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0595 MAIN STREET (HYANNIS)
MCI, rl r ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 30� Parcel I/ Application # o Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee�1 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis �� S Project Street Address fir omnazw :5r Village Owner- �i' r Address �� Telephone � Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain A-10 Groundwater Overlay Project Valuation �® Construction Type Lot Size 010,ow Q Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Po On Old Kings Highway. ❑Yes 6d No Basement Type: A,Full ❑ Crawl ❑ Walkout ❑ Other ' Basement Finished Area(sq.ft.) _ Basement Unfinished Area (sgft)�om Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: AIM existing —new rn 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 _ Telephone Number -LAI Address 5 License # Ga dv1� �3J1 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Q ,0 ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION FRAME f INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. �M1 r of-Massachmseff- Depar&wnt afluc mt6d Aec:&ents 600 Washhigton Sireet .rr�trs� r7rct wt�nv o'er plkant Informatian Please Friaf.Legih 'Name TR 6 S-12. Aadrt� �®k p 7 )q ' kj Aj e o a-t®0 0 i Are you an employer?Check-the appropria m� a9cta . confractcx�d I ,T3'�o#ptcrlt+ct(rt4wrec�= L❑ I am a employ wita 8_ New txmsfn�oa employees{full and/or part-time}* have Erea the sub confertors El I am a sole proprietor orpartner listed on the attar hed sheet 7_ Rrmodelirrg ship and have.no employees These€nb-contractors have 8_ :❑I�molifioa . . w for me in any caFa ci r eu7ployees anal.have wormers" tt 9_ Building addition' [Na workers-,comp..incurame Comp-Msurani¢ `. reqaired-] 5_1 We area corporation and its IO_.[]Electrical repairs or additions 3_❑ I am a homeo dDing aIIva& offioeis Kati txercised their I I:.0 Plumbing repairs or additions .of exemption Pei MGL myself [No�vorlares' _ right p I2-O IZnafregasg its mxwme E c 152, §1(#�,and we hzve no r�nued_] e�loyees 11`ta workers' l ❑Q.ther. comp_msn�rant�required../ *Any sppfiomt that checks box fl=DSt 1150 Ill 01it thee section belair sb�their�a�ea�co rioai imp enfor�o{ ue dG s1I ti�C and ibm Idre outSi&contractors nmsi saber a �darit'9 HnmeQwneis irlso submit tIus afidxvit inmcstnzg th2Y ntg _ tc.tcctors lfw rT}xk this box=rust sttache3 an additional sheet shatcmg the name of the sob-cnafficba and state trhathec ocnot base.9 t hzm eaaployees. If the empIopeE-%dLLY Est pruuide their warktEs'tong.poaT n-11— , I am an ernpLgyer ihatispra i&kg workers'corrtpermition irmzrrutcs for my emplayecu: H.J.F is tits £i Md j ob ails information_ �"©.�� ���111`ri AAI P In_ctuanceCompanyName: AT tr-m)"r P/Ck UP Pam fr or Self-ins-ii(--; E�gaiEat Qlyate: a Job Sim 14ddress= Cifyr" tat �xg= _ c't ttacl a cupY of fha?�s orlress'cotageasati an pall deeT�rstion Isage(shoving fhe laolicy nuruher and e_Xpiratinn date). ; Failure to se,=e cati:erage as regairedunder'ectiro"25A o€MGL c, l52 can lead to the impositi=ofcrimimil penalfies of a fine up to$I,500_Q0 and/or one-yearlis nt as well as civil penalties in the form of a STOP[ OR OxD and a fine of up.to S250-00 a day against the violator_ Be advised that a c-0py of this statement maybe forwarded ba the Office of Iuc=estigatiom of fhe DIET.fur rnersartr45 COW rage,vuificat r Idg hereby cerlify Trarder tks jxutts anrlp8nal#c8S n ur3'l tstflas nnrtati¢nFrat2ded tzbr �e'is.hue ar�rf carxect Signature: . Bate: b , Wig: r ©.01Cirl u:Fe 011[y. .D¬ Wl? tg fn this area,t a Fla c.am.&ted by,dl�v ur town official , City or Town: # Issuing Authority{drd+e one : 1."Board of He.1tic 2.ButU ng Department I Cit IFnwa Clerk 4.Electrical Inspector S.P-luMhin Faslrt'ctor 6.Cither Caritact Perstzn: Phone#: 6 Information and Ifistfuctio4s Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuantto 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 clefined 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 dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6 also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for azy 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,it necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their ceraficaie(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partaershi-ps(-LP)with no employees other than hie members or partners,are not required to cant'workers' compensation insurance_ L an LLC or LLP does have employees, a policy is required Be advised that this affidavit maybe submitted to the Depa�ent of industrial Accidents for confirmation of insurance Coverage. Also be sure to sign and date the a,$da�dt '17he a#Tadav it should be returned to the city or town that the application for the permit or license is being requested,not he Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a arorkers' compensation policy,please call the Department at file number listed below. Sell-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be kure 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/licease number which writ be used as a reference number. In add 'don,an applicant that must submit multiple permitlli=ase applications in any given year,need only submit one afddavit 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 perrnit.not related to any business or commercial venture (Le.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would at 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: t Tho COTlYIL1QnwPatth of Massachusetts Degattnealt of IIldu§tr.4 Aocide�nts ' sr���ashin�tan s � BostGij,IAA 02111 Tel,A 6I7-727-49-00,�xt 406 or I-M-I ASSAFE Fax 617-727-7749 . Revised 4-24--07 WrW_mass,gnv/dia IWA anaxsrAKF- ; Town of Barnstable prED MA'S A Regulatory Services Richard V. Scali,Director Building Division. Thomas Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.rna.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 �j hereby authorize 7 I` Q � to act on my behalf, in all matters relative to work authorized by this building permit application for: 5�5 al (Address of Job) . 1: Signature o nex Date Print Name If Property Owner is applying for permit,please complete the-Hdmeowners License Exemption Form on the reverse side. Q:\WPFILESTORWbuilding permit formsTXPRESS.doC Revised 061313 1�!�t Massachusetts -Department.of Public Safety . /. Board of Building Regulations andStandards Licenser.C 41953T a MAN P TABER PO BOX 307 to n HYANN'IS MA 0$601. V�) a.. ,� ,r,t�,•� Expiration Commissioner 0811112015 w DATE(MMIDDJYYYY) CERTIFICATE OF LIABILITY INSURANCE TkMA:EKTIFICATE IS ISSUED AS A MATTER OF INFORMATION.ONLY AND CONFERS NO..RIGHTS UPON.THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES.NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCEE DOES NOT CONSTITUTE.A CONTRACT BETWEEN THE'.ISSUING.INSURER(S);:AUTHORIZED REPRESENTATIVE - O PRODUCER. T CHOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the:policy(les)must:be endorsed: If SUBROGATION IS WAIVED,subject to the terms and Conditions of:the policy;certain policies may require and endarsement..A statement on this certificate does hot confer.rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: ALBERTJ TONRY&CO INC PHONE FAX -100 CONGRESS STREET (AlC,ND,Ext);. (A/C,No):. E-MAIL QMCY;MA 0210 ADDRESS: 2873Y INSURER(S)AFFORDING COVERAGE NAIC:'# INSURED INSURER.A::.ACE AMERICAiV INSURANCE COMPANY WAILNICA JEFFREY S-DBA JEFF"WARNICA CONSTRTJC7I0N INSURER B; INSURER,C: INSURER Dt PO BOX 1287 INSURER E: ONSET;MA 02558 INSURER P. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: IS:IS O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANYCONTRACT.OR OTHER DOCUMENT WITH:RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF.'SUCH POLICIES.LIMITS,SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: - - INSR ADD SUB POLICY':EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L It POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL. LIABILITY CLAIMS MADE OCCUR. DAMAGE TO RENTED $ REMISES(Ea-occurrence) ED EXP(Any one person) ERSONAL&ADV INJURY $' GEN'L-AGGREGATE LIMIT APPLIES PER;: ENERAL AGGREGATE j S POLICY PROJECT❑LOC RODUCTS-COMptop AGG .1 AUTOMOBILE LIABILITY I COMBINED SINGLE ;5 ANY AUTO LIMIT(Ea accident)" ALL OWNED AUTOS BODILY INJURY '$ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY S (Per accident), NON--OWNED AUTOS PROPERTY DAMAGE is (Per accident) i I UMBRELLA LIAB OCCUR: EACH OCCURRENCE. $ �l� EXCESS LIAB rl CLAIMS-MADE AGGREGATE ]'$ DEDUCTIBLE RETENTION:S `* , A WORKER'S COMPENSATION AND We STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-4Q41D031715 OV1212015 MM212016 X LIMITS .ANY P.ROPERITCPJPARTNEREXECUT.IVE y�HiPi: E.L.EACH ACCIDENT ;$ '1UO;fl00 OFFICERIMEMBER EXCLUDEW (Mandatory in NH) E.L:DISEASE-EA EMPLOYEE $ 100;000 If describe under E.L..DISEASE-POLICY LIMIT is 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF 0PE RAT IONSILOCATtOA1311fE11ICLE3)RESTRICTIONW0IECIAL ITEMS TFUS REPLACES ANY PRIOR CERTIRCATE:LSSUED TO THE CERTIFICATE.HOLDER AFFECTD;G WORKERS COMP COVERAOE. THE-WORKERS'COMPENSATION POI3CY.DOES NOT PROVIDE-COVERAGE FOR WARNICA,JEFkREY S. CERTIFICATE HOLDER CANCELLATION AL 11-N TABER SHOULD ANY-OF THE ABOVE DESCRIBED POLICIES SECANCELLED 5.99 MAIN STREET BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL B DELIV D IN ACCORDANCE WITH THE POLICY PRO AUTHORIZED REPRESENTATIVE H-ANMS,MA 02601 Mass. Corporations,external master page http://corp.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.asp... Corporations Division Business Entity Summary ID Number: 043627719 ..Request certificate. New search Summary for: CYMBAL, LLC The exact name of the Domestic Limited Liability Company (LLC): CY01BAL, LLC Entity type: Domestic Limited,Liability Company (LLC) Identification Number: 043627719 Old ID Number: 000810177 Date of Organization in Massachusetts: 02-06-2002 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 110 ACORN DRIVE 0 City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: The name and address of the Resident Agent: Name: KATHLEEN E. JEFFRIES Address: 10 ACORN DR. City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: — The name and business address of each Manager: Title Individual name Address MANAGER KATHLEEN E. JEFFRIES 10 ACORN DR. WEST BARNSTABLE, MA 02668 USA MANAGER KATHLEEN E. JEFFRIES 10 ACORN DR. WEST BARNSTABLE, MA 02668 USA MANAGER KATHLEEN E. JEFFRIES 10 ACORN DR. WEST BARNSTABLE, MA 02668 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: 1 of 2 4/]6/2015 1:46 PM Massachusetts 1-ES Estimated Tax Payment (on bottom of page) r ' k - � 4 HERE CUT E E 1022 Massachusetts Estimated Tax Payment — 2015 Voucher 3 1-ES Dept. of Revenue Mass. Corporations,external master page http://corp.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.asp... Title Individual name Address SOC SIGNATORY KATHLEEN E. JEFFRIES 10 ACORN DR. WEST BARNSTABLE, MA 02668 USA SOC SIGNATORY STUART A. HAMMER 595 MAIN ST. HYANNIS, MA 02601 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY KATHLEEN E. JEFFRIES 10 ACORN DR. WEST BARNSTABLE, MA 02668 USA w Confidential =-- Merger Consent Data Ailuw.ed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: New search:; 2 of 2 - '' "`'` 4/16/2015 1:46 PM Massachusetts 1-ES Estimated Tax Payment (on bottom of page) S - - - - - - - - - - - - - -- - - - - CUT HERE - - - - - - - - - - - - - - - - - - 1022 -ESMassachusetts Estimated Tax Payment — 2015 voucher 2 Dept. of Revenue p ;i; 1 rr .,;a`,-'"{r^ , �s;,' c� .y.T� ,r ri h' -n fi,•• 1 t;43+/s's.RmRT.+r-�'f ;#f�.'7r i°"y,`t�: -"` -.s rK.+-m' Yrna.�V ,w+sSMew E:.ss'u �r ax:�.n^ ••";.. ...� TOWN OF BARNSTABLE BAR-W 56 Ordinance or. Regulation WARNING 'NOTICE. Name of Offender/Manager dob Address of MV/MB Reg.# Village/State/Zip SS# Business Name O.f') am/pm, on �- 20Q� Business Address,,�� �,yt� .�k�t-yC...t Signature of -Enforcing Officer Village/State/Zip rrnrl 1 1- Location of Offense, 4� I I4- - � - Ar i 1 1� � +C✓ L/i, En f orcin4jDept/Division Offense N f on Facts 1,0a a N ,46 2- "L- � A,� 1;J1, c1.f \i�� ir This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to . achieve voluntary compliance of Town Ordinances, Rules and Regulations. ' Education efforts and warning notices are attempts to gain voluntary compliance'.: Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY ORD./REG PROG PINK ENFORCING,OFFICER, GOLD-ENFORCING DEPT _.:..N:.,wr n .- ..:r... .^l _:.. ,✓,..:.:.....,s'•r`vF r .r. -.».+ ..r!A';_'S4.trv'!a._1....^'-'r'�i',..:Jr'.. X..,r ...•W Mr "q'.!'Cn, 1.'t -i. .. TOWN OF BARNSTABLE BAR-W 56 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip J• Business Name ffly.",i r. -----.' i'� a( am/pm, on t - 1r-' 200 1 Business Address �Signatureof -Enforcing Officer Village/State/Zips Location of Offense_ '' d 11 f l: _ ' � Frx -u^� l a `' .`�►'" ` ( j EnfofcingDept/Division Offense rP Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG:-P-BOG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. .r. ..,: „(.-.F.::a . _,..;. .. _..-.., rg.rr—.r,- ex�'+•'wr,Y .ems--r:. .tee- r [• - .. -- a ,. TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE. Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip y, •S, Business Names !t� f'� :/fit f; `a. _ ' am/pm, on J- 11 t 20j' Business Address 1 Signature of Enforcing Officer Village/State/Zip I Location of Of-fense . 7(s Ca ' -; t• ' { Enforcing Dept/Division Offense N Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to . achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. . � ) A (sue,_ Assessors ma bnd lot number ... ....................../��.�... P ,.-^ "� -" %✓l/L�f�� 110,*THE T0� .r Sewage Permit nu , yer g t.:...et............� ...... r................ ....__- r Z BAHBSTAIILE, i House number. b�� o'FC MPY t639-a�0 TOWN OF BARNSTABLE . � r BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..: !`S (U �'iQC �� �u�` ? ........... TYPE OF CONSTRUCTION .... . ............................................................................................... 19........ ................�y. a .................. s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �O1"� :k� MG✓1�� ..........�..................................................r....................... . ...............`.................. ................ ................................... ProposedUse .......................................................................................................................r....................................:................. ZoningDistrict .......................�-✓...........................................Fire District ......................... ........................................ Name of Owner ����c w� �J e'c��(4 S � D hgiQr� 1r �� �c,�✓I................ .................`...........................Address ................... .............. Name of Builder ... .s . �....s� 0... �L� 3� CA T (3AK(2 �0, i , �51 ... ............Address .............................................................. .. ......-.�... Nameof Architect ..................................................................Address .................................................................................... r Number of Rooms Foundation ................................................................... Exterior ...�a��c ' ..................................................................Roofing ...P`-R� Floors ....... ............................................................................Interior .Uw���tS� e� 4aca''C.v.�ll ......................................................................... Heating1V ...............................Plumbing ......kttel _z............................................................... j Fireplace ....... .................................................................Approximate. Cost ....3q;0,-3 Q.............................................. Definitive Plan Approved by Planning Board ------------------------ a bl ....��f./. - -------�9--------. Area .... ............ Diagram of Lot and Building with Dimensions Fee � 2 6 g .......... .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH z, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above i4 construction. , I %� 4../� Name ......... ..... .. .k�`............................................... Construction Supervisor's License ................`.' ................. JEFFERIES, WILLIAM A=308-1-16 No Permit for Commercial Building..................... ....................................................... Location 525.jai.n...St. .re.e.t............. .......... .. .. ..Street.. .. Hy��11.11 is ............... ... . ................................................ Owner WilliAm...J.Q.f.feX.a.e..5...................... Type of Construction ....,Fr.ame........................ ................................................................................ Plot ............................ Lot ................................ Permit.Granted ...............April...3..................19 84 Date of Inspection ...................................19 Date Completed .......................................19 _7_1 11f ;Y, /�� wQ Fit Asse*or s map and lot number Job' x S e < .. � � ; ' }li" PyO* T Off' , �• Sewage 'Permit`number ,� A. r........ ,/.p e"" Y 6`` _. _ _ A. . — :� _ BARNSTADLE, i House number.,............... y : MA66 � Jam_(.. ��... .............:....:....... 00 1639. \00 o war a. : TOWN' OF ,BARNSTABLE BUIL01NG INSPECTOR . Q APPLICATION FOR PERMIT TO ..: !`�. .f v. ..... C � ..1� `.` ''................... ^ TYPEOF CONSTRUCTION ..... .... � tr.............................................................................................. ...............3�.P�...�..................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ,r QQ Location 5 ...1. r i.`��'� �l�l �$iA V��). .... ...... N.......... ... "........ . ..� ......................... ........... ............................... ProposedUse c� 2- ................ ..................................................... ZoningDistrict ......................................................................Fire District ...................... ................................... �� c Name of Owner vv��t*,Gw� Q a-c S I(3 �L`Qf'`..��`..... .'.. ....... .................. .t .Address ..�.............. ... .............. Name of Builder ..................Address CST, ..��Q:.....LJ, � nsS�-L Nameof Architect ........................................:...............:.........Address .................................................................................... Number of Rooms ...................................................................Foundation .!t... .... Exterior .. ..J,E ...........................Roofing ...C5� °` ...................................,...:....................... .............. Floors .......0�............................................................................Interior .0�l`F:.'^..� °1..:W.aGl� ill ... .. l�ociZ Ce<<� S ... ......................... .. f ... - Heating .... 'Plumbing ..... �A. Fireplace ......Nl! .................................................................Approximate. Cost .... 0` �.............................. r ........... Definitive Plan Approved by Planning Board --------------------------------19________. Area a 6 f ....�.............. Diagram of Lot and Building with Dimensions Z l g g Fee ................ .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS " I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .. - x. , �. ...... Construction Supervisors License --� JIETFRIES, WILLIAM 2 6,2 3 2.. Permit for STORAGE BUILDING NN,...... ................................... .....Commercial. 1 . . . ....Bui.ldi.ng........................ ..... ....... .. . .. .. . ....... ....... .... Location 595 Main Street n. ........................ ........................................ I". , S7 kyannis .............. .................................................................. -.William Jeffries dwn4r. 1................................................................. ,c Frame _IAJ�;,eI4 —Type of Construction ................................... e nAfor .47< k J*I Plot ............................. Lot ..................t:,:n.......... Permit G'r'a,nted P 1.1...3.r.... ......19 84 Date of lnspectio;C�.:7/ ........ '.19 Date.-Completed ......... ........................19&'5 4L c: V4 4c) 4F INE Signe TOWNOF BARNSTABLE Permit sARrrsrASLE, MASS. 1639. A Permit Number. Application Ref: 201004490 20070506 Issue Date: 09/13/10 Applicant: JEFFRIES, WILLIAM E JR TR Proposed Use: DEPARTMENT DISCOUNT STORE Permit Type: SIGN PERMIT Permit Fee $ . . 50.00 Location 595 MAIN STREET(HYANNIS) Map Parcel . 308116 Town HYANNIS Zoning District ,HVB Contractor PROPERTY OWNER' Remarks RED NEON OPEN SIGN 23 x 9.5" Owner: JEFFRIES, WILLIAM E JR TR Address: 110 ACORN DR W BARNSTABLE, MA 02668 Issued By: (PC I POST H S CA ;SO THAT IS yTSIBLE FROM T 11 STREET oFt Town of Barnstable Regulatory Services BAMSfABLE, MASS. ThomasT.Geiler, Director 0 .,, Building Division J Thomas Perry, CBO AUG - Building Commissioner Q 200 Main Street, Hyannis, MA 02601 ��- www.town.barnstable.ma:us ' . Office: 508-862-4 Fax: 508-790-6230 Application for: Open/Closed Signs, Business Trade Figure/Symbol/Flag, and Hardshi Location Signs in"HVB 4 /V �1 . Permit#r Building Official approving Fee: $50.00(non refundable) Applicant: �� U�1'1�� r Assessors No.:717`� Doing Business As: �`Gb tQ Jelephone No. Sign Location C� — Street/Road: 5S5 M al ft s a ' Zoning District: V Yes/No Hyannis'Historic District? Ye)/No Property Owner Name: � � ��' 1 �NS� 'telephone: Address: S E-wK1' S� Village:. I am applying for the following: 7. ' (Please check all that.apply) Trade Flag(not to be used in conjunction with open/closed sign or Business Trade*,Figure or Symbol) Business Trade figure or Symbol (not to be used in conjunction with an open/closed sign or trade flag). }(,Open/Closed Sign (not to be used with a trade flag or Business Trade Figure or Symbol) Hardship Location Sign if this box is checked attach recorded planning board approval and letter from property owner giving expressed permission for the location proposed if not on applicant's property. Please attach graphic or photo of proposed with dimensions and locations of each that are.checked. .I hereby.certifythat 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: Date _� q D d b Q:\WPFILES\FORMS\SignsinHyannis.DO 6/24/2010 Barnstable Hyannis Main Street Waterfront Historic District CommissionAbfteftaft 200 Main Street q Q Hyannis,Massachusetts 02601 1 M Phone: 508-862-4665 / Fax: 508-862-4784 www.town.barnstable.ma.us/arowthmanagement 2007 George A.Jessop,Jr.AIA,Chair Marylou Fair,Administrative Assistant CERTIFICATE OF APPROPRIATENESS ` FOR SIGNAGE Application is hereby made for the issuance of a Certificate of Appropriateness under MGL;Chapter 40C,The Historic Districts Act,for proposed signage as described below and on drawings or photographs accompanying this application. CHECK ALL THAT APPLY* I. Open/Closed Sign 2. Trade Flag 3. Trade Figure or Symbol 4. Location Hardship Sign - 5. Business Sign *Application materials must be submitted for each sign requested Date -7 I ID ASSESSOR'S MAP# ASSESSOR'S PARCEL# I W APPLICANT TEL# �D�. 7 Z 1 1 . APPLICANT MAILING ADDRESS '!) M.Ct,LVII APPLICANT E-MAIL ADDRESS _ @e M U C, . 11,(1 t" ADDRESS OF PROPOSED WORK -5,q 15 CU VA 51w+ PROPERTY OWNER 3 UQ, TEL# f I . 2_1 k� OWNER MAILING ADDRESS 5�'S _ �/I GtA ��✓�{` NOTIFICATION TO ABUTTERS: Please contact Growth Management Staff for abutters list and assistance with notifications to abutters. Applicants will be responsible for.providing the postage stamps for abutter notification at the time of submission of this application. AGENT OR CONTRACTOR TEL# ADDRESS SIGNATURE of APPLICANT DATE `�7 For Location Hardship Sign&freestanding Trade Fieures or Symbols to be located on private ro e P P rh': Check box if property owner has granted permission to locate Sign or Figure on their property abutting the ; building front. dR Received by HMSWHDC: i 30 In Page I of 4 TOWN OF BARNSTABLE HISTORIC PRESERVATION l A • t\ 1 Open/Closed Size of Open/Closed Sign: 2" x Sign: Material of Open/Closed Sign:�I m Color(circle one option ed/ ed&Blue Trade Flag: Size of Trade Flag: x Material of Trade Flag: Trade Figure Dimension of Trade Figure or Symbol: x x Or Symbol: Material of Trade Figure or Symbol: Location Size of Hardship Sign: x Hardship Sign: Material of Hardship Sign: Lettering Color and Material: Business Sign: Size of Sign x Material(s)of Sign Material of Lettering(if different) " The Sign will be(circle one): Carved Wood/Painted Wood/Aluminum Other(explain) Exterior Light Fixtures(circle one)Yes/No If yes,what type of light fixture Location of Fixture p1c� 12adM JUL 30 2010 TOWN OF BARNSTABLE ` HISTORIC PRESERVATION Page 2 of 4 �j ._ � �� - -r r7^ S;i 3�yi.. ��i /'e R!� y �i � 1 E .. �.. ... -F \. w. 1 ,� - , '� �� +� _ ,� _ _--� � ,� � , it _.-- � ` ' i �. �� �. � � � �i� ` - a JUL 3 0 2010 ]T:CwmRNST ABLEVPRESERVATIo Assessor's)--map and lot :number ... Y; SeGvage;,SPermit number ' �QyOFTNErO�o• r TOWN OF BARNSTABLE H9HBSTADLE, • :; is-. � {' tt �p 039. a DMaYa,. . D.UICl LDIHG , INSRECTOR • u ` r i l APPLICATION' FOR PERMIT TO ......�/....... ' ®........1. . ........ 1. :�/ .................................... ...... TYPEOF CONSTRUCTION .�............................. ............. .... ..............................................:..........................:......... .................................................19.. a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it according to the following information: Location ...... ...... .... :. .:1 1i14................................................................................ ProposedUse ..................................................................................................:........................................................................... Zoning District ..... ....Fire District ....................... ....... ....................................:......................................... JICr�Ljl/� Name of Owner .. // fl ..................J Address ......................................................:.. Nameof Builder (JAW Al- �ss ....................................................... ........+.................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ....................................................................:........ Exierior ....Roofing ...................... FloorsInterior ..........:.................:....................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ...................................................................................Approximate Cost ................................................................... Definitive Plan Approved by Planning Board __------------------------------19________. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. -� Name ... .�,SL�"—a... ... .,�?CX�(. Sullivan, Anne -Y 18432 demolish No`................. 'Permit for .................................... t ..�........ .�..::.fMain^Street............................ - .• Locatio Hyannis ............................................................................... Anne Sullivan 4 Owner ...........................................•...................... Type of Construction metal ............................................................................ Plot ..........................•. Lot ................................ June 4 76 Permit Granted ...........:............................19 Date of Inspection ....................................19 Date Completed Y •.••......... 19 PERMIT REFUSED ........................................ .. ............. 19 t ............................................................................... ........................................ ...••.•......•...............•.......•. Approved ............................................................................... ............................................................................... Assessor's i ap and lot number ... .,................................... Sewage Permit number ........................................................... �QyOFTNET��o TOWN OF BARNSTABLE rSSo y • i HAWSTLELE. i C il "6 OM - BUILDING INSPECTOR i O'EPYa' M APPLICATION FOR PERMIT TO �/ �h c�[! Sr ' l �� H ....................... ...........................................................M,TYPE OF CONSTRUCTION .............................. . ..... .!................................................................................... .o ................................................19........ TO THE INSPECTOR OF BUILDINGS: I The undersigned hereby applies for a permit according to the following information: Location .......�s 1. / .....''. i.....t42 ......... .`/..................................................................... ................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ...............Fire District .............................................................................. AIC E/ Nameof Owner ................................:..f.............(. .Arddress .................................................................................... Name of Builder ....... ..........................................._:................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..........................:.......................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area , .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name (!(--C f f 79t1-r:. Sullivan, Anne 11- A=3086 081 18432 d olish building Now............... Permit for. ............................ ......................................................... Main Str et Location ........................... .................................... Hyannis ....................................... .............o......................... Anne Sullivan Owner ........................ ......................................... Type of Construction ...... metal........................ ............ ........................................ ......Lot.................................... Plot • . .... ................................ Permit Granted .... ...June..4...................19 76 Date of Inspection ....................................19 Date Completed . ....................................19 P RMI ED ................................. . ............... ....... 19 ..R'MI ED... ........... . ...... ......... ......... .... . .... .............. .... ......... .... .................... ....... .......... ... ........... l.. . .. ....... .......... ..... ....................................... ....................................... Approved ................................................ 19 ........................................................................ . ................ .......... ................................................. RE� Ef2 L.G. PLAN iGZ58 c S I , ! 1 Ar 00.00 1 EX ► STIKJG gutL.oING 77 J 3.$ r 40 1 q ` 3 Q8cti+90r1 too ooi.: �. F p� LA t'1 OF LA NJ D I ti BFk PIN STF� B .LF-- , HYANN tS ' P2EPA�ED �o� : r gA`� STATE J EA N Et�.Y SCALE. Ili= 2-0' MARCH I984 I Z /-1EP-EBY CER7'11 Y THAT THE BU14-WA-/6 S140JAIAl OA1 THIS PZ.Af,/ /S LOCATE[? ON THE Gi20U/l/O AS SHoWAi HE,t?Eolll. o%wr7 cape en9ineal-M of RiQSsq ��' �� CIVIL_ EhlGIN1EEIz5 o ARNE LAND SUfzvEYoR S aJALa te. GA-YAP- 1ouTH, MASS. P r 84- OCb2 G..S. i OPEN-IN(� r �; # i; ! 7::�--_ l�cx�t2 i G1lt cAt f,0,goat. 7 Val$x Z4J w f t1 x i r� 4?fs=�;r1t; N.tt. r�� E i r to 4-4 ! � i t` z, t �. --- r ! � 64 Lo i UP � 41: S'tF E t_ C�tih1f!3t:LU LAirS Fuoo2 Vr 9)( ZS Il"I(`/H` NFr ►it,U)k rya 76-C- \ I' LE A(°..11 & f-A,StoE 1 - €dT WAS{ TER A. &.1c iNNON A''�i-H. .ATES 278 Washington Street 2e ff er 1D'�''___. _ ___ ._ Z(c'to" _ _._ __.___ __,_.. ._._. -- WAy�flouth, �'�issachtm tt..' _ f ._•— -- - u� DRAWN BY Ir1p.1-vt f-L( tatt_ tdAt2. kv" —_ `�ito 1 �, �,i SCALE:1�4' .. I��r' APPROVED BY �L L� ��- o t3�tC� r+tllti ;.i AC4�tk7►k`rk -- 2ot�� d �. '�. r. t ' DATE' r� - - ._.-_..-_____- may.. .-.. ... _ _ ...... .. . '� :(�•ih� l . I � .- A� , . ,�,, 'a..=• .. - ♦ {j DRAWING NUMBER r(. ��_ AP'' A' _r � Fi �.w r "!nA 2-7V CfA'OC t F-10 4' y 7< ► WALTER A. bAcKtNNON ASSOC A) 278 Washington Street Weymouth, MlassachUtetts O�188 L y SCALE: APPROVED BY DRAWN 'I�IY DaR�A a- DATE: DRAWING NUMBER PAINTED ON 420H CHARPRINT VELLUM