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c and Em
vironmentalservices T
Department of Health, Safety
Building Division '
v 'CAM
s�s9 . 367 Main Street,Hyannis MA02601
� • e
Ralph Crossen
Office: 508-862-4038 Building Commissioner
Fax: 508-790-6230
Tax Collector
Treasurer
tj!
Application for Sign Permit
Applicant.
I c 14 A (,r,A.� Cr v r,, sessors No.
Doing Business
Telephone No. 2�i
Sign Location
Street/Road•
Zoning District:
Old Ifings Highway? YedNo Hymnis boric District?
Yes/No
Owner 2 2
property Telephone'. i
Name' -
� Village;
Address: ' "
Sign Contractor Telephone:
Name:
. Village:
Address: Description
Please draw a diagram of lot showing
location of buildings and signs with
dimensions,
location and size of the'new sign. � should be drawn oa the reverse side o
this application.
Is the sign
to be electrified? Yes/No (Note:If yes, a wiring permit is required)
of the owner to make this
I hereby certify that I'am the owner or that I l�sve the.ad that theuthority�construction shall conform
application, that the information is correct the Town of Barnstable Zoning Ordinance.
to the Provisions of Section 4-3 -9 - 'r)- 1%,J
Date
Signature of Owner/Authorized Agent:
(2 •..�Q -�� .
Permit Fee:
Size:
Disapproved:
Sign Permit was appro ed:
• Date-
Signature of Building ci
signi.doc
r,v.&'31198
NO AOMITTANCE AREA
'
62
RESTRICTED
RcTEDF
BENNO THIS POINT ,PO ►vcrr
CHECK WH SECURITY 'E NTIE
x 20 t o X 'c4Reflects Light in the Da,'
`13srgZ SFv `
-Safe Harbor
ek�� m c,.A OW
MAIL:
P.O. BOX 2313 (508)790-2933
HYANNIS,MA.02601 FAX(508)778-7528
i
JUN-27-2aOO 11:2S B;RN:ST:RBLE HODS1N5 1.5.037789312 P.01
rN :1 iJ�true table rctephoiiiv 15U'.S; 7 7 1-",21,
I'ax (50,11 *1773-931_
1D% Lvased Housing Dcpt.t.508 i 7'1-724?
Housing Authority i4()1ti4ju(h SZrec.t • Hyannis,ills,,-()?t',(11
ZONING VERIFICATION
TO. Gloria Urenas
FROM: Robert Hooper, Leased Housing Coordinator
RE: Legal Rental !Unit Verification
®ate: �___ � ��..�_a_�m�..•..__®____—
Address:
Unit'Type: j_ A,0 ►IZ Bedroom Size:
Map & Parcel No.. &7
The owner of the above listed property is entering into a
contract with gas for the :rental of the property as listed
above.
Please verify by signing below that the unit Is legal and
meets all zoning requirements for a rental in the town of
Barnstable. If it does not, please list reason here:
-------------------------------------------------
hank you for your assistance in this m
4 k'-��
ature Tint name
w ------------
Date
VIA FAX: 790-6230 MRVP Section 8
Rev. 9/9S
Fquai Howsint opponunity A4 erCv
TOTAL P.O1
of Kati Town of Barnstable *Permit# 3 5 yr
�.� Expires 6 months from issue date
IAMSrABM *�� Regulatory Services Fee 4
Thomas F.Geiler,Director
prEDN10�`A Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not[valid without Red X-Press Imprint
Map/parcel Number 30
Property Address Q . - r►�tM�P�c
P
ct�nr .s
Residential Value of Work
Owner's Name&Address /�r,Yl f t no
4oa4rp ttiY
Contractor's Name_ Al 0� Telephone Number S6� .��,� qgq I
Home Improvement Contractor License#(if applicable) 3 S
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am sole proprietor -PRESS PER T
❑ I am the Homeowner
Lai
I have Worker's Compensation Ins ce AUG..3 0 ZOOZ.
Insurance Company Name GVane410VVN OF- ^"RNSTABL
Workman's Comp.Policy# Y✓1 i(J a ;S 6
Permit Request(check box)
❑ Re-roof(stripping old,shingles)
❑Re-roof(not stripping. Going aver existing layers of roof)
❑ Re-side
Replacement Windows. U-Value s 03/ (maximum.44)
❑ Other(specify)
'Where required: Issu of this permit t empt compliance with other town department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised121901
Board of Building Regula ions and Standards
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 13.5174
Type: DBA
Expiration: 3/11/04
ALL CAPE ALUMINUM
SCOTT PRESTON
192 IYANOUGH RD.
HYANNIS, MA 02601 -
Update Address and return card.Mark reason for change.
Address F7 Renewal F— Employment ❑ Lost Card
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: 135174 Board of Building Regulations and Standards
Expiration: 3/11/04 One Ashburton Place Rm 1301
Type: DBA
Boston,Ma.02108
ALL CAPE ALUMINUM
SCOTT PRESTON
~ 192 IYANOUGH RD.
HYANNIS. MA 02601 �""� t-- -- --------- - --- -- - -----
Administrator Not valid without signature
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office n/lnvestigat/vns .
_ t 600 Washington Street
Boston,Mass. 02111
Workers' Compensation Insurance Affidavit.
name:
1 Ov�CaJ
.............location: _...._._....... ...... ........ ......-:.... ....... __._._.._..-.......ity ,-- _
hone#
c❑ I am a homeowner performing all work myself.
❑ I am a sole ro netor and have no one workin in ca achy
' co ensation far
I am �
mP ...
rov>din workers mp
.:},::.: ... . <>
:.;,.:.::n:.::.:....: ::.:::...::........ .
..tom .. .:name....... ...:...
: ::.............
:::::::::•r.-:i:'}::;;•::.:�•r•} :::it ct.�t:::<{::::;.}..�.:::::::::::..':•......... .......
:::: ......:::::::.:...... .. t. : ... . .:.:. ... {:,.:::::::......::.....:.... h n
❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the following
hces:
orkers co ensatl ...................::.:::::::::::n•:::;.}:::.:,::::::::.?:.:................... X5 }..:>.�.�:•::
::. ;:::::::.:::..:...:::::. .
tom >}}}};;:i};;::.::::::n;..:::x.:..........r:::::.:::n.::::.:..r::. }:..:...
:.:.?. '••?:in}}::�::}:•>:•??;�:�::i3?::}!i;•::<;:: 't�;i :;:i.�::•. •..:is v.:.,�}:»}::'.: ,... `::%;: '::.;;.:i :::: ::;::;:'}::?::;:pp:::j:;ii::.<;;i::;`:::tt•�tt;t•:t:.:.�::::.:::n................
.... ..........:.........::::::::.�::cu;._::.�:::::................:::':;.:::.»::n•..:.v::,.:..;..;;::?....:....:::.•:..... x::;•:;:.•:ii2:'f}:::>:+.::.:,C4rr;.x,J,`at :t`�;:<+tt::
ad'd]ress:........ .............:.:.�::::;:........... ::::r::.,.::.........::.:.:...:.,.:::<�'.:;•}••::-:::n..:.,::r•?::,.::::.:.... ..'...�.•.}...:....,•:}r.•:n<..:.:n M.t.:.?,.:::.�..:•:.:.
- ...................................................v;;:::.;:v.......,....:'ti•}:v:};?;:::::n•'::}Lv ?!v;v'{{v:t•:•}':t•:i•i:tiw:•,•:v:•::.:••..:.... ..
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vh:•}:
........ ....... ....,,..... ........ n..rx.1r......:•n:na.......:...:::::::.................::::.�::r.:::n u:}::::.}'}ry:
: ....r..... v.v.......r nnn.::.. .....n.,:• ..+.,nn••:+ ...........?.. ..:.. n:•v. .}:?:.i;.}:3.,•}:•:vnv::i+•+•:\.}}t:?••;;}`t:
..v....f.. ..n.....r .....n....• ...n..........• ................{•}:Oi:•}}:t•}::•.v::::::::::n' ..............5:.r..
.....r.. ...... ......... ....... ........ ...... ..........................:....... Kttt•}:v.v:.}w::.v,v:.v.,::;:.v:::.....• ,::•n.:T.4.;}?::':::...... .{F.�;:�•�t.ry
�:.... ,-:n::::.... it::ri4t>:•r.'t6:s.::::.:,v<<'}'!:c;-};i:,+'i:k??}� i2
....:::... ....:..'................::....v::::vit•ii:v:•}'•}::•::;•:t•?:;tt{i•:is}:•}:•}:;•}{:>i?iii:�}ii:•i:'vi:`v?:}•}:iiii.•.:.:•....,-:v::::::•.}}}:i•>iw•;vi}:;4:•:�:4:tii•}:•:;'ryi;:i.;:n.,Y,i•:;}}:P'.v:.�.}',t'6•i{i
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.... .... ..... ..... .... .....................::.:............:•::.:....,........,.......... Aw:::........r v:i;vyf:.v}:•}::.:tn..:' .:::•n S'.::r.....+A,v't
.....:• ......:.n,............•;••4. .,:..:....t. ..,.:.....:. ....... :n:..::.•.:.....n•.:::A:xrnv.,C i::::::.: ...
..,
:n:•;,,.•..:••::}::.......•-::::w::..x..v^.n,fr..••,•:t:i+,:R.....n...rr:....•,;::: ..... ......:::::�::!:>}.'.?i':i:?:!:�};i;. V ......... ..:vn;•:.v:::n:v:n•.+:•• ... ry//�///�j
........................... ..............................vv:n:..::::::::.?:t�'::::n...nw:::,•W:::n:v:::::::::nv::::::::::nv:.n;;:•::;::':�::::,.............. ..:...:,.;:.: ......
....................::.vv::::..•.:•::::::::::;::x;t;i::}}}}}}?}:•}}:^ii:::::.:in....•;'.::::..v:x.�:::.:•::•i;v:}:;;•::::}:vi:}}?:•}i::5i}}}}:.?:-:ttiviii::ij'ii iiii}}:j:ii•:•}?�:•}:�:;�}:•:r•}:y:;n?.v,
{.; .;.•:n ,wx:.,..r•'.•:;:;•;•i•:::.,:....::'..':..•.v::::}•.;v;::::•::::'•:4:}w:::.v::4:}:.:i:n:;;n:{.:::'... ... ..
.......:ti...... }}?ii::::}}:;;:t;•i:,�;... ..:+.....v:nn,:i•::;:•:}:::.::.v:.{;•}i::•}:•i•:np.v.:n::::•x::ii:•i:};.}:•..;.?{.}:t;:,'i::y}:t;t•:!L:•?:{}{.;y'iir?}::::'?":2•'::::::::::::.:...}
.name_.. ..........::::::.................. ...... ...,.....:• ....................�::-.:..... ....
yy.lI :riJi?
tt••V
C•:yii
'.••(]�,v,:•:.>:}i?:::�:j:�tij:!v?!:•,:yi:'!:..:i:,:;:!::;::,:;:::;}::,?:;:}::::;:iiisi.i{{:y:::,?::::is�:+1:`:;:}:;:::}?}}:!`v?ti��:::�i:'i'r:::ii:i�:•i:•'!.i•?:i?:!{;:::
tnrurari ce`:c
Failm a to secure coverage a,re under Section 25A MGL 152 can lead to the imposition of crlominal penalties of a fine up to 51,500.00 and/or
one yes,imprisonment as well vfi penalties in the of a STOP WORK ORDER and a fine of S100.00 s day agaitut ma I understand that a
copy of this statement may be t ed to the Offic Investigation n.
of the DIA for coverage verification.
I do hereby certify under p of that the information provided above u truo and orre
- `30)0
Date
Signature Seoi� r re3JL/n Phone# ��o
Print name
offidal use only do not write in this area to be completed by city or town official
permittlicense# ❑Bugding Department
city or town: C iAcensing Board
oSelectmews Office
❑checkif immediate response is required ❑Health Department
contact Person:
phone#; Other
11
(�evited 9195 PJA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer er is defined as an individual,partnership, association, corporation or'other legal entity,,or any two or more of
P
the:foregoing engaged in a joint enterprise, and including the legal represeatatives`of adeceased 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.
r `✓
MGL chapter 152 section 25 also states that every state or locallicensing-agency,shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings.in the;commonwealtli for any applicant who has
not produced 'acceptable evidence of compliance with the insurance coverage fequired. 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
authority. �< ,
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of irmumn_ce as all affidavits may be
confirmation of insurance coverage. Also be sure to sign and
submitted to the Department of Industrial Accidents for
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.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/licease number which will be used as a reference number. The affidavits may be retumed to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any.questions.
please do not hesitate to give us a call. ,
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of investlgadons
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
TO—
Date A!9 e L Time /O
WHI E YOU WERE UT
f
M
of
Phone 7 71 -7,9
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
RETURNED YOUR CALL
Messag
Operator
AMPAD 23-021•-200 SETS
EFFICIENCYe 23-421-400SETS CARBONLESS
OCT-10-95 TUE a:3.5 .22222122222222221 FAX 110, 22222221 P. 02
COMMUNITY ACTION COMMITTEE
OF CAPE COD&ISLANDS,INC.
ii5 ENTERPRISE ROAo,P.O. sox 954
HYANNIS,MASS.02601
TELEPHONE:508.771.1727
(Vol )
FAX;508-776-8-7757488
October 10, 1995
Mr. Ralph Crossen
Barnstable Building Inspector
367 Main Street
Hyannis, MA 02601
Dear .Nir. Crossen,
On/about Nov. 15, 1995, Community Action Committee of Cape Cod and
Islands, Inc. (CACCI) will lease the Summerside Family Center, 7
5ummerside Lane in Hyannis from the. Housing Assistance Corp. (HAC) .
There will be no change in the use of the facility; it will conti-
nue to provide emergency shelter for homeless families for the MA
Dept. of Transitional Assistance. The facility has current, appro-
priate licenses from the Town. The facility will be more responsive
to the DTA's and our community's needs by enhancing its educational
aspects to the needs of abused women . and their children.
CACCI will continue .Summerside's structured, scheduled educational
opportunities. CACCI will provide its guests-with a comprehensive
range of support services, including: domestic violence (battering,
non spousal abuse, sexual abuse, etc. ) ; housing search and stabili-
zation; on-site child care; educationa, training and work-readiness
opportunities; substance abuse counseling; parenting skills; per-
sonal budget training; legal assistance (restraining orders, custo-
dy dispute assistance, asset advocacy, etc. ; .benefit advocacy sta-
bilization; advocacy with school systems;consumer credit; AIDS in-
formation; poison information; child safety; landlord/tenant inter-
actions; emergency CPR; and other relevant topics.
The Barnstable PD and the Sheriff will recommend a security system.
I expect that the basic system will include an electronic gate; a
perimeter-sensitive alarm; a closed-circuit TV system to monitor
1001 of the external property; individualized "panics' devices with
central monitoring, as necessary; and a "live" guard. The BPD and
the District Attorney have promised CACCI that the facility will
have "sanctuary" status and trespassers will be prosecuted aggress-
ively. The Sheriff has promised that, no matter how overcrowded his
facility is, there always will be-room for "one more" . I will meet
with Judge Reardon in the next few days to ensure our entire crimi-
nal justice system is "on-the-same-page".
I would be happy to provide you with any additional information.
For CI,
ichar igc
COMMUNITY ACTION COMMITTEE
OF CAPE COD&ISLANDS, INC.
115 ENTERPRISE ROAD,P.O. BOX 954
HYANNIS,MASS.02601
TELEPHONE:508-771-1727
(Voioarm)
FAx:508-775-7488
October 10, 1995
Mr. Ralph Crossen
Barnstable Building Inspector
367 Main Street
Hyannis, MA 02601
Dear Mr. Crossen,
On/about Nov. 15, 1995, Community Action Committee of Cape Cod and
Islands, Inc. (CACCI) w,i.11 lease the Summerside Family Center, 7
Summerside Lane in Hyannis from the Housing Assistance Corp. (HAC) .
There will be no change in the use of the facility; it will conti-
nue to provide emergency shelter for homeless families for the MA
Dept. of Transitional Assistance. The -facility has current, appro-
priate licenses from the Town. The facility will be more responsive
to the DTA's and our community's needs by. enhancing its educational
aspects to the needs of abused women and their children.
CACCI will continue Summerside's structured, scheduled educational'
opportunities. CACCI will provide its guests with a comprehensive
range of support services, including: domestic violence (battering,
non-spousal abuse, sexual abuse, etc. ) ; housing search and stabili-
zation; on-site child care; educationa, training and work-readiness.
opportunities; substance abuse counseling; parenting skills; per-
sonal budget training; legal assistance (restraining orders, custo-
dy dispute assistance, asset advocacy, etc. ; benefit advocacy sta-
bilization; advocacy with school systems;consumer credit; AIDS in-
formation; poison information; child safety; landlord/tenant inter-
actions; emergency CPR; and other relevant topics.
The Barnstable PD and the Sheriff will recommend a security system.
I-expect that the basic-sy"stem will nclude' an`VeI'ectronic gate;"tea
perimeter-sensitive alarm'; a closed-circuit' TVsystem to monitor
-
%100%"of the external property; individualized "panic" devices with
central monitoring, as necessary; and-a-- "live" guard. The BPD and '
the`.District Attorney-have-promised 'CACCI that the facility will
have "sanctuary" status and trespassers will be prosecuted aggress
ivel . TH 'Sheriff has y t _ _promised that, no matter show overcrowded his
`facility is,;there always will ' be"room for_!!one more",. I will meet
_ �.
with Judge Reardon in~the next few days to ensure our entire crimi-
nal justice system is "on-the-same-page" .
I. would be happy to provide you with any additional information.
For CI,
ichar igo
9 Summerside Lane
Hyannis, MA 02601
October 25, 1995
Harold Tobey, President
Town Council
367 Main Street .�j C"` 2 t '
Hyannis, MA 02601
Re: Battered Women Facility
Dear Mr. Tobey: -
This letter will serve as a letter of protest with regard to the battered woman facility
that is to be located adjacent to my property.
My mother, an elderly woman, resides at 9 Summerside Lane, while I live and work
near the Boston area.
I am extremely concerned about her safety and well being due to the present situation,
I am also very upset that the State is prepared to surround the area with gates and have a
policeman posted at.the gate. Why should I have to go through this just to get into my own
property. What about the harassment my family and friends would have to encounter just in
order to visit. This is unfair`and unjust. This is Motel lease, what gives them the right to
put such a facility on this lease.
Please write me and tell me the proper way in which I can attempt to fight this, if at
all possible. The value of my property has been depleted.
Please write to me at: m A —4�e_oetA
1135 Front Street �O ? — R S! — Q4o* X 7oo,�
Unit 3
So. Weymouth, MA 02190
A prompt response would be greatly appreciated. .
V ry t ly your ,
P S , wc�.
-- 110 LIL) hia L. e an
Ovn GL �r�
,�
• MGLA 30A Sec . 11A 1/2, Open meetings of governmental bodies
------------ Excerpt from page 8920 follows ------------
Nothing except the limitations contained in this section shall be
construed to prevent the governmental body from holding an executive
session after an open meeting has been convened and after a recorded vote
has been taken to hold an executive session. Executive sessions may be
held only for the following purposes :
(1) To discuss the reputation, character, physical condition or mental
health rather than the professional competence of an individual, provided
that the individual to be discussed in such executive session has been
notified in writing by the governmental body, at least forty-eight hours
prior to the proposed executive session. Notification may be waived upon
agreement of the parties.
A governmental body shall hold an open meeting if the individual
involved requests that the meeting be open. If an executive session is
held, such individual shall have the following rights :
(a) to be present at such executive session during discussions or
considerations which involve that individual .
(b) to have counsel or a representative of his own choosing present
and attending for the purpose of advising said individual and not for the
purpose of active participation in said executive session.
------------ Excerpt from page 8921 follows ------------
(c) to speak in his own behalf .
(2) To consider the discipline or dismissal of, or to hear complaints
or charges brought against, a public officer, employee, staff member, or
individual, provided that the individual involved in such executive
session has been notified in writing by the governmental body at least
forty-eight hours prior to the proposed executive session. Notification
may be waived upon agreement of the parties . A governmental body shall
hold an open meeting if the individual involved requests that the meeting
be open. If an executive session is held, such individual shall have the
following rights :
(a) to be present at such executive session during discussions or
considerations which involve that individual .
(b) to have counsel or a representative of his own choosing present
• and attending for the purpose of advising said individual and not for the
purpose of active participation in said executive session.
(c) to speak in his own behalf .
(3) To discuss strategy with respect to collective bargaining or
litigation if an open meeting may have a detrimental effect on the
bargaining or litigating position of the governmental body, and to conduct
collective bargaining sessions .
(4) To discuss the deployment of security personnel or devices .
(5) To investigate charges of criminal misconduct or to discuss the
filing of criminal complaints.
(6) To consider the purchase, exchange, lease or value of real
property, if such discussions may have a detrimental effect on the
negotiating position of the governmental body and a person, firm or
corporation.
(7) To comply with the provisions of any general or special law or
federal grant-in-aid requirements .
Copyright (c) West Publishing Co. 1995 No claim to original U.S. Govt .
works .
i