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0213 OCEAN STREET (9)
r i `oFTHE T The Town of Barnstable BARNSTABLE. . Department of Health Safety and Environmental Services MASS. prED,1A�a`0 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection �► t�.. "'L- � lG- d Location s j C--t-�- Permit Number � �- Owner �� "lnt ZJ�.- Builder1 �� �, �-- One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: c e-C IL E4 6-PA L A 6- V - COt ek ` 1r Please call: 508-790-6227 for reeinspection. Inspected by Date Parcel Permit# �_3 Conservation Office(4th floor)(8:30-9:30/ 1:00-2:00) L� �� Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45� 'ee Fee /,� •5 C3 Engineering Dept. (3rd floor) House# IKE arlain 19 TA SEWER TOWN OF BARNSTABLE ENGRE��RIONGDIR.0ONPOMOR o Building Permit Application CONSTRUCTION.. r 51e* Address 213 Ocean Street Hyannis Owner Remington Hotel Corporation ;"Address 14180 Dallas Parkway, Dallas, TX 75240 Telephone (214) 980-2700 Permit Request Rebuild front 1st story deck per, attached plans. First Floor square feet Second Floor square feet Estimated Project Cost $ 25,000.00 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? } Zoning Board of Appeals Authorization Recorded Current Use Hotel Proposed Use Same Construction Type blood frame Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure N/A Basement Type: Finished Historic House No Unfinished X Old King's Highway No Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type,and Fuel Oil/electric Central Air Yes Fireplaces No Garage: Detached No Other Detached Structures: Pool In/out Attached No Barn No None Sheds No Other No Builder Information Name BENABBY, INC. , d/b/a Disaster Specialists Telephone Number (508)888-1113 Address P.0. Box 480, 9 Jan Sebastian Flay License# 055731 Sandwich, MA 02563 Home Improvement Contractor# 108642 Worker's Compensation# 3BY-001289-01 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS S PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Barnstable Landfill B N B NC., a Disaster pecia is s SIGNATURE By• DATE 5/16/96 is r Lennox, re . BUILDING PERMIT D IED FOR THE FOLLOWING REASON(S) ^' FOR OFFICIAL USE ONLY PERMIT NO. ATE ISSUED ` c,.MAP/PARCEL NO. a - iDRESS VILLAGE _ IWWNER DATE OF INSPECTION: FOUNDATION ` FRAME, INSULATION ' t FIREPLACE ELECTRICAL: ROUGH FINAL 4LUMBING: ROUGH FINAL GAS: ROUGH FINAL _ { FINAL BUILDING A�N P. _ i r r DATE CLOSED OUT MW-0s ASSOCIATION PLAN NO. ` ! n e 1 °F ZMEWI T°�� • • The Town of Barnstable * BARNSTABLE, « 9. 10� Department of Health Safety and Environmental Services AIF�r�e't°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 12, 1996J CzGoodale Manager Harborview Motel'ofHyannis 213 Ocean Street `t Hyannis,MA 02601 } At this time I must inform you that you are in violation of Town of Barnstable Zoning Ordinance sections 3-3.2,4-3 and 4-3.7 at the Harborview Motel. You must cease and desist this activity immediately. Failure to do so could result in civil and/or criminal prosecution. You must also remove the sign that you have advertising this activity. As you are aware,the Zoning Board of Appeals,by their action on September 11, 1996 left no doubt that this sort of activity will not be permitted. We expect to see the sign down and the activity stopped forthwith. Sincerely, Ralph M.Crossen Building Commissioner RMC/km cc Mr.Ned Delk,Vice President,Harborview Motel of Hyannis President,Easley,McCaleb&Assoc. DELIVERED IN HAND SEPTEMBER 12, 1996 n 8 9- vo�� � Receiv b Q960912A • R326 035. LOC'0213OCE�ANSTREET" ^CTY07TDS`400° HY KEY 240019 -- MAILING`ADDRESS 7- PCA 3991 PCS 00 YR 00 PARENT 0 YANNIS MA HOTEL D:PRTSHP MAP AREA COO JV MTG 0000 AEAE ELE MCCALEB&ASSOC SP1 SP2 SP3 1420 SPRING HILL RD S 335 UT1 UT2 SQ FT MCLEAN VA 22102 AYB EYB OBS CONST 3604200- 0000 LAND IMP OTHER ----LEGAL DESCRIPTION---- TRUE MKT REA CLASSIFIED #PL 213 OCEAN ST HYANNIS ASD LND ASD IMP ASD OTH #S 1 04/82 21 $02000000 I DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #RR 1133 0480 0086 0365 TAX EXEMPT #SR BAY STREET RESIDENT'L *SEWER APPORTIONMENT ONLY.. OPEN SPACE COMMERCIAL INDUSTRIAL SPLIT 91093 EXEMPTIONS SALE 12/92 PRICE 3571497 ORB 8356/287 AFD I N LAST ACTIVITY 07/10/95 PCR Y RCV F Window PCR/1 at BARNSTABLE (DA) I a d SENDER: o ■Complete items 1 and/or 2 for additional services. I also wish to receive the y ■Complete items 3,4a,and 4b. following services(for an y ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. 6 ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address I .permit. r ■Write°Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery fA ■The Return Receipt will show to whom the article was delivered and the date ., delivered. Consult postmaster for fee. a o 15.Article Addressed to: 4a.Article Number d 225j c ;� � Y `�� w (� 4b.Service Type V C7'� ❑ Registered 54115effied W ` �tS�2E N❑ Express Mail ❑. Insured S tiP etum Receipt for Merchandise ❑ COD H c �1 7 Date of De' ery w z 4-K V=5, V\AO\ 02-60 �� ° /0 3 5 5.Received By: (Print Name) Z 8.tiAddres ee' A dr s my if requested i ¢ }and fee is aid) 6.Sign re: (Addressee or Agent) I- X ' H PS Form 3811, December 1994 Domestic Return Receipt = 1 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • TOWN OF B A R k S T A B L E BU ILO ING DIVIS ION MAIN ST HYA NNI S MA 02601 P 229 805 340 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Se,Rt to Street&Number , Post Office,State,&ZIP Code Postage Certified Fee r . Sp..3aal Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address CDTOTAL Postage&Fees is c7 Postmark or Date 0 U. U) EL i Stick postage stamps to article to cover First-Class postage,certified mail fee,and h charges for any selected optional services(See front). i !i 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m i window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. U) 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ri 6. Save this receipt and present it 6 you make an inquiry. Cl) oFTMe�o • . The Town of Barnstable BAMSTABM Department of Health Safety and Environmental Services 'OrEnww't° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 12, 1996 Amy Good*-Managerw�____ Harb`-o w Motel of Hyannis 21.3;Qcean Street Hyannis;;MA,02601 At this time I must inform you that you are in violation of Town of Barnstable Zoning Ordinance sections 3-3.2,4-3 and 4-3.7 at the Harborview Motel. You must cease and desist this activity immediately. Failure to do so could result in civil and/or criminal prosecution. You must also remove the sign that you have advertising this activity. As you are aware,the Zoning Board of Appeals,by their action on September 11, 1996 left no doubt that this sort of activity will not be permitted. We expect to see the sign down and the activity stopped forthwith. Sincerely, Ralph M. Crossen Building Commissioner RMC/km cc Mr.Ned Delk,Vice President,Harborview Motel of Hyannis President,Easley,McCaleb&Assoc. �c 1 Q960912A _.--- -- �. �i I r � I t��-�-- `oF,ME rIte Town of Barnsta b le BARNSTABLE. • Department of Health_ Safety and Environmental Services - MASS. q.16y N0 �f9.a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice _ 9 Type of Inspection P Location ,��, o Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: RaJA A ( 1 412� a • � nitw 114 S k �,,(61) 48)k A-e-jw&un Rdci�, ISSN r Please call: 508-790-6227 for re-inspection. Inspected by Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m ^ DATA VON' W10 t r. 51<.11F;i 'F 1'3.t'f•', t' .''A.1```tch lti7 Un Y,OUL...x R ix t7VAR ltdtt# , 1�•f �` 1'1tc':f 5 ;.lL..'1 t1 Y4a+ 1100 ,o bw OCR' -Drar tcail M t w k :t t y, c y z g xM1s in ��C a�,."�':t#1''b4 y sT1a fi :1d: t tC;;: 'i1t:1?C�R�11t�t'L� �1i'S'.'�`f�t .,{ ;: ;K7 �;t1a k�; '-k c*`w T,�?�r'� m�i�4� rat U."'i'11t4� +'.. 'C1C.`f4.,M Lf'M,4;4?�¢rdr;w?7�'�4'teal•�..#�tx;i„`i,f's: itfil •I L:t jy '. . - t !.,2 n=iit i "•1.IL- iv�lfet'.Il;i"`:�i v Y y rt 4y`,e..1 �•.::.S' +�' s'Ft a "' 1`: C f 'F ,s e , r t 1s,L ."4E u bj U � a1k 'C _eiti s + 11.C' t:41 +#Lxv- 3..1¢ a fir: 1,17 iP'r]".1w U !11 a;, {, E .t $E!t ' . 1i'G,4 ai�ii;•tx ,aS> )r'riv 1, w1?JS l�tiSG a�'iFl is� t. 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Nor MISS! r a •'. ati Ivy iaR �i �1F Tt sL' '�Y �A x' .3 F' •'tD"S 4Y v _. q E �t 14 2` "� q`. 79' +A•a. ::+ t S t c # q�r�r st. 4 -4 3 rl s. ", �y� �g c� 06, �.4op c4P `�+-r 's �!P�M�y".TM �".'>d�I �C!P ,3 , -4.? nJr•.'fh. Ci.!' .? �'cg -, 7��yo �' � � cF Ch s TFSe 6i�' ' ¢ ��// ♦6 tp�•},. yJ*.�, fi��j ! 4 yp�u 3v :* u i t� {� thm WT5 �gy y �O m ' b+. �4b'.�.-�`1`�•UsiaE'� 4in •lP�e/�3++L t i. 1� `.�,..�.1F^['�. ri '+"aT �o- ��� ttA�"''9��'F Y•4 4fi•. 'ar"A s ai fR 2r* it ` x & < .. R yyam�;; dN.�j i' #t ?�f e- '#fp`r'�•�� W� ��° ACC ^+54��(�.' �� iF��r h4�6'6r'W�C le,0. WWI vwWFA }w w1 ofJ},6a4 �?"'-'" 'Sr}lij✓wt `!y W G-0<S.� °x� 'st;'' 1 3°� si ,, ,;x F 4. a. € � a a rt A6 t; tir i F ii l l3."a t�1 2�$,Mq� R'X��ij FA�V7O U VA .!4 0 '�'r"rY i� �jjp .43 zF f&r °R $ 4,g+ `M 1f'`Rc fl1 A�7 it 1 x57 ga s � a�t'S#nS Still l ° .COW �s t 9 r 2-7 to trv' 11!•CS er 55w b "2.f nt colas'' aim togolthot h � P�+C� �!g.��R�w•ze"3' 'ki� �4i�.`{� K164i'� '�A tea• ` ir. 'y+•?{ § t'� '; a s ,41, 't! ..i .� �4 '^.r'�`t 1a,�¢.n_-,2 # ,3 �"�`'", ,. y''` :r 'YAG• nr C_. 3 + p . Ns4 r-t s t blot ' git .1A, i 4t ' fa c' r r '�"# g- Ali ' 140 "ASS a k4 ,ycvW1,1111L — UA 04 f".'c e . 350 MAIN STREET U b� TEL: (508)775-2800 WEST YARMOUTH MA 0* (800)698-3993 FAX:(508)778-9628 Septic Service Mechanical Services Pumping & Heating &Plumbing Installation Fire Sprinklers Since 1930 March 27, 1997 Ned Delk Remington Corp. Route 132 f Hyan ' , 2601 a C' 7/U/� R Hyannis Harborview Resort Hotel As you are ed by Disaster Specialist for a fire standpipe system in the section being renovated a er a fire. The system has been installed except for the water supply from the parking lot to the building. We have contracted ABCO Construction, Inc. for this phase of the work and have paid a deposit on the work to be done. We will require thirty days notice to make this connection and activate the standpipe system. The Barnstable Water Company will require this work be scheduled prior to Memorial Day weekend or after Labor Day weekend. If you plan to occupy this section this season we suggest you coordinate with Disaster Specialist for the activation of this system. If you have any questions please feel fee to call me. Sincerely, i Scott Cannon SC:akb cc Barnstable Water Company Hyannis Fire Department Town of Barnstable Building Department Disaster Specialists ABCO Construction, Inc. I t ` ` � oF�r+e ice, • �� • The Town of Barnstable * BARNSfABM • 05-; Department of Health Safety and Environmental Services ArFDnee't°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Greg Hundley Hyannis Massachusetts Hotel Limited Partnership 14180 Dallas Parkway, Suite 700 Dallas,Texas 75240-4376 Re: Hyannis Harbor View 213 Ocean Street,Hyannis,MA Dear Mr. Hundley: Enclosed please find a copy of the Certificate of Occupancy for 213 Ocean Street,Hyannis,MA and a copy of the pertinent page from the Town's Zoning Ordinances. We cannot,at this time,give you a letter saying that the building conforms with the building code as it is under construction and there are handicap access issues that must be resolved. Your builder and engineer are aware of these issues. Sincerely, Ralph M. Crossen Building Commissioner RMC/km Q970321 A s J 41 3-3.2 BL-B Business District 1) Principal Permitted Uses : The following uses are permitted in the BL-B District: A) Retail store. B) Building, sale, rental, storage and repair of boats . C) Retail sale of marine fishing and boating supplies . D) Retail sale of fishing bait, fish and shellfish. E) Commercial fishing, not including canning or processing of fish. F) Charter fishing and marine sightseeing and excursion facility. 2) Accessory Uses : (reserved for future use) 3) Conditional Uses: The following uses are permitted as conditional uses in the BL-B District, provided a Special Permit is first obtained from the Zoning Board of Appeals subject to the provisions of Section 5-3 . 3 herein and subject to -the specific standards for such conditional uses as required in this section: A) Hotel/motel provided that such use shall connect to the town sewer system. B) Lodging house provided that such use shall connect to the town sewer system. C) Restaurant provided that such use shall connect to the town sewer system. D) Windmills and other devices for the conversion of wind energy to electrical or mechanical energy, but only as an accessory use. E) Public or private regulation of golf courses subject to the provisions of Section 3-1 . 1 (3) (B) herein. 4) Special Permit Uses : (reserved for future use) 5) Bulk Regulations : ZONE MIN.LOT MIN.LOT MIN.LOT MINIMUM YARD MAX .BLDG. MAX.LOT AREA FRONTAGE WIDTH SETBACKS IN FT . HEIGHT COVERAGE SQ.FT. IN FT. IN FT. -------------- IN FT . AS OF FRONT SIDE REAR LOT AREA BL-B 7500 20 75 20 7 . 5 7 . 5 30 # -- # Or two (2) stories, whichever is lesser. / �AP Engineering Dept. (3rd floor) Parcel 3.5 ermit# A# 0 3 F J Date Issu'd _ 17 s l l h B ard- lth(3rd floor)(8:15 -9:30/1:00-4:30) -7 d r—J S - Fee /d 3 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) b S PlanniiME n Dept.(1st floor/School Admin. Bldg.) D mi i e Ian Approved by Planning Board --"19 ; `'• MASS59. TOWN OF BARNSTABLE A Buildin¢Permit Application,, • � � ��t:. �_ i 1 `���� Lam- Pr ct,StreetAddress 213 Ocean Street - / �.. � « �Ualt� I�13 14y Village,. Y, Hyannis Owner Remington Hotel. Corp. ' Address 14180 0allati Pkvty_ , flallae, TX 7524f1 9 Telephone. (214)980-2700 Permit Request Remodel and update 2 existing Vt: .A. quest rooms, ' A.P.A. . wi ��3 l4 14) First Floor square feet Second Floor square feet Construction Type 1gnnd frama Estimated Project Cost $ 30,000.00 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure tJ/A Historic House ❑Yes No On Old King's Highway ❑Yes I4 No Basement Type: I❑Full ®Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas Q Oil XW Electric ❑Other Central Air ®Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: X3 Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial A Yes ❑No If yes,site plan review# - Current Use Proposed Use Builder Information Name Disaster Specialists/Richard Le-nox Telephone Number (508)888-1113 Address 9 Jan Sabasti an Dri ve, ,Sandvii ch, MA License# 055731 Home Improvement Contractor# 108642 Worker's Compensation# IHUB185Y073097 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Hauled/30 yd NfAf- 2.u.C,J a isas er pecia is s SIGNATURE By:7DATE 8/27/97 1 ara J. Lennox, Pres. BU LI PERMIT Imo,. O :T FOL WING REASON(S) I FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. �RESS e VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 143 ( I FIREPLACE .CTRICAL: ROUGH . FINAL . E PLUMBING: ROUGH FINAL 7 GAS: . 1. ROUGH�`�� —" ` FINAL} s { FINAL BUILDING Aol DATE CLOSED OUT, ¢ - ASSOCIATION PLAN NO. - ; w ^ , - The Cott molt li-erd th of Atussu use1t •z , ir Dt.partntcnt njludustrialAccirlc»ts 011iceollnyestlgatians " _r hllll N'u.vhhi,,,tott Street %Ak.' = ` Bovott, Alas. 02111 Workers' Compensation Insurance Affidavit Alililic:intiriftirmation - Plcise PRINT 1 j 61 e� name: BENABBY, INC. , d/b/a Disaster Specialists Incition• 9 Jan Sabastian Drive - P.O. Box 420 cin• Sandwich, MA 02563 nhone# I am a homeowner performing all wort: myself. I am a sole proprietor and have no one working in any capacity �J I am an entpiover providing workers' compensation for my employees working on this job. cmnnanv n: rne- address• city• ahnnc !• insurance co. Travelers/AETNA t,olic- IHUB185Y073097 ❑ I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers compensation polices: comnanv name: addres5: city: , 1!hone#: insurance ro. Holier of cmmnanc natne- addresc: rite: nhnne 1#• insurance co. nolicv# Attach additional sheet if necessary =• :+ +_ '+ --�•'•: � _ _ _^�•;>.--'„�'�`+�--.;,.,._, .,�,___ :.,..:- '„�"r•�:�"' F:tilurc to secure co-cr:tee:ts required under Section tY ion:5A of 111GL 152 a Iead to the imposition of criminal penalties ol,a tine up to S1.500.00 andiur une scars' imprisonment a.-well as civil penalties in the form of a STOP NVORK ORDER and a fine of s100.00 a day against me. I understand that a cope of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. 1 do herehr cerri t• tier th•MJ. LeFnnox. pates of per'un•that the information prodded above is true and correct *BENA Y IN er ecialists 8/27/97 Signature B President Date Print name Ri andPresident Phone#(508)sgs-1111 - ' official use unh do not-write in this area to be completed by city or town official city or town: permit/license# ntluilding Department Licensing Board t 0 check if immediate response is required c3Seicetmen•s Office :. C]llcalth Department contact person: phone#: r•nOther Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for th employees. As quoted from the "law". an cmptut•ee is defined as every person in the service of another under any contract.of hire. express or implied. oral or written. An cnrplorer is defined as an individual_ partnership, association. corporation or other legal entity•, or anv two or mo the foregoing en�C, - 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 tl owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the dwcllin`� house of another who employs persons to do maintenance , construction or repair work on such dwelling, he or oil the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an empiov MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance of- 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. 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 been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company naives. address and phone numbers as all affidavits 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 cif}• 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 require, to obtain a workers' compensation policy. please call the Department at the number listed below. Citv or,rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom c the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding tite applicant. PIC hich will be used as a reference number. The affidavits may be returned be sure to fill in the permit/license Humber w the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to give us•a call. . Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts }` Department of Industrial Accidents Office cf investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 (,<l n 7,)7_.19M nvt 106. 409 or 37S °FTME t� • The Town of Barnstable Snxivs ABUF. 9� Department of Health Safety and Environmental Services prEbMA�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 19, 1997 Hyannis Massachusetts Hotel Limited Partnership c/o Ashford Financial Corporation Pacific Center I 14180 Dallas Parkway Dallas,TX 75240 To Whom it May Concern: The Harbor View Hotel at}213-0cean.Street in Hyannis is a pre-existing,non-conforming use and as such is lawful from a zoning perspective. Any alteration or expansion of the use will require Zoning Board action. However,as long as the structure,size and uses remain the same they are in total zoning compliance. Zoning Designation B L-B Very truly yours, Ralph Crossen RC/fs Attachment: BL-B Business District g970819b �. 44 3-3.2 BL-B Business District 1) Principal Permitted Uses: The following uses are permitted in the BL-B District: A) Retail store. B) Building, sale, rental, storage and repair of boats. C) Retail sale of marine fishing and boating supplies. D) Retail sale of fishing bait, fish and shellfish. E) Commercial fishing, not including canning or processing of fish. F) Charter fishing and marine sightseeing and excursion facility. 2) Accessory Uses: (reserved for future use) 3) Conditional Uses: The following uses are permitted as conditional uses in the BL-B District, provided a Special Permit is first obtained from the Zoning Board of Appeals subject to the provisions of Section 5-3.3 herein and subject to the specific standards for such conditional uses as required in this section: A) Hotel/motel provided that such use shall connect to the town sewer system. B) Lodging house provided that such use shall connect to the town sewer system. C) Restaurant provided that such use shall connect to the town sewer system. D) Windmills and other devices for the conversion of wind energy to electrical or mechanical energy, but only as an accessory use. E) Public or private regulation of golf courses subject to the provisions of Section 3-1.1 (3) (B) herein. 4) Special Permit Uses: (reserved for future use) 1 5) Bulk Regulations: ZONE MIN.LOT MIN.LOT MIN.LOT MINIMUM YARD MAX.BLDG. MAX.LOT AREA FRONTAGE WIDTH SETBACKS IN FT. HEIGHT COVERAGE SQ.FT. IN FT. IN FT. -------------- IN FT. AS % OF FRONT SIDE REAR LOT AREA BL-B 7500 20 75 20 7 .5 7 .5 30 #Or two (2) stories, whichever is lesser. e L � N ^� 4 e� w R . w tf HYANNIS MASSACHUSETTS HOTEL LIMITED PARTNERSHIP Pacific Center 1 14180 Dallas Parkway,Suite 700 Dallas,Texas 73240 (972)490-9600 O(972)490-9287-Fax wene'e Ufauct u(ai, 412 W)204 Pa,•M490.9797 August 18, 1997 Mr,Ralph M.Crossett,Building Commissioner Vig Iacs mi a 508)790-6230 The Town of Barnstable Department of health Safety and Environmental Services Building Division 367 Main Street Hyannis,MA 02601 RE; Harbor View Resort-213 Ocean Street,Hyannis,MA Dear Mr. Crossen: Hyannis Massachusetts Hotel Limited Partnership is the current ownor of the Harbor View Resort in Hyannis, Massachusetts, Please consider this letter a formal request that your office prepare a letter confirming that the above» captioned property is in compliance with ail Toning ordinances for the Town of Barnstable(please include the Zoning designation which relates to tho property and a copy of the applicable coning ordinances for the appropriate jurisdiction). Please direct your correspondence to nne via facsimile and forward the above items to me via facsimile or regular malt to tine following: Hyannis Massachusetts Hotel Limited Partners c/o Ashford Financial Corporation Pacific Centcr 1, Suite 100 14180 Dallas Parkway Dallas,Texas 7S240 (972)490-9287-Fax Included for your reference is a co Hbe-leg*al-dc rnption of the property. Your prompt attention to this matter is greatly appreciated. If you have any questions or require any additional inforrnalion,please do not hesitate to call. Yours very truly, Gregtdley Attachments cUnynue.vu,oa vlw�,un�n�.eye 70 ' d ti00' ON c7i : GI 16. 8Z 9nd �8Z6-06b--�F,; iZI J80D idIJNUIqI-� GdCJHSb NLocD h OO O N �!' CD 00 O N LC,) M M M (v) C07 M c, M M M M M ICE 0 o INDOOR POOL o rgcr) N N N WHIRLPOOL M M M M co M LOCKER ROOMS ICENEND NG a o p 002 .- N M en r O Or r r T trD r Or- O o r r 124 r 105 125 m OUTDOOR POOL , WHIRLPOOL 126 R 104 KIDDIE POOL Y 103 SUNDECK 127 102 128 a Z 2 FRONT 129 101 DESK 144 130 143 131 142' 132 141 140 133 139 Lo,M- M (O co FIRST FLOOR r r r00, r Hyannis Harborview .N tt' 10 t0 h 00 .O_ N O O O O O O r � CD - •N N N r CM O �- h _O M Lo O O O T T r N N N V' IcT V- D E O O r N N N O O r r 'o coN N N N N N N N F 207 N N a N N N . N N 225 G 206 226 H 227 J 205 204 228 K 203 229 230 231 232 SECOND FLOOR O 2X4 METAL HANDRAILS ATTACHED TO 04 POSTS WHERE SHOWN ON THE PLANS M i 0 2X2 PRESSURE TREATED BALLUSTERS NO MORE • THAN 7" O.C. 2X4 2X6 PRESSURE TREATED SOUTHERN YELLOW PINE DECKING, TYP. �r 2X8 PRESSURE TREATED SOUTHERN YELLOW PINE JOISTS 12" O.C., TYP. it TYPICAL SECTIONS AT WOOD RAMPS, DECKS, AND LANDINGS A SCALE: 1'/2 I - 30" GRAB BARS 30" AFF ° LAV 270 AFF HP GUESTRM BATH ELEV. HP GUESTRM BATH ELEV. 1 SCALE 3/8' = 1'-0* 2 SCALE 3/8" = 1'-O' t-�- ADJUSTABLE MOUN FOR SHOWERHD 48' GRAB BARS 21' AND 36" AFF ---------------� �H P GUESTRM BATH ELEV. `� SCALE: 3/8, = 1'-0' Disaster Specialists 9 Jan Sebastian Street Sandwich, MA 02563 (508) 477-3622 (508) 477-3633 09/02/97 Client: Remington Hotel Corporation Address: 14180 Dallas Parkway Dallas, TX 75240 Property Addr: Hyannis Harbor View Hotel Ocean Street, Hyannis, MA Estimator: Richard J. Lennox Bus. Ph: (508)888-1113 Fax: (508)888-2951 'Estimate: REM PHS 3 D i Disaster Specialists Remington Hotel Corporation 09/02/97 Page:2 Room: Ramp A General dwelling removal per man hour ( old deck and 4 HR stairs) Frame and build deck per architects plan 216 SF Concrete pier or footing with post anchor 4 EA 1 112" galv. Metal Handrail (custom on sight) 124 LF Temporary Structure to hold up roof system 1 EA Room: Ramp E Frame and build deck 306 SF Frame and build deck ramp 1 SF Paint 7X12 concrete pad 84 SF Room: General Deck Dump & Trucking 30 yrd dumpster 1 EA Room: Room # 143 LxWxH: 16'0" x 13'0" x 910" R&R Batt Insulation 9" the ceiling 208 SF R&R 5/8" drywall - hung, taped, floated, ready for paint 208 SF the ceiling Paint the ceiling 208 SF R&R Wallpaper - Standard grade price based on .23 per 522 SF s.f. removal .50 per s.f install labor. .30 per s.f. wall prep. , .50 material cost Remove and discard headboard(s) , picture(s) , draperies, 4 HR all content items R&R Exterior door with lever lockset and closure (3'0" 1 EA width) solid core lauan door w/ hp thresh 414.30/ closure 79.70/ lever passage set 20.001 deadbolt 35.00/ locksmith to same key as rest of hotel 40.00/ labor to install all 100.00 Paint door - exterior (per side) 2 EA Disaster Specialists Remington Hotel Corporation 09/02/97 Page:3 Continued - Room # 143 Sand, touch up stain and polyurethane all remaining trim 3 MH in room. Install vinyl coated shelving 2 LF Paint baseboard heater 16 LF Remove existing carpet and pad 27 SY Carpet - (material and labor) - Average goods 27 SY Carpet pad 27 SY Move & Protect Contents 3 EA After Construction Clean up 4 MH Electric per attached sub bid 1 EA Carrier 15000 btu A/C unit material only instalation N/C 1 EA Room: Room # 143 HP Bath LxWxH: 13'0" x 7'0" x 910" Remove ceiling, walls, fixtures, tile, 8 MH Frame seat for HP Tub 1 EA Batt Insulation 9" the ceiling 91 SF Batt insulation - 3.5" - R13 the walls 360 SF 5/8" drywall - hung & fire taped only the walls & ceiling 451 SF 5/8" drywall - hung, taped, floated, ready for paint the 451 SF walls & ceiling Paint the walls & ceiling 451 SF Cement backer board 100 EA Ceramic tile - Standard grade - without mortar bed - 100 SF (florida the starting line grade) Handicapped bath hardware per plans (1-24" grab bar, 1 EA 1-36" grab bar, 1-42" grab bar, 2-48" grab bars, HP Mirror, TP Dispenser, coat hook,wrap around ceiling mounted shower curtain rod) Interior door - lauan / mahogany - w/ jamb & case/ 1 EA privacy lever/ 3' -0" width no closure included Stain & finish door (per side) 2 EA Floor preparation for sheet goods 91 SF R&R Vinyl floor covering (sheet goods) 12 SY R&R Cove base molding - rubber or vinyl , 4" high 30 LF Plumbing per attached sub bid 1 EA i Disaster Specialists Remington Hotel Corporation 09/02/97 Page:4 Room: Room # 144 LxWxH: 16'0" x 13'0" x 910" R&R Batt Insulation 9" the ceiling 208 SF R&R 5/8" drywall - hung, taped, floated, ready for paint 208 SF the ceiling Paint the ceiling 208 SF R&R Wallpaper - Standard grade price based on .23 per 522 SF s.f. removal .50 per s.f install labor. .30 per s.f. wall prep. , .50 material cost Remove and discard headboard(s) , picture(s) , draperies, 4 HR all content items R&R Exterior door with lever lockset and closure (3'0" 1 EA width) solid core lauan door w/ hp thresh 414.30/ closure 79.70/ lever passage set 20.001 deadbolt 35.00/ locksmith to same key as rest of hotel 40.00/ labor to install all 100.00 Paint door - exterior (per side) 2 EA Sand, touch up stain and polyurethane all remaining trim 3 MH in room. Install vinyl coated shelving 2 LF Paint baseboard heater 16 LF Remove existing carpet and pad 27 SY Carpet - (material and labor) - Average goods 27 SY Carpet pad 27 SY Move & Protect Contents 3 EA After Construction Clean up 4 MH Electric per attached sub bid 1 EA Carrier 15000 btu A/C unit material only instalation N/C 1 EA Room: Room # 144 HP Bath LxWxH: 13'0" x 7'0" x 910" Remove ceiling, walls, fixtures, tile, 8 MH Frame seat for HP Tub 1 EA Batt Insulation 9" the ceiling 91 SF Batt insulation - 3.5" - R13 the walls 360 SF 5/8" drywall - hung & fire taped only the walls & ceiling 451 SF 5/8" drywall - hung, taped, floated, ready for paint the 451 SF walls & ceiling Paint the walls & ceiling 451 SF Cement backer board 100 EA Ceramic tile - Standard grade - without mortar bed - 100 SF (florida tile starting line grade) Remington Hotel Corporation Disaster Specialists 09/02/97 Page:5 Continued - Room # 144 HP Bath Handicapped bath hardware per plans (1-24" grab bar, 1 EA 1-36" grab bar, 1-42" grab bar, 2-48" grab bars, HP Mirror, TP Dispenser, coat hook,wrap around ceiling mounted shower curtain rod) Interior door - lauan / mahogany - w/ jamb & case/ 1 EA privacy lever/ 3' -0" width no closure included Stain & finish door (per side) 2 EA Floor preparation for sheet goods 91 SF R&R Vinyl floor covering .(sheet goods) 12 SY R&R Cove base molding - rubber or vinyl , 4" high 30 LF Plumbing per attached sub bid 1 EA Room: General Dump & Trucking 30 yrd dumpster 1 EA Roof repair for rooms 144 and 143 1 EA � . • MASSACHUSETTS HOTEL I CORP. 14180 Dallas Parkway,Suite 700 Dallas,Texas 75240 (972)490-9606 (972)490-9605-Fax David J.Kin icl ik ' Vice President Writer's Direct Dial: (972)778-9202 April 29,1997 Direct Facsi rile: (972)490-9287 VIA HAND DELIVERY Mr. Ralph Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis,MA 02601 Re: Hyannis Harborview Resort Hotel,213 Ocean Street,Hyannis,Massachusetts 02601;Proposed Construction Plans and Schedule Dear Mr. Crossen: The undersigned, as owner of the resort hotel known as Hyannis Harborview, 213 Ocean Street, Hyannis, Massachusetts 02601,desires to proceed with certain refurbishing and reconstruction activities directed at fulfilling certain public safety requirements and providing facilities for handicapped patrons. To that end,we have completed the installation of a stand pipe system to service the third floor areas in the northerly and northwesterly portions of the premises per prior directions. In addition,we have also completed the installation of the 600 amp. disconnect system per prior directions. We believe that these two(2)issues are the only public safety issues outstanding with respect to the hotel and these have been completed. In addition,we are presently soliciting bids for immediate construction to refurbish and renovate two (2) handicapped accessible guest rooms in the northerly facing wing of the hotel. Further,we shall undertake installation of two(2)handicapped access ramps at the locations marked as"A"and"D"as they appear on the enclosed plan. The forgoing shall all be undertaken and completed during calendar year 1997 with bid award and construction commencing and being prosecuted to completion with all reasonable dispatch. We respectfully ask your indulgence and in turn represent to you our commitment that we shall during calendar year 1998 reconstruct and refurbish the remaining four(4)additional handicapped accessible guest rooms in order to increase the final number of handicapped accessible guest rooms throughout the hotel to six(6)all of which shall be completed on or before the end of calender year 1998. In addition,we represent to you that we are committed to installation of one(1)handicapped access ramp during the calender year 1998 with the balance of handicapped access ramps during calender year 1999 up to a total of five(5)handicapped access ramps(as required by law)at the hotel. We offer the foregoing time table and proposed renovations/reconstruction work in a good faith conunitment to assure you of our plans to render the premises compliant and conforming to all public safety requirements as set forth herein. Should you have any questions or require and further clarification or elaboration on any of the foregoing,we would be happy to meet with you and refine this proposal to make it satisfactory. In the interim, we are submitting this proposal in the behalf and with the understanding that this will enable your office to permit the commencement of hotel I Mr.Ralph Crossen Building Commissioner Town of Barnstable April 29, 1997 Page 2 operations on or about May 1, 1997 for the provision of 108 available guest rooms. The representations herein of our current intentions are a true statement of the intentions of the land owner, given under penalty of perjury, and given as an inducement to permit the hotel to open on May 1, 1997 pursuant to the foregoing scenario and time frame for completion of the improvements. Thank you in advance for your considerate attention to this matter. HYANNIS MASSACHUSETTS HOTEL LIMITED PARTNERSHIP a Delaware limited partnership By: Massachusetts Hotel I Corp., its grog general partner �Jacill David J.ICimichilc Vice President cc: David A.Brooks,Esq. J.Douglas Murphy,Esq. Terry A. Hamilton STATE OF TEXAS COUNTY OF DALLAS Then personally appeared the above named David I Kimichik,Vice President of Hyannis Massachusetts Hotel Corp. and made oath that the foregoing is a true statement of facts known to him, except insofar as stated to be representations or intentions,and as to those matters,that such representations and expressions of intention are true statements,before me. No Public Commission Expires: g-,a 9 7 00000'OOOOOOOO�OOOO Ocomg MARIANNE LARSON • Notary Public,State of Texas � t :My Commission Expires 08-02-971 aG` ,_ram t TOWN( ARNSTABLE BUILDING PERMIT AICATION Map Parcel Permit# JHealth Division �41- 70 W, /I�-�� AW e5 ��PL'1CANT MUST OBTAIN A SE��.Issued 010NNEOTION PERMIT FROM THE NNkIINEERING onservation Division N ai�ciftV i4 -6Af T1;UCT ON DIVISION PRIOIF@e 'N 3CL6, V y Tax Collector { ���1a a ��'� y Xreasurer l Planning Dept. 1 Date Definitive Plan 4proved by Pla ing Board Preservation/Hyannis - Project Street ddress 2 13 C Z et Yl s �� Village er / rt Address l a au.eli, Re/. elephon JY ermit Request &4�_k &±�120o T 14W r-- { 4 r Zquet: 1 st floor:exi ting proposed Ond floor:existing proposed Total new Project Cost d w Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Struc Historic House: ❑Yes '❑No On Old King's Highway: ❑Yes o Basement Type: ❑Full wl ❑Walkout. ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area Number of Baths: Full:existing ew H fisting 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 ❑ Fireplaces: Existing New isting wood/coal stove: ❑Yes ❑No Detached gara existing ❑new size Pool:❑existing ❑new size n:❑existing '❑new size Atta garage:❑existing ❑new. size • Shed:❑existing ❑new size Other: 4 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑. Commercial ❑Yes ❑No' If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name��i�,�Y�� f r�%Yr Telephone Number 50 Y 3 3 9 Address License# 33 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ' • i , +R FOR OFFICIAL USE ONLY lot f' • t ,e. , jf 'PERMIT NO. DATE ISSUED F y., Y �l ,'� ", •� tl�# _ `• _ f ' F `. � ,. MAP/PARCEL NO. F •� f r ADDRESS j F ` VILLAGE + t r r IONER f DATE OF INSPECTION: .... + . w F "t • F.n t FOUNDATION. `. r FRAME INSULATION FIREPLACE ,' - + ELECTRICAL: ''••a=ROUG�I FINAL WOMBING: t-.ROUGH j FINAL GAS: 'ROUGH FINAL ; J i FINAL BUILDING .- e r } DATE CLOSED OUT ASSOCIATION PLAN NO. ► ° _ �r'�`— • The Commonwealth of.,V#chusetts i � Department of Industrial Accidents: De artm t ^ : Officeof/atyestigations -- 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location city phone# ❑ I am a homeowner performing all work myself. Cl I am a sole proprietor and have no one working in any ca acity %//////// %/l///%%%%%..POSE/%%%/%/% %%/%/%%%/%//%%/////%%/%%%��%%%///%%%O%/%%%% //J//%%%/////% ❑ I am an employer ding workers' compensation for my employees working on this job. tom anv name address: /cites , a7r1�- 42,e w �nhone#: S�� I q-� S<��;�1- . /insurance co. I/ 'oiicv itYW ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: eon anv name: address: hone#r dtv: insurance co. tom anv name- address- phone#:. city insurance co.. Faflure to segue coverage as required under Section 2sA of MGL 152 can lead to the imposition of criminal penalties of a Me up to S1.500.00 and/or of yam,imprisonment coverage as well as civil penalties in the form of a STOP WORK ORDER and a ilne of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. 1 do hereby e t the pains and penult o ju that the information provided above er u�an correct Date Sigltattlre . Phone# Priat name official use only do not write in this area to be completed by city or town official permit/llcense 0 Mudding Department city or town: ❑Llcetuing Board once is required ❑Selectmen's Ounce ❑checkittmmediate resP QHeaith Department contact person: phone other- .... ..... ...... ................. .....................:... (1lvtsed Y95 P1A1 DID :: �wwww.; :.. :::: ::: �::wwss:: . ': :-.. :;::;.....:;:::;:;:;::....... :2:::;::::;::>:::::i;<:;•::.:....:.........:.;::.;:;:;:, DATE(MM/ODNY)- 1 0 /00 ,ODUCER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 22798ANCE CONNECTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AGENCY, INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 273 CHAUNCY STREET COMPANIES AFFORDING COVERAGE`_ MANSFIELD, MA 02048- COMPANY 339-17D0 ' A The Worcester Insurance Company INSURED COMPANY Kilburn Construction Co. B A.I.M. MUTUAL INSURANCE COMPANY Kenneth 9 Michael Kilburn DBA COMPANY 318.Maple Street C 'Mansfield MA 02048-- COMPANY - - - 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 REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DDNY) LIMITS A GENERAL LIABILITY GENERALAGGREGATE $2,000,000 X COMMERCIAL GENERAL LIABILITY CS 81 93 03 02/16/98 02/16/99 PRODUCTS•COMP/OP AGG S 2,0001000 CLAIMS MADE X�OCCUR PERSONAL&ADV INJURY S 1,000,000 _ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1,000,000 FIRE DAMAGE(Any one fire) S 501 000 _ MED EXP(Any one person) S 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S _ ANY AUTO / / / / I OTHER THAN AUTO ONLY: EACH ACCIDENT S _ AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM / / / / I AGGREGATE S OTHER THAN UMBRELLA FORM j g B WORKERS COMPENSATION AND LX STATUTORY LIMITS EMPLOYERS uneluTv VWC 60003590198 03/04/98 03/04/99 EACH ACCIDENT $100 000. --THE PROPRIETOR( INCL l DISEASE•POLICY LIMIT j s 500,000_ PARTNERS/ENECUTWE I OFFICERS R EYCL ;DISEASE•EACH EMPLOYEE S 100,000. I OTHER I I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CARPENTRY COPY THE FLATLEY CO. IS NAMED AS AN ADDITIONAL INSURED ON THE G.L. RTIFICATI ;HOL.DI=R::::s : :::::.:::.:,.:...:::::::::::.:::::::::::.:::::..::.:::::::::::.:.......:...........:.....114NCEl,ICTKlt!1.:::.:.:::::.::.:..::.:.:.:.::.:::::::.:..:::::::::::::::::::::::::::::::::.:..:.::::::.:.::.:;;:: ..............:................;.:..,.....,.,,.:...,,,.: The Flatley Company SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn:carol Shannon EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commercial Division 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 1P.O. BOX 850168 UT ILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Braintree MA 02185 OF ON THE COMPANY, ITS I,AGENTS OR REPRESENTATIVES. AUTHOR D REPRES TATI E _.,....(.193}.. :•: :;<.:;: ,: :<::. . :<: mACOROCORPORATION:f993 � L TIM �a�nmzaiuuea o�✓ ae/uaetYa OEPARTNENT OF PUBLIC SAFETY CONSTRUCTION.SU...PERVISOR LICENSE Nu®h.ee.:.-..:'_= Expires: ---- Aestrlced To BB org4,..VKENNETN 17 KILBURN 318 NAPIE'ST t' NANSFIELO, NA 02048 • NEW AC UNIT -01 X • �O \ O i 6'-6' FLOOR PLAN (ROOMS 117, 118) SCALE: 1/4' = V-0' _ r ' � a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION AVJ Map_��9 Parcel__��� Permit# Health Division *137W G�P)0/07h3 Date Issued & .3 o � Conservation Division Application Fee ®Q Tax Collector Zme ozpuzo to n o3 Permit Fee 3� Treasurer Planning Dept. )MCANTMUST OBTAIN ASEWu.� CONNECTION PERMIT FROM THE Date Definitive Plan Approved by Planning Board ENGMMMG DIMON PRIOR TO CONSTRUCTION Historic-OKH Preservation/Hyannis Project Street Address All 7- Village �t�N Ni c�k..P�- Owner �� (NU (th Address 2_( (�7 ,�r A ¢fit -+r►rG,� ram., Telephone - !4 OBI QD �- 1 �j �r� `��14-Z� Permit Request Ab r5 2 Lo� 1 o Qnt•= Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Cq 10® 5 Historic House: ❑Yes 3<o On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) N Al, Basement Unfinished Area(sq.ft) Number of Baths: Full: existing i new Half: existing new Number of Bedrooms: existing_ new 7s Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil VElectric ❑Other Central Air: ❑Yes W No Fireplaces: Existing N v New Existing wood/coal stove: ❑Yes Flo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O 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 W0A\cCQ R R\60 f Telephone Number -7 &I 5 Address L� i2n���1 S�- �� �� M� License# CG`7 16 f 5( Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t �✓� SIGNATURE DATE 16127163 i Y E FOR OFFICIAL USE`ONLY / .PERMIT NO. - f DATE ISSUED MAP/PARCEL NO. . ` ADDRESS VILLAGE S OWNER r DATE OF INSPECTION: FOUNDATION - FRAME its 3 ? INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH ' FINAL' FINAL BUILDING,& [) DATE CLOSED OUT - ASSOCIATION-PLAN NO. f ('J o;2, COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $100.00 0�— Alterations/Renovations $50.00 Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= /3 3 3 3 x .0061= ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet X$96/sq.foot= 3 3 3 3 ua X.0061= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0061 Commprojcost -\ •, :��-_�_ The Commonwealth o•f Massachusetts Department of Industrial Accidents Office Oflnyesaffs ifs _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name �A Qa4_9 city Sa t� tw I i shone# ❑ I am a homeowner performing all work myself I am a sole prietor and have no one worki>i in ca achy / / //// /G/G /%//l////%%%%%%%/ I am an em i roviding workers' compensation for my emplo�*ees working on this job. ❑ �P .. .................................:.::.:::•.�.:.....,... .r..,....rh v:T:4,.{::::,....1•.}::4:}}}:rfi;?;{;::,•{:!f:;.:w:$$:.1.;}:ram. 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Fanfare to secure coverage as required under Section 35A of MGL 152 can lead to the imposition of ettaniTtal penalties of a 6ne np to SI,S00.00 and/or one yeah'imprisonment as wen s+dvn penalties in the form of a STOP WORK ORDER and a 8ne of$100.00 a day against me: I understand that a copy of this stateentany be forwarded to tine OtHce of Investigations of the DIA for coverage veriQcatioa. m I do hereby certify under the pains an enables of perjury that the information provided above is truce mid correct S Date ignature .' Print name phone# t official we only do not write in this area to be completed by city or town official city or town: peradttllcense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectinen's Office QHealth Department contactperaon: phone#; - ❑Other (Devised 9195 PJA) I Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. or an two or more of individual,partnership, corporation or other legal entity, y fined as an ual, p F An em loyer is de P 4_ ;•, ,,,, , P 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 budding appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,neitherthe 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. r Applicants please fill in the workers' compensation affidavit completely,by checking the box that pplies to your situation and ` supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of mi s rance coverage. Also be sure to sign and 3- date the affidavit. The affidavit should be returned to the city or town that the application for the peffiit 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. City or Towns 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 num_tier. The affidavits may be retarhR"io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have 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 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . I l 71. BOARD OF BWjZ. jM,G RE ;, E.rcense tSTRt1CTfQN . ULATfON �, Sl6 _ERUl p'R - Ot256$ -- _ ' ' Tr.no: 4577 { 13 4IM- TELL ST fPNA 02563 A7 MWlaf©r i l 'I1YANNIS FIRE DEPARTMENT j 14YAWN' ps 95.H1GH.,SCHOOL AD. EXT.HYANNIS,MA.02601 HAROLD S. BRUNELIE, .CHIEF ' E OFfAr N - tiUGEM►AWAtE11Eti OPiIAF EOYCATIOt ,i;. PItEVENTIN BUREAU BUSINESS PHONE:(508)J. 775.1300 FACSIMILE PHONE:(508)778-6448 LT.DOX-ALO.IL CTIASE,JR;CFI LT.ERIC F.HUBLER, CFI FIKE PPREVk-NTION:OFMCER FIRE PREVFIMON OFFICER ' BUILDIN( .'COP-E. COMPLIANCE FORM THIS 00 PREVENTION URE*AVHAS REV18WEG THE PLANS DATED FOR THE PRO 'EFTY. LOC TED AT' ; ' ALSO. KNOIAIN ASS'. -s L THE.:CHART BELOW INDICATES THE STATUS OF OUR REVIEW: !PEC)i�CONS �UIsICN QZSDUIEN N/A RECEIVED REVIEWED COMPLIES _. r - 1'rNA1 Tly RI�PGiRT s x ,.. ;?FtRSl . -MYo1=fiANf.LOC`ATIf?N/WATEF =SUllf 5=5F'�#t1VKLEf�CpNTROL 1✓Qtl~fPIV1ENT �_ _ - 5 MANI PtP SY T IS =3 r .:..... .n..... ..f..: ...<...e. +.y... 8F11 i C?E�r4# TMEN 'COI�1lECTIfN 9=trE�?AC3Tf1T�1fE. 4tNAttfYTXor - 1.0 F P S S &ANNll1OlA7 dR LOCAtCt } 11 S- 0 C(JfVTROL/EXF AUS"1` 1� SMOkCE GONTR(OL EC U1P LOC TI 3N ]3 LfFE'SAFETYSYSTEt1A FEATfJRES # FI . . Ex1"INGiJ(S} IIVG SY fiEf1AS 15 F E 5 CONTaCL EQUIP LOCATION 1-6 F RbOIVIS 1 FJFtE PFtCST CT1Oty oul SIGNAGE ' < 18 ALARM TR/NSMISION 1.3 SEQ:UENG •OF OF1~RATV RAP®.RT AGCEPTA(VCE T1= Tf{VG"r✓fiTEltA WE B VE .W� bOC RN B OM L E AND COMPLIANT FOR THE ISSUANCE OFA BUIL G PERMIT: gas 4VE HAVE COMPLE7D THE ACCEPTANCE TASTING FOR THE OCCUPANCY PERMIT AND BELI�,�( ETFT WITHIN THE SGOPR OF THE BUILDING P RMIT;THE ABOVE.ISSUES ARE IN COMPLIANCE. 1Q���' CV m �P1 F S 4cn Lo , �.. co co co LO i CN Inrn - _ cm co Go 4-1 u M m LLI CL tL U L 1 4v � b � 1411Z" W-4 j N Go cq CN _ I M co .-"