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0420 MAIN STREET (HYANNIS)
mix I 5- o� OM-6 +! �I E Vv Town of Barnstable Building HABNnA Post This:Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept .MARK , Posted Until final Inspection Has Been Made. Permit i ° lWhere a Certificateof Occupancy is Required,such Building shall Not,be Occupied until a.Final Inspection has been made. - Permit No. B-20-1187 Applicant Name: Gary Chatnik Approvals Date Issued: 05/22/2020 Current Use: Structure Permit Type: Building-Precode-Certificate of Occupancy-No Expiration Date: 11/22/2020 Foundation: Construction Map/Lot: 309-218 Zoning District: HVB Sheathing: Location: 420 MAIN STREET(HYANNIS), HYANNIS ._ _ - Contractor Name:-� _ Framing: 1 Owner on Record: CIH HOLDINGS LLC Contractor License: e 2 Address: 14 MAIN STREET -•�:.;, Est. Project Cost: $ 1.00 � Chimney: HYANNIS MA 02601 P r i F e m t ee� ( .a $75.00 i Description: No new work. We are moving into an existing retail,store and i Fee Paid:.' $75:00 Insulation. keeping it a retail store. A Christmas to Remember i � Date: 5/22/2020 Final: 0 45 J7128C Project Review Req: =--yam/-- Plumbing/Gas �Y Rough Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after,issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approvedconstruction 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-lawsand 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. ors ` - .. � The Certificate of Occupancy will not be issued until all applicable signatures'by the Building�--�and Pire'Officials are provided on this,permit. Electrical .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 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 Low Voltage Final: 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. 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: °FZHEr�y Town of Barnstable RARNSTABLF- Building Department- 200 Main Street r 0.39t ��0q Hyannis, MA 02601 $Alfa.MA'S a Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-20-1187 CO Issue Date: 6/17/2020 Parcel ID: • 309-218 Zoning Classification: HVB Location: 420 MAIN STREET (HYANNIS), HYANNIS Proposed Use: Name of Tenant: Sprinklers Provided: NO Gen Contractor: Permit Type: Commercial - Business Type of Construction: Design Occupant Load:. 46 Comments: A CHRISTMAS TO REMEMBER Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition {0 jlrM! CI ERK BABNBPABLa '99 JiIN -7 P 3 :34 - s Town of Barnstable 4 FILE COPY ONLY. Zoning Board of Appeals t NOT RECORDED AT Decision - Notice of Withdrawal REGISTRY OF DEEDS Appeal Number 1999-58 -Krech Special Permit Pursuant to Section 4-2.8 Reduction of Parking Requirements Summary: oarcel: ithdrawn Without Prejudice Petitioner: i Krech Property Addres6 Main Street, Hyannis Assessor's Map/ ap 309, Parcel 218 Area: 55 acre Zoning: Business Zoning District Groundwater Overlay: AP Aquifer Protection District Background: The property that is the subject of this appeal consists of a 0.55 acre lot commonly addressed as 426 Main Street, Hyannis. It is improved with a two-story, commercial building with a gross floor area of 19,746 sq. ft. The property is located in a B Business Zoning District. The applicant is proposing to establish a 136 seat cafeteria style restaurant with a small bar on the first floor of the subject building. Due to a deficiency of on-site parking, the applicant has applied for a Special Permit pursuant to Section 4-2.8 of the Zoning Ordinance to allow the reduction of the required number of parking spaces from 54 to the 35 spaces which currently exist on-site. On May 13, 1999, the applicant submitted a letter to the Zoning Board of Appeals Office(dated May 11, 1999) requesting permission to withdraw this application. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on March 25, 1999. A 60 day extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened May 26, 1999, at which time the Board, per applicant's request, granted a Withdrawal Without Prejudice. Hearing Summary: Board Members hearing this appeal were Tom DeRiemer, Gail Nightingale, Richard Boy, Ron Jansson, and Chairman Emmett Glynn. The Board read into the record a letter, dated May 11, 1999, from the petitioner requesting a withdrawal of this appeal. Decision: Per applicant's request, a motion was duly made and seconded to allow Appeal No. 1999-58 to be Withdrawn Without Prejudice. The Vote was as follows: AYE: Richard Boy, Ron Jansson, Gail Nightingale, Tom DeRiemer, and Chairman Emmett Glynn NAY: None Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-58-Krech Special Permit,Section 4-2.8 Reduction of Parking Requirements Order: Appeal Number 1999-58 has been Withdrawn Without Prejudice. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Ltsti Emmett Glynn, Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this-day of under the pains and peralties'of perjury• l s f Inda Hutchenrider, Town Clerk 2 RefNo mappar ownerl owner2 addr city state zip 309 193 20D BURGUM, STEVEN B 70 NORTH ST, APT D HYANNIS MA 20601 309 193 20E GORDON, PATRICIA VAIL %MURPHY, RICHARD A SR TR 54 GREAT MARSH RD CENTERVILLE MA 02632 309 193 20E GORDON, PATRICIA VAIL %MURPHY, RICHARD A SR TR 54 GREAT MARSH RD CENTERVILLE MA 02632 309 193 20F WILLETS, NANCY J 326 BUCKSKIN PATH CENTERVILLE MA 02632 309 193 20F WILLETS, NANCY J 326 BUCKSKIN PATH CENTERVILLE MA 02632 309. 193 2OG ORABONE, CLAUDIA J 70 NORTH ST, UNIT G HYANNIS MA 02601 309 193 20G ORABONE, CLAUDIA J 70 NORTH ST, UNIT G HYANNIS MA 02601 309 193 20H SCHMID, RITA 70 NORTH ST HEDGEROW H HYANNIS MA 02601 309 193 20H SCHMID, RITA- 70 NORTH ST HEDGEROW H HYANNIS MA 02601 309 194, KELLER, .J&SILVIA, F&R TRS %SILVIA, FLOYD J 619 MAIN ST CENTERVILLE MA 02632 309 195 .. SCHULMAN, RUBY %BELL ATLANTIC - ATTN W NELSON 650 PARK AVE, 2ND FLOOR EAST ORANGE NJ 07017 309 213 SALVATION ARMY_OF MASS=INC 147 BERKELEY STREET BOSTON MA 02116 309 218 �. SELENKOW, DOLORES S TR 155 PAULSON RD NEWTON MA 02158 309 219 ACME-LAUNDRY COMPANY LLP %GEORGE, THOMAS N & ALICE M TR 17 THACHER SHORE RD YARMOUTHPORT MA 02675 309 220 FAUNCE, BRIAN C TR- MAIN & WINTER RLTY TRUST y 448 MAIN STREET HYANNIS MA 02601 309 221 PENN, MILTON L & PENN, HOWARD K DBA TONELA RD CUMMAQUID MA 02637 309 222 001 BARNSTABLE, TOWN OF (MUN) 367 MAIN STREET HYANNIS MA 02601 309 223 FLEET BANK OF MASS %RM BRADLEY & CO INC 19 PLEASANT ST MAIL STOP: MA-M WOBURN MA 01801 309 224 BUELLER, KARL W TR 35 WINTER ST HYANNIS MA 02601 309 225 COURTYARD VACATION CLUB INC 450 MAIN ST HYANNIS MA 02601 309 225 OOA COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOB COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOC COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOD COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 HE COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOF COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601. 309 225 OOG COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOH COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 001 COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOJ_ COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOK COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOL COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOM COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OON COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 000 COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 309 225 OOP COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 .309 225 OOQ COURTYARD VACATION CLUB INC MAIN & NORTH ST HYANNIS MA 02601 4 Proof of Publication LEGAL NOTICES Town of Barnstable Zoning Board of Appeals Notice of Public Hearing Under The Zoning Ordinance for May 26. 1999 To all persons interested in,or affected by the Board of Appeals under Sec. 11 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts,and all amendments thereto you are hereby notified that: 7:30 P.M. Ricci Appeal Number 1999-56 Philip J.Ricci has applied to the Zoning Board of Appeals for a Special Permit for a Family Apartment pursuant to Section 3-1.1(3XD)of the Zoning Ordinance.The property is shown on Assessor's Map 124,Parcel 016 and is commonly addressed as 889 Lumbert Mill Road, Marstons Mills,MA in an RF Residential F Zoning District. 7:45 P.M. DeOliveira Appeal Number 1999-67 Marcio DeOliveire has applied to the Zoning Board of Appeals for a Special Permit fora Family Apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance.The property is shown on Assessors Map 250, Parcel 068.003 and is commonly addressed as 446 Bishops Terrace,Hyannis,MA in an RCA Residential C-1 Zoning District. 8:00 P.M. Krech Appeal Number 1999.58 Lill Krech has applied to the Zoning Board of Appeals for a Special Permit to Section 4-2.8 Parking Requirements.The.Petitioner is seeking a Special Permit in accordancewith Section 4-2.8(Reduction of Parking)to reduce the required number of parking spaces from 54 spaces to the 35 spaces.The property is shown on Assessor's Map 309,Parcel 218 and is commonly addressed as.426 Main Street,Hyannis,MA in a B Business Zoning District. 8:15 P.M. De Marco. Appeal Number 1999-59 Henry.Paul DeMarco and Barbara Louise DeMarco have petitioned to the Zoning Board of Appeals fora Variance to Section 3-1 4(5)Bulk Regulations.The Petitioneracquired.six lots in 1.976,each ranging from 4,650 square'feet to 5,022 square feet in size.For the purposes of zoning;the lots are now merged into one lot.The petitioner seeks to create three buildable' lots out of the six original lots;The property is shown on Assessors Map 018;Parcel'094, and front,ng on Charlotte::Avenue: Pine Road; and Albina Avenue; Cot it, MA in'an RF Residential F Zoning District. 8:30 P.M. Coletti Appeal Number 1999.60 Guy Coletti, Trustee of Waterview Realty Trust, has petitioned to the Zoning Board of Appeals for a..Modification of existing variance decision in Appeal Number 1997-124. Specifically the Petitioner seeks a deletion of that portion of Condition#2 which states,'No variances shall be obtained from the Board of Health.'The property is shown on Assessors Map 193,Parcel 26 and will now be addressed as 10 Hillside Drive,Centerville;MA in an FID- 1 Residential D-1 Zoning District. These Public Hearings will be held in the Hearing Room;Second Floor,New Town Hall,367 Main Street Hyannis, Massachusetts on Wednesday. May 26, 1999. All plans and applications may be reviewed at the Zoning Board of Appeals Office,Town of Barnstable. Planning Department,230 South Street,Hyannis,MA. Emmett Glynn,Chairman Zoning Board of Appeals le B air dU e Patriot. May 6 8 May 13, 1999 j 1 Town of Barnstable Planning Department Staff Report Appeal Number 1999-58-Krech Special Permit Pursuant to Section 4-2.8 Reduction of Parking Requirements Date: May 20, 1999 To: Zoning Board of Appeals From: Approved By: Robert P. Schernig, AICP, Planning Director Drafted By: Alan Twarog, Associate Planner Petitioner: Lili;Krech" - Property Address: A((((((llJllJ_��` 4��` 26 Main Street, Hyannisy� Assessor's Map/Parcel: Map-309,-Parcel 218--- Area: 0.55 acre Zoning: B Business Zoning District Groundwater Overlay: AP Aquifer Protection District Filed:March 25, 1999 Hearing:May 26, 1999 Decision Due:August 22,1999(includes a 60-day extension) Background: The property that is the subject of this appeal consists of a 0.55 acre lot commonly addressed as 426 Main Street, Hyannis. It is improved with a two-story, commercial building with a gross floor area of 19,746 sq. ft. The property is located in a B Business Zoning District. The applicant is proposing to establish a 136 seat cafeteria style restaurant with a small bar on the first floor of the subject building. Due to a deficiency of on-site parking, the applicant has applied for a Special Permit pursuant to Section 4-2.8 of the Zoning Ordinance to allow the reduction of the required number of parking spaces from 54 to the 35 spaces which currently exist on-site. On May 13, 1999, the applicant submitted a letter to the Zoning Board of Appeals Office(dated May 11, 1999) requesting permission to withdraw this application (see attached copy). Attachments: Application Copies: Petitioner/Applicant Assessor's Map May 11, 1999 Letter to ZBA from Jeremy M.Carter 1 CARTER & ASSOCIATES ATTORNEYS AT LAW JEREMY M.CARTER 509 Falmouth Road,(Route 28),Suite 5 Mashpee,MA 02649 Telephone (508)477-1825 Facsimile (508)477-5737 -! May 11, 1999 Zoning Board of Appeals Attn:Debbie Lavoie MAY 13 ft 230 South Street Hyannis,MA 02601 TO OF BAR !Nr°^AOFSrA6� RE:Appeal No. 1999-58 APPF,q� Dear Debbie: After all of our efforts,I am afraid that we have to withdraw our application for a Special Permit for the Krech property at 426 Main Street,Hyannis. The hearing was scheduled for May 26, 1999 at 8:00 p.m. Ms.Krech has unfortunately nm into some problems with the building and will therefore not be seeking a Special Permit for a Reduction of Parking relative to that particular property. I thank you again for all of your efforts. Please contact my office should you have any questions regarding this matter. Sincerely yours, Jeremy M. Carter JMC/hak 107 Union Wharf,Boston,MA 02109 0 Telephone(617)227-7299 0 Facsimile(617)742-5571 yT °F�FIE The Town of Barnstable B"MM sa g Department of Health Safety and Environmental Services 'Ar i639. A`e Building Division FD n�'t 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner December 21, 1998 Lili Krech and Kato Wilson 1850 Main Street(Rt 6A) East Dennis, MA 02641 Re: SPR-095-98 Krech&Wilson, 426 Main Street, HY (309/218) Proposal: Proposed cafeteria style restaurant with small bar. Storage and private gym in basement. Dear Ms. Krech and Mr.Wilson, The above referenced proposal was reviewed at the Site Plan Review Meeting of December 17, 1998, and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance with the following conditions: • No more than 46 seats in the restaurant now until approval from ZBA for additional seats. • Basement gym for personal use only. • Exterior changes require Hyannis Historic District approval. Please be informed that a Building Permit is necessary prior to any construction. Upon completion of all work, a letter of certification is required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinance must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Respectfully, Ralph Crossen Building Commissioner Engideering Dept. (3rd floor) Map d Parcel j Permit#House# �/ad Date Issued 2-Z— 7p Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ,eppI,ICANT.stob°P oH'tr1IN A WWBx Planning . CONNECTION P BOM THE Dept.P (1st floor/School Admin. Bldg.) INGINEEBIN 270 Definitive Plan Approved by Planning Board 19 A BARNSTABLE. • ` ire c{ `� [�:5 El. °9. TOWN O BARNSTABLE Building Permit Application t2 G�— OctStreetAddress mai l^ Village !�► Y► Owner o iA Address Telephone . TJ• e • v+ Ma6A46tLyti '7-7 "7f f y Permit Request eC 4Jn t? e� ; 1 6 I-AIkeX 4J First Floor J Z C3 square feet Second Floor (00 0 S• square feet Construction Type "Q PIA P � J� 20® r. D Estimated Project Cost $ &e>6 Zoning District Flood Plain Water Protection AP Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial U�es ❑No If yes, site plan re iew# Current Use r �O UL! I Proposed Use �� W i .t Builder Information r� NameAS S Telephone Number Z " a 6 Z- �c,P, � Q , Ste"/� � Address L C> License# 0 S 1-1 . I 3 1 fr Wl t e ft 9t. (,65 'r• 3X inIAHome Improvement Contractor# Dd r u�e,S @r MA . V i (, d A tJ-Y, Worker's Compensation#441C "766 L/-?q Q1 NEW CONST UCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) I A A1 C� '44E # �. or FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED w MAP/PARCEL NO. . - 'r • _ yam. ADDRESS ' VILLAGE. , OWNER r DATE OF INSPECTION: FOUNDATION FRAME - INSULATION = F FIREPLACE ELECTRICAL: ROUGH 1 FINAL PLUMBING: ROUGH FINAL f. i GAS: UGH FINAL FINAL BUILDI - f,f-o i DATE CLOSER ASSOCIATIOA NO. t The Town of Barnstable .J Health Department 367 Main Street, Hyannis, MA 02601 rua Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health OUTSIDE DINING BY PATRONS WHO ARE NOT SERVED BY EMPLOYEES OF, FOOD ESTABLISHMENT If the employees of the food establishment will not be serving any food or drink to patrons seated outdoors, the Board of Health has empowered the Director of the Health Department to grant permission to place seats outdoors if = certain criteria are strictly adhered to. The following are some of the criteria that must be met prior the placement of any seating outdoors : (a) Notification of the Barnstable Health ,Department Director. (Telephone 790-6265. ) (b) Tables and chairs furnished by the food establishment shall be located at least ten ( 10) feet from the property line, sidewalk, and public access ways (parking lots, etc. ) . (c) A divider, such as a small fence, shrubs, etc. , must mark the designated setback. (d) Sufficient restrooms, both for customers and employees, must be furnished counting the additional seating as required by the State Plumbing Code and Town of Barnstable Health Regulations. If the employees of the food establishment will not be serving any food or drink to patrons seated outdoors, the Board of Health of the Town of Barnstable will waive the following requirements of the attached criteria list: (e) (9) (n) (o) Thomas A. McKean Director of Public Health w - - ` T/IC CIIIIIIIIUIIIi-Cullll Uf.1 his Qchusell PDe artlllelll of Illdilrrrial ACcidetus OINCOOlhyestfgatlons 608 f'T asfihi ruts Street Work-en' Compensation Insurance Afrulavit •AliPlic inr information n am '-- PIC't5e i'R11VT ie`a�l�'�"�'^—�'—'-'_......_...._------•— n 1 P,/ -- /10 nr„•i n r t n' f4l VI el nhtm•e IO I am a 1 meawner performin_ all work;myself. 1 am a sole proprietor and have no one working_ in am• capacity _ ....... _.—_.....__� �......�.�er-------.:�^+•�ai•.. ems...-n . �"7""-'-""'--�•----�•--- I an7 an empiover providing workers' compensation for my employees working on this job. ` r rnnrtr•rni, n•imc- •ttirirrcc• F . flit nflnne 0- incnrnorr rn n�lic� f! ` a sole' proprietor. general contractor. or homeowner(circle v»e) and have hired the contractors listed beim% xhc -c the �ollowin_ workers compensation polices: comp rrnt n•tmr BOY atirlrr<- CLI36 y ``V (� cir.. 6G I t one �• �() Z �` & Z, incur^nrr rns� f 1� LO A , W C Q 40 cnmr,'Int nnrnr- atittrr<•• nhnne 0- incur^arc rn nnficy if AR."ch additio_na!Shcct if n[[[SlarY��..: +'` "-;. :.�. .:: r_ ..,... 1...,.... •...._..,:.. _..:.....�..........:.:_ ...��.._3.�ye;�. -`•.r.�...�:: F:triurc to secure cn%-crace:ts required under tiectton L°A of 111GL in can lead to the imposition of eriminai penaiaes of a line up to s1.500.uu anu:ur unc t cars' impmsonment a., %tell as cisii penaitics in the form of a STOP"'ORK ORDER and a fine ufS100.00 a day against me. I understand that:: copy ntat be furtt•arded to the Office of,nvcatic2,,on3 of the DIA for cover2ce verification. /do hereon ccrriit•trrrrier rile pains arm cnaltirs of perjurt•thar file informariorr prorided above is true.and 76,' Date U Ph r; C-� � Print name Da in �'P/ (LL�� dA i� one _ �fficiai wsc unit do not write in this area to be completed by city or tott•n oRcial E prrrttidlicettsc i# r tluiidinz:Department cit},or tmt n• ❑ucensinc Board 1 � — check iriminediatc respunse is required ❑ Jeieetmen's Officc t � L-tllcalth Department c phone it• �Uthcr i_ contacT prr,,on: Information and Instructions Massachusetts General La-tvs chapter 152 section 25 requires all employers to provide workers' compc'tsaittn :;,: etnnim-ees. As quoted frt nl the "ta��'". an entptut•er is defined as every person in the sen'icc of another uttdc- contract of hire_ express or implied. oral or written. An ein Iorcr is defined as all individual. partnership. association. corporation or other legal entity. or ally two ar the fure,_oinu cnua_s:d in a joint enterprise, and including the legal representatives of a deccascd employer. or', > rccci%*er or inistee of an individual . partnership. association or other legal entity, employing employees. Hone•. c owner of a dwelling_ house havitt- not more than three apartments and who resides therein. or the occupant of rile do cilin�_ house of another �vllo etttploys persons to do maintenance ;construction or repair wort: on such dwelling or oil the __rounds or buiiding appurtenant thereto shall not because of such employment be deemed to be an MGi banter 'S� section _5 also states that e�•er-r state or local licensing agency shall ivithlrold the issuance or ,!"Wal of a license or permit to operate a business or to construct buildings in the commonwealth Car anti• is-nit who lens not produced acceptable evidence of compliance with the insurance coverage requirud. �Qu..ionall�. neither the contntonwealth nor any of its political subdivisions shall enter into any contract for :hA per tUrnia::ce of public work until acceptable evidence of compliance with the insurance requirements of this ci been presc::ted to the contracting authority. a1�l�iic�nts P1c;:se .'iii in the workers' compensation affidavit completely, by checking the box that applies to your situation succ;vine conicany names. address and phone numbers as all affidavits may be submitted to the Department of 'ndustr lai .-\ccidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tile should be returned to tite cin• or town that the application for the permit or license is being requested. :he Derartntent of"Industrial accidents. SItouId you have an,., questions regarding the "law" or if you are regc:: o obtzin a «•orkers' compensation policy. please =11 the Department at tite number listed below. Cite or Fwxns Please �e _-ure tha: the affidavit is complete and printed legibly. The Department has provided a space at the boat,-, cite for "'Cu to fill out itt tite event tite Office of Investigations has to contact you retarding tite applicant. F be _ to fill in the permit/license number which will be used as a reference number. 17te affidavits may be retumt ae .rJeparttne:;t by mail or FAX unless other arrangements have been made. The Office of Irtvesti=ations would like to thank you in advance for you cooperation and should you have any que_:: piease do not hesitate to _•ive us a call. The Depamnienr s address. teiephcne and fax number The Commonwealth Of Massachusetts Department of Industrial Accidents =° office of Investigations 4 `° 600 Washington Street Boston, Ma. 02111 fax T: (617) 727-7,749 nhunc =. :'6 i"i ---900 _exr. 406. 40" or _ , r 4 OEPARTNERI Of PUBLIC SAFETY SOR LICENSE CONSTRUCTION SUPERVi, Expires: Restricted to: 00 NARCEL E NA55E l`►UI� S2 ALBAN St l�,.wry1 �Y'� DOR;eE4".:� p�. C7124 I li f r (testricted {0 00 ��� ` 90124 00 Hone IC%4 41A Hasoary only 1G - i & 2 Faaily Holes Failure to possess a current edition of the hassachosetts State Building Cody, is cause for revocation of this t"nse. M ......--... _�...w... A j - Y W r . Y , i 1 - �`` c B@►kR�OF BEl1�D#1�CREGl7trtFTIQNS " T . 3 T Lecer�set. CONSTRUETf©N=S Rtll _ Nu�fHer• Cs 056524 UPE SOR 4--� : -. piresi 12�f1ZF2�0 Tr-'no 9015 ted Restrac 00, t n hfARGE E, - N f MASSE; r 52 ALBAN ST ! DORGHESTER MA 0212* Administrator w. ww- .- -t ...� - -'' +.�. ..:-•.- ...rya? .�: _ -h" .-, _ 5 ^�- . '^"e.^nF.,n .,.. .. ., .. a �.+• �, :. fr ,.�.,-. uM s`c:'�.aNa.•'F-f ._ ae Hyannis Main Street Waterfront ,�,,,�,,H Historic District Commission r7n �iOrEpMpL�' 230 South Street ' '. Hyannis,Massachusetts 02601 508-790-6270--FAX:508-790-6288- CN Application to Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M. G. L. Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building L7 Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage [Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign.. ❑ Repain ing existing sign 4. Structure: ❑ Fence ❑ "Wall ❑ Flagpole D( Other Dec, 5. Parking Lot ❑ New,Building ❑,sAddition ❑ Alteration (Please seethe guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK 04a, SSESSORS MAP NO. 3oq 1500 r o. rk':. r-s , a-s-ed'eA7'-W - ct OWNER O-/e Dal a fe.5 �e,1 en -d ,✓ ASSESSORS LOT NO. 0 HOME ADDRESS /SS Pa 154 TEL.NO. 4eW'�on , MA . 6zi S$ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way..(Attach additional sheet if necessary). AGENT OR CONTRACTOR a.r j�!'I Ai25SC TEL.NO. ADDRESS Qx A Oak H �f Y IZU6a DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters - leaders, roofing and paint color, including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Sze- LA"&l Self Signed �I . Owner-Contractor gent -7'REdE'AED Space below line for Commission use. Received by HMSWHDC SEP 0,.4 1998 TOWN 07 PARNSTABLE Date Time By HISTORIC < RVATION DIV. The Certificate is hereby: - Approved 't L3 Disapproved Date IMPORTANT: If this Certificate is approved, approval is subject to the 20 day appeal period provided in the Ordinance. HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** ' ADDRESS OF PROPOSED WORK n 4 / 5 FOUNDATION QZA SIDING TYPE (J�A COLOR /A CHIMNEY-TYPE N/A COLOR. N/A ROOF MATERIAL N/A COLOR PITCH tq A WINDOW d/ACOLOR_' TRIM COLOR /A DOORS IJ/A ;: COLOR �� SHUTTERS GUTTERS N/A DECK GARAGE DOORS/ AA COLOR -A//A NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application,along with three copies each of the plot plan,landscape plan and elevation plans,when applicable. The Plot plan need not be"Certified",but should show all structures on the lot to scale. PLEASE SUBMIT THE FOLLOWING INFORMATION AND/OR MATERIALS WITH YOUR APPLICATION TO THE HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION. THREE(3)OF EACH. IN THREE(3)SETS APPLICATION: All sections must be completed SPEC SHEET: Complete applicable information PLOT PLAN: Show all structures on the lot and any proposed additions/changes. Certified plot plan for new homes only DRAWINGS: All Elevations and please include Landscaping plans for changes in existing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBMITTED: - PICTURES: Of area(s) affected; Street view for additions/changes. SAMPLES: Of materials/colors(i.e. color chart) THE FOLLOWING FEES MUST BE SUBMITTED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE CERTIFICATE OF APPROPRIATENESS $20.00 CERTIFICATE OF EXEMPTION $10.00 CERTIFICATE FOR DEMOLITION OR REMOVAL $10.00 IF YOU HAVE ANY QUESTIONS REGARDING APPLICATIONS PLEASE CALL PAT ANDERSON AT 790-6270 BETWEEN 8 A.M.. AND 12 NOONM-F LIST OF THE FULL NAMES AND ADDRESSES OF ABUTTING OWNERS The following is a list of the map and parcel numbers, names, and addresses of the abutting owners in relation to the Common Ground Cafe, 420 Main St., Map # 309, Parcel#218 in the Town of Barnstable. MAP # PARCEL# ADDRESS 309 221 Milton Penn- Owner Howard K. Penn-DBA, Co-owner Cummaquid, MA 02637 (400 Main Reality, Tonela Rd.) 309 222-1 Town of Barnstable(Mun.) 367 Main St. Hyannis, MA 02601 309 222-2 Same as above 309 219 Eldridge Reality Inc. c/o ACME Laundry Co. Hyannis, MA 02601 326 13 Hyannis Public Library 401 Main St. Hyannis, MA 02601 326 14 David B. Sandberg - Trustee Asa Bearse Reality Trust 415 Main St. Hyannis, MA 02601 s - aw 1 �� MArtpGA�N`� pEG�Nfo ; a0'-S� Er�NIgTtNb �+-{Xo. GK, COBS T R-uCT10�3 - 3ik''�ah�arry de�,k;n� , ��{ 51�e P�rS o n ex:s'1��► D�E�1 - 2xlb (o-older fra►Me, roc :� tixy PT ►°°S� x IoatlaS�e�S Z x 1,� S►^a ea '� w^ P �E��t�S Fob TNT C,ONtMC�1 CAFE plati5 61S/gZ - Terence Guff, JZ�. Arckf4ct No �391� N ann.S -L1�01`W4 ST. ; 5 , M A C>Z&6 l R-AA of 5 F-CIONo F,, - or✓c.�C- -�---- g. i 3_6i IL �r c. ON 1"r►�+gX�N C�►f� �Of.C,�- Sc��; '/� ; ��..p�� F-� WOO tom` i 4' TOWN OF BARNSTABLE MAP 309 PARCEL 222-1 /Up 6 CB TOWN `td OF . JI 82.11' BARNSTABLE . . G 7.59' i MAP 309wnnNc I ��. PARCEL 222-2 No. 18841 ELDREDGE MAP 309 hy PAVED 9FC,'STERE� c�C REALTY INC. PARCEL ; ' AREA \��� MAP 309 , PARCEL 219 218 %r 23,958 S.F.,����. MILTON PENN - - -r%-'• .55 Acres. MAP 309 - PROFESSIONAL LAND SURVEYOR PAVED , i CB PARCEL 221 11.86' AREA cc LEGEND PLOT PLAN OF LAND � ` IN J•UP UTILITY POLE UP f—" W BARNSTABLEoC8 CATCH BASIN O . LAND COURT RIVET FDG� � (FOUND 10/3/95) PAVE N " MASSACHUSE TTS ZONING DISTRICT — B \ oo NZ, 2,STORY uiiolNc SCALE: 1"=40' OCTOBER 23, 1995 �N / PREPARED FOR: BRUCE CARVER c/o STRICTLY VERMONT 420 MAIN STREETClq / �^ � . _ PHONEIS508A702601 75 6301 'CAFE E DOLCI' H /< •HEARTH �C KETTLE 'J.08 NUMBER: 86220 ACAD FILE: 862201L z W RESTAURANT' ` op oln - • /• N • 93.54 ---- ---- DES LAURIERS & ASSOCIATES INC. CONCRETE SIDEWALK— 0 Q. 80' 160' CURBING Lice 130 WEST STREET WALPOLE. MIA 02081 STREET TEL: (800)287-8800 (508)668—solo .MAIN (PUBLIC —VARIABLE WIDTH) FAX: (508)668-4512 PROFESSIONAL LAND' SURVEYORS i I I �Vm ON GROUND¢$� or F. .. - '-. In im 1� _ I 3 1 5■ rt,1 1�' T tZA B. i : t �U� E - - JuiUN ce Bar „_ o � � � � � � . . � � w�v�� 3 � � t � S� r . j v-� �' � 4 - _ _ _ � TO ALL NEW BUSINESS OWNERS Please Fill in: / APPLICANT'S NAME: HOME ADDRESS:__ 1,73 TELEPHONE NUMBER: w8 77t�= a8 (Please give us a number where you can be reached) WON ME OF NilwllN S "§ U1ES>. ..,fi a,.wh,... �zs,.,��,,:�..jj ,,a.atrss.ev e., t„rr :,i ,as ",s-` "t e "�• T.r.. `'" .7,;, a y. aft�.,.. z`X' n '4?- h .. �... ., y�.•, ... �Jyi 4 H > 4 �`e c f. .. b:. ..£,. 5 < ....> '1.. ?•..,. .,.. .:...6.. >.,p...z 3. 's3 vim'a 4� �.�`S<#e, .y..Y`Y�q�'Zw' "-.! 'i`".<".. �y 1t,e�1 � �ji:.a, ,e'H Y R f � A F w � �. �.. �'A°� „t•7�'�.a,. R°^i .2. � C>:'�i .� IS ISM � ,..�..,.. ��.. . ..� .. �,i: ..� y.:�aa:.:.. �., IS.•..-:. u.` w n .. .,, i. ... �,n: •Y..Y,.::.,€� .< :...t.. � .5 t{t �y{y/,/y S ,.�}.. 1 , ..:'94..,1's ..-��:. '"�+. 35.,,.. a J+u r c: �-�, z.�.�.�� -� .. '.a....... 3 b< .✓1'.ie'' - .... ka,.. ;�•�� _.'. .: � .+lr ..µ.�•a �S' .e.,.Y .,. ,; � _.. .:R,....•� �L ......:..:, t '. ,� .. ,: ,s ,a �;�{I. ,. .- 7 :, ,. _. .:� l� ..a'...,,..s t ..... .,. .,.�..�> r,. � `�,.. KY . "1' .:-a•: ,;:x sa�.�� �. s � •`�t„¢q.< x,.. t �M v�' '.t, "�?n.,-a'�•...' " ,,fit r�,� a • '�sa "�: ��, �,�.. �a il._ �` t' �.+a 7"'�;."'a�t.�,'k .„.:r 2'a F': s � sa 'Y.. � � ..1< .��� ..,.,.. x+. _.,��FJ"...,x�-.,.ir��� ,a�ix: a,3�- 5% .. ..: � .....,. ..: '�'�+� � .. ,.�.55`�4,' r,.•, e.m� ..3 $�` ... w.•:.,„,.. �. .: � .. :�::��r a, w. w.[,W,.�+. :, :. .. � ✓ ... ,�, _, t s. „ �- r ,�r' ...�5. _ >2��. ,<s 3 'x3�" a t3. .�..t<1.,..< ro, n•-t?..>w... ..<-.......'i^� .m.'a- .,. .'f:',aTS -4_.:.a.�..i....Y.� ��k�y� .. lr.. .s�... 5:.. �� g .'� 9 M �'-' �. t. '":ITS When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has b n informed of any permit requirements;that pertain to this type of business. Authori ed Signature i 7 3 COMMENTS: w� .n } v 2. GO TO BOARD OF HEALTH (31113 FLOOR TOWN HALL) . This individual h n informe rmit re qu' nts that pertain to this type of business. C Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) -(3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been i ormed of the licensing requirements that pertain to this type of business. i Authorized tignature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY registers your name in the town of Barnstable - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. TOWN OF BA,RNSTABLE SIGN PERMIT PARCEL ID 309 218 GEOBASE ID 22611 ADDRESS 420 MAIN STREET (HYANNIS PHONE Hyannis ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY I PERMIT 23536 DESCRIPTION CLOTHING MANIA (4 S@.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT i CONTRACTORS: Department of Health, Safety ARCHITECTS: - and Environmental Services , TOTAL FEES: $10.00 THE BOND CONSTRUCTION COSTS $ 00 Ox i $.00 '753 MISC. NOT CODED ELSEWHERE * • f * BA STABLE, s MASS. OWNER SPIRO, THOMAS TRS & 039. A�� ADDRESS SELENKO DELORES S TRS /" F�M�► 155 PAULSON RD BUILDING DIVIIONWABAN MA : /f i DATE ISSUED 06/03/1997 EXPIRATION DATE ` F ' The Tow n of Barnstable -a3S 3 � �- Department of Health Safe and Environmental Services , . Safety KAS& Building Division 1619. pN,l 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: f 508-790-6230 Building Commissioner Application for Sign Perrot 9 Applicant: ,.�'c��,/'1/ Assessors No. Doing;Business As: GLo 1 1 14 Telephone No. 7.71�5 7 Sign Location f StreeVRoad: V Zoning District: Old Rings Highmay? Yes/"No Property Owner r Lame: 12 L O R 15; L lli� Telephone: Address: Village: Sign Contractor ; Name: A o� /- �,O V / Telephone: 7 �'1 Address: 141-(o Village: Description Please draw a diagram of lot shoeing location of buildings and existing signs x ith 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? I es o (Vote:If f es, a cnringpermit is requrred) I hereby certify that I am the owner or that I have the authority of the owner to make this 1 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/ u orized Agent: A:tSO vla Date: Z I Size Permit Fee: AG- Sign Permit was aPProved: Disapproved: , f` Signature of Building Offi al: Date: A �� l� �/ I�� `� 1 � ,. o�7Mfto� TOWN OF BARNSTABLE Permit No. ..,,, 34806 BUILDING DEPARTMENT E """ j Cash TOWN OFFICE BUILDING N/A a70• '>tavy+ HYANNIS,MASS.02601 Bond T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to THOMAS SPIRO... d/b/a STRICTLY VERMONT Address 420 Main Street, Hyannis USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ; July 6 19..92........... f� Building Inspector ,,7wf>o TOWN OF BARNSTABLE Permit No. ......34806... BUILDING DEPARTMENT I Cash TOWN OFFICE BUILDING Ml N/A ,670 HYANNIS.MASS.02601 Bond T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to THOMAS SPIRO d/b/a STRICTLY VERMONT' 8 , Address 420 Main Street;, Hyannis USE GROUP FIRE GRADING r OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. July 6 92 Building Inspector The Town of Barnstable i )A�/fTA�4E Inspection Department 367 Main Street, Hyannis, MA 02601 �0 M►Y►' 508-790-6227 Joseph D.DaLuz Building Commissioner I i Mr. Thomas Spiro C/O Spiro Realty 155 Paulson Road Waban, MA 02168 Re: 420 Main street, Hyannis, MA Dear Sir: On March 30, 1992, at the request of the Hyannis Fire Department, an inspection was made at 420 Main St. , Hyannis. it appeared that the building was being occupied for sleeping purposes. Due to the lack of safety features, i.e. smoke detectors, stairs, egress, etc., this building must not be occupied during construction for other than normal construction activity. If you have an questions, lease Y Y q , p contact me. My office hours are Monday through Friday, 8:30 - 9:30 a.m. and 3:00 - 4:30 p.m. Very truly yours, 4'Ic=d R.` Bearse Building Inspector RRB/km cc: Hyannis Fire Dept. i i Registered Mail P650 798 001 R.R.R. _ v2 _ 5ou�� L Le-VCA-�.ot I�woli5�^ exiS+1' �S+orc-froN+ �u.bbiSl� rcww�- 'f'O onb.a�NCW-f'o o�cr+-fhat,�-i�N[v S�.c�ro'I i I Utt' IKSLICA let W l'�Cekoi,.l� I �' � � I j � e,•Al� abpdC �,Ovr j +Wi�ol,cwS i.�� Ix� I E 4 w . i �•5�4 � j I � j i j; � I •� I"��'c k cu;, ` =3 I I I ± j L �tcces Pr au— I� p s. O �eu�e�•� +���work m�,. e.�,�'ra,nK. Lo _ -� i j! � ® c�i�t'•� jti e�.�-alJ�ee. Covor t„�r L ' r i Vc-sf ELevcL+ion 6 2K4.4xio \ Q.'f 13+i j,1pau.e. f z lnorl� bti / i 20 e..Hv Z6e.,y, - - —i7-ic�.Sos.c !V/-<rlavuV�or�oe�-s+w�L�e�.�S - If, O / �✓r CKiS�r aZ 0 olDe-y for.J/i�.CaCoris+ai © — 1(.,fla.(,(,� z '3X � '/�'jA,rV�i� � OYS rr'...-`_ ...r U rc�/crJt CoLLe�-fieS• . G � oea,-bca zXsef.r�fo W/ h�cwoCLG�C sa�oXoorf o1j_.s.de w,v(4 4x/O �+ — �aS�aGL�i�/i[laal.deor 6'X(8 �197carv.it�100� J W%hdoW1 3'y s' mq u.�Views e&,bbeo,roe` - - -- — // V eI Assessor's office(1st Floor):Assessor's map and lot number f e ®/ of TwE>o Pb r` Conservation Board of Health(3rd floor): { Sewage'Permit number sesi�ranc ; � rua Engineering Department(3rd floor)': '630• House number Ito Ysr a Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Q t'l1-'a/kX TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location o Proposed Use S"0 i' '1 Zoning District Fire District Name of Owner 0/"1a'r?a-� 6\ 1%%U Address C/D spI/i, Rc"g,LX Pq"�Srfi'1 Name of Builder Address ke:n Sf DdY2 166,cll Name of Architect Address Number of Rooms _ Foundation ✓�� Exterior Fratt�lace (/Ass +'Nacr Roofing Floors NP w AsA F/c)or-- Interior W o vJ f o nT Sk dto it ejbs1-eI--- Heating eo Plumbing 6A4 Fireplace Approximate Cost .UUd Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �A rc-�./ /1 s Name � r:. tr, Construction Supervisor's License .5 tPIRO, THOMAS No-3 4 8 0 6 Permit For RENOVATE Commercial Bldg. Location 420 Main Street Hyannis Owner Thomas Spiro M ' Type of Construction' t. � Frame Plot Lot n 10 { Permit Granted January 28, 19 I 9 2 { I Date of Inspection 19 -° Date Completed 19 - r f ® SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the"RETURN TO"Space on the reverse side.Failure to do this will prevent this card from being returned to you.The return recei t fee will rovide ou the name of the person delivered to and the date of deliver . For additional ees the of owing services are available. onsult postmaster for tees and check box es or additional service(s)requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) 3. Article Addressed to: 4. Article Number Mr. Thomas Spiro P 650 798 001 c/o Spiro Realty Type of Service: 155 Paulson Rd. ❑ Registered ❑ Insured ® Certified ❑ COD Waban, MA 02168 Return Receipt Express Mail.. ❑ for Merchandise Always obtain signature of addressee or agent and DATE DELIVERED. 5. S' ature — dressee 8. Addressee's Address (ONLY if X �M t(-- requested and fee paid) 6. laignature — Agent X 7. Date of Delivery li PS Form 3811, Apr. 1989 *U.S.G.P.0.1989-238.815 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS r SENDER INSTRUCTIONS - Print your name,address and ZIP Code in the space below. • Complete items 1,2,3,and 4 on the U reverse. �O • Attach to front of article if space permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number. 1 RETURN Print Sender's name, address, and ZIP Code in the space below. TO ' RICHARD R. BEARSE, BUILDING INSPECTOR TOWN OF BARNSTABLE 367 MAIN STREET HYANNIS, MA 02601 IP 650 798 001 Certified Wil Receipt ' No Insurance Cweraget' rovided Do not use for International Mail UNfrED5g1E5 (See Reverse) P ALSEWICE sentMr. Thomas Spiro Street 8&No. 155 Paulson Rd. P.O.,State&ZIP Code Waban MA 02168 Postage - Certified Fee Special Delivery Fee Restricted Delivery Fee o Return Receipt Showing to Whom&Date Delivered to Return Receipt Showing to Whom, Date,&Address of Delivery TOTAL Postage p &Fees wPostmark or Date E O LL co EL STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it r£u your rural carrier(no extra charge). (D 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the retur9r 8 address of the article,date,detach and retain the receipt,and mail the article. 0 3.If you want a return receipt,write the certified mail number and your name and address on a rn return receipt card,Form 3811,and attach it to the front of the article by means of the gummed m ends if space permits.Otherwise,affix to the back of article.Endorse front of article RETURN e RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, p endorse RESTRICTED DELIVERY on the front of the article. c o 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.if E return receipt is requested,check the applicable blocks in item 1 of Form 3811. 2 W 6.Save this receipt and present it if you make inquiry. *U.S.G.Ro.1ee0-270-153 a •-' yoF tYc ro � �i , 6' The Town of Barnstable '" NAGI. ' Inspection Department 16 367 Main Street, Hyannis, MA 02601 �0 �Y�YO `508-790-6227 Joseph D.DaLuz Building Commissioner Mr. Thomas Spiro C/O Spiro Realty 155 Paulson Road Waban, MA 02168 Re: 420 Main Street, Hyannis, MA Dear Sir: On March 30, 1992, at the request of the Hyannis Fire Department, an inspection was made at 420 Main St., Hyannis. It appeared that the building was being occupied for sleeping purposes. Due to the lack of safety features, i.e. smoke detectors, stairs, egress, etc., this building must not be occupied during construction for other than normal construction activity. If you have any questions, please contact me. My office hours are Monday through Friday, 8:30 - 9:30 a.m. and 3:00 - 4:30 p.m. very truly yours, Richard R. Bearse Building Inspector RRB/km cc: Hyannis Fire Dept. t Registered Mail P650 798 001 R.R.R. C�- - TOWN.OF BARNSTABLE BUILDING PERMIT APPLICATION Map q Parcel P Permit# !40 Health Division M MbR2Lr—'aw 2M Sin -off er Date Issued L3 9 Conservation Division -`C e7 �cr= • I �� F�O Tax Collector Sc h Treasure C4-- Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ` Project Street Address ` O 440 �✓l Is , Village LfGt 1^1r3 15 /y6 A' , a I(i o ,� Owner i V'0 Z lf.4 Tial,5 t. Add ess C�l��, (�,} (!vim i�� ✓VI Telephone © 90 — (.(Q J0 T - G f — & / -7 — 2 so 0 Do armS S�(�,y� pa/ —Ow Permit Request (_*(_)m ►4err-ialwaddi �'ic�vs — r:da� r6 614d 'r-awp, ;CWreZ-aI d 1AMOd e c�C;vea ef<) eJ is�{ A CA4Ar`I V 61✓`d SDCA cam. . r f • 1 i �O�D D NO �✓ r -Total new Square feet: st floor. existing proposed lnd floor. existing proposed o Estimated Project Cost ®�� ®0® Zoning District .L5 Flood Plain Groundwater Overlay J _ Construction Type C Q 6 r�,! ��©d fro'Me, Lot Size Grandfathered: ❑Yes Imo If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) CO 04 k4 1'9 C/A L a- Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: &ull ❑Crawl ❑Walkout Cl' Other Basement Finished Area(sq.ft.) Z., 2 G D 5• 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: Yeas ❑Oil ❑ Electric ❑Other Central Air: wes ❑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 C/Yes ❑No *If yes,site plan review# Current Use W Proposed Use - BUILDER INFORMATION Name r3 11, Telephone Number Y Address. 24 ttS 1 lfV1 6,7 A License# �!' ��n 2 7 �G ✓�( Il/ p_ lZ� Home Improvement Contractor# Worker's Compensation# A W C 716�13�C_e_a/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE • - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED. .a. ,• , i . . ) '• � w- >" - • + , MAP/PARCEL NO. � 1 T - .•: '. � � - ADDRESS VILLAGE } OWNER t f y DATE OF INSPECTION: - -' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH'` FINAL. GAS: ROUGH FINAL t r FINAL BUILDING - * DATE CLOSED OUT + •ASSOCIATION PLAN NO. • + '. ; e Commonweall1i of t assacnuseiis -z Department of Industrial Accidents _ • -- Office aMftIYOWgatfons 600 Washington Street j + Boston,Mass 02111 p WorkersComensation Insurance Affidavit '/tricsnL - � 711 name: l Z Ma(,,"m •S.A . ammm 6(b4 ( Cxkc,l C r 1 -1-�, Sty . r city HAG w r3 l M A nhone 0 ❑ I am a homeowner performing all work myself. ❑ I am a sole proDrietor and have no one workin in anv capacity / ❑ I am an employer providing %Vorkers* compensation for my employees working on this job. comnnnv name: f address: city: phone#• insurance cn. Unlicv# I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: comnanv name: address- 0. city: aGQ ` , � hone insnrnn ce co. Am- Mu—,UAL- *ssS �� VDs � ��' oiiiv# ����•�L') �'9����'4 t ::?:=w:.: ::. /,(/�•/////// /Ii//,O,i comnanv name: address- city- .. phone#? ...::::.. .......... insurance co. 08ev Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1.5o0.00 and/or one vean'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under the p and p nalties of perjury that the information provided above it&u& d eo pest Signature� Date Z'd 1 Print names l Jet 0 i,ell �, if(UCc i Phme it S6 f' �qb - 21/3 Ccheclk y do not write in this area to be completed by city or town olIIdal permitNcense# ❑Btniiding Depaeweuerut C3Llcensing Board ediate response is required ❑Selectmen's Office ❑Health Departmetnt : phone#: ❑Other (MVLMC 9•95 F)A) n orma on anct Lwtrucnons Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thew employees. As quoted from the "law", an employee is defined as every person in the service of another under any cow= :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 rec=,ve: 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 cr 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 renewa- 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,neithm..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 be :submitted to the Departlneat 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 peimittEcense number which will,be used as a reference number. The affidavits may be returned fo 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.Deparanem's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of laves uadoas 600 Washington Street Boston;Ma. 02111 • fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 TOWN OF , N BARNSTABLE ' MAP 309 PARCEL 222-1 /Up OF ,bCB TOWN OF 25.18' a 82.11' BARNSTABLE mmto Domw 7.59 MAP 309 MANDANCI -� %��`� PARCEL 222-2 No. IN41 ELDREDGE MAP 309 ��h PAVED �\ 9`cfSTER�`° .� REALTY INC. PARCEL ;�� AREA LLO� MAP 309 J40 PARCEL_ 219 218 ���� MILTON PENN i2 - -r�'-'• ate" `�/�GL� c� , .��,. 23,958 S.F.,ffN PROFESSIONAL LAND SURVEYOR .55 Acres o MAP 309 PARCEL 221 PAVED 11..86' AREA PLOT PLAN OF LAND i LEGEND v IN i UP W BARNSTABLE OUP UTILIfY POLE ` z o CB CATCH BASIN EDGE �+� ^u -�--��+ v LAND COURT RIVET �le� PAVE N. MA�7A`iHUSE l l S (FOUND 10/3/95) /. j L. ZONING DISTRICT - B 2,sTORY SCALE: 1e=40a OCTOBER 23, 1995 BUILDING / / PREPARED FOR: BRUCE CARVER c/o STRICTLY, VERMONT 420 MAIN STREET \c" HYANNIS, MA 02601 PHONE: 508 775 6301 �`�� 'HEARTH KETTLE JOB NUMBER: 86220 ACAD FILE: 862201E 'CAFE E DOLCI' N W% N/ RESTAURANT' > ,z�'2 W f Q J 'y•ii /U 3j7.e 3 Z� �ZjZ.'�,/c�o� 3/• DES LAURIERS & ASSOCIATES INC. • 93.54' ---- 0 4. 80, 160' CONCRETE SIDEWALK� 130 WEST STREET CURBING Lice WALPOLE, MA 02081 (800287- 00 MAIN (PUBLIC - STREET FAX•: (508)668-4512 (�6)666-50,0 VARIABLE WIDTH) PROFESSIONAL LAND SURVEYORS CDMMOAI Cj;PbylVD GArc f -Juice: 8AR II FPOPOSED CXRTYqP-D ADDITlod -ro 2EA� q2o o1A1Al S-r. HYANti115 MA- Q&ol, MAP 3d� PAS 2r 8 ENnTAIJCE Gxl MOM SMe6E��dT. - - Add (A wad( , z2 'v (long"g ON GROUND �"" Lam- ' I%nnsylvon,q t;e�dA04t stocked rock v10 ��. n ° Fence - wood �Cronte conSfrucLfT '�, /4.5 Wh Wood Fawte dou&p, Cloo/ S�l D ✓(Gaffe• 8@ Centr) _..COA4AlO 1 5'RcuN-D CAFE '-Jul CC BAK az000SCD Cco IzvAPD f1DDr riO To 1ZEAR- L4Q MAIN ST:, H YANMS.M-A__o_L& MAO 304�C�L2_18�I�nrtPJ1►JCE_a�_do2rrt �rP��T�ARKInIG rrsf y�Q /2eo� La �n{"rjnceS� Add 3/y tALI�0504 ' deck (approx Soo s-F) and Pennsgivotlla rieldstone stacked i roc wal�S +0 exst,4 II cour�yOrd ore-0 'lo Pia✓%Oe, � � n �' n ouf"door' swill �'or pironS ke�i2 ea���' �1 mn cxls�1,•16 oC�4 Common (S�rouncl Coo �1^P Q� �- o �G y's �ews Cl Z� /V 309 ba S,n�41 ?AZccc Zrg IZ T, SLA5. ` ._J111 lJ%� ��ooRZ ?l At j - SCALE orfti S�iee.� BOARD OF BUILDING REGULATIONS License: CONSTRUC`!CN SUPERVISOR Nurnber. CS J 524 Expires: i2i07i2000 Tr. no: '?015 Restricted To: -:O MARCEL MA-SCE ST ,,QRCH`STER, MA :Y.'•,:4 \drr ni�;rator I ' Q r I L 1 i }1 1 E {F{ 7 1 1 � 4 V TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION < Map 4 Parcel J. nPLICANT MUST OBTAIN A SEWER Permit# 6 11�' v UUNNECTION PERMIT FROM THE Health Division commII DM=X MU02 To Date Issued 5�� ® � 99 Conservation Division o ou Fee � ' .- `^.G U Tax Collector Treasurer Planning Dept. ( r Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 4 �7- Village (�� I� Owner Address 1U111� c7! GcLe ri��JS Telephone 12, ail Permit Request W_ LA lJ� Square feet: 1 st floor: exis ing proposed 2nd floor:existing proposed Total new Estimated Project Cost = Zoning District Flood Plain' Groundwater Overlay 1 9 Y Construction Type WOW MAW, Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family Multi-Family(#units) Age of Existing Structure 50 Historic House: ❑Yes CYNo On Old King's Highway: ❑Yes ON"o Basement Type: O'Full ❑Crawl : ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing Z 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: l`Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes &Vo Fireplaces: Existing New Existing wood/coal stove: ❑Yes al o Detached garage:dexisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial &Yes ❑No If yes, site plan review# Current Use Proposed Use .At— , e EF S^ BUILDER INFORMATION Name Telephone Number Address License#' Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C'N!c f7E%/j SIGNATURE DATE _ FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED " MAP/PARCEL NO Amf 5 `ADDRESS + `t + n ti , VILLAGE f OWNER 1 DATE OF INSPECTION: _ FOUNDATION FRAME INSULATIONS FIREPLACES. ' . ELECTRICAL' ROUGH FINAL PLUMBING: ROUGH FINAL GAS: . i ROUGH .. FINAL, t g a ` FINAL BUILDING ` .r. } DATE CLOSED OUT ASSOCIATION'PLAN NO. ' t n � a, LOT 9 NB919'3w 'l 23. i PORTION OF LOT 9 h .„ LOT 4 g) LOT 3 i i L=43 2 NOTES. PRE-EXISTING, NONCONFORMING- BUILDINGS APPEAR VERY CLOSE TO LOT LINES; AN INSTRUMENT SURVEY WOULD LOCATE THEM MORE PRECISELY. RES. ZONE ''HB" This MORTGAGE INSPECTION Plash 's For nk Us2 OnlyFLOOD ZONE. "C" _- REGISTRY OWNER: s4lVI�RyY_��t�F� �r_,�CQT'� C COLZO DEED REF: _jQ�7ZVZ-8W, ,29--BUYER: _RFELVANCZ------------------------ DATE: _61D41_6 _----__----- PLAN REF: _"1 63_4� 7 _____SC ALE:I"= 30 FT-. I HEREBY;)CERTIFY TO 2 _ _ -- ___ ____ ,__THAT E BUILDING y _+ YANKEE SURVEY SHOWN-ON THIS PLAN IS LOCATED ON THE GROUND AS 1 .�A � yG CONSULTANTS SHOWN AND THAT ITS POSITION DOES -___ CONFORM 44B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE nn��iT�Ety INDUSTRY ROAD TOWN OF _BARNS7:�IBLE��,�__—_AND THAT o No. 32098 c a MA RSTQNS MILLS MA 02648 IT DOES NOT:_ LIE WITHIN THE SPECIAL. FLOOD HAZARD �. 9r 0 �'' ' c;STtR. .. TEL: 428-0055 AREA AS SHOWN ON THE H.U.D. nnAl DATED__/0_V_ __ �`%��,t��" .o FAX 420-5553 �. _ _ l R+I 11.:• I I .AT n1nT bl Inn f.'f, ll .v T1I IIP.IT - 4 4i�4 sty BEd INro \ LA61la INTO RCU FV-AM14q I2 e-,"-NGdoS W/ZXId9':5&, TMAoS7 C LPGGcED It-" HvL6f 02AMI94 ! ti • , / F CONcRM 5LA13 14 _ Y5 99a � -- Io* 000CRE'm rwflw-ls ., s•CoN�P►� ► W/ +6, c Gp2fE WUN45 ---- { W W.,f Ad4C.RCQe POUWP k,UW- fl�ulzlL-�tEb POOL) bISK- 10'9 10 IIot�lT uNEW. --- - -- _ - .... ITT_.E'L �! no -_ - .. , _�_ _ _ �r_..Ewalt ON . Building Division 367 Main Street,Hyannis MA 02601 ffice: 508-862-4038 Ralph Crosses 508-790-6230 BuiIding'Commissic-e- Permit no. Date AFFIDAVIT HOME'IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements.1 . Type of Work• Estimated Cost Address of Work: Owner's Name: tL Date of Application: I_hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under$1,000 wilding not owner-occupied QUwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. R All Daze. Owner's Name q*mis:Affidav I` �.• �-saur T 600 WashingtonSire-t Boston,Mass. 02111 Workers' Comensadon Insurance Affidavit name: - location- Citv/ hone I am a homeowner performing all work mvseir I am a sole arourietor and have no one worldnz in anv achy I am an employer providing workers' compensation for my lavees clap waddng on this job. mnnnv name: f tv' ... Mane#: rsurancc cn. 11011Cv# �...:: i I am a sole proprietor, general contractor, or homeowner circle on and ban Ive hued the contractors fisted below who � the following workers' compensation polices: ' vanv name: hone#► nanv name.',...: ... ! c`!i.v :�t�•::.;c; ; .... :: Mane tY' ..i .y n .. .: •:w+i:}. :. .+. �.....r k Ir9n[C CO. :''-.:::. vt. •:w?y:v'•? a•...•. ..• lieu#` ?.. �. :< ::...,.. ^M9VN.iJ�gjiGti.'I.:i7Y:• vow vp:•.:"Lwwr+.w:-w ..•'.'.........�.. j� .. to secure coverage as required under Secdon 2U otMGL 152 can had to turn int4midm o[esfosiosi eats'impstsonntent as well as tdvil penaldn in the form of STOP wORK ORDESaod a IIas otSt P��oia Clete up to St.S00A0 and/or CLOO a day a9atnst m& T understand that a of this statement may be forwarded to the 0Mce of Invesd cations of Me DlA for coverage velghagi L ereby terrify ern Ilse panes nail penalties of perjurt►that the infon=ion pioe+ikW aboae is ttw Ltd coned Hire Hate Afff _ ttamG idol use oniv do not write in this area to be completed by dty ortown otndaL r or town: pe q QBuiidin;Deparunent chuck if itribtedlate response is required (]Liceatint Board • ❑Sdecances Olnce tact person: CHadthDeparunent phoned; ��� G"AI ...iIYYG W GiJ JJAUVA" vv%na " QUJnpCn3aU=L`" .i.• empiovees.. As quoted from "law",law";an employee is defined as every person is the service of another undo:jai°cc-- 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 the foregoing engaged in a joint enterprise, and including the legal represeat roves of deceased employer, or the:ec�;•e- mute-- of an individual, partnership, association or other legal entity, employing employees. However the owner of a dweiIing house having not more than three apartments and who resides therein, orthe occupant ofthe dwelling h=,r another who employs persons to do maintenance , construction or repair work on sack dwelling house or on the_grc building appurtenant thereto shall not because of such employment be deemed to be as employer. MGL chapter I52 sermon 25 also states that every state or local licensing agency shall withhold the issuance or rere�r= of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who c_ not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work U=! acc-table evidence of compliance with the insurance rrquireareais ofthis chapter have been.presented to the authority. Applicants PIe:se fill in the workers' compensation affidavit completely, by checking the box that applies to you sitcom and npiying company, n m=s, address and phone numbers along with a certifi me of fimur;mce as all affidavits may be omitted to the Departnneat of Industrial Accidents for confirmation ofinsurance coverage. Also be sure to sign and ate the affidavit. The affidavit should be returned to the city ortownthatthe appB=tion for the permit or lic=se is cmg requested, not the Department of Industrial.Accidents. Should you have nay questions regarding the"law"or if J c e.required to obtain a workers' compensation policy, please call the Department at thee number listed below. ir�iry itv. or Towns I se be sure that the affidavit is complete and printed legibly. The Deparameat has provided a space al.the bottom raf datizt for you to fill a=in the event the Office of investigations has to contact you regarding the applicant. Please e sure to fill in the permitllicense number which will be used as a refereaca mumber. The affidavits may be mt=rd io e Department by mail or FAX unless other arrangeareats have beenmade. e Office of Investigations would lilm to thanks you in advance foryoa Cooperation and should you have any gamtians. le r. do not hesitate to give us a call. Deparunent's address, teicphone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents OMCC of Imtesamos 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 exL 406,.409 or 375 The Town of Barnstable FtHE rgy�o Department of Health Safety and Environmental Services Building Division ' MANSTABM367 Main Street,Hyannis MA 02601 �prFD MA'I A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: S JOB LOCATION: number 6 street village "HOMEOWNER": IC! name home phone# work phone# CURRENT.MAILING ADDRESS: §2 HA 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 hermit. (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 require a ts. , (A 4, f Signature of Homeowne 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 to amend and adopt such a form/certification for use in your community. r` Q:FORMS:EXEMPT August S, 1974 Mr, John Hanlon Hanlon's Shoes 426 Main Street Hyannis, Ma. Dear Mr. Hanlon: Recently I have had several discussions with your manager and store personnel re the poster displayed in front of your store. I have attempted to impress upon your establishment the significance of the Sign Code which is being violated. I can appreciate your concern regarding the sale of merchandise. I have a list 9f the signs also in violation that you submitted. We have already begun to take steps to eliminate the violations and some of the Y. .. : merchants have already complied. I know that you, as a businessman, must have some concern for the governing, by-laws that control our community. Therefore, I would expect that the'faws of our Town be adhered to. May I suggest your right to appeal my decision to the Board of-Selectmen. It is my hope that the provisions under Section VII of the Zoning By-laws will not be necessary. Thanking you for your immediate attention, I remain Very truly yours, Joseph D. DaLuz Building Inspector JDD/gr cc: Board of Selectmen Town Counsel e�Qy°`?"ET°��,� TOWN OF BARNSTABLE BARNSTABLE, i 9� 1AM 01MO � BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............. / '...................C- 'i1...... ..... ........ .. . ... . TYPE OF CONSTRUCTION .Z" ^.......�.......... ...............................................*7 ........ .......... . ......�-� ...............19. / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. ..... ..... .................................................................................................................. Proposed Use .. T�.`. 2� ........ . ..........'A ............................................................................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. r Name of Owner/.4!t.��. !ss �.... ......Address ...r A 2... ............ . �f Name of Builder V........ ? ..............................Address Mh R �... V<S ............................... - �.Name of Architect ...........Address�:�i�.....�`..'�'.r2:Y^!.�fi.�"............. . ......1... ..!�����............................................. ! t.0 0'Z r i r=7✓7" Number of Rooms ...............S5.�IX...................Foundation ..................................................... Exterior ...V..k.,.c.!.�............................................................Roofing .................................................................................... Q l� FloorsC.................................................................................Interior ...............!�.. o -.. .R /l �c Heating <2..4`J....................................................................Plumbing .................................................................................. P DG a e Fireplace ....../..V..Q ....................................................................Approximate Cost ... .../. .........�. A-..1<. ........................ Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of Lot and Building with Dimensions hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name6 .. ............. Eisenberg, Mr. . I No ...122 L Permit for ....remodel interior ...................... of restaurant ............................................................................... Location ........420 Main Street ........................................................ . . .......................Hyanni.s........................................ Owner ..........Xr,...Eisenberg........................... f Type of Construction fas=7.................. ................................................................................ t i Plot ............................ Lot ................................ t4 Permit Granted .......March 19 ......19 69 Date of Inspection ....................................19 .Date Completed .. . ..................... ....19 p r PERMIT REFUSED Y ................................................................. 19 i ............................................................................... f ............................................................................... ............................................................................... l ............................................................................... 1 ' Approved ................................................ 19