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Town of Barnstable
RECEIPT'-
200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-17-1561 Date Recieved:. 5/19/2017
Job Location: 213 OCEAN STREET,HYANNIS
Permit For: Building-Sign
Contractor's Name: State Lic. No:
Address: Applicant Phone: (508)944-6499
(Home)Owner's Name: HARBORVIEW HOTEL INVESTORS Phone: (401)845-0900
LLC
(Home)Owner's Address: 28 JACOME WAY, MIDDLETOWN,RI 02842
Work Description: Install
One(1)set of halo letters on a backer on the NORTH elevation
One (1)set of halo letters on a backer on the EAST elevation
North elevation sign: 5' x 7' (35 Sq.Ft.)
East Elevation sign: Ill x 10l (16.5 Sq.Ft.) .
Total Value Of Work To Be Performed: $7,000.00
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or.statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Anna Haluch 5/19/2017 (508)944-6499
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost: $7,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $50.00 5/19/2017 $50.00 XXXX-XXXX-XXXX- Credit Card_
4397
.................... ....,
Total Permit Fee Paid: $50.00
,2 �T IS> IS`NO A�PERIV�IF
Town of Barnstable
a , rf n r Building
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. gPost�Th� rd So That rt� Visible-.rom the Street-A roved:_.Plans:-Must be:Retained on Job and this Card�Must be K t ,
Posted Until�Finalstrspection Fia"s;Been Made PP, � � � r ,�r �' � `�
R _„ W n h"IIhNo be:FOccu ied »t�1 a`Fin kilns ct�on''has been-ma 6 u Permit
Permit No. B-17-1561 Applicant Name: Anna Haluch
Approvals
Date issued: 06/13/2017 Current Use: Structure
Permit Type: Building-Sign Expiration Date: 12/13/2017 Foundation:
Location: 213 OCEAN STREET,HYANNIS Map/Lot 326 035 OEG Zoning District: HD Sheathing:
Owner on Record: HARBORVIEW HOTEL INVESTORS LLC '' Contractor Name Framing: 1
L
Address: 28 JACOME WAY Contractor License 2 .
1
MIDDLETOWN,RI 02842 �' Est Project Cost: $7,000.00 Chimney:
Description: Install " Permit Fee: $50.00
Insulation:
One(1)set of halo letters on a backer on the,NORTHe Ile vation Fee Paid'' $50.00
One (1)set of halo letters on a backer on theEAST elevaton Final:
Date 6/13/2017
North elevation sign:5'x 7'(35 Sq.Ft.) s .
East Elevation sign:1'-7"x 10'-5"(16.5 Sq.Ft.)
Plumbing/Gas
n Rough Plumbing:
Project Review Req: Install Zo mg Enforcement Officer Final Plumbing:
One(1)set of halo letters on a backer on thm'QUK FH elevation Rough Gas:
One (1)set of halo letters on a backeron levation
North elevation sign:5'x 7'(35 Sq Ft) Final Gas:
East Elevation sign:1'-7"x 10'-5" (16.5 5q Ft°)
Electrical
Service:
9 - Rough:
Final:
Low Voltage Rough:
Low Voltage Final:
Health
Final:
Fire Department
Final:
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AUTHORIZED SIGNATURE DATE.::
Print Flisto Date: Description Title H annisHarbocHotel sign!Type Halo.Letters on a Backer
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