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HomeMy WebLinkAbout0005 MARC AVENUE -- - - ---� __. __ __ _ .�-_._ 4�. f �f I �. j I 1 -_ I 4 Mr4t2� LA-0� �PHO�E CQi..L ' FOR —DATE TJMlz M OF 4AZ � - PNQNED REl"L3RtUED PHONE &2YOlJR CALU,; AREA CODE NeJABENEXTENSION ,E S PLEASE M G E CALL T WfLL CALL (� < AC,AiN C..... TC 1 slr .E ecru tt $ ,1,11 i!9 1� �o S'Tia/l I ' �T SEE YOL) SLG IED 2iversal 413003 NOTES Town of Barnstable_ Building r Post This Card So�That�t.is�Visible From;the Street Approved-'Plans�Must be�Retamed on Job and;Hthis�Card Must.,be Kept ; ':�;- �- Permit k Permit No. B-18-3576 Applicant Name: Mauro Rivera Approvals Date Issued: 10/31/2018 Current Use: Structure Permit Type: Building—Siding/Windows/Roof/Doors 'Expiration'Date: 04/30/2019 ' Foundation: Location: 5 MARC AVENUE, HYANNIS Map/Lot 252-063 Zoning District: RC-1 Sheathing: Owner on Record: Rivera, Mauro , '" r ame:Contractor N Framing: 1 A r Address: 5 Marc Road . Contractor;License 2 Hyannis, MA 02601 ,Est.-,,roject Cost: $3,000.00 Chimney: Permit Fee: 85.00 Description: 3 Windows and 1 Door,siding , $ Insulation: r " Fee Paid: $85.00 Project Review Req: Date 10/31/2018 Final: £ c�r �. :, Plumbing/Gas Rough Plumbing: Building Official r � Final Plumbing: This permit shall be deemed abandoned and invalid unless the-work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application Snd the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zone ng by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or toad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. i s � J, Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the eui}Iding and Fire Off�crels are provided on this permit: Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have.access,to the guaranty fund" (as set forth in MG.L c.142A),. Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .............. Application number...6... ..........195% , �c tz) I Fee ...................................$.................. ....... ZD HAM Building Inspectors Initials............... .................... 1639. Ak OCT 2 9 2018 TOWN 0� 8AHNSTABLE Date Issued:.............................I.................................. Map/Parcel........... ......... ............ ..... ....... TOWN OF BARNSTABLE EXPEDITED.PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: c R 6 �' ` , NUMBER STREET VILLAGE Owner's Name: Phone Number�-o oo) 2 5,"S6' Email Address: �z4-_ _5] UI&EUj &L Cell Phone Nurn'tV172­2.55�_ Project cost $ 3, d2&5'e2 Check one Residential Z�,e- Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application,for a buildin4�ermit in accordance with 780 CMR * �;_',A_,) !?-o Owner Signature: Date: -2 TYPE OF WORK idi indows (no header change) #,, F-1 Insulation/Weatherization ng C-11 Ow Doors (no header change) #__[_ Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to 222 Co'W ?Wlel�6?111F CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone.number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER...................................................:5...... t *For Tents Only* 4 Date Tent (s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X , X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profifevent Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: fronts back left side right side F// HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number p 2 — 2 5 Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and thevvn of Bar ble. Signature Date /'d — 2 9—069 APPLICANT'S SIGNATURE Signature Date .0— 2 c7 A�l p rmit applications are subject to a building official's approval prior to issuance. ,+ 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. A licant Information Please Print Legibly Name Bus�ss/Organization/Individual): (JR D l U� Address.�� Gity/State/Zip: ( /� d 2 Phone#: ©o 2 2 2 5-5 6 N Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor„and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2 ❑ I am a sole proprietor or partner- . listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• t 9. ❑Building addition [No workers' comp.insurance comp.insurance. ,,rrequ>red.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions fy officers have exercised their 11. Plumbing repairs or additions �. I am a homeowner doing all work ❑ g P 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: _ Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as,civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I d�here: cer ' under t ai sand penalties of perjury that the information provided above is true and correct Skit' ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to 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 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." ti 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www,mass.gov/dia TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 289 144 GEOBASE ID 19493 ADDRESS 5 MARK LANE PHONE r HYANNIS z ZIP r LOT 13 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 45470 DESCRIPTION "CAPE COD TIME CLOCK" - 2 SIGNS 1,2 SQ. 1,8Sf PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: T Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $35.00 TMIE BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELS04kRE I. PRIVATE P ; grABM k-i, 639- B.�� LD NG- DTI N DATE ISSUED 04/14/2000 EXPIRATION DATE The Town of Barnstable Department of Health, Safety and Eniv1ronmental Services Building Division �exa a 367 Maid Street, Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collectors Treasurer Application for Sign Permit Applicant: / / a Assessors No. Doing Business As:1��..� ( ®a� ,,,1 4- ilGlz- Telephone No. Sign Location / Street/Road: Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner / Name: zz z l/C —1a1 (f, Telephone:_ Address: _ /�/ �� t-I Village: 14411-wl!> 11y1- Sign Contractor Name: yS Telephone: Address: Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign, This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Tow of B tabl Zoning Ordinance. Signature of Owner(Authoriz d en Date: � - o? P�Osize:— z x 12 ' o � Permit Fee: �/D- G y Sign Permit was approved: Disapproved: Signature of Building Offici Date: Signl.doe --- - �l �� � � � �z ' � � �� � � � f/ ! � �,�, . .�b� 1 _ _ .. �iA bow mw 0.0 78 iilli ^� all CAPE COD1 TIME CLOCK I11 7G • 'mot. y l�,r yj i y+ � a y � I . 5y y y ytitTy v+ r, ,y a-CIF THLIT L AY k 4 ,1 175 CONSERVE WATER SUPPLY 5 MARK LANE x C.C.PLUMBINGSSCH00L ROMSSIONALf �DRI'9051234 INC. CODTI.IE-CLOCK CO,' I 11H 11-.4� VN/1\YtYll - 'y �y .. a ' ' -�-1—�f -.=ty�.4 -ice _.. .•r A y oo 1 b d Q. lid r' d • � i - o- i:� C ,Y TOWN OF BARNSTABLE SIGN PERMIT. PARCEL ID 239 144 GEOBASE ID 19493 ADDRESS 5 MARK LANE PHONE HYANNIS ZIP LOT 13 BLOCK LOT. SIZE DBA DEVELOPMENT DISTRICT HY HRMIT TYPE Maj �Y�E§IPTION SIGhIPEiMI�OR MENTALLY ILL" _ 2 SQ. FT. CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $10.00 �tN BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P.,(*1)Pa�YA * H�1RN3TABLE • MASS. 1639. A`0� ED MA'S B ILDI G DI ' ION BAY DATE ISSUED 07/12/2000 EXPIRATION DATE do and Environmental ervic Department of Health, Safety -� r3 _ • Building Division �- 73AMannis NIA02601 s� 165 �e�' 367 Main Street,Hy Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 Tax Collector_ Treasurer Application for Sign permit UF k � i�I--L Assessors No. Applicant.. or (� u TJ ephone No. �2 Business As: 77 Doing C i Location Sign A / Street/Road: • '2 Old Kings Highway? Yes/No Hyannis historic District? Zoning District_ `> Yes/No property Owner Telephone: Name. - � ti S vivage:- Address: Sign Contractor �f / ' °W� )Alk Telephone• `Name: " ' /� �T Village: Address: Description signs with Please draw a diagram of lot showing location of buildings and ezzst�ng dimensions,lo cation and size of the-new sign. This should be drawn on the reverse side of this application. Is the signto be electrified? YedNo (Note.If yes, a wiring permit is required) of the owner to make this em I hereby certify that I am the ownerowneror that I have the e use ritY and construction shall conform I� application, that the information is correct and that table Zoning Ordinance. - to the provisions of Section 4-3 of the Town o erns Date: Signature of Owner/Authorize Agent: ermit Fee: 0 D� Size: Disapproved: Sign Permit was approved: r Date: Signature of Building Offs al: Sign l.doc rev-01/98 TOWN OF BARNSTABLE � SIGN PERMIT PARCEL ID 289 144 GEOBASE -ID . 19493 ADDRESS'ADDRESS' e., 5 MARK LANE PHONE HYANNIS ZIP LOT 13 BLOCK LOT SIZE DBA ' DEVELOPMENT DISTRICT NY PERMIT 37713 DESCRIPTION PROFESSIONAL DRIVING SCHOOL PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services BONDTOTA FEES: $1�..00 00 �TNE CONSTRUCTION COSTS $..00 Qi► 753 MISC. NOT CODED ELSEWHERE BARNSTABLE. *' MASS. i639. 61 EDEM1Cl BU LDINO DIVISIO DATE ISSUED 04/09/1999 EXPIRATION DATE J Op IME Tq�, :y o� The Town of Barnstable '"> 771.E MOB $ Department of Health, Safety and Environmental Services 1639. Building Division rF0 MA'S A R 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector Treasurer r A I" ation for Sign Permit I_ Applicant:_ �1 'V v v-7 5- Assessors No. Doing Business As:r (--V"XSSM'Va (��l�� Tele hone No. 0 6Z 3 P —� Sign Location r 1 ' Street/Road:__ �l't l� H n� Zoning District:- --_ Old Kings Highway? Ye�Hyannis Historic District? Yes/& , Property O Name: 4- C Telephone: 90 I- 3CI Address:__'_��' Village: Sign Contractor Name: _ Telephone:- Address: Y_ — Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This.should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:Ifyes, a miingpermitisrequired) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that.the information is correct e e and construction shall conform to the provisions of Section 4-3 of the Town of n table Zo ng Ordinance. 1 Signature of Owner uthori d Agen Date: Z7�h Size:_ / V t Ci t. � �/ Permit Fee: �d Sign Permit was approved: Disapproved:_ Signature of Building Oflic al: Date: ----- _ Signl.doc rev.8/31/98 ., BK 1218` Pi 31 1 's 8_:1�: 0-4--1_I7-- 1 9 9*3 12 1 0 -- -L 2 L A� { Tel A1 4 � T{ 1� AI E�Ar c . DAK� '(�(� q 1� j BARNMEMA MMM 77 1li�ii� I(I �? •'�'fF Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Number 1999-29-Samson Variance to Section 4-3.3(4) Prohibited Signs Summary: Granted With Conditions Petitioner: Robert Samson Property Address: 5 Mark Lane, Hyannis Assessor's Map/Parcel: Map 289, Parcel 144 Area: 0.22 acre Zoning: RB Residential B Zoning District&HB Highway Business Zoning District Groundwater Overlay: WP Well Protection District Background: The property consists of a 0.22 acre lot at the southwest comer of Old Main Street and Mark Lane. It is commonly addressed as 5 Mark Lane, Hyannis, and is improved with a one and a half story, 3,600 sq. ft. office building'. The property is bisected by two zoning districts. The majority of the site is located in an HB Highway Business Zoning District. The southern portion of the lot, approximately 25'or so, is located in an RB Residential B Zoning District. The applicant is seeking permission to display a decorative signal light sign in a window to be used for identification purposes to identify the applicant's business. The applicant has stated that the proposed sign is an actual street light with all three lights (red, yellow, green) glowing at the same time. The street light sign would be used to identify the applicant's business only, similar to how a rotating striped pole is used to identify a barber's use. Section 4-3.3(4)of the Zoning Ordinance-Prohibited Signs-prohibits "Any sign which contains the words"Danger"or"Stop"or otherwise presents or implies the need or requirement of stopping or caution, or which is an imitation of, or is likely to be confused with any sign customarily displayed by a public authority". To allow the display of the proposed decorative signal light, the applicant is requesting a variance to t Section 4-3.3(4) of the Zoning Ordinance. Procedural Summary: a This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on December 29, 1999. A 60 day extension of time for holding the hearing and for filing of the decision was executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened March 03, 1999, at which time the Board granted the requested variance with conditions. Hearing Summary: Board Members hearing this appeal were Ron Jansson, Gene Burman, Elizabeth Nilsson, Thomas DeRiemer, and Chairman Emmett Glynn. Robert Samson represented himself before the Board. Mr. Samson submitted a series of photographs showing the site, the sign, and the general area in which his business is located. The applicant explained that the proposed sign is an actual antique street light with all three lights (red, yellow, green)glowing at the same time. The sign would be used to identify his 1 According to assessor's records.dated 02/17/99 l� SIGN PERMITS Comp ted application form - including: assessors number tax collector's sign off ND located in an historic district?(OKH or Downtown Hyannis) Is sign electrified? Yes No D46'ensions l/0�� X Additional Documentation 0-�A C photo sho ng exitt ng f cade- specifying proposed sign location OR cif for new building or new facade - architect's elevation may be substituted for photo scale drawing of sign must include: E�rpe of sign(wall, angin ee standing) \�A [dimensions of sign and lettering(minimum scale 1"= 1') — f l""x��- J indicate colors . Color chips required for all colors other than black,pure white or gold leafy ff specify construction materials [JoIoss section with dimensions showing detail (minimum"scale 1"= 1') q-forms-PERMITS I Rev 6/2/98 APR- 7-99 WED 10:41 AM BARI�GTAE11 PLANNING, DEPT PAX h0• 509 790 023$ P• 1 rt 1 a Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal Plumber 4999-29-Samson ' variance to Section 4-3.3(4)Prohibited Signs summary: Granted With Conditions Petitioner; Robert samson Property Address: 5 Mark Lane,Hyannis Assessor's Map/Parcel; Map 289,Parcel 144 Area: 0.22 acre Zoning: RB Residential 8 Zoning District&IiB Highway Business Zoning District Groundwater Overiay: WP Well Protection District Background'. ,The property consists of a 0.22 acre lot at the southwest corner of Old Main Street and Mark Lane. i, i commonly addressed as 5 Mark Lane,Hyannis, and is improved with a one and a half story, 3,600 sq office building'. The property is bisected by two zoning districts. The majority of the site is located ,., FIB Highway Business Zoning district. The southern portion of the lot, approximately 25'or so, is log•.,!r in an RB Residential B Zoning District. The applicant is seeking permission to display a decorative signal light sign in a window to be used h:!- identification purposes to identify the applicant's business. The applicant has stated that the propos(-o sign is an actual street light with all three lights(red,yellow, green)glowing at the same time. The Mi ,, light sign would be used to identify the applicant's business only, similar to how a rotating striped i:)r'•4> used to identify a barber's use. Section 4-3,3(4)of the Zoning Ordinance- Prohibited Signs- prohib,s "Any sign which contains the words"Danger" or"Stop,,or otherwise presents or implies the need cr requirement of stopping or caution, or which is an imitation of, or is likely to be confused with any ;.;q,I customarily displayed by a public authority", signal light, the applicant is requesting a variance to si p d decorative > To allow the display of the propose9 9 Section 4-3,3(4)of the Zoning Ordinance, Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals c, December 29, 1999, A 60 day extension of time for holding the hearing and for filing of the decision, v� executed between the applicant and the Board Chairman. A public hearing before the Zoning So am Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A hearing was opened March 03, 1999,at which time the Board granted the requested variance witr-, conditions. Hearing Summary: Board Members hearing this appeal were Ron Jansson,Gene Burman,Elizabeth Nilsson,Thom:I�- DeRiemer, and Chairman Emmett Glynn. Robert Samson represented himself before the Board Mr.Samson submitted a series of photographs showing the site, the sign,and the general area in ,rvl1 ;t, his business is located. The applicant explained that the proposed sign is an actual antique street Ill- with all three lights(red,yellow, green)glowing at the same time. The sign would be used to idenrll y Aocording to assessor's records dated 02117/99 ADP.- 7-99 WED 10:42 ANI BARNSTABLE• PLA>vININC, DEPT FAX NO. 608 790 6288 P, Town of Barnstable.Zoning Board of AP'Peals Decision and Notice Appeal Number 1999-29-Samson Variance to Section 4-3.3(4)Prohibited Signs business only-a driving school. It is a catchy advertising gimmick and a means of locating his business since it is not on a main street,not on a public way, and not that easy to find. He uses it as a land mark, and it helps people with directions to his office which sits behind a parking lot. Mr. Samson is new to this town. His business was previously located in Mashpee where he used this exact same sign. Houses this light as his logo in advertising his business, The applicant stressed that all three lights are on at the same time. They do not flash. They do not blink He stated he could understand the Building Department's concern if this were located on busy public way -but it is not. The property is located at the beginning of a dead end cul-de-sac street. There is a parki n9 lot in front of his building,then a side street,then another bigger parking lot,and then West Main Street He questioned how anyone could be confused and/or distracted by this decorative sign. Gloria Urenas reviewed the applicant's file, She issued a ticket to Mr.Samson for violation of Section 4-- 3.3(4)of the Zoning Ordinance-Prohibited Signs which prohibits"Any sign which contains the words "Danger"or"Stop"or otherwise presents or implies the need or requirement of stopping or caution,or which is an imitation of,or Is likely to be confused with any sign customarily displayed by a public authority". She stated this sign implies the need to stop and therefore, in violation. Mr. Samson was fink(. and paid the fine immediately. In rebuttal, Mr. Samson stated this is not a stop sign. This is a traffic signal with all three lights on - not just the red light. If Ms, 1lrenas wishes,he will light only the green bulb. He again indicated that where } is situated-inside a building- hanging in the window-it can not be confused as a traffic signal on a bu,,, thoroughfare. For the record;the bulbs are 60 watts. Public Comments: No one spoke in favor or in opposition to this appeal. Since this is a street light,the Board questioned if it were a"sign". However,in the Zoning Ordinance, Section 4.3.2 Definitions, Subsection (44)-Signs states,"Any permanent or temporary structure, light, . or any other device which is used to advertise, inform or attract the attention of the public and which is designed to be seen from outside a building, including all signs In windows....." The Board determined this was a sign and a Variance would W needed to permit it to be used by the Applicant. Findings of Fact: At the hearing of March 03. 1999,the Board unanimously found the following findings of fact as related ic? Appeal No. 1999-29: 1. The Petitioner is Robert Samson with a business located at 5 Mark Lane, Hyannis, MA as shown can Assessor's Map 289, Parcel 144. The parcel consists of 0,22 acres and is located in the RB Residential B Zoning District and HB Highway Business Zoning District. 1 Inc. a n School,2. A portion of the subject building is currently used by Professional Safety Driving driving s.. of school operated by the Petitioner. The Petitioner has submi tted a letter from the owner property to show standing before the Board and the right to seek a Variance on this property. 3. A Sign is defined under the Town of Barnstabie Zoning Ordinance: Section 4-3.2,Subsection(44) "Any permanent or temporary structure,light,letter, word, model, banner, pennant,insignia, trade flag, representation or any other device which is used to advertise, inform or attract the attention r;t the public and which is designed to be seen from outside a building,including all signs in windows doors but not including window displays of merchandise." 4. The device the applicant proposes to hang in the window, by definition, is a sign. S. Section 4-3.3(4) of the Zoning Ordinance-Prohibited Signs- prohibits"Any sign which contains words"Danger"or"Stop"or otherwise presents or implies the need or requirement of stopping U- caution,or which is an imitation of,or is likely to be confused with any sign customarily displayed by public authority". 6. Therefore,the applicant's sign Is prohibited under the Town of Barnstable Zoning Ordinance. 7. The majority of this site is located in the HB Highway Business District however,where the sign Is displayed is located within a packing lot, APR- 7-99 WED 10; 48 AM, BARNSTABLE, PLANNING, DEPT FAX NO. 808 790 8988 P. 8 Town of Barnstable-Zoning Board of Ap als-Decision and Notice ' Appeal Number 1999-29.Samson Variance to Section 4-3.3(4)Prohibited Signs 8. The display of this sign,although prohibited,as it is displayed with all three lights showing, does not represent a significant safety health of safety concern for people utilizing this area. 9, With reference to prohibit signs, the Zoning Board of Appeals has, in fact,granted Variances to the!7 in the past. 10. Pursuant to MGL Chapter 40A, Section 10,no findings are made. Which does not represent a 11, The petitioner is showing innovation in attempting to adopt something threat to the health,safety or welfare of the people of the Town of Barnstable but rather a catchy advertising devise. To deprive the applicant the ability to use this device would impact his ability to make a living and therefore would be a hardship. ecision: Based on the findings of fact,a motion was duly made and seconded to grant the requested variance subject to the following terms and conditions: 1. All three lights displayed within the signal itself(in the window)shall consistently be on during the hours of operation of the business, The light shall be turned off after hours. 2. The illumination shall not be increased so as to cause any further confusion in the public area. 3. The proposed sign shall not have any blinking lights. 4, All three colors(red, yellow,green)must be on at the same time. The Vote was as follows: AYE: Gene Burman, Ron Jansson, Elizabeth Nilsson,Thomas DeRiemer, and Chairman Emmett C:,' � NAY; None Order: Variance Number 1999-29 has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by try decision must be exercised in one year. Appeals of fter the dale of he filing ecision, if any, lofth s decisioe made n. A copant to y�of wh ch mustGL Chapter 0be fiiled Section in the officewithin of the��� (20)days a Town Clerk. Emmett Glynn,Chairman pate Signed I Linda Wtutehenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby that twenty(20)days have elapsed since the Zoning Board of Appeals fled this decision and that no appeal of the decision has been filed in the office of the Town Clerk. /Pt41 Signed and sealed this_ = day of under the pains and penalties of perjury. w Linda Hut' enrider, To'Wn.IClerk l � 1 TOWN OF BARNSTABLE SIGN PERMIT X ,. PARCEL ID= 289 144 GEOBASE ID 19493 ADDRESS 5 MARK LANE PHONE HYANNIS ZIP - LOT 13 BLOCK LOT SIZE DBA DEVELOPMENT . DISTRICT HY PERMIT 26845 DESCRIPTION PROFESSIONAL SAFETY DRIVING SCHOOL(6 & 8 SQF` PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 Ox tME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * RARNSTABLE. ; MASS. i.19. &� BUILDING DIVI§IO DATE ISSUED 11/05/1997 EXPIRATION DATE `�- I (508)790-6227 4� FAX(508)790.6230 t: GLORIA M. URENAS TOWN OF BARNSTABLE BUILDING SERVICES TOWN HALL 367 MAIN STREET HYANNIS,MA 02601 ZONING ENFORCEMENT OFFICER a The Town of Barnstable -� : Health Safe and Environmental Services Department of Safety ,UAL Building Division ., 367 Main Street,Hyannis MA 02601 J. Office: 508-790.6227 Ralph Crosser Fax: 508-790.6230 Building Commissioner A liCation for Sign Pemi Applicant+ c. Assessors No. Doing Business As•�Yo 22K04aJelephone No. 4 F- q 77 7Yy� Sign Location �• Streeaoad• Zoning District � �� Old Dings Highs;ay? Yes . To Property Owner -� .Name: —� (�cJ Telephone: 77� Cg`f F � `�- 'e Address: ty Village: L4 Sign Contractor ,� SI s S� Telephone: Name: Address: vc—lam✓ S� Village: h Description Please draw a diagram of lot showing location of buildings and e.!dsting signs mith dimensions, location and size of the new sign. This should be dmmwn on the reverse side of this application. C Is the sign to be electrified? Yes(S) (Vote:YM, a n-W'. gpermrtisrequirrdO I hereby certify that I am the owner or that I have the auihority of the owner to maize this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of B le Wing Ordinance. _ + Signature of 0 er/Authorized Agent _ Date: Size: �� Permit Fee: Sign Permit was approved: Disapproved: t } �s Date: Signature of Building Offi �- %/ -�,- �O h 6 Y r 1 l �r TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL III)2891 144 OEOBASE ID 19493 ADDRESS 5:rMARK 'LANE PHONE HYANNIS GIP - LOT 13 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 27237 DESCRIPTION REMOD FOR DRIV.SCHOOL (INTERIOR CHANGE USE-E PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS:- Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND TIE .00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY + • + BARNSTABLF, ; MASS. ED MI�►I BUILDING DI=VISION �- BY DATE ISSUED 11/20/1997 EXPIRATION DATE -- TOWN OF BA:R A13L, CERTIFICATE ICY OCCUPANCY 4� PARCEL 1 d28i S.144 O O A.SE ID 19463 ADDRESS" 5oM"K BAN ' PHONE W Av-Atom IS ZIT? LOT 13 BLOCK LOT SIlo DSA DEVELOPMENT DISTRICT -HY PERMIT 27237 DESCRIPTION REMOD FOR DRIV.SCHOOL TNT.U'RIOR CHANGE USE-E PETMI:T TYPE � COO T_ITLR CERTIFICATE OF OCCUY t CONTRACTORS=- Department of Health, Safety ARC C?' CTS and Environmental Serviceg� I -roTAL �►EMS.: .coo oxINE I CONSTRUCTION COSTS Coo 756. C ERT'INTCATE. OV OCCUPANI(: * *` MAW , �► Ep.MI�►l A BUILDIOG DI' SION t D.ATE,..1$SU9D 11r40/1997 E PTRATTON DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY,OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF�OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). FANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. - IS-VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL�.AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE. STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION.. • BUILDING PERMIT I, PERRY 2', ' £MID WAY DRIVE ENTERVILLE RESIDENT EE fE MIGHT BE#29 MIDWAY DRIVE- ON THE CORNER OF MARC DRIVE. VERY HIGH GARAGE UNDER CONSTRUCTION. LOOKS OVER 2 STORIES. NO PERMIT IN ON f! ml WINDOW. MAIN HOUSE IS FALLING MIA A � 5) ............. Permit#-Engineering Dept. (3reFfloor) Map Parcel l House#; t%J�. Date Issued Board of Health 0r floor)(8:15 -9:301 1:00- 7& Fees y7J THE ,a�.niLng Board 19 BARNSTABLE. i MASS. .. a TOWN OY BARNSTABLE �' ' Building Permit Application Project St dress a _. � ( C��� '13 Village Hya n n J.c 3 Owner Hugh"White Address Same s Telephone 775-6248 Permit Request Request for fPnant PrnfocR--J Q- E- -J 94 fetyDrrivi=gS_h__, to remove one wall (non-hear;nq) in bu i l A;ng tC3, he lased ter-rBn aer Education. Note: Attached plan by Nnrnl a Mi-ador n saE s• � �cc --Rir� ircez First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ —0— Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No DwelliDg Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Structure Historic House ❑Yes 21 No On Old King's Highway-' ❑Yes 15 No } Basement Type: ❑ ❑Crawl ®Walkout . ❑Other Basement Finished Area(sq.ft.) Basement-U`if6ished Area(sq.ft) Number of Baths: Full: Existing o ew _5-r'f J ' Half: Existing 7- New No.of Bedrooms: Existing Ne o Total Room Count(not includi Laths)/: Existing First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Ai Yes No Fireplaces: Existing 0 New 0 ting wood/coal stove ❑Yes N No r age: ❑Detached(size) Other Detached Structures: ❑Poo ze) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of KesU uthorization ❑ Appeal# Recorded❑ Commercial o If yes, site plan review# - Current Use Proposed Use Builder Information Name Nonc� Telephone Number N/A Address N/A License# N/A - Home Improvement Contractor# N/A Worker's Compensation# N/A NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO wi 111 hP remnyPd by a 1 i Cenlsed refuse/demolition company SIGNATURE ` _: DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) t �J 7� �� FOR OFFICIAL USE ONLY _ j r \ m i PERMIT NO. DATE ISSUED" 4 f < MAP%PARCEL NO. ADDRESS VILLAGE I . . . OWN ER r DATE OF INSPECTION: FOUNDATION . _ FRAMEf . INSULATION FIREPLACE ELECTRICAL: . ROUGH FINAL . t , PLUMBING: ROUGH FINAL — — GAS: • FINAL ' r .� ROUGH s - _ . .,• FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. t Y BY //. DATE SUBJECTF&FO-,eD 1--`rNyJ�ritto� SHEET NO. �OF� CHKD. BY DATE I-7 W• 1-IAntz) Sj" '44Aj-l.Il s� JOB NO. 1OO ��X+�nN-� � �, C►M,v, �X1�n-tofu FT W A l-) /4`1? N oJ-A- A'rZI r j C PA?--�TZ F:t,l S of a, _ WCHELE C. 9 TUDOR -� No.34774 STRUCTURAL .off ISTER``� _ ��fsSIONAI MICHELE C. TUDOR, P.-E . Consulting Structural Engineer 123 Cononwood Lane•Centerville,Massachusetts 02632•(508)771-7601 i Tlrc' C(1r1111111r111'culth of.1fassachusctty Depurtllrc'r1t of Industrial Accidents ;_ `1 t►' ! OflicEa/lnyestlgallons •��j=;� :_� : 6 (J If asltiagtutl Street �;• +:� Bttsturr+,'1lrrsx. UZlll ' Work-cm' Compensation Insurance Affidavit At licint informatinti PRINT Ie`iiil_ y1'"�^��— [] 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an emplover providing workers compensation for m.v employees working on this job. cnnr mom nnmc- •ttitl rc�c• cits nhnnc ft• incnrtncr rn nolicr# I am a sole proprietor. -enernl contractor. or homeowner(circle otte) and have hired the contractors listed below wno the 'ollowing workers' compensation polices: cmmri'rm nrimc- 9drlrt•cc• cir�• nhnnc�• in,mr^nrr rn nnitt•v _ _ _ _ cmmnnnv n:rrnr- atirlrrcc• cir� nhnnc it• in of icy it _ crrrzncc cn - Attach additional sheet if necessarv� _ .,: :....... _.. .. r...• -.. -.+�r..y.e�... �. '_ �..r -,tic—..._..ru.w..n Failure it)secure ctrs•crace as required under section—A of N I G L isa can lead to the imposition of criminal penalties of a tine up to S1.S00.U0 andiur unc%cars• imprisonment as %%cii as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. I understand that a cope of this statentctit mas tie fursvnrded to the Office of Investirntions of the DIA for coverare verification. 1 do hercbr ccrri(t•tut[!• tlic pains and penalties of pctyurt•that the information provided above is true uitd correct. Si^aaturc Datc Print nainc Phone 0 official use un n iv do not write in this area to be compicted by city or tow otTicW `+ tt� F city or tmvn: permidliccnsc# r"tt;uiidint:Department Cucensing!Board selectmen's OMrr k. ►. ❑ check if immediate respunse is required C:ticatth Department CI �. - it: nUthcr contact person: phone information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workcrs' compensation for employees. As du0tcd from the "1a��". an ejnphume is defined as every person in the service of another under::n% contract of isire. express or implied. oral or��rittest. An emplarcr is defined as an individual. partnership. association. corporation or ether legal entity. or any M,o or r, the foregoing cnanged in a joint enterprise. and including the legal representatives of a deceased employer. or tic recci�,er or tnsstce of an individual . partnership. association-or other legal entity, employing employees. Hw%,ev.-r owner of a dwelling 1101.15c haying not more than three apartments and who resides therein. or the occupant of the d%%cflink_ house of another who employs persons to do maintenance ;construction or repair work on such dwellin__ or oft the __rounds or {wilding appurtenant thereto shall not because of such employment be deemed to be an empic MGL chapter 152 section 25 also states that even- state or local licensing agency shall withhold the issuance or 1,1ti%•al of a license or hermit to operate a business or to construct buildings in the commonwealth for any icant who leas not produced acceptable evidence of compliance with the insurance coverage required. ,A(]L.:ionall%•. neither tine commonwealth nor any of its political subdivisions shall enter into any contract for the perrornsznce of public work until acceptable evidence of compliance with the insurance requirements of this chat;te hce:t presented to the contracting authority. .Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation an: Supplying_ company names. address and phone numbers as all affidavits may be subsn'itted to the Department of !ndustrial .Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The -Javit should be returned to tine cin• or town that tine application for the permit or license is being requested. r :he Department of Industrial ,-accidents. Should you have anv questions regarding the "law" or if you are recuir .o obtain a workers* compensation policy. please call the Department at the number listed below. City or Tusvtts Plecre he pure that the affidav it is complete and printed legibly. The Department has provided a space at the bottom the for you to fiil out in the event the Office of Investigations has to contact you regarding the applicant. P* be _ to 511 in the permit/license number which will be used as a reference number. The affidavits may be returne •ne Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have an-, quest', please do riot hesitate to _aiye us a czll. Tile Department's address. telephone and fax number- The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston, Ma. 02111 fax #: (G I i) 727- 749 nitunc =. 'bi""'i 72 ---1900 exr. 406. 409 or I > .oFIME►o The Town of Barnstable BARNSTABLE. MASS. ` Department of Health Safety and Environmental Services 1639 �Fn +° Building Division ' 367 Main Street,Hyannis, MA 0260i Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner e Inspection Correction Notice Type of Inspection , ism r) .P Location Permit Number ` Owner A 40 Builder �� (�t One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: p ( { 0-7 o. i f ,. (�1'� 1 r� -, _f C a A 1 P r 21_, r `46 ✓7 l.:f,A n i w` r� 3: J r Please call: 508-790-6227 for reeinspection. r` Inspected by ,1�n,)j ~ Date J. y i _Map ��o� Parcel Pe # kzsr- Conservation Office(4th floor)(8:30- 9:30/1:00- 2:00) Date Issued 36 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee' �, 2T-,,o Engineering Dept. (3rd.floor) House# �� 0*4 e4 �11ME P R_ 4� - -� � � . . � mSS ive an p 1901 ®� e peg TOWN OF BARNSTABLE Building Permit Application Project Stree ddress Village.. za Owner Address Telephone T 7/ 0 '7 Permit Request ` OF 10, `First Floor square feet O Q-ram C Second Floor square feet Estimated Project Cost $ ,2 Apo w�6 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type , Commercial Residential Dwelling Type: Single Family ✓ Two Family Multi-Family Age of Existing Structure '�® -�r— Basement Type: Finished Historic House a Unfinished Old King's Highway �a Number of Baths 0 No.of Bedrooms Total Room Count(not including baths) ! First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached / Other Detached Structures: Pool Attached V Barn None Sheds Other Builder Information Name Q- OF Telephone Number so tF- 3 4 ;t / / 7.2 Address / `� A�r_ 4:�� License# �• /� Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t4 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY 'PERMIT NO. t ' DATE ISSUED MAP/PARCEL NO. i ADDRESS 3' ; i VILLAGE OWNER Ia r DATE OF INSPECTION: FOUNDATION — FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: "'�'ROUGH FINAL p 1 t y FINAL BUILDING s t DATE CLOSED OUT ASSOCIATION PLAN NO. 11 '0^ '94 ii:92i �eaai i2i7122 DEFT i1�D sccly i v . .. _�. �0/3ZJiZ01Zll/KQLUL O� 1�Q+9�QC�Zf�l�l.� la�L ' �c f�artnrsRl a�_�ia�✓®cci� 600 9iU� .St, dames i Campbell Eon, MadaarAtv.1h 02f f f Commissioner Workers' Compensation itssi =ce Affidavit i, with a principal place of business do hereby certify under the pains and penalties of perjury►, that: () t am an employer provid'mg workers' compensation coverage for my employees we this job. U,1CA?)0/, J7 k insurance Company Policy Hmnber () [ am a sole proprietor and have no one working for the in any capacity. e proprietors, general contractor or fnoineowner (&CIS one) and have hit lamasot p p contractors listed below who have the following workers' compensation poNcies: Contractor �pa>sylPoficy - Contractor insucaszce tAmp�YlPoficy Contractor insurance CampanylPoiicy ? O i am a homeowner performing ail the work myself. understand;oat a cold of L,:is s�tcmm vall be fwmded to d•.e OMm of Immsdpdam of dto DIA for coverall vettftOslOn and that arx ge=nGiced under Section ZSA of MGL 1:2.can tma to the hrV0W=of a'eUftW pain cMUWU of a ft9 Of UP LO S 1,5C 1re�-s' jMWt o-r..em as wet[as dviil oenaides in the four.of a STO P WORK ORDER;ad a Me of 510M00 a day S&M me- Signed this �/ i Licensee/Pennistee Building Depzmmm Licensing Board Selec=ens Office . . .. .. .. r t ., 'i' r . .+ :-+ \i ti � 1':C�°� \.. .•♦ 1.1'�r�\a '1. HO INAR-YEEMEN Ot TRACTOR ; R{ " • egistr�atom 6449.9" u jYP RIVRT �COK K TION r�eCIo ] :4/ Ar Do gofkui>dul ing e,odeli • k Arttil►1`�l�-�o��go f. 11r.21ck 4 ADMINIST1iATOR.� vk" 3 W, r= ers 'ableMA0612 t � �'die �orynmzauuea/� o��/�aaaaelu�aeaa DEPARTMENT OF PUBLIC SAFETY CONSTP,OCTION SUPERVISOR LICENSE Num6 elf, Expires: . Restricted To:";• Q0 ARTNUR L DOLGOFF ` 19'MCCORMICa DR W BAR" TABLE, MA 02668 The Town of Barnstable „►nrsu,st� • ,S Department of Health Safety and Environmental Services t619. BuiIding Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508 790-6227 Building Commissic Fax: 508 775-3344 For office use only Permit no. i Date AFFIDAVIT s HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A rewires that the"reconstruction,alterations,'renovation,repai14 modernization,conversion, improvement,.removal, demolition, or construction of an addition to,any pre-existing owner occupied building containing at least one but not more than four dwelling units or to stirnctt w which are adjacent with certain eaaeeptions, along with other to such residence or building be done by registered contractors, requirements. Type of Work: Est Cost 1 d a o Address of Work: Qaner.Name: 164604� Date of Permit Application: X/9/9'G I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not oamer-0oarpied Owner pulling own peraut Notice is hereby givers that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT'OR DEALING WITH VNRECJI3'T'ERED FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcicby apply for a permit as the agent of the owner. on ctor name Registration No. Date OR n Owner's name QUERY PROPERTY: QUERY . END QUERY.�PROPERTY PENTAMATION-------=--------------------------------=------------------ 03/20/00 PARCEL ID 289 144 GEO ID 19493 LOT/BLOCK 13 DBA _PROPERTY_ ADDRESS OWNER WHITE , .5 MARK LANE i . 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