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0150 ROSARY LANE
ACTIVE Message Page 1 of 1 Anderson, Robin f From: Gallant, Therese Sent: Wednesday, November 02, 2016 9:46 AM To: 'capecodautobrokers@gmail.com' Cc: Hartsgrove, Elizabeth; Anderson, Robin ) Subject: New site Plan Good morning Mr. Coutino, In anticipation of your application for the new plan, I wanted to clarify that the intention to use the land at 150 Rosary Lane was not approved by the Review Committee and I understand that you also withdrew that particular proposal to your plan. The consensus was that you would be able to use the business property (from customer space#5 as designated on your plan forward towards Yarmouth Road) as an area to temporarily stage vehicles. Thank you in advance for your attention.to this matter. Should you have any questions or comments, please don't hesitate to contact me. Sincerely, Therese M. Gallant _ Barnstable Police Department Consumer Affairs Officer w 11/2/2016 RZEE ESTIMATES BRIAN WOODILL 4 Sean Circle•Sandwich,MA 02563 CONSTRUCTION Bus.Phone:508.4202848 Cell:508.685.5290 - ' CO. ub.,#079685 . .. .,,},,,..n.t-:.,.K w.e.:v�--Yd`p,.•a.;r,,.:.t....-++'trry.�....+-._^T—r'1.,,�/�,w,•,.�.f4�.r,yr.s,�,.,-„_,.,.,,s...,.---r". TOWN OF BARNSTABLE BAR-w 4 687 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager � W 2 {-P Y V � C'< hc"Cxy-7-k � � Address of Offender CC)exn y+io,W(-cO+1-, MV/MB Reg.# Village/State/Zip �5 '► � ' (S ( �� Business Name +C #"K( <1-br-t .��5 am/r m on 20/0 Business Address f.o ,� A/ 'y G Q.�6-OAZ Signature of Enforcing Officer Village/State/Zip ' k'(y � Location of Offense -<A c ~ ' Enforcing Dept/Division Offense � 40 -' Gt 14 PoArA Re- SIG t! 5 Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance - of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. ,n r 1 } �• CHILDREN M � a a ✓ ate" a s ': n tir aMst E maw u. -it �,,. �� .��'- ��s, ,,. r T �7 7f� A• � i:.��A� �S�}� x}y l�'Y��1 ... '•� y�- - +� +vP�; tia p . ,.- .,. r• i- � r. r, r'� �'•r T l ` t a :a,, ���!" ��. Lrj�7� r ra >4.� "�"'s,_ � .�,nZy�F{ }�,- .y, {,r� ie � �i lit .y 1 �lt �.7r .. 9 r y •� - .�}V-�.+,• ad :+ r nla «r t.Y �`� " +r' �*• R t `• Pt'AF �' i7 � t •v ry M 7i ,« y`* �".: � .rey•�1 r « t ��i. �. ,+l.0 � YR t`°4�« '�1� ra �"i�0 t}+���r �, � t N�'4H' .,� � Qtr#.k ,«f'142 xA• �%" ff ,&�,"' '�r"t'�. .T pys."�,r, "Vo. ^r8 �• ",,k".ig;�`"• a j'.l�� �r r:.�1;�,,,..i1r �' ! x';'�`'e, �'���-�'sv =k"x-E :� �`w �Jrf Ys . �[� - d1p > r*s5 c*9 �'�� �`� �� '> •.*�,� .���'. �`�,t� ,qt5'' 'X��p+ >.<,.,,yam {li, ,j •� � +i r. t\:S''' .� "c C. �v , ,: it � •' „ ?/ � .r k � . �,, f�� ;,,;� rE«"��'� �eF! r] �.y. r:,�`- . � •:?� 1 '4Yms � � , ,. r,"l � •A;* ,�� 'k 4'- .a.fr��'�: �'�+`r�r ., r `•� ,.• �'.`�,, �..a R1 ` '�i �y ',,� ns p�4'�., '{` t�� '�� �[�ti t dill, AA 4 e. f .� A i 71 iwti;r 1 aYu ay4'.- •` r* .'+ .'"''a" Yi �RosarV e , a nIR «` .4 w" "�/l a � .r•ti .,�,y��-��'13t�p!': 1� 41 ,���,��h. t � � � ,� } `�Sh 1 fit. .4: c,. �F a_.. rir. �i .k. J,« ... �h. '�+�� �•�"' �J'yr�, � •�. �� U! +�".,j.�1� ,�R�' :r,l'i.�^�� ri... .fi+, � 3 Y- y, i.,. .r ��,:i%S YOU WISH TO.OPEN A BUSINESS? Far our Information: Business certificates(cost$30.00 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.) Business Certificates are available at the Town Clerk's Office, 1"FL.,367 Main Street,Hyannis,MA 02601 (Town Hall) DATE: c � Fill in please: APPLICANT'S YOUR NAME:BUSINESS . YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number 0S 20 -dB C1 l"o NA , NEWU.SINES TYPE Op BLI.SINI=SS ^P IS'# :I5 A!1C3ME > -PATlON.)-�, r_YES T NT Ala a yciu h'ean giveri.approYaifrom.the d building avisyon�. Yf5 NO .✓ / 1 11 ... .: MAP PARCEL..NUMBE Ap !RESS t�F B.uS1NES5^-" o LQ, _ �. When n starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barstable. 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 COMISS NER'S OFFIC .� This individua h e ijZ7n4n d ny permit requirements that pertain to this type of business. Au orized ture* COMMENTS- 2. 30ARD OF HEALTH. This individual has beeti informed of the :requiirlis that pertain to this type of business. Authorized Signature CO MENTS: 3. CONSUMER-AFFAIRS (LICENSING AUTHORITY) This individual has b informe of the licensing requirements that pertain to this type of business. uthoriied Signature* COMMENTS: YOU WISH TO.OPIEN A BUSINESS? For Yo ur Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLYREGISTERS he Town Cie rk NAME,Office, 1 FL,367 you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available. Main Street,Hyannis.-MA 02601 (Town Hall) DATE: Fill in please: . APPLICANT'S YOUR NAME: �G � BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home-Telephone Number hIAN) OF NEW SU61NSS TYPI~�F ql I.SINESS LA T�(I -A:1 IQME 6d-0UkT O'N7y� -Yf*6 , 1 N l#rvi i.tha buildin .divis%t�rl� YES NO .✓ /MAP pAtICEL NUMBpD13E55 pF 13US1NES:S 1 '� wn of When starting anew business there are several things you must do in order to be in co.idnpfYou MUST GO TO 200 IVlaice with the rules and n St. {corner of the oof Yarmouth Barnstable. This form is intended to assist you in obtaining the information you may nee Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM NER'S OFFIC This individua h` en4nr d ny permit requirements that pertain to this type of business. Au orized ture* COMMENTS: 2. BOARD OF HEALTH. This individual ha4bqa�informed of the requir is that pertain to this type of business. . Authorized Signature COMMENTS: 3. CONSUMER-AFFAIRS(LICENSING AUTHORITY) This individual has b informe of t�helice�qsingequirements that pertain tothis type of business. uthorized Signature COMMENTS: r YOU WISH TO.OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 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.) Business Certificates are available at the Town Clerk's Office, I FL,367 Main Street,Hyannis,MA 02601 (Town Hall) DATE: Fill in please: rr APPLICANT'S YOUR NAME:�J�a`1Q� BUSINESS YOUR HOME ADDRESS:?SAS (\(%"•P 5-L Uh�� 1 U3- SiY - TELEPHONE # Home Telephone Number NAME.OF NEVI/BU.SINSS 1 ZLG TYPE OF BLl$IN.ESS Q!n y I$THI$.;�:>i�+�MI�vc�uP�aTlo�� Y�s' :-, N©�„�..� l _ •. !l slave yria f�'een given approvalfrc� .th�a�build�nig.cJitisiort�. YES �/ NO ���b / 14DDI��6S{)F•Blf5r.NE5;$. � MAP,�PARCELNUIVIB>~R,.�;� , •'Q�� r . 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 COM ER'S OFFIC This individu'1ha b n infor ed• ny permit requirements that pertain to this type of business. Aut ized Si azure** i6. COMMENTS. . - 'o� 1 / 2. BOARD OF HEALTH. This individual has been informed of the permit requirements that pertain to this type of business. a Authorized Signature** COMMENTS: LICENSING AUTHORITY CONSUMER-AFFAIRS 3. ( ) This' di id al has been informed of the licensing requirements that pertain to thistyPa of business. Authorized Signature* COMMENTS: 5 90 L TOWN OF BARNSTABLE PARCEL ID--000 000 201 GEOBASE ID ' ADDRESS 150 ROSARY LANE PHONE HYANNIS LIP — LOT C BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT ( PERMIT 57767 DESCRIPTION TEMP C\O FOR UNIT"A" PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT CQNTRACTORS: Department of Health, Safety ARCHITECTS: c and Environmental Services TOTAL FEES: ` Tm .00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P: *-dE1°' * BARNSTABLE, MASS. I� ED M1� BUILDING DIVISION BY DATE ISSUED 12/14/2001 gPIRA'A`ION DATE 05 14/2002 � y. r Department.of Health, Safety and Environmental Services TNE . Bn)[trtSTABLF, 039. BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN! CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS ,PERMIT DOES NOT RELEASE THE APPLICANT FROM-THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF.FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE;.SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU= ELECTRICAL,PLUMBING AND MECH- .(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FIN_AL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT wtP ��rJotL't �3 `� I(T V 2 BOARD OF HEALTH OTHER: SITE PLAN:REVIEW APPROVAL WORK.SHALL NOT PROCEED UNTIL PERMIT WILL.BECOME NULL AND VOID IF CON. INSPECTIONS INDICATED ON THIS- THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT_STARTED WITHIN'SIX .'CARD CAN'BE;ARRANGED FOR BY VARIOUS. STAGES OF CONSTRUC- 'MONTHS OF DATE THE PERMIT.IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION., NOTED ABOVE. TION: 7. �(O 7. ' r - • n t• �.W'N. OF !PAIN I ST BL3+; BLOCK LOT SIZE A. DFI ELOPML'NT DISTRI T .rid IM TT TITf:;E1 DEL Department_of Health,Safety and Environmental Services : 25.0 _ . yy /� 1$.0/ C) •ti, t1YT AL fff,7l- MMOL I'?`109:. ' a BARN LC,STAB MA I& Ep�A BUILDING_DIVISION -`. ' /04/2000 EXI j RATI'f ON DATIF THIS PERMIT CONVEYS NO RIGHT TO OCCUPY*ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED_UNDER THE BUILDING CODE,MUST BE APPROVED BY THE.JURISDICTION.STREET OR ALLEYGRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT.DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OPANY APPLICABLE SUBDIVISION-RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED.ON JOB AND,' WHERE.APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED.UNTIL FINAL INSPECTION PERMITS ;ARE REQUIRED._FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF'OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH): PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. I INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY.'. CARD SO IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 9- 27-C l �'G.-o�il� /a•3� a/ 2 • 10% 2-T ".) -PI vw iA ,� 5-_�� 2 ,may y 10 00 3 z 1 HEATING INSPECTION APPROVALS EPk�Fk4ENT_ 2 ./ f2 BOARD OF.HEALTH. 'CJ �iCG7/e'9f'�yC: OTHER:. SITE PLAN REVIEW.APPROVAL I WORK.SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND.VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT.STARTED WITHIN SIX, CARD CAN BE ARRANGED.FOR BY VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED. AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i I I a ' I t•� s Y� w 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION G2fi� Map ParceI3+50300I -fCwV,,.a F BARN f'ABLE Permit# C-3 Health Division f 000 —70(0 6 Date Issued �� S 0115APR 28 AN 9: Ob Conservation Division Application Fee C7, Q Tax Collector Permit Fee Treasurer bTvisjQPf k: 11C fsl=EM Planning Dept. � �` � LL �119 COAPLIANCe Date Definitive Plan Approved by Planning Board WITH TITLE 5 f NVI OINMENTAL CODE AN,Do Historic-OKH Preservation/Hyannis 0�41JN AcIGU 0FON a Project Street Address 15 Village 1.5 OwnerCy\(�Of-5 lkllk�� �(l�z.r)f Address BOX- SZz-. '(Ylal�n� �� C721 Telephone CD 2-(D; — ( Z5 3 Permit Request APP 1\,f—FT-Lf TOX�SxI� For +eac-4 -F►+ ou-t Square feet: 1 st floor: existing I Mai Z5 proposed 19 5 2nd floor: existing proposed Total new c�idci�n� Ct-)0rn Zoning District Flood Plain Groundwater Overlay ,AI'vl 41516ni spga Project Valuation Z 0OO 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 34G5 Historic House: ❑Yes M No On Old King's Highway: ❑Yes 4 No Basement Type: ❑Full ❑Crawl ❑Walkout 4 Other_Mo N E Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:'existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing , new_� First Floor Room Count 2— Heat Type and Fuel: W Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes A No Fireplaces: Existing" New Existing wood/coal stove: ❑Yes 19 No Detached garage:❑existing ❑new. size Pool: ❑existing l]new size Barn:❑existing ❑new size Attached garage:❑existing ❑new _size ..Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes ❑No If yes, site.plan review# Current Use 1 j aco-muse.- ""e, Proposed Use - -r ONCR BUILDER INFORMATION .,Name MAIO Q, RinmGTO N A��X RM�yl Telephone Number 8), `7 3 3 �(o 6 3 Address 66 Y 81 w License# CS - O 6 4 5 A 5 IMfk(�S rtioJ S MULS_MA 01b 4B Home Improvement Contractor# 14415 Z Worker's Compensation# WC - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '�Pvt-Ps-r SIGNATURE - DATE Z 2 `F b t -J 1 FOR OFFICIAL USE ONLY n- PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS 1 VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION r FRAME t INSULATION 8 1 0 S 0& o je FIREPLACE ti ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f i FINAL BUILDING - _ 1 DATE CLOSED OUT " T ASSOCIATION PLAN NO. f I / f i COMMERCIAL,BUILDING PERMIT FEES-. h _ APPLICATION FEE_ k _ New Buildings,Additions ,;. R-$150.00 _ Alterations/Renovations $100.00 /D © " Building Permit Amendment., FEE VALUE WORKSHEET. NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS--OF EXISTING SPACE .. - square feet X$96/s4:foot= 3 ,.X.0081= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprojcost Rev:063004 n 4 NEY. bC CSQ98595 REG'144752 A IMIlVGTON ' � ; CUSTQM CARPENTRY _ FOYER TWENTY-YEARS°EXPERIENCE � ,h + T ALEX RANNEY r ;(508) 733 4683 Office 508 428 T147 PATRICK RIMINGTON Fax 508;428=7167 {Sos) 280-:7074 s 'k The Commonwealth of Massachusetts Department of Industrial Accidents met ffbY#~M 600 Washington Street Boston,Mass. .02111 Workers, Com ensation.Insurance Affidavit-General Businesses ' � bt•e ''i4""•1. ..• � ':r.�•.. •'�i:?m°.. •. :.T��C:'!.4 `N+Sb�. .:C':.�ldhl . name: t �Y address city.�^1 ��`?�� ' ` v \: IS state• ziy' O Z(Q\V 0 phone#O R�' 42_k— work site location(full address): ❑ I am.a sole proprietor and have no one Business Type: ❑Retail❑RestaurantBar/EatingEstablishment worldng in any capacity. r ❑Office❑ Safes(including Real Estate,Antos etc.) MWIMMMMMO am an em to er with Z em to ees full& art time.: 'Other . I am an employer providing vtiorkers' compensation for my employees worldng on this job.. i"•- �tisa: •>'' ..is•• i'{. et s;•i .irisiiralfce.cW.'.�• .� :;:: � �'••:'.;�... ,.:.. I am a sole proprietor and have hired the independent contractors listed belowwho have the following workers' :- compensation polices: Company us city +• � ! _ .....• .. � 'fir:: .'!Y ��,',R>w\' t,•:}.::.•: `''{ t Y.:a':•' ' insurance co.: :�_�•-:`:`-. ,. :.•.• . comDabv na e..� .,„: �:r�; — - ---- -- :,;'_ `�•.'. r• clty':'. .. O:� :. fiisur"snce�so. . 11Cv if Fallure to secrete coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,SOQ.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that p - copy of this statement may be forwarded to the of Investlgations o e DIA,for coverage verification. . I do hereby c i unde sin d pen s of perdu the information provided above is true and eorfect Signature Date I C) - �q _�1,47, Print name K 1 Phone#y ruse only do not write in thisarea to be completed by city or town official town, permittlicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department , contact person phone#; ❑Other (reused Sept 29U3) Information and Instructions Massachusetts General Laws.ch�pter 152 section 25 requires all employers Ao provide workers'compensation for their.. employees: As quoted from the `law", an employee i5.defined as every person in the servi�e'of anotfier under any contract of hire, express or implied; oral or written. �, 4 An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or mgre 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.persoris 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 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 evidenceiof 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 have been-presented.to the-contracting. Applicants Please fill,in .the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name;address.and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirrnation 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 bepartment of Industrial Accidents. Should you have any questions regarding.th6"law"or if you are required to obtain a.workerss 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 fil.1in the perrnit/license number.which will be used as a reference number. The.affidavits may.be.returned to the Department by mail or FAX.unless other'arrangements have been made. The Office of Investigations would like to thank you i a advance for you cooperation and should you have airy questions, please do not hesitate to give us a call. Eyll The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts- Department-of Industrial Accidents BMW of wediggent 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext.406 Glre 92.&1ry�ea t ✓�caaaarlcoeQa Board of Building Regulations and Standards BOARD OF BUILDIN REGULATIONS HOME IMPROVEMENT CONTRACTOR License: CONSTRUCTION SUPERVISOR Registration: .1447523 Number,CS 088595 Expiration 1 I/2/2006 :Type: DBA Expires 04116L2008 Tr.no: 88595 RANNEY&RIMINGTORCUSTOM Restricted 00; AMITY RANNEY. ALEXANDER M RANNEY 267 MEIGGS BACKUS RD.. 267 MEIGGS-BACKUS_RD SANDWICH,MA 02563 � SANbWICH, MA 02563 Administrator Commissioner 00-35,000 cf enclosed spac� - CA 12 License or registration valid for individul.use only 1A (MGL Masonry on on S.soL) = ly before the expiration date. If found return to: 1G-1&2 Family Homes Board of Building Regulations and Standards Failure to possess a current edition of the One Ashburton Place Rm 1301 Massachusetts State Building Code Boston,Ma.02108 is cause for revocation of this license. Not valid without signature — DIG SAFE CALL CENTER: (888)344-7233 Mar 08 05 01 : 10p nF r Town of Barnstable Reg-ulatory Semites r 4 t R MAR2YSI'AMA Thomas V.'GeUer°,Direetrrr .. . ate. e Tam Ferry, Building Commissioner 200 main street, ]jYamnis,n A 02601 WvVW.town.b a rwtable.=.us Office: 508-862-4038 Fax: 508-790-62?0 Prapedy C:�e:p , past Complete and Sign ' 1is Section If Using .k Bur Aden I, JY1C`L�(� ���0`..f50 , as C)-,Y-ner of 6,;sub;ect propexty, hereby Quthcr2e _ . ' t G�,� ._ . to act on m7be , in all rr�mers relative to work authorized by this biding peru�t appkatzon for: �d ,d:mSS of ob} � 1 Iltatc nV'J r._.. Date lam, - ' -� _ _- _ '•!`►mow ' _. r• are ucrd Mo vin ar�d Slorcge Office ;!l - 3 Existing Bathroom '.geed 44- »g Structure WottS /J w Elec//ricol Existing Bathroom u le 1!el a 48'Flourescenl 0 0 a o O - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �� � vo, M i, ® a ins 48 Flourescent m \ — — — — — — — — — — — — — — — — — — — — — — — — — } a # Front Window oroge Door lz ._ 12 L pEIKE TpN, Town of Barnstable " Regulatory Services BAMSTAB" ASS, E Mnss. Thomas F.Geiler,Director y $ 4i'°rF0.19. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 25, 2004 Craig Lohr PO Box 243 S. Dennis,MA Re: Bond release for 150 Rosary Lane, Hyannis Bond No. 006 S 103537045 BCM To Whom It May Concern: Please be advised that an occupancy permit has been issued for the above referenced property. The Town of Barnstable has no further interest in any bond posted against damage that might be done to the roadway during construction on this property. Sincerely She Theroux Division Assistant q/fbrms/bondre12 LICENSE OR PERMIT BOND Travelers Casualty and Surety Company of America Hartford,CT 06183 Bond No. 006 S 103537045 BCM KNOW ALL MEN BY THESE PRESENTS: That we, Lohr Construction Co. Inc. as Principal, and Travelers Casualty and Surety Company of America, a corporation organized under the laws of the State of CT with its principal office in the City of Hartford. CT 06183 ., as Surety, are held and firmly bound unto Town of Barnstable as Obligee, in the full penal sum of Eighty and 00/100 ($80.00) Dollars, lawful money of the United States, for the payment of which,well and truly to be made,we bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, the above bounden Principal has obtained or is about to obtain from the said Obligee a license or permit for Street Permit-150 Rosary Lane, Hyannis and the term of said license or permit is as indicated opposite the block checked below: ❑Beginning and ending ®Continuous, beginning January 02, 2001. WHEREAS,the Principal is required by law to file with Town of Barnstable a bond for the above indicated term and conditioned as hereinafter set forth. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounded Principal as such licensee or permitee shall indemnify said Obligee against all loss, costs, expenses or damage to it caused by said Principal's non-compliance with or breach of any laws, statutes, ordinances, rules or regulations pertaining to such license or permit issued to the Principal, which said breach or non-compliance shall occur during the term of this bond, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED,that if this bond is for a fixed term, it may be continued by Certificate executed by the Surety hereon; and PROVIDED FURTHER, that regardless of the number of years this bond shall continue or be continued in force and of the number of premiums that shall be payable or paid, the Surety shall not be liable hereunder for a larger amount, in the aggregate,than the amount of this bond, and PROVIDED FURTHER, that if.the Surety shall so elect, this bond may be cancelled by the Surety as to subsequent liability by giving thirty (30) days notice in writing to said Obligee. hr Construction Co. Inc. Signed, sealed and dated as of January 10, 2001 t 6 �Sn' Travelers Casualty and Surety Company of America Y Y P Vl ". By Kerry A Pepin , Attorney-in-Fsct S-2133.273 ED �a4 I i G TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � Parcel Permit# Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee �� Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address osa(` Art Q,17 IT "i Village N L/aml i 1 Owner /1����reA ��v�o� Address �Z L;. ✓�/6erl 9d Telephone d' �o- 9 t'oS ,der /# ��(03/ Permit Request e o e— 1Tc�-, &ng4l, tJ0,the-(.J=g _7� �-r dd P Square feet: 1 st 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 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: 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 Cl No Fireplaces: Existing New Existing wood/coal stove: Cl Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑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 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0416, O NATURE DATE l ;z FOR OFFICIAL USE ONLY , t PERMIT NO. _ - f DATE ISSUED 1 MAP/PARCEL NO. ; ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME A Z - /Z- 02 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION v Map�..' Parcel Permit# r 7e,5 "Health Division Date IssuedY Conservation Division Application fee ..Tax Collector Permit Fee '0� r. Treasurer Planning Dept. Date Definitive Plan Approved by,Planning Board Historic-OKH Preservation/Hyannis Project Street Address oS a f Lan n ij l g y P J yan +Village. ��� ���r.j ' Owner Pdi d r e a k�4�o Address L�Z 16er Telephone 5D$ - 9 CO- d er P1417. �.3/ Permit Request t_.. �04!Q P o; [�_S E'.. rf U ' 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't (#units) ; Age Qf Existing Structure Historic.House: D Yes : O No, . -z-O:n.Old Xing!s.;Highway;;❑-Yes ;-O-No Basement Type: ❑'Full ❑Crawl ❑Walkout . El Other. { Basement Finished Area(sq.ft.) Basement Unfinished Area(sq,ft) Number of Baths: Full:existing new Half: existing new Number of Bedrooms: existing new r Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No, Detached garage:❑.existing ❑new size Pool:❑existing ❑new size Barn ❑•existing ❑new size Attached garage:❑existing . ❑new size Shed:Q existing ❑,new, size Other Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ` Commercia O Yes, ❑NQ III .yesrsite:=pla, review-#,-_ _ Current Use Proposed Use . BUILDER INFORMATION Name Telephone Number Address License Home Improvement Contractor# Worker's Compensation# f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE / Ll 0.2 �.fS+i ' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE SIGN PERMIT 1 PARCEL ID 000 000 201 GEOBASE ID ADDRESS 150 ROSARY LANE PHONE HYANNIS ZIP LOT C BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT li PERMIT 61357 DESCRIPTION CHARLES WHITE MANAGEMENT - 65 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL PEES: $100.00 BOND TlIE .00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE +► + BARNSTABLF,63 i MA83. BU LDI G'DIVIS N BAY . ,��. . DATE ISSUED 05/28/2002 EXPIRATION DATEL-/- Town of Barnstable °FINE t Regulatory Services Thomas F.Geiler,Director * 1AMSTABM ;ASS. � Building Division ATFo �° Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit ©00 Ono Pot Applicant: Mrk Assessors No. Doing Business As:-Rp C�,t � �p paf�Telephone No.(A l-j-�-� _ •�, -�v Sign Location Street/Road: 15 d QQ. 0.r-/ LY-1 Ll"jIa S N(Q Dom.- 01 i Zoning District:_Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: L' Ualay-m.&ATelephone: (o Address: A c 2EQ �j �d e S� G? O�i�5. Sign Con •actor Name: Telephone:Sac Address: ISO ensar U P Village: 4,4 — Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that.I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent• Date: Size: Permit Fee: /G O r vy Sign'Permit was approved: Disapproved: Signature of Building Ofci 2 Gl Date: r Signl.doc rev.122801 e;"Z KRY II BUILDING A BUILDINGS BUILDING C 00 rf h r 0 f � i 4 i. aa- MIN ta 4 9a f �; ``C 4i% i "UkRa Town of Barnstable y�°FmEt�''ti� Regulatory Services P Thomas F.Geiler,Director • BARNSTABLE, 9� MASS.s6;y Building Division . ♦0 A�FD MAC A Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax.Collector Treasurer Applicati f9r Sfgn P nnit Applicant: c ;of Assessors No. Q Doing Business As: 14'W,1 Telephone No.C n l.{(� Sign Location Street/Road: n "Q n n 1 RA Zoning District: /7 Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner _ Name: o Telephone:(.p Address: Co m m o R W �`t-J v;' C , d'j �l '"L� (3 1. S Sign Cont actor Name: Telephonerng—'71 k--LOLL 6 Address: Is 6 Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application.- Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit.is required) I hereby certify that.1 am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authoriz Agent: Date: / �j Size: Permit Fee: y' Sign Permit was approved: Disapproved: Signature of Building Offici 1: Date: --2 Signl.doc rev.122801 Town of Barnstable TME Regulatory Services P Thomas F.Geiler,Director • BARNSTABLE, • 16.1. �� Building Division AIFD MA'S a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Tax.Collector Treasurer —Application for Sign Permit 1 C J 345 - Applicant: G No. o3/6-oa 1 Assessors Doing Business As: f4 Telephone No. Sign Location Street/Road: 11VA ,r\ tS Zoning District:Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: C h p�(' S QCL'v�� Telephone:Aa Address:71�Q o►�►,t nip �-�/� 5�0 0< -< LS Sign Contractor I ' Name: L-0.I�tA 0k 0 r15 Telephone: 5n� — ]—] - "t LW 5 Address: �' .�� V Description -T— Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that.I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. I-X J J Signature of Owner/Authori d Agent: ate: cJ o�t 0 a Size: -17 Permit Fee:_ �. y`7J Sign Permit was approved: f p Dis approved: Signature of Building Off 'al: i Date: Signl.doc rev.122801 TOWN OF BARNSTABLE .� SIGN PERMIT PARCEL ID 345 036 001 GEOBASE ID 37856 ADDRESS 0 YARMOUTH ROAD PHONE HYANNIS ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 59203 DESCRIPTION CAPE COD SIGNS 20 SQ. FT. CK#7624 ' PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 Ox TtIE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE d * BARNSTABLE, MASS. 1639. A�O� FD Mlr►I UILD G D V SI E DATE ISSUED. 02/21/2002 EXPIRATION DATE • Town of Barnstable 1 y�P�OFIHE 1p Regulatory Services fiWN OF BARNSTABLE Thomas F.Geiler,Director =r'•--;v + MUMSCABLE. 9�Ar 039. A��� Building Division 21002 FEB 21 PM 12: 09 Ent Peter.F.DiMatteo, Building Commissioner .200 Main Street, Hyannis,MA 02601 DIVISION Office: 508-862-4038 Fax:- 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: 0—. t Assessors No.0 Doing Business As: Cap'o- Sl o5 Telephone No. Sign Location Street/Road: I Aiz' U Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: [ ganQOPk"�Telephone:(00-� l �j Address: L'�5�1(� i,��4� t'1 y L � dl M`I CCU ll�J Sign Con ractor a Name: <S> k Telephone: SOFS Address: ��L Q CIA fl Village: v Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) i I hereby certify that I am the owner or that I have the authority of the owner to.make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: I 43 Size:. Permit Fee: \ �� Sign Permit was approved: Disapproved: Signature of Building O icial: lw� Date: Signl.doc rev.122801 r r 1 A� • �IT. + , _ 1 it �.+w arj OKI 4, CAPE COD S1GNS,' . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 q tJ Parcel 36- 4'3 )4 - Permit# � Health Divisio Date Issued Conservation Division 1T ",� Fee ) r� Tax Collector' :` - -- t t/Zq/oQ Lik SEPTIC SYSTEM BUST 19.E t - INSTALLED IN COMPLIANCE Treasurer _ J/ WITH TITLE S Planning Dept. akC ENVIRONMENTAL CODE AND iP � TOWN REGULATul �A Date Definitive Plar Approved by Planning Boards h ey ` , % G CJ,° Historic-OKH Preservation/Hyannis Project Street Address 1 7 0 (ZO 5 A(2-q A/ti (' >_---J Village 14 Owner 1LNG 6Lo G p,nssa Address 330 Ca MOAJI.✓CAIX IVt% ROf1U�dye Telephone 617 Permit Request C 0 5 i fW U71 66. )( 1 17— - t�AA t ^,A Gt 1A&TA L '3>L9(r D rJ S P5 W 1 i)-i A-(?1F V QCt_^J fit-^/`— .5 I rW D P Square feet: 1st floor: existing proposed 7392. 2nd floor: existing proposed Total new 7Z. Valuation 2001 000 Zoning District Flood Plain C_�;' Groundwater Overlay G I' Construction Type C Lot Size . 2'20 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. IJ 4 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) NIN Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No P/4 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: existing new " Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas Cl Oil ❑ Electric ❑Other Central Air: ❑Yes bk0 Fireplaces: Existing lJ A New Existing wood/coal stove: ❑Yes ❑No tJ,A Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing Cl new size N�1► Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# U 'Recorded❑ Commercial )(Yes ❑ No If yes, site plan review# Current Use `(�.�5 t���✓�, L Proposed Use ChKt� _-g(Lc,( A r BUILDER INFORMATION - Name ��"R �NS 17W47U� �-D, �^�G Telephone Number Address 1070 3 License# 00-Ufl7 S d t)IT -915NnJ)S) M A D"6>0 Home Improvement Contractor# Worker's Compensation# WCAA o D 16 45 Ass w ALL CONSTRUCTION DEBRIS RE LTING FROM THIS PROJECT WILL BETAKEN TO _1) ' S 1T6Z C 1 S SIGNATURE DATE 0 t' ;1 FOR OFFICIAL USE ONLY - PERMIINO. - DATE ISSUED i MAP/PARCEL NO. 4-04 ADDRESS VILLAGE OWNER DATE OF INSPECTION= �! FOUNDATION - - FRAME 3 - INSULATION FIREPLACE E'LECT_R1CAL: ROUGH FILIAL h . PLUMBING: ROUGH FINAL - GAS: ROUGH » FINAL FINAL BUILDING DATE CLOSED OUT, + t ' ASSOCIATION PLAN NO. "� �' « === = Department of Industrial Accidents �-• ;::::= -=�•�- 0!!lcaofl�estlgatloos d Street • \y, - —�� ?�;. 600 Wasl�ington Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit /// // ,//,r Z ���� ��������%/��' name. location: JS G city /�lnJ l S M -Ad' hone# �-0�'-31•f /o7vc� I am a homeowner performing all work mvsel£Fj _ I am a sole proprietor and have no one woricing in aspMINE I=acrtv � ��//////////////////%%/.%// /�%%%%%/%%%%//%////%//////% %%/ I am an employer providing workers compensation for my employees taorldng on this Job. co mannv name: C[ N �p-70 Zp 4i — address: :-„•.•^:<�a city Sv�l C� i?tj Al �� �-. • xM.JO s> wI' - oiicv# , in suran cc-co. � -^ ��-ifi�i�io�i%i/%�//i///////////�%lam/ �one)and bave hired the contractors listed below R I am a sole proprietor, geneiH,Ic—intractor;dir oateowner•( have , the folloINIng worlteis: compensation polices: comev nam --- �a __._..... — ..,,• :,A(:...... .... :.:suns,}v: address. .,- _ -. ...,...: •.. ..,,.,:..?.•�>:��x:}•:;x:xr<;•::r.}.x:. ........ ..... ........... .. ... .vim..... •»c. ....... .....}. X. +boar;• ,:c ? ;, :. M7/ _ / y-insurnnce.cMUMIN/Mo. .:.. .... ... ...:. .. .... :.•:•.•' .. .:•.:::�•-:::::::�::,4:is•:, ..n ... ...::........::.�::v::•.....::::.:....... ..::.;,:...... ..,.,...-::::.S..........,•.:!}:ivy.�:J• }:;{•?:•:•}i:}}:•}}:>.v:.}:• i add ress: _... CitN- :.:•::.:::<• r.. TV insurance co. fafnea tosl.Soo.00am, FaIIure to secure coverage as re under section ZSA of MGL I52 cm WOR to the haposidon of aiaand penal o P - oent as eeeil a+dvilrpensltlea in the form of a STOP WORK ORDER and a One of 5100.00 a day against ma I understand thz one veers'1mP o[t11eflIAfoleorersgeOa' copy of this sa,u be forwarde to the OtIIce otlnvestlgsMons1 do heresythe p d penalties ojperjury that the information provided above ar trtr�and enntd Date 1 ) - /S"- a o Signature phtme# g 3 s?S- S;Z�C7 Print name C--i1A do not write in this area to be completed by�y ortotnr oMcial e' official use only ❑Building Depzrune�'t persniHIIcense f# ❑ city or town. Licensing Board ❑Seiectmen's Office ` DeQatsment ❑ check if immediate response is required QHeaith ❑Other phone#, contact person: Information and Instructions a s all employers to provide workers' compensauon fog their �lassc:c�:s�'s ueneral Laws chapter 152 section 25 requires p Pm ion ees. _As quoted from the "law",an employee is defined as every person m the service of another under any co.^- of i;e --ress or implied, oral or written• partnership association, corporation or other legal entity, or any two or more c: . n crr:Dioier s d��ned as an individual,p _ deceased fcre�oing engaged in a joint enterprise,and including the legal representatives of lovees Howevler'the owner of av �ustee of n individual, partr�ership, association or other legal entity, employing emP dwei>ina rouse having not more than three apartments and who resides therein, or the occupant of the dwelling house of e-Who c:miovs persons to do maintenance , construction or repair work on such dwelling house or on the grounds �0m�' - to be deemed to be an employer. building appurtenant thereto shall not because of such employment , every— or local licensing agency shall withhold the issuance or rene MGL crap,er 152 section 25 also states that._.. rY„_•_ licant_who:h ;; a iice^se or permit to operate a business or to construct buildings in.the commonwealth'fo�any app .: ^d acceptable evidence of compliance with the insurance,coverage required. AddittonaIly, neither the not pro..uce p shall enter into any contract for the performance of public work u W' z con=on.:•eaith nor any of its political subdivisions of this chapter have been,presented-to the.:contra`;-�_ acceatable evidence of compliance with the insurance requirements aurholILy. i. I _a.,14 Dplicznts � - on and . . compensation by checking the box that applies to your situati �, ;c:.ii in tLe workers' comp _ ce as all armdavits may be F - p}�ae nnmbersalong with a certificate of�insurar rc :t1Dt)IyiIIg COrllpariy names,.•addICSS_Sid _W. p A t ctc n Acctdents{�co�firmanon-of nsnran co . e Also b;,.-st.r o a + bmttted to the Departeat of Industrial __. lication for:the permit_or_lsc=e .s �- The affidavit should be criy-Or town that the-application ' ..-.s i e at:.3avit. estions regarding the "Iaw" ar u - Accidents -:.Should you have-any.qu ��;�requested, not the Department of Indnstrral- �at the number listed below. are-tee ausxdm policy,.Please Fail the Dep icn . d to obtain a workers' comp - - City or Towns ^ bl The Departmeat^h=.prgvided a space at the bottom o: :lease be sure that the affidavit is complete and minted y' - regarding the applicant. Pleas ;,davit for iou to fill out inthe evemtthe Office of invesizgattons has to contact you gar �.A nil in the peimitllicease number which will,be used as a reference number. The affidavits may be rr^ v o..sure =rMSem have been made. the Deparmient by mail or FAX unless other The Office of Investigations would lu'ke,to thank you in advance for you coope ration and should you have any qu--mc= :)I ase do not hesitate to give us a call. J PIPE/ // j/j� riir 11/�1531"ii,��.� mmlb the D _,�lent's address,telephone and fax err. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat 406, 409 or 375 -� Town of Barnstable ~°^ Regulatory Services BMWSTABM Mass, g Thomas F.Geiler,Director i639. ♦0 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 1, 2000 Charles White Management 330 Commonwealth Ave. Boston, Ma. 02115 Re: SPR 144-00, 150 Rosary Lane, Hyannis (R345-036-001, 002, 003 &016) Proposal:, Construct new 7,392 sf commercial building consisting of 4 bays. To Whom It may Concern: Please be advised that this application was approved at the.Site Plan Review hearing on November 30"'with the following conditions: All occupants/uses must comply with restrictions as outlined in the GP overlay district (Zoning Ordinances 3-5.2 subsection 6). No washing,repair or maintenance work shall be performed on site. The dumpster shall be 10' from the property line, on an impervious surface, screened from view. cerely, Robin C. Giangregorio SPR Coordinator Q:Bldg\siteplan\2000\charleswhite ✓1ze vi omvnzmuuea�i a�,/�.aaaac�ivaella BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR { ti Number: CS 005887 i I ; r Expires 03722J2002 Tr.no: 20364 "•� - — as c To: -UU' CRAIG A LOHR 1070 RT 1341PO 136K.243- e S DENNIS, MA 02660 Administrator z f �� I ti 86.9;?' N � 4z MAP 345 PCL 14 co W J 0- 2 38.00, LO CIV LOT B CONCRETE 34,g FOUNDATION 0 O,y / T.F. EL. 36.58 of Ln LO a m �0 \` a_ �y LOT C PB 556 PG 50 �O 1.91 AC.f LOCUS rn Q,Co Az MAP 345 R9' r,Iq+;� PCL 17 O a \ \ MAP 345 PCL 18 Q � d co co M 44 08, CERTIFIED PLOT PLAN JOB # 00-139 � PREPARED FOR THE SOLE PURPOSE OF OBTAINING A BUILDING PERMIT LOCATION ROSARY LANE, (HYANNIS) BARNSTABLE, MA SCALE 1 " = 80' DATE : "02-08-01 PREPARED FOR: DEED REF. DB 13026 PG 142 LOHR CONSTRUCTION ASSESSORS MAP 345 PARCEL 36-1,36-2,36-3,16 COMPANY INC. PLAN PB 556 PG 50 1 HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE off 508-362-4541 GROUND AS SHOWN HEREON. OF fax 508 362-9880 C o� FIN A yc down cape engineering, inc. CIVIL ENGINEERS o.cri a� LAND SURVEYORS ' I ----- !aR ` 939 main st. yarmouth, ma DATE REG. AN VEYOR r TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 000 000 201 G" OBASE ID ADDRESS 150 ROSARY LAI PHONE HYANNIS ZIP . _ LOT C }$ BLOB LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 65702 DESCRIPTION DAZIES PLAYHOUSE/26 SF PERMIT TYPE ' BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $50.00 BOND .00 tHE CONSTRUCTION COSTS $.00 753 MISC. NOT CObED ELSEWHERE ' * BAmirABLE, ass. i6g9. A�� RFD 11AAr - - BUILDI IVIS BY DATE ISSUED 12/04/2002 EXPIRATION DATE Department of Health, Safety and Environmental Services 1 Building Division G. �'°rFo► �' 367 Main Street,Hyannis MA 02601 tv Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 ♦ Building Commissioner Tax Collector Treasurer Application for Sign Permit 7� _ Applicant J.Cy.ov Cyr Assessors No. of Doing Business As: 1 )AZ k e 1- 101 y�1 Ot,{S 2 Telephone No. � �o Sign Location ' ,�✓ p Street/Road: �S 0 • /CoSQr � L. 9nQ 1-�i'C��titi OZ (vOf Zoning District: Old Kings Highway? Ye /IVo yannis Historic District? Y s/ o Property Owner /� Name: Telephone: (--7•- 7� 1 - 320 Address: 330 Lmmofl (�' AO e- 3aw.j,��LRLt ()Q t15 r Sign Contractor Name O Telephone: y Address: Village:—" n L:S Description Please draw a dilgrun of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Ye)No (Note:Ifyes, a wiringpermit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to die provisions of Section 4-3 of the Town of Banjstable Zoning Ordinance. i Si ature of Owner/Authorized Agen gn ts C Date: Size: S Permit Fee: or Sign Permit was approved: 0/2 Disapproved: Signature of BuildingOfficial: Date: j Z Signl.doc rev.8/31/98 Z0 00 NOT- Y. WF 1 i t � _ NtY is ~��N 77* . t t �t Town of Barnstable Regulatory Services yBARNSTABLZ KASS.. Thomas F.Geiler,Director E1639. Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 1, 2000 Charles White Management 330 Commonwealth Ave. Boston, Ma. 02115 Re: SPR 144-00, 15�ary Lane,Hyannis(R345=036-001, 002, 003 & 016) Proposal: Construct new 7,392 sf commercial building consisting of 4 bays. To Whom It may Concern: F Please be advised that this application was approved at the Site Plan Review hearing on November 30'with the following conditions: All occupants/uses must comply with restrictions as outlined in the GP overlay district (Zoning Ordinances 3-5.2 subsection 6). No washing, repair or maintenance work shall be performed on site. The dumpster shall be 10' from the property line, on an impervious surface, screened from view. cerely, Robin C. Giangregorio SPR Coordinator Q:Bldg\siteplan\2000\charleswhite TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��`. Parcel . Permit# b y 0 Health Division Date Issued J&D � Conservation Division s+si 60 Fee Tax Collector ' A"v"~ !i/�xlov -•�� Treasurer__CZ 60 "" Planning Dept. A Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address I Jr0 k 05A VZ i I-A !y6 FJS. 'Village 14 `i A IVIV 1 S Owner ANG ELO 6-USS0 Address 330 ( CfwAoNWn)4iAyA 365nN,M4 o1►r1 Telephone G 17- a fo 7- 1 2J3 ` Permit Request NG Lc:- Fdl Al fL&5 l:D r�� c �t, r Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 0 Zoning District Flood Plain C S Groundwater Overlay Construction Type Lot Size 4;:3 22to Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes �A No On Old King's Highway: ❑Yes No Basement Type: ` j Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage: ❑existing. ❑new size Pool:❑existing ❑new size. Barn: ❑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 Loif(Z (G,v5r7w won) 429 ; Pc Telephone Number .5799- 3�S " fa20C� Address j0 70 12f1r /31 License#• 000 � 7 S D u p+ M l) Home Improvement Contractor# Worker's Compensation# W C M 0 D 10 `f_55- AS WirS7) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO d"i 2!Q G LAN, , 'F I SIGNATURE DATE 00 FOR OFFICIAL USE ONLY PERMIT-NO. DATE ISSUED MAP/PARCEL NO. A ADDRESS VILLAGE w OWNER DATE OFINSPECTION _ 4 FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH - FINAL PLUMBING: ROUGH FINAL GAS: t ROUGH FINAL _ FINAL BUILDING x ° DATE CLOSED OUT - ASSOCIATION PLAN NO. t f t