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0278 PITCHER'S WAY
09 lb�lIoI, �!m� I I -f&-elc-r-o M i E i I i i r Q 1 n 1� 1 Telephone Telecopier/FAX (508) 362-6456 LAW OFFICES OF (508) 362-4833 (800) 344-2889 O WEBER, P.C. August 28, 2007 Building Commissioner Office Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: Professional Use of 278 Pitchers Way Hyannis Dear Sir: This is to confirm that the variance from residential use granted on this premises permits professional office use of 278 Pitchers Way Hyannis MA which premises is currently on lease by a Chiropractor. To avoid any problems with my tenant, would you please sign hereon and confirm professional use by licensed Chiropractor is professional office permitted professional use.. I enclose stamped envelope for your reply. Very truly yours. ON N. WEBER, Trustee 2 8 Pitchers Tr its Don N Weber Thomas Perry, B10 Cbmr DNW:nsh Town of Barnstable Enc tar .,. ,. t; 86 WILLOW STREET, YARMOUTHPORT, MA 02675 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st. FI., 367 Main St.; Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 3 Fill in please: no�r��r� °mot APPLICANT'S YOUR NAME/S:�ifnlne�llie iD C�� ei�1�t✓ BUSINESS YOUq Hf7ME ADDRESS:LA rF �` � ZS•,3ro"1 - IoU�V TELEPHONE # Home Telephone Number NAME OF CORPORATION NAME OF NEW BUSINESS TyE OFBUSINESS Mir ire IS:THIS A HOME,OCCUPATION� YES NO ' ADDRESS OF:BUMESS �'fc er MAP/PARCEL:NI T(Assessor 9) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd.& Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFIC This individual has bpep informed�fny permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 2. BOARD OF HEALTH This individual had bee rri prrm�d,q�the permit requirements that pertain to this type of business. Authorized{Signature'`/ l COMMENTS: 3. CONSUMER AFFAIRS(LICENSIN,P AUTHORITY) This individual has �Qn info ' d f the licensing requirements that pertain to this type of business. f Authorized Signature** COMMENTS: E e^K w A Asti � M Ass. TOWN OF BARNSTABLE '83 FR -4 AN11. 05. Zoning Board of Appeals Richard & Elizabeth VanSteen ..............................................................................................................._........................ Deed duly recorded in the .........................................,.... :....... Property Owner County Registry of Deeds in Book ............................ Don N. Weber ......................................................................................................... ...... .. ......... Page ...... . ........., ............ .......................................Registry Petitioner District of the Land Court Certificate No. ......................... ........................ Book......................_. Page ._.. ......_ Appeal No. .............1982-87 January 31 83 .._....._............................ ........................................ .............................. 19 FACTS and DECISION Petitioner Don N. Weber ....... filed petition on December 13 1982 _........................................................................... ....................................... .............................._.... requesting a variance-permit for premises at .............278 Pitchers Way in the. village (Street) of Hyannis................. adjoining,premises of (see attached list) .................! ................................... Locus under consideration: Barnstable Assessor's Map no. .......29.0..................................... lot no. ...110........... Petition for Special Permit; �F Application for Variance: [2 made under Sec.I.......Us.e..,Re.gs........&;_Q.,,..2.(.c)of the Town of Barnstable Zoning by-laws and Sec. _...................lQ....al................................................................................ Chapter 40A., Mass. (den. Laws for the purpose of .........Use Variance to allow professional office use in residential.:.dwelling..................._......................... ........................................................................._. c Locus is presently zoned in.....................Residen.......................................e B....................................................................... .......................................................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass., at ..._....$11 P.M. x....30............. 82 and January 20, 1983 upon said petition under zoning by-laws. Present at the hearing were the following members: Luke P. Lally Richard L. Boy Frank P. .Congdon ...... ........................................................... ._._ .................................................................._. Chairman .......................................................:..........................-. .................................................................................... ...................................................._.............................. r - At the conclusion of the hearing, the Board took said petition under adv.aement. A view of the locus was made by the Board. i Appeal -No.. 198 2-87 Page _...2........... of _.. 3._-....._ On .................JanuarX...20........................................... ........ ....... 19 83........-,' The Board of Appeals found Attorney Don N. Weber presented.his petition before the Board and requests a variance to allow professional office .use of a dwelling on Pitcher's Way, Hyannis in a residence B zoning district. The petitioner now has a law office iri the Jack Conway building and must relocate since the. Conway building has been sold. Mr. Weber said .that.he would..like to remain .in the area of West Main St. and the property on Pi:tcher's Way, Hyannis is in fairly close proximity to his present .location in the Conway building on West Main St. , Hyannis. The house in which the .professional office:use would be located, is a small, ranch-type and is located on a .narrow lot. The house has .been for sale since last April and is owned by.. an elderly couple who found that headlights from the vehicles entering and exiting from the large apartment complex across the street along with the noise from nearby West Main St. , made the house unuseable for single-family residential use. Law.office use at this location would not generate traffic in the evenings or on weekends, and .Mr. Weber said his proposed use of the locus would create .a desireable buffer between the residential zone to the north .and.the business zone to the south. The property would be well maintained and a living screen of vegetation would be provided -on the northerly portion of the lot. The use would be limited to six ,occupants engaged in the professional law office use .and parking would be provided in, accordance with the plan submitted with the filing. The free-standing _sign. at .the petitioner's law office at the .Conway building will be moved to the Pitcher's Way site if .the variance is allowed. The .petitioner would provide. a living ,screen of vegetation on the northerly boundary of the property abutting the residential zone. Variance -conditions are created' .by .thetraffic pattern around the perimeter of the lot which is a condition not commonly found in.this neighborhood. No one spoke in favor of or in objection to the petition and the Board took the matter under.advisement. The Board voted unanimously to grant the petitioner a use. variance for law offices with an accessory sign at 278 Pitcher's Way, Hyannis in a..residence B zoning district. The Board ,found that professional office.use at this location would provide a buffer between the residential zone on .one side of the locus and the business zone on ,the other side. Variance conditions are met by the shape of (cont.) I. ............................................_.....................................................................:.::..:......, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby.certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signedand Sealed this ........................ day of ....................................................................... 19 ....................... under the pains and penalties of perjury. Distribution:— Property OwnerS. ...............-............... ^ Town Clerk Board of Appeals Applicant Town of Barnstable Persons interested Building Inspector - Public :Information Board of Appeals Clerk BABB9Td8L = ZONING BOARD OF APPEALS q OO 1A88.a6�q. �0 EIAY a' Appeal No. 1982-87 Page 3 of 3 locus, and the topographical condition.created by the traffic pattern around this parcel of land. The Board further found that permitting variance relief would -not cause detriment to the neighborhood since the appearance of the property will be upgraded and allowing the professional office use is in keeping with the spirit and intent of the .zoning by-laws with the following restrictions imposed: 1. Parking shall be in -accordance with the plan submitted with the filing and cited as follows: "Proposed Parking Layout - Plot Plan of Land .in Barnstable (Hyannis) Mass. - Cape Cod Survey Consultants." 2. One free-standing sign is permitted and this sign shall not exceed .four square feet in. area. 3. A living hedge of suitable evergreen trees shall be planted and maintained on the northerly side of the property for the entire length of 119 ft. and these trees shall be not less than .4 ft. high at the time of planting and spaced not less than 5 ft. apart. 4. The use of the property is limited to .six.persons employed in the professional.office use. I Telephone Telecopier/FAX (508) 362-6456 LAW OFFICES O F (508) 362-4833 (800) 344-288.9 U R August 28 2007 Building Commissioner Office Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: Professional Use of 278 Pitchers Way Hyannis Dear Sir: This is to confirm that the variance from residential use granted on this premises permits professional office use of 278 Pitchers Way Hyannis MA which premises is currently on lease by a Chiropractor. To avoid any problems with my tenant, would you please sign hereon and confirm professional use by licensed Chiropractor is professional office permitted professional use. I enclose stamped envelope for your reply. Very truly yours. =- ON N. WEBER, Trustee r 2 8 Pitchers Tr s /Z.K� Don N Weber Thomas Perry, B Yly Cbmr - DNW:nsh Town of Barnstable 86 WILLOW STREET, YARMOUTHPORT, MA 02675 I \ T , r Town of Barnstable *Permit#c;?OO 7© Expires 6 months from issue date X-PRESS PERMIT Regulatory Services Fee ate. — Thomas F.Geller,Director JUN - 1 2007 Building Division TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 . Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 6?2� Z/A Property Address 278 Pitchers Way hyanni g ❑Residential Value of Wor —3 600 Minimum fee of$25,00 for work under$6000.00 Owner's Name&Address 278 Pit-aiharc Mrjurt ilnn N WQhQY m list �-Tele �r " �7 _2 31 Contractors Name R,0/lam_ ,1 YYI� 6 � �J��P Phone Number 0( �. Home Improvement Contractor Licensee#(if applicable) 1`D :3 a. Construction Supervisor's License#(if applicable) 61 a c/a 6 ❑Workman's Compensation Insurance 7 k one: am a sole proprietor ❑ I am the Homeowner 0"I have Worker's Compensation Insurance Insurance Company Name 0—/y 4 Workman's Comp.Policy# !R6 I A 7S I (o - Copy of Insurance Compliance Certificate must be on file. Permit Request(checkbox) l ❑/ke-roof(stripping old shingles) All construction debris will be taken to Yyu 1\1 ✓ � �/�- ❑Re-roof(not stripping. Going over existing layers of roof) Ek-�e-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: issuance.of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *** Property Owner must sip Property Owner Letter of Permission. e: tY Not p rty � P A copy of me Improvement Contractors License is required, SIGNATURE: Q:Forms:expmtrg Revise061306 r The Commonwealth of Massachusetts Department of Industrial Accidents r _ Office of Investigations ' d 600 Washington Street W Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ise 'blv Name(Business/Organization/Individual): . (�� Address: F6t60K G(� Trnf K. i/ FMF,u}s . City/State/Zip: WVgAillh QPV kf Phone.#: �y 9 -9 /� Are you an employer? Check the appropriate bog: Type of project(required):. 1.® I am a employer with .'L 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 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 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.ER Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.�Other comp. insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify seder the rn s and nalties ofperjury that the information provided above is true and correct Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town of lcial City or Town: Permit/I.,icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions r 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-contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the 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 (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 4.06 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www.mass.govidia Town of Barnstable Regulatory Services UF4 Thomas F.Geller,Director 9$A,16►A�b' Building Division TomBerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-62.30 Property Owner Must Complete and Sign This Section If Using A Builder 278 PITCHERS TRUST Don N Weber, Trustee I, ,as Owner of the subject property hereby authorize Frank Capra to act on my behalf, in all matters relative to work authorized bythis building permit application for: 278 Pitchers'.Vuay .Hyannis (Address of Job) Ix 9 1- Signa o ate Don N Veber, As Trustee Print Name OFORMS:O"W?IRPERMISSION k Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration°,1-1A321 Board of Building Regulations and Standards One Ashburton Place Rm 1301 E{xpiration 10%20/2008 Boston'Ma.02108 i z TYPe D,BA'� CAPRA HOME IMPROVEMENTS; FRANK CAPRA 40 COPPER LANE CENTERVILLE,MA 02632 Deputy Administrator Not valid without signature VDAC CNAWORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6S59UB-861 X751-6-07) RENEWAL OF (6S59UB-861X751-6-06) INSURER: CONTINENTAL CASUALTY COMPANY NCCI CO CODE: 80381 i. - INSURED: PRODUCER: CAPRA, FRANK G FLAGSHIP INSURANCE INC DBA CAPRA HORS IMPROVEMENTS 414 COUNTY ST PO BOX 664 NEW BEDFORD NIA 02740 WEST HYANNISPORT MA 02672 Insured is AN INDIVIDUAL Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 03-22-07 to 03-22-08 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s)listed here: NIA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy is applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 1000000 Each Accident �._ Bodfly Injury by Disease: $ 1000000 Policy Limit Bodily Injury by Disease: $ 1000000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any,listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 02-19-07 WC ST ASSIGN: MBA OFFICE: CNA 04d PRODUCER: FLAGSHIP INSURANCE INC 266HG m�tsas . I Parcel Detail Page 1 of 3 i!,Aj l Logged In As: Parcel !I Friday, M< Parcel Lookup Parcellnfo ..... ....... .. ......... Parcel ID 290-110 Developer.LOT 27 Lot Location.278 PITCHER'S WAY Pri Frontage 75 Sec Sec Road . Frontage ...._..... _........ . ......... ......... ......... ........... village HYANNIS Fire District;HYANNIS ......... ............ _..__... ......... _...... ......... .......... Sewer Acct Road Index'1276 Ae . � l aa, Interactive - �r Map Owner Info _,. owner VEBER, DON N TR co-owner:THE 278 PITCHERS TRUST Streets =86 WILLOW ST#6 Street2 CityYARMOUTHPORT ". ._. State MA Zip;02675 Country US Land Info ....... ......... ..__... .... ..... ......... ......... ......... ......... ............................. . .. .. :. . .. _... „ _.:..:.. :. Acres 0.19 use!OFFICE BLD MDL-94 Zoning RB Nghbd CI07 Topography I Road Utilities Location Construction Info Building near'1963 Roof Ext£WOOD FRAME Built Struct Wall Effect 950 Roof AC INONE Area; cover Type- _ Int . .... _ Bed � Style Office Bldg Wall. Rooms ...............- — ._.. Model ;Commercial Floor`Typical Rooms 1 Full _.. _..._..__,,,...._ Heat Total _._..., . Grade:Below Average Type _.._m. _. Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=22449 5/25/2007 Parcel Detail Page 2 of 3 fy3. 5 Heat i Found- Stories i Fuel I Gas Typical ation Permit History Issue Date Purpose I Permit# Amount Insp Date Comments Visit Date Who Purpose 4123 22007 12:00:00 AM Jeannette Kirwan In Office Review Sales History___...._._. . Line � Sale Date Owner Book/Page Sale P 1 12/15/1983 WEBER, DON N TR C90997 - Assessment History .._..._.. _..._...._ Save# Year Building Value XI^Value OB Value Land Value Total Parse 1 2007 $62,300 $1,500 $0 $161,800 2 2006 $57,300 $1,500 $0 $161,800 3 2005 $54,800 $800 $0 $123,200 4 2004 $51,000 $800 $0 $123,200 5 2003 $41,200 $1,100 $0 $43,000 6 2002 $41,200 $1,100 $0 $43,000 7 2001 $41,200 $1,100 $0 $43,000 8 2000 $33,200 $800 $0 $27,000 9 1999 $33,200 $800 $0 $27,000 10 1998 $33,200 $800 $0 $27,000 11 1997 $35,400 $0 $0 $27,000 12 1996 $35,400 $0 $0 $27,000 13 1995 $35,400 $0 $0 $27,000 14 1994 $40,000 $0 $0 $32,400 15 1993 $40,000 $0 $0 $32,400. 16 1992 $45,600 $0 $0 $36,000 17 1991 $56,000 $0 $0 $58,500 18 1990 $56,000 $0 $0 $58,500 ; http://issql/intranet/propdata/ParcelDetail.aspx?ID=22449 5/25/2007 i Parcel Detail Page 3 of 3 19 1989 $56,000 $0 $0 $58,500 20 1988 $38,300 $0 $0 $4,000 21 1987 $38,300 $0 $0 $4,000 22 1986 $38,300 $0 $0 $4,000 Photos http://issgl/Intranet/propdata/ParcelDetail.aspx?ID=22449 5/25/2007 ` y�FTHE t TOWN OF BARNSTABLE 8 0"a _ Office of the Building Inspector lh o0 039 ` YA �" Date May 23, 1995 Fee $50.00 Permit No. 90 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO The Institute for Cognitive and Behavioral Therapy Incorporated DIBIA LOCATION 278 Pitchers Way Hyannis ANY VIOLATION OF THE SIGN LAW WILL CAUIMMEDIATE REVOCATION OF THIS PERMIT \Bullding Inspector The Town of Barnstable Department of Health, Safety and Environmental Services & Building Division date �3 °39. & 367 Main Street,Hyannis MA 02601 fee /S—U Application for S* n Permit g Applicant: 4IM;0-A,/ e =jU u --T-A co 2Por4T66 Assessor's no. 9-10-//0 Doing Business As: fi e, Telephone -77 5-4,7L7 Sign Location street/road: 2.79 t Tck4as (il #g "111s , HA Ga ear Zoning District 8 Old King's Highway District? yes no t0 Property Owner Name: 7-7 9 Telephone 7 71-7S 33 Address: 70 RO X 11 Village Sign Contractor Name: e 66 p 16 s: Telephone -7 71-�lq&5 Address: &50 4&9.60aw Village /J� At Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign to be drawn on the reverse side of this application. V / Is the sign to be electrified? yes no ✓ (Note: if yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. 9 10 Date Signature 4409ftdAdthorized Agent i Y _ Size (sq. ft.) z Permit Fee �G disapproved:Sign Permit was approved:— pproved:s Date Signature of Building Official I f r r,� 27 8 - 4 r L, I 278 l i I ' s MICH.AEL ABRUZZESE, Ph.D. E _... Behavioral Psychologist .3 Children Adolescents Families f (508) 775-6767 BEHAVIORAL HEALTH ASSOCIATES I 1 i DEVELOPMENT ASSOCIATES. CHILD DE�ELO � I I The Institute For Cognitive and. Be vioral Therapy � 1 - . ... - ated rpor ell 4T a' 9 T46$4 116 �� 114 wr arm 8 jeD -z M$ 590 r �- .46� :or. q r 6ac. fe .sl.c 1 11.1 ?? 30 I S • •� A4AC• rAwcerr POND ST •A*tm LANE IOAL 23 5 25 O .39K n Ills ,16 Ll p. 24.Z .40qC nawot !� 24 , fie••.r.c�'1 ctroewrwws Sam M .dl s k � r � ze ., 157— s y AQ Do 10S .101 i4s 1' r4 E 102 t\OK iW:tS/ �� ` PREPARED YNIM THE DIRECTION OP THE BARNSTABLE BOARD OF ASSESSORS ►�9�y SCALE 6 •AVIS AIRMAP INC. 5 / 8 « I 12 MASSACHUSETTS CONNECTICIJT 1 .P ��` �'��• , alter � - 1� �. - lam'♦�ii� �,: cN ✓Zoning District _ --- N� or Old King's Highway District Listed In National and/or State Register of Historic Places Perimeter set backs# Front Side Rear Lot Coverage Tupe of Use (zoning) Flood Plain Zone Elevation 37►� — Number Of Floors _____� — Floor Area# 1st 2nd Other (specify) Parking Requirements: Required Provided Handicapped Spaces Are there accessory buildings? Accessory Buildings Floor Area !/ PLE ASE PROVIDE A BRIEF, NARRATIVE DESCRIPTION OF YOUR PROPOSED PROJECT10 S _s p I N S � t that l have completed (or caused to be eonompleted)the back this of page, the Site Plan Review Application and the checklist .best of my knowle ge, the' Information application and that, to the submitted her is true. signature) {date) + a I I f i F'itji j��lN.�. .;,�- , ((II k � ry •P� �O� ,. Y"Y�' r n � ! �� '� J ��/ '`},. / / / ] r + 4k3 P0LAR01DO3 i II