HomeMy WebLinkAbout0525 SOUTH STREET (3) Jam .__ �-�- �--
r
i
PROJECT
NAME:
ADDRESS:
PERAHT#.
PERAUT DATE:
M/P•
LARGE ROLLED PLANS ARE IN:
a
BOX
SLOT
Data entered M` MAPS program on: 1 /• F
BY:
q/wpfiles/forms/archive
s .
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-. •=4 �� �( _ Fill in please:
APPLICANT'S YOUR NAME/S: e
BUSINESS YOUR HOME ADDRESS:
t TELEPHONE # Home Telephone Number �
NAME OF CORPORATION:_ /'
NAME OF NEW.BUSINESS_ 'S' 4*it-!% .1��r�;� �� - TYPE OF BUSINESS -�
IS THIS A HOME OCCUPATION? YES
N �/ !
ADDRESS O.F BUSINESS ,.,_- f"o MAP/PARCEL NUMBER 30S �o (Assessing]
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 COMM O ER'5 OFFE
This individua;ha' n infer o any. er it requirements that pertain to this type of business.
Au orized Si not
COMMENTS: 9
2. BOARD OF HEALTH
This individual ha _been inf ire f th7epqrrajVPequirements that pertain to this type of business,
Authoriz Signature*
COMMENTS:
MUS4%,0IVIFLY WITH
ALL
3. CONSUMER AFFAIRS (LIC NSINP A THORITY
This individual has be linfor(jpe f he licensing
n �n requirements that attain to gp this type of business. I
yAnut orize Sign ,t e** f� `I /
COMMENTS: L .i1.� 'G9C—G��
L���,�
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: Fill in please:
�, ,,, ...
1 � a� APPLICANT'S YOUR NAME/S: Ati�EitJ I�1 A,'W0AUD
tf "t BUSINESS YOUR HOME ADDRESS: 1o1,LrAi4JVl�ti,"t1a S�4✓�Dic>�i l�► SLG�
3. s
ELEPHONE # Home Telephone Number l IQ-1�Zr�f
Nmmx
NAME OF CORPORATION:
NAME bF NEW BUS INESSK'� ,4o+.i��•'/L1��J�'t�6�) b,��i Che�. j TYPE OF BUSINESS Si�Lr��U " n
IS THIS"A HOME OCCUPATIONS YES NO
� (oZ
ADDRESS OF,BUSINESS^ '• �5 :�Sr .rJ! �f•'"y-�i �G- . :' MAP/PARCEL NUMBER (] [Assessin'g]
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 Ije
I
R'S OFFCE
This individu I h infor fAap j Lit regu_irements that pertain to this type of business.
ori Signatu
COMMENTS: t
2. BOARD OF HEALTH
This individual has,beeninfprme f the permit requirements that pertain to this type of business. MUST,XMPLY WITH ALL
,t.7ARr)011S MATERIALS RFGULATION7,
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has n in or �q[o�the licensing requirements that pertain to this type of business.
Auth rized atur�e*
COMMENTS: X��I70a .0 0
TOWN OF BARNSTABLE BUILDING PERMIT APPI✓IfATIONI,` E
Map 30 Parcel Application
Health Division .`' } Date Issued . Z
a e�m" a
Ak
Conservation Division �S � � 4� Application Fee
Tax Collector Permit Fee Iro
Treasurer �!
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis Ire
Project Street Address 5X5 SoAl-, S4
Village 1
Owner 4 - aQ11IL" Address W3 S ��
ii
Telephone 50b 3(0q As(o
Permit Request `` l
F6 WC,
^j!�
Square feet: 1st floor:existing 1600 proposed 2nd floor:existing proposed Ttal new.
Zoning District Flood Plain Groundwater Overlay
CA
Project Valuation Construction Type '
c.0
Lot Size Grandfathered: ❑Yes ❑No If yes, attach support g documentati617.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) l
Age of Existing Structure (yzW Historic House: f"Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout L/Other Ooyw
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: ZGas ❑Oil ❑ Electric ❑Other
Central Air: U(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 64,ce I �e�C►t Proposed Use a'� ce l (Ze' J �-t��r J 1��I
BUILDER INFORMATION
Name 1"4oTelephone Number 15-0 L9 A9 Q
Address flq;ycar ed License# C5 0907 9e
L, C//. 0 34?a Home Improvement Contractor# 1 q 9&V 3
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
IPA CIA' Srol/A k I,,
SIGNATURE DATE
�
~ ® < FOR OFFICIAL USE ONLY \
"APPLICATION*
DATE ISSUED
/ MAP/PARCELNO. ,
} ADDRESS VILLAGE '
: .
! OWNER _
\ .
ƒ . . . .
} DATE OF INSPECTION: .
\
FOUNDATION
\ FRAME
INSULATION
FIREPLACE
\. ELECTRICAL: ROUGH FINAL
: PLUMBING: ROUGH FINAL '
ƒ '
GAS: ROUGH FINAL
~ FINAL BUILDING
$ . .
{ DATE CLOSED OUT .
} ASSOCIATION PLAN NO.
>
} .
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations ,I,
_ a 600 Washington Street ,
Boston,MA 02111' '
www.mass.gov/dia ' C
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A licant Information \ Please Print Le ibl
Name(Business/Organization/Tndividual):
Address: 0AVas
City/State/Zip: 0 &3 Phone.#:
Are you an employer?Check the appropriate bog: :Type of project(required):.
I.❑ I am a employer with 4• 0 I am a general contractor and I
have hired the sub-contractors 6. New construction .
Pmpl- ees(full and/or part-time).*'. Remodeling
2. I am a'sole proprietor or partner- listed on the'attached sheet 7• ❑ g
ship and have no employees) ' These sub-contractors have g• (]Demolition
workingfor me in an capacity. employee$and have workers'
Y P t3'• t . 9. Budding addition a
comp.insurance.$
[No workers comp.insurance Electrical 10. repairs or additions '
required.]
t 5. We are a corporation and its 0 P
3.❑ I am a homeowner doing all work . officers have exercised their 11.[1 Plumbing repairs or additions '
myself.[No workers'comp. right of exemption per MGL 12.[]Roof repairs
insurance.required.]t c. 152, §1(4),and we have nomP employees.Ll`T r,/
] e to o workers' 13. Other
comp,insurance regilired.]
*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 ornot those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.poHdy number.
I ani 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 lip 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the CIA for insurance coverage verification.
I do hereby certify under the pains a penalties of perjury that the information provided above is true and correct:
Si ature: Date: 1
Phone# S ore
�o _ S
Official use only. Do not write in this area, to be completed by.city or town official
City or Town:' Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
oF1HETo,,, Town of Barnstable
r r
Regulatory Services
r r
yan MASS. E$ Thomas F.Geiler,Director
039. & Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section`
If Using A Builder
v
I, , as Owner of the subject property'
hereby authorize % f' Glri to act on my behalf,
in all matters relative to work authorized by this building permit application for: `
(Address of Job)
ts�cjb I 11 --7
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
QTORMS:OWNERPERMISSION
t i
P�OFSHE r Town of Barnstable
v, O
Regulatory Services
�w BARNSTABLE,
Thomas F.Geiler,Director*
MASS.
i639• Building Division
rFo wta�° Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
---------------------------------------------------------------------------------
------------------------------------------------------------------------------------------
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
411h1 pip",
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I BOARD OF BUILDING REGULATIONS I I
1 � License CONSTRUCTION SUPERVISOR i
092058 I
(Number C$ +
10/1711972
e }
}
.. - Tr.no: 92958 } l
ElCpires 10/17/2009 i
Restricted 00 , ,
SHANE PACHECO f, K
74 GREAT HILL ROAD G-
SANDWICH, MA 02563 Commissioner
L
�MV.5 Town-of,Barnstable
g ReV ulatory Services
.
vBA SABLE, Thomas F. Geller, Director
�p t6�q. �m
r�019 a Building Division
Tom perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.toiYn.barnst2ble.mq.us
Office: 508-862-403 8 Pax: 508-790-6230
Property Owner Must
Complete and Sign. This Section
If Using A Builder
as Owner of the subject property i
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
s
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the Homeowners License
Exemption Porrri on th'e reverse side.
%Y
Town of Barnstable
yw�of YHE r���
Regulatory Services
Thomas F. Geiler, Director
BARNST US,
MASS.� Building Division
s67p• Tom Berry,Building Commissioner'
200 Main Street, Hyannis., N A 02601
,Arw)Y.town.barnstable.ma.us
Fax; 508-790-6230
'Office; 508-862-4038
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: street village
number
"HOMEOWNER": home phone N work phone#
name
CURRENT MAILING ADDRESS:
zip code
city/town
state
The current exemption for"homeowner "was extended to include owner-occupied dwellius of six.unitS or less and
to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as
supervisor.
DEITNITION OF HOMEOWNER
Person(s) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to
be, attached or detached structures accessory to such use and/or farm structure
a one or two-family dwelling, a S. A
person who constructs more than one home in a two-year period shall not be considered a homeowner, Such
"homeowner"shall submit to the Building Official on,a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1-1)
The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,rules.and regulations,
The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Buildirig Department
mir.irnum inspection procedures and requirements and that he/she will comply with said procedures and
requirements,
Signature of Homeowner
Approval of Building Official
Note; Three-family dwellings containing 35,000 cubic feet or larger will be required.to comply with the
State Building Code Section 127,0 Construction Control.
HOMEOWNERIS EXEMPTION
s that: "Any homeownerperforming work for which a building permit is required shall be exempt from the provisions
The Code state construction Supervisors);provided that if the homeowner engages a person(s)for-hirc to do such
of this section (Section 10 that:
Licensing of
work, that such Homeowner shall act as supervisor,"
Many homeowners who use this exemption are unaware that they are assuming the respons�bilitics oCa supervisor(see Appendix Q,
Rules &'Rcgulations for Licensing Construction Supervisors;Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
meowner is fully aware of his/her responsibilities,many communitics.rcquire,as part of the permit application,
To ensure that the ho understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
that the homeowner certify that mro
rtification for use in your community.
several towns. You may care t amend and adopt such a fom-Vc
-
''! r The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
`'� ;• www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly.
Name-(B iness/Organization/Individual): t jC_
cAddr-ess:
Cis tY/State/ZiP ���L �y1�5 `�1 `�\ Phone.#:1ScA
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. 1 am a general contractor and I
employees(full and/or part-tim.e).
* have hired the sub-contractors 6. ❑New construction
.2.0 I am a sole proprietor or partner-' listed on the attached sheet. 7.. Q Remodeling
ship and have no employees `these sub-contractors have 8. E] Demolition
workingfor me in an capacity. employees and-ha've workers'
y p �'• 9. ❑Building addition
[No workers'comp. insurance comp. insurance. '10.❑ Electrical repairs or additions
required.] 5. Q We are a corporatiodand its
3.❑ I am a homeowner doing all work officers have exercised their 11:❑Plumbing repairs or additions }
myself. [No workers' comp.. right of exemption per MGL 12.0 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.
xContractors 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 maybe forwarded to the Office of
_Investigations of the DIA for insurance coverage verification.
I do hereby certify u1 na ties of p rjury that the information provided above is true and correct.
_ S DateSt�ature: � V g
Phone#: ,�5 � �� `� S-7 00
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Permit/License#
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#:
TOWN N OF BARNSTABLE BUILDING PERMIT APPLICATION
A
Map J Parcel 41
Application', #
Health Division Date Issuedi
Conservation Division Aplblication Fee
PlanninglDept.— Permit Fee:
Date Definiti4 Plan Approved by Planning Board
Historic - OKHr Preservation Hyannis
(E-rgject_Street-Address_--n,
C\n, Address
jelephone=6a, 22 �!f�i — �7"�(Dcp
Permit Request
y-YA
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Gr'oundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: L3 Yes LJ No If yes, attach supporting documentation.
Dwelling Type: Single Family ; LJ Two Family LJ Multi-Family (# units)
Age of Existing Structure Historic House: LJ Yes LJ No On Old King's Highway: LJ Yes LJ No
Basement Type: LJ Full LJ Crawl L3 Walkout LJ 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: LJ Gas LJ Oil L3 Electric L3 Other
Central Air: LJ Yes LJ No Fireplaces: Existing New Existing wood/coal stove: LJ Yes Ll No
Detached garage: Q existing L3. new size—Pool: Ll existing L3 new size Barn: LJ existing Q new size
Attached garage: LJ existing LJ new size —Shed: Ll existing U new size Other:
Zoning Board of Appeals Authorization Ll Appeal # Recorded LJ
Commercial Ll Yes L3 No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name !f� _IkAA Telephone Number
License #
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
x
FOR OFFICIAL USE ONLY
APPLICATION#
DATEISSUED
r`
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
E.
DATE OF INSPECTION:
FOUNDATION
i
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
C
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
R
k
�t
DATE CLOSED OUT
ASSOCIATION PLAN NO.
m
°F.NE Town of Barnstable
BARMAT,' E.
Regulatory Services
MA
9 SS.
i679• �0 Building Division
plFD MPS�
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
Location t, Sd U` - Permit Number
Owner Builder
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
R-0f-I'7- '-5 `� cat==..s C_Cos
S `� (,
`"7� � t � � �� Ku tf
6)70P b 6- k.E S
�5M 0--0 l9- �I r 77� If
f
f
i
t
j�
3
Please call: 5 8-862-4038 or re-inspection.
Inspected by
f r
Date --7 "' O(J 6 q
ti
tHE► ti�� Town of Barnstable
BARNSTABLE,p Regulatory Services
9 MASS. 0
Building bivision :'
lED MP'�A.
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038 s ''• _. ., >.. .M.„ w<,: y n.,s.. _.... ,_. R . _ ..... °
Fax: 508-790-6230
'- Inspection Correction Notice
Type of Inspection A 2r:*
Location 5I S S ov T 7+ S7', Hy Permit Number
Owner .51
/�-Ff-cC. o Builder S , P �E-C d
One notice to remain on job site, one notice on file in Building Departmeni.
The following items need correcting:
t- 1 CU A-'7Bk- Arc V C7�- REIN Tw-- E:::N
'•T D c o.3c
r-
`� I'F o Hoke �O ',S ro 2 I3' �--+�G-- Co E'7
Please call: 508-862-4038 for re-inspection.
Inspected by
Date 3 ® 7
C-
i
�aS
Town of Barnstable ,
Building Department - 200 Main Street Y
EARNSTABLE. * Hyannis, MA 02601
9 MASS
s639. . (508) 862-4038
Certificate Hof Occupancy..
Application Number: 83968 CO Number: - 20080045
Parcel ID: - 308162 -CO Issue Date: 03107/08
Location: 525 SOUTH STREET Zoning Classification: HYANNIS VILLAGE BUSINESS DIST
Village: HYANNIS
WGen Contractor: PACHECO, SHANE Permit Type: R CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: FOR UNIT R1
a
R)--vv�
-7-� �
Building Department Signature Date Signed
J
Town of Barnstable
Building Department - 200 Main Street
sARNSTABLE; = H yann is, MA 02601
MASS. (508) 862-4038
i639
. Certificate of Occupancy
Application Number: 83968 CO Number: 200900004 J
Parcel ID: 308162 CO Issue Date: 07124109
Location: 525 SOUTH STREET Zoning Classification: HYANNIS VILLAGE BUSINESS DIST
Proposed Use: MIXED USE RETAIL & RES
Village: HYANNIS
-Gen Contractor: DUMONT ENTERPRISES Permit Type: CCO2
CERT OF OCCUPANCY COMM 2
Comments: FOR UNIT R2
7 - �-��-
Building Department Signature Date Signed
NE
P�ITo Town of Barnstable
Building Department - 200 Main Street
9B $ Hyannis, MA 02601
1639. - (508) 862-4038
TFp MA't A
Certificate
of
"Application Number: 83968 CO Number: 200900005
Parcel ID: 308162 .- CO Issue Date: 07/24/09
Location: 525 SOUTH STREET Zoning Classification: HYANNIS VILLAGE BUSINESS DIST
Proposed Use: MIXED USE'RETAIL & RES.
Village: HYANNIS
-Gen Contractor: DAVI D S. DU 0 Permit Type:M NT e: CC03
.
CERT OF OCCUPANCY COMM 3
Comments: FOR UNIT R3
Building Department Signature ._ Date Signed
�.�aFrgw TOWN OF BARNSTABLE Building
Application Ref: 83968 m it
BARNSTABLE. Issue Date: 05/06/05 Perl 1 I
y MASS
�ArFG 3N1�A�A�� Applicant: Permit Number: 83968
Proposed Use: COMMERCIALLY ZONED DEV LAND Expiration Date:
Location 525 SOUTH STREET Zoning District HVB Permit Type: NEW SINGLE FAMILY HOME
Map Parcel 308162 Permit Fee$ 3,734.14 Contractor PACHECO, SHANE
Village HYANNIS App Fee$ 25.00 License Num 149863
Est Construction Cost$ 457,920
Remarks APPROVED PLANS MUST BE RETAINED.ON JOB AND
3 CONDO UNITS OVER RETAIL STORES-TOTAL 4 I THIS CARD MUST BE KEPT POSTED UNTIL FINAL
L CHANGE OF CONTRACTOR.-1/30/07 P, I P, �- R J INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: PACHECO, SHANE M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 309 BISHOPS TERR INSPECTION HAS BEEN MADE.
HYANNIS, MA 02601
Application Entered by: Building Permit Issued By:
THIS'PERMIT.CONVEYS'NO.RIG HT TO OCCUPY ANY STREET;ALLY OR SIDEWALK OR ANY P.ART`:THEREOF;EITHER TEMPORARILY.OR PERMANENTLY:
ENCROACHEMENTS ON PUBLIC PROPERTY;:NOT,SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVE1 BY THE JURISDICTION.
STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE 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 CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5.INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE.THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.I42A).
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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tti Town of Barnstable
Building Department - 200 Main Street
sARNSTABLE, Hyannis, MA 02601
MASS
9�A i639. . (508) 862-4038
Certificate
of Occupancy
Application Number: 200708038 CO Number: 20080009
Parcel ID: 308162 ' CO Issue Date: 01114108
Location: : 525 SOUTH STREET - Zoning Classification: HYANNIS VILLAGE BUSINESS DIST
Village: HYANNIS
Gen Contractor: PACHECO, SHANE Permit Type: CC00
CERTIFICATE OF OCCUPANCY COMM
Comments: C.O. FOR NICARA HAIR SALON
Building Department Signature Date Signed
TOWN OF BARNSTABLEBluii= in
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ti
Application Ref: 200708038
BARNSTABLE, Issue Date: 12/19/07 Pe'rm' it
9 MASS.
1639• Applicant: PACHECO, SHANE Permit Number: B 20073105
Ar�O �p
Proposed Use: COMMERCIALLY ZONED DEV LAND Expiration Date: 06/17/08
[Location 525 SOUTH STREET Zoning District HVB Permit Type: COMMERCIAL ADDITION ALTERATION
Map Parcel 308162 Permit Fee$ 50.00 Contractor PACHECO, SHANE
Village HYANNIS App Fee$ 100.00 License Num 149863
Est Construction Cost$ 0
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
TENANT FIT OUT FOR HAIR SALON-NICARA THIS CARD MUST BE KEPT POSTED UNTIL FINAL
INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: PACHECO, SHANE M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 74 GREAT HILLS RD INSPECTION HAS BEEN MADE.
SANDWICH,MA 02563
Application Entered by: PR Building Permit Issued By:
THIS PERMIT:CONVEYS NO RIGHT TO OCCUPY ANY-STREET,'ALLY OR SIDEVI/ALK,OR'ANY PART THEREOF,EITHER.TEMPORAR[LYOR PERMANENTLY.
ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED+UNDER THE BUILDING c&DE 'vIUST BE APPROVED BY THE JURISDICTION:
STREET ORALLY.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 CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5.INSULATION.
6.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
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BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
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The Downeys
Jean,Joey,Caiden&Jillian
1298 Tremont Street,Duxbury,MA 02332
Home:781.934.2298 Jean Cell:781.771.3361
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Joey Cell:781.883.3813
Jean's email: KikiKooCat@comcast.net
t�`-
r e a
as Trustee under its Trust Number
ssignment this 1 ath day of March 1997
JAMES NO TON
X as Trustee,as aforesaid
Title:
both assignor and assignee and one executed copy lodged with
RNSTABLE REGISTRY OF DEEDS
i
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YOU WISH TO OPEN A BUSINESS?
For Your Information Business certificates [cost$3.0.00 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 ope.rate.) Business Certificates are available at the Town Clerk's Office, 1' FL., 367
Main Street, Hyannis, MA..02601 [Town Hall)
auW4 I&=cNA woos meta€ Y _ oc.-rE•
Fill in ploasa:
t p
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APPLICANT'S YOUR NAME: . . Q�L.In ( l 1C(✓VlS (' i/ll� �Ov1V1CtT i it l�
,: 9USINESS YOUR HOME ADDR SS: 3a �✓I �. 2 fla(� U � �^/(2d
} wa.5 1c1S
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TELEPHONE # Home Telephone Number � 2_�-(oGct o SA SS L4 31
NAME OF NEW BLJ61NE:uS Bl'15
� ' PC\-•; � t� .. OF INES
IS THIS A HOME OCCUPATION? YES_ IVO .
TYPE
Ct l'� vim,
Have you been given approval fr orn the building d;ivison'. Yes NO
ADDRESS OF BUSINESS ��S $o Sir + :_�7 c: b o I :MAP/PARCEL NUMBER z .G /L.
"When starting a new business there are several things you must do in order-to be in compliance with the rules and regulations bf the Town of
Barnstable. This form is intended to assist you in obtaining the information you Inay 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 CO SS ER'S OFFICE
This individ al hasAthhor
n_wi fo ed.o a permit requirementsth t pertain to this type of business.
ized-S-i n ure*
1
COMMENTS: ,
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS: .
3: CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized.Signature.*
COMMENTS:
t Sign
TOWN OF BARNSTABLE Permit --
at *
* BARNSTABLE,
MASS
1639.
Permit Number:
Application Ref: 200800021
20070114
Issue Date: 01/02/08
Applicant: PACHECO, SHANE M
Proposed Use: COMMERCIALLY ZONED DEV LAND
Permit Type: SIGN PERMIT
Permit Fee $ 25.00
Location 525 SOUTH STREET
Map Parcel 308162
Town HYANNIS
Zoning District H V B
Contractor PROPERTY OWNER
Remarks
NEW FREE STAND SIGN FOR THREE TENANTS
525 SOUTH THREE TENANT SPACES -NO IDENTIFIED
Owner: PACHECO, SHANE M
Address: 74 GREAT HILLS RD
SANDWICH, MA 02563
Issued By: p
POST THIS CARD SO THAT IS VISIBLE FROM THE STREET
,. Town of Barnstable
Regulatory Services
o" Thomas F.Geiler,Director
' "B Building Division
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039. �m Tom Perry,Building Commissioner G (
pt A 200 Main Street,Hyannis,MA 02601 6 0 6 Z
www.town.barnstable.ma.us
Office: 508-862-4038 F 508 0-6U;O
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Permit# '
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Application for Sign Permit t ` e00
Applicant: � At--P, Map &Parcel# 30
)doing Business As:
C� Telephone No.�)Q rn
Sign Location
Street/Road:
Zoning District: Old Kings Highway? Yes/No Hyannis historic District? o
Property Owner
Name: Telephone: � �
Address: "14 Village: :-n V l
Sign Contractor 4 Q —32 �21
Name: 4�9 Telephone: J
Mailing Address: C)
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.
(3
Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) x
Width of building face V�C7 ft.x 10= V`�v�x.10= V�(J Sy.Ft.of proposed sign
I hereby certify that I am the owner or that I have the auth ity of the owner to make this application,that the
information is correct and that the use and construction sh 1 conform to the provisions of§240-59 through§240-89
of the Town of Barnstable Zoning Order ;
Signature of Owner/Authorized Agent: \ A4A(PS Date: .
Permit Fee: .
Sign Permit was approved: Disapproved:
Signature of Building Official: Date:
In order to process application without delays all sections must be completed.
Q:1WPF1LES1S1GNMIGNAPP.D0C `
'Rev.9/12106 ,
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6" X 42" TENANT'SIGNS
WE: DESIGNED BY:
CUSTOMER APPROVED BY
FlLENAME P.O. NUMBER: