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0580 MAIN STREET (HYANNIS)
1� --" -- --- _ � - ---- ---- - - _� _ �,� '� k j �� i i tl .� , /� i(' ,� I i I� ,� ti ,� �) r1 zdd� f� ' . A'n - --' Town of Barnstable Building Department Brian Florence, CB O Building Commissioner 200 Main Street,Hyannis; MA 02601 www.toym bamstabJe.ma ns Pre-application for Business Certificate Date 116M _ Mapso� Parcel 6e� 06 Applicant Information hcants Name N t.S 01 Applicants Address. . V -U)' ,,RR Enaff Address • (A 1" Telephone Number Listed 0 Unlisted i Business Information v New Business? --------------------------------------- Yes No Business is a registered corporation? ______________—- ____-_. Yes No If yes Name of Corporation J N\M' 4 tod and hppce L L C Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ---____-- Yes No If yes then a Home Occupation ReggisbaATAIIN"r don is requktd—See Building Division Staff Name ofBusmess C W'TO'S Kd P Business Address 5C60 r S , 1 Type of Business B ' sione�Office Use Only ditio GL' -�J &MVa e-'-1 Z:(�all Building Commissi A Date Q Clerk Office Use Only . Town of Barnstable Building Department Brian Florence, CB 0 Building Commissioner 200 Main Street, Ilyannis„MA 02601 Www-town barnstable.ma us Pre-application for Business Certificate Date © Q Map Parcel Applicant Information APPlicants Name ��{�k�� /. <0 A154 M Applicants Address.�_� d.EN Email Address &S On 1141 (e y'a Afft• 40-P" Telephone Number ��'23�5—�?7�� Listed❑ Unlisted. El Business Information New Business? ---------------------------------------- No Business is a registeredcorporation7 ---_____________________. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes O Is the business a sole proprietorship or home occupation? --____-__ Yes No If yes then a Home Occupation Regisstr�atition is required—See Building Division Staff Name of Business Business Address 6'j!:6 A AYA-1 :5 2-467 6 iY � I KS z Type of Business Cl CC�Sd�'1 Burl ' Commissioner Of we Use Only nsA M, W4 41 A, e Building Commissionew Date Clerk Office Use Only 5 =it��r led . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ 3f'S Parcel Application ` �'-j Health Division Date Issued Conservation Division Application Fee AMI Planning Dept. Permit Fee _4XV ) Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address A i N �7 n✓N is Village Ot Owner a1us ?tAlitJ�_ Address / Telephone Permit Request e✓A �� �, �r ;�%'Ike- 115- C'a 1,VMu-;,e 4o eICEIVeJ A-- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. _ � I Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) = t 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'°'' c Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) - Name /J/4 Telephone Number Address ox7 License # Home Improvement Contractor# Email EOL9 N ���© � �1C < <A- Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i DATE t FOR OFFICIAL USE ONLY APPLICATION # ti . DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL -.'FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. From the Office of: STANDARD FORM COMMERCIAL LEASE 1. PARTIES FIRST PLUS REALTY,LLC,134 MAIN STREET,MILFORD,MA 01757(Mailing and business address is P.O.Box 113,, (fill in) Teaneck,NJ 07666) LESSOR,which expression shall include,its heirs,successors,and assigns where the context so admits,does hereby lease to ROBERT HAYES AND CHELSEA LYNN HAYES,96 WOODSIDE DRIVE,WEST BARNSTABLE,MA 02668(Mailing address is P.O.Box 767,Marstons Mills,MA 02648) 2. PREMISES LESSEE,which expression shall include HIS successors,executors,administrators and assigns where the context so (fill in and include,if ap- admits,and the LESSEE hereby leases the following described premises: oor number,and suite number, floor 584 MAIN STREET,HYANNIS,MA 02601 floor STORE CONTAINING APPROXIMATELY 1000 SQUARE FEET square feet) • ` CONTAINED IN PARCEL ID: 308/069/001 together with the right to use in common,with others entitled thereto,the hallways,stairways,and elevators_, necessary for access to said leased premises,and lavatories nearest thereto. 3. TERM The term of this lease shall be for THREE YEARS(3) (rill in) commencing on January 1,2017 and ending on December 31,2019 4. RENTThe LESSEE shall pay to the LESSOR fixed rent at the rate of46avQ6W dollars in year one of this lease from 1/1117 through 1/1/18(no rent due for January and February)payable in advance in monthly installments of ft22M starting on 3/1/17,subject to proration in the case of any partial calendar month. The LESSEE shall pay to the LESSOR fixed rent at the rate of dollars in year two of this lease from 1/1118 through 12/31/18 payable in advance in monthly installments of00,subject to proration in the case of any partial calendar month.All rent shall be payable without offset or deduction.The LESSEE shall pay to the LESSOR fixed rent at the rate of$**69.00 dollars in year three of this lease from 1/1/19 through 12/31/19 payable in advance in monthly installments of$4SKIM,subject to proration in the case of any partial calendar month.All rent shall be payable without offset or deduction. 5. Intentionally Left Blank 6. RENT LES4EE agrees that in the event any extension or renewal of this Lease is executed whereby in any tax year commenci ADJUSTMENT with the ear 2018 ,the commercial real estate taxes on the land and buildings, of which the leased es are a part,are in ess of the amount of the real estate taxes thereon for the fiscal year 2017(hereinafter ca the"Base Year"),and-in addition, ' any fiscal year commencing with the fiscal year 2018 , the Busin Improvement District Fee for the premi is in excess of the amount of the Business Improvement Di i Fee thereon for the Base Year, LESSEE will pay to L OR as additional rent hereunder,when and as des' ed by notice in writing by LESSOR, percent of such excess ay occur in each year of the term of th' ase or any extension or renewal A. TAX thereof and proportionately for any part of a I year. If the LESSOR ob ' an abatement of any such excess real ESCALATION estate tax,a proportionate share of such abatemen, s the reaso fees and costs incurred in obtaining the-same, (rill in or delete) if any,shall be refunded to the LESSEE. SEE"APPENDI This increase shall be prorated should this lease be' ect with ect to only a portion of any calendar year. B. CONSUMER (1) LESSEE agrees that in th ent any extension or renewal of this Lease is a ted and the"Consumer Price Index PRICE for Urban Wage Eame d Clerical Workers, U.S. City Average,All Items(1982-8 00)"(hereinafter referred to as ESCALATION the "Price Inde ublished by the Bureau of Labor Statistics of the United States rtment of Labor, or any (fill in or delete) compara uccessor or substitute index designated by the LESSOR appropriately adjusted, retie an increase in the cost living over and above the cost of living as reflected by the Price Index for the month of ereinafter called the"Base Price Index"),the fixed rent shall be adjusted in accordance with sub-paragraph(2)of this SEE "APPENDIX B" COPYRIGHT©1968 All rights reserved.This form may not be copied or GREATER BOSTON REAL ESTATE BOARD reproduced in whole or in part in any manner REVISED 1981,1994 EOUALHOUSM whatsoever without the prior express written consent FORM ID:CB288 Pr) °": owm Snnn °'°°"'U " i IN WITNESS HEREOF e sal artle'her unto set their hands and seals this___._.___ day ofJ- LTSSE'E LESSEE -- LESSOR BROKER(S) � yE f i f I ! } { t I I } { ! t { t I f COPYRIGHT©GREATER BOSTON REAL ESTATE BOARD ALL RIGHTS RESERVED Pmducsd with zlPForGM by zlrLcg;x I8070 Filteen M ss Road,F,aser,t'6chlgen 48L28 w% c(0L0ntx^fir I _ RIDER TO LEASE Address:584 Main Street, Hyannis MA 02601 Store containinn a proximate i000 squanfeet--Contained in PARCEL ID: 301f,462 00 This Rider shall become a part of and be incorporated into that certain Greater Boston Real Estate Board Lease (the "Lease") dated 01/01.j2017, by and between the Lessor and Lessee. Any capitalized term not defined herein shall have the meaning ascribed to it in the Lease. No representations or agreements made by Lessor which alter the terms of the Lease or Rider are effective unless in writing. In the event of conflict between terms of the Lease and the terms of this Rider, the terms of this Rider govern and control. 1. In addition to the utilities that each,the Lessor and Lessee are responsible for pursuant to Clause 7 of the Lease,the Lessor shall pay, as they become due, all bills for water and seiner services. 2. The Lessee shall obtain and maintain full coverage for glass insurance. 3. Lessor shall take no responsibility in maintaining, fixing or operating the awning in the front exterior of the premises, nor the floors inside the premises. r. Lessee shall be responsible for preventing freezing conditions in bathroom on the premises. " Lessee shall maintain appropriate temperature conditions during winter periods, particularly during periods the store is closed for several days or longer. 5. To Further clarify clause 7 of the Lease,the Lessor commits to provide and maintain heating and air-conditioning systems,domestic hot water systems,electricity and lighting to the premises. Fir the avoidance of doubt, the Lessee viiil pay all fees and charges billed for these utilities specified in this clause 7 of this Rider in addition to the utilities specified in clause 7 of the Lease as they come due. 6. Seaport Village Realty is the Property Mianager for said property and all rent must be made payable to Seaport Village Realty and mailed to 128 Main Street, Hyannis, MA 02601. For all emergencies and repairs please contact Seaport Village Realty at 508-771-1994. Tenants hive received a copy of the Statement of Apartment Condition. L68SEE OAT e SSEE 4'� DATE �n� I DATE ' a � t rY14 . -)?i 15 y Mo r d C)r4SS R /9 ')14 o J)r,'eSS V i 0 40 Lj 5co M i 1 p o VV\ } Tj o O It ok e,' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application V aoz� 'l Health'Division Date Issued w Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Village A? r p Owner c'-- L5 0f4 FLU d4 E/Z Address 30 Sf A11 NA 0.1X 67 y _ Telephone •7 F 1 7 R4 —3—7:?_ Permit Request �i�.n lr Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) �- Age of Existing Structure Historic House: ❑Yes ti+4o-- On Old King's Highway: ❑Yes t3-14Ia_ 0 - Basement Type: ❑ Full U Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.). Basement Unfinished Area(sq.ft) Number of Baths: Full: existing D new U Half: existing / new 6 Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing / new U First Floor Room Count — Heat Type and Fuel: ❑ Gas ❑ Oil O+ti1lectric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing a New n Existing wood/coal stove: ❑Yes 5-Ho" Detached "❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage/sting Ll new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # ! Recorded ❑ l R Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use b = C APPLICANT INFORMATION (BUILDER R HOMEOWNER) s Name_/ c&'L4 2 �a -e_j Telephone Number y 3(<0 C) 7 Address�9 ©' / License # q5 24 7 Z— Home Improvement Cont,ractor# D � Worker's Compensation # " ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR, �- _ DATE Z16 -r "r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 9 FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F zq� ' The Corn trtonwealth of Massachusetts Departtnent of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 .Y wwwanass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Ele&tricians/Plumberg Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): -cam ' Add.ress:�'� ��/�'ir'CP f"�. - ', • City/State/Zip;�o.�� k�� Phone.-9 JKd Are you an employer? Check the appropriate bog: ec G P e of ro tcf(required 1.❑ I am a employer with 4. m a general con actor and I • on employees (full and/or part-tiine). * have hired the shb-contractors 6. ❑New constructi 2.0�am a sole proprietor or'partuer-' listed on the"attached sheet. T. �Viodeling ship and have no employees These sub-contractors have g. 'Q Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers'•comp.•insurance comp. insurance.$ required.] S. We are a corporation and its 10. ectrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their . 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[]Roof repairs ' insurance required.]t C. 152, §1(4), and we have no employees. [No workers' 13. Other cbmp.insurance required] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. ' t Homeowners who submit this affidavitindicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached m additional sheet showing the name of the sub-contactors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers"Comp ensation insurance for my employees. Below is the policy and job site inforntation. Insurance Company Name: 141141 A.Ik_&Ad Lh S (e) Policy#or Self-ins.Lic. #: a $70 i2 0 Expiration Date: Job Site Address: t%, City/State/Zip: Attach a copy of the workers' compensation policy declaration page(shovvi.ng the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimiri4l penalties of a fine tip to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the•Office of Investigations of the MA for insurance coverage verification. I do hereby certify under thepains a penalties ofperjury that the informationprovided above is true and correct Si afore: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town offlciaL .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3. City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector • ti. Other Information and IPA uctions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in,the service of another under any contract of hire, express'or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver,or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repairwork on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal Licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable.evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the tommonwealth nor any of its political subdivisions shall . enter into any contract for,the n performace of public work until acceptable evidence of compliance,�czth the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers'compensation affdavit completely,by checking the boxes that apply to your situation and, if ncessary, supply sub-contiactor(s)name(s), address n address(es)and_phone umber ong s) al with their certifi e cates) of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials t is co lete'and printed legibly. The Department has provided a space at the bottom .Please be sure that the affidavit mp p . 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/Iicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" (.he.applicant should write"all locations in (city or town):".A copy of the affidavit that has been officially'stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be 611ed out each year.Where a home owner or citizen is obtaining a license or permit_not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number. The Commonwealth of Massachusetts Depaxtnent of Industrial Accidents Office, of rnvetigati.ons 600 Washington Stmtt Boston, MA 02111 Tc1. #617-727-4900 ext'406 or 1-877-MASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/di a �► r `I'owl'I of Barnstable - Regulatory Services . aAxrrsrAa[� Thomas F. Geiler,Director vD 1619. 6 Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barngtabIe.ma.us Office: 508-862-403 8 Fax: 508-790- 4 Property Owfder Must Complete and Sign This Section If Using A Builder -8'pc�J 10 , as Owner of the subject.property hereby authorize z�� �-2 to act on my behalf, in all matters relative to work authoriwd by this building permit application for. (.Address of job) Sig tore of er ate Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption. Form on the reverse side. Town of Barnstable o Regulatory Services T Thomas F. Geiler,Director 'USS Buildin Division a Toth Perry,Building Commissioner 200 Mairi.Streef, Hyannis, MA,02601 www.town.barngt2ble.ma.us Office: 508-862-403 8 Fax: 508-790-6230 SOl MONVNER LICENSE E70EMPTION Pleare Print DATE: JOB LOCATION: number street village "HOMF_OwNER": name home phone# work phone# CURRENT MAILING ADDRESS:- city/town state zip code The current exemption for"homeowners"was extcnded 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 SuperYlSOr. ' DEFTN11ION OF EONIEOT5rMER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which thcre is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or faun structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations, The undersigned"homeowner"certifies that.helshe understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that hehbc will comply with said procedures and requirements. j Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,DD0 cubic feet or larger will be required to convly with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S E Y_Me IOl1 .The Code sites that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1 D9.1.1-Licensing of construction Supervisors):provided that if the homeowner cngagcs a prason(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeown=who use this exemption arc unaware that they are assurrung the responsibilities of a supervisor(see Appendix Q, Rules&Rzgulatians for Ilccnsing Conshvction Superyisors,Section 2.15) This lack of awareness bftcn 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 5upervisar. The homeowner acting as Supervisor is ultimately responsible,- To ensure that the homeowner is fully aw=of his/her responsibilities,many corrimunitics require,as part of the permit application, that the homcowncr certify that he/she understands the rtsponnbilitics of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forrns:homccacmpt .Lion Complaints o � _a e'Official Website of the Office of Consumer Affairs&Business Regulation (OCABR) Mass.Gov Consumer Affairs and Business Regulation on > Home Improvement Contractor Program Home > Consumer > Housing Informati > HIC Registration Complaints License Type License# 164040 Restriction Name RICHARD SOARES City, State, Zip W. BARNSTABLE, MA, 02668 Expiration Date 8/14/2011 Status Current' No complaints found for this Licensee., Back To Search ©2009 Commonwealth of Massachusetts l , i a s� ate.ma.us/homei rovemerit/liedetails.asp?txtSearchLN=65832' http;//db.si 9L1/2009 http://us.mg2.maiI.yAhoo'.com/dc/blank.htmI?bn=348.5&.Intl=us&.lang=en-US 4/22/10 9:34 AM From: eDEPConfirination@massmail.state.ma.us (eDEPConfirmation@massmail.state.ma.us) To: axiomglass@yahoo.com; Date: Wed, April 14,2010 7:22:46 PM Cc: Subject: eDEP Submittal Confirmation for DEP Transaction ID: 300456 Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection. Your transaction is-complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message, this email address will not receive messages. For assistance with eDEP Online Filing, please email the DEP Help Desk at DEP.HELP@state.ma.us or call 617-556-1100. MassDEP is interested in how we can serve you better. To help us make improvements to eDEP, please take a minute to complete our eDEP Online Filing Survey at http://www.mass. og v/dep/service/compliance/edel2surv.htm. To contact MassDEP Programs, please see http://mass. og v/dep/about/contacts.htm. DEP Transaction ID: 300456 Date and Time Submitted: 04/14/2010 05:49:08 ************************************************************************************** Form Name: AQ 06 - Construction/Demolition Notification Payment Information DEP code: 44710 Date: 4/14/2010 5:47:43 PM Amount ($): 85 Payment Detail: MORRISON BROOKES --AccountType -- AccountNumber ****8239 ConfirmationNumber: Contractor Contractor Number Name Address Supervisor Project Monitor 1Lab (` Page 1 of 2 r Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality 100104361 BWP AQ 06 Decal Number Notification Prior to Construction or4Demolition Important: h n rfilling out A. Applicability forms on the computer,use only the tab key A Construction or Demolition operation of an industrial,commercial,or institutional building,or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10)days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09. B. General Project Description rx 1. a.Is this facility fee exempt-city,town,district, municipal housing authority,owner-occupied Instructions residence of four units or less?❑Yes ❑No 1.All sections of b.Provide blanket decal number if applicable: Blanket Decal Number . this form must be completed in order 40 comply with the 2 Facility Information: Department of [MORRISON GLASSWORKS GALLERY Environmental . Protection a.Name notification BROOKES MORRISN requirements of b.Address 310 CMR 7.09, HYANNIS �MA �� 02601 - c.Citv/Town _ _ ___ _ __� � d..State e_Zio_Code 15087711775 li f.Telephone_Number(area_code and extension) q.EE-mail Address_(op_tionaq 11000 h.Size of Facility in Square Feet i.Number of Floors j.Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: RETAIL I. Is the facility a residential facility? ❑✓ Yes ❑ No �o m. If yes, how many units? Number of Units -0 3. Facility Owner: a NELSON BRENNER �o a.Name �o P.O. BOX 226 b.Address SHARON �A �2067 �c0 c.Citv/Town d..State e.ZiD Code �o �7817843728 f.Telephone Number(area code and extension) a.E-mail Address(o0tional) a RICH SOARS �Q h.Onsite Manager Name ag06.doc•10102 BWP AQ 06•Page 1 of 3 f Massachusetts Department of Environmental Protection ■_ Bureau of Waste Prevention . Air Quality 1100104361 v� BWP AQ OO Decal Number Notification Prior to Construction or Demolition General Statement:If B. General Project Description Cont. asbestos is found during a 4. General Contractor: Construction or Demolition RICH SOARS operation,all responsible parties a__Name must comply with �18 SPRUCE ST 310 CMR 7.00, b.Address _ Chapter erg and WEST BARNSTABLE �MA 02067 Chapter 21 E d the General Laws of c.Citv_/Town d.State e.Zip Code the Commonwealth. i 83600427 This would include, f.Tele but would not be oho_ne Number(area code and extension) a.E-mail Address(optional) - - limited to,filing an RICH asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. RICH SOARS a.Name 18 SPRUCE ST b.Address WEST BARNSTABLE MA 02668 c.City/Town d.State e.Zip Code 5083600427 L f.Telephone Number(area code and extension) g.E-mail Address(optional) RICH �� h.On-site Manager Name 2. On-Site Supervisor: RICH On-Site Supervisor Name 3. Is the entire facility to be demolished? ❑l Yes E111 No N -O 4. Describe the area(s)to be demolished: �o DROP CEILING REMOVED �N �O �O 5. If this is a construction project,describe the building(s)or addition(s)to be constructed: SHEETROCK CEILING,ALTERATION INTIEROR �O C7 �Q ■ aq 10/02 BWP AQ 06•Page 2 of 3■ Massachusetts Department of Environmental Protecti on ■ Bureau of Waste Prevention .Air Quality 1100104361 \ B W P AQ 06 Decal Number 't Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material(ACM)? ❑ Yes ✓❑. No If yes,who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 4/24/2010 , 5/10/2010 -� a.Start Date(mm/dd/yyyy) b.End Date(mm/dd)Vyyy) 8. a.For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: ❑ wetting ✓❑ shrouding ❑ covering ❑ other 9. For Emergency Demolition Operations,who is the DEP official who evaluated the emergency? NA a.Name of DEP Official NA b.Title 4/24/2010 c.Date(mm/dd/ww)of Authorization NA d.DEP Waiver Number D. Certification M I certify that I have examined the IBROOKES MORRISON NO above and that to the best of my a.Print Name �o knowledge it is true and complete. lbrookes morrison The signature below subjects the b.Authorized Signature N signer to the general statutes ISHOP OWNER _o regarding a false and misleading c.Position/Title Op statement(s). IMYSELF d.Representing 4/14/2010 co e.Date(mm/dd/yyyy) �O i �Q ag06.doc•10/02 BWP AQ 06•Page 3 of 3 ,per ✓ste arvrcaiuu` a a -\ Office of Consumer Affairs& usiness Regulation i HOME IMPROVEMENT CONTRACTOR Reg istratioi:!*N164040 Expiration:: `8I14I2011 Tr# 287864 n Type Individual- RICHARD SOARES i / RICHARD S.OARES" \ 18 SPRUCE ST � W.BARNSTABLE`MA�02668l Undersecretary llu>uttti- itttiu7» '11il?SC':tt 1 BollCo'nstBruction~Sup e visor ClcensQ� •' n, 1 S License: CS 85267 ° Restricted to:, 00 ; '� '` p FSOARES RICHARD { 1S SPRUCE ST MA W BARTNSTABLE, , Expiration: 2122/2011 10727 YY uj Tr#: (,rinmis; _. _. . .. .... ...... ... YOU:WISHTO OPEN A BUSINESS? or Your In ormatian� 8ustnesa certrf�cates(cust$ 40.DO.for 4 years}; A bus[ness nsrttfscate-ONLY`REGISTERS YQUR NA ME m<town..:w:Mich you. F... f r3u. errnisslortaa-n erate: Yournust:ftrstbtttt tfle r� ce5 ary:;5gnatures on tf :is fo:rrn::at 200 Main'St H aunts: must do:hY M G:L rt tines nod give y P P.. .. ) ; ,. . wn Haul antl.'`et the Business Certificat that is_ Teke the'campleted fdrrn to tfte Town. Ieek s©ffice,l st FI , 367-Mai_n St: Hyannis, tvfA t72.6p? (70 ) g; required by law: ��x�JX1 .4a N Fill m please: 'a :rh >nr44k APPIIC.AN VS: YOUR'NAME/:5 i r - • i .; >". -� BUSINESS YOUR;NOME ADDRESS:- _ . air T1=1PHONE # Home:Telephone Number a I - 3xsiw� s13{> d. .CO •. tswr,,a4 .•,r,., •:�, �' E-aIAIL .. L' . SrsY1,C �C� �. : NAME OF CORPORATION. NAME.OF NEW'.BUSINESS iP.� / TYP1=`OF I3USjNES� 15THIS.Ai HOME OCCLLPATIDN� YES NO // ADDRESS OF.8CISINESS. . ON.. .N2 N — it/i MAPIPARCELVIT.J. R t �b.(9�:6a� .[Assessing) VVh e :starttn a31)'new l,ustnes-tht re are several things yctu must coo 1rt or.:derto :e rrt complibrice wrtFrthe rues end regul`at'ians of tFte Town of n Barnstable. Thrs:form is tnterided to assl'... OU In pbtatmng the`irtftartttaGart you tttay n+ of Ybu.MUST GOT �C10;Main St (cgrner of Yarri outh ' s Y Fld. &11�fain Street) td make sure y i have:the apprQpriatie Perrrists end liern5es required tq legally apes a your business rn thrs tavltn _ Y ��- 1. StJI!C7ING CCU ISSiD ER's OPB E Tfits Inddu�ei tl:: :: a r d f.; y er n rggiJirernt i t that pertain°ta tFue et business (,Cl'lrld� 5�+0� tYFr >: A orized.5tgnatu::... � � � COMMENTS i- r J _ 64 2. BOARD OF HEALTH This individual has been Informed pfthe Perrrirt requirements that!:pertafn:to thisaype:of business kY Authorized Signature* .. i COMMENTS::,. r 9. CONSUMER.AFF .1IaS[LICENSING AUTHORITY) Tits rndiytdua3l E as been informed.pf the.licensing requireri tints; h'at pei*tatn to th(s type of business;:; IRI 4 Authorized Signature'* COMMENTS: :; .. A "* TOWN OF BARNSTABLE � SIGN PERMIT IIPARCEL ID 308 069 GEOBASE ID 22038 I ADDRESS 580 MAIN STREET (HYANNIS PRONE Hyannis ZIP 02601- LOT 1-7 LC BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY j PERMIT - 14893 DESCRIPTION CAT COUNTRY (18 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCIiITECTS: and Environmental Services i TOTAL FEES: $25.00 BOND $.00 CONSTRUCTION COSTS $.00 j 753 MISC. NOT CODED ELSEWHERE * BAANSTABLE, MASS. OWNER ABUDI, JUDITH 039. ADDRESS I BUI 'DIN,�j DIVISION// BY C DATE ISSUED 05/02/1996 EXPIRATION DATE r d The Town of Barnstable Department of Health, Safety and Environmental Service • � i P Building Division _HAM 367 Mainz Stn;et,Hyamis MA 02601 feeWb-* Application for Sign Permit Applicant: `�JV A ( J UM M /�✓ G' S Assessor's no. Jo,? 10 �s Doing Business As: � �� y Al —ZR ` Telephone 7 71- 7 Sign Location ) G G a sumdroad: Zoning District Old Kuig's I Eghway District? yes. no Property Owner Name: y ---t) i 7-�4 A Telephone _ A dress: Village Sian Contractor Name: Iv1 IUD //� 6 Sri A/ W Telephone -27 Address: Village 7L/1-11 Description Diagam of lot showing location of buildings and existing signs with dimensions, location and size of the new to he drawn on the reverse side of this application. is the sign to be electrified? yes no D (Note: if yes,-a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall_conform--to-the-provisions of Section 4-3 of the i Town of Barnstable Zoning Ordinances. Date Signature of Owner/Autho ' ed Agent Size (sq.ft.) Permit Fee a� Si P was roved: ,/ disapproved: Sign Permit aPP O a h R i GC>O i Y 1 0 / .N °FtHB t N The Town of Barnstable e�►feivsrAsi.E. = , 9�prKAM A1m�' Department of Health Safety and Environmental Services Building Division. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: `mot �'S ATTN: � DN r�' FAX NO: 94 FROM: , i DATE: 3l9 PAGE(S): (EXCLUDING COVER SHEET) .u�Lrpl ,—�.v-.._".'^"'.F�"^°�Pe.. ,._x"7"•':"�!- .s�.a, ,..,.--' w'm.'&�i._ ?T-:': ':���$w''^'Y''t�<y6i?,,' *Ktc?� �y,'� 3aa:.,. �T`'- �r.x: The Town of Barnstable BARNSTABLE Department of Health Safety and Environmental Services � P ED 39. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice _A Type of Inspection , Location ' R, ,a 't ` k fS Permit Number Owner Build;Owl One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r ' „ i` dt'- A t -A �.� Please call: 508 0-6227 for re-inspection. Inspected by Q,,` .p „D„ Date ..�....+-- ,e--., • r r- . ;,."-:._ -.�:.:...:...r-!«.s�....s-`—,...'�:.:,,*.n0.i'�-;,.'r'.'"_".,r.v+-"''--r---..,.--r--'-•...s`.'..-'--!t.,. ..m..r^'^..,..-....-�%....-"..e.�-�"`•.•"' - - i 4`�tNE Tp��o� The Town of Barnstable t ABLE. MASS. Department of Health Safety and Environmental Services g. 0 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Y Q11117{0 ra U Location �y t�P�=���, ��)i S—,rr Permit Number Owner ��r,t��A,a„� �,f (�a Build r �?o wa v,574 One notice to remain on jobsite, one notice on file in Building Department. The followingitems need correcting: g I,lo VPA"VAN. -� C,A . . s Please call: 508-7790-6227 for re-inspection. Inspected by )4:9�A .V! Date 7}} yoFT"E'''+►,o TOWN OF BARNSTABLE IDA"STAU Oa"ua : Office of the Building Inspector ri a �00 t639 • Date July 6, 1995 Fee $50.00 Permit No. #140 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO Shaw Taylor DIBIA RODNEY'S BOOKSTORE LOCATION 584 Main Street Hyannis, MA 02601 ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT Buildfn Inspector f ,�°�" ' ►.� The Town of Barnstable - permit no. Department of Health, Safety and Environmental Services BA2WMAM"BIX Building Division date -G- S s639. A�� 367 Main Street,Hyannis s MA 02601 Y� fee fro •Dd Application for Sign Permit Applicant: SH�4 0 yL©�� Assessor's no. Doing Business As: /2D1>/1I�yS „�pD�S�/�� Telephon J�dB T 90— 3 Sign Location street/road: �8 /l/lAIAJ S; N/IJ/ S 444- O -2 60 / `'- Zoning District FV r1A)55_s Old King's Highway District? yes no X _ Property Owner r Name: J � I�IV .Elt)A)EZ-' Telephone 617r 7k�3 '' Address: Village Sign Contractor Name: ss " C&-e/pTelephone '7 'Z�— Vr SO Address: /U Village CM- 7!C-k .. L Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign to 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 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 Signat e o Owner/Authorized Agent Size (sq. ft.) Permit Fee4 47 Sign Permit was approved: 1�x disapproved- 7- Date Signature Building Official .� lti�, �� 1 �� •, �� ,� .r � s .� ` ..- .� }.i. �� 5�6 � � _�. i ,\ � � .� ' N � �i �, -- .. �� '� � �� �, ��, -� ,.,, ��- .�a �� .-:�.� .¢ � ��#mac_- _ _ r � � _��.;� k' ' �}. a r �.. - A a � � �� J �. �j �� �, 4 �� h P� C -1 The Town of Barnstable permit na. La Department of Health, Safety and Environmental Services BARMAN AM _ Building Division date 05 A�� 367 Main Street,Hyannis MA 02601 fee Application for Sign Permit Applicant:-_ (< 1'p Z CON 0j[.C1l p&� Assessor's no. Z 4 3ZZY Doing Business As: I J7 Z Ca Nnl r-c 17 n�j Telephone ' '7 7 I • 5 6 ?y Sign Location ry. street/road: -ZVaV-,C\0"GV\ � ►Z�:-4� \�Z. Zoning District f( 3 Old King's Highway District? yes no Property Owner Name: •Tw M l� A�(cLo�L� �Y�C Telephone 7 7/ -0 Z0 6 Address: 0 To Village t,-s M Ct F�a,3 Sign Contractor Name: S I C,N 1"r Telephone 775 5 .2 S0 V Address: 13 CCsl1rQ ST HYA tJIV 1 Village Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size'of the new sign to 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 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 atur wner Authorized Agent Size (sq. ft') Z Permit Fee Sign Permit was approved: disapproved: D a to Signature of Buil t ej r . _ x, �_ ' I Y I n R� GLUE YEI-t.0t,W GPQFEl-j \/CLL� r Composite �� - 0 � The Town of Barnstable `- Massachusetts Perm;c#�..o� annrrsrnaU : Date ,/``s� J7�� 16596` �8' SOLID FUEL STOVE PERMIT F. This constitutes an official stove permit after inspection and approval by the building inspector. Owner "�a w l e y /o �' Telephone no. 7M —3 yU Address of Property 5g M111 ,1 ST Village 17 u h o l 5- Location and Stove T e /5-t -0v0 r- le raa-w YP J��U�e Ir ( f4O� Date: Building Inspector The solid fuel burning stove at the above location passed: failed: inspection. 6� The Town of Barnstable Massachusetts aRty AM= Date L - / - �� 161g6""M SOLID FUEL STOVE PERMIT FeeL2 . d o This constitutes an official stove permit after inspection and approval by the building inspector. Owner__ S" Awj I KL, phoneTele no. 7 -3 Yg3 Address of Property (� m�, n ST Village! /7Y a k7 S Location and Stove Type 16toU rl /Oa� Date: Building Inspector The solid fuel burning stove at the above location passed: failed: inspection „:•}. ,},}}}:a,an,}yn„}yy:}y, ,�. n.rra}a}v.}},y,}a},},,,,». :yy,:kYYYYYYY>a}}}„+YkYY`Y`+YrkYY:,:y:,,y}:,..yy;•.y}kt<k,,..'','ki'tkk::z::Ykzkx,:'3Yk::kkk".•'.•`.YYYkYk:::Y}skk`.:tkkYkkY:;}.z.,..z.,aa,::,..::a,...,..,kk,:zzi,k':..,.:.::..:.:.a...,::..`.CY}YkYkkYYY,,,r"`Ykzih:Ykk::zzzkkh`.kzY•:Ykkkva,k..,: ..:k,,...,.,,Y z000 q xa•::::.:'?`?`�`�fir:% ? 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Bldg.) APPLICANT A SMR CONNECT I Oil THE Definitive Plan Approved by Planning 13oard 19 E,N�OWEE gIOR TO c (((??? �ON,BTRU 9 NASS.y MASS. o � 1679. W OF BARNSTABLE, Building Permit Application Project Street ddress Ac? Al A It-) Village Owner ?� Address PQ,604 ZZ6 �' Q j`] Telephone — 3 72 �r��. t►-9,�r ¢� p5 yra�°,i[.�r� HS`TALL 1 1AAt..r [N C*J M t RG ! - rAa WIM Permit Request P .. 5 l!� R`7 rZoor= tat# "3 .5w(�c�,, Ta A S-rPrP9&i Di >A- ep-A14, Pam= .' L-Ar AN t I�ir �Too� A eP or.D LGt=T 3square feet eco woT -iA"" f,J Lr 0owi squarefe etr RG P' _40-th-IG -5 =�PJ FRo NT L.U T- 5 i DsF Construction Type�L-Pr-P►C.� 5�TAjP_ L42AVIP6- -yv HAu-Wft-/ !4Z` '1,AA? (Dusueg-m EAts-rf� 3 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 Po On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout Other SLAB 00 &Rmw cco�jc-e6-z- �t Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New 11 Total Room Count(not including baths): Existing_ �• New First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes 4No Fireplaces: Existing New ® Existing wood/coal stove ❑Yes gNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) •,ANone ❑Shed(size) - Yam` ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information co — C(� Name J& r, G r n 1 �'' hone Number o ��'�� Telephone � Address a 2 c c&jr License# ( 7 7 ' Ma , 'a 3 t 4 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 � 1 SIGNATURE DATE y- .4 7q _1 B ftI RMIT DENIEQZE OWING REASON(S) A { � t�CIAT_ FOR OFFICIAL USE ONLY ? s PERMIT NO. DATE ISSUED IoAP/PARCEL NO. ADDRESS ` ' VILLAGE OWNER • • r ~' � T' t * -- +' .A ° ��.�: "'`. f • t � _ ."- ' . } f • +fie DATE OE�NSPECTION: FOUNDATION FRAME INSULATION ; } FIREPLACE ELECTRICAL: ROUGH FINAL + PLUMBING: ROUGH FINAL GAS:- IGH . FINAL FINAL BUILDING*-. ,,,e- DATE CLOSED O # r ASSOCIATION PL�sI ,1O. 4 f 44 ' Thc• Commonirculth of llfassachusctts %ri! _�`-'--=•1; Departme vit of 111dustrial Accidents • :1 1- _} _� OflicPol/a�est/gat/oos - r. •�`1i i i it -';r' 600 Street Bustutr.Alas. OZlll _ Workers' Compensation lnsurancc Affidavit Zrn rma inn* PI l' -;,. -,.....�.-.�. cnr' n•2 )4,r, hone 1am a 66meowner performin_all work myself. ; I am a sole proprietor and have no one working in any capacity [1 i I am an employer providing workers compensation for my employees working on this job. I commant• Hume: i nddrest• � ' city nhonc#• f i inciirnrice cn. i l nnlirt # � T� ? a sole proprietor. general contractor, or homeowner(circle acre) and have hired the contractors listed below who i aN the following workers'compensation polices: 'I committy nnine: nddrrcc: cirt•! nhonc#• incnr-incr rn nnlict if -�..-_.- .. ..- .-.-- .•. �_.-rya.-r..- �-Jv_r -___-_____- - _ - - ��.j. .r-� cmmnanv nnmr nddr"s - rin•- • � � nhonc ft• incurnnce rn nniict # _ Attach additional sheet if necessary ^- — �" '�'-"`•'c '' -' Failure to secure covern¢c as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to 51.500.00 andiur une t cars'impri�nnment:is tccil:is pit ii penalties in the form 0172 SWOP NVORK ORDER and a fine of SI00.00 a day against me. 1 understand that a cop} of this.taicnient mat be furtt•arded to the Olrce of Invcstir.ations of the DIA for coverage verif5eation. i do herehr certi [•rtuiticr the pttitis acid penalties of Cr ri-that the information prorided above is true and correct. Si^nature Date / Print name �J Q•' C l - `� Phone# ,�V— 9 7 — 4 113 ' official use uni_r do not ttrite in this area to be completed by tiny or tott•n ofrciai cit%-or tots n• permit/license# r•ttluilding Department 01-icensing Board L ❑ check if immediate respunsc.is required, ❑ 5electmen's Office t- '. ❑Health Department �. contact pen-on: phone#: M01hcr ` R. . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' cirntpensation for ; employees. As quoted from the "law".an emph{rce is defined as every person+in the service of another under any contract of hire, express or implied. oral or written. An emph,rer is defined as an individual. partnership, association. corporation or other legal entity. or atty two or mr the foregoin�a, emsm_ed in a joint enterprise,and including the legal representatives of a deceased employer. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. How ever owner of a dwellim_ house haying 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 dwcllin__ ii: or out the_:rounds or buiiding appurtenant thereto shall not because of such employment be deemed to be an empio-, R i• MGL chapter 15'_ section 25 also states that ewer}' state or local licensing agency shall withhold the issunnce or rencival 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 tite insurance coverage required. commonwealth nor any of its political subdivisions shall enter into any contract for the Additionally. neither the commo performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation anc 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 tite 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 require 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 the affidavit for you to J-111 out in the event the Office of Investigations has to contact you regarding the applicant. P! be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner 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 questic 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 Investigations 600 Washington Street Boston, Ma. 02111 fax #f: (617) 727-7749 �� phone : (61 7) 7- -900 eft. 406, 409 or 375 6 P(TGtA �F E��ST�►JG— R� Z4._o� E 2 � F /LAC m4 5 1(, ,t O.0• GEiC./rJU 3blS - `" j F�tS"rtr7Cs '` 6NP��►� - -- - -- Pr'rG41 _IK t r - �Cl�'r' izocG _ �Rpw1T VIE�� w V atz 580 MHi►.� �T� I v EPT _ - _-- O �cCf..� QI 21-4 !® fA--DF 2AG-rm4� 16 00C' 614PIir.� 2 sToR.`f exI s-T I - ----._ - ------..._._ - 5 �FSo M Airz ST. I Hyannis Main Street Waterfront 41 Historic District Commission MUMABM Epµpth 230 South Street Hyannis,Massachusetts 02601 508-790-6270--FAX:508-790-6288 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 ❑ Addition I, Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial g Other P4GM P_ PAt!PCs6 GA 05eD ei-1.F(z= 2. Exterior Painting:g (,)At-tC 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other 5. Parking Lot ❑ New Building ❑ Addition ❑ Alteration (Please see the guidelines for explanation and requirements) p TYPE OR PRINT LEGIBLY . DATE S FSO M A(tJ $1 pp ADDRESS OF PROPOSED WORK -ASSESSORS MAP NO. It 3 dS OWNERCAt4C 4EAL-,r-� TkUST ASSESSORS LOT NO. P-o. BOX 226 2�-37 ZOME ADDRESS5(AP—OtiI . M A O 20(0"1 TEL.NO.7g1--1ft4 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 At`�F5 �� Ct=,(,.Lti-Q TEL.NO. J6-Drr'_ 657-- '73 ADDRESS OAP ;par—_- a-rg?P_ MA O 2'3 24- 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). PR((L IVA+t PRl 6: Gfk 05,0 b"Y F'R-6 90-6 Pi-A"C49 V Signed &6L?2 Owner-Contractor-Agent RECEIVED Space below line for Commission use. FEB 2 3 1998 Received by HMSWHDC TOWN OF BARNSTABLE HISTORIC PRESERVATION OIV. Date Time By The Certificate is hereby: Approved _ _ LiSapproved v :P�'0f1 Or- C2p i;CatidVJ Kr,CJ 1 ;n Q C)IJ-.f_4 OW C►4' v , c(a! 5;ct;no W;�4 X a r`PCAvuXv�knc�Ca ieh ^�- Date Gow,l ; ►n S _ .�.�I d n5. 'IC IMPORTANT: If this Certificate is approved,approval is subject to the 20 day appeal period provided in the Ordinance. (cmct1'n cU_r► �� �(,�� ci,8'0"-`�h aM "-CC ct�IjYLQV�-�� bevy._ e✓%% wrt , kLM-L5-J V►'n y vine-o wee-d►c c. w� d � 194-a 9+e l C 6 a -eCc� �C' �; �j-P, h r ,�,lX_ �v la(�' sS�L�¢� r' rnl co� • " it, 4„e �k�c+� -c a� Co t-d r 'aS ue.Q C.� Posi 5� �° M M lb o ids t�C Pw n q-eJ -b rnal--cl\ rci t dl hid;v �e n�o V GL I e� fQIcybocLraS'4t aII%N fv6 vv►nddvi /1si-ctl{0M. ;:;fit H.f�1'y ,t .. !, •` � • , HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** S*o MpkIP3, .'5'j_/L275_r" (feAX) PPA2.T�-cEa.�T ;.4.ri•,;,.(' -'� ADDRESS OF PROPOSED WORK "APO BJc��i�ti FOUNDATION w1JC/Z�GTG rJ LoG(L — �S77IJ� -tom / �llAr� ar SIDING TYPEI�MI. (171r / t.+ECOLOR Q41T6 1\CHIMNEY TYPE ©IJ� COLOR F ROOF MATERIALA6NAL'T/ — 7 /ti?G-�-Cs COLOR w =t�'4r nS k. :.PITCH �(S T IPCT Pr 'TGbf TO .e�l'�f�id WINDOW ClfJ: ooVele- otiaE COLOR 1�'atf u,F( COL, r TRIM LOR w 1 DOORS STCe L 'I l.) UZA r i COLOR w 1- 11 V itrr� , •1.. ., R SHUTTERS GUTTERS 4L t '} DECK GARAGE DOORS / L OTC: COLOR w - t� 44 y ' NOTES,'Fill out completely, including measurements and materials/colors to be used. j ':.Three copies of this form are required for submittal of an application,along with three copies y� t n each of the plot plan,landscape plan and elevation plans,when applicable.The Plot plan need :•,n+: ; :,;; ,; not be"Certified",but should show all structures on the lot to scale.. y, l ' �1+ A3f�lr..i }l x tY 9'a�ygyT 9. 'I•.�' - 1I Jy, r i SUBMIT THE FOLLOWING INFORMATION AND/OR MATERIALS ' WFM YOUR APPLICATION TO ., L� t THEE HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION. " 60, sf' It' 1.:�t'V't.4 • "',' �N,; THREE(3)OF EACH.IN THREE(3)SETS 1 7 s 1 APPLICATION: All sections must be completed �rt 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. ,'w�,�i 54r.'-}tjt�[w4i•.c i i. _'1. 1' _ -_< < ADDITIONALLY THE FOLLOWING MAY BE SUBMITTED: ''"'PICTURES: Of area(s)affected;Street view for additions/changes. 7 SAMPLES: Of materials/colors(i.e.color chart) xir t t, t TR y ,�`��,ti�D,�yi1R;t ,t�['i' N µ s*u7 r r,.. ;t. <., • THE FOLLOWING FEE(S)MUST BE SUBMITTED WITH THE APPLICATION UPON _tea r ► �hEs� 'f - .. 1. FILING MADE PAYABLE TO TOWN OF BARNSTABLE `'°CERTIFICATE OF APPROPRIATENESS _$20.00 CERTIFICATE OF EXEMPTION $10.00 CERTIFICATE FOR DEMOLITION OR REMOVAL $10.00 �f. IF YOU HAVE ANY QUESTIONS REGARDING APPLICATIONS PLEASE CALL PAT ANDERSON AT 790-6270 BETWEEN 8 A.M.. AND 12 NOONM-F �prnacl. "i_y.•. qt �Gt , ti x 7 t 4- .. ` 'TOWN OF BARNSTABLE, MASSACHUSETTS SBE p� ASSESSORS MAP• 60 6 + I .. 9 ^•s a �� 10 i i st e i •f sett• . SO It '0 !!d • �,i ' ' - '! ref r`� ��i ♦ ' \/\ ,°•` ���PI' `.°` �d ado<• 0�� e� yi ° e+• q1 c. t,r. ss o yy�^ • t .off .�� o ��• ft L a ,t t, 99 6Pyo¢i �i ♦ fi � �� . 1bCf, ee � Q, fit. ,v '+a 6Z By + \\lys r� • �r �' 6 fly I, ,t. \°°F WreL yt tas a! '19� • 'g • fp tlb �e 4 i• -.g . t, d 1 11 \6 - .. t •tr ' . ' \t fc C pe 110 t,i y t-F�a 1�2 - + •t.c ° w \9► c tfd tt� ell , p ! yIt L 1\6� P ,9 of. 9, e�pp D, 201 2 201 'I „q•. „p 09.c.$ .,5Ac-S ` OL A 17,6 1\`� OAK 10� '" eu.v�.w �• a t°0NA, ,•4^ .d fit` ZV freter .•wry ��. l0 t�� rj1' r •I ..-- Z e•wwnnnrre ,Z� '-.. ted ' q r •b 10 y. p..c ..c 6 \6y a`c+ r+ y!►` ILIA ut...•.••re t l \1r • + tK:S i 'y.4 0?`' ,or$ Oaks? em Av ;re'R p►'�' t ,i rn lie na `s.; .•' �! .� A REV N� AV/J ier 4 »< :eAc ORMANAL Issue, �.a9••CYO:a1/� 65 !K SfAci /.q0• 291 lot 327 .. _ n• wuw•. /07 --- � � 30 8 Ego 504326 ' Ep So?12S o J�a5CtziPT(o13 O F LA-9 0 2K 60o2K Wtc.c_, P2o Vt c6 A 6J455AT40Z T 6-4 T E•)47'e(�yc ` -------2�--��MorlSl� F•�cc5-rr,�G S�C�(JR-E �f�i�-f'�1-�►� e-f �r/� ; 'lt+s tj (U- wc��'(� R-u-- off' /W 5' /I*� Pc c d OIJ _. .__3• _ <F�/ZAMF TIA- 2 6o A+r=TE,es 'CR-A -[e ..... . C45771 c_r rJl- 4)1-CI4- l(O �n�. sPsiCr,•�G- T iE U l aE Elf- S. R F PLA,r-E rid e�c02 FIF 1 F DA KACwGP W-1 F IRE Wccw,> AWk1�INul:Qm-S t mt- G L7. too ( t� STPAPPIt,� I(o /a, ©, G, 2�RG,Mo mot' 1�KiST[l�G- --�-�12-�.o1z .-.��1 �'`©►:),�>.��r.vow- ....E�c�.,vc,acr >.. Rct.S15 Gjfw GPI. WILL, PltoV�'OE.. :5(9FF{, SPAS'TFo/2 u v�N G- 2�o�c.t .,'w t wow �. •��:f�o� I!� ri 16 Vet � � _ ` . t/Q ItJ. R.�Wo'�A SI�CA�t*1Cr .r t j - . y,cq• _ 2 Ft, ---- ----_ _. ---- - - ..: - _ -._ 1.�T F�► APT Gt..o SE T Ar 7 of TNtg �Zt-o �z�2DGok C�OSt>T L(vioca- _ I l_ Z N Fcro�o2 t 6-go "Alp STD N yp4)05 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA 27, I41 Ir let oy I j� IYcod l yI !.;, �.. • �"� c4�crol:r 'i i I � l...<•� Ij I ti . .'�-•�I 1. <-��, ;� � ��' r '•. t;.,...,z ji75'1J17 i! 7 -i "! i) ! W J t { ad out I 577 Al P 13_ -N } r•j �( { f j !fit I:t J I a i f-E,.IJ.A��/.d/lt. d Sucdl vis1(Dr; of Lana Shown or) P1�111 814201' F11ed with Cie rt, of Title No 601 igistry District of Barnstable Count;', IC ..Sepa�ate ce1-t1fic6?tee GI-17tic' 1.70+, e Issued 1`er l<.;nd `'ntK!i i xpn7 ds Inrs I > rr lgy tl;c (.O!lr - 1'f -- -- - ---- -- -- f Pf L{ ' r V 64+ E��STD►�G— �°� ---------.__.- _ - - Zq..'-o' x 2 7 9cO,F 2AG ...— ® 2 (o L(aG- Sb tST5 TIM 2 c,To21f W l-r4 S pant t elf sm Iblz . VtEus �{Lpw1T VlFl�7 .. ego M Aoz 5T� _. - .. TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 069 GEOBASE ID 22038 ADDRESS 580 MAIN STREET (HYANNIS- PHONE Hyannis. , ZIP i LOT 1-7 LC BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 13069 DESCRIPTION TIBETAN MANDALA PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 CONSTRUCTION COSTS $.00 I 753 MISC. NOT CODED ELSEWHERE * BAItNS,1,ABLE. * I M�RSS. OWNER BRENNER, NELSON TRS 163 Ep ADDRESS CANE REALTY TRUST PO BOX 226 BUJ L�DIVISION7 SHARON MA DATE ISSUED 02/02/1996 EXPIRATION DATE��� d The Town of Barnstable �==i o. Department of Health, Safety and Environmental Services • aerners ate a Binding Division d 367 Main Street,Hyannis MA 02601 fee -�s 00 Application for Sign Permit- Applicant: �`/ � % YOAl fi /Z Assessor's no. &0',:�'-o cl; 7 Doing Business As: Telephone Sign Location . . street/road: f9D <7 �✓ l�� LA2 - (�� Zoning District Old King's IEghway District? yes now , Property Owner Name: h�LSDi l 66S� C- Telephone Address: & )0. 6 , !9 Ih- na/'l Village P-114 ,�— Sign Contractor Name: Telephone Address: 2 IK ff S/• #,OAIW/S, L- >t Village Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sig to 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 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 Signature of Owitkkuthorized Agent Size s .ft. 9 Permit Fee Sign Permit was approved: disapproved: ,1 Date Signature of Building Official kAVI ` C-IW14 OF BARNSIABLE _ SIGN PERMIT PARCEL ID 308 069 . GEOBASE ID 22038 ADDRESS 580 :MAIN STREET (HYANNIS PHONE Hyannis �, ZIP - LOT 1-7 LC BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 13069 DESCRIPTION TIBRTA,N MANDALA PERMIT TYPE BSIGN TITLE SIGN PERMIT J CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES:. $25,00 �THE BOND. QD CONSTRUCTION COSTS 53 MISC. ATt3T CODED..ELSEWHERE * HARN3TABLE, • � MA83. � (}tf NER BRENNER, NELSON -TRS �>tbg9. ADDRESS CANE REALTY TRUST PO BOX 2.26 BUILDING DIVISION , SHAR(3N IAA /BY a /'. ,a r t , .� DATE ISSUED 02/02/1996 ' EXPIRATION DATES-_' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-. CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE:WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND.MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT j 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- , INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. , I YI Y1 I CM II !I BUILDING I `M PERMIT II f Y( I +I II II V y� `I I Engineering Dept. (3rd floor) Map P,3 0g Parcel CGL3.o0l Permit# - o�0 3J House# � (�� Date Issued oor - - ' Fee �''Wlv�i ���lIY�3�}�1�t6(a.T��-R_ 1 7•n�)��r� - Pl—affiRiNg Pept HE, 19 MASS. 359. OF BARNSTABLE 'E° ilding Permit Application Project Stree ddress 590 *IgA/lj 5 t'.. Village P.o: 12>a-A 2 2 fo Owner "m- agAL,T-yt "TRc)�-t 1 Address S"44DN, - -7 Telephone _79'1- 78.4- - -6728 Permit Request KEP AI R VA afAGr 4°► _� e/ A FPez-- t D Aej` 5 W AF`�' REFAAME RccP AN: A T TtC i StWia.)Au--y A 1?1_ywaq? 46;vr -5,w�II-)� First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ S, 0CP0 i*_' ' Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No G�i2K f N A PT-4 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units F oNcy Age of Existing Structure Historic House ❑Yes No On Old King's Highway ❑Yes ❑No Basement Type: ;4 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: '2 Gas ❑Oil ❑Electric ❑Other M Central Air ❑Yes ANo Fireplaces: Existing ytilF- New Existing wood/coal stove ❑Yes f [No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) 1�(None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal#. Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name �� j Coo��-/ Telephone Number 7- 73 Address 2_3-! ldoAlTt �1.,- License# 0 4-4-57 7 /L/A a 24- 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 U f A P 5 SIGNATURE DATE 2 ? BUILDING PERMIT DgE�NIED FOR THE LLOWING REASON(S) al1�,* ,� r " F ' FOR OFFICIAL USE ONLY Al PERMIT NO. DATE ISSUED r _ MAP/PARCEL NO. ADDRESS r ` _ VILLAGE ' OWNER DATE OF INSPECTION: FOUNDWI IQN ' ! ! r f + • t FRAME `-7' INSULATION z FIREPLACE r , ELECTRICAL: ' ROUGH f FINAL A PLUMBING: ROUGH :• FINAL„ GAS: , ROUGH :•FINAL{ FINAL BUILDING J r ' r ' S y r DATE CLOSED OUT ASSOCIATION PLAN NO. = {' The Cf1111111f1111"C1111h of Aftissachusals A Department of Industrial Accidents . � t J7=901AMOSV921/517s 600 11'a-01h1rrun Street Busto►l.Maas. 02111 Workers' Compensation Insurance Affidavit Alinitcant informations Please PRIM Z. name OA44,5 cz�Lc-I4�2 location- Cit.,- 4 f JA- e—n V, nhnne,� -� 6�7— 4 23 I am a homeowner performing all work myself. ' I am a sole proprietor and have no one working in any capacity [j I am an employer providing workers' compensation for my employees working on this job. contn:rm•name•: address• i ' ' • _ city- nhonc#• , insurance cn. noiict•# Cj I am a sole proprietor. general contractor, or homeowner(circle arc)and have hired the contractors listed below who hz e- the following workers' compensation polices: comnanv natnc, ' adrlresc� city nhonc 0: incnranrr rn. nnlim.tt comnnn% nautc• addresc� ritt•� nhonc#: _- _ insurance co Holier 0 Attach additional sheet if necessary -� - --+ �;;: — '" �'�^ �aYtl.L`—ae•.w.�-'r�. F:tilurc trt s, curc cm-craec as required under Section:_°A of,'%1GL 152 can lead to the imposition of criminal penalties of a tine up to$1.500.00 andiur unc years,imprisonment:rs ttcil:rs civil penalties in the form of a STOP WORK ORDER and it fine of S100.00 a day against me. I understand that a copy of this statement mac be forn•arded to the Office of investigations of the D1A for coverage verifieanon. 1 do lrercht•tariff under the pains of d pen tics of perjure•that the information provided above is true and 9prrect.. S i_naturc Date �- Print namc JAM�s ��'7 Phone# ©t— G�7— + ?73 ' •ritc in this area to be completed by tiny or town official of�rlciai osc only do not%i ` city or town: permit/license if nttuilding Department 01-icensing Board 0 check if immediate response'is.required ❑Seleetmeds Uff'cc A c:11lealth Department phone 0: rnUthcr t: contact pcnon: — .. r Information and Instructions " Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* ccullpenfiation for employees. As quoted from file "la��". all empluree is defined as every person in the service of :Inc►tiler under an\• contract of hire, express or implied. oral or%vrincn. ., 11 association. corp,Orat101 1 or Other leLal+entitv•'or ally two or me partnership.art �. An c nip/nl cr is defined as an individual. p P � �'�s ��� or the the fore,oin�g en�,a�ged in a joint enterprise,and including: the legal representatives of a deceased employer. receiver or trustee of an individual , partnership. association or other legal entity, employing employees Ho\\,eti owner of a dwellinghouse having not more than three apartments and who resides therein. or the occtupail of the d\vclling house of another who employs persons to do maintenance , construction or repair work: on such dwelling_ ;i: or oil the;,,rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio\ MGL chapter 152 section 25 also states that ewcry state cur local licensing agenc}� shall withhold the issuance or renewal of-a license or permit to operate a business or to construct buildings in the contmonivealth for uny applicant who lies not produced acceptable evidence of compliance`with the insurance coverage required. Additionally. neither the comnlollwealth nor any of its political subdivisions shall ether into any contr= for the performance of public wort: until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please full in the workers' compensation affidavit completely, by checking the box that applies to your situation zinc 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. Tile 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 require to obtain a workers' compensation policy. please call the Department at the number listed below. . Citv or•Towns Please be sure that the affidavit is complete and printed legibly. Tile Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P1, be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner the Department by mail or FAX unless other arrangements have been made. The Office of IM,esti=ations would like to thank you in advance for you cooperation and should you have any questic 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 investigations 600 Washington Street Boston, Ma. 02111 fax R: (617) 7 Z7-7749 phone =`: (6I7) 727 '` 00 cut. 406, 409 or 375 p. i S�RcP cotJ Or- t&)©acK (JI c-(- geO V t D6 I]64T EST ae )6mo"514 p—, 7H,5 - 2r4 4- iCX70P-10RC 5-rc)D5 1 PAm CA" /24OPfiZ V e4'-: sTC-'C- /rJsuc 1 P P A td.P64e 9 &-1 F-I R4E V 14.f yL._ 2 �,00e �2�M�i�-� WPcAce- « DqeAcllle�l> B-� )=12C- f t� f PPI, 16 1�e - --- -M_ pg-cv'iT--Ae l=c.A-(- av--te`uo2 WA-u-sr CM-cc44 WILL, PRZWID� 15PAc4g- Fo/Z uvri-36- ,WoA4 wrN,)aJ:p i I(a F-P.Q*A 6OD 'L F P4N .Y1(® eta Dec. Ila I�f4a a C- AP a JIL rok.'s VA ' CA�OS&T APT LAD®Zf4- - WAU. IEPCAA tee ! 2�� P 16 tt)® D.C. f j F—t, APT � . t•too � ' I ------------ , X r I/.��#tea -__-__--•� ® T rt , - 5�°� -MA lei s�t", ��� - -�` A 1 The Commanircllth of:ltassac•1luscas Departmcirt of ltadrestrial.4cciderrts ®MICE 9f1ffFZS&g.7tIM7S 1 i 5 - -4i• ' ` - %. 600 if Qshbi intr Street �•a' � �/ISlU1t•1ilass. (12111 Mlorkers' Compensation insurance Affidavit .y }�, •dl?D(s:int infortnatirin• Please i'RINT'1�^ilil'�'°�'°"'"'� M-"����----r- �- "^ oamc. . 1< C • lt�c;:tion. � f`Ai�•[o'� 51� ���A-�'�'�5 , tit". CS nhone 0 6q 7^- (Q -73 (] 1 am a homeowner performing all work myself. ' I am a sole proprietor and have no one working in any capacity .... .. .iwer -.�s.�_. ..sr—�..Yso...lfw"�aoer+l7vr��.r7•M.. a,.�� �e�esw..mww�.n p..gwsr.r-®.� [I I am an employer providing workers* compensation for my employees working on this job. • c m t::nt• Hume• •. . adtirrsst � • .. flt�.. nh000�• ' ..' . insttr:tnce cn• nniict # 1 am a sole proprietor. general contractor, or homeowner(circle atte)and have hired the contractors listed below who nave the following workers compensation polices: F * s mmmitty ontoc adtlrrcc: . tit,.. . . ,, �rhnne et• inciir�ncr rn. nnlicv 0 mmnam' nnmr �eldrrsc� rites nhnne incur:ncc co nniicy# Attach additional Sheet if neeesiary _ --�_ ••.;" — "'r —T• ;;;;�:.,—, _;,;,,;,,�,;, Failure to secure diver-nuc as required under-Scctton.SA of AIGL 15:can lead to the imposition of enminal penalties ol'a lineup to S1.500.00 andiur one+cars•imprisonment as spell as cit•il pcnaitics in the form ofa STOP WORK ORDER and a fne ofS100.00 a dae•against me. 1 understand that a cap)'of this statement ma% be fonenrded to the office of lnvcstiz2tion3 of the DBA fur coverage verification. I do herebt•Certify under the Pat.11s m d pen tics of perjun•that the information provided above is trace urtd tracr. ; Si_nature Date Print name J aM�s �LLl F_2 Phone ft ©�-- Gq7^ (?73 officialuse unlp do not agile in this area to be completed b} city or toeen official cin or town: permit/license# .IBuilding Department ®Wccnsin(;Board tt cheek if imtncJiatc response is required ONcIcetmen's Offier k' ollcalth Department phone rlOther °contact pcnnn• --- s f'' _ 34741 DEPARTMENT 0*- PUBLIC SAFETY 34741 ONE ASHBURTJN PLACE, M14 1301 BOSTON, MA02108-1618 Jtz a, .� i 1° G CONSTRUCTION SUPERVISOR LICENSE ) Number: Expires: . Restricted To: 00 JAMES W COLLIER JR *_ Di_tach bottom, fold sign on 239 NORTH STREET � • ` back, and laminate license card. BRIDGEWATER, MA 02324 Keep top for receipt and change of -addrF:ss not:i.f'.ic:ation. I r . L meermg or) Map .308' Parcel CV641- C.01 " Permit#• 30VO a y House# Date Issued 50 I 7 0 " CP rr, Board of Health(3rd floor)(8:15 -9:30[1:00- e 'r 8:30- 9:30/1:00-2:00) - yY _o�.�.w ,:--.� ol Admin. Bldg.) �iME —�—� �1PPLIC 'ing Board 19 CONNE ARMM.THE ENGINE TO � U i639. Eiu TOWN OF BARNSTABLE Building Permit Application 'B Pr oStAddress nml") S- W-I AJO l!5 ApA21-wa,3 aF Village WIA-+JktS h1E($_10N Owner OA"e,_ Address -54A/Le;I.I, MA : 02,0(11 ,0(o1 -Telephone Permit Request ROA RA.Ar- -6 PAR--, VT eoN5 old �-_PLt o flL . 6eoAre Pc yo& -$GDg-cyk lt,3 �TT(G S�=}G� Gtl17El 5"rAl2 'FROh( (ST � � �n�D F, L First Floor square feet Second Floor a S square feet ^Construction Type 00 Estimated Project Cost $ 2,OCO W 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 ;4 Other C0P C-1Z6'T6 5GA8 0/3 G{ZAD457 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 !!-- Builder Information J Name F},� W 6 C am-t Telephone Number 5bt— 619 7— V?73 Address j9 020- w License# Q Ai4 J `J l Da- wq--2, MA O 2°aZ4-- 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 7 �� BUILDING PE IT DENIED FOR THE FO OWING REASON(S) l� - FOR OFFICIAL USE ONLY -- ' e � t j ,-, '}. '' - • Y .' ,,.' -i . - . ,' s fit. PERMIT NO. _ r ATE ISSUED is MAP/PARCEL NO. ADDRESS VILLAGE sf = OWNER DATE OF;INSPECTION: _ FOUNDATION FRAME t t INSULATION FIREPLACE - - ELECTRICAL.:' ROUGH F. FINAL PLUMBING: ROUGH FINAL f GAS: - 16flU-G'� -t FINAL 25 FINAL BUILDING Z "! ^ i w.• e DATE CLOSED OUT�p ASSOCIATION PLA15af 7=OMA4Pmdial TableJ3.Z.2b(continued) Ps an ptlre Packages for Oae and Two-Family Resideaefai Buildla;s Sewed with Fad Fade MAXIMUM MINIMUM Glazing Q1a2ia8 Ceiling Wall Floor gam - Slab Heubwcooag Arm'(K) U-valnc R vale R vdue' R.valuej Wall Phimctw Spipmew E Px*w Rrvalue' R-wuw 5701 to 6500 Headnq D Daw Q 121E 0.40 _ 38 13 19 10 6 Normal 1t 12%. —0-52.__ 1 30 19 1 19 10 6 Normal S 12% 0.50 31 13 19 10 6 11!iAFUE Tr15% 0.36 38 13 23 WA WA Normal U 0." 38 19 19 10 6 Normal V 0.44 33 13 2S WA WA 83 AFUE W 032 30 19 19 10 6 13 AFE. X 12% 0.32 38 13 23 WA WA Normal Y 12% 0.42 38 19 25 WA WA Normal Z lave 0.42 38 13 19 l0 6 90 AFUE AA 1BY. 0.50 30 19 19 10 6 f►FUE 1. ADDRESS OF PROPERTY: D 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: z on 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): _LLLL� S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTO OVAL: YES: NO: il-forms-f980303a 780 CMR Appendix J . t Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requitement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. •%. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the'sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces, basements, or garages). Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs. Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. ' b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an'aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). e) If a ceiling, wall, floor, basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. 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M 2 ..... ...... ..... ..... ►�G�E ..........................,............. ........................................ ......................:... .......... ........................... .......:.... ......... ...... ............................................. I' ........ ...................................._!.......................... ....................... .... .........::... ...:.......... ...... .............. ....:.... ..............;.............. ..............................__............................. . ,..._..........................._'................... ..... ..... .... ..... ..... ..... ..... ...................... .... y.. . ....:..... W ..... .............:..............:.............,............................._2............... 1-tro4 -..P. .............:.............:.............:.............................:...........................:.............. .................................. ...... ..... ..... ...... ..... .............:.........................;....._....;.............;............. .............. ...... ...... .....:...........:.... ....:.... ......... ......... ..........................e......................................... ...... ..... j .... .............. ...................... .... 1�F T 5 : ,.... ..... ...... .....,........ .... 4 MAY I49P Thc• Contnromn-cuh/i of Affissuchusctrs t:! Department of Industrial.4ccidcnts • 'r t / 1{ram Office of19=1ga1109S `•,�jl;la �';,J 600 ff'as/ti t'tu,t Street Bn-vu)m Alas. 02111 Workcrs' Compensation lnsuranec Affidavit i li :i�f rntin n• --. Pf P — - •--- ------ r cat• n� � a q �. hnn• S?0 ❑ l'W a&meowner performing all work myself. zooll am a sole proprietor and have no one working_ in any capacity 1 am an emplover providing workers' compensation for m}•employees working on this job. comnanv name, addresr. . CO.,— nhnnc f!• incurancc cn. _•Itnlicv d f-am a sole proprietor. general contractor,.,or homeowner(circle ore)and have hired the contractors listed beiow who rz% the following workers' compensation polices: comnnri Warner atltlrrcc' gin•- nhnnc 0: incnrnnrr rn nniicv# cmmnnn nnmr* adtlrrcc� rite nhnnc ft• incurancc ro nniicv# Attach additional sheet if neceiiary--- -1 Failure to secure coveraec as required under.�ectton:-4A of MGL 152 can lead to the imposition of enmtnal penalties of a lineup Io S1.500.UU andiur unc�cars' imprtsonment as%cell as civil penalties in the form 0172 STOP WORK ORDER and a fine of SI00.00 a day against me. 1 understand that a cops of this statement mai be furnvarded to the Ohre of Investigations of the DIA for coverage verification. 1 do herchv ccrri v voider the pains and penalties of trjun'that the information provided above is true and correct. SiLnaturc C Date _ �+ Print name �J 'Q ( �� Phone# �y'l�9 7 - // `7 3 ofticiai use unh• do nut write in this area to be compacted by city or town otlicial t city or town: permit/license d r TUuilding Department 01-1censing fJorrd L c: check if immediate response is required ❑Selectmen's Ufrice r Eticalth Department contact pen-tin: phone it• nQthcr Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' cc,mpensatian for employees. As quoted Isom the -law-.an employee is defined as every person in the service of :rtuother under arty contract of hire. express or implied. orni or wrincn. An enzpinrer is defined as an individual. partnership. association. corporation or other Icual entity, or any two or ,n: the foregoing endanued in a joint enterprise. and including the legal representatives of a deccasctl employer. or the receiver or trustee of an individual . partnership. association or other legal emity, employing employees. Howe,.,- owner of a dwellings 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 work on such dwelIin�g or on the _-rounds or buildinL appurtenant thereto shall not because of such employment be deemed to be an empio. MGL chapter 152 section =5 also states that every state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commonwealth for any a,�plicant 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 been presented to the contracting authority. Appiicnnas Please fill in the workers' compensation affidavit completely, by checking the bo:: that applies to your situation arc 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 diould be returned to the city or town that the application for the permit or license is being requested. not tile Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are require to obtain a workers' compensation policy. please call the Department at the number listed below. City or I'0�1'n5 Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottor.: tite affidavit for you to J-1_I1 out in the event the Office of Investigations has to contact you regarding the applicant. P' be sure to fill in the permit/license number which will be used.as a reference number. The affidavits may be returner the Department by mail or'FAX unless other arrangements have been made. The Office of Investi=atioils would like to thank you in advance for you cooperation and should you have any questic Please do not hesitate to _give us a CZ11. 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 r: (617) 7?7-7749 r I' . The Cannrranll'ealth of:lfassachuscin Dcpartnrcfrt of Industrial Accidents ,. ;:mot►~ ./ Olficeaffiff lgallaas •;\flit:#' rr 600 !t a.vNitmutr Street 4: Busttm.Alas. 02111 V1'nrkcrs' Compensation Insurance Affidavit t rnt ton: ^ ' c•# n• V o� a c� `. nn•+i Iam a&meowner performing all wort:myself. jrol'�arn a sole proprietor and have no one working_ in any capacity [1 I am an entplover providing workers compensation for my employees working on this job. cnntn•tov n•rme* addrett• cits•• "bone/!• incurnnre cn n"iicv a f-Sm a sole proprietor. ;encral contractor, or homeowner(circle atte)and have hired the contractors listed below who r:l%_ the following workers compensation polices: comnnnv n none �tirirr�c• cin "bane�• incur-incr rn nniirt t! cnnlnnnx' nninr• addrrtc� rlt\" "bone#• incor•:nce co policy if - ___ Attach additional Sheet if necessary -R - --+% �;;:. •^ '^" "' :a:r_= '-:`.;. Failure to secure covcmac as required under Section:-5A of NIGL 152 can lead to the imposition of cnmtnai penalties 01'2 line up to S1.500.00 andiur une s cars*imprisonment as scell:1s civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a dap against me. 1 understand that n cope of this statement ma► be fursrarded to the Office of Investigations of the DIA for coverage verification. !do herehr certi r ntiziler the pains and penalties of erjun drat the information provided above is true and correct D 3a� _ Sicaaturc ace -7-•�.Print name �J ( _ t� Phone#± 7?—69 q 1 — �/ -/3 ' oflicinl use univ_ do not write in this area to be completed by city or town ot7kial �� tit}•or town: permit/license 0 r'ttluildine Department f I=lrcensinr Board t check if immediate response is required 05eicetmen•s Office t �. c3ticalth Department �. phone0: rJUther. contact pen-on: phone -O. i fie �arn�rcanurea a�i�aaaac�iuJell DEPARTMENT OF PUBLIC SAFETY CONSTRq-..T ON SUPERVISOR LICENSE Number Expires: --- --- Restixt�ed To-. ': 00 MES W'COLLIER jR 239 NON"STREET BRI.DGEWATER, MA 02324 i YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. C DATE: D�'' �� v Fill-in please: APPLICANT'S YOUR NAME/S: M,�2� ►L- 4���c�. B�USIN�/ESS[/ YOUR HOME ADDRESS: SAyAr 2D . El TELEPHONE # Home Telephone Number Sf t T14- s"91- S 2eSALlt,-114 NAME OF NEW BUSINESS 4111 TYPE OF USINES W6- 0.4v So eS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS T' .0 lAY+crr Sr ', 4Y,401j MAP/PARCEL NUMBER ] �Cl dC , (Assessing) 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. You MUST GO TO 200 Mhin St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally,operate your business in this town. 1.. BUILDING COMMISSIONER'S OFFICE This individual has bPapr+�tformed of any rmit requirements that pertain to this type of business. _ Authorized Signature** COMMENTS: 2..20ARD OF HEALTH This individual ha ben info d of the permt requirements that pertain to this type of business. (AA If Authorize ignature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY//JJ�� This individual ha � n infor. of the lic_eng r�rqiretsthat pertain to this type of business. Authorized Signature** COMMENTS: 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -A" Map a Parcel ® 0—CV/ Permit# t1rt1 Urtii;raIF u'i.E Health Division Date Issued 7 Conservation Division 2004 APR —8 AM 9: 28 Application Fee . � G. tJ 6 Tax Collector Permit Fee CQ Treasurer DIVISION Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 27-1 I Y' Village '7TS Owner Address a2,2 A-t ®mod—(jZ Telephone TO T"3 Permit Request ��`�/�i� � 7�Td-t! T Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No 'On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing O new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION F Name br A 76—. 1'ke Ir I7 ���f`f Telephone Number Address s License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO NATURE DATE "��� FOR OFFICIAL USE ONLY - PERMIT NO. F . - DATE ISSUED101, , MAP/PARCEL NO. 1: ADDRESS VILLAGE OWNER DATE OF INSPECTION: 1 {` FOUNDATION FRAME 0 INSULATION FIREPLACE ELECTRICAL:, ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL,. � F FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r s etc 11 R � Rooms �- AsIckslulp ' i Hyannis Main Street WatO'`erfront S Historic > �� . _ District CommiMASSssion .�q 230 South Street �fDNu,,�s Hyannis, Massachusetts 02601 Phone: 508-862-4665/Fax: 508-862-4725. CERTIFICATE OF NON APPLICABILITY pplication is hereby made,In triplicate,for the issuance of a certificate of non applicability under M.G.L. Chapter 40C, The istoric Districts Act, for proposed work as described below and on plans, drawings, or photographs accompanying this )plication, (PE OR PRINT LEGIBLY G DATE DDRESS OR PROPOSED WORK.S 90 1"941Y #V41 jm7s- ASSESSORS MAP NO. 3 o$ JVNER ASSESSORS LOT NO,_a 6 )ME ADDRESS v-;i-(I I)a S'��~MdPe -Al7 EL. NO. SENT OR CONTRACTOR C4 I - ZQ? _ 8 )DRESS TEL. NO. is application is for exemption of proposed exterior construction on the ground that: (1) It will riot be visible from any way or public.place. . . (2)It is within a.category declared entitled to exemption by The Hyannis Main Street Waterfront Historic District Commission. (Check applicable box) OPOSED WORK: Describe.and furnish pian'of propased,work,.shoy✓i:ng location ?wing.location bfexisting_building. on lot, and if an addition is involved, _ SIGNED e below line for-Committee use. owner-Contract r-Agent rived by H.D.C. The Certificate is hereby 7 b -------------- Date :)ved ` i Hyannis Main Street Waterfront Historic District Commission ' 230 South Street Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725 SPECIFICATION SHEET FOR SIGNAGE Prior to filing your application for a Certificate of Appropriateness, please contact Gloria Urenas, the Town's Zoning Enforcement Officer, at 862-4036 to discuss the amount of signage allowed for your building, as well as any other Town Sign Code regulations which may affect the sign(s) you propose to install. Even if you are applying for the same amount of signage as was previously existing on your building, the laws may have changed since that sign was installed. Once you have applied to the Hyannis Main Street Waterfront Historic District Commission for a Certificate of Appropriateness for signage, you may apply to the Building Department for a temporary sign permit.. The Building Department can provide all information regarding the temporary sign permitting process. BE SURE THAT YOU HAVE INCLUDED WITH YOUR APPLICATION: • a scale drawing of the proposed sign • color chips for all colors on your sign • a photo.or scale drawing of the building on which the proposed sign location, as well as any light fixtures proposed to light the sign, are indicated • a scale.cross-section of the sign, with dimensions, showing edge detail • specifications for any light fixtures proposed to light the sign • a scale drawing of the sign bracket, indicating dimensions, color, and material Please fill out all information requested below. If you are applying for a Certificate of Appropriateness for more than one sign, please fill out ONE SPECIFICATION SHEET FOR EACH SIGN. Size of Sign 5?�r X /0? Material(s) of Sign Ora YL Material of Lettering (if different) 7W rvvYL Z—C 7�1nV The Sign Will'Be (circle one): carved wood / painted wood /vinyl lettering other (explain) Location In Which the Sign Will Hang Will-there be exterior light fixtures to light the sign? ' g g If so, what type of fixture? /,e5ZeV r(,f'f el-?t ��.• .__ _ _. /�/'/ k�/. Ln .ram _ /VvT-T- zr The Commonwealth of Massachusetts _ - Department of Industrial Accidents 660 Washington Street J Boston,Mass. 02111 _- Workers'.Com ensation.•Insurance Affidavit-General Businesses - name:I , address: city /T%/��O` state' zip- Phone# S � work 'te location full address)- I am.a sole proprietor and have no one Business Type: ERetail[]Restaurant/Bai/Eating Establishment working in any capacity. 0 Office❑ Sales(including Real Estate,Autos etc.) ❑I am an employer with r etn to ees(full& art time ❑Other %% %/%//%%%%///.. /i//, G�%%%�%//�%%/%///////�///%%/%%%/%%/ I am an employer providin-g workers' compensation for my employees worl�ng on this job. com'-gn ;name• i, F 'e'ss ar as r' oli - I am a sole proprietor and have hired the independent contractors listed below_who have the following workers' compensation polices: coin"eu n'snie' address:. one - :. - - li #.� C1tV P — ' insuranceco....: ..::•-::_:.:...._ <.:� ...: . .. .:. . .. _ .... : .:,:;:::.•:.:..: .:.. .... ..:.. . .. ..:.:. ... :. •. .•:.. :. .r, con en• nande• cfi :P11onE 1#e insiiran� 000 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$1,500.00 and/or one years'imprisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that g copy of this statement may be forwarded to the Office of Investigations of the DlAfor coverage verification. I do hereby cert' under thepains and penalties ofperjury that the inform ation provided above is true and correct Signature Date �T Phone Print name # .S•� jg�T� I EO nly do not write in this area to be completed by city or town official : permitthceuse# ❑Building Department ❑Licensing Board mmediate response is required ❑Selectmen's Office ❑Health Department on: phone#; ❑Other 03) Information and Instructions Massachusetts General Laws chapter 152 section 25.requires all employers to provide,Workers' compensation for their employees: As quoted from the f'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 mare of the.foregoing engaged in ajoint enferprise, and including the legal representatives of a deceased:mVloyer, or the�receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having.not more than three apartments and who resides therein, or the occupant of the,dwelling house of - , another who,employs person 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 bean employer. MGL chapter 152 section 25 also states thatevery state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.cornmonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required: Additionally;neither the cornmonwealth 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.. Please supply company name, 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 b�e 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 lice 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 No of ImsdvaNns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext:406 COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $100.00 Alterations/Renovations $50.00 0. Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0061= ALTERATIONS/RENOVATIONS OF EXISTING SPACE i square feet X$96/sq.foot= X.0061= Q • O 0 STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0061 Commprojcost TOWN OF BARNSTABLE '- -`` SIGN PERMIT PARCEL ID 308 069 GEOBASE ID 22038 ADDRESS 580 MAIN' STREET (HYANNIS PHONE Hyannis s ZIP 02601- LOT ' 1-7 LC BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 22022 DESCRIPTION RODNEY'S BOOKSTORE (18 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: f, and Environmental Services TOTAL FEES: $25.00 BOND $.00 CONSTRUCTION COSTS $.00 F 753 MISC. NOT CODED ELSEWHERE * ; * BARNSTABLK • MASS. OWNER ABUDI , JUDITH ,1639. A� ADDRESS FD M UILDING D.IVI ON- Y �� A./�� DATE ISSUED 03/26/1.997 EXPIRATION DATE �� I ---- ---_ ------ - ----- ---—-- -- - - _---�I The Town of Barnstable , De artment of Health Safe and Environmental Services "9 7 P Safety HAMBuilding Division 1659. 367 Main Street,Hyannis MA 02601 J. Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit .jU _ �} Applicant: S4j,w " , Assessors No. ' Doing Business As: ''ie `to�� Telephone No. �7 96 '3y��' J l Sign Loc a ion 5-80 I /�y�/I/A/ /T Y► t G� G/ Zoning District: - Old Dings Highway? Yes 'o Property Owner Name: 1Ve15b-1q gre n►ice Telephone: J Address: (�t •® eCP< 2 2(z; Village OC4 a i^a n 02067 Sign Contractor < /�� Name: a tv `~ Telephone: -77 — �0Z Address: o W/f1iv 67— Village: �� & Description Please draw a diagram of lot showing location of buildings and eMasting 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? I es/ 10 emote:If j es, a ;nmffpermit 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 constriction shall conform to the provisions of Section 4-3 of the Town of Barnstable g Or ance. Signature off/Authorized Agent: \ / Date: Mirc 4 Size: Permit Fee: '12S �J Sign Permit was approved: Disapproved: Signature of Building Offici Date: - i9 - 9 7 wow 5 ' VFW c �✓�rnerv�s �v�,5 � � G� 1 ` dA parK a[36)) w.� �at� a lo� 1�ao~P�.e�erS i i - - � am A x �•f � .� '1� P • rvn /G +/ '�^ �%��7 i � � � ��j i �� ii r �� ✓ jC i .,\ 'Village Fud ,Tr- 1 Y' � .• ._ .�-� --r... •''v- ..�Y ...u�rr.�-r-•-...'._.�"s-'...�.iay'1� SALT�"TER TA fib � r3� 6x . \� t . ��. �� , �� r°r �A F: y� ` � ��, . T �� rJ - J!Y G j J_ Yr, �i Jr� y:/ i �, ;�. ��y J'^ .>.s..`U, /� `` /,h r� �- i v' � , �G �. l� \ -�1 I► 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION •r.� �Gti Map Parcel ` Permit# �c5/ Health Division ; IDgves ` ( S9 2 Date Issued G Conservation Division Application Fee Tax Collector Permit Fee O Treasurer APPLICANT MUST OBTAIN A SEWER Planning Dept. CONNECTIO PERM!T FROM THE ENGINEEIii.. , DIVISiON PRIG;t TO Date Definitive Plan Approved by Planning Board CONSTRGCTIU Historic-OKH Preservation/Hyannis Project Street Address Village Owner gel,5ai 13/2je-N N ex QETr-{ /R09`Address SYAP— 0;N. HA 02 y6Z Telephone 79 (— 79'4— — 3 72 Permit Request ��Jic.7j� 2�c4 5r� �',�PT�� , (�+�®•c� �t�i-t�� KGT � sP/ c 'A;50 avid -/.Wo PcAsr�� - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay *roject Valuation 1.900 0 ou Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full VCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use i BUILDER INFORMATION Name 1 Telephone Number8� �'Z ' � Address d ' O 0 License# 7 ci Home Improvement Contractor# U :2, �7 6 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO OP -- SI i C, 5) U1MP 5 T r P SIGNATURE r DATE FOR OFFICIAL USE ONLY low - ; r PERMIT NO. } t ,. .t DATE ISSUED t ; MAP/PARCEL NO. ADDRESS r: _VILLAGE , OWNER DATE OF INSPECTION: FOUNDATION FRAME O h INSULATION J FIREPLACE ELECTRICAL: ROUGH FINAL q PLUMBING: ROUGH FINAL-, ! Y GAS: ROUGH':r s FINAL•- 5 t r. FINAL BUILDING f,t DATE CLOSED OUT• Y ASSOCIATION PLAN NO. 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Faiba a to eeeo=s w+sar o=e4�a 8eetiaa 2SA otMtD.252 eaiead to floe taaPelaitlaidao�6aai pemitis o[a tlaa up to Sl.S0a.00 aadlar ons yam, as wea as"Pe UWM is tha form of a Slar WOBS OBDFB aaat a tme o[iitia a0 a day atatmd ms Ita� the:a aw of tbu Stdanud=gy be forwardad to W QMce of Lwad;dlow of tba DUlor.cw"=P"mdbdm I do hccby cet'y u�the pia oasaT pQjury aid A-infirm Pwa dalm is ova�d aorrrd Date 2 260 ©4— - Sigaat�s ' —,-'—'� Print name JAR til G' 'Z-c�1 2 Phame# q' ofl clal use only do•not wttte in Ws am to ba completed by city or taus oi'add P � • ❑B�dia;Departam't city or town: ❑ISemanC Board res �g�en'e OM= ❑e]zrddtPo"ra� d ❑HesithDep contact person: pbaoa M; — ❑Other (tiv�n V/9S PlA1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation forthar employees. As quoted from the."law", an employee is defined as every person in the service of another under any caml-= of hire, express or implied, oral or written. An emplover is defined as an individual, parmership, association, corporation or other legal entity, or any two or more of 37 the-forezomg engaged in a joint enterprise, and including the legal represm Ives of a deceased employer, or the ter.-n•e: stee of an individual, paimmship, association or other legal entity, employing employers. However the owner of a tru dwelling house having not more than three apart:ncmts and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, canstructica or repair wm k on such dwelling house or on the m,,Unds cr building agpuitenaat thereta shall not because of such employment be deemed to be as employer. MGL chapter 152 section 25 also states that every state or local,licensing ageney.shall withhold-the.issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neid, the cammoaweaith nor any of it's political subdivisions shall enter into any contract for the performance of public wort~uadl acceptable evidence of compliance with the insurancercqqircmc=of this chapter have b=presorted to the camaactin_ authority. . ' 'Applicants Please fill in the workers' compensation affidavit completely,by checlaagthe.boxthat applies to Your and lying company names,address and phone mmmb=along with a ceriificate'Of**+�*�+�as all affidavits may be supp.submitted to the Department of Industrial Accidcnu for ofbsutatux= age• Also be sere'to sign and date the affidavit The affidavit should be.rc, ed to the city ortownthatthe application forthe pc=it or license is being sequestod,not the Department of Inthzt dal Acci lcaM Should Y. have W questions regarding the"law"or if you. are required to obtain a woxicers'canpeasatioa policy,Please c$Il the Departme�at the number listed below. �/ /n/ City or Towns Department ded a space at the bottc�of the Please be sure that the affidavit is complete and printed legibly. The Dep P please affidavit for you to fill out in the event the Office of -has to caa#act you regarding applicant. a sure to fill in the peimrtliicrose number which will be used as a reference number. The affidavits may be retained to the Department by mail or FAX unless other arrau=cms have been.made. The Officc of Invcrtigations would like to thank you in advance for you cooPerata and should you have any questions. please do not hesitate to give us a cal The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Imtestivatiods 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ezt. 406, 409 or 375 J ✓2. el BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number, CSC 044577 Expires 01f19J2006 Tr. no: 13886 Restricted 0¢. ' JAMES W 270 DARRINGTON'IaRIE RAYNHAM, MA 02767< >> w Acting o miss' ner t f NANO/cr��� ��5'e't•�Gr a LAV h `�} i i C-6 it WAS I s No-r -rt;, SCRLrp- °FtKKE T° Town of Barnstable Regulatory Services B"MASSS, Thomas F.Geiler,Director lFc 39r a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative t ork authorized by this building permit application for(address of job) S _ 6 Si e of Ownei Date Print Name TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ' D(oq— C01 . Permit# Tukp V P W Gwr- sG-k>6YL- Acc-r n1a_ 1 i=;b 4— n Health Division ar Date Issued Conservation Division 4; ee Tax Collector 1 m \ �'FKIrnNT Treasurer I ��lS Jc7 oU111X ION sT R $NI;INE$$[p IT F8o1� g Planning Dept. $ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Erb Wit,) 5 1 14-Y1 om-5 � , ( . �-� �PJ5, f Village A "I AtJY,31:�, NC_LSOa-3 6R_e*)l_e/a *-Mu5-r L P.o� oX 2 do Owner 4A1,4 6_ R-d- AL.T--/ -��o--rr Address Si4AAo J- MA 02.067 Telephone 791 , 7f¢,3729 Permit Request DOMoU69 10 /2-GM®v9 Imo: t �PA-Y f R6.42 OF APi 1 !16 (IRC9 i$ AeOLIF r1 B6T 0 FA -5 MA1 iJ 5 i P��'Td 12�- �o� 41.5 A/�A 'nR.J i' S Lt R.r FT V EGc W 4 L116-k 0 eAU t L,05� SPAr,1A.,,5 , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost , 000 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I 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: V/Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O/Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name J Telephone Number S®k- P 24 5_3 I4- Address AAA License# 0 4+5"77 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Dry � - �U P!� SIGNATURE t DATE FOR OFFICIAL USE ONLY- PERMIT NO. DATTE=ISSUED MAP/PARCEL NO. n 4-17 ADDRESS VILLAGE_ ��, ,. OWNER DATE OF INSPECTION FOUNDATION • FRAME ; INSULATION - ` FIREPLACE ELECTRICAL: ROUGH=t. FINAL. 66 r PLUMBING: ROUGH i- FINAL. GAS: ROUGHS ! FINAL . I r FINAL BUILDING EW , g DATE CLOSED OUT ASSOCIATION PLAN NO. f i C7• a . r Hyannis Main Street Waterfront la ER, ,,,BI,E : Historic District Commission v� `""5 1as� 230 South Street �m j°�ED Mai Hyannis,Massachusetts 02601 TEL: 508-862-4665'/FA3(."508=862=4725 ' b-,lApplication tol i w, ! i -• =:itt. .,.'t7 4.'ii.r`E s(a;l c.. i .`t.i. ii .. <f) 3... .'t;. ,`s,r:a. t ,:dill. ?? ..rjr.:a� F,31? . . rx .,it . :;S . Hyannis'Main Street'Waterfront•Historic District-Co num in the`Town of Barnstable for a;( f=s.;i a, • __.:_ ,{ . • .1 J'. -i .. a �t :J aft 'Csf_. .. ' ,i �3 -. _ .yam ..:✓:�+ -.,i,+. .e �y ,.+lid f:a,;.....r.ir it . .i., 1 a,.:r;i�1;: .. }' f'k4gl CERTIFICATE,.OF,,APPROPRIATENESS::, Application is hereby,made,in triplicate, for the issuance of,,a Certificate of Appropriateness under M. G.;,U: Chapter 40C, ,The Historic.Districts"Act for proposed"work}as described below and on plans,'drawings orf photographs',Accompanying this application for:,' t :i, •; ,),,PLEASE CHECK ALL CATEGORIES THAT APPLY: ` 1. Exterior Building Constriction:`[];New•Building ` ❑ 'Addition ,' (Alteration Indicate type of boil ' g: ❑ House El Garage [ Commercial .?,❑ Other r 2. Exterior Painting: V I i 3. Signs or Billboards: ❑ New sign ❑ Existing sign❑ Repainting existing sign:` 4. Structure: ❑ Fence ❑ Wall El Flagpole Other, PC-C'9K•/CLAIC,6 5. Parking Lot: ❑ New Building• ' ❑.Addition ❑ Alteration (Please see the guidelines for explanation and requirements) TYPE OR PRINT LEGIBLY DATE ASSESSOR'S MAP NO. 3 d b ASSESSOR'S LOT NO. 6 6 1— 001 1 APPLICANT rANl; R e A(.T`Y UST TEL. NO. 791-794--372 . APPLICANT MAILING ADDRESS-?,O- 60 yC 1-9,6 5} PK-00111 MA 02,067 ADDRESS OF PROPOSED WORK P(ecsCii 13P��NE2 `�cy5r PROPERTY.OWNER Calla ?-C-AUTy i+—V ST TEL. NOW 1-794— 3729 OWNER MAILING ADDRESS 6v y, 2 2& GNA9,00, MA: ,-62,0667 FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. This information is best obtained at the Town Assessor's Office. (Attach additional sheet if necessary). AGENT OR CONTRACTOR J AM F 5 w' W W 6eTEL.NO. .5'0r'— g Z+—6 3 1¢ ADDRESS 2,110 JP 9,V a&f'rOIJ V C1 l V6_ R A-14 AA M , MA 02,767 ,rig p �tfir jt. `a.. '� rJ 1'1yt�1 b F3t SfD" ° ,T Z:i`�; � �� I,�t 3 3 ¢•F !� . .� $ f�•� `a �.s.kDeQ... I i t J + ' i_'trF 1 t�t. \e i r".+dt'a'R• jF'„+` DETAILED DESCRIPTION ORPROPOSED 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,-includingmaterials,to,boiusc&df,specifications�do not;accompany plans. In the case of signs, give locations-pf existing,signs and-proposed locations of new signs. (Attach additional sheet,if necessary). -%6 X-ooF er,-Low fi%F, Fir«571p& t 5 ECK- (•,EA KIPG. D�MoLtSH P� Rl M'o .{9�ts-r,��G•;rw � �PR-rro A-T d"t'.I.'ii���J;i�I#�i�.J,6���a~• YY 1.3i ,4-�Y r � G 7t t ' � few.;15� ��1`tuD',�.. nI,/r/✓!1. '+ t,-r� t�O;'}����, !I �� i..I aE�� r�< � .J/�:+,.E'S'^,.St� I� �lf. � !�'. Tt 36-rR ' ''MP439AL A ST oKr✓;;t� FA' S 'M iA/� STD Ti�tS A�et:R . GS1 1 i2 UBBElL 1wor-IJ6'. t✓oN T22�i`GT {jr1Er� P2Es.5c.�� µ]JW 4!5 f4 MLUSI W!� Orr" ¢��.,ptZ �4Ck� ;tSPaGl�Cse �la1.514t...(v t�E-! �I�Iri�I:JM �ILOc�� _��� .�����♦ i .J.i.,J•i.;s j,1; *;,,'.,.J _ F? I Ya„ts„:rai t,v"44 i I_Z:iskrfl a»,t} r �. Signed 7h_.., Owner Contractor.-A ent: I SPACE BELOW LINE FOR COMMISSION USE r t Received by HMSWHDC Date ? t ECNE V t• t ','' t=i „ �'1 �:Y . Time J UN 0 $` 2000 '` This Certificate is hereby} 'TOWN OF BARNSTABLEO-i By HISTORIC PRESERVATIONDIV. ''Date'`" IMPORTANT: If this Certificate is approved, approval is subject to the 20-day app `�enod in",` the Ordinance. CONDITIONS OF APPROVAL: t, t_ 1 lY , r '/' `/ i HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION • *** SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK M I �T2E , 4-tA t3 N FOUNDATION SIDING TYPE COLOR CHIMNEY TYPE COLOR ROOF MATERIAL COLOR PITCH WOW COLOR TRIM COLORC� �%ALD 2 7F17 f JH( F3/Loc�.1� 5T /� DOORS COLOR SHUTTERS GUTTERS DECK &Roa-w. G0 c az -4-r,410 GARAGE DOORS COLOR 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. Direct Abutters List for Map 308 Parcel 69-001 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from November 1999 Assessor's database. Mappar Ownerl Owner2 Address City Stat Zip Country 308068 COHEN,MERRILL S&MADELINE COHEN,EDWARD S 4000 NE 170TH ST Il603 N MIAMI BCH FL 33160 USA \308069001 BRENNER,NELSON TRS CANE REALTY TRUST PO BOX 226 SHARON MA 02067 USA 308069002 BOGLE,EDWARD C 46 BURSELY PATH W BARNSTABLE MA 02668 USA \308072 BARNSTABLE,TOWN OF(CON) 367 MAIN STREET HYANNIS MA 02601 USA \30811 I OOA FIVE SIXTY ONE ASSOC %TEASE 553 MAIN ST HYANNIS MA 02601 USA 30811100B TOSCANO,ELIZABETH M TR P O BOX 15 HYANNISPORT MA 02647 USA \ 30811100C RICE,MILTON L TRS %OSULLIVAN,DANIELF 805 N DIXIE FREEWAY NEW SMYRNA BEACH FL 32168 USA `� 30811 I OOD WOJCIK,JEROME J&RITA A 31 CAPTAIN EAMES CIR ASHLAND MA 01721 USA 30811100E ELI,MICHAEL %ELI,FRANK 569 MAIN ST-UNIT D2, HYANNIS MA 02601 USA _ BLDG D 30811 I0OF KALMBACH,EVELYN TR KALMBACH NOM TRUST 41 NILSEN AVE QUINCY MA 02169 USA 30811 I0OG NAM VETS ASSOC/CAPE&ISLDS P O BOX 2873 HYANNIS MA 02601 USA \ 30811 I OOH NAM VETS ASSOC/CAPE&ISLDS P O BOX 2873 HYA NNIS NNIS MA 02601 USA 308111001 NAM VETS ASSOC/CAPE&ISLDS P O BOX 2873 HYANNIS MA 02601 USA ~ 30811100J NAM VETS ASSOC/CAPE&ISLDS P O BOX 2873 HYANNIS MA 02601 USA 30811 I OOK NAM VETS ASSOC/CAPE&ISLDS — 565 MAIN,ST HYANNIS MA 02601 USA \ 3081 I IDOL NAM-VETS-ASSOC/CAPE&ISLDS - - ---- 565 MAIN ST HYANNIS MA 02601 USA 30811 LOOM KALMBACH,EVELYN TR KALMBACH NOM TRUST 41 NILSENjAVE , ------.— -- � f IQUINCY MA 102161 USA ' Page I oft Mappar Ownerl Own;r2 Address city Stat Zip Country 3-0--8 11 1-0--0-R'-§iL-V-A--,--D-A--V-I—D-E--&-'-D-0'-N—NA-M— i 7 BISHOP PATH SANDWICH MA 02563 \3081110-6-0-- -KALMBACH,EVELYN—Tit— k-ALMBACH NOM TRUST 41 NILSEN AVE QUINCY MA 02169 USA 308113 COTUIT HARBOR ENTERPRISE 1 577 MAIN ST 9 Vk N-—NI 9 MA 0260i---USA --- 308271 OMALLEY,MARTIN J JR TR WHITEACRE REALTY TRUST 336 SOUTH ST HYANNIS MA 02601—USA - 308277 KENNEDY,ROBERT E& KENNEDY,EDWARD J&JOSEPH 140 TREMONT ST BOSTON MA 02111 USA 3027-8 —§WEENEY,MARGARET 188 STURBRIDGE DRIVE OSTERVILLE MA 02655 USA Thursday,-* "-' May I'1",-2000*'--- Page 2 of 2 I , • . I AV AP' I •� w - I ; ��-0 i , FfLot�T ACAS �fN�1 $ �la�➢ 3 --� i i jI APB i I F 5r dtr.� I � ( i1f�'TtoNT_i�i- =- I -- �;tE�V!?►?Coy?-- ; -r-- I T ( I � l 44toIN ^� ���., 14PT-. (O �, 1 c P� 15' b - __..... i l i •� I � � I i I 1 ! �. rib , 13 R0 I -5 MEAD .®F � sr .cow ; 1 i Lev I �� I 1 � LANI �/� �0 I I_ !i 4l I)MIL:::_ '4 c:uuie t.lrir- --_" t0 'xi.I KI of Fi�L , t ,.,F:Q C i I., ITTF11 \\ A71 � #55 MAP308 #540 308 ,2, 7 #0 \ h 70 6 P 308 ® 4 07 + \ ! #5551 � . 3 308 MAP b i 586 Mpp �4 5 30855 8 #541 6 # 1 600 K308 r MAP 308 # 606 308 1 5 5718 \� 616 15 116 \\ 6 0 #394/'� 01 N MAP 308 -PARCEL 69-001 W-' p :='E D I RECT AB UTTE RS s SCALE: 1°=100' t*NOTE Phmimefriq topogaphy,and **NOTE The parad Drres are only gqldc representations DATA SOURCES. Planimetrks(man-made features)were imerpreted from 1995 aerial photographs by The James reflation were mapped to meet National of property boundaries They are not true locatim and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by 6EOD t i Map Ao":W S lmpot&at a sale of do not represent adral relationships to physical abjem Corporation. Planimetriq topography,and vegetation were mapped to meet National Map Accuracy Standards on the map. at a scale of 1'=I W. Parcel lines were dkked from 2000 Town of Barnstable Assessor's tax maps ...\gisxtl\barn\dgn\m308p6g-l.dgn May. 11,2000 13:51:29 1 -- r-o P. twp t0 ?'pa pook Pop- AST -k�-+� �(0�-0� F2o�T �At,ADE PLAT QAAG 3�--v`' w APPd� fl F s r orb L�N� 8�,ra i Road � rT ��iI f�T Iy N �t � C.E V�P►'T�tom_ -.� -------_ (. _----,ant._..._. Apr.* (o A3ovr tf!?r�Tpol Roop ----�- � of 121- 0t1 etv PLAN y � v S f o sT 1�44) F F?S q7-. 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I understand that s copy of this statemmt rosy be forwarded to the OM=a I watl;atioos of the DIA for eo•aW"dfieatiom. 1 do hcreby ce rq&under the pabu Ord parddn ojPerlur3'th�the 6tjornraim provided Qbone it trrr*@td rotted Signature Date Print name Pbtme Ccolmact do not write in this area to be completed by dty ortown oIDcisl city permtiAicrose ti • �BTmdiaS Depsremeat OI+ic�m;Board ed's re Kwe to required Clseleetmea's M L= C3$ealthDeparanent phone#, ❑Otber�— Urnua 9/95 PIA) f ✓lie TOomma�uiie GbARD OFBUILDING REGULATIONS s. Licenses CONSTRUCTION SUPERVISOR Numb -, 5- Q44577 Expires 0-1H212002 Tr.no: 12839 _. w s RestrictsdThf , JAMES W COLLIE,R-JB 270.DARRINGTON WNE i;! --.ZZ.w a�a . RAYNHAM;'MA 02767 Administrator 7.1 w1 f k • 1 �t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ti Map Parcel (�" Application . I Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee �OZ CD Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis CI?roiect-StreetAddress 5 � Vg Own�—one- -''r_^1 Address A 0 Tele Permit Request -� n LS— r� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Qroundwater Overlay 'Project ValuationxAO,000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2-' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King,' ighway: ❑Yes ❑ No Basement Type: ❑ Full Crawl ❑Walkout ❑ Other - r� Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Numl r of Baths: Full: existing I new Half: existing ' new Number of Bedrooms: :2 existing —new Total Room Count (not including baths): existing new First Floor Room Count y Heat Type and Fuel: YGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes W40 Fireplaces: Existing_fLCNew Existing wood/coal stove: ❑Yes OINo Detached garage: ❑ — — am: ❑ existing ❑ new size_ Attached garage: e _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use XA,b Proposed Use '&&J 'k_Q� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nameca'iiC I- Telep�h eNumber �"Dr�-4 .����� Addres- s _0-:176 _—Home Improvement"Contractor-#_L 3 3�9,- . Worker's Compensation # �a�Vs✓W ALLCONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGt NATURE-- - DAT3/,Z5-1)3 FOR OFFICIAL USE ONLY E; APPLICATION# DATE ISSUED MAP/PARCEL NO. t "t iPf - 1 `= ADDRESS VILLAGE OWNER DATE OF INSPECTION: i_FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. 4 'x• T Y Osf , t r, . Q^ The Commonwealth of Massachusetts .f Department o De art Industrial Accidents P Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Ca15(Business/Organization/Individual): (Q, � Add-F s�s: Ci'- ty/State/Zip6- ©� �' Phone #: Are you an employer?deck the appropriate box: Type of project(required): I.0 I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction emp loyees(full and/or part-time). have hired the sub-contractorsam a solo proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling .1V ship and have no employees These sub-contractors have g, ❑ Demolition_ working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other . comp.insurance required.] *Any applicant that checks box#1.must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp:policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#.or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: .Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby.certify under the pains d penalties of perjury that the information provided above is true and correct. Si afore: Phone-#: � Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more .. of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing'employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on.such dwelling house or on the grounds or.building appurtenant thereto shall not because of such employment be deemed to bean employer. MGL chapter.152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial . Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current. policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or ' town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the . applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or comiriercial venture (i.e. a dog license or permit to.burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions; please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia �mETti Town of Barnstable Regulatory Services BAJMSTABI E Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant NHS aa� /f F-IhAE� �� m W U Print Name Print Name . z51 Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 tHE r Town of Barnstable �. Regulatory Services aAxtasTAsr.E, : Thomas F.Geiler,Director MAss. pl i639• A•0� Building Division FD Mp't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50 - 990-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 3A)-th-3 JOB LOCATION: JJ number tf street vill e "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 'Z � city/town state zip code The current exemption for"homeowners"was extended to include owner- cu ied dwellings of six units or less and to allow homeowners to engage an individual for hire /dshall ot poss s a license,provided that the owner acts as supervisor. DEFINITIOEO ER Person(s)who owns a,parcel of land on which he/she rnds to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detachedaccessory to such use and/or farm structures. A person who constructs more than one home in a two-yshall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on eptable to the Building Official,that he/she shall be res onsible for all such work erformed under the built. (Section 109.1.1) The undersigned"homeowner"assumes responsi ity for compliance with the State Building Code and other applicable codes,bylaws,rules and regulation . The undersigned"homeowner"certifies at he/she understands the Town of Barnstable Building Department minimum inspection procedures and quirements and that he/she will comply with said procedures and requirements. Signature of Homeowner ApproZuilding Official hree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the Statede Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt no I , p - 6 1/ --7>q t �r I I - I l� q� i Massachusetts-Department of Public Safety; Board of.Building Regulations and Standards Construction Supervisor License: CS-044577 JAMES W COL-EIER 270 DARRIN9-TO D RAYNHAM�IA 02767 '1 Expiratidtr�'� amm s^s�ion�er. >. Q-1 I /2014 .. 4 ofkConSdmer Affgirs&BuA�ness Regal iGrJ� HOME IMPROVEMENT:CONTRACTOR Registration 33495 Type I Expiration 6/28J2013 Individual , JAMES W.COLLI �! JAIkS CQ LLIER�>+ 270 DARRINGTON'I7Rw � - . 4 RA,YNHAM 'MA 02767 , .J +.- , Undersecretary i it YOU WISH TO OPEN A BUSINESS? For Your, information, Bu sines certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) ou must tr st Obtain the necessary sign<.rtu-e', on this fora at 200 Mein St., Hyannis. l ake.th6 completed font to the Town Clerk's Office, 1 st. FI., 367 Main St.,. Hyannis, MA 02601 Town Hall) and get the Business Certificate that is required by la w. DATE: - / Fill in please: 9I� APPLICANT'S YOUR NAME/S:Em t-,Ern C"liYYlel'Y?Z BUSINESS YOUR HOME ADDRESS: 516 YY1Q1(1 St tk 11 f boa 3a��u� a TELEPHONE `# Home Telephone Number CJ ` NAME OF CORPORATION: rAo vc S L NAME OF NEW BUSINESS Tna TYPE OF BUSINESS. . Pni flkl nQ 'IS THIS A HOME OCCUPATION? YES NO t ADDRESS OF.BUSINESS A MAP/PARCEL NUMBER c+ (Assessing): When starting anew business there are several things you must do in order to be in compliance with the rules nndr �ati�s of�own of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St::- (corner of Yarmouth Rd, & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your usmess rn s town. 1. BUILDING CO ISSI ER'S OFFICE MUST.COMPLY WITH HOME OCCUPATION This indivi ual h s e of a y p rmit requi ements hat.pertain to this type of business. RULES AND REGULATIONS: FAILURE TO ** FINES* J �' A ize �gn e .�-------�-- � . COMPLY MAY RESULT,IN COMMEN S: Ale c 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. ' Authorized Signature* COMMENTS: 3.''CONSUMER AFFAIRS [LI NSIN UTHORITY] This individu, infor e of • licensing requirements that pertain to this type of business: j Authorized Signature** COMMENTS: ,s lea �.b �odwt--' Town of Barnstable Regulatory Services P Thomas F.Geiler,Director snxivszw iz, Building Division 1' Tom Perry,Building Commissioner i°rEnt a 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508- -790 6230 Approved: Fee: Permit#: �-- HOME OCCUPATION REGISTRATI Date: 1 — Name: ��� r S o n C11 f ye rv- Phone#:r)U J?)o9 6,q O Address: l nw n s� I Village:_ Name of Business: I r)-A i n Type of Business: ?h 1 n--� i h Map/Lot: ?�0 U 0690U l C:�- INTENT: It is the intent of this section to allow the residents of the Tomi of Barnstable to operate a home occupation within single family dwellings,subject to die provisions of Section 44.4 of the Zoning ordinance,provided that the activity shall not be discenhible from outside die dwelling: there shall be no increase in noise or odor;no Visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with tie Building Inspector,a customary home occupation shall be permitted as of right subject to tie follomng conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unlit,located«athin that dwelling unlit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generatedui excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parkinng generated by such use slial be met on the same lot containing the Customary Home Occupation,and not widen the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity;'and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on die same lot containing tie Customary Home Occupation. • No sign sliall be displayed indicating the Customary Home Occupation. • If tie Customar•Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed w the Customary Home Occupation who is not a permanent resident of the dwelling umit. I,the under ' net,have read and agree with the fiabove restrictions for my home occupation I am registering. Applicant: v' Date: -Honieoc.doc Rev.01/3/08 (IRS USE ONLY) 575G 08-24-2012 GIME 0 9999999999 SS-4 Keep this part for your records. CP 575 G (Rev. 7-2007) . Return this part with any correspondence so we may identify your account. Please, CP 575 G correct any errors in your naive or address. 9999999999 r Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 08-24-2012 EMPLOYER IDENTIFICATION NUMBER: 46-0851644 FORM: SS-4 NOBOD INTERNAL REVENUE'SERVICE EMERSON GIM=Z CINCINNATI OH 45999-0023• SP PAINTING 576 MAIN ST UNIT 11 HYANNIS, MA 02601 T1�S DEPARTMENT OF THE TREASURY lR IN ERNAL REVENUE SERVICE CINCINN�.TI OH 45999-0023 Date of this notice: 08-24-2012 Employer Identification Number: 46-0851644 - Form: SS-4 Number "of this notice: CP 575 G r E 090 GIMEI�TEZ SP PAINTING 576 MAIN ST UNIT 11 For assistance you may call us at: HYANNIS, MA 02601 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB. AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER. Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 46-0851644. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence,- it. is very important that you use your EIN and complete name and address exactly as shown above. Any variation ' may cause a delay in processing, result in incorrect information in your account, or even cause you to _be.assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an .association taxable as a corporation. If the LLC is eligible to be treated as a- corporation that meets certain tests and it will be electing S corporation status, it must timely file Form"2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective .date of the S corporation election and does not need to .file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at,www.irs.gov. ' If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD.1-800-829-4059) or visit your local IRS office. IlMPORTAINT Rffi+EMIDERS * Keep a copy of this notice in your permanent records. This notice is issued only ome time and the IRS will-not be.able to generate a duplicate copy for.you. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms: * Refer to this .EIN on your tax-related correspondence and documents: If you- have questions about your EIN, you can callus at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off -the stub at the bottom of this notice and send it along with your letter.. If you do not need to write us, do not complete and return the stub. ` Thank you for your cooperation. n . �tME TOWN OF BAR' ' 'TABLE .. F ■ 2 0 1 18 7 4 i n g * FOMST.4sLE, Issue Date: 03/28/13 Permit MASS 039. �� Applicant: JAMES COLLIER At f p MAC A Permit Number: B 20130635 Proposed Use: MIXED USE APT 8+COMMERCIAL Expiration Date: 09/25/13 Location 580 MAIN STREET (FRONT PLA74g District HVB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 308069001 Permit Fee$ 102.00 Contractor JAMES COLLIER Village HYANNIS App Fee$ 50.00 License Nlim 044577 Est Construction Cost$ 20,000 . Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMOVE SHEETROCK&INSULATION FROM FIRE.FIX MAIN CARRYINflus CARD MUST BE KEPT POSTED UNTIL FINAL . BEAM UNDERNEATH COTTAGE&PUT BACK TOGETH.REPAIR FIIRE DItMECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BRENNER,NELSON TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL . Address: PO BOX 226 INSPECTION BEEN MADE. SHARON,MA 02067 Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHTNO OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARII Y: i PERMANENTLY'ENCROACHMENT N PUBLIC PROPERTY N0 SPECIFICALLY PERMITTED UNDER:THE BUII iD G CODE,MUST BE APPROVED•BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION PUBLIC SEWERS•MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS .THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS t 1`' r MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION.WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. 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. _.PERMIT WILL BECOME NULL AND.VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 Cul Q � Z z� ,;� � ���� _ 2 1 Heating Inspection Approvals Engineering Dept Fire Dept - l 2 mot"`v, z Z CL; la 5 Board of Health C;I �Ila - Sign TOWN OF BARNSTABLE Permit MASS. 1639. � Permit Number: Application Ref: 201304448 20070882 Issue Date: 07/05/13 Applicant: BRENNER, NELSON TR Proposed Use: MIXED USE APT 8+ COMMERCIAL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 580 MAIN STREET (HYANNIS) Map Parcel 308069001 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks WEST END WALKWAY SIGN 5 SQ WAYFINDER SIGN Owner: BRENNER, NELSON TR Address: PO BOX 226 SHARON, MA 02067 Issued By: p / �- <POST THIS CARD SQ THAT IS VISIBLE FRAM THE STREET PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 07/05/13 TIME: 13:49 -----------------TOTALS----------------- PERMIT $ PAID 100.00 AMT TENDERED: 100.00 AMT APPLIED: 100.00 CHANGE: .00 APPLICATION NUMBER: 1?AYMENT,METH: CHECK YMENT REF,- 4474 � -- - - a., %'PERM'IT PAYMENT RECEIPT IMOWNS;;OF BARNSTABLE UILDING DEPARTMENT r 200"MAIN STREET HYANNIS, MA 02601 DATE: 07/05/13 TIME: 14:02 ------------------TOTALS---- --------- — PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT CHANGEPLIED: J0.00 APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 4475 'Town of Barnstable Regulatory Services - MASS. Thomas F. Geiler,Director — C 0 p�� 059' �� Building Division Tom Perry,Per Building Commissioner 200 Main Street, Hyannis,MA 02601 G� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# U� \ Building Official approving 17 Application for Sign Permit b! o , Applicant (�iS �` G► Assessors No. Doing Business Bi As: G► n�� - wi �" I Telephone No. - P Sign Location ^^ N Street/Road: �is Zoning District Old Kings HighwayP Yes/No Hyannis Historic DistrictP "'.:e/No W , Property Owner � Name: I l/�,./h 6' f�(.+rn 15", k Teleph � P Address: /-t `n .S Village: + ' r V9 M Sign Contractor Name: 'C,G+! h�e�"�'Z' ►'`C�' ' Telephone: k Mailing Address: V(CA Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes No Note:Ifyes, a winhgpermitisr quired) Width of building face ft x 10 x.10 Check one Reface existing sign or New Total Sq. Ft. of proposed sign(s) gfyou have additional signs please attach a sheet listing each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. 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 §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: 7 Date o SIGNS/SIGNREQU �'ME Town of Barnstable Regulatory Services BARMA]" ; M"&. Thomas F.Geiler,Director 1639. �0 c r9" Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us d w.i! Office: 508-862-4038 Fax: 508-790-6230 ✓�` ' SIGN PERMIT REQUIREMENTS /C, 1. A photograph showing the existing facade,on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 15 The type,of proposed sign(wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket. A scale drawing indicating dimensions, color, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign-Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU s _ a �x S , c Grp fORk�ESS -_- - h 11�+ h ��"��� •� 1 �._ ram' ,.�^�' ✓ �` a , i - ir �I s t ` 1 , F 1 0y +'" }. + ,. ENTURES - Comi Ristorante Bricco Boutique Italian Cuisine . Umbria Prime Steakhouse &Nightclub Mare Oyster B r tro —Grill Pizzeria fell Y �¢ Gelateria noli Factory f 1 Scene Magazine Food, Wine, 7�ravel &Fashion as uale s Pasta Sho Fpezw Italian Specialties and Sandzv& es E: an Club at Marina B Y ` ' h s; Ne rE _ L_rgest Outdoor Entertainment Complex Bricco Panetterra Artisan Bakery KIM Bricco Suites Luxury Accommodations -Eagle Design and Construction Commercial and Residential Design DePasquale Ventures Foundation Y. Giving Back to our Neighborhood A Culinary Journey Through Boston s Historic North End and Beyond TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. Parcel Application u YOU Health Division Date Issued 3 -Z7-Iq �lC Conservation Division Application F ' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board / Historic - OKH _ Preservation/ Hyannis c Project Street Address c �� ,�yK C'7- Village Owner f ed Address rM p Telephone Permit Request , e 00 � .ter i. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total:new�m "0 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 61ejai Cann ano Telephone Number J970 Address �_Iicense # r_m__ Home Improvement Contractor# Email 6ron0-,tca+.elr�� dEL� ,A`- ;q.�L ,GOB, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ��/ FOR OFFICIAL USE ONLY 7 APPLICATION# DATE ISSUED MAP`/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING l DA�.:ECLOSED OUT ASQJATION PLAN NO. f' , 1'he Commonwealth of Massackuselts Department of Indruft ial Accide►is Office of Ini estigations 600 Washington Street Boston,MA 02111 r mv.mass govIdia MTorkers' Compensation Insurance Affidavit Builders/Contr a rs ectridans/Phunbers Applicant Information_ Please Print Legibly Name(I3�0rganizatiozlndhzidnal):_fi0 K�1 60 ,fS�- - City/Stat&Zip: W rd k 41/1 e2Z,;; dzd Phone##_ Aran employer?Check the agpropr�ate boz: Type of project(rewired): I. I am a employer urith 4- EJ Ian a general contractor and I employees(full andlor part-time).* have Hired the sub-contractors 6- ❑New Construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These'sub-contractors have g. Demolition working Y capacity-for me in an r employees and ha ire workers' [No workers'comp.insurance Comp.insuranceI 9_ r-1 Building addition. required.] 5. ❑ We are a corporation and its 10-.0 Electrical repairs or additions 3.❑ I am a homeowger doing all work officers have exercised their ILEI nof grepairs or additions 1£ o workers' _ right of exemption per MGL yam, insurance required.] c. 152, §1(4X and wehave:na 12. pairs employees-[No workers' 13.0 Other comp-insurance required-] `'Any apphcmt that checks box'I mast also fill out the section below showing their worker*'compensation policy informatiom I ffomemners who submit this afffid nit indixating they are doing all want and then hire outside caattactors a=submit anew affidavit indicaidn such !Contractors deaf check This box must attached as additional sheet showing the nza of the sub-contrsctm and state mhether or not those entities have employees. If the sub-coatLctors have employees,they must provide their workers'comp.policy number. I aar an employer that is prmdding tirorkers'compensation irisurarrce for irry employees. Below is the policy and job site information. Insurance Company Name: Policy 9 or Self--ins.Lic.4: Expiration Date: Job Site Address: OW A( f City/State zip- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c- 152 can lead to the imposition of criminal penalties of a line up to$1,500.00 an8.,`or one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine ofup to$250.00 a day against the violator. Be advised that a copy,of this statement may be lbrwarded tG the Office of Investigations.of the DIA for ce coverage verification. I do hereby c. t 'ns and penalties of pedu:n,that the it formation protidid abmw is h e and correct Si Date: Phone ' Q 6`�� ✓�/ Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitlLicense Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City/rows Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 DAfE;(MMlDD/YY1;Y) Cold CERTIFICATE OFL'!IABIL11TY Ili!SURANCiE (Ocpag,R l � +03121,24... !MRODUCER 'THIS(CERTIFICATE!IS!ISSUEDASA. !MA i I R(OF(INFO.RMA I f ON j ONLY AND CONFERS!NOiRIGHTS+IIPONTHEZERTIFICATE E(Conway Insurance /Agency„ Inc.. fHOLDEK-TiiHISCERTIFICATE DOES!NOTIA►MEND,i I I ND(OR 87.9 Washington ALTER'THE;COVERAGE AFFORDED BYTHEPOLICIES+.BELOW. 1 Man-over NA 0233 9- � Mhone:'r7181-92c6-:380'9 INSUIRERSAFFORDING(COMERAGE IINA ,# +'INSURED ;INSURER*' •Vermont IDnitua3 ,Inauranae.co. i 2(601ti INSURERIB: AEIC Insurance fGary Cronin', 'Construction on JNsuRER(C: 1 19.3 '.Tremont Street 141NSURERID: Taunton !ice, (0278`0 r I :INSUFiER:'E: 'COVERAGES M 'THEIP.'OLICIES(OFIINSURANCEILISTEDIBELOINIHAVEiBEENIISSUED-TOT(MEIINSUREDINAMED/ABOVEIFOR i tf4EfPDLICVIP.E,RIODIINDICRGTED.INO7WITHSTANDING 1 ,ANY!REQUIREMENT,TERM(OR(CONDITION OF,ANY'CONTRACT(OR(OTHER(DOCUMENT',WITHiRESPECT'TO':WHICH'THIS(CERTIFICATEIMAY!BE!ISSUED(OR I IMAYIP.ERTAIN,THE[INSURANCE/AFFDROEDIBY 7HE IPOLIICIESfDESCRBEDIHEREINIIS;SUBJECTTO/ALL'TiiE'TcERMS,(EXCLUSIONS/AND(C'ONDRIONS(OF:SUCH ! POLIC(ES.iAGGREGAT.E!LIMITSISHOWN!MA1f HAVE!BEEN;REDUCED;BYtPAID'CLA(MS. ROUCY`NUMBER I,+A+ :(EF. TI P. IC: +: I LIMITS (LTR[NSR TYPE•'OF'.INSURANCE DATE, MID RMf IVUDU': f (GENERALI[WABILIMY (E%10HOCCURRENCE I $;$1„tOD;D (000 I 'A j %X! (COMMERCIALiGENERALiLI/iBILIT+Y j ;$P13t0.37.755 I .1i0,/';0.3%/1.3 i O3114' 1Or/f i iP.REmisESi(Ew w mence) + $$'S'0„i0:0:0 i MEDEXPi(Arry:wre;person) ,$$1, 0�0�0 CLAIMS:MADE (OCCUR r [P.ERSONAL&/ADVJNJ.URY 3,$:,1,soo,(0!O,0 -- - (GENERALAGGREGATE I•$ 2 000. 0.00 j GENLrAGGREGATE:LIMIT(APP11ESiP.ER; I PRODUCTS:COMP/OP/AGG '$,$2,,000;,000 !PRO- X !,POLICY JECT iLOC (AUTOMOBILEII:IABILLR�Y I I i i COMB(NED3fNGLE.LIM17 (Ea accident) /ANY/AUTO %ALLOWNEDAUTO$ 'BODILY INJURY i 'SCHEDULED'AUTOS ! I ((P.eilPersori) I '$ i (HIRED/AUTOS i tB"ODILYIINJURY j iNO"IN i(Per:a NEDiAUTOSw9danp ( i -- i' RROP.ER7Y!DAMACE `$ , ((P.eracci8e ) i I GARAGElLIABILITY %AUTO+ONLY-iEA ACCIDENT ;$ j 'ANY/AUTO OTHER THAN ;E1:ACC i$ i AUTO(ONUY: 'AGG I $ i ! fEXCE55!/(Ut1NEREW/AILIABILnY : ' I a [EA'CH(OCC.ORRENCE ;$ (OCCUR IMA tCLAIMSDE i' ,AGGREGATE $ -'-- i f DEDUCTIBLE ! !` i ,$ f I IR TENTION :$ j I'$ ff p sWORKERS'COMPENSATION { x4'TORYUIMITS �'iER i ;$ I(ANDIEMPLOYERS IIJABILITY - ANYP.ROPRIETOtWARTNER/EXECUT` �(/fNI 'TBA O'3,%17,%14 I (0.3,�1'7,'/?1'5 !E;L.IEACHACCIDENT OOOOO'O ( OFFICER/MEMBER{EXCLUDED7 $i ( ((MaodAtM.i1nWH) 1 I (EILDISEASE-EAL-MRWYEE s5 O.0D,0;D I ghyes•,describewnder iEl.iDISEASE-iP,OLICYXIMITi s.10000;00 W..ECI•ALIP.RWISIONSIbetow + !OTHER DESCRIPTION"OF:OP.ERATIONS PLOCATIONS-NVEHICLES/!FJ(CL•USIONS ADDED(BYiENDORSEMENT,/:SP.ECIALIP.ROVISiONS '.The workers (compensa+t mn Policy (does not provide (coverage for (Gary (Cro=m as sole ;proprietor.. + ;I I CERTIFICATE NOL[DER CANCELLATION I SHOULD/ANY(OF'THE/A'BOVEtDESCRIBED(P000IESIBE(CANCELLEDSEFORE CHEIVIP.IRAMO i i iDATE'THEREOF;THEItSSUING!INSURERiWILLiENDEAVORTOiMA1L 10 !DAYS'WRITTEN 1 1 iNOTIOE'TO TNEiCERT1FIC0 TE;HOLDERlNAMED'TO'THEILEFT,IBUTiFAILURE T0iDO SO�SHAI L '• (IMPOSEWO(OBLIGATION(ORXlMU-Wl(OFiANYEtUND[UPON'THEIINSURERNTS:AwwE moR I f e IREP.RESENTATIVES. I '.Town fof. Byannzs I AUTHORLUD;REPMENTAMVE i .37(6 /Haan St annis NA (0`2'RI � ACORD25((Z009Z0(I)) f0'198840:09*6DRDCORPORATION.All(rightslms'enmed.' TheIACORD(name and Jago(ale iregisteled;maft zfiACO.RD oFTME Teti Town of Barnstable Regulatory Services Richard V.Scali,Interim Director i639' ,0� 'OtEp��p2lA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Sao 1) l�REN N to ,as Owner of the subject property hereby authorize C;—A-/;z Y C'/�� t'`I to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of er /Sign' .of Applicant v- �l BLS®�� �R���'►�� �`��G`���� Print Name Print Wame Date Q:FORM&OWNERPERMISSIONPOOLS 10/13 Town of Barnstable Regulatory Services oFTHE r, Richard V.Scali,Interim Director Building Division * swaxsrnsi.E Tom Perry,Building Commissioner MAss. 9 16.1 ��� 200 Main Street, Hyannis,MA 02601 �iOTEa � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB.LOCATIOM number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s) for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot. proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 cde stration vaI'd for individul use.o. • ';, -" Wacl,� L►cense or re g -�,Zorzwea��z Regulation iration date. If found mess Regulation V r before the exP ON-TRACTOR Office of Consumer Affairs and B Office of Consumer Affairs&Business Reg Suite 517.0 , CONTRA TYPe: . ({OME IMPROVEMENT 10 ParkPlaza- „ MA.02116 n egistration 177132 Individual i Boston,. :Expiration 111512015- ` } GARY E.CRoNIN s I, _ ' } , nature CRONIN o — of a►, without signature GARY gv �..����-_� U 193 TREM ONT ST#16` ; �— ndersecretary TAUNTON,MA 02780 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialh License: CSSL-101542Y. GARY E CRONIN- 193 TREMONT ST#lr6 , Taunton MA 02780 '�,,�,.- Expiration Commissioner 03/05/2014 .� Cronin Construction os . Taunton,Ma.02780 telephone:(508)-958-3970 fax:(508)-386-1007 , Proposal Submitted to: Phone' Date Nelson Brenner 781-784-3728 11/19/13 gtre I Project Name. k -W6 M st brenner City, State and Zip Code Project Location Hyannis, Ma. same Name Date of Plans Project Phone Nelson Brenner i same We hereby submit applications and estimates for. RE: Remove and replace existing roof. Strip existing roof shingles,remove all flashing and drip edge. Supply and install all new rake and drip edge. Supply and install ice and water shield. Supply and install 15#Felt paper over existing boards. Supply and install New Fiberglass Laminated 30 yr. warranted shingles Supply and install all new Ridge vent with Ridge Shingles, Special Clean up&Removal. Roof Total:$ 11900.00 Dumpster 30 yd. Color? r Certainteed Landmark Deposit $3966.66 Thank You ! Gary Start payment $3966.66 Bal. on completion $ 3966.68 Note: If needed 3/8 plywood layover would be charged out at$ 1.00 per sq ft. supplied and installed $3500.00 Date V 66 - � . / ea Cr �G C � 1 i . ' Massachusetts -Department V� Board of Building Re of Public Safety Construction Su gulations and Standards Pervisor Specially License: CSSL-1015Q rI.,. 93ARY E c1tor TREMONT ST#1 Taunton Mq 02790 Commissioner Expiration 93/05/2016 TOWN ®F A NSTA LE Board of Appeals ........... :...:....:.. t Petitioner Appeal No. ... . ,m1.Zl........................................... ...........J.lane....2-6........................................... 1974 FACTS and DECISION Petitioner .:.............Ca.pews.de....Iudusi:]C°ies.'....Inn............................ filed petition on ....,AI?. l...1.2......... 1974 , requesting awe-permit for premises at ...���Q.. ipy...S.trees.,,...................................... Street, in the village of ..................gl.....ayagnae` ..., adjoining premises of...................... Town of Barnstable; Barnstable Land Development Corporation; Gus H. Brown et a1; Cape Cod Leisure Enterprises; First National Bank of Cape Cod; Clifton E. Hall et ux; Frances S. Leach; Samuel Maddox et ux; Elizabeth W. Mellen; Vasilos Mitrosostas et al; Murry I. Myers; Samuel W. :Poorvu et al; Jackson M. Rice, et ux; Roman ACatholic Bishop of Fall River; James A. Shea et us; Frances H. Shoals; Statewide Stations, Inc®; Norman I. Tananbaum. Locus is presently zoned in ....Bu,sinegs••.D:Lsttx-j..ea........................ _.....................................................................................................................::......................................................................................................:.............................................................. Notice of this hearing was given by mail,postage prepaid, to all persons deemed affected and News, a weekly by publishing in Cape Cod , newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed'-with Town Clerk, i A public hearing by the Board of Appeals of the .Town .of Barnstable was held at the Town Office Building, Hyannis, Mass., at .......................................... P.:17. 1............................................... 197 ........ ..... .. ... , upon said petition under zoning by-laws. Present at the hearing-were the following members: jam.h.L...nw ms ufod Goi ns .Gail Nightingale .................................................................................... ............................................................................ Chairman At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. On ...................... ............................... ....... 19 7 ., the Board of Appeals found The Petitioner, Capewide Industries, Inc, has appealed to-the Board of Appeals for a Special Permit under Section PA 10, Barnstable Zorn By®Uw as revised August 24, 1.973s to allow construction of bathroom and office and removal of existing partitions for purpose of recreation and amuse— ment, center .for mechanical games devices at 580 Main Street, Hyannis in a Business Zoning District. Prior to the time of the hearing, on the day of the hearing, the Board received a letter from. Petitioner's counsel, Robert J. Donahue, requesting withdrawal of the petition. Due to the number of persons present in opposition,. the Board voted unanimously to allow,withdrawal i of this petition with prejudice. s Restrictions imposed Distribution:— Board of Appeals Town Clerk Town of Barnstable Applicant Persons interested . Building Inspector /( l Public Information By 6t- ';�'G t .......,jr.. ..................................................................... Board of Appeals Chairman � - 9 ? 4 # 1 4 e BARNSTABLE, °Oo ..39• ®gym TO VVN Or BARNS-rMLEOF 4 APPIEALS A'PEA ;;. TOWN OF BARNSTABLE EXHIBIT � 4 ,f 14 _ PETITION FOR VARIANCE . , UNDER THE ZONING BY-LAW SPECIAL PERMIT To the Board'of Appeals, _. Hyannis,Mass. Date .........: r _..:::1=:2...__. 19 _aA. The undersigned petitions the Board of,Appeals to vary, in the manner and for the reasons hereinafter set forth, the application,of the provisions of the zoning by-law to the following described premises. Applicant: ...S:..aP.Q.W.ide.....l,x1Saust :.a 0A Xn.C...........51kat....Main .:..�t....s...H�'�X)1F1�.$,_.::.��asr� (Full Name) ,. (Winter Address) Owner: _........_Cape Cod Leisure Enterprises, Inc., Box 960, H annis,�Mass. .............. ........... ........ . _ _ (Full Name) (Winter Address); pewide Industries, Inc.—West Mai n St. Hyanns:, Mass Tenant (if any) Ca I i r ... .. (WinterAddress) - 1. Location of Premises _...``l13.Q.:..Lid].17_..S.tL. . t,......Hy..anni5..,.....Md.g.r_.................._...._............._.............................. (Name of Street) (What section of 2. Dimensions of lot ...:........_86;..87.....ft_�.... ..... .Q..4. .2. .....$J................... Area ......._....................._....._.__.._._ (Frontage)- (Depth) ,`(Square Feet) " 3. Zoning district,in which premises-are located. _.:__..._ 4. How long"lfas owner had title to the above premises? ...........a922.........................:................................_.......................... :.:.: Four 4 5. How many buildings are now on the lot? ............._..........._._.......�.....)....................................._............_....__........._........._...._............... 6. Give size of existing buildings...........2.8 tt.... X....5.9_.f.t.............................. Proposedbuildings __3.9/A........................_..........._................................_....................._......_........_..._.._................................__...... _._... 7. State present use of premises..........VA arlt............................_.................................._......._......_.....__...__....._._.....__._..::.._._..._ 8. State proposed use of premises.._...:__..Reczaation---and....,d:zA1.seIAe11'kl_..Ce.fatex....................... __.__ 9. Give extent of;.proposed construction or alterations:........Construction of a second ..........................._.........._._..........._.........................._.....,._.._... .•,•,••..•••,bathroom and office and removal of existing•••partitions, -�- _ .........._.........._...................._................:..-._................................................................._...................... __..__._._..__... 10. Number of living i g units for which buildingis to be arranged _.............. ....._......_..._........................._...................... i 11. Have you submittddplans.for above to the Building Inspector? ........_Nh_...._.._.........___..__._..._._.._._____.:__ 12. Has he refused a permit?...._...NZA........_..................__.............._......................................_.._................._............ ...._.._... ........_..._._.._ 13. What section of zoning by-law do you ask to be varied? ._.N.�.,Fe,........_.........._._.............._..... _... p p e do • A 13. ,^allows„ the Board 14. State reasons for variance ors special ermit: ...5.__�..............n,....�......�.... .�..._..__................._.....__._.:..._._.._....of Appeals to Cant a s ecial erinit in a business district for a ..........k?�._._.........................._........_......................._ ._.........._.__.._.p........_._._..........................................____..._..._.....__.._...... place for commercial recreation or amusement. The Petitioner de- _.._..__._.._._...._......_........_____...._._...__. ........_............_........._.__..._..._.__._....._...._.__._.__........_......____. sires to provide a supervised place .for commercial recreation or ....._. _... _. ......._.__._.. .................._...._............................._.... .____•__..._r ,amusement where individuals of all•.ages may,enjoy mechanical games d.evic.es............................................................................................................................................._............................_....___._.__ ' ...................................................................................._.................._..................___..............._......................_...........»N/..._ _ _... ..._..._..............._ ...._..� _ !''n DFlrb'T.T1R TA1T1Tfl�TW TFC TA7l� r fi Existing wood floor Q a oc�o5�mgy Existing 2x1 2 Joistse l de o.c. `.o°3g e3 5" Existing wood furring Y - - o o t Existing Acoustic tiles : � :w. - m ° ,",y3go 5 ,.,.�c£,e,,•� f_ Z W ==°gE°O�cyza°°5B Existing 2-2 x4 FUrringe 24",o`4.FF Fri ' o r" L i s 177 c O TYPe"X"Fire6ode®gypsum wallboard •'gypp,, V O 1 1/2-"F—e Ilienf Furring ehannelz e 1 eV'-6. t, W Type"X"lirehodem Gypsum wallboard 4 >4 TYPIG�L�ewN4-F�oo��eGTIoN "� :� �- ` 2 Hour Fire `+. ;� + ' f Approx.6eilin4 weight:eapsf ` Fire tent: UL r-1 'P 19-1 1 4, 7-2 1-l0 7 C7"ign L505 kcc N , �'. ULG Pes19n 1'•I`,1 1 1 - OA IN El �N 0 O \ _ �f lP�4se layer WgB"proprietary type X gypsum wallboard y�Bpu I- •L '�• .0 , applied perpendicular to 2 x 4 furring with e J cement coated tj�/ 9 .`\No y p) nails 2 I/2"lone),0.1 1 V"shank, I9/!o4"heads,7"o.6. nn A- � along framing.Pesilient channel spaced 2 4"o.c.attached V perpendi6ularto wood framing through base layer using I 7/9" qs - �- long shrews,PouWe channel installed Al,.butt ends of face layer. O r Fa6e layer 5/B"proprietary type X 4ypsum wallboard atrfached Il.l to resilient channels with I"Type GJ screws spaced 1 2"o.e- -1 r O O _ .._�. o-.E de ._t..'vI.E_e.� o- . h E V n ._.C.. .c..._Q.y.. nror.es T � r @ 92 ma a o . S Naw di�idinq w.11 � f 9/B"TYPe"X"Fireeodae ♦ g. ' • _ � L2" ockm pcn Iv �LLmo�m: � s i}inq wo�d�l well m y �'o x" p Rt—E Jl Z j S JS R w �p�FIp.hT FLOOD PLAN I/4"- I'-o" DRAWING TYPE: • '"ANmS FmE PRFvr,NTT,�NJ�LTREAUO HYANNISFIRE-RE MENT .� , arsmwcd 95 HIGH scu;( :; 1 Pb N HVANN • SHEET NUMBER: { k �-o m v o E,s, v v i O U I 0 0 O cB N E c6 4 >✓x i-,�ing wood floor Q '9-_ -' a) Q) Oma Nca N m a-+s= L v r- M L - Exi {A- ino) 2 x [ 2 Jois-{'s @ [ �'v" o.G. m o 0 0 0 £ i O z lexi,,+Ing wood furring _ ��v �L o o airi - rn0++ � � a> z - >�xi5 (�ino� Gous I'iG }�iles I-- 0 °41 � O � pNj��'� > xisling 2 - 2x4 Furring@ 24 " o.6. ,a � � � Z vsN9 �o � � � o z O i+' Ks' U 0 QU Q — 3 s Q O m v s o d v i `0 T -- - 5/8"' '�yPe"X" Firecode® hyP,,um wallboard ,� GhAnnel-, @ [ Gv" o.G. a 5/8" T"yPe"X" Firecodev C.WPsum wallboard 0 S T��1G L li 1Llt�li-FLOo� ��61-169 •T41) [ -O 0� 2 Hour Fire - ,A`PProx. Ceiling weigh-F: GoP,,f S Fire e,,-F: Ul. P- [ 1�7 [ 9- [ [ 4 , 7 - 2 < Ike-,ign L9-� OS r L Q iilEL ��, Q a �A,,e lA er 5/8" ro riekar e X -,um wallboard aPPlied PerPencliculAr ko 2 x 4 furring wikh 8d Cemen•l- coA-'ed nail,, 2 [ / 2 " long, O, [ [ " shank., [ 9/&4 "heady, 7 " O.G. �, n iBT�P ��°A ' aloe framin esilienk channel ,, Aced 2 4 " o.c. ak4'A6hed Fss>•� Ea -" Pe.rPendiculArko wood framing 4'hrough base layer u-,ing [ 7/8"' Z long screws, Double Channel in,,kAlled A4' bu-H- ends of face (Ayer. Q Face (Ayer 5/8" proprie+Ary kyPe X gyP-,um wallboard A-Fr-1 AChed LU ko re-,ilien-I- channels wi--h [ " Type 4:-P -,Grew,, ,,Paced [ 2 " o.6. -� o � -------------------- � o IL -1 Cl). N p v f p� -K5 3 L = p 0 v d o O• Q 0. �korac�e L v C, o N r .73 S - --- n-0 9 LL O . _ I New dividinc) wall A- = ____ r>/8" ry e "X" FireGoclem �+ s 1-3 i drywall bo-�h sides o v \ " ( /2" IJuraro�km Panels s- M � L_ w/6erami6 Files 4-o hover � " v 0 a' \ exis-Hno� wood floor and wall fl (1) Q N in -V hi-' 'Area.) `p v00030 fl— lv[eGhani�al O (6 N .N N 9 .9 A- Q � � OvOs- In J Q� L v o L. � Q Q N•- N V � FI��T ` �Gafe: ( /4 ---------------- - . -- -- V�alls ko be remove Exis-�in� walls New walls SHEET NUMBER: