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TOWN°OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel ` N; Permit# s �®
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Health Division f: = t ; Date Issued {6
/92
Conservation Division Fee
Tax Collector
Treasurer f
Planning Dept. .�
Date Definitive Plan Approved by Planning Board t ;
Historic-OKH Preservation/Hyannis }
Project Street Address IJC��.� �`�r��-� `l�f�`�� (0`�
Village ►V^ -
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Owner Address {
Telephone -
Permit Request r� L4 K� 0
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Square feet: 1st floor: existing- proposed 2nd floor:existing proposed Total new
Estimated Project Cost Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation.
.t
Dwelling Type: Single Family. ❑ Two Family ❑ Multi-Family(#units)
Agee of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout . ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: bxisting new '
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other'
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Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:Cl existing ❑new size
Attached garage:❑existing ❑new 'size .Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑,Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use ' " Proposed Use
BUILDER INFORMATION
Name ;Lh� V�'��v��� �S C Telephone Number .7& 1 G 2—7 r
Address _` s '° License#
o 01 S 0 Home Improvement Contractor# y
*� •� Al WSe_ (b Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
IVV
SIGNATURE DATE /Ai F
4
FOR OFFICIAL USE ONLY -
PERMIT NO. M• _ a
DATE ISSUED
MAP/PARCEL NO. - s R • _ +- • i
.ADDRESS i' VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION '
FRAME
I INSULATION
} FIREPLACE t
ELECTRICAL: ROUGH FINAL '
PLUMBING: ROUGH FINAL } _
.GAS: ROUGH FINAL •# � r -• ' — _ "- �a _ , 'h • _ �. ;
FINAL BUILDING '
s� DATE CLOSED OUT
ASSOCIATION N•PLAN NO:
Y f +
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Department of Vubric Abaf etp
Obigion of lapection
PERMIT TO OPERATE AMUSEMENT DEVICES
Permit Number Z-003 Expiration Date 15-Mar-00
Company Name Dean & Flynn/Fiesta Shows Contact Name John Flynn
MA#10508,Merry Go Round-MA#8868, Boomers Gold Mind M��MA#1 35,
Skymaster(appolo)-MA#10634, Dizzy Dragon-MA#10671, Boomers Circus(NM)-MA#10636,
Glass House(NM)-MA#10656, Kids Town(Kids Power)-MA#10645, Giant i e -
MA#10653, Flume-MA#10666, Glass House(NM)-MA#6042, Sea Dragon-MA#8888, Scooters-
MA#10677, Helicopter-MA#6541, Raiderse(NM)-MA#6747, Orient Express-MA#10654,
Hampton Dune Buggy-MA#6742, Ghost Blaster-MA#4236, Hampton Combo-MA#6741,
Haunted House(NM)-MA#3913, Dragon Peter&Paul-MA#6514, Glass House(NM)-MA#6042,
Red Baron-MA#6513, Ghost Train-MA#3626, Turtles-MA#3914, Fun House-MA#10196,
Elephants-MA#3919, Artic Blast-MA#3545, Flying Bobs-MA#4081, Cyc;one/Round Up-
MA#3287, Kiddie Train-MA# 3540, Round Up-MA#9055, Rio Grande Train-MA#3899,
Swinger-MA#8869, Rio Grande Train-MA#6654, Yo-Yo-MA#10506, Dragon Coaster-
MA#10 182, Sizzler P.j.-MA#3628, Convoy Race-MA#6544, Cobra P.J.-MA#4100, Kiddie Pony
Carts-MA#3511, Go-Gator-MA#9650, Moon Walk I(NM)0-MA#10673, Moon Walk 2(NM)-
MA#10674
Friday, 09, 1999
Y P Commissioner of Public Safety
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3epartment of public oaf etp
O'bigion of Ingpection
PERMIT TO OPERATE AMUSEMENT DEVICES
Permit Number Z-013 Expiration Date 31-Dec-99
Company Name John W. Langill Jr d/b/a J W L Contact Name John Langill
Company Address 1004 South Frankli
Company City Holbrrok MA Fax Number
Number of Devices 3 Phone Number (781) 953-1927
Names of Devices
Hampton Combo-#8864, Children's Swing-#10040, Bounce-#4465
Monday,April 12,1999 commissioner of Public Safety
ALLIED SPECIALTY INSURANCE, INC,
10451 GULF BOULEVARD, 'TREASURE ISLAND, FL. 33706
Toll Free 1-800-237-3355 National
1-800-282-6776 Florida
Certificate Number: 2
CERTIFICATE OF INSURANCE
This certificate neither aFfirmatively nor negatively amends, extends or alters
the coverage afforded by the Policg ( ies) desci,ibed hereon and is issued as a
m.F:tter of informs--:tion and confers no right upon the holder.
The policg ( ies) identified below by a policy number is in force on the date o-f
ccrtificate issuance, Insurance is afforded oril with respect to those
covernes for which a specific limit of liabiliyy has been entered and is
sub ec , to all terms eat the Policy having reference thereto. Nothing herein
cf.1)14ained shall modify any provision of said policy.
In the event of cancellation of the policy, the company issuing said policy
will make all -reasonable effort to send Notice of Cancellation to the
cs.%rtific,:ite holder at the address shown herein, but the Company assumes no
responsibilities for any mistake or fail1JT'e , t0 give Such notice.
Avi;4 insuranca made a part of the policy inr-lvde- -- a erson insured with
respect to an otcurrence 'p"'
Fair or taking plece at a Inde --nde4 Ride. 0p' erators site, ( 1 )
exhibition association, spqntoii' �
ng orga-nization or committee (2) the
owner ar' lessee there of (3) a ality granting the Named InSLPred
permission to operate a(n) Inde
mupen Icident Ride eratorsou but only as respects bodi
injury or. property damage caused by or contriguted to by the negligence of the
Nained' insured while acting :in the course and scope of their employment.
NAME & ADDRESS OF INSURED: ADDITIONAL INSURED:
J W I.- Amusements, Ltd.
170 Liberty Street.
South Weymouth MA 02190
NAME & ADDRESS OF CERTIFICATE HOLDER:
DATES:
Compang: T. H. E, Insurance
Company
Policy Number: 99MF2328
LIABILITY LIMITS Sodilytlngry & Bodily In ury &
BI/P D OCC: Proper y .amage Property Aam age
AGG, to $0
J; 00 $E
00 xcess of Excess of
0 $0
rood Products: s010
Policy Period:
I-rom: 04/08/99 00/00/00 001/00/00
To: 04/08/00 00/00/00 00/00/00
* — COMBINED SINGLE LIMIT
Caverage shown herein applies only to t rse 'dtle' ms scheduled on or endorsed to
the policy.
This certificate is not valid unless an original signature appears below.
(Copies Not Valid)
Aoril 13, 1999
7EU-MGNA-TUR
ALLIED SPECIALTY INSURANCE, INC.�.:
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' CERTIFICATE OF :INSURANCE '
,90oAT>A MM/DD/YY
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` - PRODUCER, r - SA OP ?RIAITION ONLY A110
' TINS CBRTIBIGTS I"BUILD BUILD Aa A MATT Z�ipp
Allied sopecialty IOaurence OcKrm NiIONTA UPnN 4418 G6RTTlZGTL HOLDER. TKIa CQRTIPICATB
DOLA N�I RITSHA OR ALTER THL CWCRAa£ APPORDED BY THE
10451 Gulf 91vd rOLl- �:
, FL 3370E COmPANI83 AFFORDING COVERAGE
Treeaure Icland '
LETTECOMPR A,Legion Insurance Coopany
1 sa =3 COMPANY
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P.O. ea( 5351 .w _ LOOeri R C
saliabury, On 01952 COMPANY
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AUB.IHCT TO
POLICY POLICY POLICY LIMITS
L4'Ip INBNICE 9!P DATE GIP DATE
OI I. LIARUa Ty
( I COMMERCIAL GENERAL LIABILITY
GENERAL AGKIPMTE 6
( 1 CLAIMS MADL l IOCCUR ..
PRODUCTS-COMP/OP ADG � S
( i OMNBR'8 i canPROT LIZRWNAL'c AVV INJURY 6
EACH OCCURRC9CE 6
1 1
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MLO M (Any one person) y
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AUTOCOMSIN80 SIMMS LIMIT S
OHNED AUTOA BODILY INaT(Par person)HDULSD AUTOS IItHs AUTOS ((Perr BODILY
NON-OWNED AUT09 -
v'f PROURTY DAHAAE 9
---- , - AUTO ONLY-cA ACCIPLNT 9
` OARAGL I.IAIiII.ITY - . - .
( 1 ANY AUTO OTHER THXN AUTO ONLY:
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»e LIABILITY R" OCCURRENCE 4
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( I ) OWSR Tmm [mnoLLA FORM• - _ S .
.- - YAORMW
J.aRBRimMPOULATION AMD i - . - .(XI•STATUTORY LIMITA -
TFIL rRob�ILTPR/ (s..) INCz pC1o60951 a • 2/1/99 2/L/00, EACH ACCIDENT 6 54o,n0n
/��LavTti DI4ME-POLICY LIMIT S 600,000
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANY Or THR XAGVE PROMTBED POLICIES BE CANCELLED BEPORB 119 .
FIPIRATION DATE THBRBOF, TNR ISSUING C-0lPAHY WILL UNDMAVOR TO KAIL' .
" 10 DAYS WRITTEN NOTICE TO.THE CERTIPICATH HOLDER NAMBD TO T99 LIFT
DU7 EAILURB TO MAIl. SU(2i NOTICH WALL IMPOsit NO OBLICATION OR LIAI)I1.I
OF ANY RIND UPON THE COMPANY, ITS AGENTS OR REPRRBNTATIVE9•
UTHORIZE0 .
EMTATI9
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COMMONWEALTH OF MASSACHUSETTS
CONTROL 0 10 0 8
IMPORTANT Y�. OF ELECTRICIANS
AS A REG JOURNEYMAN ELECTRICIA
r it this license is lost or destroyed, notify your Board at the �- ISSUES THIS LICENSE TO
Division of Registration, 100 Cambridge St., 151h Ff.,Boston,
mass.02202. S E A M �M K E N N E Y
it name or address stwwn hereon is Changed nolify your Board
of coned name or address to insure proper mailing of next
Renewal Applicallon. Always refer to your license number. f
License is subject to the provisions of the General Laws as PO, BOX 4 23
amended, It is a personal privilege,and must not be loaned "• A M E S B U R Y MA 01 913••-0 0 0 9
or assigned to any other person. Keep this license on your '
person or posted as required by law. 28247 E 07/31/9 8 - 990642
CONTROL N Q Q 8 i ' COMMONWEALTH OF MASSACHUSETTS
IMPORTANT _.
If this license is lost or destroyed, notify your Board at the OF: ELECTRICIANS
Division of Regiatnation, 100 Cambridge St., 1 Sth FL, Boston. REGISTERED MASTER ELECTRICIAN
Mass.02202• ISSUES THIS LICENSE TO
If name or address shown hereon Is Changed notify your Board ' S E A N M K
of correct name or address to Insure proper mailing of next, E N N E Y ELECTRICAL e
Renewal Application. Always refer to your license number. SEAN M KENNE,Y ,
License is subject to the provisions of the General Laws as to
amended. It is a personal privilege, and must not be loaned ' PC) B 0 X 423
or assigned to any other person. Keep this license on your A M E S B U R Y
person or posted as required by law. MA 8 1913.—0 0 0 9
12198 A 07/31/98 -990641
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CERTIFICATE 0 F 'INSURANCE *
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{m ALLIED SPECIALTY INSURANCE, INC, .._ ....-
`'` APPLICATION FOR
USE OF VILLAGE GREEN AND TOWN PROPERTY
(FEE EFFECTIVE 1/1/97: $43.00)
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Date of Application: 12/16/98 FEE PAID ? (for TM use only) Yes No 0
Location Requested: Town Green
Date Requested: 6/5/99 & 6/6/99 Day of Week: Sat and Sun Times_ .j
Sponsoring Organization: Cape Cod Child Development Program Inc
Mailing Address: 83 Pearl Street, Hyannis, MA 02601
Contact Person: Marlene Weir Phone: 775-6240. Ext. 318 Fax: 790-4298
1. DESCRIPTION OF EVENT: Include name of event (if any), type of activities, expected number of
persons, and any equipment,tables, structures, etc. that will be erected on the village Green or other
property locations, (attach separate page if necessary)
Kids Fair '99 is in its 10 h year. Children ages infant through 12 years and their families come to participate in
free hands on crafts to make ad take home free entertainment on the bandstand and for nominal charges kids
play home-made carnival games: 3 tickets for$1.00 pony rides $3 00 and carnival rides (to be set up on Ocean
Street parking lot) $1 perLc!�j vi&d by J&L Amusements Food and beverages are sold and arts and crafts
vendors sell items of interest to children and their families A number of free informational booths are set up by
organizations providing services for children and families There is no admission charged but some individual
activities have a fee.
Two Port-a-Johns will be use if town restroom facility is not available in the Town Hall'parkin.R16t Bandstand
will be used by performers. Electricity will be needed by the sound technician and by the food vendors to be
located near the Bandstand.
Decorations consisting of balloons and windsocks will be strung from the light posts and a sign will be placed
by the front entrance and at the stage.
Signage in the form of a 10 foot banner will be tied to trees/light posts one week before to read "Kids Fair `99-
Sponsored by Cape Cod Child Development Program June 5 & 6" to announce the event which is made
possible by 100 volunteers (staff, parents of children enrolled in our head Start Day Care Programs and students
and other people from the community) All proceeds go to support our program services for children
2. Will the event be free: Yes. If.not, how much will.it cost?
3. List vehicles (if any) that will require permission to.enter the Village Green or park location. Sandwich
Knights of Columbus trailer and truck. D-Y Kiwanis trailer & trucks food vendors: Anna's Fried Dough trailer
& truck, one or two more,
4. Will�vou require`access'to the Town Hall building? No. If so, a janitorial service fee of will be
required.
} .
Application for Cape Cod Child Development to use Town Green December 5 and 6, 1998
Page—2-
5. Do you require electrical services for the event? ✓Yes _No If so,what is the maximum wattage
needed? // Watts. Where will electrical service be required? J -
6. How many police officers will be on duty? Not needed for traffic control. Town Hall lot can be used.
7. Hours police officers needed:
S. How will clean up and trash removal be handled? Dumpster will be placed in Ocean Street lot.
9. Will there be food vendors? Yes
Each food vendor is required to apply for temporary food permit(s) from the Board of Health at least four(4)
days prior to the event.)
I have read the attached "Rules and Regulations for Use of Village Green and other Town Property"
and, as agent for the sponsoring organization, agree to abide by.said rules and regulations and any other
guidelines established for our particular event. I understand that our organization will be responsible for
returning the property to its original condition prior to our event, and we will be responsible for any
costs incurred by the Department of Public Works as a result of damage.
(print)
ZIl
(signature)
APPROVED BY: -
CHIEF OF POLICE 0 ) `�"� DATE: /,1 9
(Barnstable Police Department, 1200 Phinney's annis)
PUBLIC WORKS DATE:
(Town Hall,Third Floor)
CONSUMER AFFAIRS ` — DATE:
(School Administration Building,'Mir loor-next t T Hall)
HEALTH DIVISIO DATE:3-(Town Hall,Third Floor)
s
BUILDING DIVISION DATE:
(Town Hall,Fourth Floor) qc
TOWN MANAGER DATE:
(Town Hall, Second Floor)
'. # f Rules&Regulations)NO YES HOW MUCH? '/ ��C7
DEPOSIT REQUIRED (See 18 O
Deposits are to be made payable to the.Town of Barnstable and shall be submitted to the Town
Manager's Office at 367 Main St., Hyannis, MA 02601 -,30 days prior to the event.
*Spec"al conditions: (Additional pages may be attached) 4.LL r
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Application and rules last modified 8/97
APPLICATION FOR
USE OF VILLAGE GREEN AND TOWN PROPERTY
(FEE EFFECTIVE 1/1/97: $43.00)
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Date of Application: 12/16/98 FEE PAID ? (for TM use only) Yes 0 No 0
Location-Requested: Ocean Street narking lot
Date Requested: 6/4/99 to 6/6/99 Day of Week: Friday to Sunday Time: Start 8:00am Fri. End 6:00 m Sun.
Sponsoring Organization: Cape Cod Child Development Program, Inc
Mailing Address: 83 Pearl Street, Hyannis, MA 02601
Contact Person: Marlene Weir Phone: 775-6240. Ext. 318 Fax: 790-4298
1. DESCRIPTION OF EVENT: Include name of event (if any), type of activities, ezpected,number of
persons, and any equipment,tables, structures, etc. that will be erected on the village Green or other
property locations, (attach separate page if necessary)
Carnival rides(5-7 for children and 2 inflatable moon walks) a ticket booth, a game of skills and a food van
and truck and generator.
2. Will the event be free: No If not, how much will it cost? $1 per-}4*Tfood, cotton candy, etc. different
Vices
r ,
3. List vehicles (if any)that will require permission to enter the Village Green or park location. Ride
trailers, trucks and food trailer
4. Will you require access to the Town Hall building? No. If so, a janitorial service fee of will be
required.
5. Do you require electrical services for the event? _✓Yes _No If so, what is the maximum wattage
needed? //C7 Watts. Where will electrical service be required? TU-wn� 6re-en S�,d,e n4u r 6 ndS*k
-�j� fvocQ Ftc�;le c--
6.How many police officers will be on duty? One(1) regulate patrons, give directions for parking .
.7. Hours police officers needed: to be determined
8. How will clean up and trash removal be handled?".Dumpster
9. Will there be-food vendors?'' Yes.
Each food vendor is`required'to apply for temporary food permits) from the Board of Health at least-four.(4)
days prior to the event.)
I have read the attached "Rules and-Regulations for Use of Village Green and other Town Property"
and, as agent for the sponsoring organization, agree to.-abide by said rules and regulations and any other
guidelines established for our particular event. I understand that our organization will be responsible for
returning the property to its original condition prior to our event, and we will be responsible for any
costs incurred by the Department of Public Works as a result of damage.
(print)
(signat e)
APPROVED BY:
CHIEF OF POLICE DATE:
(Barnstable Police Department, 1200 Phinney's h e, yannis)
PUBLIC WORKS ie,n� N— DATE:
(Town Hall,Third Floor)
CONSUMER AFFAIRS ��` DATE: ref
(School Administration Building, ird Floor-ne16
to own Hall)
HEALTH DIVISION DATE:
(Town Hall,Third Floor)
BUILDING DIVISION DATE: 3, S-q2 _
(Town Hall, Fourth Floor)
TOWN MANAGER DATE:
(Town Hall, Second Floor)
DEPOSIT REQUIRED (See#18 Of Rules&Regulations) NO YES HOW MUCH?
Deposits are to be made payable to the Town of Barnstable and shall be submitted to the Town
Manager's Office at 367 Main St., Hyannis, MA 02601 - 30 days prior to the event
*S ecial conditions: (Additional pages may be attached)
-Foc�cQ VP�,dnr sG,a1� C� a�n r� }o� (fie:M�+ v e 60A
0f a c 4. Jci!ipi pr-ia- 4n—tk-e evin
Application and rules last modified 8/9 7
y
Town of Barnstable
,•� Department of Public Works
ED" � 367 Main Street,Hyannis MA 02601
Office: 508-862-4090 Thomas J.Mullen
Fax: 508-790-6400 Superintendent
Structures&Grounds Division
800 Pitchers Way
Hyannis,MA 02601
To: Thomas J.Mullen, Superintendent
From: Paul Coleman, Supervisor S&G
Date: January 22, 1999
Subject: Children's Fair,Town Green,6/4/99 Through 6/6/99
S&G has reviewed the request of Cape Cod Child Development Program,Inc. for the use of the Town
Green for the purpose of staging a children's fair on the green. S&G has the following concerns;
1. Mechanical rides should not be on the green. Instead,they should be in the parking area
behind the bandstand.Cape Cod Child Development Program,Inc.needs to be aware that
renters have a right to use a section of the municipal lot nearest their apartments.
2. If moon walks are on the green,they need to be removed at night. If left in place for three
days,turf below would be damaged.
3. If pony rides are planned,a specific area of the green would need to be coordinated with S&G
to minimize turf damage.
4. Any and all vehicles entering the green area must stay on paved surfaces unless coordinated
with S&G. Food venders with trucks need to coordinate location with S&G to minimize
damage to in-ground irrigation system. If they need electricity,they must have their own
cords adequate in length to.reach the supply point. If they need water,they must have hoses
long enough to reach the supply point. S&G will be happy to walk the site with interested
parties prior to need.
5. S&G will supply a dumpster and trash shall be deposited nightly. Cost of disposal will be
billed to the Cape Cod Child Development Program,Inc.
6. The Town Green needs to be completely cleaned Sunday night. S&G personnel will inspect
Monday morning. If clean up was not complete, S&G will perform the clean up billing time
and costs to the Cape Cod Child Development Program,Inc.
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