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HomeMy WebLinkAbout0678 MAIN STREET (HYANNIS) (D S MA i n S 40 TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION. Map Parcel © L4,07 Application6 LA#� 0 Health Division Date Issued o Conservation Division Application Fee Z� . _ Planning Dept. Permit Fee Date Definitive Plan Approved.by Planning Board Historic- OKH Preservation/Hyannis Project Street Address ` - 67R r ' rr-) A i N -nT-yzEP_T NS/AA-A i W4 6a.601 Village N yA �J S Owner I<E L L A br fl t,)L X7_ Address 72= r2 A 13R/Z/�/A� Cry iZc.L r?Ea�TfZy TR�S� . Telephone Permit Request A bDl TIDIU To FR o N% F02 A i--c7/+ A DD iT l o4 To g EA?_, Fog K/rCYz5: J PREP,e 57i�kAc,,� ( ►moo ADb/T/d►---',�r cL_ :�2EA7- tti0n) 00 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed N A Total new O6 Zoning District Flood Plain y7�6 Groundwater Overlay Project Valuation 90 Oco.Do Construction Type WOO Lot Size 10 YK 5 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: b(Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) N O Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new © Half: existing new Number of Bedrooms: O existing _new Total Room Count (not including baths): existing new d First Floor Room Count Heat Type and Fuel: WLGas ❑Oil ❑ Electric ❑ Other Central Air: WYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ONo Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑anew size_ rAttached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: =' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ "=s — Commercial ❑Yes ❑ No If yes, site plan review# -, Current Use Proposed Use # N3 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name SO t��� Av..� `�� \,.�� Telephone Number 5_0 g 31614 -7 g S-7 Address cZ l.y NY, M b L M CT License# 70L S 7�1 �61A/ d a 60 Home Improvement Contractor# k c) 6 6 0a-1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Rru Ti >` L w b F L L LASIGNATURE DATE /y/ p , FOR OFFICIAL USE ONLY APPLICATION# _ DAT�rISSUED MAP/PARCEL NO, s f ADDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION ©�� ` r b j } FRAME © �� 7 ` ' —0 tINSULATION t FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. f ,per The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): K)AT-at AIJ 7Y L.2 R Address: c;L �-YA-)X k101 t.-) C! City/State/Zip: W 7'4*�U /014 0b266 / Phone.#: 3 Are you an employer?Check the appropriate box: Type of project(required): 1.ElI am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.U64 am a We proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in an capacity. employees and have workers' Y P h'• 9. ❑Building addition [No workers' comp.insurance comp.insurance) required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LF]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 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. 1contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic:#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day agairot th tor. Be advised that a copy of this statement may be forwarded to the Office of Investi atio DIA f6r in.9e cov4rZaelverificatim. I do her c e the ' s of perjury that the information provided above is true and correct Si ature: Date Phone 9 5� l Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of 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 fore om en a ed in a joint enterprise,and including the legal representatives of a deceased employer,or the g g. g g J rP receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the d resides there' or the occupant of the dwelling house Navin not more than three apartments an who in, p owner of a p g g dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house building appurtenant thereto shall not because of such employment be deemed to be an employer." or on the grounds or g ppmp 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number. The Commonwealth of Massachusetts }department of Industrial Accidents Office of Investiptims 604 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4.06 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia _ .--,T.�.�,�.—•,�,-.t--.-.�--=—...y,.___......-...,ram- n_..,.,.,_..,.-.� „c- - A CD jI f(( Ai is tan; 2C t19711 81fi I1 Nf+[IS- •. C666f fjcf966 SUONIi at Lies'fits Wafts8" CS 72579 �. !; 00 l4201O Trg 14112 �` r m JOi'1. � #f�4 N M 2 LYtd3(HOLhi GTfw` G%- - M a•I f1YANNFS,MA 0260 L Caimvi3ssi0er f CO Lin 00-33 0c iQ4 ienQ.i6aed space 1A-Mmunry oxity 10- 1.2 Famify Homes Fauum to m4sevs a current ed#tion of the Mammachusettastato.B ii7igr Code is cau r TevaC-ati ilifk Memo, ` t7 CD _ r m FI • m L , I I- m �FTHEIp� Town of Barnstable Regulatory Services - + BARNSfABM MASS. �, Thomas F. Geiler,Director v gjA TFo�,,p+a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I,VAL A,.Olt 6- Gr b_ of l VW4,tt IkkV+as Owner of the.subject property hereby authorize � � S o't�G�-�-�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature 6f Owner Date KiAL A, print Narl# If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. fl•Fl1R TvTC•l1WUFR PFR TvTT.CST(1N. Town of Barnstable �p,f VE t ti y� o� Regulatory Services BARNsrABLE Thomas F.Geiler,Director y MASS. $ Building Division PrfD I"A�p Tom Perry,Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or 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 progeed 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 fornn/certification for use in your community. e t afti Hyannis Main Street Waterfront Historic District Commission 4 s�sr"M , 200 Main Sired` Hyannis,Massachusetts:.02601 TEL:,508=862-4665/FAX; 5U8-862-4725 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 photograph's accompanying this application for. PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building 2-*A*ddition. ❑ Alteration Indicate type of building: ❑ House ❑ Garage [►rCommercial ❑ Other 2. Exterior Painting: [ CD> Ls 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign p n;7 4. Structure: ❑ Fence. ❑ Wall ❑ Flagpole ❑ Other = " = 5. Parking Lot: ❑ New Building ❑ Addition ❑ Alteration ON ,S•s (Please see the guidelines for explanation and requirements) si — .t"i—Tt I � TYPE OR PRINT LEGIBLY DATE ASSESSOR'S MAP NO. 308 ASSESSOR'S PARCEL NO. ©�8 APPLICANT b?� A Z I L I A N GiZ\ " TEL.NO. 508— 7 ? 1'd 1 09 APPLICANT MAILING ADDRESS (0 1 LA A 51• Nk y)-"0\S . M A, © a 60 ► . ADDRESS OF PROPOSED WORK 6 7 9 M A► t1J Ste► t1 A tit�n15,_1v\ R• PROPERTY OWNER �V 1ZAZ1L)au� r,R)u.�\.) TEL.NO. 5 ''7 �" 0 \Oct Pic• OWNER MAILING ADDRESS 6-1 S V\A 1 5T• H YAK M A. O2.1001 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 ?o0 A17'A "N LE RTEL.NO. JraB`3(0y ' .79 57.7 ADDRESS �2 L �X 1-1ot_w^ C-K M R. O ato 1 F 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). Signed Owner-Contractor Agent (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date This Certificate is hereby6kPC,,, Time Date By1 ° IMPORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL: , HYANNIS MAIN STREET:WATERFRONT HISTORIC DISTRICT COMMISSION . t ***SPECIFICATIONSHEET*** ADDRESS-OF PROPOSED WORK FOUNDATION i0 .�C CONC�En a -10 ��. HC :1 b9 G 6c REAR �fDf�Rvre4miotLrz-5= CouL R'yChRIRY .SIDING TYPE C L BOA-1k D- FRoi.a� � COLOR CHIMNEY TYPE COLOR ROOF MATERIAL AS PH A L% pl 1 FCT COLOR WgA r4E1Z 0017 PITCH 1 WINDOW COMffRCIAL AWw%,Nuwt COLOR GfRf�y TRIM COLOR DOORS A•1-U*'`1 V v"^ COLOR G?P=Y SHUTTERS 1V GUTTERS N �` DECK A GARAGE DOORS VQ Q 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. i ' c i Hyannis Main Street Waterfront ( s / r Historic District Commission FC,RO\NTH p 4 2008� L' 200 Main Street`wrA13B Hyannis,Massachusetts 02601 TEL: 508-862-4665/FAX: 508-862-4725 MANAGEMENT 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 ❑ Alteration Indicate type of building: ❑ House ❑ Garage [Commercial ❑ Other 2. Exterior Painting: R 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) TYPE OR PRINT LEGIBLY DATE q l 08 ASSESSOR'S MAP NO. 3 8 ASSESSOR'S PARCEL NO. APPLICANT ?2?+A Z l L 1 AN GiiZ V LL TEL.NO. SO$- ? ? '0109 APPLICANT MAILING ADDRESS 10'7 `1 5T• NkY 1h.+1 0+S M A. © a bo 1 . ADDRESS OF PROPOSED WORK 6 7 9 M A 1 ST► tl yAN 1150 M �, ooZ6D PROPERTY OWNER �V tZ At 21 L)aOz &RILL."j?�yS\ TEL.NO. 5-08 '7 -7 1-O 109 OWNER MAILING ADDRESS 6-1 y M A ii�j 5T. . _ }��YAvJWI S M A. 024601 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). d + AGENT OR CONTRACTOR 700 ATE PiJ T`/LE -TEL.NO. Sa&�3 6y " 9 S ADDRESS L Y" �Jouw\—CT, V\YNu w is tart;k. 13 atop , 4 FEB 0 4 2008 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architecturht � 4A1yF+GEMENT 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). Signed Owner-Contractor rtoent (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date This Certificate is hereby Time Date By Signed IMPORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL: i 1 MID HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT CO M O W FEB 0 4 ZOOS ***SPECIFICATION SHEET*** GROWTH MANAGEMENT ADDRESS OF PROPOSED WORKK ST, O Yk N P IS. Mk Q a-4 v ' FOUNDATION ?001? b Cet-)CR r-3 1- 10 yC 1 b9 C DMIL-5WW"6-)cC5. 51DE ArrAR T �e{»at.lts- COuerJ JRyCjRj� SIDING TYPE C Lh?BOA It D- yRoi J ►' COLORS 1.A 30 f50AR p - 61 A A R/,-bn+ R V>C rtC 6 CHIMNEY TYPE COLOR ROOF MATERIAL A5 PN A L J I RCW I—N CT COLOR WE A74 0P �u Oct t7 PITCH_ WINDOW COMVtClAL A%-%JwN,Nuv-% COLOR rnREX TRIM COLOR DOORS A LU y-,u v w-, COLOR Gi it F Y SHUTTERS N GUTTERS N a DECK PA GARAGE DOORS U A 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. 4 y, � yk J •�4► "ram 7 s/r h P V It 7-70 Ililow w-01 i�l t f� ,y � S.{� �.y�''� :�[�� a e rr r r . h mt;,: T .✓ �Imo"' _�1 W }.} mWL � f• _ 3 f Y r t _ ' -." 'STy.Sr,'.r��'`�e n, .. ''�,'�v< �°' i v„3';•. ;'"u�, 1`.;f.i 7 i.,,-'; a y%" .a�. �k, r "7}� u�y°''��fit. i r p�q, p�., sdyy. >,+i�J s� �sry t r�1 fir.: W� ,., K+l�5�.:.J ;,, •.#^. ..u�:. ��_: �{.: �°e" q� � ��.� S �. 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THIS PROPOSED ADDITONAL SPACE IS TO SOLVE THE ISSUE OF LACK OF WAITING SPACE FOR THE PATRONS AND TO INCLUDE THE ENCLOSED ENTRANCE AREA AS TO CREATE SPACE BARRIER FOR HEAT CONSERVATION. OUR GOAL IN THIS AREA IS TO PRESERVE THE EXISTING HISTORIC APPEAL AND IT'S IMPACT TO THE HYANNIS WATERFRONT MAIN STREET TO BE NONDETRIMENTAL AND BENEFICIAL TO ITS HISTORIC APPEAL. FRONT OF STRUCTURE IS TO BE FINISHED IN CLAPBOARD AND TO BE PAINTED HISTORIC COLOR, COVENTRY GREY #HC-169. SIDES OF STRUCTURE TO BE SHINGLES AND PAINTED THE HISTORIC COLOR OF GARRISON RED #HC-66. TRIM TO BE COMPLETED AS TO MATCH THE EXISTING AND PAINTED WHITE. ROOF TO BE INSTALLED USING ARCHITECTURAL ASPHALT SHINGLES COLOR- WEATHERWOOD. ALL NEW EINDOWS TO BE INSTALLED AS TO MATCH EXISTING WINDOWS TO BUILDING. IN ADDITION TO THIS PROJECT, WE PROPOSE TO EXPAND KITCHEN BY ADDING ADDITION TO THE REAR OF THE BUILDING. SIDEWALL TO BE CEDAR SHINGLES AND TO BE PAINTED THE HISTORIC COLOR OF GARRISON RED #HC-66. ALL TRIM WORK TO BE PAINTED WHITE. 2 WINDOWS TO BE INSTALLED AS TO MATCH EXISTING,. THE ROOF SYSTEM IS PROPOSED TO BE AN EXTENSION OF THE EXISTING FLAT ROOF AS SHOWN IN PHOTOGRAPHS PROVIDED. I THANK YOU FOR WORKING WITH ME TO OBTAIN APPROVAL FOR THIS PROJECT. I WELCOME ANY QUESTIONS OR CONCERNS AND MAY BE CONTACTED AT(508)775-7759. 1 (Sly CE ,. y AN'ATHAN M. TYLER ter_ ,�� '1 �yr �1 p�' '` +�p"�+,3 t� v�� f•� /r� 7" PF Al 6 9�+}dY .�✓M $4�f Yix -01) � * r s IS �,-• r � �£1�'F1�,',Gpa� �"ank�� 4 {4.��Flt"4'�#���Y � PX T �, '� s a ke-.a'' ,�r * k'��a, yzk`,•. '-"`• '`� mr z' �� t �, 4'y. ,1j z '•�"•.• �°a '# `r, y r. V—T ..3 � ��*�' TM i,¢. � Y P 9�1� f1 tC">7 W'. �5'1. 4i� ki '1. T,°Y T ;e �.y 4�� � #• .T h �.. kR�h' �,�,. �2 ��, .Pat s� �.�. "Qfi`, f ��p � --a, �§.w-aa•�g kw �"x F � ¢�aF�-'a .#.�a v..'�. as a� �k�.»-`,"�k,.F , ,5 a 1�A�;�,w c''� � -' cy- f;t`� �+ ax;.� �$ ^ -„`� s",�x";u x '�` .•� `�'.�,r d Y � a�s€'�+.43 �_� a . �+^. 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If you have not already done so, please register online with eDEP at https://edep.dep.mass.gov/DEPHome.aspx. Select"New User"and complete the required steps. It should take no more than five minutes to complete the registration process, and you can begin online filing of your notifications right away. For paper filers, the Construction/Demolition Notification Form AQ-06 on MassDEP's web site should be used. Construction/Demolition Notification Forms and Instructions are available for download from MassDEP's Web site at www.mass.gov/dep in two file formats: Microsoft Word TM and Adobe Acrobat PDFTM. Either format allows documents to be printed. A MassDEP Permit Transmittal Form is not required when submitting a Construction/Demolition Notification Form. Instructions in Microsoft Word TM format contain a series of documents that provide guidance on how to prepare a Construction/Demolition Notification Form (which is considered a permit application). Although we recommend that you print out the entire package, you may choose to print specific documents by selecting the appropriate page numbers for printing. Notification Forms in Microsoft Word TM format must be downloaded separately. Users with Microsoft Word TM 97 or later may complete these forms electronically. Instructions and Forms in Adobe Acrobat PDFTM format combine Instructions and Notification Forms in a single document. Adobe Acrobat PDFTM files may only be viewed and printed without alteration. Notification Forms in this format may not be completed electronically. ag06ins.doc•rev.7/07 BWP AQ 06 Instructions•Page 1 of 4 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality BWP AQ 06 Notification Prior to Construction or Demolition Instructions and Supporting Materials 1. What are the Department of Environmental Protection's MassDEP's notification requirements for construction or demolition,of a building? In accordance with 310 CMR 7.09, MassDEP requires notification 10 working days prior to the construction or demolition of a building. The purpose of the notification requirement is to protect public health and the environment by preventing the release of dust or other potentially hazardous air pollutants to the ambient air. Under the federal National Emission Standards for Hazardous Air Pollutants (NESHAP), the U.S. Environmental Protection Agency also requires notification of demolition of a building. 2. Who must notify? Any owner or operator responsible for construction or demolition of a building, excluding residential buildings with less than 20 units, must notify MassDEP. 3. Is there a specific notification form? Yes. Notification must be made using MassDEP's"BWP AQ 06 Notification Prior to Construction or. Demolition." The Construction/Demolition Notification Form and Instructions are available on MassDEP's website at www.mass.gov/dep. 4. How do I submit the Construction/Demolition Notification Form? To submit a Construction/Demolition Notification AQ-06 Form, do one of the following: 1. File the AQ-06 online via MassDEP's website. If you have not already done so, register online with eDEP at https://edep.dep.mass.gov/DEPHome.aspx. Select"New User" and complete the required steps. It should take no more than five minutes to complete the registration process, and you can begin online filing of your notifications right away. 2. For paper filers, when the AQ-06 is completely filled out, and the appropriate decal is affixed to the form (see Question#6 below), use regular, certified or U.S. Postal Service Express mail to send the form to: Commonwealth of Massachusetts Asbestos Program P.O. Box 120087 Boston, MA 02112-0087 3. Use a private delivery or overnight service and send the AQ-06 to the following address: Asbestos Notification, 8th Floor, Massachusetts DEP, One Winter Street, Boston, MA 02108. 5. What is the notification fee for construction or demolition projects? The notification fee required by MassDEP regulations (310 CMR 4.00, Timely Action and Fee Provisions)for construction or demolition projects is $85.00 per notification. However, owner-occupied residential properties with four or fewer units, cities, towns, counties, districts of the Commonwealth, municipal housing authorities, and other state agencies are not subject to construction or demolition notification fees. ag06ins.doc•rev.7/07 BWP AQ O6 Instructions•Page 2 of 4 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality BWP AQ 06 Notification Prior to Construction or Demolition Instructions and Supporting Materials 6. How and when do I pay the notification fee? When filing online via eDEP, you will pay the fee online using a credit card. For paper filers, in order to pay the fee, a notification fee decal must be purchased from MassDEP and affixed to the Construction/Demolition Notification Form prior to submitting the notification form. For jobs that are exempt from the notification fee an EXEMPT decal must be obtained from MassDEP and affixed to the notification form. Fee decals may only be purchased in person at the reception area on the second floor of MassDEP's One Winter Street Boston Office. For fee-exempt construction/demolition jobs, EXEMPT notification decals may be picked up (free of charge) at the reception area of MassDEP's One Winter Street Boston Office or at any regional MassDEP office. For decals requiring a payment, payment must be in the form of a check or money order made payable to "Commonwealth of Massachusetts." Cash and credit cards cannot be accepted. Each notification decal contains a unique number that is used to track the notification. Forms without decals will not be accepted. 7. Is the notification fee decal refundable? No. In the event that a construction/demolition notification is withdrawn, the notification fee will not be refunded. For paper filers, decal fees may be refunded if the original purchaser returns the unused and intact decals. Contact MassDEP's Revenue Office at the MassDEP Boston Office to find out how to obtain a refund. Lost decals are not eligible for a refund. 8. What is the timeline for notification review? After the AQ-06 is received it will be reviewed by MassDEP. The notifier will be contacted only in case of deficiencies in the submitted notification form, in which case the construction/demolition operation may not start. Where MassDEP informs the notifier of deficiencies in the notification form, the notifier will have 30 calendar days from the date of being informed of the deficiencies in which to respond. Where the notifier responds to the deficiencies in the original notification form within the 30-day period, MassDEP may review the updated notification within the 10 working day notification period. If MassDEP does not issue a denial letter within the 10 working day, the job may begin. MassDEP will deny a notification only in writing. If deficiencies are found during MassDEP's second review, MassDEP will reject the notification, and the notifier may not proceed with the job. If the notifier wishes to proceed with the construction/demolition operation after MassDEP has rejected the notification, the notifier must submit a new notification and fee to MassDEP for consideration. 9. Can I revise my construction or demolition notification form? Yes. Revisions to the original notification form may be made by doing either of the following: 1. File the notification revision online via eDEP (you can do this even if the original notification was a paper copy). 2. For paper filers, on a copy of the original notification form, write"REVISION" under the notification fee decal, and on the form indicate the revisions being made to the original notification. Mail a copy of the revised form to Commonwealth of Massachusetts, Asbestos Program, P.O. Box 120087, Boston, MA 02112-0087. ag06ins.doc•rev.7/07 BWP AQ 06 Instructions•Page 3 of 4 Massachusetts Department of Environmental Protection wt.... Bureau of Waste Prevention • Air Quality BWPAQ 06 Notification Prior to Construction or Demolition Instructions and Supporting Materials 10. What if I need an emergency waiver from the 10 working day notification requirement? Contact the appropriate MassDEP regional office to determine if an emergency is warranted, and to receive an emergency waiver number. If MassDEP issues an emergency waiver, the construction/demolition operation may proceed. A Construction/Demolition Form and fee must still be submitted to MassDEP as described in Question#4. The Form should be submitted within one working day of the beginning of the construction or demolition operation that received the emergency waiver. 11. What can I do in avoiding the most common mistakes in submitting this notification? a. Fill in all information required on the Construction/Demolition AQ-06 Form. Filing the AQ-06 online via eDEP helps avoid common mistakes. b. For paper filers, make sure you attach the appropriate fee decal in the upper right hand corner of the Construction/Demolition Form. c. Make sure you print out a copy of the Construction/Demolition Form you file online. For paper filers, make sure you make a copy of the Form with the notification fee decal affixed to retain for your records or for use in the event that a revision must be submitted to MassDEP. d. If you have any questions about the Construction/Demolition Form, call the appropriate MassDEP Regional Office. Find your region: http://mass.gov/dep/about/region/findyour.htm 12. Where can I get copies of the regulations that apply to air quality and construction or demolition of structures? MassDEP's regulations include, but are not limited to: • Dust, Odor, Construction and Demolition Regulations, 310 CMR 7.09. •Timely Action and Fee Provisions, 310 CMR 4.00. •Administrative Penalty Regulations, 310 CMR 5.00. MassDEP's regulations are available on MassDEP's website at www.mass.clov/dep. Official copies of MassDEP's and DOS's regulations may be purchased at: State House Bookstore State House West Bookstore Room 116 436 Dwight Street Boston, MA 02133 Springfield, MA 01103 (617) 727-2834 (413) 784-1376 agO6ins.doc•rev.7/07 BWP AQ 06 Instructions•Page 4 of 4 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality Please Enter Decal# BWP AQ 06 Notification Prior to Construction or Demolition Affix Notification Decal Here ---------------------------------- A. Applicability Important: When filling out A Construction or Demolition operation of an industrial, commercial, or institutional building, or forms on the residential building with 20 or more units is regulated by the Department of Environmental Protection computer, use (DEP), Bureau of Waste Prevention -Air Quality Division, under Regulations 310 CMR 7.09. only the tab key to move your Notification of Construction or Demolition operations is required under 310 CMR 7.09 (2) ten (10) cursor-do not days prior to any work being performed. The following information is required pursuant to 310 CMR use the return 7.09. key. B. General Project Description 1. Facility Information: Name (a,a t�� s 1 Address Instructions �Ky Ntkj • Oa 6 0 l City/Town State Zip Code 1.All sections of 9S , 7 / — O this form must be Telephone Number E-mail Address(optional) completed in order to comply with the Size: Department of Environmental 3C 1 0 0 Protection notification Square Feet Number of Floors requirements of 310 CMR 7.09 Was the facility built prior to 1980? 0.Yes ❑ No 2.Submit Original Describe the current or prior use of the facility: Form To: Commonwealth of IZ STv No� Massachusetts Asbestos Program P.O.Box 120087 Is the facility a residential facility? ❑ Yes 69_No Boston,MA 02112-0087 If yes, how many units? 2. Facility Owner: 1,,- el_LY A DE P,ULE: Sj;AeI &IA-t-J G J2;L L !2FALTy I R Lis? Name L-7 Address H yor"V/V,S O Cityrrown State Zip Code 5019 ' 771- 01o`j Telephone Number(include area code and extension) E-mail Address(optional) !so-I'm0 On-site Manager agO6app•6/04 BWP AQ O6•Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality Please Enter Decal# BWP AQ 06 Notification Prior to Construction or Demolition B. General Project Description (cont.) 3. General Contractor: 'T N►A o-3 I 'f 1, Q Name 67 CRAxJ i3=' 2M Y L NjE Address wI K YArJN , S AQXT o 626'7a City/Town State Zip Code 50S- 3(' t - `7�5 -1 Telephone Number(include area code and extension) E-mail Address(optional) 56S - 775- 77�q On-site Manager C. General Construction or Demolition Description General Statement: If 1. Construction or demolition contractor: asbestos is found ,Q��Tk lot � � during a Construction or Name Demolition 0 CR/O iu 9022 y 4Aw,g *AVM_%PC -1 v'1 A operation,all Address responsible parties must '7g 5-Z comply with 310 Telephone Number(include area code and extension) E-mail Address(optional) CMR 7.00,7.09, 7.15,and Chapter 21 E of the On-site Manager General Laws of the 2. On-Site Supervisor: Commonwealth. ON K�6`-� ( '°LJ^R This would � A t include,but would Name not be limited to, filing an asbestos 3. Is the entire facility to be demolished? ❑ Yes 1SNo removal notification with the Department 4. Describe the area(s)to be demolished: and/or a notice of i- release/threat of �1 M WALL �✓�'T�,�/oil k)io? AS A 76 A7 T:�Gd release of a hazardous A D D t 1/O N 5 substance to the Department,if applicable. 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: Aaoa,7,o oy 70 F,00e o )3 x A DDT T►o N TD ��A� 9 X v? y � ��� •4�2�'�c1 Fad Ki?cr/��l, ag06app•6/04 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection • Bureau of Waste Prevention • Air Quality Please Enter Decal# BWP AQ 06 Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. 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? Name Division of Occupational Safety Certification Number 7. Construction or Demolition iM A 1-",1 2! L, ;2C),o?6 uN F II apo 6; Start Date End Date 8. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving If other, please specify: ❑ wetting ❑ shrouding �]c covering ❑ other 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? Name of DEP official Title Date of Authorization DEP Waiver# D. Certification I certify that I have examined the SON NTA d.) 1 £�L above and that to the best of my Name knowledge it is true and complete. The signature below subjects the orized Signature signer to the general statutes p w N regarding a false and misleading Position/Title statement(s). A 2/i,1 A ni G1 R ►L L Representing Y//3 fop Date P.E.# ag06app•6/04 BWP AQ 06•Page 3 of 3 IKE� Town of Barnstable Regulatory Services MASS. g. t639. Building Division prFD MA'S A. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection FL '-f Location b(� � � L L . Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: PFt� 5� 2 7z 7H' y' can�r sT*L-, C7'rQq o ZVI w S 1Yv7- Da W q w �x7- c6g,.b nb Please call: r 8662-4038 for r -inspection. Inspected by v Date � -- Mari-Jean Restaurant f add to No ....... Permit or .................................... A' comaercial building ..................... ...Main St........ ................................................ Locat4 ................................................................ B r .......................... ......................................... Owner ...........Mari-Jean Re.s.taura,nt...................................... . ........ . .... Type of Construction ...........b#.ck..vene.e.r.... .... . .... ......... . .. ............................................................................... Plot ............................ Lot ................................ February 28 73 Permit Granted ........................................19 Date of Inspection .....................................19 Date Completed .... 19 PERMIT REFUSED ................................................................. 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................ r es,?NErO�♦o TOWN OF BAR.NSTABLE 2 • i EAWSMULE. i 1639. 0 Y BUILDING INSPECTOR PY a' APPLICATION FOR PERMIT T .. (` .. '`'' 6mw4 z ct O ..... . ..... ... ................................. ........ .................................... TYPEOF CONSTRUCTION .......................................................................................�................................................ ........./..... .f,?.... .. .........I TO THE INSPECTOR OF BUILDINGS: The undersigned herebyapplies for ermi accordi.n to the following information: PP P 9 9 Location .. . �V%... �11.. ....................................................................... ....... ........................ ProposedUse ........... ..... .. ..1 ........................................................................................................................................ Zoning District .................................................... ..................Fire District Name of Owner .. 1. !' .'. l.fl.( .....G6'&J .........Address .... Name of Builder .......Address ., ....tin1,L:e�1.... .*-e?.P'....... Name of Architect .................S,?.r:?tz.e..............................Address .......................... r '..f'.....................�................. Number of Rooms ..................0./..�.................................Foundation ......(�.... Exterior ........./.c �F. .�. ....................................................Roofing .'.Ll:. �� �a '....................................Interior �, Floors ........�.�......a:....�...�.°:...�.... ......,�1..f!v�...f�./.................................................... Heating ...............*, .........................................................Plumbing ........................41..o................................................ i Fireplace .............../VL?...........................................................Approximate Cost ............. .0.�� '��.............................. Definitive Plan Approved by Planning Board ________________________________19________. � /66 Diagram of Lot and Building with Dimensions (� SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 V,) mZ QWO n- o �„ s J 0 = w �' 5 -4 -j o Cl) 0C-) z >- Q - o aLU air=-- z � �v MLU I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam d yr , r .� o �yri•� .�:`s k •� IN Rio �•../,,,�- S f Pp. 77, f LZ .Ar / 12oy (,vaod It Alkm°nk .o w;A 40 f�- vv r » d�,�•� dim a•� f- �� , y�FTHET��y TOWN OF BARNSTABLE SS � SAUSTLELA i "6 9 �•� BUILDING INSPECTOR YPY a- i APPLICATION FOR PERMIT TO �....... ........ .................................................... TYPE OF CONSTRUCTION ....... .I' L � jid...../ //.1�....... 0. .. .�a:.fr ............................................:.. .......................... 19. TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a permit according to the following information: Location ...........4.l45 ....... 1 ......::�?.z...........1..� � 1.(l�1..� ...�, .�1..: .. ............................. 5 ProposedUse ........... L.. ..............................................................:................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner CX-e.eZ.1z....Z?.4`....................................Address ...`X..0..��pl..!�..�o' Name of Builder .�� L.... C/ Y.. 11y... err' ... Address Name of Architect Mj ...............................Address .................... .................................................. 7 Number of Rooms ................. ...............................................Foundation ...... .......�. .`�.......: ,,�:.. :.1.:�........:....... Exterior ... ..i.t Uf' `. �.... . .. :.T�.'. ..: ..........................Roofing .........7./.,�.0<....Y,....6/4. 19�... ................. Floors .� ...................Interior ..., ............................... ................................... ............................................................. Heating 5. ... .: .... ........�,��.9.�: Plumbing ,<(� /.�'1�!!! %!1.f ...f��'� !,`Df9.4�........ ........ . lt. FirepFire .. ........ lace ....................... ........ .: ....�.... .................................. ..................... p ��� ....Approximate Cost ...... �f..�....,,.�..J II Definitive Plan Approved by Planning Board -------------------—-----------19--------. / Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH 0/ ', eST �ESEPTIC ��SY S'I'EIUI IVI14�: INSTALLED IN COMPLIA11,0 ; 'WITH ARTICLE II .0"IM' SANITARY CODE; PiN w0-4`1, ..RECULATfONS. - I hereby agree to conform to al'I the Rules and Regulations of the.Town of Barnstable regardi the above construction.. Nam ... ... ...... ... . ........... .... - � ` ' . ' ` ' � ' � � ' ` ' ' - � ' 15988 remodel restaurant Location . -46W Main Street Hyannis PERMIT. REFUSED .-----...---.---.—.----- ' } ---,,---------,—..---.—. Approved ' ^ ................................................ lV ' ^ -------------'—^---------' ` � ...............--`----------------~... ` , ASF+�A�-T �j+1�tJLaI.ES c�WN 'ypL>iN 70 p.E.MoVa- 2ex I �o N � oFFie� o- 1� I � p>Rit�C GJAGL T� R��1ovE. � I , � I it 6: i i I- � I � I o�. o . I pVAITINfj l L--.J s�TloN ,��4ziG�gN C�l�L Assessor's map and lot number ...{..!..I.-..8.020....I,.''� SEPTIC SYSTEM MUST BE Sewage Permit number . 4- .. ... .,�11? 1,..� INSTALLED IN COMPLIANCE ni WITH A';fICLE II STATE `Qyo�THE TO�y n TOWN OF B A 1 �AQV `ODE , Z 33AH39TA]BIL ; M639a OR e� i ; DUIDING INSPECTOR '? APPLICATION�FORn,:PERMIT TO ......��...w...... de ?......U....�.G`�. 5.... d�l'.I2 .......... .. TYPEOF CONSTRUCTION .................................................................................. ............................................... T+ �.1 r' ............ ...........19 2`f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following SO J ' informat�ion: F. .. . ';....... � . ..........' � ................................................ ''67 ProposedUse ..... G'......... j........1. .�k.. . ............................................................................................................... ZoningDistrict ......................'... . �.. ...... .. .. . . .. 6. District .............................................................................. Name of Owner .��G//.... .. ...Q�✓`f......................Address �. ....... � Name of Builder /r �d/ .. 1`.(SC..L!.. (,'.�1 f./GJ.�"A�dress 1../..�..G`...�7..�� 4 `fl`'... .... Nameof Architect ......:...........................................................Address ................/..�?.''................................................................ Number of Rooms Foundation ........0 ....P...lyl... .. . V`-........................................... .. ..... ............................... r Exterior .......� ...P. 'l..e.v.�.. ... /e...:`-.........Roofing ..... ........U../P �. .�1�`1 .c........... Floors ...... ......P n.. 1il. .......................................Interior . . .... Heating ..................................................................................Plumbing .......................... //'/00.................................................. Fireplace ..................................................................................Approximate Cost ................ ..)...................t........... Definitive Plan Approved by Planning Board ________________________________19________. Area ... .... .................. Diagram of Lot and Building with Dimensions Fee �U SUBJECT TO APPROVAL OF BOARD OF.HEALTH 00 Cy I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Noe ...... ...................... D. R. Gherin, Inc. ` 18651 add to Restaurant No Permit for ................... �............................................... Location ._`Main Street �i y .. ........................................ ........................Hyannis........................................ Owner D. R. Gher.in. , .. Inc.................. ........ . .... ........ Type of',Construction ................tfiasonr.'........... Plot f ............................ Lot ................................ September-13• 76 Permit Granted ......................... c ........19 Date of)nspection ...Zt�*��***�/�*�� : .........19 Date Completed 7�.........19 c PERMIT REFUSED j f ........................................................ .... 19 ...................................................... ' ........................................ ............................ ......................................................... '................... Approved ................................................ 19 ................................................... ..................... ..................... ....................................................j:.. Assessor's map and lot number . . ...�....�..�...... �� G� C _ !..�..,....... / /3 -I � Sewage Permit number A'�^+ y�F7HET��y TOWN OF BARNSTABLE Z MARNSTIBLE, i .Ann BUI-LDING INSPECTOR o M a' APPLICATION FOR PERMIT TO ....................................: ......................................................................:................ Llm TYPEOF CONSTRUCTION ...............................................................................�..................................................... '70` ....J.................19:'C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................................................... ....r.�. ........ G�� // 1'............................... ................ Pr6posedUse .... .f...:....r:/........!............f........! ........................................../.................................................................. Zoning District - ....Fire District ......................................................................:....... '.... ;e;.�;.............. 15 Name of Owner .r....-... //^ ( Q'f !� ��J'. .... iii� r ...................................................Address .,...............................:.......................: Name of Builder ..... !7� f7 )�' P��f.•....y�.!�...•.. .. Address Nameof Architect ..................................................................Address ..............�...............................,........................................ Number of Rooms .... / ................Foundation ........`:... ... !! ......��.,./�...(.......... ........................ ..... Exterior ...... .........Roofng �� / Qr / /!� C�Floors PGA ................................................Interior .................................................................................... Heating ..................................................................................Plumbing .............................!_/......................Q.. ..................... ................................................................................ Fireplace .Approximate Cost ......................................:................................ Definitive Plan Approved by Planning Board ________________________________19--------. Area .......................................... Diagram of Lot and Building with Dimensions 'Fee ��I .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I i r� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name- .............. ..!. /C�. ............................. D. R. 'Gherin, Inc. A=308-47 , W 18651 to Restaur nt No Permit for v ,7�. /................. ......... .... �� .. . Location .fSM Main Street .............................. ............................ yannis...................... wi t Owner D. R. Gherin, Inc: cil H N — Type of Construction masnnry to ................................................................................ Plot............................. Lot ................................ Permit Granted ......September 13.......1 q 76 e Date of Inspection ....................................19 r Date Completed ......................................19 - r i PERMIT REFUSED ............................... •I d••..................... 19 # ........... ............ .. .......................... t ........ ............b...... .. .I.............................. p ...... .... .......... .................................... ................................... ....................................... F ., Approved ................................................ 19 ............................................................................... ............................................................................... V I Avoi T%oN JC%5T/NG 8 L J .. - - �.__ '' � L__L_ 1_.- C__1__ .1-- �__,-Z. _.�_.,...�..... _T_.L.- �D6.C.o�(Yi✓�-) PT I T t � III El li 1 1 I 4 NOW WAiTiuG� A f MAN! 0-1,wDrP I r O i Yl-E o ! 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