebLink About0206 MAIN STREET (HYANNIS) ZID& M►kav ACTIVE f t 1 } s P { 1 � } CA ,i ti SDM RESTORATIONS AND BUILDING SERVICES, INC � ��' NEW CONSTRUCTION& RENOVATION MOTEL HOTEL RENOVATIONS SIDD!NG ,`• i NDOWS, ROOFING,METAL&RUBBER&SHINGLE, ROOFING COMMERCIAL AND RESIDEN- ,.L STEFANO MOUNAR, LICENSED 508-292-4064 &INSURED CONST.42550-GMAIL.COM H1C 168427 1070 IYANNOUGH RD#316 HYANNIS MA 02601 SDM RESTORATIONS AND BUILDING SERVICES, INC REGISTERED ROOFING PRODUCTS INTERNATIONAL APPLICATOR NEW CONSTRUCTION& RENOVATION MOTEL HOTEL RENOVATIONS SIDING,WINDOWS, ROOFING,METAL &RUBBER&SHINGLE ROOFING COMMERCIAL AND RESIDENTIAL ,. Town of Barnstable t Post This Card So That it is Visible From the Street-Approved Plans.Must'be Retained on Job and this Card Must be Kept Sign PermitUAF" ; - Posted Until Final Inspection Has Been Made. +° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit#: B-19-4243 Applicant Name: Plymouth Sign Approvals Date Issued: 01/07/2020 Current Use: Structure Permit Type: Building-Sign Expiration Date: 07/07/2020 Foundation: Location: 206 MAIN STREET(HYANNIS), HYANNIS _ .. - Map/Lot: 327-163 Zoning District: HVB Sheathing: Owner on Record: J&J QUALITY HOLDINGS LLC Contractor Name: -,Plymouth Sign Framing: 1 Address: 73 WARWICK ROAD Contractor License: Exempt 122 2 NEWTON, MA 02465 `�, Est. Project Cost: $0.00 Chimney: Description: AMERICA'S BEST VALUE INN ONE WALL SIGN'4'X8' Permit Fee: $75.00 Insulation: � -Project Review Req: Fee Paid:` $75.00 C r�' Final: - -- - _-� Date: 1/7/2020 Plumbing/Gas Rough Plumbing: Zoning Enforcement Officer . Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which 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. 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 Final Gas: . work until the completion of the same.. f a Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:, ,- ` Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: . 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 _ 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: � r Town of Barnstable �� Post This Card So That it�s ble From'the Street Approved Plans Must be Retained on Job and this Card Must be Kept �jj� Permit �$ MAS& `�$ Posted Until Final Inspection`Has Been Made Where a Certificate',of Occupancy,is Required,such Buildmgzshall Not be Occapied until a Final Inspection has been niade� uc Permit#: B-19-4244 Applicant Name: Plymouth Sign Approvals Date Issued: 01/07/2020 Current Use: Structure Permit Type: Building-Sign Expiration Date: 07/07/2020 Foundation: Location: 206 MAIN STREET(HYANNIS), HYANNIS Map/Lot: 327-163 Zoning District: HVB Sheathing: Owner on Record: J&J QUALITY HOLDINGS LLC Contractor Name: ' Plymouth Sign Framing: . 1 Address: 73 WARWICK ROAD Contractor License`. Exempt 122 2 NEWTON, MA 02465 Est. Project Cost: $0.00 Chimney: Description: one detached free standing sign for AMERICA`S BEST VALLUE INN & Permit Fee: $75.00 SUITES 4'X8" 32 SQ FT Insulation: „Fee Paid: $75.00 Project Review Req: Date 1/7/2020 Final: Plumbing/Gas R. Rough Plumbing: onlp n orcemen icer This permit shall be deemed abandoned and invalid unless the work authorized.by this permit is commenced within six ndn s a issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the"approved construction documents for whic6%this permit has been granted. All construction,alterations and changes of use of any building and str sha y ucturesll be in compliance with the local zoning b laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or roadeand shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by,the Building and fire Officials are provided on this permit. Electrical Minimum of five Call Inspections Required for All Construction Work:.i 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed e ,k Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i Town of Barnstable �= �OFTHE tpk wilding Department y,,F tio� Brian Florence,CBO ,AMSrM Building Commissioner BARNSTABLE MASS. m;c:.[•�rrt+�._c•tcra•marz �$ 1659. �m'� 200 Main Street, Hyannis, MA 02601 +csa-mr iDrFn tnA�° wivw.town.barnstable.ma.us � Office: 508-862-4038 Fax: 508-790-6230 Sign Permit Application Zoning District Permit # Historic District ❑ Location by bq�(0 �� S�'cr�e¢� �44-i°'VAA'S .i Street address and village - Applicant Map & Parcel3A / Telephone Number 5 mail Sign #1. Sign #2 Wall Wall Freestanding Freestanding ❑ Electrified` ❑ Electrified* ❑ Dimensions Sign #1 Dimensions Sign #2 Square feet � � Square feet � A�• Reface Existing Sign ❑ New/Replace Sign ❑ Width of Building Face ft. X 10 = X .10= *Lighting Type A wiring permit is required if si n is electrified. k\kj\xQvI\(\5 �-Ci l-, E CU n�CA-S'T-VI(! ignature o w prized Agent Mailing address Mike From: Wackrow, Paul <Paul.Wackrow@town.barnstable.ma.us> Sent: Tuesday, November 19, 20191:05 PM To: 'Mike' Subject: RE:206 Main Street HP Mike, This property is located just outside of the historic district, so you would work with Robin for permitting. Thanks, Paul From: Mike [mailto:Plymouthsign@comcast.net] Sent: Tuesday, November 19, 2019 1:00 PM To: Wackrow, Paul Subject: 206 Main Street Hi Paul, Mike from Plymouth Sign Co, I am working with my customer Alan from American's Best Value Inn at 206 Main Street. They are looking to upgrade their sign with new corporate logo for the front&building sign. No square footage or location change on either sign. Do they fall into the Hyannis Main Street Waterfront Historic District or can I just go through Robin for permitting? Thx, mike Celebrating 62 yrs Family Owned & Operated G.Michael Caggiano,Jr President/Owner P.O.Box 134 63 Old Main Street South Yarmouth, Ma. 02664 Ph: 508-398-2721 Fax: 508-760-3130 www.plymouthsign.com CAUTION. his email originated from outside of the Town of Barnstablel Do not click links, open', attachments or reply, unless you recognize the sender's email address and know the content is safei 1 P r. a . #zr Syrs -... ........ O O =D — o 0 UEMM CUSTOMER PERMIT No. DRAWN BY JSP DATE: MATERIALS APPROVED BY LOCATION: P.0./ REVISIONS: ABV_PYLON_SIGN_SKT SCALE This is an orginal unpublished drawing, created by Plymouth Sign Company, Inc.It is submitted for your personal use in connection with the project being planned for by Plymouth Sign Company, Inc.It is not to be shown to anyone outside your organization, nor is it to be used, reproduced, copied or exhibited in any fashion whatsoever.All or arty parts of this design(excepptingregistered trademarks)remain property of Plymouth Sign Company, Inc. Charge for design without permission of Plymouth Sign Company, Inc.is$510 F w Y x a �' .r <:. >.. - ��+.,w 5 I _ r' M,�.�e I.r`�s•rarl�. 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'fk".�'. ^�E..-^- ....::.'-'ti w•w;.s. .viersc 'hass.w,w..r�„ra"�>iR.b�•�. a... r • 63 OLD MAIN ST S_ YARMOUTH, MA_ 02664 i� � �508) 3J8-2�27 C508� �60-3�30 Fa.x =x,�:- s;,-,�� e-marl; plysig'ncam@capecod.net zPERMIT . -ER-AWN BY J y MATERIALS hFiFiNni •••� i • • .......... • • .......i • •. ��•• ��a r a� y 206 MAIN -Illlllil(Iilkill P 92 .- C3 �. o r� m [r h N Certified Mail Fee Win Extra Services&Fees(check box,add tee as appropriate) RElbm Receipt(hardcopy) $ J(.51 r3 ❑Retum Receipt(electronic) $ f Postmark, C3 ❑Certified Mail Restricted Delivery $ I f�^ yG� 1 Here ❑Adult Signature Restricted Delivery$ 1 �/ O Postage �B 0 $ � Total Postage and Fees $ �N Nj�. Sent To ------------------ ----------------- StreetandApt IV�1 --P BoxN- P City State,ZlP+4l�3m GY/ ----------------- ----- Qa�s�" Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see?.retail e A unique identifier for your mailpiece. associate for assistanQq.To receive liduplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of deliveryg p retail associate. (includin the recipient's - i signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the m You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specked ■Insurance coverage is notavaifable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipf is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label;affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. - electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 SEND$,R,,CO ,MPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. S' na re so that we can return the card to you. — ❑Addressee ■ Attach this card to the back of the mailpiece, B• eived. y( f'_ llame)� C.Date of Delivery or on the front if space permits. 1: Article Addressed to: D. Is dejiveil address inliitem 1? ❑Yes If Y S,7. 1ft different' s below: p No 00 b,� tV Zia II i III IIII IN t/ie 13 priority Mail Express@ Signature gIIIIIII I El Adult Signature Delivery D Registeredstered Mail Restricted 9590 9402 3615 7305 6411 93 rfCertified Mail® Delivery ❑Certified Mail Restricted Delivery )H�etum Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service/abe0_ ❑Collect on Delivery Restricted.Delivery ❑Signature ConfirmationTm r ured Mail ❑Signature Confirmation 7 017' 10 o Oo'i0 0 0 :6 7 5'3 i 9 31[3 ured Mail Restricted Delivery Restricted Delivery or$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 4*Rc 'estic Return Receipt USPS TRACKING# First-C,iss.11,aiti_ Postage&Fees Paid v � USPS I Permit No.G-10 9590 94023t5�$ 05 6411 93 I United States •Sender:Please print your name,address,and ZIP+4®in this box;" _ M Postal Service I TOWN OF BARNSTABLE j BUILDING DIVISION 200 MAIN ST HYANNIS, IAA 02601 I 146 T �:" ii Si sa31i3°i i iffi! 1.1 3liii(3144 t.lil ii3 s (., I- I!' ,3�l3 fi R rr�rr . - . ICHELE C'UVI.,.,LO Prim.. Consu.'I in9""Stru`ctural Engineer 123 Cottonwood lane,Centerville, Massachusetts 0263271979• (508)737-8521•mcudilo@comcast.net March 5,2018 Mr. Brian.Florence; Building Commissioner Town of Barnstable 200 Main St. Hyannis, MA 02601 RE: EGRESS INSPECTION American Best Value Inn 206 Main St.,Hyannis,MA Dear Mr. Florence, Please be advised that the above captioned project has been inspected on.February 21,2018 to review egress components. This office has inspected the rails,balconies,and stairs for:structural integrity and safety,and finds them adequate. Please note that the.stairs to the balconies will be rebuilt. A stamped drawing is to follow. I trust that the above addresses your needs at the present time. Should you have any question on the above, please.do not hesitate to call. Sincerely, &OF Iy�s Michele Cudilo, P.E. ' a��F �o /201849 0`' MICHELE yG CUDIUJ a STRUCTURAL cc: Mr.Chan No 34774 Office of Consumer Affairs&Business-Regulation IMPROVEMENT A HOME CONTRACTOR TYPE:Individual AeaWQJr ion Exnlratlptl .. P.?m 00/08/2019 KAI DONG f KAI DONO ° 9 WOODLAND RD MAWEN,r,A 02148 Und2fSBCf etary f Massachusetts Department o#Public Safety. ✓ Board of Building Regulation and Stand art k ; Licenses CS=101455< h Construction'Supervisor i . KAI C DONO j 9 WOODLAND RD ' MALpEN MA 02148 I: i { -tenCA, Expiration. Commissioner 0612912018 Town of Barnstable Building V r Sb Thatit is Uisibl'eFrom'the Str„eet A�rovedPlans Must be;RetaLned,on Job and this,CardkMust be Kept -3; 163 i- BABNtTPAB1.F:. ` '-Po Permit Poste ered Until Final Inspect on Has Been Made k � � +° Wh a Certificateof Occupancy is Required,such.Bul(dmgshall Noi�be Occupieduntil a Final Inspection has beenmade Permit No. B-18-864 Applicant Name: Kai Dong Approvals Date Issued: 06/04/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 12/04/2018 Foundation: Location: 206 MAIN STREET(HYANNIS), HYANNIS Map/Lot 327 163 Zoning District: HVB Sheathing: Owner on Record: J&J QUALITY HOLDINGS LLC 3 z Contractor Name KAI DOING Framing: 1 Address: 71 WARWICK RD �_-� � Contractor License 182275 2 �.�„ NEWTON, MA 02465 s Est Project Cost: $ 14,000.00 Chimney: Description: Rebuild the four stairs as in the plan Permit Fee: $227.40 Insulation: Project Review Req: > ' Fee Paid $227.40 ate,,, 6/4/2018 Final: s � e � Plumbing/Gas �� .- �� `�; .r,.. ✓k��µ,-��r---. g/Gas Rough Plumbing: t &" k -Building Official Final Plumbing: 41, This permit shall be deemed abandoned and invalid unless the work authorizetl bf1his permit is commenced within siz months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl I ' * a the approved construction documents for whichxthrs permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structuresishall be in compliance with the local zoning by 1, and codes. This permit shall be displayed in a location clearly visible from access streetscdKrdad and shall be maintained open for4public ins o for the entire duration of the work until the completion of the same. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the 13uildg�and FireOfficials ae provided on this permit. Minimum of Five Call Inspections Required for All Construction Work Rough: g 1.Foundation or Footing -. Zi 0 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 O 6 Final: i��Tr� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601 M0.XS RX F•@ 39-204VR• AXXS IWSIUXS NiLLS•W^X.XVXIPvlL."iWAYiiMil' 1639-2a19 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Kai C Dong and all persons having notice of this order: As construction supervisor on record for permit B-18-864 for work located at 206 Main Street, Hyannis,Ma.,Assessors Map 327 Parcel 163 and known as commercial structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section R1011.5.2, Section R1011.11,R1014.4 and are ORDERED this date 6/11/2018 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 6/5/2018 I observed violations of 780 CMR of the Massachusetts State Building Code Chapter 1 Sections R1011.5.2,R1011.11,and R1014.4. Specifically, new stairways constructed with a tread depth of less than eleven inches,handrails not constructed on both sides of all stairways and handrails not installed continuous length of stairway. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: make necessary corrections to stairways to obtain code compliance. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) . Y with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not commenced, further action as the law requires may be taken. By Order, keyL. Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon@town.bamstable.ma.us f To: Mr. Brian Florence, Building Commissioner From: David Hirsch, Trustee, Corporation Realty Trust RE: Romeo Takarta, D/B/A/ Salvadoran Convenience Store Brian, this memo is to make it official, that Romeo has decided.----. --- �' aga-i-n-stlryi-ngto get licensed for any type of cooking a( 115_ rporation Street i what is known as Corporation Plaza. In the years since I built these buildings, there has been a convenience store at the same time as a sandwich shop with an in-ground grease trap and Creative Baking bakery also with a grease trap all operating at.the same time. Parking was not an issue then, and it will not, be an issue now if you permit Romeo to proceed with his convenience store. Even though the gross square footage of the two buildings equal 21,300, many of the stores do not utilize their total square footage as retail space. For example, Goodwill devotes 2000 foot to storage of donations which are picked up once a week. They also have another. 800 square feet devoted to their office, rest rooms, and fire sprinkler tower. Flanagan Mattress, has 1800 square feet devoted to mattress storage, also with no retail traffic allowed. Mall Vision has 300 square feet for that building's fire sprinkler tower as well as another 400 feet for their bookkeeper and bathrooms, again not accessible to the public. Marvelous Cleaners, although 2400 square feet, only I \ 400 feet is devoted to retail. The balance is storage, dry cleaning, laundry, and restrooms for employees. None of the 6 stores have any rest rooms open to the public. Finally, Marsha's Beauty Shop draws the vast majority of their business after normal retail hours of 8-6 PM. For some reason, her mostly Brazilian clientele have their appointments in the evenings as most of her patrons work during the day. Based on the above facts, 1 request that you look at this property as a 21,300 square foot building housing only 12,000 square feet of retail space (requiring 64 spaces) and 2300 square feet of professional/office space (requiring 10 spaces) each including the 1/separate enterprise space for each unit. When these buildings were constructed in 1982 and 1985, my memory says we needed 70 parking spaces and we provided 72. When Corporation Street was reconfigured and improved, we gave up curb-cuts and gained two parking places. Respectfully submitted, David Hirsch, Trustee �FIME t Town of Barnstable Regulatory Service Director Regulatory Services Richard Scali * * Lieensin Division Affairs Supervisor [ * BARNSTABLE, * g Elizabeth G.Hartsgrove €( � MASS. �� 200 Main Street, Hyannis,MA 02601 t ArFn 3�Al www.town.barnstable.ma.us Consumer Affairs Administrative Telephone: '508-8624778 Fax: 508-778-2412 Officer Assistant Therese Gallant Margaret Flynn t E May 3, 2017 America's Best Value Inn & Suites Attn: Alan Chan 206 Main Street Hyannis, MA 02601 Re: CEASE & DESIST, Violation of Section 1 of the Parking Lot Rules and Regulations Dear'Mr. Chan: On May 3, 2017 it was observed at 8:39am, a sign posted at the America's Best Value Inn & Suites located at 206 Main Street advertising "Island Boat Parking". After speaking by telephone to an employee named "Alan", it was discovered that the Inn is ; charging non-lodgers $8/day; long term parking is available and being offered for the entire summer, and the # of parking spaces available is dependent upon how many rooms are being ! rented out. This letter serves as notice to America's Best Value Inn & Suites at 206 Main Street, Hyannis MA is in violation of the Town of Barnstable Parking Lot Rules and Regulations, Section 1 by .advertising, conducting and operating a private parking lot by exchanging money for private E vehicles to park on premise, and must immediately.cease and desist all unlicensed parking lot operations, otherwise the Consumer Affairs Division will begin the process to take further action. Town of Barnstable Parking Lot Regulations Section 1 Parking lots must comply with all Town of Barnstable Ordinances and Regulations and shall meet the requirements of zoning, including the site plan review process... NO PARKING LOT SHALL BE OPERATED WITHOUT A VALID LICENSE ON THE PREMISES. If you would like to proceed with researching if.the use is allowed, and obtaining a license to conduct such activity on the premise, please contact the Building Department located at 200 Main Street between the hours of 8:30-4:30; Monday through Friday. I Thank you for your immediate attention towards this matter. E Res ectf Ily, f Eli eth G. Hartsgrove Consumer Affairs Supervisor i CC: Mark Ells,Town Manager Richard Scali,Director of Regulatory Services Growth Management Director Elizabeth Jenkins Building Commissioner Paul Roma CA Officer Gallant Zoning Enforcement Officer Robin Anderson ENCLOSURE: Photographs of 206 Main Street,dated May 3;2017 I Alllel'iU'S Best Valtte lien ti Wte { We ise� , Desist Notice Page I _ _ 'N'laV:�, 2017 I I r 1 `Y t t t ♦x tjf'.r'r J Y•IIIY.r ef Oro As Ail ' y�m��.�� y �. ►per y 6 �� a j�f1�.CtN Y1Y1�� i Q s r lA�s � - 'A�� , ' ¢ .r;; � ,:---» ,..., �• �-, ' gad. j1�•,_,.,Y}, � � vRRRA�� Y tj�.�, �r° `jai.• r.' :_ ye.r it �� r � 1 � a s ^2' i i � � a fit• ` � .�;}.# �;�7 r �� _r . 1 4 (1 .•isr ,Y. 1 ;'�' 1 .�,' , fib r � }'� i •r 4 ,' , t t t j} '�Y '3*T�j `^ r`-�u'�..lx �' �.,� ` �*�S�'..�'�t, ,�x.t•.,.�"'w"i �1 n._� A Town �rrIME re.� of Barnstable Regulatory Service Director t —rY,L Richard Scali Regulatory Services i +r * Consumer Affairs Supervisor, Licensing Division p * BARNSTABLE, * Elizabeth G.Hartsgrove 9 MASS.6 ��` 200 Main Street, Hyannis,MA 02601 39 www.town.barnstable.ma.us Consumer Affairs Administrative Telephone: 508-862-4778 Fax: 508-778-2412 Officer Assistant . Therese Gallant Margaret Flynn t E May 3, 2017 America's Best Value Inn & Suites Attn: Alan Chan 206 Main Street Hyannis, MA 02601 Re CEASE & DESIST, Violation of Section 1 of the Parking Lot Rules and Regulations Dear Mr. Chan: On May 3, 2017 it was observed at 8:39am, a sign posted at the America's Best Value Inn & Suites located at 206 Main Street advertising "Island Boat Parking". After speaking by telephone to an employee named "Alan", it was discovered that the Inn is charging non-lodgers $8/day, long term parking is available and being offered for the entire J i "summer, and the # of parking spaces available is dependent upon how many rooms are being rented out. This letter serves as notice to America's Best Value Inn & Suites at 206 Main Street, Hyannis MA is in violation of the Town of Barnstable Parking Lot Rules and Regulations, Section 1 by advertising, conducting and operating a private parking lot by exchanging money for private,,...", 1 vehicles to park on premise, and must immediately cease and desist all unlicensed parking -"'lot operations, otherwise the Consumer Affairs Division will begin the process to take further action. Town of Barnstable Parking Lot Regulations Section 1 Parking lots must comply with all Town of Barnstable Ordinances and Regulations and shall meet,the requirements of zoning, including the site plan review process,,. NO PARKING . LOT SHALL BE OPERATED WITHOUT A VALID LICENSE ON THE PREMISES. ' If,.you would like to proceed with researching if the use is allowed, and obtaining a license to I conduct such activity on the premise, please contact the Building Department located at 200 Main Street between the hours of 8:30-4:30, Monday through Friday. i Thank you for your immediate attention towards this matter. Res ectf Ily, I 3 Eli eth G. Hartsgrove .Consumer Affairs Supervisor � CC`. Mark Ells,Town Manager Richard Scali,Director of Regulatory Services Growth Management Director Elizabeth Jenkins Building Commissioner Paul Roma CA Officer Gallant j Zoning Enforcement Officer Robin Anderson 1 ENCLOSURE: Photographs of 206 Main Street,dated May 3,2017 America's Best V;tlue Inn (c Suite; Cease& f)esist Notice r I'tLe'I Nlin.).2017 §£ - tt df� � r c� w�•� xi"�f�.��E�3`r�a" +iia_ ��?,�"��a S � `A� ��f ��9�sa��c�'"`� '' "r� yd ti ! ,rt f �i 1� a��y�*, f't`��,'y✓`"`x'$'�'�i L { � ��}�q,q�1aE6. �b iR#-b�. +d�llB�.w��' eyk � T, �� ►`ts�.1�� 1�� ft r +.�► r��ya � ��i....-..fir . f i> "••t ' tell � , e - �; . E s ?r tn'2. , t ��c, x, c ":'W yl'$} �a/pe r �'`• `* A.,w . ��s�iffr{q P� I � �I�S a •1;. U � f �' ,�� `� �.. �. MI i� � y£* � �. a �Is i t . s yrn Al 1- v�, AJ �� a ♦ � � � �.� s.'z6 .Y'`'ut k�^r• c�4a ° ' Rr �' t,�. e y#S ,#4' z b `r % '##f� ki�"' `� , z k�ti x � .at t S. A .,. r fit# yt �x t "Ca 3 y'Js t� '`a bra i t x � '•-��a ;�-� ,,�%'".f a r3'1 4i�< �a P _��R' .may � � � �. � yy ' 1 - rA, M;f-€ 4 III_- 7- r i l - .• 1 7 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health Division � aFyp'C Date Issued 0 2,4 Conservation Division 10�� Application Fee Planning Dept. ��► R�S�P � Permit Fee '04 Date Definitive Plan Approved by Planning Board & Historic- OKH. Preservation / Hyannis E►r~►.HZL S'�T Project Street Address 20 6 Ak4kl 0 Village n Owner AL W ( 4-f Address Telephone 53- o�;-v o Permit Request N ST-�KLA ;lG NPR 1/ INC(t Si bl G Q PLA IM C 7 R- M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatior4'2-i°�ti° 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 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing 0 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) AkU -7b1.� Name c&E( _oD fWo-tE (&fflT1VeAA1,1JT Telephone Number S-0t Y65"0102 Address Z-4- Nl(,LL o0,K1 n K License# MOP 1.J2S�t �ll> i1�u�'l Home Improvement Contractor# 16404� Email �°D t' C �kA_1L- C� Worker's Compensation # �46 3 9 2- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE BATE 2 `t i' FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED ! MAP/ PARCEL NO. , ,r ADDRESS VILLAGE OWNER DATE OF INSPECTION: �I FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING i i DATE CLOSED OUT y ASSOCIATION PLAN NO. 'S. E i , he Commarrima i-of-McaEyachusetts _ Depwtirmit qfrndrrsrSia1AcdeTe-�ag f re af1nvestiga6wzs . 600 Washington jkreet Baseon,1M 0-111 twvi -is arkere Campensafrun.Insurance Affidavit:13mlders/Cuntrac_tars/EIectriciansJPlaiambers Applicant IURM-Mat og Please Print LeQI Nimes e_ CJ-C( ` - ?Y�1tC td� Maress I AA Cit"Ist3tP. Zim r ol phcno g � b -116-J ^v 'o Are an employer?Checkthe appropriate bon Type ofproject r e� I. I a employer I am agerl coufmcor and Im 6- ❑New construction employees(full andlor part-time* have hireidfihe sub-contractors 2.❑ I am a sole prRprie or Grpartner- listed onthe attached sheet. I ❑Remodeling slip and have no employees These sob-contractors have S. ❑Demolition woridng for me M- any capacity: employees and,ha[re workeW 9. Building addition R&woArxs'camp.iflsn•ranee C°mp-insuran $ : Electrical r s rewired] 5. ❑ We are a corpazafion and its 10❑ �;,e or adieu 3.❑ I am a hameovner doing au work officers have exrcised their 1 L❑Plumbingrepairs of additions Myself[No w rkgs'comp- right of exemption per MGL a❑Rflofrepairs. }nenxance required-]Y c.152,§l(4h andwe haare ud employees.[No workere L3.❑other camp-insurance required.] ',4ay appBoate,st cbackxbax#i mo;i also fa ov¢the secdcmbe1owsbzwkr.tEizkwo0kae campmsaSnapn&cy infomsaom ffameosvaersveto'subm6tthisaftida«i rsiiagtheyarerlvia�alIwa�caa�thenhireant9decontmctorsTlTdsnItmitanewsffida�tIDdiQtl�mch fCnutractnes$�t checYiL¢z box must attached as adeli6nnal dtea sho ingd enzw of dse sub-caitwj s sn3 stye-whether ornattame m itieshare employees.I€tbesnb-ceatactmslure emplUees-,tfieymustpmvidetheir wacken'comp.palm•ai et I am an.eurpL4-wr ihat is prarzdiag�i�arkets'cantpertsafiart irrsnrarzce for ml cncgley�ees $etoav is$tsgo7icy,arrd jab s¢e Fr�ormrriiarL ^ Insurance Company Nramme: Policy 4 or Self inns..Lic- ;'4 63.9 � E�piratiouDate: (7 6 03 �� Job Site Address:2,0 C M Ole ►J s oc CifylSta Z14P: 12. IA O-i Attach awry of the warliers'compensaiionpolicy declaration page(showing the policy numb d erpu-ation dater. Failwe to secure coverage as requueduuder Section 25A of MGL c 1ST can lead to the imposition of rrirninal penalties of a fine up to$U.00,00 an for one yearimprismment,as W11 as vigil peaalfies.isi the farm of a SI'GP ATE?RK ORDE and.a fine of up to$250-00 a day against the violator Be adidsed that a copy of this statemertit saaybe forwarded fo.the Office of IuvesEigatio=o€`he DI, fair- re ca- ge verificstiaa. Ida here-by cc i fi�rnrdgt' R }ter ' s of. a967rprm-i&d abo s b -e and correct Saffiature. bate: 10 2 , C Phaue r�7 (qc>&Lt6CJ —6(a 2-- t3„�cicrI use ar!£,1�. i]o((zest errata in fFtiQ.area,�i be r;rrr�tpietesd b}�city artamri aQt • City or Towa: PermitlLi,ceuse:g Issuring.4uthoritg(sizzle one): L Board-of Health 2.Building Department 3.CitpTuv n Clerk #Electrical Inspector S.Pb�:bing Inspector 6.Ofhw Contact Person: Phone#: - _ 6 ormation and InstructioRs. 'compensation for their e�Ioyees. M��r7„,tiS General Laws chapter 152 regr=s all empIoyers to provide workers Omp �ofhire, Fmsa��D tilis fie,an ern�alnyee is dew ed as`_eyerypersonm the service;of another under ray Tess Or hed,Oral orwriftc r. A-,Z I&y,U"is dIfined as¢an mdiviffiA parfnersb�,amDc�on,coiporatzon or Other Legal entity,or ray two or more of file foregoing e=ng��aJDint eni�ptise,andinclndmg the Iegal�--es�atives of a deceased employer,or the receiver or$ns =of an in chviffiA partaerslrip,association or other legal entity,emploYing employees. However the owner OfadweIliughDusebaviDgnotmo�ibantlrreeap�n�andvrhoresidee sf3m 3,ortb eoC�P of`'he " dw Uiog house of other Who employs persons to do mainiEnan-ce,congh-wdon or repait woric on socix dwe�g house Mother or om the gmunds orl)uaTmg app thereto sbaUnotbeLamo OfsaLh.emplDymentbe deemed to be an employer." 25 also sues thud"eyerp st2te or local licensing agency shall wffl hold ffie msuance or IvIGL ter 152,§ C{� th for renetvaI of a license or permitta operate a business orto consfract buith the iu a c e.r on�Yeal �Y applicantwIio has notprodnced acceptable evidence of complianr�vvifTi the j orance coverage requa ed-" Additionally.MG2 chapter 152,§25g7)sins IIeithesthe.conn=wealtb.nor any ofits Political subdivisions shall entt tutu any contract for the performance ofpubIio woil�u�I a�epiable evidence of compIi�ce with the inset ice•. r ents ofthis chapter have,l;eenpreseDh--dto the caniracting anfiioiLYf Please EL oi- the,workers'compensation affidavit completely,by checking the boxes that apply to Yo4r sifnation and,if necessary,simply sab-contractoi(s)name(s), address(es)andphonenumber(s)alongw&their certifce-C(5)of „crrrance. Lii�Lfii iMtyComP�e$(LLC)or Timited.Liabj[jty-Pataen;Hps(LLP)withno employees other than the ' members or partners,are not req�d to c ry wOr1c&comP anon insaraace Iran LLC'or LLP does have To ees a olio is re Be advised.tbAthis affidayitmaybe snbmitedto the Depa-invent of Iudusfrial. emp- Y P Y 4�d affidaYit- Ac6dents for con fernation of tint-mce coverage- Also be sere to sign and datefhe affidavit tlh of d b e retnmed to fie city or town that the;application for the penait or licznse is b eing requested, eP nn e the,late or ifyon are regOaed to obtain a workers' Ind strial Aecide�s. �nldyou have am quesll g anies should enter their u=p ensatiou pofiey,please call thi-,Dep utmLeot at the numb=Es�d beIow. Self-insrn ed comp self-m Ge�c�e zmnber on the appivpriahE Ime. City or Town-Officials Please be sore that the affidavit is complete audpriated-IegIly. The Deparlmenthas provided a spar at tine licant- of the aiidavitfior you.to fool oiA intho event the Office ofInvesiigafians his,to cozdactyoII regarding aFP Please be sure tO fllinthe peDnWHcrose mrinbm which will be used as a referznce= btr. In addition,an applicant Ie =nhIIic=e` lications in any giveaYear;need only submit One affidavit indicating�t that must sober muTtip p �p (city or policy im�=atioa(rf necessary)and under°lob Sue harms"fie applicant shoTsd wrif�"aII IOcarions a bwn)='A copy of�he a$idavitthathas been.officially stamped orma�edby-the chy or townmay be provided to the applicant as proof that a valid affidavit is on fle for frdnre PMMi[s or IZcenses- Anew'affidayitmust be,f�.ed out earl year.Where ahome'owner.Or citizen.is obfainmg aliomse or p=itnotrelatedto any business or comm(-,r a v� CLe.a dog license or p=it to bum leaves etr.)saidperson is NOT reTfted to complete this affidavit The Of �ce ofrnvesdgwouldnatD$iankyDnma&ancaforyourcOoper ion andsTDuldyovhave may gnesiians, please do not hesitate to give us a call Depariment'a address,telephone and fax n=ber: cammmwe31ft of Maspachi I3egat6a�rif Ind Acci�-�n� , Of ref TXLV i ntiau St A . � nx It�fA 111 - "Tt,-1.4 617' -49Q4 cmt 4-06 or 1-,&77 MA , Fax 617`27 7M xevised4-24-07 p mass-ggfdil� . r _ Town of Barnstable Regulatory Services j" KAM Richard V.Scali,Director 16S9. .� Nua6. Building Division, Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address 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 Date QXORMS:OWNERPMMSIONPOOLS CERTIFICATE OF LIABILITY INSURN' NC � uA i e tmtuutu rr r rt o6tow01 fi THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEQATIVELY 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: ff the cartiflanto holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed, it SUBROGATION IS WAIVED,subject to the terms and canditions of tho policy,certain policies may rOuird an endorsement, A statement on this certificate does not confer rights to the cartllionto holder In lieu of such endorsoment e, PRanUoOR A c ACT NME Christine Davies DOWLING&O`NEIL INSURANCE AGENCY PHONE 7�5-r620 W d� ;FAX -___ ' fi•MAIL AtdfJRESSI._cda i@5(¢�dO rtS oon1 D731YANNOUGH RLQ. HYANNIR MA 02601 INsuREy,A;_A *RD INSURANCE CO 42390 _ IRfdUnilR IN3U,RCR a ` CAPE COD BIOME IMPROVEMENT INC ..._......... 27 MILL POND ROAD INSURER s. ................. T WEST YARMOUTH MA 02673 MqUABA COVERAOES CERTIFICATE NUMBER: 50476 REVISION NUMBER: THIS IS TO CERTIFY THAT THP POLICIES OF INSURANCE LISTED BELOW BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOITNTHSTANDING ANY REQUiRfMFNT,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 PERMS, R9Cl.li0iQN8 AND CONDIfi IONS OF BUCH POLICIES,LIMITS:SHOWN MAY HAVE BEEN RED�Ul,CE:D BY PAID CLAIMS. IN9A i1Jl�La. a f a! Il IMMI�AtVVvf m I p r^•._._.m^_ , Aptl6ffWOR P 1 Y EFF i PbLtdV l>CP [ TYPdRP{NOURANRrr MMtOnAtYYY1 UMtT9 0oMMaftCIALQI1NiRALLIA01LtTY ij iACr+UCcuRRENCE 1 i.__ „�tj C6AIMP3R1At�L� ! OCCUR N/r1 i PERSONAL a AOV IN IURY '60 4%A06K13QAFF HMIT APPli f it Pfaff i !!t ENERALAGGREGATE l,»....�Pra61DYvOWPfOP AGVQTHRR !S AUTCMACt6l'LIACILrTV ! i LOMDINED SINGLE LIMIT 9 ANY AU ! BODILY INJURY,Pexpersm a _. A66 t9WNf It IIf Mr RULt C i I NIA. I" j BODILY INJURY(Pet aezid€nt),S_ AUTRI! �AUTOS ! i ..__._.._..____-._..._ tIIrIIIRAU`rR£I ` AUT RwNEQ I. i f I 'tt6PErYeYDAMAOE q_-----....__......__ > �/,littler s I I €iPer �lenll UMARQU A LIAk1 lROGUH I EACH OCCURRNCEry _8 0><QO6RLIAOvQlAlMfi.MAf�& i I N/A I AGCR I EG:STE E S WRIttORs oaMPONSATIRN PER aTtt ANn OMKOYRAS LIAINUTY y/td STATUTE x i Eli _ ANYPRf),'RIHTQRIPA17TNRR!r'�RRCUYIVi? I .L A�HACC�QEN7 S 1000,000 A RPFiOCRtMOMIiI r2t 6RLU1t rJ. N/A N/A t N/ R2WC7�46392 �06i0312016�06/0312017 ..._ (ManNalarq in NH) i ! E,L.DISEASE•EA EMPLOYE i If sl€i PIT KL,DISEASE•POLICY LIMIT i S 1,000,000. ( N/A I € I I } i z nrlSCRIPTIRN OF OPORATIRNS/LOCATIONS!VEHICLES(ACOnD 101.AtldiUnnal nomarm Splimltitn,may bo onae"d it morn apaoo is reputmM Workers'Compensation benefits will be paid to Massachusztts employees only,Pursuant to Endorsement WC 20 03 06 B,no authorizabon is given to pay claims for benefits to amployeQB in states other than Massachusetts if the insured hires,or has hired these employees outside of Massachusetts. This cc'lrtiicnta of insurance shows the policy in force on the tithe that this certificate was issued(unless the e*Mtion date on the above policy precedes the issue date of this wrtific/ate of Insurlance), The status of this coverage can be Monitored daily by accessing the Proof of Coverage-Coverage Verification 808r4h tool M WWW,n)956,govilWdtworkers-compensation/investigations/. C LSb R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN t ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Daniel M.Crowley,CPCU,Vice President—Residua(Market_WCRIBMA 01 1988>2014 ACORD CORPORATION. All rights reserved. APnrsn 01r,rnn*aA/A4k '1`hn APnPn nct"',0"A Innn mnphx i of AY`nDn Office e of Consumer Af airs and Business Regulation 10 Nark Plaza - Suite 5170 Boston., Massachusetts 02116 Home 1'mprovement Contractor Registr2ti.011 RepistratioC164,804 Typ )bn Expiration; 1 2/7120 1 6 Tr# 260419 CAPE COD HOME IMPROVEMENT, LLC. ANATQLI SIVITSKI __ w.___ ��_ _ __._.__ __.__.__ 27 MILL POND PD __.._..___._ _...__._.. .. ... ....._....._..........,_.._.,.....,..._._._......_......... WEST YARMOUTH, MA 02673 ._..........................._... ._._.,_..._............ _._..._..W..w........... .._ _-------..._--- Update Address and return cord.N'tark reason for change. ( ddross ' i Renewal tinrployruent '; t.astCard $CA t Sr tot-05/t t * ktB71e nPt nnoamer Aunha rtuninatq itraalnii+r+� License or registration valid for individui use only u�7 AMA IMPROVEMf NT CONTRACTOR before the expiration date. If found return to. (~ apiwtrrttipn; 10804 Typo' Office of Consumer Affalm and business Regtdacion FWl;xgimtiaw 12.012010 Corporation rq Park Plum-Snitc 5I?0 �r.* Roston,IVIA 021lfi }. CAPE COIF HOME IMPROVl=MPNT ANATOLI 61VIT0Kl ` 27 MILL POND RPM WEST YARMOUTH,MA 02073 riniierstaretnry � Na��ldo yaiid with.nuk iR Rnatum'._ _._. .,..._._. Massachu' setts olf Public Board Building IL r7 IIIN= License : Ik k ^i A,-NAIrOLl- SIVIT�Kl - 222 BUCK PSLAND RR 6- West, Yarmouth MA 02673 , - low", Expiration Commissioner 05/14/2018 . 04 CAPE COIF Home Improvement CAPE O® HOME IMPROVEMENT TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001, (508) 469.0102 CAPECODINC@GMAIL.COM, WWW.RoOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHOME PROPOSAL 07.28.2016 TO ALAN LOCATION: 206 MAIN ST, HYANNIS, BEST VALUE INN WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: MAIN COMPOSITION SIDING: • REPLACEMENT OF ANY DAMAGED OR DETERIORATED PLYWOOD.NEW DECKING SHALL BE APA RATED FOR STRUCTURAL USE.DECK FASTENING WILL MEET OR EXCEED LOCAL BUILDING CODE REQUIREMENTS. • REPLACEMENT OF FLASHING MATERIALS.ALL MATERIALS TO MEET"OR EXCEED MANUFACTURER'S REQUIREMENTS. • INSTALLATION OF ONE LAYER SIDING UNDERLAYMENT ON DECK. • INSTALLATION OF NEW SIDEWALL SHINGLES.SHINGLES WILL-INSTALLED IN STRICT ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS. • REPLACEMENT OF TRIM BOARDS WITH PVC.TRIM BOARDS W;LL BE INSTALLED IN STRICT ACCORDANCE WITH THE MANUFACTURER'S SPECIFICATIONS AND FASTENED WITH CORTEX SCREWS. • COLOR AND OTHER DETAILS OF MATERIALS TO BE CHOSEN BY OWNER. • ALL GROUNDS TO BE CLEANED UP ON A DAILY BASIS:ALL BUSHES,SHRUBS,AND FLOWERS TO BE PROTECTED. HOMEOWNER IS ASKED TO SUPPLY ELECTRICAL POWER IF NEEDED. EAST SIDE DECKING REPLACEMENT(1/2" PT PLYWOOD) LABOR AND MATERIALS: $1,975.00 SIDING(CLAPBOARD STYLE VINYL SIDING) LABOR AND MATERIALS:$1 5,250.00 TRIM REPLACEMENT(AZEK) LABOR AND MATERIALS: $8,250.00 NORTH SIDE DECKING REPLACEMENT(1/2" PT PLYWOOD) LABOR AND MATERIALS: $375.00 CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAGE<�n 4C elin CAPE CUD Hume Improvement CAPE COD HOME IMPROVE MEN TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710-1001, (508) 469-0102 CAPECODINC@GMAIL.COM, WWW.RoOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHOME ---------------------------------------------------------------------------------------------- SIDING(CLAPBOARD STYLE VINYL SIDING) LABOR AND MATERIALS: $2,600.00 DUMPSTER: $470.00 GRAND TOTAL: $28,920.00 WE WILL MATCH OR OUTBID ANY LEGITIMATE COMPETITOR 'S PAYMENT TERMS: 50%AT DEPOSIT; 50%UPON COMPLETION. JOB IS ESTIMATED TO COMMENCE APPROXIMATELY 1 TO 4 WEEKS AFTER DEPOSIT RECEIVED UNLESS OTHERWISE NOTED HERE: WORK IS SCHEDULED TO BE SUBSTANTIALLY COMPLETED IN APPROXIMATELY 2 TO 4 WEEKS. ANY WORK ABOVE AND BEYOND THE SPECIFICATIONS WILL BE PERFORMED AT 56.00$PER MAN HOUR PLUS MATERIALS OR PRICED ON REQUEST.ALL ADDITIONAL WORK,INCLUDING TRAVEL TIME AND LUMBERYARD RUNS,MOVING ALL PERSONAL OBJECTS,FURNITURE,ETC.FROM WORK AREA,WILL BE SUBJECT TO EXTRA CHARGE.IN THE EVENT OF ROT REPAIRS,ROOF REPAIRS OR ANY RELATED WORK REQUIRING IMMEDIATE ATTENTION,WE WILL PROCEED WITHOUT CUSTOMER APPROVAL. CAPE COD HOME IMPROVEMENT'rm WILL PROVIDE CLEANUP ON A CONTINUING BASIS AND ALL DEBRIS WILL BE REMOVED FROM SITE(PROFESSIONAL CLEANING DOESN'T INCLUDE).ALL PRODUCTS INSTALLED BY CAPE COD HOME IMPROVEMENT Tm WILL BE TO MANUFACTURER SPECIFICATIONS.ALL WORK WILL BE PERFORMED BY INSURED PROFESSIONALS. ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED,AND THE ABOVE WORK TO BE PERFORMED IN ACCORDANCE WITH THE DRAWINGS AND/OR SPECIFICATIONS SUBMITTED FOR ABOVE WORK AND COMPLETED IN A SUBSTANTIAL WORKMANLIKE MANNER. OWNER TO MOVE ALL PERSONAL OBJECTS,FURNITURE,ETC.FROM WORK AREA.ALL ITEMS AGAINST WALLS SHOULD BE CONSIDERED FOR REMOVAL DURING ANY EXTERIOR SIDING JOBS,ADDITIONS,ETC.TO GUARD AGAINST DAMAGE.IN THE CASE OF ANY ROOFING AND RIDGE VENTING,DUST AND DEBRIS SHOULD BE CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE IN TIAL THIS PAG s CAPE COTS Homelmptuvemettt CAPS. COD HOME IMPROVEMENT TM 27 MILL POND ROAD, WEST YARMOUTH MA 02673 (617) 710.1001, (508) 4469.0102 CAPECODINC@GMAIL.COM, WWW.RoOFCAPECOD.COM, WWW.FACEBOOK.COM/CAPECODHOME ---------------------------------------------------------------------------------------------- EXPECTED AND ANY ITEMS IN THE ATTIC SHOULD BE REMOVED. CAPE COD HOME IMPROVEMENT TPA IS NOT RESPONSIBLE FOR ANY DAMAGES IF SAID ITEMS REMAIN IN PLACE. CAPE COD HOME IMPROVEMENT Tm IS NOT RESPONSIBLE FOR ANY DAMAGES THAT MAY OCCUR DURING CONSTRUCTION TO LANDSCAPING OR ANY FINISH GROUND WORK,PLANTINGS,ASPHALT OR STONE DRIVEWAY, ETC.FLOWERS AND SHRUBS AGAINST HOUSE MAY NEED TO BE REPAIRED OR REPLACED BY HOMEOWNER. ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS,AND WILL BECOME AN EXTRA CHARGE OVER AND ABOVE THE ESTIMATE.ALL AGREEMENTS CONTINGENT UPON STRIKES,ACCIDENTS OR DELAYS BEYOND OUR CONTROL.OWNER TO CARRY FIRE,TORNADO AND OTHER NECESSARY INSURANCE UPON ABOVE WORK.WORKMEN'S COMPENSATION AND PUBLIC LIABILITY INSURANCE ON ABOVE WORK TO BE PLACED ON THE RESIDENCE AS A CONSEQUENCE OF THE CONTRACT.OWNER WHO SECURE THEIR OWN CONSTRUCTION-RELATED PERMITS OR DEAL WITH UNREGISTERED CONTRACTORS WILL BE EXCLUDED FROM ACCESS TO THE GUARANTY FUND.COSTS OFF COLLECTION,INCLUDING ATTORNEYS FEES WILL BE RECOVERABLE,IN THE EVENT OF NON-PAYMENT. WE LOOK FORWARD TO WORKING WITH YOU: PLEASE CALL IF YOU HAVE ANY QUESTIONS. SINCERELY R CAPE COD HOME IMPROVEMENT TPA THIS CONTRACT NOT VALID UNLESS SIGNED BY ANATOLI "TONY" SIVITSKI ACCEPTED BY ' S� ATE lo.to-W ACCEPTED BY SIGN DATE CAPE COD HOME IMPROVEMENT TM GUARANTEES THAT ALL COMPONENTS INSTALLED PROPERLY PLEASE FEEL FREE TO CALL CAPE COD HOME IMPROVEMENT TM WITH ANY QUESTIONS OR CONCERNS PLEASE INITIAL THIS PAG /00PECHEE CONSTRUCTION CORPORATION ,Keith A Kelley, Architect Executive Vice President 11 CORPORATE DRIVE ■ BELMONT ■ NH 03220 PHONE (603)527-9090 CELL(603)765-9265►;. FAX (603)527-9191 keithk@opechee.com N �tle., � - .,��,,.ye, W'-`. o - �r..• .ate -:r` ,� -:a—:.r. " � � j. 1� c 1 L • r a TOWN OF BARNSTABLE 01VI O E Town of Barnstable r Regulatory Services rwN Of BARNSTABLE BARNNM M " Thomas F.Geiler,Director o;or► � Building Division 2012 NOV -6 PM 31 23 Tom Perry,Building Commissioner 260 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us q,Y.,r:3 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF CONSTRUCTION SUPERVISOR owner of property located at OL� f l S �(O kit 1A 13 �`I , hereby certify.that � Y —;blbolm q0 is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# , issued on © �� 20 12- 2012®e;�-3 8 4c I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. r 3 PROPERTY WNER DATE 112 q/forms/newcontrowner reference R-5 780 CMR rev:11211 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Map Parcel Application # I O r'V Health Division Date Issued Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 16 70 Historic - OKH _ Preservation / Hyannis Project Street Address O(o /w S% Village aAkw srABZ.&,- Owner x a'^ H Address X 6 /It g, Telephone x S� T Permit Request /'g-1- L-LJ k) "rv4d kJ S 5aY j§_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a,!� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stover❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: O existing tj new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: .a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Z Commercial ❑Yes ❑ No If yes, site plan review # Current Use -- Proposed Use APPLICANT INFORMATION C'�--i c-r ��'v (BUILDER OR HOMEOWNER) �O 8— Name Z�g` •�o� ✓�' Telephone Number oze3v Address 1-17 444 License # CS /0 o voy Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. S t ' ADDRESS / VILLAGE r " OWNER DATE OF INSPECTION: t FOUNDATION > z 's FRAME INSULATION t } FIREPLACE " ELECTRICAL: ROUGH I FINAL i .' PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL t FINAL BUILDING r � 1 DATE CLOSED OUT �' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents 192 Office of Investigations + d 600 Washington Street Boston,MA 02111 _�•� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): . Address: r-- lk e_• I�CG . i t�y . City/State/Zip: �o`Z3�d Phone.#: �� 11R 65-0 l Are you an employer? Check-the appropriate bo . Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I _ 6. ❑New construction . employees (full and/oi 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 g. Demolition workin for me in an capacity. employees and have workers' g Y P ty �� 9. ❑Building addition comp.insurance. [No workers' 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 11.❑Plumbing repairs or additions ❑ g myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t 152 § c. , l(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 affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the DIA for jadrance coverage verification. I do hereby certify un a pains a penalties of perjury that the information provided ab ve i /tr-uee and correct Si afore: f Date: �� "1 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): J.Board of Health 2.Building Department 3.City/Tow.n Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to,this statute,an employee is defined as"...every person in the service of another under any contract of hiie, 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 buildifig-appurtenantthereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(�`also-states that"every state or local licensing agency shall withhold-the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials. Please be sure that.the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will 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 locations in _(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person,is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give,us a call. The Department's address,telephone-and fax number: The Cams wwc� AM of Massarhusoott Deputment of industrial Amidonts Office of Investigatians 600 Washington Street Boston, h%lA 02111 TO. # 617-727-49,00 ext 406 or. 1-577-MASSAFE Revised 11-22-06 Fax 4 C17-727--7749 www.mass..gov/dia DATE CERTIFICATE OF LIABILITY INSURANCE (MM//2012 Y) TWALrZIRTIFICATE 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 IS 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 and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: J M DOHERTY INS AGCY INC PHONE FAX 306 MOUNT PLEASANT ST (A/C,No,Ext): (A/C,No): E-MAIL NEW BEDFORD,MA 02746 ADDRESS: 246XD INSURER(S)AFFORDING COVERAGE NAIC a t INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY SDM RESTORATIONS&BUILDING SERVICES INC INSURER B: INSURER C: INSURER D: 1070 IYANNOUSH RD#316 INSURER E: HYANNIS,MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLtCIESOF INSURANCED BELOW HAVE BEEN LIMED 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 ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMMDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE a OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ElPROJECT E]LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALLOWNEDAUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN US-475OP414-12 07/12/20 07/12/2013 ' LIMNS ANY PROPERITORIPARTNERIEXECUTIVE E] NIA .L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) I DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATiONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE POLICY DESIGNATED ABOVE IS CANCELED EFFECTIVE 09-26-2012 CERTIFICATE HOLDER CANCELLATION AMERICA BEST VALUE INN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 206 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL B DELIV D IN ACCORDANCE WITH THE POLICY PROVI AUTHORIZED REPRESENTATIVE HYANNIS,MA 02601 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION.- rig s reserved. r - =rcusius;scu:i�-�iu•r�rcw - Office oflnvesttgations 600 Washington Street _ Boston,MA 02111 Ur www.mass.gw/diu Workers' Compensation Insurance Aff davih Builders/Contractors/FIecfriciam/Plumbers Applicant Information Please Print LeEibly Name Musmesslap ization/Individnan: S 0 in 26 S% �/a a�,•S /�fAl Z4d. ✓ .0 ' Address: %a 2,C) ' .�T i�j.✓r+idd(��/ �� 3i�o City/State/Zip: /Z yl�I�'v6 �f ' . P40/Phone.# Are you an employer? Check the appropriate bow Type of project'(regvir•ed):, 1. I am a employer with 3 ' 4. .E] I am a general contractor and I employees(fall and/or part have hired the sub-contractors 6. ❑.New construction 2.❑ I am a'sole proprietor or partner- mod-on the-attached sheet': 7. ❑Remodeling ship and have no employees These sub-contracims have ' 'S. ❑Demolition working forme iri any capacity: employees and have worlmrs' [No workers' camp.msr,T�nre comp.insacanDeJ' 9. Building addition required] 5. ❑-We are a corparafion'aad it 10.[]Electrical re-pans or additions officers have exercised their 3.[] I am a homeowner doing al1•work. 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL , 12.❑Roof repairs insmanc e required,]t c. 152, §1(4),and we have no employees.[No workers' 13. Ofher 'G�,•�,.0��j. comp.insumnrr required] *Any applicant fhat checks box#1 must also fill out the section below.showmg their workers'compensation policy k formation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tgontractors Brat check this box must attached an additional shoot showing the name of the sub-contractors and state whether or not those entities have employ=. If the sub-couftwtm have employees,they must providt their waiiCmm,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: %4 CCI3 . Policy#or Self-ins.Lin. V rJ �� 6 �� Y/y--/2 ExpirajionDate: z 100, Job Site Address:_ �o /�ii6'rN J f City/S1ate/Zip: ! � CJu�ti' Attach a copy of the workers' compensation policy declaration page'(sho*Fing the policy number and expiration date). Fa:U=.to secure coverage as required umdcr Section 25A of MGL c. 152 can lead t o the imposition of criu�nal 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 tine of up to$250.00 a day against fire violator..Be.advised that a copy of this stat>ri= f may be forwarded to the Office of Investigations of the DIA for insi=6e coverage yeEcation. r do-hereby cerkfy un r the paixs•and penalties of ppeerjury that the information provided aa�bavg is true and correct: 'hone# ��Q �.2 yd . Official use only. Do not write in this area,to be completed by city or town,officiol 'City.or Town: PermitUcense# Issuing-Authority(circle one): A.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• . Massachusetts -De Department of Public Safety Board of Building.Regulations and Standards UX I �-,; ` Construction Supenisor License: CS-100408 11.1.E Is t ZEBULON M LAIV�URX 47 Lake Dr. Plymouth MA 02360 I =. xpi ration Commissioner: 07/25/2014 Town of Barnstable Regulatory Services � O t R�RN.C1'�Ri.R # Thomas F.Geiler,Director '��► '' 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 ,l Qom ' as Owner of the subject property hereby authorize gpm act on my behalf, in all matters relative to work authorized by this building permit .2 [? (Address 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 andXcceptecl, Signa e f Owner Applican Print Name Print Name Date Q:F0RMS:0WNERPERMISSIONP00LS 6/2012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued 3d l Conservation Division Application Fee (D� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address W G Village AV V Owner Aa r, Address Telephone G r+)2 � 3 - 560 Permit Request N:k VJ\ CIL ti he i (1 Nam-. kk M.4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 40r Q6 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 l No On Old King's Highway: ❑Yes $'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other v Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ff ZW- t c' Number of Baths: Full: existing new Half: existing newer_ Number of Bedrooms: existing _new a Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other rn Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial Yes ❑ No If yes, site plan review# Current Use R 1'AEri_CAS PO Vs o . �Pro APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (�S rnD°' Telephone Number s a 3"7iq Address License# 16 `A.1 ®�' Home Improvement Contractor# 153717 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE JO 3O ( 12 f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER F ' r DATE OF INSPECTION: 4 FOUNDATION FRAME INSULATION s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r t GAS: ROUGH FINAL FINAL BUILDING a DATE CLOSED OUT �� ASSOCIATION PLAN NO. � ��- �=-� �- 67 Office of Investigations 600 Washington,.street. Bostor�,MA 02111 _ www.mass.govIdiu Workers' Compensation Insurance Affidavit: Buflders/Conti-actors/Electricians/Plumbers Applicant Information q Please Print Legibly Name(Bnsmess/organi tion/Individ : Address: Na Ul Q City/State/Zip: Phone.#, D 3- 1 q5q Are you an employer? Check the a "ropriate bog: -Type of prof ect'(required):. 1.0 I am a employer with t 4. .E] I am a general contractor and I * have hired flee stab-contractors 6. ❑.New construction . .. employees(fall and/or part time).- ` 2.❑ I am a'sole*opiietor or partner- . wed on flle'attached sheet.' 7. ❑Remodeling These sub-confrazton have ship and'have no employees '8. Demolition � • working for me in any capacity. employees and have workers' 9. ❑Budding 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 heir 11.[]Plumbing repairs or additions•.• right of exemption per MGL . Myself [No workers camp. 12. Roof insurance required.]t c. 152, §1(4),and we have no e 0 employees. [No workers' 13. Other Lt imp insurance required] *Any applicant that checks box#1 mist also a out the section bdow.s'howmg their work='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. tConhactors t rat check this box must aftacbed an additional sheet showing the name of the sub-conouctois and state whether ar not those entities have .employees. If the sub-contractors have employees,they must providt their wad='comp.policy number. 'I am an employer that is providing workers'compensation insurance far my employees. Below is thepolicy and job site information. Insurance Company Name: iV C.. ' Policy#or Self-ins.Lic.# Expiri- onDatc: 0 a�7l 3 Job Site Address: City/Sta-tr/Zip: Attach a copy of the workers' compensation policy declaration page'(showiag 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 Pend ies of a fine up to$1,500.00 and/or one-year imprisonment; as-well as dull penalties in the fowl of a STOP WORK ORDER and a foe of up to$250.00 a day against the'viDlRtor. Be advised that a copy of this statrme>it may be forwarded to the Offuce of Investigations of the DIA for bumcance coverage verification. I do-hereby under the ains•andpand es of perjury that the itrrformation provided above is true and correct 3i ?ImnE l e only. Do not write in this area to be completed by city or town official- .City or Town: Permit/License# - Lssning.Author4(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector G. Other Contact Person: Phone#: . Massachusetts Workers Compensation Insurance Plan Acadia Insurance Company �i JA Administered by Berkley Risk Administrators Company, LLC PO Box 1100, MpIs, MN 55440-1100 222 S 9th St, Mpls, MN 55402 Acadia Insurance® Phone (605) 945-2144 Fax (866)215-8118 Toll Free (800)634-4589 NCCI Carrier Code 33391 CERTIFICATE OF INSURANCE 1. The Insured: WCIP Policy Number: WC-20-20-000092-05 Carlos Figueiroa Tax ID#: F 01-8723094 dba: C N F Remodeling 20 Captain Noyes Rd Policy Period: From: 5/1/2012 South Yarmouth, MA 02664 To: 5/1/2013 Date of Mailing:5/15/2012 The Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the Policy listed below: This is to certify that the Policy of Insurance described herein has 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 Policy described herein is subject to all the terms, exclusions and conditions of such Policy. x 1,,S111 � S>v1 L Coverage Part One State(s) Workers'Compensation Statutory MA Part Two Bodily Injury by-Accident $500,000 each accident. Employers' Liability Bodily Injury by Disease $500,000 policy limit. Bodily Injury by Disease $500,000 each employee. Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance With the policy provisions. All Entities/Insureds: Certificate Holder's Name and Address: Figueiroa Election Election j Category Status Name 9J Sole Proprietor Include Carlos Figueiroa - Date Issued: 5/15/2012 Leonard Insurance Agency Inc 683 Main St B Osterville, MA 02655 Signature_ r 5g g is +''t' iY,F" r f �,++ ��w` nh�' �,�`nt ✓die �u,� y <`. � -, oo��nzo�zuiea� Office of Consumer Affarrs�&roB sinessRegulahon� - - l��t �✓.:�� , i'i rx"-"},i �srsM� ; w6't'& (A,q.�e. x�rV � 13,'.� { ;. 4�. � `�rHOME IMPROVEMENT�CONTR�4CTOR 'ti�� t`.. -Reg!%rPtdon 153792 w TY,Pe ';, Expd�ation h/8/2�0134 — � rr REMODELI!1� s f'Hf4 a s ) , IIA CARLOS,,FIGUEIR .41 �A 1` 20 CAPTAIN NOYE` RR sYARMOUTH+MA 6� 1 `U;ndersecretary ' °,� ` , - +: 5 tt� lY9 tss tclitttickt�=�clt► tit)�ttt tip l'ttlal r ty Boll d iif t'�u�l tin r Kt°:�+tl thfiitti utd St tntl.trtlti Gcnstroctiorn Supervisor License #. I license. CS 104107 CARLOS FIG'EIROA e 20 CAPTAIN`NOYS RCJ �r I SOUTH YARMOUTH MA 02664 1p i ir# 10107' tt `� - - r$i' i��" tf:r Y 5. � - •, ry � v r � tn`rr��b,-X - a5`,�"n"y�c'�� sr _ � -. 4— or reg�stratlon'vand to lieforebthe-ezp�rat►on date If foundeturnl� r OffCon'sumer:;Affa�rs+and}Busines�s�idg'ulat�om } n �;;r IOY1'ark Blgza Su►te 51.70."` � �,� >x � ;�� v �Notvand'w�thouts►gnature �.,s s; �s�ac r� r ., 'ME� Town of Barnstable regulatory Services * snxxsTeai.E, • MAS& g, - Thomas F.Geiler,Director i63q. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder h L , as Owner of the subject property hereby authorize ��w•e� �L+� _ to act on my behalf, in all matters relative to work authorized by this building permit: (Address 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 Nwnet Q__",, ignatute of Applicant 0/V6 Print Name Print Name ' f e Date J Q:FORM&OWNERPERNOSIONPOOLS 6/2012 -THE r Town of Barnstable , � of Regulatory Services y . lARNSTABIX . Thomas F.Geiler,Director MAM �6Ar1659. Building Division FD MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended-to include owner-occupied dwellings of six units or Tess and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she 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) The 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/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and - requirements. Signature of Homeowner .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 homeowner performing work for which a building permit is required shall,be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing,Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed.against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisoris ultimately responsible. t To ensure that the homeowner is fully aware of his/her responsibilites many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # � Health Division Date Issued Conservation Division Application Fee r/ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH Preservation/ Hyannis P 5 Project Street Address o2 0 Q Village Owner Address 2D r Telephone l = Permit Request " - P. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3�.�� Construction Type �J Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. '❑ Two Family ❑ Multi-Family(# units) Age-of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): eZtric ' new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑Other Central Air: ❑Yes ®"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board Zes fpeals Authorization ❑ Appeal # Recorded ❑Commercial ❑Po. If yes, site plan review# Current Use : d Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) e V2f Name lC ��/ Telephone Number 6 -��j(,3 Address J License # D Z2 7V I _5 Home Improvement Contractor# L63 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTIW FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE'ONLY APRIJCATION# DATE ISSUED MAP/PARCEL NO. } x . a ? ADDRESS VILLAGE t OWNER r _ DATE OF INSPECTION: FOUNDATION FRAME ® - `j-'so-0 INSULATION `t 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH R FINAL FINAL BUILDING , DATE CLOSED OUT. ASSOCIATION PLAN NO. - ,t 04/02/2008 09:25 5087786448 HYANNIS FIRE PAGE 01 YAW 1Y s5 FiIQH.SQHOOL IUD: W< Fi�'ANN TMEN'j' (Ei , MA_ 02601 3 £ HAROLf) S. rreJ BA NffL CHIEF c i -•' '-. ,. ,- : 14F VN T14bN-�V J 1 tJ15U$INES '0HO NE 5 00 fYhc(AWAAEI n OF'FII l lEcrAi10Y FACSIMILE PHONE:(608)778-6448 LT. MC F.HUBL)ER, GFT 1� ''1P�ERB �' Nx'ION.OF )� • • ' ! FMB PRBVFN'TION OYXICPa pMKIANCE FORM ,. • '�HI�'�IRL�"=f?1��/EfyTI�A1=SUS ''y / U-HA VIMEDIH / TH 'F�RC ? N ATE �RT4� A ' A�" _t :THE .CHr• •, AFIT 'OELo'W Nb•KGNTES; TNT STATUS OF OUR Ft1=VIEW: ti•, r - � _ A RECEIVED REVIEV4'fyD COMPLIES .]�•. Try . •... V (;- ..: .F INK r�(Adv. rw ,1T '•�', � 'rt.,�Y.vc�.�T3'►�<J�:,:•iyTp��.T <�T7 r.'p,: _ ' •— .. ;31v ``��}} yp,_.r•YJ+•. .;t:`31 i.•�.'•v':tic: , ,, .4 - p]pr '��11'•1�:r�.^ f I��F17 ,1 r -1 y � _ - ENT fny o IN 1=SM Kf:' N7 I I )G=[AUT TJQN - _i .4,1fi��lufs�t� � t NXs B L E ANO.COMPLIANT FOR THE ISSUAkE OP BUILDING , Viff~HAVE Gc�fyl�'1_� C�`,TN�';��C�pTI�NCE T1=Sl I �F©F#THE OCCUPANCY PERMIT AND brzC �_... VE THAT VIIITHIN f E%QpL'b'ill! -a P• jIMIT;'THEi�;F3p . E IN COMPLIANCE_ r Windows Live Hotmail Print Message Page 1 of 1 eDEP Submittal Confirmabc>n� Pion:eDEPConfr adwgmnasgaail-ata>z m I Sean:Thu411O=2;43'PM O:k'iShIau@h=r'a+l:mnt - Thank you ;.or using eDEP Online :_il_img .from `:lie Nasaach,:setts Department of Environmental. Protection. Your transaction is complete and:has t This email is your receipt :for the•eL-ZP Online .Fdiing:transaction described below_ :Please review it and keep a copy-fDr your records.. Please do'NOT reply to this message, ibis email address will not receive messages. For assistance -with -.DEP Online Filing, please email the N•ass_DEP is interested in how we can serve you better. To'hemp us make impravements to eDEP., please take a minute to complete our eDEP dine To contact Mass= Programs, please see x.F ?s DEP Transaction ID_ 17526e Date amTame Submitted: 4/1O/2003 1 -27-28 M Form Name: BkTP - Demolition Form Eor RQ-06 - Payment information DEP code: 3042'q Date: 4l2,Ol2008 13:1.9:33 _ZJI Amount ($): ES Payment Detail: %in I.au --Card -- 8010 Contractor Contractor Number Name :address ca:aervisor Project Iforit3.r I,b &Sn II, ID OF TAE rJSE_R: kishiau@hotmail.com L http://b1127w.blu l 27.mail.live.com/mail/PrintShell.aspx?type=message&cpids=9cc 16b49-... 4/11/2008 r i. pf1HEtOy, Town of Barnstable ~� Regulatory Services -� MASS. r IEB,` Thomas F. Geiler,Director s63q. 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 Gr n q Fin as Owner of the subject property hereby authorize ✓► ` c $ ri v�C to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of wner D to LIAI(jA _ Print Name i i tcomplete he Homeowners License If Property Owner is applying for permit please t ce se Exemption Form on the reverse side. r)-POPTAQ•r1WNPR PPP MT.CQTr M l Town of Barnstable Op THE Tp� Regulatory Services Thomas F.Geiler,Director BARNMUS, 9 MASS' q� 1659. Building.Division DIED MP't A Tom Perry,Building Commissioner . 20.0 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 _______ __----=--------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: , number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings 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. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she 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) The 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/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 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 homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. f The Commonwealth of Massachusetts Department of Industrial Accidents 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/Orkani79fion/Individual): Address: c City/State/Zip: A PhoneA c�� -t 7l—�Y 7 7 Are you an employer? Check the appropriate box: Type of project(required): 1.7=amploa employer with 4. ❑ I am a general contractor and I yees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2. "sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P h' 9. ❑Building addition [No workers' comp.insurance comp•insurance. t 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 11.❑Plumbing repairs or additions myself- [No workers' comp. right of exemption per MGL 12.❑Roof repairs fim rance 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 affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box trust attached an additional sheet showing the name of the sub-ontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must pravidt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance cove erification. I do hereby 7ce 7 punde��th7pi sad pen of perjury that the information provided abov s tr and correct Si ature: Date. D _ 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees:' Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hue, 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 representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct'buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL.ehapter 152, §25C(7)states`Neither the commonwealth nor'any of its political subdivisions shall enter into any contract for.the performance of public.work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that 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 locations in (city or town)."A co of the affidavit that has been officially stamped or marked by the city or town may be provided to the PY �P applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, ` please do not hesitate to give us a call. The Department's address,telephone-and fax number: ,.The Commonwealth of Massachusetts Department of Industrial A.ccidemts Office dInvestigatWas 600 Washington Street Boston,MA 02111 Tcl. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass..gov/dia 4 7k eoo�e ,o�,/�craoactivael�a Board of Building Regulatio s and Standards Construction Supervisor License 4 License: CS 22 781 Expiration 12/10/2009 Tr# 22305 6 estnc on ,0W PAULF ROSSINI-" lz 175 CENTRAL ST HOLLISTON,MA 01746 Commissioner o?d widen OF THE Tp� The Town of Barnstable * BARNSTABLE, 163S. Planning Board prEDMArA 200 Main Street, Hyannis,MA 02601 Office: 508-862-4786 Fax: 508-862-4725 JURISDICTIONAL DETERMINATION FORM for Proposed Regulatory Agreements Hyannis Village Zoning Districts Pursuant to Section 168 of the Barnstable Code, this Jurisdictional Determination Form establishes whether an applicant may enter into a two-party Regulatory Agreement with the Town of Barnstable. This form shall be submitted to the Barnstable Building Commissioner. The Barnstable Building Commissioner shall, at his or her sole discretion, determine when a Jurisdictional Determination Application is complete and will contact the applicant when a determination has been made. The Building Commissioner may request additional information i Y q f necessary. A project proponent may seek to enter into a Regulatory Agreement without the Cape Cod Commission as a party if the proposed project is NOT a Development of Regional Impact (see attached Worksheet, Sections 1 and 4) and the project is NOT the type of project excluded from the Hyannis Growth Incentive Zone cumulative threshold (see attached Worksheet, Section 2). As required by Section 168, a copy of this Jurisdictional Determination Form will be forwarded to the Cape Cod Commission. REQUIRED SUBMITTALS Submit three(3) copies of the following to the Barnstable Building Commissioner X 1. This Jurisdictional Determination Form and the Required Filing Materials set ..,.forth below. Please note that Jurisdictional Determination Forms do not require the submission of an abutters list_ The undersigned intends to file a Regulatory Agreement Application with the Planning Board of the Town of Barnstable for a Regulatory Agreement, in the manner and for the reasons set forth below: Project Location Assessor's Map/Parcel Number(s): Map 327, Parcel 163 Applicant Name':Hyannis Main Development LLC Phone:508-790-5407 c/o Attorney Patrick M. Butler Applicant Address: Nutter, McClennen & Fish LLP P.O. Box 1630 Hyannis MA 02601 The Applicant Name will be the entity in whose name the Regulatory Agreement will issue. September 14,2006 Project Name: Downtown Hyannis Redevelopment Protect Y p I Property Location: 206 Main Street, Hyannis Property Owner: J & J Quality Holdings, LLC Phone: Address of Owner- 71 Warwick Road, Newton, MA 02645 Deed Recording: Book 18681 Page 180 Book Page Book , Page Book_, Page Book Page Book Page Plan Recording: Plan Book 52 Page 17 Plan Book 161 Page 121 Book 21 Page 103 Plan Book 68 Page 63 Plan Book 514 Page 53 If applicant differs from owner, state nature of interest:2 Applicant has property under purchase and sale agreement Zoning District HVB, AP/WP Number of Years Owned: N/A Total land area subject to the Regulatory Agreement: Approximately 1.49 acres Gross Floor Area of all existing buildings: Approximately 43,936 sf (83 motel rooms) Gross Floor Area of all proposed demolition: All buildings to be demolished Gross Floor Area of all proposed buildings: Approximately 120,928 sf If more than one land use is proposed, Gross Floor Area of each proposed use: 3844 sf of basement storage and mechanical space; 2888 sf of first floor office/retail 42,475 sf of first floor lobby, infrastructure and parking garage; and 71,721 sf of 2"d 3`' & 41h floor residential (containing a total of 63 units) Gross Floor Area of all outdoor commercial space: -0- (See attached Worksheet, Section 3 for definition of Gross Floor Area, and Section 1 for definition of outdoor commercial space.) Number of residential units proposed: 63 units Regulatory Agreement Requested: The Applicant seeks to enter into a Regulatory Agreement with the Town of Barnstable to allow for the redevelopment of the subject property which includes the demolition of 2 If the applicant differs from owner,the applicant will be required to submit one original notarized letter authorizing the application, a copy of an executed purchase& sales agreement or lease, or other documents to prove standing and interest in the property. September 14,2006 the existinq motel buildings and the construction of a 4 story mixed use development with approximately 2,888 sf of first floor office/retail below building parking and 63 residential units distributed over 3 stories The redeveloped site will contain 119 bedrooms. The Applicant is proposing to redevelop the site as shown on the plans utilizing a Regulatory Agreement consistent with the GIZ and DIP Waivers from zoning will be requested in connection therewith X 2. Existing Conditions Plan. If requested by staff, submit an Existing Conditions Plan that illustrates existing site characteristics, including man-made and natural features, following Plan Size Requirements and General Requirements listed in 3(a) and 3(b) below. X 3. Proposed Development Plans. The following plans shall be provided together with this form. Three copies of proposed development plan(s) as follows: (a) Plan Size Requirements. For each plan submitted, provide each of the following: X Copy of plan(s) sheet size 24" x 36" X Copy of plan(s) reduced to fit sheet size 11" x 17" (b) General Requirements. • All site plans should be drawn at a scale of 1" = 40'; however other scales which provide sufficient detail are acceptable. • If the plan requires more than one sheet, a cover sheet at the scale of 1"= 200' showing the entire property must be included. • Include a locus map at 1:25,000 scale with the outline of the entire property clearly shown. • All building plans should be drawn at a scale of 1/4" = 1'. • Legal Data to Appear on ALL Submitted Plans, as appropriate: X 1. Name and address of applicant and authorization of owner if different from applicant. X2. Name and address of owner(s) of record, if different from applicant. X3. Name and address of person or firm preparing the plan. X4. Current zoning classification of property, including exact zoning boundary if the development site is in more than one district. X5. Property boundary line plotted to scale. Distances, angles, and area should be shown. X6. North arrow, scale, and date. X7. Property lines and names of owners of adjoining parcels. X8. Location, width, and purpose of all existing and proposed easements, setbacks, reservations, and areas dedicated to public use within and adjoining the property. X9. Date of plan(s) and subsequent revisions. September 14,2006 X10. Plans must be stamped with original stamp of registered architect, landscape architect, or professional engineer, as appropriate. X 4. All documents and analysis supporting the proposal that the project is NOT a Development of Regional Impact including a completed DRI Worksheet (attached). When a DRI threshold is potentially met or exceeded, provide a statement with the reasons that the Applicant believes the proposed development is not a Development of Regional Impact under Section 3(e) of the Cape Cod Commission's DRI Enabling Regulations and/or Section 22 of the Act. Please also refer to Section 5 of the DRI Enabling Regulations for guidance as to whether a project is exempt under Section 22 of the Act. X 5. Copy of application(s) for any development permit(s) filed with Municipal Agency(ies) with filing date of such application(s). N/A IMPORTANT NOTE: Please contact the Growth Management Department at (508) 862-4725 if you have any questions or require assistance in completing this application form. September 14,2006 WORKSHEET Regulatory Agreement Jurisdictional Determination This Worksheet is provided to assist project proponents in determining whether the Cape Cod Commission must be a party to a proposed Regulatory Agreement. Section 1: Development of Regional Impact Thresholds (a) Any proposed Demolition or Substantial Alteration of a building, structure or site listed on the National Register of Historic Places or the State Register of Historic Places, outside a municipal historic district or outside the Old King's Highway Regional Historic District. Yes ❑ No X (b) The construction or expansion of any bridge, ramp, road or vehicular way that crosses or provides direct access to an inland pond, barrier beach, coastal bank, dune, beach or tidal wetland or waterbody (as defined by MGL Ch. 131, Section 40), except a bridge, ramp or driveway serving no more than three single-family dwelling(s). Yes ❑ No X (c) Any development that proposes to divide parcel(s) of land totaling 30 acres or more in common ownership or control on or after September 30, 1994, including assembly and recombination of lots. This threshold shall include any development activity in conjunction with any land division of 30 acres or more not otherwise exempted from review under Section 22(e) of the Act. Yes ❑ No X (d) Any development that proposes to divide land into 30 or more residential lots. Any development that proposes to divide land into 10 or more business, office or industrial lots. Yes ❑ No X (e) Any of the following proposed commercial, service, retail or wholesale business, office or industrial development, as well as any private health, recreational or educational development which exceed these criteria: (i) New construction of any building or buildings (including accessory and auxiliary structures) with a Gross Floor Area greater than 10,000 square feet; (ii) Additions to existing buildings that result in an increase greater than 10,000 square feet of Gross Floor Area; (iii) For Outdoor Uses, new construction or development that has a Total Project Area greater than 40,000 square feet; (iv) Any Demolition and replacement that results in a net increase in Gross Floor Area greater than 10,000 square feet. Net increase is calculated as the difference between the existing Gross Floor Area and the proposed Gross Floor Area. Note: See Section 2 below for definition of"Gross Floor Area" September 14,2006 Yes ❑ No X (f) Any proposed Change of Use, or Demolition and replacement resulting in a Change of Use, involving commercial, service, retail, wholesale, office, industrial, private health, private recreational or private educational uses in excess of the following thresholds: (i)Where the Gross Floor Area of the building(s), or that portion of a building subject to the Change of Use, is greater than 10,000 square feet. In cases where there is a Change of Use within a portion of a building only, all areas associated with that use shall be included in the 10,000 square foot calculation, including storage areas and ancillary areas; (ii) For Outdoor Uses, where the Total Project Area is greater than 40,000 square feet. Note: See Section 2 below for definition of"Gross Floor Area" Yes ❑ No X (g) Any proposed development, including the expansion of existing developments that is planned to create or add 30 or more Residential Dwelling Units, Yes X No ❑ (h) Any development providing facilities for transportation to or from Barnstable County, including but not limited to ferry, bus, rail, trucking terminals, transfer stations, air transportation and/or auxiliary uses and accessory parking or storage facilities, so long as such auxiliary and/or accessory uses are greater than 10,000 square feet of Gross Floor Area or 40,000 square feet of outdoor area. For the purposes of this threshold the amount of outdoor area shall be calculated as set forth in the definition of Total Project Area. Note: See Section 2 below for definition of"Gross Floor Area" Yes ❑ No X (i) (1) Construction of any Wireless Communication Tower exceeding 35 feet in overall height, including appurtenances, from the natural grade of the site on which it is located, except for a new Concealed Antenna Monopole less than or equal to 80 feet in overall height from the natural grade of the site on which it is located that is designed to accommodate at least two carriers and with an Occupied Area limited to no more than 1300 square feet. (2) Reconstruction of, attachment to or replacement of any existing Wireless Communications Tower, power transmission structure or utility pole for the purpose of supporting antenna(s) for transmitting and/or receiving radio frequency communications that increases its overall height above existing grade by more than 20 feet. Yes ❑ No X Q) Site alterations or site disturbance greater than two acres including but not limited to clear cutting, grading, and clearing land, unless such alteration or disturbance is September 14,2006 i . conducted in conjunction with a building permit for a structure or a DRI approval or in conjunction with a municipal project. Yes ❑ No X (k) Mixed-use residential and non-residential developments with a Gross Floor Area greater than 20,000 square feet, or greater than 10,000 square feet of commercial space. For the purposes of this threshold the Gross Floor Area of Residential Dwelling Unit(s) shall be included in the Gross Floor Area calculation of the total development. Note: See Section 2 below for definition of"Gross Floor Area" Yes X No ❑ Section 2: Exclusions from GIZ Cumulative Threshold The following types of projects are not within the cumulative threshold for the Hyannis Growth Incentive Zone. As a result, the Cape Cod Commission must be a party to any Regulatory Agreement involving the following: (a) An addition or expansion associated with the Cape Cod Hospital that meets or exceeds a DRI threshold; Yes ❑ No X (b) A proposed demolition or substantial alteration of an historic structure or destruction or substantial alteration to an historic or archaeological site listed with the National Register of Historic Places or Massachusetts Register of Historic Places, outside a municipal historic district or outside the Old King's Highway Regional Historic District; Yes ❑ No X (c) A project providing facilities for transportation to or from Barnstable County, including but not limited to ferry, bus, rail, trucking terminals, transfer stations, air transportation and/or accessory uses, parking or storage facilities, and any auxiliary or accessory uses are not greater than 10,000 s.f. of Gross Floor Area or 40,000 s.f. of outdoor area; and Yes ❑ No X (d) A project requiring the filing of an Environmental Impact Report under MEPA. Yes ❑ No X Section 3: Definition of Gross Floor Area September 14,2006 The Cape Cod Commission defines Gross Floor Area as: The sum of the area of all floors within the perimeter of a building, located either above or below ground level, except underground parking within the structure and accessory to the principal use shall not be included in the total gross floor area. Gross Floor Area shall be expressed in square feet and measured from the exterior face of the exterior walls, or the centerline of shared walls. It shall include all floor levels including basements, mezzanines and attics without deduction for hallways, stairways, elevator shafts, mechanical rooms, closets, thickness of walls, columns or other similar features. Outdoor areas used for storage, sales, service and display shall also be included in the total Gross Floor Area. Section 4: Development of Regional Impact Exemptions (a) Projects that qualify under the provisions set forth in Section 22 of the Cape Cod Commission Act (the "Act") shall be exempt from DRI review. (b) For the purpose of determining if the project is exempt under Section 22(b) of the Act, a special permit or variance shall be deemed to be received upon filing with the Town Clerk. An Order of Conditions shall be deemed to be received upon the date of signature of the Order of Conditions, or if a Superseding Order of Conditions i p 9 s rendered, then upon the date of signature of the Superseding Order of Conditions. A statement of the Secretary that the Environmental Impact Report adequately complies with MEPA is deemed to be received upon the date of signature of the Secretary's Certificate. (c) For the purposes of determining if a project is exempt under Section 22(b) of the Act, a development will be deemed to be constructed in substantial compliance with the applicable development permit or approval on a case-by-case basis. The determination of whether a project substantially complies with an original local permit or approval shall be based upon all of the following factors: The proposed project is in substantial compliance if: (i) The proposed project and use reflect the nature and purpose of the project and use in the original local approval; and (ii) The changes do not result in the requirement for additional local development permit review in the form of a new permit, approval or a modification to the original approval; and (iii) The changes do not result in different or increased impacts, as compared with the original local approval, to the interests protected by the Act and the Regional Policy Plan. The burden is on the project proponent to demonstrate that the change is not substantial. In order to resolve any issues regarding the requirement of DRI review, the project proponent may file an application with the Cape Cod Commission for a Jurisdictional Determination, as authorized by section 120) of the Act. It is presumed that the project is no longer in substantial compliance with the original permit or approval if the project was the subject of an enforcement order or permit revocation because of non-compliance with the original approval. The applicant may September 14, 2006 present evidence to the Cape Cod Commission that, notwithstanding the enforcement order, the project is still in substantial compliance with the originally issued permit or approval. NOTE: This worksheet is intended to assist project applicants and is based on March, 2005 Cape Cod Commission Regulations. It is the applicant's responsibility to check for amendments to the Cape Cod Commission's enabling legislation and regulations. 1596172.1 September 14,2006 oF1r+Erati Town of Barnstable Regulatory Services • EAMSTABLF4 Mass. g Thomas F.Geiler,Director A�EOMp'�A�O Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 26, 2007 Gail Hanley, Clerk Cape Cod Commission 3225 Main Street P.O. Box 226 Barnstable,MA 02630 Re: Redevelopment of 206 Main Street,Hyannis Dear Ms. Hanley, Pursuant to Section 168-8B of the Barnstable Code,Regulatory Agreements enclosed is a proposed project. This project is located at 206 Main Street. The project is before Site Plan Review. This project is in the Growth Incentive Zone and therefore is not a Development of Regional Impact. Please do not hesitate to contact me should you require further assistance. Sincerely,. V Tom Perry, CBO Building Commission cc: Ruth Weil, Director Growth Management Attorney,Patrick M. Butler Attorney, Eliza Cox .-Pn] Nutter Eliza Cox Direct Line: 508-790-5431 Fax: 508-771-8079 E-mail: ecox@nutter.com February 13, 2007 #106222-1 Tom Perry, Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: Hyannis Main Development, LLC Redevelopment of 206 Main Street, Hyannis Jurisdictional Determination Request Dear Mr. Commissioner: On behalf of our client, Hyannis Main Development, LLC (the "Applicant"), we hereby request a jurisdictional determination in accordance with Section 168 of the Town of Barnstable Code to allow for the Applicant to enter into a two-party regulatory agreement with the "Town of Barnstable to permit redevelopment of the property addressed 206 Main Street, Hyannis. As has been described to you at two prior site plan review hearings, the redevelopment consists of the demolition of the existing 83 room motel and the redevelopment. �_of`the subject property to allow for the construction of an approximately 121,000 square foot mixed use development consisting of approximately 2,888 square feet of office/retail and approximately 71,721 square feet of multi-family housing (63 units) together with ancillary and associated infrastructure improvements. The subject property is located within the Hyannis Village Business District (the "HVB") as well as the Aquifer Protection and Wellhead Protection Overlay Districts. The subject property also falls within the boundaries of the Growth Incentive Zone District (the "GIZ"). In accordance with Chapter 1.68 of the Barnstable Code and the GIZ District, we hereby seek a jurisdictional determination permitting a two party regulatory agreement by and between the Town of Barnstable and Hyannis Main Development, LLC to allow for the redevelopment described in the enclosed application form and as depicted on the enclosed project plans. In accordance with your filing requirements, we have enclosed three (3) packages containing all of the required submittals. Please do not hesitate to contact us with any questions, comments or should you require any additional information to render your determination. NUTTER McCLENNEN & FISH LLP •ATTORNEYS AT LAW 1513 Iyannough Road • P.O. Box 1630 • Hyannos, Massachusetts 02601-1630 • 508-790-5400 • Fax: 508-771-8079 www.nutter.com Tom Perry, Building Commissioner February 13, 2007 Page 2 Thank you very much for all of your assistance. With best regards, we remain, Very truly yours, Patrick M. Butler Eliza Cox EZC:cam Enclosures cc: Hyannis Main Development, LLC (w/out, enc.) Dan Bailey, ABA Architects (w/out enc.) Matthew Eddy, Baxter Nye Engineering & Surveying (w/out enc.) 1604716.1 3 f ZHE The Town of Barnstable * BA A MASS.SS. * Planning Board .� M i639. 00, 200 Main Street,Hyannis,MA 02601 FD MA Office: 508-862-4786 Fax: 508-862-4725 JURISDICTIONAL DETERMINATION FORM for Proposed Regulatory Agreements Hyannis Village Zoning Districts Pursuant to Section 168 of the Barnstable Code, this Jurisdictional Determination Form establishes whether an applicant may enter into a two-party Regulatory Agreement with the Town of Barnstable. This form shall be submitted to the Barnstable Building Commissioner. The Barnstable Building Commissioner shall, at his or her sole discretion, determine when a Jurisdictional Determination Application is complete and will contact the applicant when a determination has been made. The Building Commissioner may request additional information if necessary. A project proponent may seek to enter into a Regulatory Agreement without the Cape Cod Commission as a party if the proposed project is NOT a Development of Regional Impact (see attached Worksheet, Sections 1 and 4) and the project is NOT the type of project excluded from the Hyannis Growth Incentive Zone cumulative threshold (see attached Worksheet, Section 2). As required by Section 168, a copy of this Jurisdictional Determination Form will be forwarded to the Cape Cod Commission. REQUIRED SUBMITTALS Submit three (3) copies of the following to the Barnstable Building Commissioner: X 1. This Jurisdictional Determination Form and the Required Filing Materials set forth below. Please note that Jurisdictional Determination Forms do not require the submission of an abutters list. The undersigned intends to file a Regulatory Agreement Application with the Planning Board of the Town of Barnstable for a Regulatory Agreement, in the manner and for the reasons set forth below: Project Location Assessor's Map/Parcel Number(s): Map 327, Parcel 163 Applicant Name':Hyannis Main Development, LLC Phone:508-790-5407 c/o Attorney Patrick M. Butler Applicant Address: Nutter McClennen & Fish LLP P.O. Box 1630 Hyannis, MA 02601 The Applicant Name will be the entity in whose name the Regulatory Agreement will issue. September 14,2006 • 0 Project Name: Downtown Hyannis Redevelopment Project Property Location: 206 Main Street, Hyannis Property Owner: J & J Quality Holdings, LLC Phone: Address of Owner: 71 Warwick Road, Newton, MA 02645 Deed Recording: Book 18681 Page 180 Book Page Book Page Book Page Book Page Book Page Plan Recording: Plan Book 52 Page 17 Plan Book 161 Page 121 Book 21 Page 103 Plan Book 68 Page 63 Plan Book 514 Page 53 If applicant differs from owner, state nature of interest:2 Applicant has property under purchase and sale agreement Zoning District HVB, AP/WP Number of Years Owned: N/A Total land area subject to the Regulatory Agreement: Approximately 1.49 acres Gross Floor Area of all existing buildings: Approximately 43,936 sf (83 motel rooms) Gross Floor Area of all proposed demolition: All buildings to be demolished Gross Floor Area of all proposed buildings: Approximately 120,928 sf If more than one land use is proposed, Gross Floor Area of each proposed use: 3844 sf of basement storage and mechanical space; 2888 sf of first floor office/retail; 42,475 sf of first floor lobby, infrastructure and parking garage; and 71,721 sf of 2"d 3`d & 4th floor residential (containing a total of 63 units) Gross Floor Area of all outdoor commercial space: -0- (See attached Worksheet, Section 3 for definition of Gross Floor Area, and Section 1 for definition of outdoor commercial space.) Number of residential units proposed: 63 units Regulatory Agreement Requested: The Applicant seeks to enter into a Regulatory Agreement with the Town of Barnstable to allow for the redevelopment of the subject property which includes the demolition of 2 If the applicant differs from owner,the applicant will be required to submit one original not letter authorizing the application, a copy of an executed purchase & sales agreement or lease, or other documents to prove standing and interest in the property. September 14,2006 e e the existing motel buildings and the construction of a 4 story mixed use development with approximately 2,888 sf of first floor office/retail, below building parking, and 63 residential units distributed over 3 stories. The redeveloped site will contain 119 bedrooms. The Applicant is proposing to redevelop the site as shown on the plans utilizing a Regulatory Agreement consistent with the GIZ and DIP. Waivers from zoning will be requested in connection therewith. X 2. Existing Conditions Plan. If requested by staff, submit an Existing Conditions Plan that illustrates existing site characteristics, including man-made and natural features, following Plan Size Requirements and General Requirements listed in 3(a) and 3(b) below. X 3. Proposed Development Plans. The following plans shall be provided together with this form. Three copies of proposed development plan(s) as follows: (a) Plan Size Requirements. For each plan submitted, provide each of the following: X Copy of plan(s) sheet size 24" x 36" X Copy of plan(s) reduced to fit sheet size 11" x 17" (b) General Requirements. All site plans should be drawn at a scale of 1" = 40'; however other scales which provide sufficient detail are acceptable. • If the plan requires more than one sheet, a cover sheet at the scale of 1"= 200' showing the entire property must be included. • Include a locus map at 1:25,000 scale with the outline of the entire property clearly shown. • All building plans should be drawn at a scale of 114" = 1'. • Legal Data to Appear on ALL Submitted Plans, as appropriate: X 1. Name and address of applicant and authorization of owner if different from applicant. X2. Name and address of owner(s) of record, if different from applicant. X3. Name and address of person or firm preparing the plan. X4. Current zoning classification of property, including exact zoning boundary if the development site is in more than one district. X5. Property boundary line plotted to scale. Distances, angles, and area should be shown. X6. North arrow, scale, and date. X7. Property lines and names of owners of adjoining parcels. X8. Location, width, and purpose of all existing and proposed .easements, setbacks, reservations, and areas dedicated to public use within and adjoining the property. X9. Date of plan(s) and subsequent revisions. September 14,2006 r X10. Plans must be stamped with original stamp of registered architect, landscape architect, or professional engineer, as appropriate. X 4. All documents and analysis supporting the proposal that the project is NOT a Development of Regional Impact including a completed DRI Worksheet (attached). When a DRI threshold is potentially met or exceeded, provide a statement with the reasons that the Applicant believes the proposed development is not a Development of Regional Impact under Section 3(e) of the Cape Cod Commission's DRI Enabling Regulations and/or Section 22 of the Act. Please also refer to Section 5 of the DRI Enabling Regulations for guidance as to whether a project is exempt under Section 22 of the Act. X 5. Copy of application(s) for any development permit(s) filed with Municipal Agency(ies)with filing date of such application(s). N/A IMPORTANT NOTE: Please contact the Growth Management Department at (508) 862-4725 if you have any questions or require assistance in completing this application form. September 14,2006 WORKSHEET Regulatory Agreement Jurisdictional Determination This Worksheet is provided to assist project proponents in determining whether the. Cape Cod Commission must be a party to a proposed Regulatory Agreement, Section 1: Development of Regional Impact Thresholds Demolition or Substantial Alteration of a building,(a) Any proposed g, structure or site listed on the National Register of Historic Places or the State Register of Historic Places, outside a municipal historic district or outside the Old King's Highway Regional Historic District. Yes ❑ No X (b) The construction or expansion of any bridge, ramp, road or vehicular way that crosses or provides direct access to an inland pond, barrier beach, coastal bank, dune, beach or tidal wetland or waterbody (as defined by MGL Ch. 131, Section 40), except a bridge, ramp or driveway serving no more than three single-family dwelling(s). Yes ❑ No X (c) Any development that proposes to divide parcel(s) of land totaling 30 acres or more in common ownership or control on or after September 30, 1994, including assembly and recombination of lots. This threshold shall include any development activity in conjunction with any land division of 30 acres or more not otherwise exempted from review under Section 22(e) of the Act. Yes ❑ No X (d) Any development that proposes to divide land into 30 or more residential lots. Any development that proposes to divide land into 10 or more business, office or industrial lots. Yes ❑ No X (e) Any of the following proposed commercial, service, retail or wholesale business, office or industrial development, as well as any private health, recreational or educational development which exceed these criteria: (i) New construction of any building or buildings (including accessory and auxiliary structures) with a Gross Floor Area greater than 10,000 square feet; (ii) Additions to existing buildings that result in an increase greater than 10,000 square feet of Gross Floor Area; (iii) For Outdoor Uses, new construction or development that has a Total Project Area greater than 40,000 square feet; (iv) Any Demolition and replacement that results in a net increase in Gross Floor Area greater than 10,000 square feet. Net increase is calculated as the difference between the existing Gross Floor Area and the proposed Gross Floor Area. Note: See Section 2 below for definition of"Gross Floor Area" September 14,2006 Yes ❑ No X (f) Any proposed Change of Use, or Demolition and replacement resulting in a Change of Use, involving commercial, service, retail, wholesale, office, industrial, private health, private recreational or private educational uses in excess of the following thresholds: (i)Where the Gross Floor Area of the building(s), or that portion of a building subject to the Change of Use, is greater than 10,000 square feet. In cases where there is a Change of Use within a portion of a building only, all areas associated with that use shall be included in the 10,000 square foot calculation, including storage areas and ancillary areas; (ii) For Outdoor Uses, where the Total Project Area is greater than 40,000 square feet. Note: See Section 2 below for definition of"Gross Floor Area" Yes ❑ No X (g) Any proposed development, including the expansion of existing developments that is planned to create or add 30 or more Residential Dwelling Units. Yes X No ❑ (h) Any development providing facilities for transportation to or from Barnstable County, including but not limited 'to ferry, bus, rail, trucking terminals, transfer stations, air transportation and/or auxiliary uses and accessory parking or storage facilities, so long as such auxiliary and/or accessory uses are greater than 10,000 square feet of Gross Floor Area or 40,000 square feet of outdoor area. For the purposes of this threshold the amount of outdoor area shall be calculated as set forth in the definition of Total Project Area. Note: See Section 2 below for definition of"Gross Floor Area" Yes ❑ No X (i) (1) Construction of any Wireless Communication Tower exceeding 35 feet in overall height, including appurtenances, from the natural grade of the site on which it is located, except for a new Concealed Antenna Monopole less than or equal to 80 feet in overall height from the natural grade of the site on which it is located that is designed to accommodate at least two carriers and with an Occupied Area limited to no more than 1300 square feet. (2) Reconstruction of, attachment to or replacement of any existing Wireless Communications Tower, power transmission structure or utility pole for the purpose of supporting antenna(s) for transmitting and/or receiving radio frequency communications that increases its overall height above existing grade by more than 20 feet. Yes ❑ No X (j) Site alterations or site disturbance greater than two acres including but not limited to clear cutting, grading, and clearing land, unless such alteration or disturbance is September 14, 2006 conducted in conjunction with a building permit for a structure or a DRI approval or in conjunction with a municipal project. Yes ❑ No X (k) Mixed-use residential and non-residential developments with a Gross Floor Area greater than 20,000 square feet, or greater than 10,000 square feet of commercial space. For the purposes of this threshold the Gross Floor Area of Residential Dwelling Unit(s) shall be included in the Gross Floor Area calculation of the total development. Note: See Section 2 below for definition of"Gross Floor Area" Yes X No ❑ Section 2: Exclusions from GIZ Cumulative Threshold The following types of projects are not within the cumulative threshold for the Hyannis Growth Incentive Zone. As a result, the Cape Cod Commission must be a party to any Regulatory Agreement involving the following: (a) An addition or expansion associated with the Cape Cod Hospital that meets or exceeds a DRI threshold; Yes ❑ No X (b) A proposed demolition or substantial alteration of an historic structure or destruction or substantial alteration to an historic or archaeological site listed with the National Register of Historic Places or Massachusetts Register of Historic Places, outside a municipal historic district or outside the Old King's Highway Regional Historic District; Yes ❑ No X (c) A project providing facilities for transportation to or from.Barnstable County, including but not limited to ferry, bus, rail, trucking terminals, transfer stations, air transportation and/or accessory uses, parking or storage facilities, and any auxiliary or accessory uses are not greater than 10,000 s.f. of Gross Floor Area or 40,000 s.f. of outdoor area; and Yes ❑ No X (d) A project requiring the filing of an Environmental Impact Report under MEPA. Yes ❑ No X Section 3: Definition of Gross Floor Area September 14, 2006 V The Cape Cod Commission defines Gross Floor Area as: The sum of the area of all floors within the perimeter of a building, located either above or below ground level, except underground parking within the structure and accessory to the principal use shall not be included in the total gross floor area. Gross Floor Area shall be expressed in square feet and measured from the exterior face of the exterior walls, or the centerline of shared walls. It shall include all floor levels including basements, mezzanines and attics without deduction for hallways, stairways, elevator shafts, mechanical rooms, closets, thickness of walls, columns or other similar features.. Outdoor areas used for storage, sales, service and display shall also be included in the total Gross Floor Area. Section 4: Development of Regional Impact Exemptions (a) Projects that qualify under the provisions set forth in Section 22 of the Cape Cod Commission Act (the "Act") shall be exempt from DRI review. (b) For the purpose of determining if the project is exempt under Section 22(b) of the Act, a special permit or variance shall be deemed to be received upon filing with the Town Clerk. An Order of Conditions shall be deemed to be received upon the date of signature of the Order of Conditions, or if a Superseding Order of Conditions is rendered, then upon the date of signature of the Superseding Order of Conditions. A statement of the Secretary that the Environmental Impact Report adequately complies with MEPA is deemed to be received upon the date of signature of the Secretary's Certificate. (c) For the purposes of determining if a project is exempt under Section 22(b) of the Act, a development will be deemed to be constructed in substantial compliance with the applicable development permit or approval on a case-by-case basis. The determination of whether a project substantially complies with an original local permit or approval shall be based upon all of the following factors: The proposed project is in substantial compliance if: (i) The proposed project and use reflect the nature and purpose of the project and use in the original local approval; and (ii) The changes do not result in the requirement for additional local development permit review in the form of a new permit, approval or a modification to the original approval; and (iii) The changes do not result in different or increased impacts, as compared with the original local approval, to the interests protected by the Act and the Regional Policy Plan. The burden is on the project proponent to demonstrate that the change is not substantial. In order to resolve any issues regarding the requirement of DRI review, the project proponent may file an application with the Cape Cod Commission for a Jurisdictional Determination, as authorized by section 120) of the Act. It is presumed that the project is no longer in substantial compliance with the original permit or approval if the project was the subject of an enforcement order or permit revocation because of non-compliance with the original approval. The applicant may September 14, 2006 present evidence to the Cape Cod Commission that, notwithstanding the enforcement order, the project is still in substantial compliance with the originally issued permit or approval. NOTE: This worksheet is intended to assist project applicants and is based on March, 2005 Cape Cod Commission Regulations. It is the applicant's responsibility to check for amendments to the Cape Cod Commission's enabling legislation and regulations. 1596172.1 September 14,2006 o } "► '' 'TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r t Map Parcel Permit# Health Division Date Issued Conservation Division Fee "a s" PD b Tax Collector 9. A Treasurer f ' Planning Dept. Date Definitive Plan Approved by Planning Board E Historic-OKH Preservation/Hyannis Project Street Address Zd 6; a,4m )L- Village n 'Owner /j�c. A cCA a� �C✓S i 4 6 .L,\ - Address Telephone .To 8 — 7 '—Poo y Permit Request 1�f M.D✓t v ry r c� /t'oo`� �1�2vJ cy' lee, Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed -Total new Valuation .fA Doc. do Zoning District Flood Plain Groundwater Overlay Construction Type Oefd Z Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) / Age of Existing Structure D emu- Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full yawl ❑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: ❑Ga ❑Oil 12hlectric ❑Other Central Air: ❑Yes :; oo�' Fireplaces: Existing a 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,si a plan review# Current Use4� Proposed Use Mo 4 ' BUILDER INFORMATION Name c-,c kSoY% 7r• Telephone Number 9`1 8— 6P S8—IN'C', .S� Address C9 ri tt ,il—lc, in d Sir• License# 8 ti V® (A J i m- m)6 lnl G Home Improvement Contractor# !o 8 5-- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r - FOR OFFICIAL USE ONLY ' � - ,•. . x .� •} .. — _? of '-. ` P t^ —, •! + ' PERMIT NO. DATE ISSUED " MAP/PARCEL NO. ADDRESS _ VILLAGE OWNER ,,; f ti DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH } FINALt PLUMBING: ROUGH FINAL r GAS: _ ROUGH FINAL- _ FINAL BUILDING r t DATE CLOSED,OUT - - r` ASSOCIATION PLAN NO. _ t ' The Commonwealth of Massachusetts Department of Industrial Accidents '• . '-_ ONCE otlooestlAatfoos --s 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Afridavit name: Ze1efnd ! T-cc,Sir J y" location: L,-,.,j s r' City (aF7 phone `(V-6a-4Orr ❑ I am a homeowner performing all work myself ® I am a sole etor and have no one w, or,idng in any acity I am an employer providing workers' compensation for employees P worlang on this job. ::.. n m co t)ae v +.$YytiYirY:}::}::tipjj?in:Y ::::{•is'iitin:iii:$:i:::::�';:;ii:ii::}: ::•' ....:.:.::::..:.::::.:..4}i?:::..... ..:.::.. .............................:•:...: ..:-.........:..:...::n:..........:::::.......... ..... �.�::•........��v.�:::........................................................................::w::::.:v:::::+}Yi rx:{::}}}Yv'ij$};:j•}ifi}: : ........ ......::•:..::::..::::...........:................-.....:.............. .. ...................r:�.::.�:::vr;•:::w :�:: :::::•::::•::.:?.x;Y.:.:{•}}:?:x:::::..:.v;..r....:.:.xxv:...aJ•.J:...............rt....a.., fi}:::v:•..'•...�:v:•�.:.::v::}:.�.................. $�arelS:• ...: .... .......,.,?:,•;.}+::�.:: ::.:::::.�??::•..::r~::x.;x,•;}:?;: ;?;.:;:;:::!?.:.}:: :.�^•.:•:?±:+;?i;:`};:;'.�:::::::'�SS::i:<::::v y::'::iiiiii fi:>.::`:;: %:iG7:4$:Y%:Y}:}tintiliY:};:r:•i: i}i i:•:•i}i:}i?ice:>'• n,4iiJC:4i�;ti;...;i:;;tiy;;i 4.}'v,.};i:;isi:.:iJ'J:Y??iJ ?4ii:};::;:}�.iii"'v:i�i:•:i}:'ri`�:�i?i�(�: ::::::::......v..:::::::w:•:::•::::{:'v�:?:::.::y?:i}ii>?ii:•?:4i:}.�:::.:•.:}:.;::v:::•vrj}`:4:::::: .. ..............................,.yy.-{.v::•: QLV:ii::i::;i{:j;:;isi;:{::.�?::i:;:_;: �.�i :;:;:�:.�:�.? sir';`'.";7:i�i::.�...�ivii��.v:r::}?<.•,vi rj{:::;:+i)y:: .{.y 'a3 :y:: :5: ro : : :;:;>;`.;:::`•i >:::: ir;:ii-:iir:;ir:i>?3i''5 :'<:. ...................:....:•::...v::::,Jrn,v:•:•:•::.. ..•.::::......................... .:.:....::.... :.:::,.:; ...::..:•::y...{::-t•:•:••;.:.•::.::•.'.::fi:•>:•}:}:xfi:;::•tea:»+;>2';:.:- ::•::..::::::.. .... i137nr3IIce•CO:'.: ::,:.. .::.:.,..:::...::::::...,..,..:. piney#...•:}..:;,: ;;.;;'. :.::.:..;:.....::..::::.::.:'.;'::;..:.:.:-;:::::...::.::::. 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I do hereby certify under the pains and penalties•of perjury thai the information p vvided above is&up.and comet Signature Date 73-Z`1-01 Priest name /e .i�cc�C sd �'r. Phase# -TR'-61 —� A i c� — oincial use only do not write in this area to be completed by city or town omcial city or town: peemitAlcense# Qgunding Department QLkensing Board ❑checkif Immediate response is required ❑Selectmen's Offte ❑Health Department ,contact person: phone#; ❑Other—. 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[0 erolatol deeiyprrt+tea daalga i a ibaaa MM • 1 AS mad beaett9wdvohrurethattle sboem � atelwapkemeorp9thlerexdigfldle&at4at, local xlimil9e tew5sIN wwd ormfl•loads. M p�ealpeclRcefiaoav 2-10 -iB46 O.S3 3- 7 871 9.40 ''00 lJsrasdawn,nail:not been dulpxddsw 2- 9 601 0.32 4- 7 -645 0.22 am pooewmancy[llooaft 7mevemd�eddp wannnes 3- 9 -5% 0.50 coutpritwica M*bf i �sLraSq�aooksadl01.1al gpgdflodfainaskis am wtfw ba�lea ddlybrn�prWdy�Ued . d�a ft ft,they/bald be braced et a maximum gacleg of 10-0'a-6amx-tor platen shall be matafth red area 20 gimite fat dipped glsaadsed led memlal ASTbr A�S. . . ' Qmde A0,voles•tlawfsr shnwa FABRICATION N10M Mar in Fibdealwal.dw farlea wseene wkw tblsmreaixgwxade>an tMadriift Is in nalin a emitim:g reVoraIDbyy far such sari Motion. Any dlaeeepsocksaeloboprdo aaltangeermcwtYwrla6hdaaoa 1 Z 1InabwZswrmdIts[a.bdnoben gag deeut 3-99 for IWA[I7 rlxcs*waw kc� .caw ar W dtamasxacssbflafld9yl adanllee 4X4 . Q` mac late I the hunt leas deetvisr Hann A 1 9xt pinta Is 3'aNde x t'lamg.A rah pplatali b' , F- wrdexi'km.81atn 0d*0Mjmm9lto V thepteblfgphtpal6aL laableamnmatt 4 mambasshaU go".ecmoidarhawe!!a voles edsevdae sharxfl.Lbmeem[pima aims - me mmla mn amit UW®Ibe IBtoea Ibuap aed may lead m be baseued Bo omhie land- O ffagatdrroreseWonsotema.7'e ormiarot a, is he bbricatad%M floe reanlae=-A . Q lumber alms afbeanfn abown.Far addltl=A raRemrt[aacwQudiiyaswdF*Fto IS6 2X4 M 3S3 314 3715 p .::si � 3%T. PRMAUMNARY MOTIFS H Alt ecatee met ataedan tnwememLtlum ata muefallaced3namoEdrioewim'JraxdRlel eW,nl,V Mmemg•.H]5.91.7hatraamio bebadffeedd,dmhpartxumrt,.edad,ta al lO r 8 adNadlfaa,asliscry-aed frmlbttlow eel 12730 3.""CMn 1.0.0 N 4UM1:.Tiro CANE: 6-0-0 18a5B 3.50" pecaInati1 ightawllumbtg rs ee6dcmx daeees In a iwalgbt aa0 plmnb pod itiowamtd Car �- e`�., aeste�a,F end lad ey�oem�dm�rta�ban _ E7.0.0 llae�esatatsa9amaravnwtratit6iialaaya EX AS SHOWN PIA71S ARK TUO GA RFSIED FRR AXA1M 1-1995 iwsE m eequ haal Oreeaadoo�Y action for r 1CF& -4 flows RQ Ms5whaempaeperadgg&Kft m lawlutlo6'eet%mw te4mea a nwA msatae . READ ALL TOTE$ON THIS 5HE[�T. ' �• Jef* .I 0 attddaoolotiml, Theamymerritioflerorectlmof tv owwaabalfbrimkreeeamW•fperaom ® A COPY,OF TM DRAWMG TO BE GIVEN TO ERECTING Dwg: Tno ID:TI N re,rtiml m rir mreeded `®MR COiV1'RhG'1'OR. : iK Dbale: 3-26 81. l otncawauenarromwaonothe yaaw �� BRACING WARPIING: TC I,t4t .0 OwFac- : .US clam dace dailps 3oaAs made not be app5al ro . wmauex at any tint. traboads deer d+,w ehc �i R R� R,.g.� gig dentin tit mess r -ft la actiz duo 61'.wwd a;*,ravel fmdro w mvxr bridal TC Died 10.0 pgI Mimic-Pit: US xetgheaftbnaeemndaaleapplicdto e� wElee4aptnpfdcbaildtlu�dgwaadwiAce�tabeoo•ddeaedbyeeholifieadW t llsccuaTk�uddberanfstamlxaecdbraclrse iser,6mw o7buomwikmuq�m.seea�df pt»idomaaaee BC Ilse OA @ef 0.�.Spoiang: 240 11N /�fl oudnmaaebrVbierfl6�odeledapeclfledfataamsAtafmlaMEgtheOUBdwldea�t- C Addbaaed braetnl e t radl sotehue eqq be teauleed.tseeEt�si wtdrn. Be Dead n& Vj Criteii�SOCA (6M)398-M (601)362-5324 'x Pine inaodo.7v1.fe mcred r 3gf D�Om a DAie,eradism.Wkxamiw A7t9i. annaftOTAL 90A I Code Dew: 051w.Mahft Aarjrsfs JM PAIN: QiM40"OJ U M187 Hal aSJ?.Ota - ... / r r CAPE CdD INN HYAWW,MA 'Fir El`l r7DMGINqNINFORMATION av9 CROIM: 2xG ser •1/42 00 'LX4 TJ� 111110 MMMO nafled flat to edgo i-mr tm Individual butlillna HOT C Bi 2X6 I3JP #1/A2 , itd of ttleb with 12d asili at 8• o.c. ar A J3Cik1B 1) 0- 0- 0 ill 19- 6- 0 21} IS- 6-and has btt:6 Used a.Wa,m.uoo (ANZ 6TImt 2X4 SJPP,OM i0) of !be Gams d14--ion and grade ae web 2) 9- 6- 0 12) 19:11-12 22 1{- 0- 0Ydeclieat.Tttedsigaa:rdixleimw2X4 �g called flat to -ailed to faee(s) of web w'1Mth i0d-nails ' 3) S- 6-. 0 33) 21. 6- p 23) 13- 6;dbitnso1 stab xlt]>t 17d aaile,at 8• o.e. R� B B• o.a. e�H or Trl1TSVW41 1- 0- 4 1{) 73- 6- 0 Z4) li- 8- 0 paea8 to ewtend Pea: center.80% of length. �to tnetand eat 00% of web Length.' 5) 7- 6- 0 2S) a7- 0- 0 2S4- 0 sadCheexeeemensacamuocy bnalye38'bamed o0 oftUrieid]ImAeg abdel. 2XIF a80i�CB mq'd an Mynah es4eediig 141, 6) 9- 6- 0 26) 27- 0- 0 261 7- d- 0 �I Cemisb,nxiv iloas,ltsgnlaoeeaaga ppwty t W" load of 70 g.s.f. has da0Dte0 an of Mw face 7) 13- 6- 0 17) '78- 6. 0 271 S- 6- 0 a Clflceaq�eaamdaoxpdao Urlllbat bf�n ied to the ttota chord per •+'w denotae HOJ$ea ee or 1BOPl laces 0) 13- 6- 0 18 31- 6- 0 28 3- 6- 0 0 eResciononCOMEMtba iufsbAo• �p ) o tlaa,bandmtq,stfeeaat ismmaYceat BPCa-96c. 1606.`2.3 i0S11'.1PI$T+08D!! -- 'lhi9 daeigt is the 9) IS- 6- 0' 19) 19- 6- 0 291 0- 0- 0 I^ ara-ea thbansataabmtMleaemduan Ail CMIFIMBeIM Chaceds are aeemed'to be ' ooagrosite result of ttaitijale loads. 10) 17- 6- 0, 20) 17- 6- 0 ba$tdWluulia�eodpuo�tmadoadaaee-wt� continuo sly braced atnleee 00t0d otherWise. Kind a Based obis JAsca-imsr'R. 90 -,10i. 1gllCTIONB V=HIBJIRm riOCA1TtlN--=--- �-t AKSUM 1-W and l'DSJP b be Inemparamd m lgl1, iw.1. . llgan 8gt.45.0 .ft, JIbW. Cat. n, E--roc Vbrt Burls Ujaiet Y-Ieoe wput of ate baNd'uv dedeptya 9agdiur 'w �-' tWigter{relha:trala,a!Mceuaprak>efitmi ••g+C.•.FCIRIS...CJ3L ..BC..:801t�...C$I tete.rrws3 preilelalta anal. I. 6- 1-17 195 4 D ]B02 QIN e ).Whcn aevleaed ltr Oval UY tar Kind aualyais e+bord deed load 22.0 pee. 25-10- 4 1" 0 0 am R-10�,1. d tbCr&vtga a,hoaz •> B...F03tCJ3...M WEB...BIZtlCB,..CS2 0) �m 2=28 0 0.041 9-23 0 0.98 are lea�memwithee local btdidbtecotim 3 27 0 0.09 10-20 0 8.26 M Faeatcmmadc-tcorde6trwfadvaraMrtwd! 5-26 0 0.16 11-19 0 0.16 m pt Jet arrpetiwlapp@ediema. 6-25 0 0.26 13-18 0 9.09 liomee ws"ManwaotberadrslgoedTae- 7-14 0 0.39 14-17 0 0.04 amuoe ororntptaykwb.Thedodye�➢-me, 8-23 0 0.53 oady braaedby��ng uni�ftrolat t0or• sp:eNled VAkw'amimthxdsmtewloane eat fullybeacedI byepwac4•2pow , defdcest�theyabvaddltckomdats , meat-me, Meeaf ldrfi•nc.CLeaeuor , plaun sbau Er m,mM6swsed 8om 4GsuMae hot . tllppedePlvesaoed tmd tmedgeA9'iM A6d9, Grade 40.wdweahavri,e dMn tL FABRICATION NOM Pbor in Udcadon.ftiibiwor tball i n slow Cis dtaaiae to vatfy dot ebb draaige Isla - ooeftemeeoe wm dte fatrivaivej pteu and m seaila:amr4latstegtndpanfMbllly des atte teN- . Grafton.Amy diutp,trclessm tote pnbr 1 2 64 10 If 12 13 14 waWnsbeaoecubbw ntabrl adoo. Places emm not be Iagelhd mr kMntledes_ lowww4 uniodgudn,Maehertabaittbeeut fiedghtaftl weedwwcadhaxatae Com- G7 eeemrplates�aNbeloealed®hahiaeeaaf the Cruse wish naFe dd1!l GMatdded and atom be' �vm atom the jcma urMlesstd,eawye ahoaa.A Tm4Na-Iss•cvldencartotg, AEagplatele6' 1.SR.i I.SR3 .5R3 /385 V sd'deaf'1m{e 9fxa 0etm)wem p"llato .� = am plus letMgt6-pacified.Dudd i.w aeb - mm ben Adl men n lee seobaidof dte w ea 1. �� 4-4-8 Loma`s' AmbaoeNao p s6�n � 1� sod may mad W be ineraa,nl for omala hung.30 o �pg andfor healoaarre:oes.T61s 6ou to sea mbefdttfeated with dMtaprdaats teeak+t - t tuber M-leu of robe d m, ft4 addidm-' 1.E fnlbtmotion an Omnb CWU'A refer to 27[b 1.5$3 i.sm I M0 1 5R3 1 M0 3X51:W LW I.Sffi 1.9$3 SR3 37 oo AltsVfPl t-I9et ]JAW PRECAUF10NARY NOTES e and ercedod aoCcemtmdadaea ate , to tr followed FA ao�otdents etUt'Hanaing . InpalUngd! ,Hm-91.Tmwsattm b,odl ' b. ai.t,hpaadwlarcuedatieitbandl 9 � 27 26 15 24 23 2Z Z1 20 19 is 1T 1 p) aadtaedrtM dCUscay and t-nmadba m mt�a CANT: 6-0-0 IMP 3.50" doun 183#3.36"CANt: 19 0 IV wt.Tcmporeyampeanawnthndtrg er lumbasia80a-10mbpaa- . rl Idm aal kY satsdog taMat Bxoea abaB Ee r 17-" dedd amiesWledbyedets. f.Leafdhaed- IIeg7,Cmer#hd tiadeffedeabtatlueb ahoy. kXCM AS WOWN PLATES ARE 1'L24 GA'IMEB PER ANS1%9TI 1-w Studs a 24-6 ex. seals 0.1875 norm W=Mse@dced.xarmd Pterodmrr7 acfim fte , ttsawsr�resrtehsmp�tYr . Iattalhrtlm beaaem trusses m avoid u ppnae S:READ ALL NOTES ON THLS SM T. EIR!- Jobe anddamimic"9TMeapuvhdateseoetdooai WULM Ctalw-hall bt aadaeuseeefttrot at pessotu /�A A COPY OF THIS DRAWING TO BE GIVEN TO LRECTKNG Ali% TrOed M.FTI Naygtvleomdia the.iemdbttienwbat-ace. y.,,r,,, t JK CJili: DpZ�: -�6-(}1 ' 1sofCeiaod whits sbad be If mailed. C AC.l VB., thoornaammatcanstttModaabwdtgtestar R� MACINigWARNING. 11C Lfve 30A pet DIQI+�c-Lbr: 1:15 � darn urc deilgn taedt ohm not be-ppiied m Claws at tan drat.xo wad-utbrr tk.a tee /eM�t�st S Bra�t,b��n ou r67ada9aiaa bme e,aG�beaeeaQ, Parini limloc er dedlm tratiti� TIC Dud 10.0 par DmrFac-Ph: 14$ rsclgalofdoaeaw"atosoBedm 1�'�awl■ W" aP-aofihebd�Yg�aodNUMnasbaaaa�xr$byoet tdr e.9wse4tt ,,a...,, s ansswe+until alterall>i+tt�ard ttseirg -haa-isha htesat aTmon memhe c*%u wtdaoa tatilhfg proiddaai W yi•aft: u es meted. aqp�- k� W. to 1�Jt1Rs Q9 O Ci,�.. 24.fl ads■� roam, Ott tmstat 6netae as Ptah am tpea6eiltwdaa.almeCmimd hy.es atnduede-Iptea HC Dead 1Q0 D�rB••Cd 9;INICA INCID Adl6ttmtbrctrej of"emu I MC0Ye bC-egalmd.{SteH�-41 ofTPQ. p� i 398,8787 (609)362-3324 Cftm Elm tawant.TPI.Is IMruted n sat or000rsno Dfim Kid vpboeadln str-sj. CGEJe De9e: IWAL �.0 narg->tderat Atasyd, me PAM C lzlsSaomtoant3114v an, 0.17.00 r TOWN OF BARNSTABLE 4/a-"(* MASSACHUSETTS 7 71- 1 4 S 7 BUSINESS CERTIFICATE DATE ISSUED: 06/23/1999 DATE RENEWED: BOOK 184 RENEWAL BOOK: RENEWAL PAGE: PAGE: 99-198 DATE DISCONTINUED: CERTIFICATE EXPIRES: 06/23/2003 DISCONTINUED BOOK: DISCONTINUED PAGE: In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned hereby declare(s)that a.business is conducted under the title below,located as shown,by the following named person,persons or corporation: CAPE COD INN MAILING ADDRESS 06 MAIN ST HYANNIS,MA 02601 �* C.SQUIRE,INC DR.RICHARD LINDSTROM 306 SOUTH ST HYANNIS,MA 02601 Signatures: THE ABOVE NAMED PERSON(S)PERSONALLY APPEARED BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE. TITLE Identification Presented: DATE: May 25,2000 CONDITIONS: EXISTING BUSINESS;SIGNAGE AS IS In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110,Section 5 of the Mass General Laws,Business Certificates shall be in effect for four years from the date of issue and shall be renewed each four years thereafter. A statement,under oath must be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues. ___-_------------_ CERTIFICATION CLAUSE I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes required under law. 4 * Signature of Individual or Corporate Name(Mandatory) By: Corporate Officer(Mandatory if applicable? — --~ — ** or Federal ID Number * This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension Ior revocation. This �,Zi�request is made under the authority of Mass.G.L.Cha 62C,S.49A. TOWN OF BARNSTABLE BUI ERMIT L�IC A qq 4/ Map Parcel Permit# Health Division 4 � 4 Date Issued Q 0' 3 Conservation Division `) ,)°j — ! 58 Application Fee J—o. 6—n Tax Collector 67 �� Permit Fe�K ®• d 0 Treasurer �/ � i !IS,0 APPLICANT MUST OBTAIN A SEWER :Planning Dept. CONNECTION PERMIT FROM THE ENGINEERING DIMON PRIOR TO Date Definitive Plan Approved by Planning Board CONSTRUCTION Historic-OKH Pr es rvation/Hyannis Project Street Address Village ��yy Owner L/ Address Telephone Permit Request — Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dw"ellin e: Sin Ie Family ❑ Two Family ❑ Multi-Family #units 9 Yp 9 Y Y Y( ) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: Cl Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No , Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl Commercial Kes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# eN Home Improvement Contractor# Worker's Compensation# &&4Z7Z k�4 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 6 SIGNATURE �r FOR OFFICIAL USE ONLY PEkMI'I'NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS ►:. VILLAGE r OWNER DATE OF INSPECTION: x FOUNDATION 'FRAME ' r. INSULATION ' FIREPLACE j! # ELECTRICAL: ROUGH FINAL 1, PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1;`, . . 1� ASSOCIATION PLAN NO. _ �` -- TOWN OF BARNSTABLE BUIL I�RMIT f LICATION Map ' Parcel Permit# t Health Divisionf t �-� t0 � Date Issued 4 -3 Conservation Division r' Application Fee Tax Collector �� `��' Permit Fee S0/ d 0 Treasurer Planning Dept., - Date Definitive Plan Approved by Planning Board f Historic-OKH Pres ation/Hyannis Project Street Address, ,� / /t Village Owner Ali' Address Telephone d �" '. Permit Request �/�, U �� - 542 3f v - 1 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size / Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement FinishedArea(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial )Yes ❑No If yes, site plan review# Current Uses�� Proposed Use ) a4� BUILDER INFORMATION Name �'i �� Telephone Number � Address t License# Home Improvement Contractor# � 7 Worker's Compensation# K _71 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE FOR OFFICIAL USE ONLY PEkMIT NO. DATE ISSUED MAP/PARCEL NO. � � 1 v ADDRESS i VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. i i _ J The Commonwealth of Massachusetts Department of Industrial Accidents Office ottasesffgatioas _ 600 Washington Street --_ Boston,Marls. 02111 Workers' Compensation Insurance Affidavit name.- location: city hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working mi capacity m to rovidin workers' compensation for my employees working on this job.:;:.:.;:•>:?}:.:;•.>}:•:::•}:•:{<•:.::<:<:;:,;::;;;::{::::}:.:.:`{,::::: : I am an e P y� ..g....................::.::.:,. :::........: :::::::.:::::.:.:...................... com an n .......:::::..... ......::.::.:.::::::.::.v::::::::.:::::.:::: :::..:.:::.:i•i\:�•::i}:�::::;iiii}i::v ...................................... ::::•.:::..::;•:w:::nv::::.v::::::::.y}::::::�?4}y}}}}"}{?}::.:<':•}?}::h` ... ...... .. .. ... .. ............:...i4;{4y}:v}:;•}T}}'.}}}::}}'F{.}:?•}:ii:G:4:;is?•}}i}.:i:.}::.i:•. ::::oP.B:;{.. cite { ... ........... . .. ................. .. . ... ........ . .............. ::':}':,::.:.::.:.::.....: hone#.;:::....... • 9listtrance ca::>:::<<;;<_:,:<;::: <• :: ❑ I am as proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followin P .,w,n..K•..•::.,.::::.: ...................... .........................:.:..:�::::::::,::::::::..�................. .:::..:................:.................::::::........,K.{.:::.:............ � 4 s �:;'a.�:S::•-:;:j':ii}iiii:�:��$::>.::;:�;:?.:;:j};:::;:::{<�?:::;:;i:yj{:`�::i:::i:S;:;: ;:;:; i:;:>i:t�i}:.Y�}:'�:S::i::i;i?i:}'... :'}i}iC:iii:::i:iii::{} {...... ...........:nv.v:::: .. ...... .. :::: :. :}ii:S:>.;:;;:::,;>:•;>:;::,;;;;;:;;:;;:;>: :,, ;.} :: .,;,?.;,;??,:, .....::;:{.v:::...,...::..;:.:;,:{........::+.?:;<?;,;;;• }:.:.. � t ... ......... .... ...........:nv::::...,.•:: .........................v:::nv::::::.v::.v:::::::;............•.v:;w;, .......v::::;.}:v:.v...... v.v::.v:,..;......:r,,;.yr..•:::•{•r ri:.;:vw.. .. ........ ............... ...................... .........................:.................................:..................:::<:.�::.�:.:::::.::. hone. ,�:::.�.;,.::.:::;:;.?.,.};:,>::-::::;,:.:.,..::: }.��>..;�.,',':::;;;;:: .:.......... gn ........... ..... ........ .............. ................................::.v.�.�:::::::::::.:.v:.:::.:?}::.vxx.v:•:::.:....... n..{•.w.:nw.v::.::............... .:,.•..^r?X7k;::?`3L•:J::}:•;?:r:i:• ....:..:.::....n......•:v...................n:::...............w::.............................. .... :.......... .......................:... ::•::::.}•:::::. :...... x.:.:.. n ,Hato a .. sh IrWh a to see=coverage as required under Section 25A of MGL 152 can lead to the imposition of crinsitsal penalties of a Sue up to$1,500.00 and/or one yes,imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a Sae of$100,00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under th and penaltiespfloUry that the information provided above is trtrJ and correct Signature Date -:aa- I Print name Phone# 2;z- official use only do not write in this area to be completed by city or town official city or town: permdt/Ucense# ❑Building Department ❑Licensing Board ❑checkif immedtate response is required Cl tnen'a Office ❑ffHeaealth Department contact person: phone#; ❑Other (devised 9/95 PJfy Information Inst ructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,Partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein., or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may e zi. submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and :. date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of 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 permitflicense number which will be used as a reference number. The affidavits may be returned it the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents DMce of invest1g0olls 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#c (617) 727-4900 ext. 406, 409 or 375 r Assessor's map land lot number ......��. ' Sewage Permit number ........../I/..........r�1�r:" -SL�l-.I (�, ......... b�PyOFTHE. yn TOWN OF BARN. S.,TARLE" Z MAWS MULL i "6 9 a w BUILDING INSPECTOR �Far a• APPLICATION FOR PERMIT TO 5......E 'I'1z�- e-n.."- <' • TYPE OF CONSTRUCTION ......./ n r�... F .e'....,.....................................................................I.......... T ....................19 ��_ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /� s /�....., ra. Fr ...e.- ...�. ... ProposedUse ...........:�� /.......................................................................................................................................... Zoning District .....................i. ..........................................Fire District ........ .:. . / 7�/3/Ayyts' C e✓.v/'y "�LyivJa'eL /'�r/c'r�c'h�e Name of Owner .��!'im- ��c✓tn!,a!>��.�.�C.,//r:.-.4-eerjAddress ...................................................................................... Name of Builder ....�Jr,,.• . ..,�-� r....�! (,/�,., ... �1-.Address ......1.. �a/. ............................................. Nameof Architect .............../!..?.AJ. r-................................Address .................................................................................... Numberof Rooms .............,......................................................Foundation ..............................�.............................................. Exierior � � `. . . .� !. .,.��!.. ,�'�...........Roofing ..../51 .6..4.... �..�f'p.. P.. .r �.� ........... Floors ....;!� � _ .... . �.�:✓�...........................Interior .....;.�,�L:......... .fr .,r�.a........:E'....`.�:�.--sy..�.ar .,..•..r... Heating `�.�F.�^...._r-.:.: ..............................................Plumbing .................................................................................. _� Fireplace ............;44-,—,:.a6u...................................................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 i I hereby agree to conform to all the Rules and Regulations of the Town_ of Barnstable regarding the above _ construction. �/✓/L, ��// / . Name • . .! ................................................................. Goodman, Arnold & Arthur Rittel A=327-163 3� 1�3 17806 repair fire No ................. Permit for .................................... damage to motel ............................................................................... Location . ........... .206......Main...........St................... ............. Hyannis ............................................................. ................. Owner Arnold Goodma & Arthur Rittel .................................................................. Type of Construction fr ......................me...................... ............................................ . ......................... Plot ............................ Lot• ............................ 11 - Permit Granted ............Ju..... y 9 75 .....................19 Date of Inspection ......../.........................19 Date Completed .......................................19 PE IT REFUSED ........................... ............................... 19 ............................ .................................................. ........................... ................................................... ......................... .................................................... . Approved ................................................ 19 �pFTHETow Town of Barnstable ~O Regulatory Services SARNSr"LE, 9 MASS. $ Thomas F.Geiler,Director qj 079•ArED & 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 as Owner of the exo subject l P P rtY hereby,authorize �t'►� �,��- S��/ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:OWNERPERMISSION I i 1 � fie Vro�no�zulea,�,� a�,/�Oarzc/auQella BOARD OF BUILDING.R€GULATIONS ,License-:CONSTRUCTION SUPERVISOR L Nurnbe� _ 070029 III Ei1rgLv1004 Tr,no: 5451 Re�rai . ', � RALPH GROSSENl t r 18 WOODRIDGE ;iE '�% c � E SANDWICH, MA Administrator ` j I �ti 4 �pF1ME Tps, Town of Barnstable • • BARNST ,�M : Regulatory Services 9� 1 . ATF 3+' Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 13, 2003 Mr.Richard Lindstrom Best Value Inn 206 Main Street Hyannis, MA 02601 Re: Best Value Inn Dear Mr. Lindstrom: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 84 Motel Rooms - $124.00 The fee has been established by the State (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure 1020513a TOWN OF BARNSTABLE s BUILDING PERMIT f PARCEL ID 327 163 GEOBASE ID 24266 ADDRESS 206 MAIN STREET (HYANNIS PHONE i HYANNIS ZIP - I LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 67161 DESCRIPTION 4x8 BEST VALUE INN PERMIT TYPE BSIGN TITLE SIGN PERMIT i CONTRACTORS: Department of ARCHITECTS: h Regulatory Services TOTAL FEES: $50.00 BOND CONSTRUCTION COSTS $.00 tt1E 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE BAENSTABM • MASS. t639. � . QED MA'S A BUILDI IVISION( BY DATE ISSUED 02/25/2003 EXPIRATION DATE r 02i13/2003 16:34 FAX 8136557000 Lindstrom 1j001 . I Town of Barnstable Red ' lat®ry Services ` ThIPSONS F.Goner,Director KAM `she. a Taz6 Fra't'9, PVAdlag Cm�plesia�r 200 Maine Stt*4 Hya=xia,MA 02601 508-862A038 Fax: 508-790-6230 Tic Collecua� �...,�.- -I"U Appli"tIOU fox RP Peo►it j Doing Buei M AW 1 Tolepb�aae No.�; -_7 5tgo Locet4ou S'treetlRoad: - . g 13istticr.r,----�Oldyungs mg my7 YOWWo Hy2=411ifttic I?igtrict7 Yd&NO i f'rs4peity "r Tslapl'ime:� sty Corrtrec$Pp IV°�x17�'i i Dcecarlption, • In.00 dtw o dip ►of lot dwvAng location of buildings.and tiug laps vft diwcWi0ee,laeatioa aid size of tbt ugw qj$& Thu eliould be&VM on the sever idde of this Whcitm Is tz pip to be cloctti5ad? Yea/No (Nffita.•,YYer, a ws � i:'ts regiwed) z by=ftthat,am to owtaW at thatI have the moority of ihe owmar to zab,aihis appUcatim heat tt:v kfeaamadoa is catut sad t>tat the use ad won OMU omloaaa to&0 PvViticme of Secticn 40 of&V Town of I1�9table fie• ,.� �,. Sigaatwe of Owner/Authwixed AgentV.- `' Pate: a Sias: `� x �r GF.- ,m.\�_,�, �e�4•Foo: Sigh,Pettit W"appro � iesppzoa►ed• ate: Sigwt=of D4ding QfSciak D w ITI 4= o 04 a w � FJ i U V J-3 2003 16,34 FAX 81305'"1000 Lindstrom - [J 003 Best ranVa Iue Iran i° Bd Mm*wsNP Best Value Inns Logo Signage FlUGMScent Illuminated Plastic Face Signs With Aluminum mo o 4�J�o J Neon Illuminated Plastic Face Individual est Value Inn® w1% 0 Best Value Inns est Value Inn suites M"xten end StAlt/ W "Dest *value Inn" Hotel Best Value Inn Best Value Inn® Best Value Inn"& suites Hotel pantone Pantone Process Color Panione Orange 021 Orange= 56-2 (0-70-80-0) Pantone Blue 072 Blue= 192-1 (100-80-0-0) 3/00 53-4 Assessor's map and lot number ......................................... . Sewage Permit number .................:......................................... Q�QF7NEro�� TOWN OF BARN.STAABLE Z SAWST"LE, i "6 9 DULDING INSPECTOR f ��MAY{►• APPLICATION FOR PERMIT TO ..F3t3.3��d... �?, Arldi.t iDn................................................................:.................... .................... TYPE OF CONSTRUCTION .... se Group L-1 Tvre # 4 ................................................................................................................... . ...........................19..?� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..Nvp*!ni c ('rattr►try C�tai rP "� tlar T ra�tora Tn� ;„?C1ti Via,» 4t Nuanni R„„14a....................................... ...... ...I.... . ......`.. f.. Proposed Use (2n,.....,rnnN (rtn+rx�.!...f'A �?�. Ur.i.i,q f)an).................................................................................................. ZoningDistrict ......":�a+............................................................Fire District .............................................................................. Arnold Goodman Flyannis Gountx^y Squire 11otor Lodge Inc. Name of Owner .... tbPr..R ttpt Address 206 Hain St, Hyannis,, Ma.., ............................... .................................................................................... Name of Builder ........ .....��a y ........AddressT T imbledori Dr. `% Yamouth. Yar , 11 Name of Architect .. . R! FaeltE? Address ... Way Yarinouthm -t. 1!A. ... .. ................................... Number of Rooms �iY.e..............................................Foundation ..12.7.4.'. concrete .....:.......... ............................................................... Exterior T.Pxture l_1l .........................Roofing ...Asphalt:„Shingles............................................. ........................................................... 1-1/8i1 total (up) Floors A1.1...eoner6te,.(darm).. /8" Wit" P1vWood Interior .��i�?'..ULAYDsum,, `+ood rwnelinv° Heating ..Ftgt„'zAtPr Plumbing CnRt. i-ron CnnTyer ........................... ........................................................................ Fireplace .....(Ilt nn)................................................................Approximate Cost ?9.1Qq .nn............................................. Definitive Plan Approved by Planning Board ________________________________19________. Area 1...�............. Diagram of Lot and Building with Dimensions Fee ' jr SUBJECT TO APPROVAL OF BOARD OF HEALTH ( � � f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................. •r Goodman, Arnold & Arthur Ritt&l 17609 Add to Motel No ................. Permit for .................................... .....................................I........................................... Location .....20.6...Ma.in...Str.e.et.............../.... ... ...... . .... ............ Hyannis ............................................................. ................ Arnold Goodman & hur Rittel Owner ............................................ .................... _ A Type of Construction f me ................ ......................... .................................................... ........................... Plot ............................ Lot .............................. Permit Granted ......MAr. ................19 75 Date of Inspection ....... ...........................19 Date Completed ....... .............................19 PER IT REFUSED ............................. ................................. 19 ........................... ..............!................................... .......................... ................................................... ........................ . .................................................... ....................... ..................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number ?N E TO�y Sewage Permit number ........................:............................... d Z BARNST11DLE, i House number O P1 +tJ a.%............................. ro Maas .. ps,1639 0� �F11 M0 a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... �5..".5.{'a�i '.�.1.!. .!-r......E".":r;':,ta- '..........................................:.. TYPEOF CONSTRUCTION ... 1. r .......................................................................................... i �r ..................................'..............19... � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .5�.:::}.��..Y: :�........r: �.,t,r�..0 ...� �.s`� :..�.......... .c:(:... �A*1t)...':T.......... E t ....................................................... Proposed Use f ZoningDistrict .........'..? .............................Fire District .................................................................... ............................... .......... Name of Owner ...............t ...............Address .... ��. ... :L :"..i............. ::.::.::..:...:........................... Name of Builder ...!`?.1 .".>...`:P;ri.t �7 1% ......................Address /J t3 n. r r c , ra r r .Name of Architect ...`...........................................................Address .................................................................................... r Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .....................................:.............................................. Floors ............................................................Interior .................................................................................... Heating ..................................................................................Plumbing ............:..................................................................... Fireplace ..................................................................................Approximate Cost .......... G;171 .................................. 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. 33 Name .. ::,�s �C :.��tn9 oa ....... n.:'............... J A=327-163 COUNTRY SQUIRE MOTEL No .. .Q.S .. Permit for ...Rrecons.txuc.t•••. Fire.. .P..ama .......................................... Location .20.6.....aln.., -'eet....?.................. HY.an .. .............. ................. i .. Owner ......... . g �x�.sNzRtel....... Type of Construction 1#..Frame ........................................ .............. .................... Plot ............. . ........... Lot ...... .. .................... April 1, 80 Permit Granted .......:.................. ..........19 Date of Inspection ....................... ...........19 Date Comple ed .... ................... ...........19 PERMIT REFUSED ...... .............................. 19 ................. ..................... ...................... ........................................................ ....................... .................... ...................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot. nu er �./:� �JC:....:.... Tv — I U��L. �� .�T lJS r �.OlGri`-GT• ��F THE Se age Permit number ........'............................................... S EA"STODLE, i House number ......:...pA..L.�.� MAIN....s.T'......................... 90 rnea � pow 039. 00 " 'EpNPY14\ TOWN OF BARNSTABLE BUILDING 1,'NS.PECTOR k�l� �'c� MA e APPLICATION FOR PERMIT TO ,.... ...11....�...5.......4....:......�..�1".4.... ...?�...:....q................................................ TYPE OF CONSTRUCTION .... ...........................................................................:.............. i` .........:Apnl....... ............19g.Q. TOyTHE..INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....: .`? ? ^ �? `(...S..0 .4�.!'R C..Ma c.. ........ -t�(,,,M AiN.:ST.........�.�!!!�l�T?��..................................... t q• ) ProposedUse .....!"!o / ............................................................................................... ZoningDistrict ...................Fire District .............................................................................. Nar�e of Owner ...............Address ...�0�!...14.k1"N.............1IAYA!U s........................ N,ame, of Builder .::.pMA.&).....°".N.S'7r..c..�d.'....................Address ......12)A�'ViS../.P.1AS .................. Name ofljArchitect ' "' ....Address .................................................................. 1 Number of Rooms ......./................. ...Foundation .............................................................................. ...................................... I- Exierior %*............ ......................................................................Roofing .................................................................................... R. IFJ..00rsr.... ..... .....................................................................Interior .................................................................................... +Heatin - ...........................................................................Plumbin ........................................................... ' I 7. u a......... Fireplace ......................................................................Approximate Cost .......... d� ........................................ ..a DefinitiG PI Y�m an.Approved. by Planning Board --------------------------------19-------- . Area ........,................................. � biagrarrr of Lot and Building with Dimensions t Fee ............1.............................. s SUBJECT' TO APPROVAL OF BOARD OF HEALTH I � , t 1 � f l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ............ CW N C� , 1 COUNTRY SQUIRE MOTEL Reconstruct No ...22083. Permit for ........................ Fire...Dama.9e...................................... '` -, .. .►F ,,,. -.~ �,� ham, _ .._ ---k ' Location ..206 Main Street....................... PN _ 4 Hyannis ..... ...... ..... ..... ............................................ s- _ Owner ...Country••Scj� ire• Motel N � _ Frame Type of Construction s �..................... ..... ..... .................................... Plot ....... Lot ............................. � 4y Permit Granted .....AP.r ..............19 80 Date of Inspection Date Completed .............. .. .... ..:.... 19� + '* PERMIT REFUSED L .................................................................. 19 I ............................................................................... •. ....,............................................. .... ...................• 4 r✓ ' \.� ' .f•�•' `". ............................................................................... 1 , t , ..................... ...................................................... - * ' d •5 +.v. Approved .......:........................................ 19 ..................... ...................................................... ............................................................................... -.-.� . 4 -.-s.. �.r ... r ..,_�-r t,� �.-r �-•-��r--�.-rf• �--��.,,.r+-'^....�.. �, ---.........�ri,-�ti.�-ti.n,t'�--��...r��...✓.,,�....-� Assessor's map and lot number .........................:, .............. ZL l U S CSewage Permit number . .... ... . ...........G..I.�...A..-.G.... . .. ... .. -- `T"Er°�°� TOWN OF BARNSTABLE i InNSTABLS, i "6 9 BUILDING INSPECTOR 'EO i APPLICATION FOR PERMIT TO . AQ-4..M..AddilUn.................................................................................... TYPE OF CONSTRUCTION ..,Use Group L-Y TyPeI..4 ................................................. March..13 19.7.5... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ..Hyannis:..Country..�Squi.x.e..Uotor..Lodge..Inc.....20b..Main..St....Hyannis,...Ma....................................... Proposed Use Game-room...(down.)...motel....wi.tS...Cup).................................................................... ........................ ZoningDistrict .....non................................:...................:.......Fire District .................................:............................................ Arnold Goodman Hyannis Country Squire Motor Lodge Inc. Name of Owner .�rthQX..R ,tte1.......................................Address 206 Main Sto Hyannis.l. M3* ............. ... Name of Builder .T...H... Mowry...........................................Address Name of Architect ..E. RFBeltel ................................... ... ..D3rpQr..A4Y...Yambth?,rt..... .a..... Number of Rooms ... ...Fiv ........................Foundation .12!!XLt°...omgret.p........................................... Exterior ..Te7CtAM..1:711.......................................................Roofing ...A.*Ptalt.ShiAgI?A............................................... 1-1/811 total (up) Floors 4u concrete r.dawn)...5./.•8!'.. u..UY.WQP.d.......Interior .5/.8.!!--VL--gypS.l>�1,..SOP.a..�� e1i11g................... ............... Heating ...Ot.Xatier...........................................................Plumbing Gas.tAr.on,...Q.opper........................................... Fireplace .....(.None.)..................................................................Approximate Cost V-Q.*000.QQ..........:................................... Definitive Plon Approved by Planning Board -----------_______-----------19________ Area ............1..........T................ Diagram of Lot and Building with Dimensions Fee 7(�.Q.'. 5� . .......... . ................. 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. Name .... v...� .. `f. .� /�. I�l✓.............. Goodman, Arnold & Arthur Rittel 17609 Add to Motel No ................. Permit for .................................... ............................................................................... Goodman, N, Location ..........206 Main Street ...................................................... ........................Hyannis... ................................................ Owner .........Arnold Goodman & Arthur Rittel ......................................................... Type of Construction ........frame ...... .............. .............. ................................................................................ Plot ............................ Lot ................................ Permit Granted .......March...1.8................19 75 Date of Inspection ....................................19 Date Completed ....... ...................19-7,S PERMIT REFUSED . ................................................................ 19 ................................................................................. ............................................................................. . ................................................................................ ............................................................................... Approved ................................................ 19 ............................................................................... .............. ............................................................ Assessor's mbp' and lot number �1R .7.:" . LI Sewage Permit number y�*TNE TOWN OF BARNSTABLE Z BASB$TMU i NAM DU.ILDING INSPECTOR ._ t P n APPLICATION FOR PERMIT TO ..... .ta.z�.- ...,��r..,e;.... C/ r� ........................................... TYPEOF CONSTRUCTION ....:. � ��...�t' ,rr�. ................................................................................... J .la,�....i..................197 ^ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....42/1.Z,7.... ...................................................................................... ProposedUse ..........r'•••,l� .............................................. ...................................................................................... Zoning District .................... ..........................................Fire District .......lj ..Cr.ra!�t t.S...... ..........................:......... j 1 Q!' Age'��.`. R. /ddress / Name of Owner �/..�G. ... c.c i.'n.A.��l......�✓ � �W .................................................................................... � S �' Name of Builder ..../l a .Lt/ ��, �.Tma-Address .....F� '.ralerg,!��P...r....................... Nameof Architect .............ly1P4j..4r=.................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...............................................................:.............. / Exterior tea.C1.....°'...tS?./' .... �.G..l" ...........Roofing ..., (.w.S.. ..: ..., /1'�. .. .h..t.. �'. Floors ... r.tE?c T. Z/,/.r ,v-7......................Interior ....��t. i'.,;� .. Heating ....�.LF.. jP.,.�..................................................Plumbing .................................................................................. Fireplace ,44w o ..............I........................................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 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NamehX . .e................................../....................... . Goodman, Arnold & Arthur Rittel No ...17806 Permit for ......repair fire .................. damage. to Mo.tel. ........ . ................................................... Location ..........206.. ... Main Street. . .................... .... ......... ........ . .. I ...........................HY.ann i s.................................... Owner ......Arnold Goodman & Arthur Rittel ..................................................... Type of Construction ...........frame i ............................................................................... Plot ........................ Lot ................................ i z Permit Granted ..............July................19 75 Date of Inspection ....................................19 Date Completed .............. . . . ...............197� PERMIT REFUSED i .............. ............................................. 19 ............................................................................... f ............................................................................... ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... .................... ................................ t TOWN OF BARNSTABLE • SIGN„PERMIT PARCEL ID 327 163 GEOBASE ID 124266 ADDRESS 206 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT TYPE BSIGN TITLERIPTION SIGN COD - 8' X 4" CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 THE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE PlI E '^ ; * ■ARNSTABLE, �► MASS. i6g9. A� FD MIS UILDI DIVIS ONBy DATE ISSUED 06/01/2000 EXPIRATION DATE 4k S a VF�J p fil L3 Ln p+a ;.J m I 1 O O O CU i ®�x i i fir= -.OL i � W a i u ro j <n c) � p � 1) CJ .7 S� CD ('J 1 1 t � _ �Y� t� r� L3 a� ro i f3 c5 1 I , � Q r O C7 (J =^J Fzwe r°w The Town of Barnstable ti _ o� Department of Health, Safety and Environmental Services Landis g Division MARS 9� 1639• `m$ - 367 Main Street,Hyannis MA 02601 -- �fD Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 Tax Collector 1 , Treasur lQ 1 e Application for Sign Permit Kikp> Applicant: C �� 1:a G !' Assessors No. Doing Business As: CIZ4)?r— Q ,. Telephone No. '?-S'SJA 5 Sign Locations60 Street/Road: ` r � ! Zoning District:_Old Kings Highway? Ye o Hyannis Historic District? Yes/No Property Owner a aTelephone: - �S 7 5 � Name: Address: Village: Sign Contractor Q Telephone: Name: t'r . o Address: Village: �t 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. w. Is the sign to..be electrified? eWo (Note:I f yes, a wiring permit is required) I hereby,certify that,I an the owner or that I have the authority of.tl a owner to make this application, that the information is correct and that the fuse and construction shall conform to the provisions of Section 4-3 of the Town o r oning Ordinance. Date• Signature of Owner/Authorized Age Size:'' 'Stow � Permit Fee: ,. Sign-Permit was approved: #` Disapproved: Signature of Building Offi al: Date: Gam' Signl.doc rev.&31,98 r t. jsy- , 1, x. I�Svy, �9 olva f CF TFIE A The Town-of Barnstable 9�A MAE& �0� Department of Health Safety and Environmental Services rEc 59. Building Division 367 Main Street,Hyannis MA 02601 �y Office: 508-862-4038 - =_ - = Ralph Crossen Fax: 508-790-6230 ' 4 Building Commissioner t SIGN PERMIT REQUIREMENTS 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 T=a L i,,,_�4tks —3) Colors,the drawing may be black and white,but color chips must be attached for colors other than black,pure white, or gold leaf. Sgkr, T'kr,,iiS(,cc 4) Materials, what the proposed sign and letters are to be constructed of. _ 5) .A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 1 E Two sets. 3 _ A scale drawing of the bracket. A scale drawing indicating dimensions, color, ��'`�-materials and method of affixing it to the sign and to the building. Minimum S ti i v, T"rscale I"= 1'. Minimum sheet size, 8.5-x-1 l". Two sets. 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. g981104a �- _` _ . - � � ._ ;. I(� �- ,.�. . 4 .� � � a � � m ass �_ _._ �� t ��- � � � TOWN OF BARNSTABLE MASSACHUSETTS BUSINESS CERTIFICATE DATE ISSUE �. 06/23��/1999 DATE RENEWED: BOOK 184 RENEWAL BOOK: RENEWAL PAGE: PAGE: 99-198 DATE DISCONTINUED: CERTIFICATE EXPIRES: 06/23/2003 DISCONTINUED BOOK: DISCONTINUED PAGE: In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned hereby declare(s)that a business is conducted under the title below, located as shown,by the following named person,persons or corporation: :CAPE COD INNlNO ADDRESS: 206 MAIN ST HYANNIS,MA 02601 C. SQUIRE,MC DR.RICHARD LINDSTROM 306 SOUTH ST HYANNIS,MA 02601 Signatures: THE ABOVE NAMED PERSON(S)PERSONALLY APPEARED BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE. TITLE- Identification Presented: DATE: May 25,2000 CONDITIONS: EXISTING BUSINESS;SIGNAGE AS IS In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110,Section 5 of the Mass General Laws,Business Certificates shall be in effect for four years from the date of ii;sue and shall be renewed each four years thereafter. A statement under oath must be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- CERTIFICATION CLAUSE I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes required under law. * Signature of Individual or Corporate Name(Mandatory), By: Corporate Officer(Mandatory if applicable) . ** or Federal ID Number * This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the )apartment of Revenue to determine whether you have met'tax filing or tax payment obligations. Licensees who fa' orrect their non-filing or delinquency 7to license suspension or revocation. This [i�request is made under the authority ass.G.L.Cha 62C,S.49A. V -� < ,JA a � /OL� �� 1 z� � �- � , s � � , 0 0 _ �� 1 �+ �: .. � � w � � �. p �� P �Q Health Complaints 30-1ul-99 Time: 1:05:00 PM Date: 7/30/99 Complaint Number: 1996 Referred To: GLEN HARRINGTON Taken By: GLEN HARRINGTON Complaint Type: CHAPTER II HOUSING Article X Detail: Business Name: Country Squire Motel Number: 206 -Street: Main.Street_ Village HYANNIS —" Assessors Map_Parcel: Complainant's Name: Anonymous C2 __.�) Address: -- 0 6 � Telephone Number: Z zS — �0VV4- Complaint Description: 8 to 9 Irish girls living in each motel room on second floor of left hand side building. People who rent rooms adjacent to the girls can't sleep due to the girls are drinking til late hours each night. Actions Taken/Results: cc: Building Dept. Investigation Date: Investigation Time: 2�c 0 GC y r-..4 J . ' "f �� r y C p Property Location: 206 MAIN STREET(HYANNIS) MAP ID: 327/163/// Vision ID: 27587 Other ID: Bldg#: 1 Card 1 of 3 Print Date:08/07/2001 aR W! N A UAD, A�LU' U SQUIRE INU DescrFp—tion Code Appraised Value Assessed VaIii-e- 3010 28 'loo -Zgu-lm 206 MAIN ST COMMERC. 3010 1,391,600 1,391,600 801 HYANNIS,MA 02601 —COMMERC. 3010 369800 36,800 Barnstable 2001,MA ax Dist. 400 Land Ct# Per.Prop. #SR Life Estate #DL I Notes: VISION #DL 2 GIS ID: lot.11 1,7U8,500 I IJU9,5130 0"VI PZ� 904-W UJJ a WWPU"'!�-D U�V'Xpmff XALXVAJA�j U bt2ull'th IfNt- U 1 1,449,000 IC Yr. Code Assessed value Yr. Code Assesse value Yr. Code Assessed Value HYANNIS COUNTRY SQUIRE MTR 1832/215 Q 0 2uuu 3010 LZJ'7uu1999 "Ju --223 u'j I TZS17N 20003010 947,0001999 3010 947:0001998 3010 947,000 20003010 21,8001999 3010 21,8001998�3010 21,800 1,192,50U lotaki 1,192,500 Tota�l 1,192,500 -117"WE A '77-4,"'N' ,, � 'z" 0 Data e At Year lypelDescription Amount Code Description Jvumber Amount Comm.Int. Appraised Bldg.Value(Card) 128,000 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 36,800 Tatal: Appraised Land Value(Bldg) 280,100 Special Land Value 'END-Al3i ECONOMICS... 84 Doubles Total Appraised Card Value 444,900 Country Squire Total Appraised Parcel Value 1,708,500 Valuation Method: Cost/Market Valuation NetTotal Appraised Parcel Value 1,708,501.1 44B A U S- Permit ID Issue Date lype Description Amount Insp.Date %Comp. Date Comp. Comments Date ID urposelMesult - ----WT790— 0 0 HY KEUUNS B17806 7/1/75 AH 0 0 HY REPAIR B17609 3/1/75 AH 0 0 HY ADDIN Uj 'A V, A 1vDMWvAL1p 111 Va 0, H4 se Go e Description one D Frontage Depth Units Unit Price 1.Pactor S.L C.Factor Nbhd. Adj. Notes-Adjl3pecial Pricing Adj. unit Price Lana value I Julu MOTELS B 4 1497—--1--- 1.49 AC T.W-E- l.UU-FfVOR--T.SHSPCL(I.,U30)Not-e-s.--31nsi-I'E -----T99-�0U0-0 280, lotal Card an Units 1.491AC----Pa--rc-e7 7 otal an Area: ota and Value Property Location: 206 MAIN STREET(HYANNIS) MAP ID: 327/163/// Vision ID:27587 Other ID: Bldg#: 1 Card 1 of 3 Print Date: 08/07/2001 a 3 u, %:: ens•. W4 W vi s .. >..;. P-1 ement Gd. ICh.I Description Commercial D—at—a—ETe—ments Style Type 12 Uommer—c—iaT— Element Cd. Ch. Description Model 96Ind/Comm Heat Grade 0C Average Grade Frame Type 2 WOODFRAME Stories 1 Baths/Plumbing 2 AVERAGE Story Occupancy 4 CeilingfWall 8 TYPICAL ooms/Prtns 2 AVERAGE BAS xterior Wall 1 4 ood Shingle /o Common Wall 40 0 BMT 4C40 BAS 4 Z Wall Height 10 Roof Structure 3 able/Hip Roof Cover 3 sph/F GIs/Cmp WADUlym r Y., . 0 CAN 2 nterior Wall 1 8 ypical �A '` 2 Element Gode Vescriplion Vactor nterior Floor 1 0 rypical omp ex 40 20 60 Z Floor Adj Unit Location Heating Fuel 6 ypical Heating Type 9 Typical Number of Units C Type 4 nit/AC Number of Levels /°Ownership edrooms 1 1 Bedroom Bathrooms Zero Bathrms _ -Y 0 Full z.. Total Rooms 1 1 Roomna 1.Base to Size Adj.Factor 1.19091 Grade(Q)Index 1.06 Bath Type Adj.Base Rate 54.28 Kitchen Style Bldg.Value New 191,066 Year Built 1965 ff.Year Built 1980 rml Physcl Dep 20 uncnl Obslnc con Obslnc 13 r pecl.Cord.Code pec]Cond% Code escri tion FeLcgage —Overall%Cond. 67 eprec.Bldg Value 128,000 Code Description Llff Units Unit Price Yr. Dp Rt %Cnd Apr. Value Pool Gunite , PAVl AVING-ASPHALT L 35,000 0.90 1980 0 50 15,800 �Mx am we Code Description LivingArea Uross Area Eff Area Unit Cost Undeprec. Value First Floor173,696 BMT Basement Area 0 800 160 10.86 8,685 CAN Canopy 0 800 160 10.86 8,685 nt. Gross LivlLease Area g Val: , Property Location: 206 MAIN STREET(HYANNIS) MAP ID: 327/163/// Vision ID: 27587 Other ID: Bldg#: 2 Card 2 of 3 Print Date:08/07/2001 WIVER U bqumh 11NU , �q !� .ate q Description oae Appraisea value I A.MSSea vatue CO-NYI-AND— 301f) 2w),10t; 280jou 206 MAIN ST COMMERC. 3010 1,391,600 1,391,600 801 HYANNIS,MA 02601 I —COMMERC. 3010 36,800 36,800 Barnstable 2001,MA A,4,VA iaurrVIV ,,, a .fir ccoun4boy Flan Ket. ax Dist. 400 Land Ct# Per.Prop. #SR Life Estate #DL I Notes: VISION #DL 2 GIS ID: Totall 1,708,501) 1,7U8,50D REGWD E wq% '4L V, " " 'UI " � ," I Wa I U bkjuncL U4/1!)/I!P!)5 U I 1,449,U00 I C Yr. Code Assessed Value Yr. Code Assessed Value Yr. Code Assessed value HYANNIS COUNTRY SQUIRE MTR 1832/215 Q 0 -2UR-JOFF 223,7UU 1999 301U 3010 223,700 20003010 947,0001999 3010 947,0001998 3010 947,000 20003010 21,8001999 3010 21,8001998 3010 21,800 ToTaT- 1,192,500 lotal.-I ----TT9T,5Uu Total, 1,192,5uu T B q7, Iftis signature acknowleages a visit ya ctor or Assessor t, 4 WEJ?A 0 Da Year ypelDescription Amount Code Description Number Amount Comm.Int. M-M,MIN 'S My", dr Appraised Bldg.Value(Card) 697,000 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 0 otal. Appraised Land Value(Bldg) 0 'k, Special Land Value Total Appraised Card Value 697 000 Total Appraised Parcel Value 1,708:500 Valuation Method: Cost/Market Valuation I Appraised Par cel Value ILL,�v "Iff WK 1*113 16 Permit ID Issue Date lype Description Amount Insp.Date o Comp. Date Comp. Gomments Date ID (,d. PurposelKes& Description one D 11,rontage Depth Units Unit Price L Pactor SJ C Pactor Nbhd. Adj. Notes-AdjlSpecial Pricing Adj. Unit Price 11 a It - - - i,'WWw"',"NW Y'kiV,LIUA, 1*W "A Mftl 00V I'll B4 Use Go de MOTELS B 4 0.01 SF 0.911 1.00 5 3---1-.99 SPUI:W)N otes: otaTT-a-n-d-Value 0 Total Card Land Units 1-1-andA,�...--T-.4� Property Location: 206 MAIN STREET(HYANNIS) MAP ID: 327/163/// Vision ID:27587 Other ID: Bldg#: 2 Card 2 of 3 Print Date: 08/07/2001 7, s ,x : y•,„. It g a ,.; 'P Element Description mmercial Data ements Style ype 39 MotelElement Ca. Ch. Description Model 94 Commercial Heat Grade - Average Grade Frame Type 2 WOODFRAME Baths/Plumbing 2 AVERAGE Stories Stories ccupancy 00Ceiling/Wall 8 TYPICAL ooms/Prtns 2 AVERAGE Exterior Wall 1 14 ood Shingle /o Common Wall 2 Wall Height Roof Structure 3 able/Hip Roof Cover 3 sph/F GIs/Cmp Interior Wall 1 5 Drywall 2 Element Code Description F actor Interior Floor 1 14 Carpet Complex 2 Floor Ado Unit Location eating Fuel 06 Typical Heating Type 09 Typical Number of Units C Type 4 nit/A Number of Levels /o Ownership Bedrooms 1 1 Bedroom Bathrooms ero Bathrms 0 Full . na j. ase to Total Rooms 1 I Room Size Adj.Factor .76961 Grade(Q)Index .98 ath Type dj.Base Rate 0.34 Kitchen Style Bldg.Value New 1,040,262 Year Built 1965 ff.Year Built 1980 rml Physcl Dep 0 uncnl Obslnc con Obslnc 13 pecl.Condo Code pecl Cond /o Code Description ""'Ka —Overall%Cond. 67 eprec.Bldg Value 697,000 Code Description nits Unit Price Yr. Dp Rt YoUnd Apr. Value � Coe Description LivingArea UrossArea Ejj.Area Unit Gost Undeprec. Value BAS First Floor FOP pen Porch 0 3,540 �885 15.09 53,401 FUS Upper Story 7,434 7,434 7,434 60.34 448,568 UBM Basement,Unfinished 0 7,434 1,487 12.07 89,726 t. Ciross LivlLease Area g Val. 1 1,040,2621 Property Location: 206 MAIN STREET(11YANNIS) MAP ID: 327/163/ Vision ID: 27587 Other ID: Bldg#: 3 Card 3 of 3 Print Date:08/07/2001 MAW 11t* UZE,7V777UW/Nb U SvUlICE 11Nq- Descrip ion Go de Appraised Value- Assessed value COM LA 1) ---JUT"O-- 28U,100 2Z;UTm 206 MAIN ST COMMERC. 3010 1,391,600 19391,600 801 HYANNIS,MA 02601 —COMMERC. 3010 36,800 36,800 Barnstable 2001,MA ccount .42669- P 1 an R-eT. ax Dist. 400 Land Ct# Per.Prop. #SR Life Estate #DL I Notes: VISION #DL 2 GIS ID: lotat 1,7U8,5UU 1,708,500 5 F-H v. A LL DA, �E ql Afl111� all U SQUIRE INU 1,449,00 1 U Yr. Yr. c;oae-----904W U 5 1 4/15/1995 U I Code �U,e,seil alue Assessed Value Yr. Code Assessed Value HYANNIS COUNTRY SQUIRE MTR 1832/215 Q 0 zuuu 3ulu 223,700PJ99-JUW 223,700 3010 --EZ31-m 20003010 947,0001999 3010 947,0001998 3010 947,000 20003010 21,8001999 3010 21,8001998 3010 21,800 —To-taT-. 19192, —-I-ot-ar. 1,1929 Total: is sign A EXLA �i� ,'% " WEY signature a 4F"qu-Nw-w cenowledges a visit by Data C'o&ec r or Assessor Year 1.�pe/Descriphon Amount Code Description Number Amount Comm.Int. Appraised Bldg.Value(Card) 566,600 Appraised XF(B)Value(Bldg) 0 ota Appraised OB(L)Value(Bldg) 0 I Appraised Land Value(Bldg) 0 Z2 TAM Special Land Value -,lvwLs Total Appraised Card Value 566,600 Total Appraised Parcel Value 1,708,500 Valuation Method: Cost/Market Valuation NetTotal Appraised Parcel Value 1,708,500 " WE 11 wl"k, JI j WL t " Ws -77D�� ermit ID Issue Date lype Descniption Amount Insp.Date YO COMA Date COMA Date Cd. PurposelResult "k E_ B4 Use Code Description Zone D Frontage-Ve-ptli Units Unit Price L Eactor S.L G.Factor ]Vbhd. Adj. Notes-Aqjl3pecial I-rtCjiF9 nit ;ce an Value j JUIU MOTELS B 4 U.UI Sk, --5----rW-HYU8--T.W SIWCLWG)N-ofes.- Total Card an Unitsi "U�C` Parcel lolarta-n-dAr-ea-.r--r.49-AUr-- ota an a ue Property Location: 206 MAIN STREET(HYANNIS) MAP ID: 327/163/// Vision ID:27587 Other ID: Bldg#: 3 Card 3 of 3 Print Date: 08/07/2001 a ,. ^.. r Element Gd. ICh.I Description uommercial Data Llements Style/Type 39 MotelElement CA Uh. Description Model 94 Commercial Heat GradeAverage Grade Frame Type 2 WOOD FRAME Baths/Plumbing 2 AVERAGE Stories Stories ccupancy 00Ceiling/Wall 8 TYPICAL ooms/Prtns 2 AVERAGE Exterior Wall 1 14 Wood Shingle %Common Wall 2 Wall Height 0 Roof Structure 3 able/Hip Roof Cover 3 sph/F GIs/Cmp Interior Wall 1 5 Drywall 2 emen Code Description Factor Interior Floor 1 14 Carpet Complex 2 Floor Adj Unit Location eating Fuel 06 Typical Heating Type 09 Typical Number of Units C Type 04 nit/AC Number of Levels /o Ownership Bedrooms 1 1 Bedroom Bathrooms ero Bathrms 0 0 Full unadj.Base Rate Total Rooms 1 1 Room ize Adj.Factor .78863 Grade(Q)Index .99 ath Type Adj.Base Rate 2.46 Kitchen Style Bldg.Value New 45,646 Year Built 1965 ff.Year Built 980 rml Physcl Dep 0 uncn]Obslnc on Obslnc 3 >,• , z pecl.Cond.Code ,_ .... .. pecl Cond% —MU MUILLb lull Code Description Percentage Overall%Cond. 67 eprec.Bldg Value 566,600 , Code Description LIB Units Unit Price Yr. Dp Rt %(-nd Apr. Value777: u.. XVIE-Di '.F. Code Description LIVIngArea UrossArea E Area Unit Cost Undeprec. value First Floor364,641 FOP Open Porch 0 2,780 695 15.62 43,410 FUS Upper Story 5,838 5,838 5,838 62.46 364,641 UBM Basement,Unfinished 0 5,838 1,168 12.50 72,953 M Gross LivlLease Area 11,6761 3sgrl g a: 845,64�- TOWN OF BARNSTABLE SIGN PERMIT ' PARCEL ID 327 163 GEOBASE ID 24266 ADDRESS 206 MAIN STREET (HYANNIS PHONE HYANNIS' ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT - 54470 DESCRIPTION-Cape Holiday 4' x 8' SIGN PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of.Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 LBOND $.00 INE CONSTRUCTION COSTS. $.00 753 MISC. NOT CODED ELSEWHERE., * ■ARNSTABLF, + MA83. i6.19. A`0� ED Mh►l BUILDI G DIV IOI . B . ,� DATE ISSUED 07/11/2001 EXPIRATION DATE rf Town of Barnstable -- �ptHE Tp� o Regulatory Services, Thomas F.Geiler,Director C BARN `? 9 MASS. Building Division .� i63q �0 AtE 639 Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector W � Zo�/ Treasurer�� li(� 7 c gz'61ZF" I �1 Application for Sign Permit � J M Applicant: �-a Sz-�, L c9,c Assessors No.J�� 1 Doing Business As: L' �p No(� A Telephone No. Sign Location ` o Street/Road: ac) Zoning District: Old Kings Highway? Yes/VOIyannis Historic District? Property Owner Name: e wo';A ees» Telephone: 7 ( -5,16 Q r Address: �C'(c ��t?� Village: (��R O-P crS Sign Contractor c� Name: b-> L Telephone: Address: 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? ee /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 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: Date: Q' OI Size: i't V, <1 v Permit Fee: �O• �� Sign Permit was approved: Disapproved: Signature of Building Offi ial: - �t�dZi Date: _ O Signl.doc > rev.8/31/98 SIGN PERMITS Completed application form - including: assessors number 2,10x collector's sign off located in an historic id's2�� (] tract. (OKH or Downtown Hyannis) Is sign electrified? res [ o rVd 0--d`unensions L g Additional Documentation LC e hoto showing existing facade - specifying proposed sign location OR cif for new building or new facade - architect's elevation may be substituted for photo scale drawing of sign must include: type of sign (wall, hanging, standing)free dimensions of sign and lettenng (minimum scale 1"= 1') vindicate colors . Color chips required for all colors other than black,pure white or gold leaf specify construction materials across section with dimensions showing edge detail (minimum scale 1"= l') Fee �r It ................ q-forms-PERMITS I Rev 6/V98 l � n Town of Barnstable c.� -- °� ' Regulatory Services Thomas F.Geller,Director ' ssA Building Division 163 +� 6o i Elbert C Uishoeffer,Jr. building Commissioner !� 367 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Tax Collector Treasurer v? cam' ln�LolZEb r Application for Sign Permit Applicant: C- U Oar--�. c Assessors No.,-31 i " 1 G15 Doing Business AQ-"� � <, Telephone No. 7 Sign Location Street/Road: Zoning District: Old Kings Highway? Yes/�lO yannis Historic District? Yes/"�' Property Owner �p Name: Telephone: 2 2 60 Address: Sc'L�`� } Village: lI r Sign Contractor Name: �� Telephone: Address: Village: VA-a-I� Description T Please draw a diagr iM of lot showing location of buildings and existing signs with dimensions, location and size of the new This should be drawn on the reverse side of this application. Is the sign to be ele #ified? Y�iYNo (Note:If yes, a wiring permit is required) g, I hereby certify that �m the owner or that I have the authority of the owner to make this application, that the information is c tlfect and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Ba ble Zoning Ordinance.,..—) Signature of Own l�uthorized Agent: Date: Size. Permit Fee: 7.5°'O. &-0 i Sign Permit was ap c ved: Disapproved: Signature of Buildin �fficial: Bate: signl.doc rev.8/31/98 o SIGN PERMITS Completed application Dorm - including: assessors number M5*collector's sig*off located in an histo c s�OKH or Downtown Hyannis) Is sign electrified? 2-1(es [ o Q� 0,,dmensions �jA e►.e� - R l�y-) Al` Additional Documentati ; Mo/ho"to showing existingifacade - specifying proposed sign location OR [7if for new building or nOw facade - architect's elevation may be substituted for photo ®scale drawing of sign n�st include: ®type of sign (wall,h,�ging,free standin ®dimensions of sign d letterin muumum scale I"= 1') ®indicate colors . Cola r chips required for all colors other than black, pure white or gold leaf ®specify construction terials across section with dimensions showing edge detail (minimum scale 1"= I') i ®Fee A LA Svc oJ�L q-forms-PERMITS i Rev 6/Z/98 r i Town of Barn9table � Regulatory Services Thomas F.Geller,Director C.' •AWMAWA _ Building Division Ep� Elbert C iJ[shoefffer,Jr. Building Commissioner !� 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector pill A C%v%VftA4L. 0,0A1 Treasurer-U- + w - �k.r 114Iz,ex) l Application.for Sign Permit G> Applicant: C.- (,Or- Assessors No.,- a Doing Business A L'A Telephone No. Sign Location Street/Road: CJ Zoning District: Old Icings Highway? Ye4/ o yannis Historic District? Ye Property Owner Name: r; c> ,ate-- Telephone: l `S,� 6 Address: �° SG�L�`� ._ Village: f Sign Contractor r7 Name: , J_ Telephone: Address: Village: L ,p" >('� Description Please draw a diagr 1#i of lot showing location of buildings and existing signs with dimensions, location and size of the new, This should be drawn on the reverse side of this application. Is the sign to be elei O fied? CYekNo (Note.:If yes, a wiring permit is required) I hereby certify that4m the owner or that I have the authority of the owner to make this application,that the information is c f�ect and that the use and construction shall conform to the provisions of Section 4-3 of the Town of B ble Zoning Ordinance. Signature of owneitKuthorized Agent: Date: cis- cam! Size: ' Permit Fee: '7.S_O. P-rD i 7&�P' Sign Permit was ap t#ve Disapproved: Signature ofBuildin �bffic'alP� Dater i Signl.doc rev.8131198 i SIGN PERMIT'S Completed application rm - including: [assessors number collector's sig*off located in an histol -c s ®KH or Downtown .% ( Hyannis) Is sign electrified? 2'1(es 20o C1 e' 0,�dianensions A- ff w Additional Documentatio Mo/hoto showing existingifacade - specifying proposed sign location OR ®if for new building or nOw facade - architect's elevation may be substituted for photo Oscale drawing of sign mast include: [hype of sign (wall,hging, free standin ®dimensions of sign d letteran mmunum scale 1"= F) ®indicate colors . Col chips required for all colors other than black, pure white or gold leaf ®specify construction terials ®cross section with dimensions showing edge detail (minimum scale 1" V) [ Fee A 1 3 r� to— If q-forms-PERMITS 1 ' Rev&V9S t c�� w. e �, 67 1_--____�" _ ' I i I +. I I i V I � I I I i it ii i � c .� G IIFIZ Pz c -�_ .�. � � 1 � n I V 1 � �' _—. ..— _. ___l • ;_, i { �� ®� II � _ _ _ �_ '„— - - i i � !I a i i Ii I I I i L' i { ,. �_ _ � � i PROJECT NAME: bwj"FJ4 ""I ADDRESS: 0W(G V*A PERMIT# PERMIT DATE: LARGE ROLLED PLANS ARE IN: BOX g f SLOT Data entered in MAPS program on: 41, D OS BY: I f � q/wpfiles/archive I - ,. ! .. 0 du 1 V 3y h. a u , s . ._. - � .� *" da , � v.�a ixul.l •. r�1� gyp,. ,. qe �s a " 9 , „ i * a *r 6 FAA y� Cl , } 1 9 { ! 4 , 4 f 4nm?"a, e ,r , u ra !w .o t + � a a. a, ,m , m .. x I • Fes' , F I ~ y, p M a _qy y e , 1 c. - I I I ° I l I .3 . 41 teams 18,395sf I' ,2 41 roams 18 898 sf 14 rooms 1 . 4,283 sf I TOTAL . 90 roams. 51 ,023 sf o r: - • I i i I O vest, Ifittihg eiv. V Lij GM mkt { laxe Mach, ... - � � �« �= FIT�IES r l say at laundry emp. # t E OBBv break _ ...� � _ _�. LA 18' x 18' 325 sf { barri T(MI-I coffee i. ,. G ,r rYoo�L buffet elee. sta: POOL L UN.CE ---;w 4 t t a� Ii2 at 23° x 36' - ref ¢-84Q sf BREAKFAST � � Pool rm `r38 c 20 e'ch fba1ra L : V) _ I ,�. -! ' water 745: sf L �y/ /y/ r 24 'A 2,,: ... fj ��Y Ili 'l p : 'M' elU al"i ,+i 3 r �C L LEVEL 1 FL.2 (jR PLA.N . A just q5, 201.6 moose d Ascend o 1, 1 - A ► HVAC1niA.. irna-,AArhij-,,m t . ; x ,. C&I ^i r a: �T •4 * ra � i4"�d ay .-'- I.� ,•.' ..,.., �� ti :.� �;� �a. "4 _ * ..p,.aw+ 4F^:' m'' :.'� v.,•.. �, ,;err; .t 6 ':. =, .. t �, ,. ,". �. ,� .' '. i' ,. .�;�... n-a��F.,., r ,. loll , ', .a. .,. 4 W + ,. .w a.a r a �., is .aar .Mn.�.„.w. ^<.••t x +I f a :: w Via•.'k ,,,. .,"A-. � HIM x�r p 6 I f 9 a'� s ,�ac ... .. x.'r.. x. A.M^ .. e;. -. .., n 3..,, ..°. rh•:"- •.. • ..ate .�'� Y . .•�� w a�. e. 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': , �� -`�'�15��>� - �� 1. �.w,.....ti.°� �.«v.SX��`9 �.a �i.�rm+�i' 6 i f j d ��►, i�l� ��i ;fit a�i i� a � � L+l� �� +ems � e� � °fir �' 1 +` '` ,IZM,I I .( =i d t„� k • Pj - - xaa �' � - .. ,ar. sy„wtesno, �+__ •�er.� �- _ _ `�.::- � t— �daii►wrrmV`w , � s� ��-' fk'd' �9r-<!EB �-.�L'' AM- low' � -_ , =�►,£1 Noun NA -ILIL, flat no IS so �igiF§Ilol b� � � ` � Win , � � � � nr � �, �� ` ��rt ■ inl 1� FA n n� nn Ens�� T _ _® *1111 nn Wall +z w rr f•+c' 1/ mN . i ,fE 7t i rt l 6 n� ► nn n� �ni i virgin ,r nit a wit i i a M an n t1m m R111, � NO 0 NO' W it 7M Ifit •ak Hat, i ' • V . - �ty4 S i i• +rµ� t S, aj t# t f RIM a, ,I fir' c e r ' v �u 04, a . n _=— �`�,.''x w a u TM- a e 11 c � N i o n w Slut In d ,o �' k iT* Rai Zz- Awl zz � 4 � r a � A e �v y u �N .,,,,,,�.. �" � � `"'�.•..,'V �4 � ,� aa.� use E > 4 LLj co ...,., W Q c. �V V t. -100 RAW% INM: , A-1 FLOOR PLANS 1 V Vk UV \VM0PVV t7 malTION NOT5 Contractor i5 responsible to obtaln all nece55ary permits for demolition work. 9 ANP 12--14 &ne all Structure a5 shown dashed, Pebr15 shall be removed fron the buddlnq on a daily 615. 206 MAIN 5114�1\'0'1 fJ HYANH15 MA } Coordinate opening5 for 5prinkler 5ub-contractor, fire4 all opening5 made durinq demolition in fire rated walls/floor5 and celling5, OWW: Ar�ns o N� n" Contractor 15 reW50e to follow all local,5tabe,and applicaNe national codes wo� W6 K, CHM r�oo�I AW 2 I C 555fAR 2 and requlation5, 206 MAIN 5f, OMN CM12 P&CM APM MU TWO 5fW Contractor 15 re5pon5lble to VIA the Site to review all ezl5tinq conditions and Jii L M555fAR I ApPRoxlMAtf;I.Y 200' MOfEI,PULV1N6 report any variations on the drawings to the architect for clarification, HYANN15, MA f iWNSfA EY ft two 6lVIN6 Contractor 15 required to verify all dlmen5100 in the field and report any coM��K dl5cre ankles to the architect for clarification, no not 5cal e off the drawl A�CHI1�C1"; p rq5, use dimension rotes, Notes Such a5"allcpn"or"clear"take precedence over F 15V\A550CM5 W55fAR 5 dimension rotes, Po not 5cale when orderinq material5 madactared either on 16 50MN AV I T or off site,Such as millwork,casework,fixtures,etc,that cannot be trimmed to fit on site-measure actual conditions in field, MYMOUR MA 02188 ' FX15% TWO 5TOpY MM PUI�P% fsrconn55trruudion work and to p6lC to ay�allin alapplicablefe�lldinq pennith and approvals N,1'5 lbtle55 indicated on the drawings a5 Not In Calf act(N,I,C,) or a5 exlAin all Items,materials and Wtallatlon5 of same are a part of the anfact defined b4 PUI�PING CM 5UMMA Y the con5tnuctiot documerrh�, the contracts shall provide and Install all CU�I C AN 0�SCOp�0�WORK; acces5sies,can and assembhe5 re Ired for the wok shave, �If?51'FOR: Use Group-R-1 Residential-Motel (w)59'-1 1/2" X(d)19'-6" X(h)T-4" - +/-8,M CU, Fr ' •Original Construction Type-possibly 5B Electrical Notes: 5�CONn FOR: •Description-Existing two building,two story, (w)59'-1 1/2" X(d)19'-6" X(h)T-4'' - +/-8,521 CU.Ff .5 �A J.F- wood frame motel with exterior Electrical contractor shall install electrical outlets, wall switches, telephone Jacks and cable Jacks. �1 ¢a� �p=► balconies and egress stairs. The contractor shall be responsible for design-build of ' TOM,: 07795 *Occupancy-84 motel rooms on two levels the electrical work in connection with this project, +/ 1105 CU31C Fr OiTTON. .Sprinklers-No including verification of sufficient service for expansion. •Fire Alarm System-as required by the Hyannis Fire Department HVAC And Plumbing Notes •Fire Walls.-one hour rated fire separation The HVAC sub—contractor shall be responsible for the assemblybetween dwelling units design—build of the heating and cooling systems expansion g for this project. •�s f hh�� -2s a y 4 $` of�.• ,jly t1 lu�IdlS �IK NA3W� 11�Ntl1'I��w�WM __—� woo Qd MNI d0 OM ION A1a��m 1fddC�d %51Xd U5 QOOM JN01 'ON'133H5 NIW Ii9-19x ii0-&mlV`UO 9NINldoJll) eo so Sd00a QIVITA M:V UJ 9)NINW J17 I z��K ANO�'N4 ��aa�s�daw aNz .51mJ dw gooa Maxi 9fVIJSIX�"I I /1NOW Q��10)NW M51XI 2 ; s5mv r lfia loi 6WO)7N Rl 0153YVUPID�AN07NA 900J OMI'NIW ii9,91 O p o �G z Z �1Qloa i �G bG -., I ZG wooz�WZ I fTl S/l o-Si l/t tix I Z z R Z D 7 G7 I A/I 6-$ o-s a-.8 � b �n C Z I z/r e-S .Z/l o-.s W a-A a-e.r/� .L/I n-S .z/r o-S z/l u-.e HXVW Ol ONIQIS DrBXd _ "H);Yfi of SSdNX W-UM 11NMkyQ'NOl1VIMI ildon Qwad u01 j mm, Q-�H1WI 9NINW 11IJNI(Z)5MO M 1oO SNOWaNO)JNI 01 U01�MIT, ♦ SSh' p v :UU l AA • Q NC15 1 �' mX10JON ao!�Im pptl'opts gaea s!am+d mnsd L9 NMI QNd01 W002FilNA .Y 1P!M'o'o.9T Pms Pooh q x Z:saopgred ro!MUI UV Q pq-g AP-M s!aoppred;o apes ono NhKAXd • O pig 11 acKL H%se auras mogpred-gmv&S i!aII agpM • p Sovis*a m-anogeaml-mj-ftpaoolpwm /MSJbC711A7N N� ' of oop!ued'9gdo sager ms mr aea!gm of uvs JNU—1 d£q!!b'a'o.91 @ aptge pooh q x Z TM s!aued mnsda aim v0Q WOOY419 d0.01 NU 8WI NM 0 H S S V an3 w8/S�!m pa;ar moo I �!iRmd aoperedoS pufl Muom • Q 2Yd17didQ MU NOW O 31vos 'SddA111dM CJJ1 - dM1S�NIISIXJ 9NI1JVda 'H Mvao --� .101�N1wd A 80/l AA 4� 'SdOOQ ad1VIMI Mg!WJ 5%INW 0 ANo�1dO vuslx1 31tl0 WOO YTMI MIXd 5MN QNd 5M�O OXI 9NIi 1 WWI 'NW 9-,91 iiOOM?i WJ MINW JM 7 �Sd000d0�d1X�'NIW ii9,9x ii0-4M 1� I �1dM�QiS�NUSIX� N CO o N m fTl m 1 11k1�H'OKM Mud d C G� 9� woNvuJ1s I �� 4 a 66 z z _ z z z 7 ' I 7 i s-.e .t/1 o-s wt o-.s �/�a-.s z b as ¢ n H1V4 H1V� H1V� NIX Fit. Cl z/l e-,s .z/,o-.v a✓r s-.rr I X/l s-a .�-S .z/�a-.s .r-e gh a-s I .l HXVW 0 M166 WMAI� ---�- bIS15aQ11�GbJ°�1� ,b,i- rn - ue wlgv of�Jd5 d1oz+n4 wau,u�w 10AH4 Q�SOdObd d001d 1Shcd �� O��N��IH� �o� Nl 1 MMkya'Not�VlrxNl SNOWQNO)MIXd UOI1 ;5N r tNM spwd umdhb alm I apm 9AJ QOZ+n%OM 4I-�U NNW 11IJNI (Z)WOaNIM MOW I pal�I I 99 I" :hpurasse.mn/bu1I19,paled - "Alm,lw 7NI1Iv/d001J daW 910H I storagei r Ix F4 l � y , 3 41 rooms 18,395 sf 2 . 41 rooms 18,395 sf 14 rooms 14,233 sf . TOTAL .'96 rooms 51,023 sf .113 r CM laundry E T f".. ...--'-_n,.,UtI C- I ha use - . 4. L 16E] j�� .a- u, ��_��,�� Ci'1 LrJ w tel: .L ._ .. �. _ C'9 (�17 u� • L iit � �� r^,. �� p.p �, � t.! -3l�. ` C L� �:.i (.t1 '� � �.�•� L !�. �� , AIL L�J. CD r:0 '..: .: Li ,i. _:r t"r4.: iY.v. ei•-14 9sr p,v�°�:. 0- 1 C-N L E V EL 2 AND 3 FL 0 0 W .@ L) ALA u:st o5, 2015 �wlsB:y1*GC1:bQ P EE Hv� nni�.. Mafi�� hii�E?tt� .��.„�.�.�-„I,-,.��...,��.,��..�..,..