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HomeMy WebLinkAbout16-18 NORTH STREET ���/� _` �� i gLj- Hyannis IC-17-367 12/12/2017 12/9/2018 Wimpy's �u IC-17-368 12/11/2017 12/1/2018 Scudder.Family Cafe IC-17-185 12/11/2017 8/13/2018 Seacoast Inn IC-17-333 12/8/2017 10/4/2018 Hostelling International--hyannis IC-17-366 12/8/2017 12/31/2018 B2 Burrito Bistro 7 IC-17-166 12/5/2017 9/3/2018 West Parish Family School 2049 IC-17-359 12/4/2017 11/6/2018 Dragonlite Restaurant IC-17-369 12/4/2017 12/30/2018 Captain David Kelley House 5 IC-17-235 11/29/2017 9/29/2018 Captain Gosnold Village 2 IC-17-191 11/29/2017 8/27/2018 Larry Doughty House 7 IC-17-351 11/29/2017 11/12/2018 Cape Cod Church Of Christ 49 IC-17-242 11/29/2017 9/15/2018 Alberto's Ristorante 360 IC-17-341 11/27/2017 7/22/2018 Barbyann's 1 IC-17-346 11/20/2017 10/5/2018 Wianno Yacht Club 101 Brid IC-17-337 11/13/2017 10/12/2018 Oyster Harbors Club 170 IC-17-232 11/13/2017 9/23/2018 Osterville Community Building 93 To: 1/1/2016 5/9/201911:59:00 PM From: f n . _ .. ., , .� a .aan-.�: rs �- ���'° � c§� �' .-fir ^gat ¢; �•, - �„ .� =ter �' � •� •�� �' ffi--�* w , nA 4, •.� � ., , �. _ s. , Y n , M' f�, %w .�''�% aa'^.�i• 'vim'i-".�,: ,g, ;.t. .:ro+ „6'.- ., .y^� 'f+ ^" ;'. 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Permit Fee r, Location 16 NORTH STREET } r Map Parcel 327010 Town HYANNIS; . r Zoning District .H V g a ` Contractor PROPERTY OWNER, Remarks F . z 34.5 SQ:BL'OCK.L'ETTERS HYA TRAVEL-INNNNIS a r y , a e r Owner: MONAGHAN LIAM P TR ` Address:, baHYANNIS TRAVEL' INN 100 WEST'MAIN ST SUITE-6--1 „'HYANNIS; MA 02601 ;a . r Issued By:' -PC ginj POST THIS CARD SO THAT IS VISIBLE FROM THE STREET irsRNt TABLE . ti. Town of Barnstable oF�"E'O�ti Regulatory Services ZO O J 15 F1 3: 57 Thomas F. Geiler,Director �nA RNsrABLE•� Building DivisiontO i639 ♦0 ArfD�,ta 'Tom Perry,Building Commissioner v 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us � Office: 508-862-403 8 Fax: 508-790-6230 Permit# Application for Sign Permit Applicant: jg�iO�-N l S T,h A�lTL ��r'�' Z" Map & Parcel# Doing Business As: S T(a AV(51- ZN'ry Telephone No. Sign Location l'b I d1_TN 5 Street/Road: Zoning District: Old Kings Highway? Yes/fo Hyannis Historic District? YesQ Property Owner `pt� A,lsyrt- Name: //Q r-• {? 6 H�81J�JY� f S l..%r,r� Telephone: ,S �i y— Address:-.;y wls nA► Q `t�r G Village: Sign Contractor �Y �/�� Name: C ,/t� lJ Cy S�6 Telephone: Mailing Address: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) Width of building face V -1 � ft.x to= (Yb 0 x.10= I t` 6 Sq.Ft. of proposed sign f, I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the - information is correct and that the use and construction shall conform to the provisions of§240-59 through §240789 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: , Date: � / Permit Fee: . Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. n•I WP FILEA31 GNSI SPGNAPP.D 0C - � �' � iv#v.rti...�+ s.�..�...�..r�1•..�.J4.r..,�..A...�.....+�.�-.�-A...4�.*..�...tii..�+o.�13°y._•4�"�+..��...•th,A....L.dti,+1,,. ~. .x .-° ,: +.Y.•+,'ti.. �..�c.�.+y.�.r�w4'wsk.�s.,•�..+\.+h�.��{Y..ti...'vr�.,•+w,\,1,.h..'�.+..,.1r'tiatr�+'..��...rS,-h...i✓+.�w�t>+.r4�h..S..�..4.,.^..�...�.' , - x „. .*+ �'ti..S.h,��"+,i.'+,a.4«.h�.rti..do,,, �..,'vA..akrhwk.r�...ti.L.".✓ti.r *S..+M..,r,rt...�a.-�h..'�s'*,r1..-4.,+...A..�.►>.Y�+�Y��,�k +,;,�:,' ,� v�.-�Y+'�Y.�':'•,.'w.'v'�'+.w�a�.Yrti..•4.� 'r.Ors...n..a...-�..+w�.�h.rM1w'.ti-i..re1^,,,•��+!+.rt��..��`��,.'�'�..i.z'...R:v''+.'�.+�».:,,+�........R..��+..,,,� _ '� ,a.,. � ... .�,.+�..i�.�+..'L.i.�r'w.➢w_.,�..�4-+'*'.��'•+ 'r.i.e�.+r-.+�A.,a...tw.1r+'•..r4«r'��'1,.�.�..k+-hr+.,,+iMh.:t..'k-'�wA..0+.+4..Vt.w�r:'+...h�.Ar.4..�, w +.., ....:, ...- .- WWI K�T!F- p �,� �� �� - — - i- - .y manwBo r rl man Ing.. RSI!7AP T . V w CAPE'. , COD . - NN '-H-YA N N 5- ,, V�E S G { 42,WAREHOUSE RD HYANNIS, MA. 02601 TEL ' 508-771-4465' Proposal CAPE COD 42 WAREHOUSE ROAD HYANNIS, MA. 02601 IL SIGN TEL 508-771-4465 JULY 1,2008 Proposal Submitted To Job Name and Location HYANNIS TRAVEL INN SAME NORTH STREET HYANNIS, MA We hereby submit specifications and estimates for: FABRICATION AND INSTALLATION OF 18" FORMED PLASTIC LETTER COPY = "HYANNIS TRAVEL INN" COLOR = BLUE We he propose to furnish materials and labor,complete in accordance with above specifications.*for the sum of. ONE THOUSAND FOUR HUNDRED FIFTY DOLLARS PLUS TAX ($1522.50) Payment to be made as follows: 50% DEPOSIT BALANCE PAID UPON RECEIPT All material is guaranteed to be as specified.All work to be completed in a workmardike manner according to standard practices. All agreements are contingent upon strikes,accidents or delays beyond our control. AUTHORIZED SIGNATURE/DATE VOW ITis proposal may be wit yawn if not accepted within 30 days ACCEPTANCE OF PROPOSAL-The above prices,specifications and conditions are satisfactory and Leref&gg0jC d.You are authorized to do the work as specified.Payment will be made as outlined. AUTHORIZED SIGNATURE/DATE - :.... t :..,,. rw _«.,•�...wr.1•>•�x. .w .. rr. � '� - •.. � - , _...er.w++.�.•as�.a..•e_ .ar .. .... +.. . , .a .. . � - � _ .�. �.. .fir - ..��e a w.. a- - w - -a ti•wti+-y /was �yw A.r�w.�-.H.-.r,• ...� �. .v - +. a -- .. ^v d'.•_ _ "TI, _- try . - . � l J PROJE NAME CT ADDRESS: �A.r/S �� �� ,6 WX5 PERMIT# �� OD 16 PERMIT DATE: M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT 3 C Data entered in MAPS program on: jcj5g , _,24� BY: . o r . q/wpfiles/archive I s } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Co Map Parcel ,""7`� e -Application#r � Health'Division - Date Issued 6 .a f Conservation Division Application Fee Tax Collector Permit Fee Treasurer ' ol Planning Dept. i ++Ak-IRE PREV _ M�BgE:-d h Date Definitive Plan Approved by Planning Board \91fli ll& hen Historic-OKH . Preservation/Hyannis � 41�MLC4/ � ecr Project Street Address lV fj C)rz- Village ly y 9,N N 1 S l'1 ►� 6X"6 U P&Vs LPr'.'t I'�Ati,gb�rhls�7G i� 5V t� Owner t-rqt% P- 0 0-A UNN (MatiAa �tiG Pfir� Address t � 0 Wts5T l I Q 1� ST Telephone S o O A Permit Request -PAC.A D C IMP o Jt-�l�is (Z 6 PLACCf FLAT je o"r y 4vs S K2 Q O 1A`0 i T-iy KA C S PACC D 4 l012 -S itiNI tvt, 65 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay � i Project Valuation 3.w' 3� Construction Type \ Lot Size ' V Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. j Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) s` /Age of Existing Structure `/ f-S Historic House: ❑Yes Alo On Old King's Highway: ❑Yes o Basement (�se ent Type. ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing _new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other Central Air: ❑Yes V No Fireplaces: Existing New Existing wood/coal st�ve: ❑ ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑e4ting ❑now size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: i�] w Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# r- ' o �- Current Use Proposed Use BUILDER INFORMATION Name L /�J Telephone Number �--�(E�1�t� s Address 100 l-tf 5 T M ft i N S T S" l Tt 6 License# C 0 Z 6 3 to (L(F5►k tc Tl�a S ��(��1�w�•-; 5 ; (�A U O 1 Home Improvement Contractor# Worker's Compensation# (A!M 7— 3 6 6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ! I d_J FOR OFFICIAL USE ONLY APPLICATION# ,DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE v OWNER DATE OF NSPECTIO,N: 'FOUNDATION ` FRAME INSULATION t FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING IN DATE CLOSED OUT ASSOCIATION PLAN NO. �i. Y�Y Y Towne of Barnstable Regulatory Services . � swaNsr,►sL1e. :. Thomas F. Geiler,Director i67g, �e Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 F : .508-790-6230 ]PLAN`REVIEW Owner: Z-1 A-( ® t ��,-/{t�,�q Map/Parcel: Project Address nuilder: �� u-1 L The following items were noted on reviewing: z,� yi 6— //�--t tL Reviewed by: i Date: Q:Forms:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - a 600 Washington Street Boston, MA 02111 - wM s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 'Please Print Legibly A Name(Business/Organization/Individual): TV4-AV K f p N Address: City/State/Zip: l' lr ' C) �^1Phone#: Are you an employer?Check the appropriate box: Type of project(required):,. 1-0I ant 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. URemodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y p tY 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. 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No-workers' 13.❑ Other 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.. tContractors 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: l t�G l j"90�R�l��' C' ,� 7� t `31f�^ 4J i (,( A 6 . Policy"#.or Self-ins. Lic. #:&y M'7,?j O 036 4 � 6 1� 0 O'l e Expiration Date: Job Site Address: NOpLTA 51_ ,- City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to'secure jcoverage 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 do hereby certify under the pains nd penalties of perjury that the information provided above is true and correct. Si nature: _ Date: Phone#: i �_Z" u 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 J.'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." Applicants Please fill out the workers compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in--(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture j (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. ## 617-727-4900 ext 406 or 1-877-MASSAFE Fax## 617-727-7749 Revised 11-22-06 www.mass.gov/dia oFIMEr Town of Barnstable Regulatory Services 9B" MASS. ` Thomas F.Geiler,Director 16.19. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder It e'y:vT 0-4; as finer of the subject property hereby authorize r 10 A to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owiie . jPtt.c�S �;.pt l Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION r ..., THE Town of Barnstable pF Tp� , Regulatory Services BARNSTABU, Thomas F.Geiler,Director MASS. �A 039• A.0 Building Division lFD � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwN.Aown.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/to 111ate zip code The current exemption for"homeowners"was a ended to include owner-occupied dwellings of six units of less and to allow homeowners to engage an individual for hi who does not p�sssess a license,provided that the owner acts as supervisor. DEFINITION O OMEOTNER Person(s)who owns a parcel of land on which he/she resides ntends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures essory to such use and/or farm structures. A person who constructs more than one home in a two-year period shal of be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable °°�the Building.Official,that he/she shall be responsible for all such work performed under the building pernut. (Section h 9.1.1) d The undersigned"homeowner" assumes responsibility for co, plane with the Statea uilding 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 f� Approval of Building Official Note: Three-family dwellings containing`35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.,, Many homeowners who use this exemption are,unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as.Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fonns:homeexempt JAN. 29. 2008 2:04PM HART INSURANCE N0. 959 P. I ACORD, TE � CERTIFICATE OF LIABILITY INSURANCE 01/24/20 8 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HART INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 243 MAIN STREET - HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 700 BUZZARDS BAY, AAA 02532-0700 INSURERS AFFORDING COVERAGE NAIC# INSURPD Hyannis Travel Inn INsURSRA; AIM INSURANCE COMPANY 18929 16-18 North Street INSURER II: Hyannis,MA 02601 WSuRER C.- INSURER 0: INSURER E: COVERAGES THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Q POUCYNUMBLR POLICYIEFFECTIVE POLICYEXPMAT10N LIMITS OENWALUABR.RY EACH OCCURRENCE E DAMrjFTORENT MERCIAL GENERAL UABIUTY PREM E as nc S PCOM - CLAIMS MADE OCCUR NED SW__ ..GM f - PERSONAL 6 AOV INJURY $ GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S POLICY F7 PR LOC AUTOMOBAR LIABILITY COMBINED SINGLE UNIT S ANY AUTO (Ea aimidWq ALLOWNEDAVTOS -, BODILY INJURY S SCHEDULED AUTOS (Par onion) MIREO AUTOS BODILY INJURY S NON-OWNED AUTOS (P4V ft6don0 PROPERTY OAMAGE 8 (Pe►accdeny 6ARA6ELLABRJTY AUTO ONLY-EAACCIDENT S ANYAVTO EAACC f OTHER THAN - ' AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE f RETENTION S f WC A VVMZ8003666012007 04/01/07 04/01)08 maxwmcm u. OTH- WORNPRS CAMPEfr$ATNiN AND EMPL.OYERS UABILnY ANY PROPRIETORIPARTNERIMOVmE E.L.EACH ACCIDENT f OFFICER/MEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE f 500000 If Yea.GB cmm undet- s SPECIAL PROVISIONS bdo - E.L.DISEASE-POLICY LIMIT S 500.000 OTHER DESCWTION OF OPERATIONS I L.00ATIONSI VEHICLES/EXCLUSIONS ADDEO DY.ENOOMEMENT I SPECIAL PROVISIONS Town of Barnstable additional insured as respects Pool Faxed to Health Dept 508-790-6304 Fax to Lian 508-775-8200 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Bamsatble HE DATE TREOF,THE AIL ITTE ISSUING INSURER WILL ENDEAVOR TO M 3O DAYS WRN 367 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SMALL Hyannis,MA 02601 IMPOSE NO OBUGATION OR UABILITY OF ANY IONO UPON THE INSURER,ITS Ar.@KTS OR REPRESENTATNES. . AUTHORED REPRESENTATIVE ,ACORO 25(2001J00) ORPORATION 1 B8B r 67, Board of Building Regulations and Standards 14 '. Construction Supervisor License License CS 70763 N` Exp�ratlon 611612009 Tr# 15077 •Restncfion 00. LIAM P MONAGHAN 100 W MAIN ST#6 , HYANNIS,MA 02601 Commissioner , l " CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 07334 , PROJECT TITLE: Hyannis Travel Inn PROJECT LOCATION: 18 North Street Hyannis,MA NAME OF BUILDING: Hyannis Travel Inn SCOPE OF PROJECT: Addition of Roof Trusses In accordance with Section 116.0 of the Massachusetts State Building Code,`1,Richard J.Dempsey,P.E., Massachusetts Registration Number 29173,being a registered professional engineer hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: ( ) ENTIRE PROJECT ( ) ARCHITECTURAL ( X ) STRUCTURAL O MECHANICAL r FIRE PROTECTION'( ) ELECTRICAL ( ) OTHER(specify): for the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project: I further certify that I shall perform the necessary professional services and shall be responsible for the following as specified in Section 116.2.2: .1. Review,for conformance to the design concept,shop drawings,samples and other submittals,which are submitted by the contractor-in accordance with the requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of.construction to become,generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. I shall periodically submit progress reports;following site inspections together with pertinent comments as a record for the Hyannis Building Department. Upon completion of the work,I shall_submit a final report as to the satisfactory completion and readiness of the project for occupancy: ti of rays S9 � ey RICHARD J. G"p, a ORIG r TURE ANl) STRUCTURAL C Subscribed and sworn to before me this day of OY&' 4� 20 O �O .1p 2917? ���• _ � GISTEp' � zoosASS/O N A L ENG\ NOTARt PUBLIC _ '' r=y My Commission Expires On .0 Assessor's map and lot. number l,,..... ..... i A, ST/frc. /9 a el z c=� T U'1 �kJ ...... t fHETp� TOWN: - OF 'BARNSTABLE "ABIL i63q BUILDING ' INSPECTOR Apo, . `�0 'EO MPY 1 � ..................... ............................. -4 APPLICATION FOR. PERMIT TO ......... ,.... ............ .. ........ ........ � TYPEOF CONSTRUCTION ......,. ... . ..... .............................................................................. 47 ........./.t.`..!...........................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infor tion: Location ............. .. .. ..... ...........1.}1..`L....7 .....�-z... ,a7....... .. �.. `........................... ProposedUse ..................................:........................................................................................................................................... ZoningDistrict ........................'..............................................Fire District ...............................c.......:. .........,.......................... Nameof Owner ...... .................. ........ ddress ..... ....... ......... ......... ....... ......./......... Name of Builder y� �...... /V� ................Address ..� / (: •� • .. .... ........ .............................................. Name of Architect .........Address Numberof Rooms .............,r-................................................Foundation• .............................................................:................. Exierior ..................................................................................Roofing .................................................................................... Floors .. .............................................Interior ......................................................................:............. Heating .........................Plumbing Fireplace ......................... ....................................................Approximate Cost .......i•��Z @ -, .... p 6-0 ............................................................ Definitive Plan Approved by Planning Board ________________________________19--------. Area .....1.. :....:..... Diagram, of Lot and Building with Dimensions Fee ........ 0�.................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r r 0 •`� aJ0 r I hereby agree-to conform to all the Rules and Regulations of the Town of Barnstable regarding t e above construction. N/ . /...... .............. ............................... Monaghan,' Francis G. No ...1918.3.... Permit for ....swimming pool .... . .......... . .... .. . .... ................................................................................. A Location North Street 0 ...................Hyannis..................................... Owner .........Francis. . . ...G ...Mona a.ghan............... .. ........ . . .. . ...... . ........ . Type of Construction ........................................... ....................... ......................................................... Plot ............................ Lot ............ ................... . Permit Granted..........K.xy.. 5................ .....19 77 Dbte of Inspection ........19 ... , Date Completed' ........ .......197 pg PERMIT REFUSED ........................ ...................*............... ..... 19 ............................. ............ ....................... ............. ........................................................... ............................................................................ ................................................... Approved ................................................. 19 ................................................................................ ............................................................................... mm -: p •••t.•t::� - l� � � g PTIC SYSTEM -MUST K Assessor's mci and lot number 32'7 v 2? ��/ INSTALLED IN COMPLIANCE , r. 1 WITH ARTICLE 1.1 STATE / ... .. Sewage Permit number .... Cd... jp• ANITAR CODE AND TOWN TIONS. Er TOWN- TOWN OF ' BARNSTABLE l; 2 STME, i �~ "�a • DUILDI�NG � INSPECTOR 1 ......�~.. 1 _7 ' APPLICATION FOR PERMIT TO ..... ..................... . . TYPE OF CONSTRUCTION .................. .....Z.1"Z:P� .....��!'` ............ .........1. ..1.... ....0........ ................. ...... 19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /� Location ........ ..�✓ k '..........^J��' .......�...... .v'... ....................�.`... ...... . .......... . ................. .. ProposedUse ....................:.......... . . ..•�, .............. ...... ......................... Vl.�!W.... .....Fire District ........................................... Zoning District ...... .. ...... ......................./...`..........�/� Name of OwnersJ.. � . '� all, . ....... .... .. ...4:../U..L.-C .. ........Address ...................r��G •• Name of Builder . ...�:�.:�.... . ...�1.`Z�!. .. .�� ....................................... Nameof Architect ................. ......................................Address .................................................................................... Number, of Rooms ............../-�-..jPaqw,.n...k-... .Foundation A,,.,ei ...... L.�lC. ...... ^r ....... .Roofin .................... ''�d : . .. Xi .. . Exterior �/.�.��. .....�I ..�".............Iak4� . 42. 9 � .........................:.. 1 ee t FloorsG Interior { �,I.. ... ... . .............. G'.. --,i........................................... Heating ! .... ....................................Plumbing ..! .......................................................... / a .....................v�b Fireplace ..................41! ,................................�................Approximate Cost ........V� n) .. (lam.�./ Definitive Plan Approved by Planning Board ---------------____-----------1'9________- Are. )10.1.�^.W.......L.:.... ..... Diagram of Lot and Building with Dimensions Fee ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �7 L ( -�- - s , 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ..... . ........ ................... Monaghan, Francis 18757 move dwellings No ..................Permit-for .................................... .......................... ................................................ , Location:.......:North Street ....................................... \ _ Hyannis , Owner Francis Monaghan Type of Construction ....frame r .... ................................. _Plot ........................... Lot ................................ Permit Granted ........Oc.taher...22..........19 76 , "Date of Inspection ......................... .....19 4 r: Date Completed` ........: ...... ....... '19'� 'PERMIT REFUSED ................................................................ J19 ................................... ..................................... .................. .......................................................... .............................................................................. • K' - , Approved ............................................ 19 ...................................................................:........... Assessor's offioe (1st floor): ✓� r p Assessor's map and lot number .. /� 1� ° Q o iTNE o� Board of Health (3rd floor): Sewage Permit number ... .......� ...... Z MAUSTLDLE,MAM Engineering Department (3rd floor): '°o 39• �e0� Housenumber .............................: ..�............................. " o .40' APPLICATIONS PROCESSED 8:30-9:30 A.M. sand 1:00-2:00 P.M. only TOWN. OF BARNSTABLE BUILDING [NS�PECT.0110,ok/ APPLICATION FOR PERMIT TO ..... ....:tulN.........l'fl L............... ...... .. .......... ... ... ..................................................... TYPE OF CONSTRUCTION .. .� ���./...'................................................................................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............� ................ .....................................al�pL(,C.[��1. Proposed Use. ............... :.................................................................... .........................Fire District .......`.�G /V�.� Zoning District ...... ..G�i�:7!l.:Ltl..Y..J......... ........................................... Name of Owner .. ...! .... ...... 1......Address^ U.� �� ��t./ 1. ... ............a&�a,lz. Name of Builder 1 �'v ............................Address .. ........ ... r.... .V �a...................:.......... !..... .......................................... Name of Architect".!.CT.(Z. .U.......d V !�V......Address ° . .v!.''y.�!�'�!.. !.....00..... ...... Number of Rooms................. .................................:Foundation Exterior .............Roofiin Floors ....................................................................}.................Interior .................................................................................... Heating Plumbing lQK.3. ............_. ..... ... ........................................................... Fireplace ..............Y.10............................................................Approximate Cost ...069.1b Definitive Plan Approved by Planning Board ________________________________19________ . Area ...... ` ........................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of B nstable r garding the above construction. Name ...... .............. .... .. ^...": Construction Supervisor's License ... J(�.. .... S < . . . -No — Permit for —A[/D.� POOL ' ' ----/����N���ial../_By onio_TraveI Inn - ' Loco/inn .......l6.....Nort�.....S.t���et______. ^ ' - . ' . .- .................... �......................................... - - - Owner .....Fz�n.ci.s...G�_88o����ba.n____ Type of Construction ----Fra���-----� . - ^ --------------------------� ` ^ - P|ct ---------. Lot -----`'�---- ' . /July 15 87 Perm���n±n|ed ------'�---�--]P ,°.- . Date, of Inspection -----------....ly ' . . �^ V ' ' . _ . ' ^ -. - - - ' ` . . ' ^ ' ' ~ ' ~ � - / - ' '` � E i Z • r Bey^�' 'z �,�,,,..���'.`--�'�'""yw....•.•-, \\1 \\^\ \ \ �'.\ \\' �\��. �'�. ,/',- �i ._ _•sa-i's....z�.c._:.ems.. v �•�.sxa•�^s' �xa, ...,y,.T. 3 d � - S i - �. i 44b,, .�..r..i�..+•...a•�o..�;.•+.+e.v.-e—..awv....mav .as�r..nv.vun �•sv.a•.mrm-wv.� "�^..'®' n r w � n i E i + t -��� � i j �- � � 11III ! "^ i( I Cjfl. } ' j '� �f`a I�(. �� � � i � �jl� f i�i ^� 16 I � - F' �•.I + i. } , '�• t I if, � �_ � j, t �t ,� a a i _—a 1 i If � � i + � 1 �I f � � � f.� t .� � �1 't. � � �('• 4 �il S J f 1.j— i { i1— 1ii 'i E i } if I i i f i � _ _.,' - I � j � E i } 4 � —` _.______.. # �_ i���' .—..._._.._ •• r� � � 1 `.� I� � ! � � i la ' �� � ;: ll!! ;jf( � � � � II_ _t: I '•;� i �i{T� � , si � s ;ilf— ' a � ..-a. � ,,.L .v'„_._.+.....-. C. .-.. .r. .. `` .."{.`:—_... .J ., l�jE'E - ... .�-. —r- C '=I_. _ _-:.L.�...y_+ -__,._._ -, ,i-.—...........- 1`-ice,--.-,- '--'_,'." •"� I i � 3 r � ' rF /' l Assessor's map and lot number ....` .../.... ...... :. /�;, O" Csti. 'SEPTIC'SYSTEM MUST B� Sewage Permit number ... ...( �.+ INSTALLED INCOMPLIANCE WITH; ARTIICCjLE- II STATE yof;tNero�y TOWN l� ®� �� 1'� Aliii7E`VD TOWN R, �OO 1639• \e0� ri, ' e ,BoA,BHs�TLE a '� �® � INSPECTORID?Val { n.�-�. .. r .... ..... ....................... _ u APPLICATION' FOR PERMIT TO ........................................ , i, TYPE OF CONSTRUCTION ................� ::•'•••••/••••�•G�?T1. ....... ................................ t' ............... �.... . ... 19A. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . L .....:� ............. Y � .................Location ...W/hw� �..... . ' C/4 ........../W � ProposedUse ............................................................................................................................................................................. Zoning District ....4r5-: ...' ! ..............Fire District .............:................................................................ ' Name of Owner ... . .......... Add re ..ao t1q, Nameof Builder ................. . ..... .......................................Address .................... .. Nameof.Architect ..................rvn. . .'....................................Address ......................:........................................................... Number of Rooms ..............................Foundation r . Exierior ....................................................`:...............:...............Roofing .........................................:.......................................... Floors .........................:............................................................Interior ......................................................:............................. Heating ...................................................I..............................Plumbing ................:..:.............................................................. - t �aa Fireplace ............:.......'.............................................................Approximate Cos ...........!. ................................ Definitive Plan Approved by Planning Board ---_____-______________________1,9--------. Area ..�... ........................... Diagram of Lot and Building with Dimensions Fee ' SUBJECT TO APPROVAL OF BOARD OF HEALTH e <ell I hereby agree to conform to all the' Rules and Regulations of the Town of Barnstable regarding the above construction. Name . . ..... ........................V. .......... Monaghan, Francis G,.- 18842 enclose stairway No .............. Permit for .................................... d corridors ....... ........................................................: ` r North Street Location• ... ...................................... .............. ` Hyannis .. .. ............................. Francis G. 44- i n onaghan Owner e of Con frame T YP Construction .......................................... .......................................................... �.. . Lot Plot ? �- ze �Permit Granted .......November' 29... .i:.19 76 ''Date of Inspection ....................................19 f Date Completed' .... :....+""19`77 ! t. �f�• / C } "PERMIT REFUSED ......... ......................................... ... 19 .... . .................... . ........................ ..................... ,f /' •' ................................................... ........................... �• `T _ - . '. r 'l.. ,T' t'� .v /'�' .. ✓; fr-.' .+stir - � ✓ � „..+� � ` ....................................................., : .. .... .. /y� �..•� �: ..r _a•,..-�. '" .. ` '1 ................................................... .r.. ....... �., .i•F.^t `• 9'f :R �' _._ Approved ......................................:..... 19 r ti ............................................................................... ................ ........................................................... i K W N 'w Department of Health, Safety and Environmental Services PY6s9. �• Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 ? `Ralph Crossen Fax: 508-790-6230 - • Building Commissioner Tax Collector. V �7 Treasurer 6 , Application for Sign Permit Applicant: f� �q 1� >> V Assessors No. Doing Business As: �� �'14� S 7-9 RV(:`(. Telephone No. .q Sign Location Street/Road: 4)A te,>v s T Yi V Zs R Ye 0 Zoning District: Old Kings Highway? YesA& Hyannis Historic District? YesMgg) Property Owner b�N Y�CS Name: L j A a'J /"��.�n h i�yB a✓ P 1�m ` Telephone: S Address:— 18 iv o m-m Village: 1� N Sign Contractor Name: ?�Q YC �, 6 Telephone: Address: ('7,ne-v-iZ prr,I S tf Gi 0 Village: Description Please draw a ding un 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 die sign to be electrified? CYe t o (Note.Ifyes, a wiriwpem tisrequired) I hereby certify that I am the owner or that I have the authority of the owner to make this application,drat the information is correct and that the use and construction shall conform to die provisions of Section 4-3 of the Town of Barnstable.Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Size: I.0 6IV X � 11416/d __Permit Fee: Sign Permit was approved: Disapproved: f Signature of Building Official: Date: Signl.doc rev.8/3//98 4 I� a r t Y-9 yl r',4 IV ej r. --------------------------- • � YJn � J�SG.,n�l� I C" Q 1 1 J E t? 1���9 • r y .,, -a- h � r , + 3, { I n e _y � "+kt ..a v x.,i �" .¢<a. r .r � 2r ff} •'^,f�.. _ r+• vc, k '9+ � Nz ' �c I �i .m.�w.��sR.ah" 'su m.:iiY3"`4.w "'�"'3' ._#i}'Lad. :��'Y Sk.�._s',...^.r..' :.L`"v`�°zia' -+-'ee.w'� ...,. '.."Tlma M+'�m��uu{i�t�:Irz�,� N«'tussmu•sovau�mmfn HYANNIS j TRAVEL s INN INDOOR & POOLS + OUTDOOR WHIRLPOOL-SAUNA tL, I 1 t L . , TOWN OF BARNSTABLE x SIGN PERMIT PARCEL ID 327 010 G$OBASE ID 24124 ADDRESS 16 NORTH STREET PHONE H'MNNIS ZIP -- jLOT VARIOUS BLOCK LOT SIZE IDEA DEVELOPMENT DISTRICT IIY PERMIT 32357 DESCRIPTION HYANNIS TRAVEL INN (.32 SQ..F'T. & 8 SQ_FT_ ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES.: $75.00 1NE POND $.00 � CONSTRUCTION COSTS $.00 753 MISC.-NOT CODED ELSEWHERE * BARNSTABM. MASS. 039. A, � BUILDI DIVIS Nf/ � i BYE% Li DATE ISSUED 07/27/1993 EXPIRATION DATE The Town of Barnstable ✓ en f Health, Safety an Environmental 1 '1 Department o H a ty d Environmenta Services Building Division 367 Main Street,Hyannis MA 02601 ri jll:t:;;!li:;',J.IY.i:�:;,ti. Office: 508-790.6227 �� s�% Ralph Crossen Fax: 508-790-6230 a Building Commissioner '. y , i ti 41 p aiyr r A li on S- Permit pp = x Applicants KAVEL'I + ivN 'Assessors No 3 273}=of d Doing Business As: NYAms T zrivee- T.-w Telephone No:' 76- SZoo Sign I ocatloII Street/Road: I Nc> r" %7REE1- . HYANN/S /►'� �aG�✓ r Zoning District: Q Old Kings Highway? Ye� Property Owner Name: HYAMNIS 71?Ay&- N/V Telephone: 775:®Zoo Address: : Village: Sign Contractor Name: JbRGAN 51 c N Cowt PtWY Telephone: 771-'l0 Z O Address: 103, eH MC PRtsE F-4A P Village: NYANIV I S ao ;z G o f KELE?jER EXISTlac F <65 - NO cAANGE ;�V hWd NT S O2 SMAI /2E y$ x 32L 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?, Ye o (Note.If yes, a wiIiDffP Emit is requircO ' Ql U71N I hereby certify that I am the owner of that I have the authority of the owner to make this application,that the information is correct and that the use and constriction shall conform to the provisions of Section 4-3 of the Town of Bars le r ' ance. Signature of Owner/Authorized Agent: Date: ?Iel Td�r 98 Size: 3 Z CI So Permit Fee: `` ,'oV ?,5 75' Sign Permit was approved Disapproved: Signature of Budding Offi 'al: Dated a 1 I NF A 3+ic 3 7r4 e ���1 " kr s, ,a^ oft, R { t 1 z t— S , - A y r K � � K. - EN W' t 4 $ � y Z V _ }g�' 1 _ ii 1 RED A roved pp BLUE 20 v, 40 r TRAY I &JTHE MONAGHAN COMPANY ' Engineering Dept.-(3rd floor) Map 3 Parcel 6.1 G l.� Permit# �3 8 House# Date Issued s Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Fee 1600 • d-Z) Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Aft�q�, co -?,OQ 8 Q 8 Planning Dept.(1st`floor/School Admin. Bldg.) BNtiINEg F tb Definit!* pproved by Planning Board 19, BARNSTABU. TOWN OF BARNSTAELE Building Permit Application pA'rojiectStreetdress46 7 �? r� ./Village r__ su Awner 14,E Address - Telephone Permit Request .� l First Floor square feet Second Floor square feet Cons on Type Estimated Proje ost $ 07h� Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ T amily ❑ Multi-Family(#units) Age of Existing Structure Hist House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑ er Basement Finished Area(sq.ft.) Ba ent Unfinished Area(sq.ft) Number of Baths: Full: Existing New If: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal sto ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board ZYe eals Authorization ❑ Appeal# Recorded❑ Commercial ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name hQ �!J /Uf�� �/ Telephone Number . 9 Address f 3�,�, VA-C",p License# g'— �,. Home Improvement Contractor# 1,4[O Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS OPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �r BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �� fa FOR OFFICIAL USE ONLY • PERMIT NO. DATE ISSUED' MAP/PARCEL NO. _ t ADDRESS r VILLAGE OWNER _. t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICALi ROUGH FINAL ` glo PLUMBING: UGH : FINAL r; ?S o� , �• GAS: UGH FINAL ; - * FINAL BUILDI � �✓� t�, „� f% .�s -cgs r DATE CLOSED ASSOCIATION PLAN NO. � 1 {�{ � �� I a L- 3 .1Z � � � � �,-�,. .��. -� �.� �_ � �..�-. '� :_ f/�� . r f,; _ . /�;1�. w • Tile Cuntnru1r11-ca/1/t of Atassuchuseff- ;rti 'i.�: •' Depar`tirutrt of Industrial Accidents z ', ;" . ;i� p�cPa!lmresugatlntts 6011 ti<it:�lriu�;tuir Street ;' N Boston,,Huss. 03111 J `� �•' , cnsation lnsurance Affidavit 1 orkcrs Comp ._...^-�------ -- Pi P i�Ii 3 inf•rat itin• • (Ic, o v s httn.8 UIq `• r 1 am a homeowner performing all work myself. l am a sole proprietor and have no one working in any capacity ,_�__.... I am an empiover providing workers compensation for my employees working on this fob. mn tam• name! r ' 1dtlrccc• hnnc l!• t,•- inolicv 0 _ f [� I am ne) and have hired the contractors listede:o�� u a sole proprietor. ecneral contractor, or homeowner(circle o the foilowing workers' compensation polices: cnm any name• ltltirrtc! • • -•� 11nt1C e!• city con+ nn%, nnmc- 9: ;tddresc- hnnc ii• city- - oil •� insurance cn =�_.__•"'—'--.: Attach additional sheet if neca_ia_rv� • ''-"��K-• '• Failure to secure cove race if as required under Seetton 3SA of��1GL 15_can lead to the Imposition of ertmmai penalties of a fine up to SISOU.UL + unc cars imprisonment a•••'cil as cirii penalties in the form of a STOP WORK ORDER and a fine of St00.00 a dad against me. I uadetstanc COPY of this a(ateme:It ma.' be fornarded to the alrcc of InTcstit;ations of the D1A for cotent a yerificatian. !rlo beech!creel[•urr cr rl •pains and nailles of perjuq tkat rile information prorided above is true and correct. 13 _ S i_nature Phone ± Print name ' official se nni� do not write is this area to be compicted by city or town otTicial ltertnit/liecnse it rltluildinz Department 1' city or town: QL•ceasin�13oard Qscieetmen's Uff►cc -•- -_.. .. ...Y rruuired r,ttraith I)cnartmt•-• lassachusetts General Laws chapter 152 section 25 requires all empiovers to provide workers* cc III]pensation for tttei nPloyees. As quoted from the "l���", an einph ree is dcfincd as even, person in the service of another under ally )ntract of hire. express or implied. oral or'%rritten. n empinrer is dcfincd as an individual. partnership. association. corporation or other legal entity. or anv two or morc c forcuoina ena-aged in a-joint enterprise. and including: the legal representatives of a dec=cd emplover, or the cciver or trustee of an individual , partnership. association or other legal cntity. employing employees. However the vner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the ..cliitt�_ house of another who employs persons to do maintenance , construction or repair work on such dwelling_ iiou on Ill. :7cunds or building appurtenant thereto shall not because of such employment be deemed to be an employer. 3L chapter I52 section 25 also states that even-state or local licensing agency shall withhold the issuance or tei�al of a license or permit to operate a business or to construct buildings in the commonivealth for any ;ilicant who lzas not produced acceptable evidence of compliance with the insurance covernbc required ' ditionall•.. neither the commonwealth nor am• of its political subdivisions shall enter into any contract for the formoncc of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha n presented to the contracting authority. - Aiicants '.Sc fill in the \vorkers' compensation affidavit completely, by checking the box that applies to your sitmt:on and )Ivin ► company names. address and phone numbers as all affidavits may be submitted to the Department of :strial Accidents for confirmation of insurance coverage. AIso be sure to si-n and date the affidavit. The .:Wit should be returned to the city or town that the application for the permit or license is being requested. .he Department of Industrial Accidents. Should you have any questions regarding the "law- or if you are required -:ain a workers' conipcnsatiot: policy. please call the Department at the number listed below. or Towns ` be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of Ttdavit for you to J-111 out in the event the Office of Investigations has to contact you regarding the applicant. Pleas re to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to 'zpartment by mail or FAX unless other arrangements have been made. >ffice of Investigations would like to thank you in advance far you cooperation and should you have any questions. do not hesitate to 1_11ve us a cell. ..__._�._. .._...._..�.., ...,_.�......_..._ --.r r.—.,.._._ ,cparttnent's address. telephone and fax number. The Commonwealth Of Massachusetts w: Department of Industrial Accidents r i Office cf investigations 600 NA'ashindton Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (6I7) 7274900 ext. 406, 409 or 375 HONE INPROVENENT CONTRACTOR ' j` registration �101087 {YPe Ml I 9VATE CORPORATION M., Expiratioa ; Ob/25/98 F p t CLAUDE R CORRIVEAU BUILDER, - "�co�n ADMINISTRnroR ._ox: 284/ 84 Plne`St ' %�M=rariouthport NATo2675 ✓lie Vi aryvrnoouuea o�✓��aasac/zuaet3 A': DEPARTHBRT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE . Nu�ber Expires: Restricted To:. '00 VF x CLAUDE R CORRIVBAU PO BOX 284 N YARHOUTHPORT, NA 02675 • i a- 1 . ' 7 71) 4 53 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HART INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 240 MAIN STREET HOLDER, THIS CERTIFICATE-DOES NOT AMEND, EXTEND OR I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. J COVERAGE BUZZA WIS BAY, MA 02532 -COMPANIES AFFORDING _ I COMPANY NEW urNLN COUNrn a ALA INSURED -- COMPANY GRANITE STATE INSURANCE CO. B HYANNIS 'TRAVEL INN --.... ..... 16-18 NORTH STREET COMPANY HYANNIA, MA 02601 ___ C COMPANY � c ens D �THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR� THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RECUCED BY PAID CLAIMS. PO LTA I TYPE OF INSURANCE T POLICY NUMBER LICY EFFECTIVE. !POLICY EXPIRATION LIMITS DATE(MWDD/YY) DATE,MM/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE S7 11AQ I1�. 71` X,COMMERCIAL GENERAL LIABILITY I--�+- _{— PRODUCTS-COMP/OP AGO S 1 ov I -1 CLAIMS MADE t X l OCCUR 5SM30621 ; 10/25/96 1 1 0/25/9% PERSONAL&ADV INJURY F$1,ma.00O OwNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ _.... FIRE DAMAGE(Any one fire)I $ VIED EXP(Anyone person) I$ AUTOMOSILE LIABILITY GONBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS j BODILY INJURY $ { I SCHEDULED AUTOS + i (Per person) II HIREDAUTOS I r— --- — t� -BODILY INJURY I S I NON-OWNED AUTOS (Per accident) it PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S j ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ j AGGREGATE I$ EXCESS LIABILITY EACH OCCURRENCE $ —�UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TORY LIMITS ER i EMPLOYERS'LIABILITY I EL EACH ACCIDENT - I$ 1 flfl�00 B' THE PROPRIETOR/ l INCL WC3510964 i 5/3/97 5/3/.98 EL DISEASE_POLICY LIMIT $ 5flfl 000 PARTNERS/EXECUTIVE OFFICERS ARE' EXCL EL DISEASE-EA EMPLOYEE S 100,000 OTHER • I _ i I DESCRIPTION OF OPERATIONWLOCATIONS/VEHICLES/SPECIAL ITEMS {+��I•t't!!FI'�A'�E I�(?E.�R �At����.L#T1C�N SHOULD ANY Of THE ASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL BUILDING INSPECTOR 30.,. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 508-790-6230 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT)YE ACCt> I ; iRA'f'tt N 1-408- TO'd 99CL-59L 80S 60CE AOV 33NvbnSNI 12ibrH `dLS =Oi L6-LZ- vew Assessor's offioe (1st floor): Assessor's map and lot number 7 � THE c c � � F t Board of Health (3rd floor): Sewage Permit number ........ ......,.:.,........ ! "' ' Z BAB.39TODLE i Engineering Department(3rd floor): /� +o YA°a p t6}q• House number mo APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING I. INSPECTOR O&t/ APPLICATION FOR PERMIT TO .....'..!..'...p......'..:'.... G�� / �I V S Q )E L ....................................................................��..........lrvh 0 TYPEOF CONSTRUCTION .. .:.`. .... ................................................................................................ ..............................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ProposedUse .................:S ..I. .f j!. !?. ......... ....... IL...... ........................................ ............................ Zoning District ...... �.%Q Y11,/iY7...................................Fire District .......14 ' ...5....... .. ...... ........... Name of Owner ... hf1'MILS... .............. '1PhL.....Address� Name of Builder (� � `rbQy V ...............................Address .................................................................................... Name of Architect/'.'1 .��.IC°.�....... 1.( ✓ .( ...Address .. _. �......................... .. ...... Number of Rooms ....... .................................Foundation � .. ... .... �'ICI..1 rFCTf...��fJ Exier for l.-1 N //.(E:.../. ��G�.............Roofing .."I�l/.,� ........ .;1.�.............................. Floors ......................................................................................Interior .................................................................................... Heating Plumbing' f � •1 Fireplace ...............V.`f. ...........................................................Approximate Cost ... ��! :......................r..................... Definitive Plan Approved by Planning Board --------------------------- __19________ , Area .....!.......,::.................... Diagram of Lot and Building with Dimensions Fee ..........t... ....................... SUBJECT TO APPROVAL OF BOARD OF,HEALTH 1;0 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ! ........t. .................r. ,.!':?.......... Construction Supervisor's License / MONAGHAN, 'FIRANCIS G. A=327-10 No ..3.0.9.8.7.. Permit for .,Add...To...Mot.e.1.../Pool .... .. .. .. ....... .. . Commercial/ Hvannis Travel Inn ........................................................................ Location ....U...N.Q r.t I.I.-St r.P—e.t.................... ......................UyaXlylia....................................... Owner ......:Fran ...q i.5...Q.p...UQTAa.g11dx1.......... Type of Construction ......Frame....................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ........j3A�y... ............19 87 Date of Inspection ....................................19 Date Completed ......... Assessor's map and lot•number .......................................... r♦' e`t,� '� r[ .. �' �'C ? ? - _ -✓1 I�` .'� r.. . TU T/rG t3 f T ♦t .� �c:'�/ -,: . Sewage Permit number :.............................. .. y�F7NET��y «y TOWN OF •BARNSTABLE Z BAHBSTODLE, i `? "6 9s_e�� BUILDING INSPECTOR oo� • APPLICATION FOR PERMIT TO .........:..! ...�.. -L,•.............................................� ,!�............................. TYPEOF CONSTRUCTION ........... .;�.•. .�................ . ....................................................... e ........:.../..................................19. TO THE INSPECTOR OF, BUILDINGS: The undersigned hereby applies for a permit according to the following information: _ / . 6 ,7� J� / 16 Location �^ .... ..., ProposedUse ........................................................................................................................:.................................................... ZoningDistrict ..�..,.�......................................... ........................Fire District .................................................... ......................... -' Name of Owner"c . .. ..r }:: -�g� a Address 'h •• t•••• ..... Name of Builder (°�.....il ' ..' .. ............Address .(94W _..... � Nameof Architect ........:..'""�...................................................Address ..................................................................................... Number of Rooms .................................Foundation .�� Exterior ........................... :^....................................................Roofing ....... 7=.................................................................... Floors ....................................:: ..............................................Interior .................................................................................... Heating . ............................-......................................................Plumbing .................................................................................. Fireplace ...............................Approximate Cost .....................................-........................... Definitive Plan Approved by Planning Board -------------------_----_------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ` f� - M 1?9 70 I hereby agree-to conform to all the Rules and Regulations of the Town of Barnstable regarding the.above construction. k Name ............... .................... ............................... Monaghan, Francis G i^ � 7 No ..l9l03—. Permit,for ....................................poml .........................k—.------------..---.. North Street - Location -------_—______------ -----'-- o-------------. � Francis � ^ ' Owner -----------�..,�,ox�znu�---.. Typo of Construction .......:Ex----------. , ' ........................................................... ' Plot ............................ Lot .......... ...... . ^~~y 5 uo,e or / ' � uo,= ~ . � ` - ` � - ' ` - '' --' 1'../D ` ........................0 �—. ------ � � � ` ^ � .----.---..--. . —.—.-----.. � ' \ � . \ .......................................... ............................. � \ � Approved ................................................ 19 . � ' ^ ----------------.. ..—.—.—..--.— ` ` ----------------------.--.— . . _ � � '"�,,...- .�. ..---•.» -^i J-.. ...._. .. .......-.-s'.-:.,.--� _..-.--. .. r a._...:�.-•,e°n'<-.+:,0...4j..F�e.' �i+:r`.'b.1��y�41/� -.E+.Y:s<.:yr'-�..;:.x.A ....-.-�.ai...r4,..++::cZ.e....L."•^.r. Assessors map and lot' number d ,;4 /d Sewage Permit number ..:,...,... �? �.,,.-....._......... ..., .....! .......,.....�-L F7NET0�o TOWN' OF BARNSTABLE 1i BARNSTABLE, MABIL BU11ILDING INSPECTOR APPLICATION FOR PERMIT TO �... a d �� .'` a ........................................................ r - � r�� TYPEOF CONSTRUCTION ..................................................................................................................................... ` ` /� �% ............19 .. 'TO THE INSPECTOR OF BUILDINGS: d The undersigned hereby applies for a permit according to the following information: ?Or x 1' Zvi'^ t,/..`1.-��..vAll-! ' ProposedUse .....................................:........................................................................................................................................ �,,u��u/ I/ /�� / '?...............Fire District Zoning District ..r..............`..........r..•.................... Name of Owner .................... 44Ue..Add re'sVMN2 64� A.. ....... r Name of Builder ................Address ./ i ,.:4?.:,....,..._, .................. Nameof Architect ........................:.-"....................................Address .......................---:....................................................:. Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ..........................................................Interior Heating ....................... ........Plumbing ................................................... .................. ......................... ..................................... `�% ��a Fireplace ..................................................................................Approximate Cost........:................:. j.. .................... Definitive Plan Approved by Planning Board ________________________________19________ , Area Diagram of Lot and Building with Dimensions Fee ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH r 05,0 tv_� (zl�- , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... 1(! ! ........................V .......... Monaghan, Francis G. A=327-1fl T r No ...18842... Permit for enc.l...ose. ...s.tair. way .. . . .. . . and corridors c ............................................................................... . Location North Street -- ......................Hyannis......................................... --�— G� 7 Owner Francis G. Monaghan Type of Construction ........frame ................................ ................................................................................ Plot ............................ Lot ................................ IPermit Granted .....Novem er 29 76 t Date of Inspection ......... . ...... ... .el.O....19 Date Completed ... ... .. .. V. ..........19 RMI REFUSED- ........................ .. ... � !.................. 19 r �. .. .... .. ...................................... ��. ►.................................................. R .'. ........................................................ #f � i Approved ................................................ 19 ............................................................................... ............................................................................. j � � �(:�s• .....-...f-...,..,.y,.�.m..s.�,.�-o.ti...e».w..,. _, ts.=... _ -.. �r.. P r......x•. a ,�✓ *� Assessor's map and lot nu�}mber .... ..... . �. r. .. .. " 41- 11 Sewage Permit umber .................... r r �OFTMET�� OF BARN TA LE TOWN S 1i BAHHSTAIILE, • e oaya.•�� BUILDING INSPECTOR, APPLICATION FOR PERMIT TO ...... ................... l .�......? TYPE OF CONSTRUCTION .................... ... .'. .... :`:h ...........'.�..?...... .`'� ....�+...... .�..... IG ............ .......�...........J...........19T L TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby capplies}-f-o—r a permit according to the following information: Location........ ..: :.t"�, ...�?.. ...... t :�jt,f�. v VZ7.........�` " `.`"� ^j... '� r�!L�'Lt V �............ Proposed Use ................................ fL�}!#r ...tl n/1.�... '�`....................................( 1h S' 't 'k... .......................... ( t � � .. Zoning District .... :.. ...... .............?.. .. �.:'t.!t'7 �,?'��.....Fire District ..................`............................................................ Name of Owner ,�,-l-,F,+ , !/�. .,`,.1.11.. � .�f!� ..Address f /dU ... � . <' ` �.. ......................................... Name of Builder ........ ...Address ......... ........ Name of Architect .................:,�:--A �..........................:............Address .........../................................./........................................ °'7-' 71�'Yw� r" �h`ua� �/.�r� (�an/� (�a r o t�v Number of Rooms ...............:..... ..........:...........Foundation ,:....,. .................,... Exterior ........,... ,..........:. .... ....................Roofing .................... ,........ ..................................... v r (� ` 1 i 1. .................Interior i.:' f,�t z � --/ Floors ........ :��+..-./................ ..................................................................................... ,r f }fat Plumbing .. .:.. ............................. Heating ......................... q Fireplace .................. ..................... ...........................Approximate Cost ....... !/t�,Z� ...�... 'C'....;�� 1-�.... . ... � Definitive Plan Approved by Planning Board_ --------------------------------19-------- . Area '��� .... p~ Diagram of Lot and Building with Dimensions Fee .. SUBJECT TO APPROVAL OF BOARD OF HEALTH / S � �.L �- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding•the above construction. f f Name ...................... .... J Monaghan, Francis A=327-10 18757 move dwellings No ................. Permit for .................................... ............................................................................... North Street _ Location ................................................................ Hyannis . ............................................................................... Owner Francis Monaghan .. .................................................................. Type of Construction frame ................................................................................ Plot ............................ Lot ........:.......:........... October 22 76 Permit Granted ....19 Date of Inspection ..........: ..............:.......19 Date Completed ............. .......19 PERMIT/ REFUSED ................................. . .......................... 19 .................. ......... .J............................................ ..................... ..... ................................................ .......................... ................................................ Approved .....:....................................:..... 19 .............................................. . ... .� . .5 . .................... ........ �. � ........ existing buildingLn Ir-' existing building Z,[/ Q 3K X NEW ADDITION CLZc c ME c� cn _. . co� .. . WASHINGTON AVENUE 0 0 .._ cm o z C= ac ac � o � Z" _ —SCALE 1" 20'0"PLAN � 0SITE oo w C= z o � LAJ a I fi --.,-.existing foundotion existg. 0 _ IL foundation Oku w z +p /` m U 9 e O exlatg, foundation - <� f,,, / �� � . � � i�t � Z -�- to r I p 4" CONC. SLAB W 16X6 iO/i0 WIRE M 8'0" DIAMETERESH I OVER . ,'J�_� I JACUZZI FOUND. cc t - d S" � ` CONC. or MASONRY' '; O "Fu O Z vo EDGE OF FOUNDATION_.. " I 7'0' v i F O v I V D A T I O 4" CONC. SLAB , N PLAN DATE. ,JgN• 22, 198 Brt MJl3 6" GRAVEL - �;�,`� FIN.GRADE REV: SCALE I/4" = I'0" " " ,Y • EARTH is WON iDRAWING BER _. fasom : 10 CONIC. WALL D G NUM M . . WIMDo- immi" � '0" MIN. � f _ 2- *6 CONC. FTG. SECTION THRU FOUNDATION ., _ w a, I SCALE 3/4 _ I 0 It f f. Z' 1 t� ai No. 35114 t f-- p4 MA.1 ° Q Q �CC ME ME V C= O 3 �.7 G O • G C] • m% Q O r • O Z d=% I= O y 2 1 V F- f' EXISTING POOL AREA cc z Q o C= .. . Ce.) a 1 SAUNA f Y 3E 6 j= W 4i� a z K , m cc >- shower shower '" �`� O i� MENS i WOMENS - —_ . ROOM tav lav i ROOM t o Q O E ( JACUZZI p �. Z o PATIO AREA b rn WOMENS 7 \ rr ! SAUNA w� wc� ' +� I " Lit dr 59 2 FIRST DOOR DATE: �JAN. 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