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0573 MAIN STREET (HYANNIS)
I� S� i i I I1 TOWN OF FBARNSTABLE PARCEL ID 308 111 OOB GEOBASE ID 38640 ADDRESS 573 MAIN STREET IHYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT NY PERMIT 63051 DESCRIPTION DOTTI-S FROZEN CUSTARD(6 SQ, REPLACE BROKEN PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services a TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 9 753 MISC. NOT CODED ELSEWHERE BAMSTABLK MASS. i6gq. A� B D G DIVISI INB DATE ISSUED 08/14/2002 EXPIRATION DATE Town of Barnstable IHE Tp� y,�Ptio� Regulatory Services Thomas F.Geiler,Director ..MASS. a Building Division i639• ♦0� A��o ray a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: Assessors No._ � Doing Business �s Telephone No. 7 7/ l�D Sign Location Street/Road: 3 �o Zoning District:_Old Kings Highway? Yes/)Hyannis Historic District? e�� 4o Property Owner Name: Telephone: Address: / g Sign Contractor Name: 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? Yes!02 �ote:If yes, a wiring permit is required) I hereby certify that.I am the owner or tha# ve the authority of the owner to make this application,that the information is correct and that the use and nstruction shall conform to the provisions of Section 4-3 of the Town of BarnstablInO nance. Signatureutho 'zed A Dater O 2 Size: IV Permit.Fee: iwe - Sign Permitwas approved: Disapproved: Signature of Building Offic 7- Cl _Date: SiQnl.doc TOWN OF BARNSTABI.,E SIGN PERMIT PARCEL ID 308 111 OOB GEOBASE ID 38640 ADDRESS 573 MAIN STREET (HYANNIS PHONE HYANNIS ZIP " I LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY 1 PERMIT 61765 DESCRIPTION SEA BREEZES/8 SQ PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: P ARCHITECTS: Department of Health, Safety and Environmental Services TOTAL FEES: $25.00 BOND $.00 THE CONSTRUCTION COSTS $.00 753 MISC_ NOT CODED ELSEWHERE * , * BARNSTABLE. * I MASS. �► 1639. ED M1!,l BUILDM DI I Y DATE ISSUED 06/12/2002 EXPIRATION DATE ►' Town of Barnstable �pF THE tp� y�P ti� Regulatory Services Thomas F.Geiler,Director • EARNSTABLE, • ;39' �0� Building Division '°rFnMn�°i Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: Assessors No.j0 Doing Business As: Gf. 12 Z Telephone No. '775-- 3-77 j Sign Location '�r 7 3 Street/Road: 5 M"q/,I/ 1 Zoning District: Old Kings Highway? Yes/0 Hyannis Historic District? (De /No Property Owner Name: 461EZ:Z,/ Telephone: Address:_ _�/ f7/2 I� D,1� / Z/ Village: Sign Contractor Name: �'%/� . /� 5 /�jNS Telephone: T/— 2�Z2d Address: yj /lam jN �� Village:_jyt y`yyy� Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes (Note:If yes, a wiring permit is required) I hereby certify that.I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: (� 2� Q� Size: c/ / Perniit.Fee: Sign Permit was approved: Disapproved: Signature of Building Offic' 1: Signl.doc rev.122801 A"ay53YOUROW'V'"fr mic6Wdio2,Rd9 E. ���, �` ., � � } ��� � � �� i$�yf/�rp � �� w M1 ^.Nf y y h�g t� � �+�*�,, '��YY44y` �l�4` env � �. raa�r�:5�,.�.,�+.e:.,+, �'"""� �s_ �i � �' � Fij ��PPPPnii S F� ., � 4¢ { � f ¢ �!r '�i �' ,.f $�2....A � 91I �r �' � ..� F s Hyannis Main Street Waterfront E Historic District Commission �NAM 230 South Street Hyannis,Massachusetts 02601 — TEL: 508-862-4665/FAX: 508-862-4725. G o Application to ` Hyannis Main Street Waterfront Historic District Commission ►v in the Town of Barnstable for a G, 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 a 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 ❑ Addition Indicate type of building: ❑ House ❑ Alteration 2. Exterior Painting: ❑ ❑ Garage Commercial ® Other 3. Signs or Billboards: 09 New sign ❑ Existing sip ❑ Repainting existing sign 4. Structure: , ❑ Fence ❑ Wall ❑ Flagpole ❑ Other ' 5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE DR PRINT LEGIBLY DATE ASSESSOR'S MAP NO._ Q ASSESSOR'S LOT NO. Z11 4:5��g APPLICANT _S E?4- � Z1� TEL. NO._-'7S APPLICANT MAILING ADDRESS T 7 i _A1t9-10f ADDRESS OF PROPOSED WORK 7 PROPERTY OWNER N0. OWNER MAILING ADDRESS FULL NAMES AND MAILING ADDRESSES OF ABUTTING 0 property owners across puokbfic street or way. This informations Iacludgame of adjacent ;- . ed Assessor's O>�cY tional sheet if necessary): `Town "APR. 2 9 2002 y_.y_ . ..._.. . .. HISTORIC PRESERVATIOM1I DIV. AGENT OR CONTRACTOR TEL. NO. `T 7/—z Z ADDRESS `�y/ �J 0�-lit/ S �i*�sA sr✓ Page 1 of 1 (a D IIUN CIOTH990TOM 93 a CH 1 M cc J o �c�= CA u a O� o= n file://A:\seabre6a resized.jpg 4/29/02 APPLICANT• 308.11 I.00b 575 MAIN STREET HYANNIS Toscano, Elizabeth c/o Shore, Carolyn Box 121, Hyannis, MA 02601 ABUTTERS: 308.114 Mehta, Raghbir, 259 Sea St.,Hyannis, MA 02601 308.069.001 Brenner,Nelson, Cane Realty Trust, Box 266, Sharon, MA 02067 308.069.002 Bogle, Edward,46 Bursely Path, W. Barnstable, MA 02668 308.113 Cotuit Harbor Enterprises, 577 Main St., Hyannis, MA 02601 308.277 Kennedy, Robert, 140 Tremont St.,Boston, MA 02111 308.276 Sweeney, Margaret, 188 Sturbridge Dr., Osterville, MA 02655 308.104 Katzen, Allen,c/o SAAG-Hyannis Realty Trust, Soft as a Grape, Inc., Falmouth,MA 02540 308.105, 106 O'Sullivan, Daniel, 805 N. Dixie Fwy,New Smyrna Beach,FL 32168 308.128 Yeransian,John, 41 Pembroke Rd., Weston, MA 02193 308.285 Firth, Laura,Box 1953,Hyannis,MA 02601 308.111.00a 561 Associates, c/o Shechtman, Richard, Box 4, Barnstable, MA 02630 308.111.00c O'Sullivan, Daniel (address above) 308.111.00d Wojcik,Jerome,43 Stonewall Dr., W. Barnstable, MA 02668 308.111.00e Eli, Michael, c/o Eli, Frank, 569 Main St., Unit d2, Hyannis, MA 02601 308.111.00f Kalmbach,Evelyn,41 Nilson Ave., Quincy, MA 02169 308.111.00g-1 Nam Vets Association, Box 2873,Hyannis,MA 02601 308.111.00m Kalmbach,Evelyn(address above) RECEIVED, 308.111.00n Burgess, Gary, 22 Lombard Ln., Eastham, MA 02642 APR Z 9 2002 TOWN OF RAQNSTA.9L E ; 308.111.000 velyn(address above) FIIS70RIC PRESET v'A i Doe DkV, AP El I 6 Hyannis Main Street Waterfront _ Historic District Commission shy 230 South Street Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725. Co CD Application to 67 Hyannis Main Street Waterfront Historic District Commission N in the Town of Barnstable for a , tsi 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 ❑ Addition Indicate of buildin ❑ Alteration type g: ❑ House Garage Q ❑ 2. Exterior Painting: ❑ Commercial Other 3. Signs or Billboards: (9 New sign Q Existingsign 4. Structure: ❑ Fence 0 Wall � ❑ Repainting existing sign , S. Parkin Lot: ❑ Flagpole ❑ O�� g D New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE DR PRINT LEGIBLY DATE ASSESSOR'S MAP NO. ASSESSOR'S LOT NO.Zl Dig APPLICANT Gtl,�M�ty'�.5' Z2 TEL. NO. .7`7.5- 7 7 S APPLICANT MAII.ING ADDRESS --- ADDRESS OF PROPOSED WORK 7 PROPERTY OWNER h TEL.NO. - `ram OWNER MAILING ADDRESS FULL NAMES AND MAMJNG ADDRESSES OF ABUTTING 0 =nF1J,,CjtWe of adjacent Property owners across blic street or way. This information sht t Town Assessor's 0 c A -_.._�._. _...tional sheet if necessaryl . APR. Z 9I- W 200Z HISTORIC PRESERVATION DIV. AGENT OR CONTRACTOR_L-�G/9SS/L ib�� TEL. NO. '7 7/—Z Z?:C2 ADDRESS �y/ r !; a Marc PP+e S.. r`° �• 3 �'�( � .irs a v it "+µ„F" r w,'.` y tx�"tc ` .i5 e,a. �'t' ° 1a, +t . : � ° �`` �` �t� 3+`a+�,`ta�i 4'rS � i yr';1}.:�7J x➢�.e�,{it -o�°C�e,y(L .:f�'�{,�, � �^�'�;�F'C�vA,L�.,,af��' �E t' 'as`,v4�v ��f ,� �.�'+rs 3. �"':, #�� Riv��R` 7`�ts�' ° �`` � r�+�P�t'k� rya" a ,,✓b���^-an � �,.'�',�rrQ,r 'r h�,.t'�'n n 3� �}�5z z. tv �.hnf}svu n OJT ¢mw9r�as� ara �r } �`�a��' x � '�' r „gis't� a � � ��'«+a rE.-��z'�s� a � �,�t '!�,���+� :�a tt�•r ' r h ,} MAIL. >3ttl+ e��yi w INN q C�ttr:'fie, 5.� a 5�.��a Cw�'"�'� i,; 'Ts iv ';a r '"� � ?$"•� =, t*,rat _„+'�! ry �s'_�'4i�aw����':�,'�E 3+ 'y tz aq r1 r4 a la,rrn..,e sib 'y r u ,c ... ait' ,t�,+ .tv �t�F�+.., r�.r-FPT`� ra�'- ,�� ����:�'�.v, .�.,� ��tt.�tsi�•�`��-s r'7�H�q���'� w��-ri�>:3� �,�2 *��2�ia�&sr�"d?`�z��i *� _'� +°.�f�ti�"�.�3R'h4�.S.� Wa�"iwk � ��``f��k -e,�. �c�"`5� a� �'�� `�+v'�`.;:��` >f��ts y�� xt�._�r�,��.:,w.�°�:.a...v,r�s,.$:•a .,��,:.,��a�6 3.n x;�._.r�'�"�w." �fa� t.ln�t��r��9�5�'i<',�!l�o-�x""� ����FB�'r^.',�'..x.;e�d x a:.5`.:q•.Q."e,r.r�.w .� N are-- T TOWN OF BARNSTABLE SIGN PERMIT ' PARCEL ID 308 111 OOB GEOBASE ID 38640 ADDRESS 573 MAIN STREET (HYANNIS PHONE HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 55233 DESCRIPTION GG'S UNDER 6 SQ FT I PERMIT TYPE BSIGN TITLE VSIGN PERMIT CONTRACTORS: Department of Health Safety ARCHITECTS: P , y TOTAL FEES: $25.00 and Environmental Services BOND $_00 THE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * ■ARN3TABM + MASS. � -�639.S A�O�ED MIS BUILDI+NG DIVIION / Bif �'.,-��Aft DATE ISSUED 08/17/2001 EXPIRATION DATE /� ` Town of Barnstable oFz"E' tio Regulatory Services Thomas F.Geiler,Director m / sARNSTABM 9 MASS. Building Division .i639 ♦� ATED 39 A Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant:G-e af Assessors No. Doing Business As: CG Telephone No. 7 Z ::�S 9, Sign Location f 6'3 �� Street/Road: / Zoning District: Old Kings Highway? Y �� o Hyannis Historic District? Yes/No l� Property O er Name: Telephone:_ Address: Village: Sign Contractor. Name: 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? Yes/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 an construction shall conform to the provisions of Section 4-3 of the Town of Barnst le Zoning 0 inance. Signature of Owner/Authorized Age te: d Size: `lei9de- ' Permit Fee: WS'. Sign Permit was approved: Disapproved: Signature of Building Offic � �- Date: a Signl.doc rev.8/31/98 r v in Pizza o Calzoneso Salads 21 3/8 Grinderso Pasta Tout ake_ 508-775-5393 Delivery 35 3/4 in f QUERY PROPERTY: QUERY END QUERY PROPERTY .w PENTAMATIGN------------------------------------------------------------ 08^/03/01 PARCEL ID 308 111 OOB GEO ID 38640 LOT/BLOCK DBA PROPERTY ADDRESS OWNER TOSCANO 573 MAIN STREET (HYANNIS ELIZABETH M TR DIA REALTY TRUST HYANNIS 569 MAIN ST UNIT B HYANNIS MA 02601 PHONE DISTRICT HY DEVELOPMENT STATUS C ASSESSOR'S CODE CAPACITY(NOTES) ZONING DIST/ZOC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 0 OPER/MGR NAME WET LANDS MULT ADDRESS Y USE 327 PROTECT DIST (N)EXT / (P)REVIOUS / NO(T)ES / PER(M) ITS / (V) IOLATIONS / (G)EOBASE / (E)XIT I Engineering Dept. (3rd floor) Map Parcel C613 . Pehnit House# � 75 Date Issued as m Board of Health(3rd floor)(8:15'-9:30/1:00-4-M) @ 4y&f , Fee � dU - - VVcW ISE + , APPLICANT MUST 0 19 - CONNECTION PER T I III�IOINEERINO DIV COWRUCTION MAS& TOWN OF BARNSTABLE Building Permit Application Project Street Address !m- Nos- Village ' AOwne Address Zza Qgr _ Telephone ��l)IV-17 j- C111 f Permit Request First Floor 1;11 1_0 0 square feet Second Floor \ b b if wo square feet Construction Type�,� Estimated Project Cost $ 'J n p,d Zoning District SZ Flood Plain Water Protection v 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 ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use r� Builder Information Name R>b'tZb Telephone Number j(} 7 Li-7 -7 —.0 s 2 Address 1 License# (0 a_1> I V\...-u ZS�T_ Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS r PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FO OWI G REASON(S) r , FOR OFFICIAL USE ONLY s PERMIT NO. `DATE ISSUED MAP/PARCEL NO. t . t , 1 ADDRESS { - �.q �' VILLAGEi r� _ — ; Vf — IV— OWNERS • t 1 � � � . DATE OF,INSPECTION: FOUNDATION FRAME'-- C. t • , - ' f ti ✓ ' 1 Y .. 4 _— yil ♦ ti ,'yam 1 INSULATION g, t r• w FIREPLACE + ELECTRICArL: ROUGH - FINAL• PLUMBING: DOUGH 'FINAL A, -- :r GAS: ,U GII t } FINAL ! { t�. , 4 • v FINAL BUILDING r • t — 1 3 , DATE CLOSED O : � 1 � • c` t e - ASSOCIATION PLAN NO. - r B I A SECOND- FLOOR PLAN �- r-_ _ The Commonwealth of Massachusetts _ -=_ :z� Department of Industrial Accidents . Office offoirestigalioos _. � 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name.•f-Z) location: 't city ,L2,AO D(N �CJ4 rA.Ipt n Z phone#5-c)F'' -7 7-G 5 (36 ❑ I a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. company name - address: city phone#: .. insurance co. olicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name - _-- address: city phone#: insurance co. olicv# campanv name- address: city phone#: insurance co. olicv# / //�. Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline 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 ce ify un r the poi an ies o u hat the information provided above is truo and corrects g Signature Date Print name 3�1 Phone# -4 0 7 7 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (rued 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contras 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 C 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 to do maintenance construction or repair work on such dwell' house or on the grounds or another who employs persons � � P � 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 renew: of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha 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 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. 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 permit/license number which will be used as a reference number. The affidavits may be returned to 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: .r The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgallona 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 y--- 4��---fe'{oanmaauaea�i a�./�aaooclura.�ti DUARTKE91.0P PUBLIC SAYSTY CORSTRUCTIOR SUPBRVISOR LICBASE Su�er� w Expires: Restiucte�Pa 00 P 0BBRT I HACA ' , l�•�+��. � ?== :175 PARKBRSVILLB RD sAXDVICA, AA 02563 OUARTKEgf.OP PUBLIC SAMY COASTRUCTIOR SUPERVISOR LICBASB Ruer = -Bxpires: Res�ii'ct�e�T� 00 4 s �- s. ROBERT B REACH f�1Z►r��. � ���-� �175.FARMBRSVILLB RO �;� ,Y SAADifICH, HA 025fi3 . t w d-Map j Parcel ��%—C Permit# 310 goo House# 2 3 — ` Date Issu d - " ( 9 6 /Board of Health(3rd floor)(8:15 -9:30/1:00-4:36) Fee 0 6 - (4th floor)(8:30- 9:30/1:00 2:00) IIPPLICAMr ` T%nning-Sept:(1st floor/School Admin.(Bldg.) G MUSTITFROM gg Defin _s-Pl n pproved by Planning Board 1 •�$To BARNSTABLE. - f� q b 9, VProstr�c ' �°'` WN OF BARNS A LlEBuilding Permit Application t Address Village Owner /DS Address Telephone 7J W. Permit Request First Floor square feet econd Floo `' square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain �- Water Protection 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 rA 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 Ap als Authorization ❑ Appeal# Recorded❑ Commercial UrVes ` ❑No If yes, site plan review# `Current Use Proposed Use Vi_9 Builder Information Name J— �{ Q E(-� Telephone Number 7— d � Address (,'7 ,S Pkk K � d ((,( P610 License# 67- 3 Shl�0 cx3 (CH VIAL A 07 Sl Z Home Improvement Contractor# Worker's Compensation# //J,n(r// NEW CONSTRUCTION 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 �R C BUILDING PERMIT DENIED FOR THE FO- L WING REASON(S) ti t ' FOR OFFICIAL USE ONLY ` PERMIT NO' DATE ISSUED MAP/PARCEL NO, ADDRESS 'yV` VILLAGE ..OWNER � _ �. ; . o 9 .. � .. • DATE OF INSPECTION:' FOUNDATION- FRAME t . INSULATION FIREPLACE - :ti • � w � .. , - -; ice+�"•s:. ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL GAS:' ROUGH FINAL -y FINAL`BUILDG - n�v 4 DATE CLOSED t s ASSOCIATION P NO. .. ' c s e f The Commonwealth ofMassachusetts =zip._ _ y Department of Industrial Accidents Office oI/nresdoations 600 Washington Street Boston,Mass. 02111 v Workers' Co m ensation Insurance Affidavit ' name: location city _ phone 1 (29'❑ I am a homeowner performing all work myself. am a sole r rietor and have no one workin ' any ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. comaanv name:. address: city shone#: insurance co. olicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comoanv name• - ;:: address: city phone#: insurance co. olicv# comaanv name address: city- .::phone#: a: olicv fesnrance c # _. ._ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a flne up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 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 here ce r the p d penalties of perjury that the information provided above is truo and correct Signature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license is ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (mm sed 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver o: 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 renews 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 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. 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 peimtllicense number which will be used as a reference number. The affidavits may be returned to 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 Office of Imlestigatloas k. 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 07.. Vaiiz�reo�uueall� a�/�aaaaclaica. DRARTHBRT.OF PUBLIC SAFETY CORSTRUCTION SUPERVISOR LICENSE ' su er Expires: . L; RemdW:fig 00. s i ROBBRT B PBACB 15.FARNBRSVLLLE RD 3: t 83 SANDWICH, HA 026 r •3-7 f:J •.!�� 3qX. xgz SECOND FLOOR PLAN X. - ~= I HEREBY CERTIFY THAT THIS PLAN WAS PREPARED IN ACCORDANCE WITH THE RULES �u(� AND REGULATIONS OF THE MASSACHUSETTS - cA /U S,-1 �� REGISTRIES OF DEEDS AS AMENDED TO //�; ( JANUARY 1, 1976. 3 ( / �v a 1 A x-r.A7 /1 FOR SAIVETZ P.L.S. DATE A ski q St + 4,4 W- 3 1 C4 -1 1 HEREBY CERTIFY THAT THIS PLAN FULLY J AND-ACCURATELY DEPICTS THE LAYOUT, LOCATION. THE naUNITD NUMBEEREE'DANa DIMENSIONS (� AT HYANNIS OAKS CONDOMINIUM, O AS BUILT. AND THAT THE BUILDING HAS NO NAME. of mur" wom a FOR SAIVETZ. R.LS. DATE n n - *SIUP-DING SHOWN ON PLAN TE BPLAN OF LAND. BARNSTASLE(HYANNIS) 9 MASS. SCALE 1'-2W. JULY 31. 1297. a V BRADFORD SMVETZ & ASSOCIATES. INC., a ENGINEERS AND ARCHITECTS, BRAINTREE. MASS.' UI.IIT A/EA D »seer a HYANNIS OAKS CONDOMINIUM BARNSTABL,E(HYANNIS), MASS. r y SCALE 1/B'�1'-0' DATE JULY 31, 1987 BRADFORD SAIVETZ + ASSOCIATES, INC. ENGINEERS AND ARCHITECTS BRAINTREE, MASSACHUSETTS - 6 4 0 6 16 74 FIRST FLOOR PLAN GRAPHIC SCALE IN FEET SHEET d OF•l— PROPERTY ADDRESS I I ZONING IDISTRICT CODE SP-DISTS.I DATE PRINTEDI CSTATE LASS I PCS I NBHO AACFi .. ��• ...��.'x'•«" -`KEY No. 0000 400 07HY . 07/09/95 3271 00 0035 R30$ 111.008 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS 8 640 h an Y UNIT ADJ'D.UNIT IBRENiNER, NELSON TRS MAP— . . . LO By/Dale Size D mens on LOC. .SPEC CLASS ADJ COND. P PRICE PRICE ACRES/UNITS VALUE oeapL CD. FF-De tnlAc.ea #BLDG(S)—CARD—1 3 128,800 CARDS IN ACCOUNT — L #PL .569 MAIN ST HYANNIS 01 OF 01 A #UT UNIT 8 BLDG 8 COST 128800 N *COMMON AREA 16% MARKET 73200 D *HYANNIS OAKS CONDOMINIUM INCOME *SEWER RENTAL 41418 SE A D APPRAISED VALUE D i k 128,800 A U ARCEL" SUMMARY T S AND A T LDGS 128800 —IMPS E OTAL 128800 F E CNST E N I DEED REFERENCE Ty- DATE Re-d d PRIOR YEAR VALUE A T Book Page Inert. MO, Yr.ID S.lea pr LAND T S 61631202: I,03/38 275000 BLDGS 128800 U TOTAL 128800 R E BUILDING PERMIT S Number Date Type Amount LAND LAND—ADJ INC 01 ME SE SP—BLDS FEATURES SLD—ADJS UNITS Const. Total Year Built Norm. Obsv. Class Units Units Base Rale A,I.Rate Aqt� 11n Age Depr. Con,. CND Loc %R G Repl Cost New Ad, Rapt Value Stones Height Rooms Rma Bertha e'F- P—,.11 F.c. 05C 000 100 .100 66.20 66.20 87 87 7,94 140 55 68.6 234679 161000 7 Description Rate Square Feet Rept.Cost MKT.INDEX: 1.00 IMP.BY/DATE: / SCALE: ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 66.20 3545 234679 IGROSS AREA 3.545 CONDOMINIUM CNST GP:00 T _TYLP-------___ _1--1 C_0_NOOMI-NIUM------ 010 R _DESIGN ADJMT 00 ___ ---- -- 0.0 U EXTER.WALLS 01dO0D___ fRAaE__ 0.0 C AEAT/AC TYPE 00 0.0 T INTER.-FIN13H 04JRYWALL --------.-- 0.0 *— ------ ---------- --------------------�--* NTER.LAYOUT 00 0.0 ! R NTER.OUALTY 00 0.01 BLDG/UNIT# SLD6 B LOOK----- S - - TRUCT U0 0 ---- - ---------------- ---! .0 A ---------------------- --------------- --- UNIT B ! LOOK COVER 00 D.0 L --------------- -.- ------------------- - -- E TotelA.eaa Apx. eaae= 3545 ! FLOOR: 1ST:$ 2ND ! OOF TYPE UO 0.0 --------------- --- ---------------------- BUILDING DIMENSIONS ! ! _L E C T.R I C A L_ _00 _ _ __ D.0 T ! S. F. 3545 ! OUNDATION 5G 99.9 - -- --- -- A -------------- - -------------------- L *-------------------------* HYANNIS OAKS CONDOMINIUM (RETAIL) LAND TOTAL MARKET PARCEL 128800 AREA VARIANCE +0 +0 STANDARD 25 3RI E"--•,..�.:..W;,,.� :,.:...v„ :,x, BATROOM FLR.'- S F" � vA TONE,,WAL - ' '"-; TOILET ""4 ROOM FLR. S. Fz ..i�a. •: -., :., : - �3.Sc� .G: 7 s INTERIOR:.FINISH fi�Min ` y d v. lug. i. + �a� cl+I�� 5 $ .,z ,. 302',S. F. ' + +:"'°. .•ra s 1B4SEMENT-.A'F2EA' `< LATH & PIASTER..°:: 4 ypIm, k Mw (�r:r. 2i4t ;" .� _. MISCELLANEOUS S'F" 7 w DRYWALL y�.. r'O :,.r �"'`•.' h"f :H{ -!� �� r.�-i"i -; FIREPROOF CONSTR. Q S. F.'. ? �y / EXT IOR WALLS WALLBOARD �3.yS� G: _ - r /L ,. I c'� MILL CONSTRUCTION �y�S. F. r ® h - l9 q?Sr0 3 s OLID�'�COM."'BRICK J . - /.JCl��� r �R�) � ! r '• .,. 3 rg s t,:ltw}'r� t&.t t l,- * UNFIN. INT. - FIRE RESISTING r'r/ Y as < k:.,s."• 3e''� ''t'�y,�z. y,r.+ h�'fi`s� . OM BR ON C: B is STEEL FRAME 30 C/-7 ACE BR. ON COM. BR. PARTITIONS STEEL BEAMS &COLS: ACE BR: ON C B. G LATH AND PLASTER TIMBER BEAMS& COLS- ACE BR: VEN ` DRYWALL : STEEL TRUSSES 14 3'-Y 7 � yr•u r1 r , EMENT',OR CINDER BLK it. 'BRICK �4 �:: t EINCONCRETE C. BLK. SPRINKLER"SYST �'G UT STGNE FACING k ^` 3Q' . . PASSENGER ELEV. •�; TONE,;OR 7 C`TRIM HEATIN910 G FREIGHT ELEV. TUCCO,ON X. STEAM INCINERATORcm /a .90 / P „ ,r •, 1D1P1G bR SHINGLE S�' HOT WATER . . �H ✓ FIREPLACES ARTY-WALLS,'F P 3a y96 ` •. + r NOT.AIR - CHIMNEYS , : i LATE.,GLAS 0 S FRONT, -. , GAS • // t ` OILBURNER GONv STEEL FRAME SASH _ ROOFING.' :COAL STOKER WOOD FRAME SASH _ REPLACEMENT VALUE 5 ��` s 470DZ Yr Tr v pi.x OMPOSITION OR T. & G. NO HEATING RENTAL CAPITALIZATION LOCATION } t";4 4t tr �� a�`7o�M �`w� ,• -40 AIR COND.—REFRIG. LAND y /✓ OOD FAIR POOR 4 IOOD DECK . , x2„�.. AIR COND.—WATER VACANCY • LISTER: DATE IETAL DECK 4 HEATING � Qr n s al xx«C ;n WIRING WATER (/-J. -/S ck /! e G 3s FLOORS FLEXLUME OR EQUAL ELECTRICITY OCCUPANCY DETAIL' &<r INC OME e-e r i , ;:+, ++a.b .a -,.•r 1ST 2N 311D PIPE CONDUIT JANITOR ri ONCRETE i MANAGEMENT ' r > Yr ARTH �i,u G� a F /4 2.0 / a:, ,.3 r ids •+ .fir• § PLUMBING „g, a BATH ROOMS ; 1 TOTAL FLAT EXPENSES �5; 2'<� �`�>.L", .. %,� Z�. ' i J` �•,,° a'yr *.. ft ARDWOOD TOILET ROOMS x: • I s "'r r'1 - _ 5/ -a.. i.«....r .' a,. a:.. a.n.r ..«• .:��r w ti,€"�.-;ta'•.�• ckrk'..^4 Rs r+ a vt,x i. INGLE•FL G / wo 'a a t: r sf es.Y�.Mg6 n:?r» w z t aa4w r- -, WATER CLOSET EXTRA. GROSS ANNUAL.INCOME ::/ ��y .G ��.//'+r '� " ^.� . •-,.Nr,..,.,,..,� ,„•..,,r..,:,,,.p,zh; at:, .,.,a, ,{i SPH :TILE LAVATORY EXTRA LESS FLAT EXPENSES - ERRAZ20 SIryK EXTRA � BALANCE FOR CAP. � _` � � ":��.», IOOD;JOIST t "S ;t' , URINALS tt; s 1� t w •i a CAP.,.RATE TiEL J01ST fir' NO PLUMBING REFLECTED CAP. VALUE EIN: CONC - - rE ,., ,:s ,.,, s. t •_•r r yc c, + Y a _ _ ,- ,.!b a a„ 1• •`4 % dam .k;e ',i` see rr �E..+,. CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. . R.EPL. VAL. Ph De - ' 3 r '? - ' Y P•. PH -Funct.DeP• ACTUAL VAL: ,; r tea, 2 :3'��'/�//%J[%� �' L,�-'--7, -✓ ZJ a per' 3.14� t �' S ,�.� - �"rt,SG /''/ � "".3`-Jr."Q.'�-:�1��t s v...m�',i 4/S 00 , } � '# 2 a '"l.,a` P r y—r y,kr a •c, k r TOTAL F G + 3�;a�kC �-- �-•..a #•"r r ., + b .'" rk !'� �� uR L• �+,. E.4yl r`•'.{,' •GY!'y '� •';c'Z �,€ AI,. +,... L�, ,'c�, 3 5 � '�l`'n' -a µ::}'�Jt-i'{".:.w.11#$•"'b".+w'„PA.',{isk r,:;,# -'',....r.�k.u..:aii5em•..�_.�`:�a ,xw:��.- ._�y—...�_ __... ^"�r ... _. ,r - ." _ _ _ .. _. a _. - _.... 'S t"�.. �'? .e:�.n_f•,.. -{,}�{+�Ly'�4,r „t".,:."'.'a;.,}., '7 "�='i°?� * v. -'t:� v :"._ t. ,�` - � .. �( .A'•3ti�` ..s.A'`'Faa .� s 3%� .,fir/t_ s.49 / �1',- ,,J„y = a.,: ”- w£:^:t�ti�".i+:LXz�#.` «4+'x",.'r,..e"''-.aria-k%t •t..x,.ka. 1+;4 :t,r,e OMM'ER fAL"PROPER s ;Iv1A N0 LQT,.NO: r a n e e I 4 FIRE:DISTRICTy `L�t. AR STREET �. 6::A Main St. ... ,;. aririiS 4 F s -•# 7� LAND 3O8 111: w r yBLDGS'< < 3 2 OWNER xLAND.. E. RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS , ,�;. ;. ,�,,,� ix, k.arw «,u 0I•w r`BLDGS* .+s«. SG g 13 TOTA Yx; Leach -.F'r&dges S. 9 1 71 1525 81�+ 'LAND F� 1 f ' �.}. µ BLDGS* 5' •,.• . 7'+/G O /Y•a x��./V�JI//,$r a .eq,4, TOTAL J }" LAND r x ...5 go,/N�S} �/• /Gt D oC O/ 6 TOTAL { LAND g' ' 0' % �.s BLDGS.. TdTA LAND. BLDGS. f TOTAL, c #_. �' LAND BLDGS x yx k " rsa � V TOTAL LAND 'INTERIOR INSPECTED: DATE / 4l�jf t / /. rxi.„ •—c TOTALZ ACREAGE COMPUTATIONS } .. IAND�+." �d x" t»c� .,.t _ LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE s c~ TOTAL 't�U DOf, �./p ��oC�=. = r '-LAND c=•, '' t, a,�'.a:y e•a•'� §CLEARED FRONT L -BLDGS ! REAR a a WOODS&SPROUT FRONT ...Y ' REAR 4 :;. "BLDGS ` .:w ; a FWASTE FRONT TOTAL �...; REAR s iw data "` a * T a . mot I T .i LAND t� "�1•. �z �I # '�• BLDGS LANDtv - x < �.. a,` - _ • i, - '.: T'ti �� "''� s-f`'t a :a. OleBLDGS. "" LOT COMPUTATIONS , LAND FACTORS TOTAL, h ' FRONT n DEPTH STREET PRICE DEPTH FRONT FT. PRICE TOTAL VALUE HILLY 1 pe rBL' DEPR. CDR. INF. F TOWN,SEWER € ROUGH " S R TOWN•WATERx s� 'HIGH GRAVEL RD * `" t i L { LOW DIRT F pgg RD LAND 7 SWAMPY NO RD BLDGS •vak„.:�r gar ;- r. ..-•, .: .... - _..,.�.,x,.. _ .. TOTAL•. "� zj 1 Eg neering Dept. (3rd floor) Map Parcel- `S -Permit# _j_j9 t H go �use# S` 3 rJ� Date Iss oor(8:15 -09.30/Y1:00-4:30) Fee d < P 61-Ad1Tlln:-l�ldga-.� �tHE g$oard� 19 ; - BARNSTABLE. MAPM 1F0 59. TOWN OF BAIZNSTABLE Building Permit AP lication Pro' ct Street Address J� �_ �-L!j Village ' Owner C=1 \\��, Address .23Cj 5A7. Telephone 5bY_ -7 7 j-al \It Permit Request ��\,s� `!�-a.�� �A� , ,,, I L.. A.Q ti -t-- �1 LIJ 111\"c�� A& CA First Floor square feet Second Floor square feet Construction Type ' Estimated Project Cost $ v2 > Op Zoning District Flood Plain Water Protection 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) n ❑None ❑Shed(size) ❑Other(size) Zoning Board of ppeals Authorization ❑ Appeal# ;UV-S Recorded Commercial [ es ❑No If es, site plan review Y Current Use Proposed Use _ Builder Information ame -q- ; '� Telephone Numbe(jd Address L Liz, License License# Q C 6 90 Home Improvement Contractor# 1'249,7 77 f � ln Worker's Compensation# r 1 c\ NEW CONSTRUCTION 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 BUILDING PERMIT DENIED FOR THE FOLLOWING REASO (S) Air- : FOR OFFICIAL USE ONLY t v PERMIT NO. , DATE•ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 1 OWNER DATE OF INSPECTION: -- FOUNDATION FRAME t , jfSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL 1 _ PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - 1 i I 1 1 1 1 1 1 I � 1 p, 1 0 ' 1 1 I I 1 I 1 1 Z ' O ' Z 1 rr 1 1 r 1 1 � 1 I 1 1 I 1 I I W W573 OIL C-a4,A CA I , The Ca nlytonlrcallh of Afassachuseav %rt ;_... �••w Deplutltrc•IIt of Itlditstrial,4CCIIIL'IIIS ` {G, OffIC99 ,17YESLfgatlonS 6110 ff'asbiugton Strea Bmwitt. Maas. 03111 Workers' Compensation Insurance Affidavit ��ipiicint information•• '-- --•._ ___ Plc�se PR(NT'leb�jy ""'"'�'�•'�"'—'"'_..��.� - 40 Q—A T Incation Ll i ytenm1 � %. © 2-6 0 hon.R No Z— l Qf I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _ - [i I am an empiover providing workers' compensation for employees working on this job. cnmminv n• roe• •tdrlrccc• ' city• Phone lt• inctirnnce cn fnitcr t! [I I am a sole proprietor. general contractor, or homeowner(circle ate) and have hired the contractors listed below who n: the following workers compensation polices: cmmn•tn%• n•trne• •tdrirccc• Clf�'• Phone�• Pni1C�' _ incttr•tncc cn cnm any nntnc: addre�c� city nhnne i!• PPlic�• _ incur•tncc ce _ Attach sdditia_nalshCCtifnecessary r' '-�i �Z•� ---- - •r' '• �r� ����~��� ���Y!'`•`+—••wa:: Failure to secure cover2ac as required under section:SA of NIGL 152 can lead to the imposition of criminal penalties of a lineup to S1.50U.U11 andio uric cars' imprisonment:t.well:ts cil'il penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a dad•against me. I understand that copy of this statenicat may be forivnrded to the OtTice of Investigations of the DIA for coverare verification. 1 do herchr cerrif yti\nder the pains and penalties of perjure•that the information provided above is true and correct. Signature Ct�i!0 =NC �I� Date � Print name Phone '�oflic�ial 11se unit• do not tt•rite in this area to be completed by city or town official w` y city or ttnrn• permit/licensc it r'ttluiiding Department : C2Uccnsing hoard check if immediate respunse is required C3scicctmen's Office t �. C311catth Department contact person: phone 00: rnUthcr Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. At quoted from the "law". an emplitrer is dcfincd as every person in the service of ai thcr under allys contract of hire:,express or implied. oral or written. An rnzpinrer is dcfincd as an individual, partnership, association. corporation or other legal entity, or any 1\%.Io or morc . the foregoi►t�s engaged in a joint enterprise, and including the le al representatives of a deceascd employer. or the receiver or, trustee of an individual • partnership. association or other legal entity, employing employees. However the owner of a dwelling_ house havin- not morc than three apartments and who resides therein. or the occupant of the d\vCllirt�, house of another who employs persons to do maintenance , construction or repair work on such dweliing hous or oil thu __munds or building appurtenant thereto shall not because of such employment be deemed to be an employer. ,MGL chapter I52 section 25 also states that every state or local licensing agency slsall withhold the issuance or renewal of a license or hermit to operate a business or to construct buildings in the contmomi-calth for any j applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionall_. neither the commonwealth nor an• of its political subdivisions shall enter into any contract for the )erformance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ita -seen presented to the contracting authority. �pl►iicants rase fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and upplyin__ company names. address and phone numbers as all affidavits may be submitted to the Department of ►dustrial Accidents for confirmation of insurance coveragc. Also be sure to sign and date the affidavit. The =tidavit should be returned to the city or town that the application for the permit or license is being requested. of the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required ob:ain a %vorkers' compensatior policy. please call the Department at the number Iisted below. rN- or Towns ease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of e affidavit for you to fill out in the event the Office of Investi?ations has to contact you regarding the applicant. Pleas sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. Office of investigations would like to thank you in advance for you cooperation and should you have any questions. ease do not hesitate to give us a cell. •.�.._ - ._-._..y.w.• .-���w�+r+-••.4��.-.._-�. i__.���.�.��w.��_.wAM�. _ •�J/.7��rrw.w���.ww��.+. e Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents r i office of Investigations 600 «'ashinaton Street Boston,Ma. 02111 fax #: (617) 727-7749 Phone #: (6I7) 7274900 ext. 406, 409 or 375 I �7- GU[ 6 p✓p'G6L�aC�[J(:3e�x,1 i __ - ✓ram�aimnarcuea I t HOME IMPROVEMENZ CONTRACTOR Registration 122777 TYFe - INOIVIDUAt Expiration 10116198 SHAKE MCENEANEY ANE 8. MCENEANEV 72 S. MAIN ST 02632 ADMINISTRATOR CENiERVIILE'MA Q Z '�'e.=T.��••.a�...�:.'..gin....-.�.--..�..�.-._,...... .�.--.._-..w-..��.. -y-....�.--_-.... _._.__..._.___. ..._._....��.....-__.� - - - - _ ✓fie 6"rrnzooicueaZell a��jlaaaacicc elli :, Restricted To: 00 -j pEPHTMENT OF PUBLIC SAFETY ` 54787 CONSTRUCTION SUPERVISOR LICENSE H - None Number:.::. Expires: . 16 = ! & ? Family acmes Restricted`To: 00. Failure to possess a current edition of the Massachus;,tfs State Bui�ldinc Code SHANE MCENEANEY is care for revocation of this lieense. 1651 BRIOLF- PATH ?iARSTONS MILLS, MA 0164` Z P I t :..........:....:.... ,..: .. .... :, i,.��i�.�r i:•�: .i i ...v..v...v.v::i:v,::::vSi D :;�... E MMID .` AN ( DlYY) /1 6 y. I •i.�: 1{i jry r.;. „. .. . ,.. ...<.<..>.....<x>.:...,.<x....,.. :.,.<xn.t%...tn.. .. .Yx 0 5 2 0 97 PRODUCER The Fair Insurance Agency, IriC FALTER IS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION P.O. Pox 430 619 Main. Street LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LDER. THIS CEFTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville, MA 02632 COMPANIES AFFORDING COVERAGE (508) 775-3 13 1 COMPANY A Maryland Casualty INSURED i ' GOMPANY Shane Mceneaney DBA McEneaney B Construction & Maintena oMaintenance � COCANY 165 Sridle Path Marstons Mills MA 02646- COMPANY 6508) 790-0481 D ;QY s .........,:.....:.....n.......... ......... ....... .�....:...�. .Ann„,,:.n�.,....,n:....,.:., :.,x.. .. ;::y K:.:;'::,i::.:%:::::K xI?e:ti THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY l CY PERIOD n� 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. I LTR i TYPE OF INSURANCE POLICY NUMBER POLICY DATE POLICY(MMIDD" DATE(MNI EXPIRATION DDlTYI LIMITS A GENERAL LIABILITY GENERALAGGREGATE ($6 0 0 , 0 0 0 X cOMMEP.CIAL GENERAL UABIUTY S CP 2 9 9 9 4 2 3 4 10/01/9 6 10/01/9 7 PRooucrs•COMP/oP AGG $6 0 0 , 0 0 0 __ CLAIMS MADE I A I OCCUR PERSONALBADV INJURY 7300, 000 OWNERS 8 CONTRACTOR'S PROT EACH OCCURRENCE s3 0 0 000 FIRE DAMAGE(Any one flre) s50 , 000 MED EXP(Ary one person) 35, 0 0 0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT g ANY AUTO / ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per acclCeng $ I PRCPERiY DAMAGE S I CARA43E UABILITY I AUTO ONLY-EA ACCIDENT S ANY AUTO / / / / OTHER THAN AUTO ONLY! EACH ACCIDENT $ AGGREGATE IS EXCESS LIABILITY EACH OCCURRENCE $ _ UMBRELLA FORM / / AGGREGATE 3 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT 5 TH5 PROPAIETOW INCL DISEASE•POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS AFE E(CL DISEASE-EACH EMPLOYEE 3 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS Key WeSt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 573 Mair_ Street 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOMER NAMED TO THE LEFT, OUT PAILURE TO MAIL SUCH NOTICE$HALL IMPOSE NO ODUQATION OR LIABILITY Hyannis MA 02601 OF ANY KRJP UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ...s....:.x: :t;>.p:rx:i:f:x;x4f:i:y:¢ E TA `:A JJ�� ��yy JJ��{�,�< )) �:��.� ...xK>....,x..•....n:.::............�.:�:' ....... Y; :1,.► f�'SS"".J!'�f�^:�`:Y"•"n'e.x..:,.%.,,,.....x.Win:.:.:,.%.✓•!:S.s.,•n...:.::. x x Pin, f 1 x TE(MMlOD OAT /YY) a 4s� - a5� za 97 PRODUCER The Fair Insurance Agency, Iric THIS CERTIFICATE IS ISSUED AS`A MATTER OF INFORMATION ONLY TE P .O. BO�c 430 619 Main Street WOLDERNTHIS 0CERTIFICATE DOES NOT AMEND,NFERS NO RIGHTS UPON THE CEXTENIDAOA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville, MA 02632 � COMPANIES AFFORDING COVERAGE (5 0 8) 7 7 5-3131 I COMPANY I A Maryland Casualty IN5VRE0 COMPANY Shane Mceneaney DBA McEneaney e Construction be Maintenance COMPANY 165 Bridle Path C Marstons Mills MA 02648- COMPANY (508) 790-0481 I D +a� THIS IST R x.x O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSU�RED,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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS GHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXTPIRATION LTR DATE(MMIDD" DATE(MMIDDITY) LIMITS A GENERAL LIABILITY GENERALAGGREGATE $5 0 0 0 0 0 X COMMERCAL GENERAL LIABILITY S CP 2 9 9 9 4 2 3 4 10101196 10/01/9 7 PRODUCTS•CCMP/OP AGG 1 s 6 0 0, 0 0 0 _ - CLAIMS MADE a OCCUR PERSONAL&ADV INJURY Q 0 0 0 O 0 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $3 O O 000 FIRE DAMAGE(Any one Ara) S5 0 , 0 0 0 MEd EXP*.y one person) IS5, 000 AUTOMOBILE LIABILITY ANY AUTO / / / COMBINED SINGLE LIMIT {S i ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) 3 HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per acelaenq PROPERTY DAMAGE S GARAGE LIABILITY / / AUTO ONLY-EA ACCIDENT Is ANY AUTO / / / / OTHER THAN AUTO ONLY: EACH AC00ENT $ AGGREGATES EXCESS LIABILITY EACM OCCURRENCE S _ UMBRELLA FORM � � / / AGGREGATE Is OTHER THAN UMBRELLA FORM Is WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT 5 THE PROPFIETOR) INCL DISEASE•POUCY LIMIT Is PARTNERS/EXECUTIVE OFFICERS ARE F11EXCL DISEASE-EACH EMPLCYEE j S OTHER i DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEM5 ;IFTE::t3Qj x:3::>> A. ...CETI': .��.>. .x.t.x Key West SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To MAIL I 573 Mair_ Street 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBUQATION OR LIABILITY Hyannis MA 02601 OF ANY Kjgp UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AnVE :...............t. I. n ::::.........:.::.<.:t.>.....:,:::,,:... uTHORL ��.�,.�.?.ts`£.x:t:U:?..e..t>:...:..:..:':.x•;..:.... ." �� R .i S:Y:e �/� K �'�.•� ) "'4yat:'ET .':.>F:3i>::YStx:{:fe:S:Y•:F>;:f:FK>:::,•:s:..` 1J AQ/�IGTM� .1nSS,�f�.�w",7`�f� ,..tx:.:........:.x..�::...:.x.x.,,............:.:..:....:...:..... xx..r.x:.:•.......,:.:...:.:ox:•:t:e..:,.�..:c::.::Y.:...:.:....:....:......:.........:....:.:. ^::.�L,ii�. r I '— SHAN�MG��p1EY 0260, 406 W�rlt5 MA56A pAG6A`�8��939 p�TQ�GgBo�� 666 8m1:7ppNEt L I i t►+e . : The Town of Barnstable • a�sueu, • 9. �� Office of Town Manager 367 Main Street, Hyannis MA 02601 Office: 508-790-6205 Warren J. Rutherford Fax: 508-790-6226 Town Manager J L. Jill Gulden Elizabeth Toscano d/b/a Key West Takeout 573 Main Street Hyannis, MA 02601 Dear Ms. Gulden & Ms. Toscano, Please be advised of my approval for a special permit from Town Ordinance XVII "Use of Land, Main Street. Hyannis" from the 25 foot setback. It is understood that any restrictions put in place by the Licensing Authority, the Board of Health and Site Plan Review will be adhered to. Sincerely yours, Warren J. Ru erford Town Manager TO ALL NEW BUSINESS OWNERS Fi ll in please: APPLICANT'S YOUR NAME: ® ® ®® BUSINESS YO R HOME,ADDRESS: - v C TELEPHONE Tel -phone Number (Home) SOS') 7 7 Y—l � NAME OF NEW BUSINESS; //� / TYPE OF BUSINESS vt'a IS T HIS A`HOME OCCUPATION? ADDRESS OF;BUSINESS MAP/PARCEL NUMBER �C When starting a new business there are several things you must do in order to be in compliance with the rules and regu ations 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 h s bee inform d of ny permit requirement's that pertain to this type of business. Au orized 'gnature. COMMENTS:< rtlm 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) -(3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature 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 (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. TO ALL NEW BUSINESS OWNERS Fill in please: S' YOUR NAME: APBLICANT BUSINESS YO R HOME ADDRESS: TELEPHONE r Tel phone Number (Home) So3 7 NAME OF NEW BUSINESS:I� PE OF BUSINESS IS THIS A HOME OCCUPATION?' ADDRESS OF BUSINESS ✓� MAP/PARCEL NUMBER s you must do in order to be in compliance with the rules and regulations of the Town of ere are several things p When starling a new business there 9 Y 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 h s bee inform d of ny permit requirements that pertain to this type of business. Authorized SNgnature COMMENTS: k 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) -(3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature 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 (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. : . . : COPY The Town of Barnstable NAM ,,� � Office of Town Manager 367 Main Street,Hyannis MA 02601 Office: 508-862-4610 James D.Tinsley,CPA,Town Manager Fax: 508-790-6226 Mary Jacobs,Assistant Town Manager April 16, 1999 Jeff Tover, Owner BUSTERV4 APS- 573 Main Street Hyannis, Ma 02601 Dear Mr. Tover Re: Permission to operate outdoor seating-within-the-25-foot-setback-as�-eq�rtred=by = y -- - the Town Ordinance Relative to the above captioned matter and your request of April 9, 1999, please be advised this date of my approval for your establishment to operate outdoor seating within the 25 foot setback as required by the Town Ordinance, pending approval also of the Site Plan Review Committee and Historical Committee. JDT: Buste / c: Ralph Crossen, Building Commissioner Patricia Anderson, Director historical Commission JUNE 27 , 1996 TO WARREN RUTHERFORD MANAGER OF THE TOWN OF BARNSTABLE L. JILL GULDEN AND ELIZABETH TOSCANO, AS OWNERS OF KEY WEST TAKE- OUT, LOCATED AT 573 MAIN STREET, HYANNIS, MA. ASK YOUR OFFICE FOR THE REQUIRED VARIANCE TO PROCEED WITH A PORCH/DECK FOR THE FRONT OF KEY WEST TAKE-OUT. THE SITE PLAN REVIEW BOARD MET THIS MORNING WITH US AND GAVE US UNANIMOUS APPROVAL TO PROCEED, WITHIN ALL GUIDE LINES THAT THEY SET FORTH, ALONG WITH A VARIANCE FROM YOUR OFFICE, A BUILDING PERMIT FROM THE BUILDING DEPARTMENT AND APPROVAL FROM THE BOARD OF HEALTH (WHICH TOM McKEAN HAS ALREADY VOICED AT THIS MEETING) . WE HAVE ALREADY OBTAINED THE VARIANCE FOR OUTSIDE SEATING FROM THE BOARD OF HEALTH ON MAY 7th, 1996 . THE PROPOSED PORCH/DECK IS TO BE SET BACK FROM THE SIDEWALK 10 ' ( 10 FEET) AND THE SIDEWALK IS 7 ' (7 FEET) WIDE, SO THE TO.-TAL SET BACK FROM THE STREET CURB WILL BE 17 ' (17 FEET) . DUE TO THE TIME ELEMENT AND MANY PERSONAL PROBLEMS ONE OF US HAVE HAD IN THE LAST MONTH, WE ASK THAT IF AT ALL POSSIBLE, THERE COULD BE AN IMMEDIATE RESPONSE TO THIS APPLICATION. SINCERELY, L. JIL'L GULDEN /1-"C., ELI ABETH TOSCANO ti FEES ' RETAIL FOOD STORE: FOOD SERVICE ESTABLISHMENT: $100.00 t l z NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALERS LICENSE RESIDENTIAL KITCHEN FOR RETAIL SALE: RESIDENTIAL KITCHEN FOR BED+BREAKFAST: "� z SEATING: '1g MOBILE FOOD UNIT: i. f� ANIVUAL; YES TEMPORARY FOOD ESTABLISHMENT: SEASONAL. CATERER: APeol TEMPORARYr',; FROZEN DESSERT: �1�"t�'ti'' �,i5 MILK: x6 r t ' TOWN OF BARNSTABLE BOARD OF HEALTH �V " ' � PERMIT TO OPERATE A FOOD ESTABLISHMENT JANUARY 1 1996 PERMIT�,` NO 472 � �� .:. accordance with regulations promulgated under authority of Chapter 94, q y t t S 3�Ll k , ; Section"395A'and Chapter 111 Section 5 of the General Laws, a permit is hereby granters to; ND ELIZABETH TOSCANO:. GULDEN;°A _ �t,fAS•- E.. D/B/A KEY WEST TAKE=OIJT Who a place of business is. 573 MAIN STREET.; HYANNIS, MA 02601 a pf business and zany rNstrictions: FOOD SERVICE ESTABLISHMENT ,To operate a food establishment`in the; TOWN OF BARNSTABLE J t �} z ,�n Permit expires December 31, 1996 q t ' # � .f BOARD OF HEALTH "'S dF,��iyyxf s�, t.,.1��ti•�!a !s�, 2 � Susan G. Rask, R.S., Chairperson Brian R. Grady, R.S. ' RESTRICTIONS IF ANY Ralph A. Murphy, M.D. 1 - Thomas A. McKean, R.S., CHO Director of Public Health .�" z yrt't r a t `x • 2 S.: I'r\I: I ;;I I V�\It i t\(ll,l•, I(i,lllli•,:; I I'IU1l,l•.11U1:1. ADOI' ED i I /I MI, ItrVI SE'D ( 2/9/93, rrrrCTlvr 1 /(/94 TOWN OF BARNSTABLE T0`•_ _.._ OFFICE OF } 11►0*IT►eLR : BOARD OF HEALTH 7 WASS °o 1639, \gym 367 MAIN STREET ��r►r A HYANNIS, MASS. 02601 VARIANCE REQUEST PROCEDURE The Board of Health, of the Town of Barnstable, Massachusetts, in accordance with, and under the authority granted by section 31, of chapter ill of the General Laws of Massachusetts, adopted the following rules and regulations after a public meeting of the Board of Health on December 9, 1993. ( 1) All requests for variances from the Board of Health or State Regulations will be submitted fifteen ( 15) calendar days prior to the scheduled Board meeting. The variance hearing may be held at a later date if the Board has scheduled eight (8) hearings prior to submission of the request. (2) The variance request shall be made on a form prescribed by the Board of Health. (3) Plans clearly showing the details of the request must be attached. Plane for onsite sewage disposal systems must be prepared and certified by Professional Engineer or Registered sanitarian for all new construction and shall be submitted at least fifteen (15) days prior to the scheduled Board Meeting. (4) Any applicant who submits revisions to plans, required under Paragraph 3 above, less than two (2) days prior to the scheduled Board meeting shall be required by the Health Department to postpone the variance hearing to a later date. (5) No request for variances from 310 CMR 15.00, Title 5, of the State Environmental code, Minimum Requirements for the subsurface Disposal of sanitary Sewage, nor from any other Board of Health Regulation listed under Section VIII: onsite sewage Disposal Regulations, shall be heard for a new sewage disposal system, nor for an enlargement to an existing system which increases capacity to accomodate additional flows except after t)le applicant has notified all abutters by certified mail at his own expense at least ten ( 10) days before the Board of Health meeting at which t)ie variance request will be on the agenda. (6) A non-refundable filing fee of $65.00 is required. No fee will be required for filing a variance request upgrading existing onsite sewage disposal systems unless t(le upgrading involves approval of a building permit. This regulation is to take effect on the date of publication of this notice. Brian R. Grady, R.S., irman usan G. R s , R.S C. Snow, M.D. tneph ARD OF HEALTH TOWN OF BARNSTABLE 1 I ✓ f 1 Z , `./rJ-����C` �"'>..��` � __ •.i i Y•ft,•..It i.. 51B Z i W i i � • IA AAA 3 11. lJJ W ads t , :4• ,� th ; f NY 1 1 1 ! VA, 'r 1 • ► l I Brigham Anna �. From: McKean Thomas To: Brigham Anna Cc: Kuchinski Christina Subject: Key West/SP#63-96 Date: Tuesday, June 25, 1996 3:13PM Priority: High I am in receipt of a site plan review application dated June 18, 1996 conceming Key-West To- Go food establishment. I submit the following requirements/comments: -The submitted plan shows a new deck to be constructed 10 feet from the sidewalk. The dining area must be set-back at least ten feet from the closest edge of the sidewalk per the Board of Health conditional variance decision letter. What will be installed at the edge of the deck to prevent people from accidentally falling from the deck while seated in chairs. - Patrons must have access to two bathrooms(male and female) per the Board of Health Regulation#11. -Signs must be installed to indicate to the public the location of the toilet facilities per the Board of Health conditional variance decision letter. -The applicants are aware that they must either install an inground grease trap or obtain a variance from the Board of Health. At this time,the Board of Health hearing is continued until September 17, 1996. The applicant must re- appear before the Board of Health that night. Pagel TOWN OF BARNSTABLE SITE PLAN REVIEW DATE: June 18, 1996 TO: Lt. Donald Chase FROM: Anna Brigham, Site Plan Review Coordinator RE: Site Plan Review# 63-96 Key West 573-575 Main Street, Hyannis Map/Parcel: (308/111-OOB) Proposal: Add small deck extending from the front of building for a few tables and benches. Please submit this form, with any comments or additional requirements you may have regarding the above referenced application, to the Building Commissioner's office by June 27, 1996. 1F I have the following/attached comments/requirements regarding this application for Site Plan Review . I do not have any comments/requirements regarding this application for Site Plan Review at this time. (Signature) �A- r7-kZ0v61-1 S#,4LL NOT A3.E MWIUC 49 /Ai' Required Procedures for Site Plan Review 1. At least six copies of completed packages of applications and all supporting documents must be submitted to the Building Division. 2.Within five working days of receiving a Site Plan, copies will be distributed to all Town bodies having an interest, 3. Within ten working days of receipt by any Town body, detailed comments are to be submitted back to the Building Commissioner. 4. The Building Commissioner may solicit the advice of any other Town agency or department he deems necessary to properly make the determinations required by this section. S. Site plans shall be reviewed for consistency with zoning and other applicable regulations and standards, Within twenty days of receiving the Site plan, the Building Commissioner shall notify the applicant of any approval, conditional approval or disapproval, stating reasons. 6. One copy of a signed approved Site plan shall be given to the applicant. other copies shall be kept by various Town agencies. 7. Upon completion of all work, a letter of certification by a registered engineer or land surveyor as appropriate to the work involved, shall be submitted to the Building Commissioner stating that all work has been completed substantially in compliance with the approved Site plan. The Building Commissioner may certify compliance when he determines that the scope of the project warrants it. 2 FOR OFFICE USE ONLY Town of Barnstable Date Received.• Application for Site Plan Review Acrion Due Bj Location 0 /Y, Z C Z Legal Description: Planning Board Subdivision Number: ` Assessors Map and Parcel Number: 16 -- Dzz Property Address: / l Owner of Property Applicant Name: j ls� i�r�n Name: G r 1 /YES Address: Address: �_� . �• � Add Phone: , ��c� � �' Phone: 5- - 77 -2 z I Engineer Agent Name Name Address: Address: 'ecLz4ve. f �z i 3 vs z� -� J Phone: Phone: 13 0--,-, Storage Tanks Utilities Zoning Classification Existing Proposed Sewer District: Number: 'Number: Public V Flood Hazard: Size: / Size: Private Groundwater Overlay: Af Above Ground: Above Ground: Fire District f�{�;,�r5 Lot Area: .7.3 ge, Sq.Ft. Underground: Underground: Water "�T- Number of Buildings Contents: Contents: Public: Existing: / Private: Proposed: Parking Spaces Curb Cuts Fire Protection: Demolition: Required: Existing: Electrical Total Floor Area Provided: Proposed: Aerial: Residential: , On-Site 1/ To Close: Underground: Office: --- Off-Site: Totals: Gas Medical Office: Natural: ✓ Commercial: In Historical District: Yes 49Propane: (Specify Use) Wholesale:.In Area of Critical Environmental Concern Institutional: (E.O.E.A) Yess Industrial: Project within 100' of Wetland Resource Area: Yes/& 4 To be reviewed IV the Builduig Commissioner Zoning District Old King's Highway Regional Historic Distxi t: Listed in National and/or State Register of Historic Places Perimeter setbacks: Front: Side: Rear: Lot Coverage: Type of Use (Zoning): Flood Plain Zone: Elevation: Number of Floors: 2- Floor Area: _ , FTfst: ��$r30 � Second: /z.00 Other (Specify): parking Requirements: Required: Provided: % x Handicapped Spaces Are there Accessory BuildingsP y�u Accessory Building Floor Area: Please provide a brief narrative description of our proposed project � � S used to be com IetetV this page and the Site Plan I assert that I have completed(or caused P ReliewAppEca on and tha4 to the best ofmyknovdedge, the information submitted here 7s true. Date Signature 6 :>:> o<►ARIKtI SITE PLAN FOR MAP 500 PARCEL 80 tfOitAMICId0I.A11G111mi1lSeln STANDARD LEGEND .w.rd*"d"W one p ••,` �1 min IAItNAt c Ilaolallsmts IISt of elm mu MAISIIARA 77 35.2 t�tar,Aln �� \/ Clifton ufmvs I'Alluff;to[ • � / q ■■ ►Av1I NO . .. _ . ..__ mms ( 35.2 ►AIHit" ' Q ton mama i Ab M:0►EmUNEs i C - ' �'• ---. 111nlnalmint � � •.� wuro►AIa111Mlns II fl0f 1010001 UM1 \/ / tta sM111ntAlm SWWAU t • , 1• / j --� MAINIKNYI , 51 5 / 41. Wlt0A/1IAaS smon 43 WATER ELEV.- a SNIMMII/MIOI 34.49 rm/KQ 40. FOG IIIIOIIIGS /lIIU[IUIEl IOttiml/tilt VIQUWIL 181MUM MOhA1gM IKPJA11RVUDIBOMlf/1AIANIOUGNq►lello umvM OO1GQn►AltflllMtfAitdn/WitlO[1f11iS[nu10MSOt w�'� � Mil 1 -9W IM►Hlp1*-I '.►MIMAIWMIItOMI IOOtN9NItRIMCASSfSS01SMAKIIH "Orliff INICA1111S.M it[IM lkVI IMAIM alto-It IV-NV Contents of Site Phan. sled maps or drawings of the property,drawn to as scale. The Site plan sbaII include one°r more aPPrOP = to the development activity PrOPosaL dr,�and acc=Wly indicting such eie:matts of the followitrg information as are ganaent 1)Ir�l desaiptioa,Planning I3aard -ubdmmon Number Gf aPPbmble)•fora,1�and Parcel�and address Of applicable)of the propem- s)Name,address and phone number of the ptopaty owner',and appE=t if drifferznt from the property owne! 8)Name,address,and Phone number of the developer,cons===,engineer,other des=Professional and agent or Iegal 4)Conple a Property dbmensi°ns,asez and zoning dasaliration or property. 5)F.iAing and proposed topographical contours of the prvpaty taken at two-foot(21 contour ir=vals by a road� ormlinered land taaveyor. brush The nature,locatoon and sin of all e�ag nat:asl land feanazs,induding,but not li mitedto fix (6�•cdra� manrs,an individual trees over uem iadres(100)in caliper,grassed areas,large surface rock in esass atsd sail fe3nass. i�Ljoation of all wetlands or watr rbod1C3 on the propeaty and wigin one hundred feet(1001 of the perimeterof the development adivkY- �eased and any°�paved surface. 8)'Ine/cation,grade and dimensions of all present and/or proposed==ts,ways g)L*ee:img noessections of Proposed awn curbs and pavemtents,and vision triangles measured in feet from any propoSed - curb as along the sa=t on which access n proposed. interior and esterior dimensions and uses of all buildings or snvdraes.both Proposed and 10)I�ootion, t►elevation. unit=location of em=V'7 eod",'ainb*walls' IoatiOU�.auaaber and asri of flootzr atenber and type of deeII'urg wag and proposed signs. Titics and storage faclides indrdiag sewer eonaedions►septic systans and any other 11)Location of allesssting and proposed ug if:eaaved. storage taahs,noting W ice approvals 12)Proposed scnfaex apt of paved areas and the location and design of draiaaga systems with drainage devlatrons prepared by a registered civil=&eff- and traffic�culadon plan(if applicable)showing location and dimensions of Paricmg st dLl,dividers, Iaajper cps,2eq*cd buffer areas and planting beds 14)Lighting play showing the:location,won and mteaaty of odsting and proPose d amemal Iight f X== 15)A landsapiag Plan&Owing the loadon,name,number and Zj=L of plant types,and the batons and elevation and/or height of planing beds,fences,WAU MP and Pa ale showing the general location and relation of the prnpesty to smrouadiag or other drawing at appropriate in the 2=and 16)A location map the zoning and land use pattern of adjacent properties,the easttag street systrm areas ivbe:e rrlevaat: location of nearby pnbk ' • District and any other designation as as FB W icany 5tgn�aat property,and the age and type 17)Imat>on within an and ern the site which ids mate than fifty(50)years old. of each a ilgin-bur7drag to Tones of Caagibidan for public s upplY wells as d in a report entitled'Groundwater lfl)Ication of its with SEA Inc,god MA,dated September,1985, and Watts asouaee Ps'Otadioa P1aa.B , by wbkh is oil fk with the Tows Ck& 19)Nation of site with regard to Flood Arm regdated by section 3J-I herein. ' d by the Commonwealth of 20)Location of site with rzgud to Atoms of Ootrat Cone:sn as Maw,F=ozdve of r=of m vi o=e6al Affatss. The Town of Barnstable 1",,9. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 1, 1996 G&T Partners 230 Gosnold Street Hyannis, MA 02601 Re: Site Plan Review Number 63-96 Key West 573-575 Main Street, Hyannis Dear Ms. Toscano, The above mentioned Site Plan has been approved by the Site Plan Review Committee at the June 27 meeting. The conditions are as follows: • Compliance with Board of Health requirements. • Fence to be attached to deck 42" high. • HP ramp must be installed for deck. • Gate to be approved by Fire Department. • Town Manager approval. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 112 GEOBASE ID 22080 ADDRESS 573 MAIN STREET (HYANNIS PHONE Hyannis ZIP - LOT UNNUMB BLOCK v LOT SIZE IDBA DEVELOPMENT DISTRICT PERMIT 14650 DESCRIPTION KEY WEST TAKE OUT (8SQ.FT. ) j PERMIT TYPE BSIGN TITLE SIGN PERMIT Department of Health, Safety CONTRACTORS: t ARCHITECTS: and Environmental Services i TOTAL FEES: $25.00 I NE BOND $.00 CONSTRUCTION COSTS $.00 i 763 MISC. NOT CODED ELSEWHERE ` BAMSTABi.E, MASS. 039. OWNER BRENNER, NELSON ED MA'S A ADDRESS P-0 BOX 226 B BY ILDI .G DIVISION �J� c� J � ,�/�' - SHARON, MA i DATE ISSUED 04/22/1996 EXPIRATION DATE i 4 dt11� TheTown of Barnstable r Department of Health, Safety and Environmental Services Belding Division iVq _9 ' 367 Main Sheaf,Hyannis MA 02601' i" % �a..SZ�- ,�5 c Application for Sign Permit J�•2��lJ a� v iJ C--a -N v Applicant: -e--J Assessor's no. 6-0 V- -t T 5- 3 33 Doing Business As: Telephone Sign Location streedmad: 5-7 a-N Aj 1M(� Zoning District Old King's Mghway District? yes_ no >� Property Owner s T Name: elephone kt;-dress,,`�o �c z 5 nav, MA 0 Zo(. 7 V'dlage Sibn Contractor Name: r o Telephone v � Address: age Description Dia_m m of lot showing location of buildings and existing signs with dimensions, location and size of the nev. to by drawn on the reverse side of this application. Is the sign to be electrified? yes 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 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 Ordinances. f /Autho rized Agent Date Si o Size (sq. fh) Permit Fee o7.5' • �`°' ✓ : roved: Sign Permit was approved: DPP .. _ •� ;Z~�- -.•.•. 'ti'.J��YN•i• - .1`1��.r,f ti{::i:Y•.�•:,.1:•k.0.:•::.�;�y� :•;•; :;: -...... .. •tit• .} f,;;i•: -:}} r -:•:•::-. f:,�:..4 yrr•�., � �:v:v: � -�- yr '•:+: • • • • , ^ r TOWN OF BARNSTABLE i SIGN PERMIT PARCEL ID 308 112 GEOBASE ID 22080 ADDRESS 573 MAIN STREET (HYANNIS PHONE Hyannis ZIP - LOT UNNUMB BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 14649 DESCRIPTION THE LAVENDER ATTIC (8 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT Department of Health, Safety i CONTRACTORS: and Environmental Services ARCHITECTS: TOTAL FEES: $25.00 BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE ' BARNSTABM # MASS. OWNER BRENNER, NELSON ED M ADDRESS P.O.BOX 226 BUILDII�JG DIVISION/, ` SHARON, MA BY ' DATE ISSUED 04/22/1996 EXPIRATION DATE The Town of Barnstabie � Department of Health, Safety and Environmental Services I r91 s Building DMi on y' !�¢ 367 Main Street,Hyannis MA 02601 N& S6 ZS:oa Application for Sign Permit Applicant: Cam,w\a,e� Assessor's no. v 0(f Doing Business As: \,e A Q uA Telephone Sign Location str Vroad: 5-7 3/5-1 T- Zoning District Old King's FLghway District? yes_ Property Owner Name: S , Telephone A fldress (2, o L Village L.A,n Contractor �e, °`^0``'1 (ac `A-01 Telephone Name: ry o N e - Address: Village Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new to hp drawn on the reverse side of this application. is the sign to be electrified? yes no C (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 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 Ordinances. Date Si of /Authorized Agent Size (sq. $.) Permit Fee oZ.� • �' ✓ : Sign Permit was approved: �aProved:P 4. Z i7•;ti:v:�{r::rr:�ir:'Yii } {{.;r,r::.�{ffj�.....•;.,)... :�:..: >:?: •>tiff' :' •�-; :-�'.:�.ti::•.,ti,.Z�,� {•:'}::{�::•. ..... ;:;.;. �: •`y5���{_jr __may f! '1a'•':'•••;•_ti•.•,•.', ::ti:��•..::?: . .:y,�}• -..•� ..•tii;��s:. l.�'r:tirr K}•Yf'•r�.{{:{': ;{:'Fff�rr. :: . n:\•.�'.:::.•�-. .... ...:�ti'.v::'.^N.v. .Nay:...: � :::tip:'.-.-.•�• ��t��, ;�•,. ,...,:•:..j-::•: maw � .•.:~.•::.{'.ti:;:•::.\}•:..•:•':•\' •�~•'~�l: {•we; .v.•.':. A- A40LF A-00U-55kccT FU-21 (1st floor) Map -3 D g' Parcel �'��. Permit# ( Conservation Office(4th floor)(8:30-9;30/1:00-2:00) Date Issued `7 &33--"tn-tz06=445) aa-7 Fee• co ; !� Engineering Dept.'(3rd floor) House# 5�3 tNE P � BARNSTABLE. 12 MAS& f 19 v 039. EOIAA� • TOWN OF BARNSTABLE Building Permit Application ' r Project Address Village -Owner e;�4� S 5 ers Address 6 ILX 2 .1 L a,� , 0 ZD tTelephone O t Z - 3 -permit Request o� >C t First Floor 34—o square feet Second Floor /,tT square feet Estimated Project Cost $ Zoning District Flood'Plain Water Protection Lot Size ' �e7Vandfathered ? Zoning Board of ppeals Authorizati n Recorded Current Use C� eta.Q . Proposed Use �.,a-n Construction Type Commercial NHS Residential Dwelling Type: Single Family 1 Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other , Builder Information Name A))J�ad, Inc 6/af/L,_ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION 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 THE FOLLO ING REASON(S) y FOR OFFICIAL USE ONLY , P�RMIT NO 3 _ J DATE ISSUED r r MAP/PARCEL NO.y> ADDRESS .,• `? P VILLAGE , OWNER � :e, � � E _ � ', 4 t • f ' �.., � + —- .. a , , t - , � ' ` • k DATE OF INSPECTION: FOUNDATION FRAMES INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING +� w. Z DATE CLOSED OUT i ASSOCIATION PLAN NO. ' III 1 The Cunrryzanwealtlr of Atassaclrusetts Denurtnrent of Industrial Accidents Off/erff"WCSI/MOdS `?w�. ��f . •;a' 60011'asiritr.,7an Street Benton.Mast 02111 Wori:ers' Compensation Insurance Affidavit name- 1 am homeowner performing all work myself. 1 am a sole proprietor and have no one working in,any capacity I am an emplover providin=workers' compensation for my employees working on this job. m address: sih phone/h incur�nce co polio•# I am a sole proprietor.general contracto , o omeowner role one)and have hired the contactors listed below wF the following workers' compensation polices: nY n add re - cir phone#- incurnnrern neftcv# 17 CftmTllnv na e• address- 11hone#S -gu •' policy# • .. � � �Atinch additionai•shee[iftieerssar�:•�•�•: *''�^�''.'•"'"'`"•�'-�•�::•: :"'"•''•" .• .����" - ^" rnnee Failure to seearc cm erngc as required under Section 25A of AIGL 152 can Ind to the imposition of atodod tia of a itae up to SI.500 peeal .00 z une}ears'imprisonment as well as ciYii penalties is the form of a STOP WORK ORDER and a fine ofS100.00 a day agWast me. I understand COPY of this statement may be forwarded to the Olficc of Investigations of the DIA for coverage verification. I do hereby cenij}•under t/te pains and penalties of perjury that the infornmtion prorided abom is true and cornKt Signature 3� / l N[ A- C�t.L- �cc.4-�t=�J / Print name - ✓✓✓ otlicial use only do not write in this area to be completed by city or town ofl CW city or town: permitmeease# r1guadIng Department Otdccusiag Huard check if immediate response is required �Sdeetmen's Olftce 13tinith Department contact person- Phone tl: r90ther_� .. information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide work,ers.':compcnsation fc employees. As quoted from the "law". an enrpinree is defined as every person in the service or,another under ar contract of hire. express or implied. oral or„linen. An emplm-er is defined as an individual_ partnership, association. corporation or other legal entity, or any two or the forc_oin-: engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rccci%•er,or trustee of an individual , partnership, association or other legal entity. employing employees. Howev owner of a dweilinL house having not more than three apartments and who resides therein, or,the occupant of the dwclling house of another who employs persons to do maintenance, construction or repair wort: on such d%vellin or on..the grounds or building appurtenant thereto shall not because of such employment be deemed to be an emp MGL chapter 152 section _'5 also states that every state or local licensing agene}•shall withhold the issuance c renewal of:: license or permit to operate a business or to construct buiidings in the commonwealth for any applicant who fins 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 char been presented to the contracting authority. . 1% •i. •a�t*!. • .�'. '. •.y.•' ;:Ytr •es..•'u..F'i:r,:a.s �'.i. .r. •r+.iY~•-';j.-:7 js•..•N... 1 Applicants Please "fin the workers' compensation affidavit completely, by checking the box that applies to your situation supplying company names. address and phone numbers as all affidavits 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 req: to obtain a workers' compensation policy, please call the Department at the number listed below. _�. ���. .'Il�Rlff.r.. � �. . •�1'l�v�.•!�. ..1'r +... .:.• ..��/.. .w......,�yr"�,,{� _ •w.�r.._.1C�': •a1.• . . City or,rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottc the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be retun the Department by mail or FAX unless other arrangements have been made. o The Office of Investigations would like to thank you in advance for you cooperation and should you have any que° please do not hesitate to Live us a call. , The Department's address. telephone and fax number. The Commonwealth Of Massachusetts > ; Department of Industrial Accidents office of investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749_ t . .�[ ... ............ .. ........... 4: x. " ':ice •::.�ti:• :;: }':�:::;::;r:: :::::�:�:,:�:.. V ::;ti: '; ::•: ::•:::::?: :; W_ ••.:::•:: :•: :;•::::: •: :IYNIAI ' N 2�. • •i. "1 ::.:. .. SECOND FLOOR PLAN I HEREBY CERTIFY THAT THIS PLAN WAS PREPARED IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE MASSACHUSETTS REGISTRIES OF DEEDS AS AMENDED TO JANUARY 1, 1976. I e Q IVETZ P.L.S. DATE ' I HEREBY CERTIFY THAT THIS PLAN FULLY I AND.ACCURATELY DEPICTS THE LAYOUT. LOCATION, UNIT NUMBER AND DIMENSIONS OF THE UNIT NUMBERED 8 , AT HYANNIS OAKS CONDOMINIUM, AS BUILT AND THAT THE BUILDING HAS O _ NO NAME. , VWF0 R SAIVETZ, R.L.S. DATE sill " THIS BUILDING SHOWN ON PLAN ENTITLED p 'SITE PLAN OF LAND, BARNSTABLE(HYANNIS) 9 MASS., SCALE 1'-20', DULY 31. 1987. j BRADFORD SAIVETZ & ASSOCIATES, INC., i ENGINEERS AND ARCHITECTS, BRAINTREE. MASS.' UbIIT A/tA T i A D »+esr i 1.40 � I i HYANNIS OAKS CONDOMINIUM BARNSTABLE(HYANNIS). MASS. } y SCALE: 1/8--1'-0- DATE: JULY 31. 1987 BRADFORD SAIVETZ +-ASSOCIATES, INC. ENGINEERS AND ARCHITECTS BRAINTREE. MASSACHUSETTS 8 4 0 8 16 24. FIRST FLOOR PLAN GRAPHIC SCALE IN FEET SHEET s OF 5_ 7-30-1999 1 :47PM FROM HYANNIS FIRE DEPT. S08 778 G448 P. 1 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 HAROLD S.BRUNELLE,CHIEF FIDE PREVENTION BUREAU LT. DONALD H. CHASE, JR. LT. ER1C HtJBLER Inspector Inspector AGENCY NOTIFICATION Building Health ( ] Wiring ( ] Gas ( ] Consumer Affairs Pursuant to Mass. General Law, Chapter 148:28A and 527 CMR 1.00 the above agency is hereby notified that a hazard or violation is believed to exist relating to the above agency's jurisdiction. The hazard or violation noted is not within the inspectors code of enforcement or jurisdiction. The following has been reported in person or by phone on this date: , 1998 for the property located at: in Hyannis. 1) t 2) —e 3) —�-�--- 4) Owner of record: ._....,._._. ._...r._._._�_..._-._.__.-_._ phone: Fire Prevention Office cc: street file rev. 4/98 Business 506-775-1300 Emergency 9-1-1 Fax 508-778-6 8 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. OP601 Case # Paul David Chisholm CN e. .J�fldOh@ OCL`CCtc�zd Save ,�iGlfBd BUSINESS: 775-1300 EMERGENCY: 775-2323 FIRE PREVENTION INSPECTTON REPORT PROPERTY OCCUPIED BY: CSC ] S PHONE: 1 LOCATION : .S BUSINESS OWNER : PHONE: BUILDING OWNER : PHONE: TYPE OF BUILDING CONSTRUCTION HEATING SYSTEM SPRINKLER SYSTEM YES TYPE: PSI: / F.D_ CONNECTION LOCATION SHUT-OFF: SERVICE CO % PHONE FIRE ALARM SYSTEM E NO PANEL LOCATION: SERVICE CO PHONE AUTO/SUPPRESSION SYSTEM YES NO LAST INSP. : SERVICE CO : PHONE FLAMABLE STORAGE YES NO KEY BOX YES NO LOCATION: POWER HYDRANTS (1) (2) (3) SPECIAL HAZARDS VIOLATIONS CORRECTION DATE 77 v� �- " FIRE DEPT. INSPECTOR _ DATE: OCCUPANT : PHONE: EMERGENCY PHONE NUMBERS I PHONE, 2 PHONE: - 3 PHONE: WHITE:FIRS DEPT.; CAIMAY:REINSPECT; PINK:PROPERTY Z d 87V9 8LL SOS '1d30 JI3 `SINNVAH WOdA Wd8ti' 1 6661-0£-L c. 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