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0379 WEST MAIN STREET
-- __ __ �� _ ' �.�� � _ F _ ---- -- - -- - - ----- �_ � e _-�_� j �� �� � '� �r� � � � ���� � �����- �a� ��� die ����� _ �^.-� A Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date ` �D MaP O2 1 Parcel loo Applicant Information Applicants Name Applicants Address -3 / J MA Finail Address 9C�S ✓��) I ,CU17 Telephone Number Listed Unlisted ❑ 50Ora 0 q DL- Business Information New Business? ---------------------------------------- Yes Nj Business is a registered corporation? - ---------- ----------. Ye No If yes Name of Corporation W ST J N OM LL L—b Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? ------_-- Yes If yes then a(Home Occupation Registration is required See Building Division Staff l Name of Business 1/� `�. O `" Business Address 3�/ J Y by 1 a j_F Type of Business �47 Building Commissioner Office Use O lConditions gin. �.� - Building Co issi Date Clerk Office Use Only f Shea, Sally From: Steven Costello <scostello47@gmail.com> Sent: Friday, September 11, 2020 9:40 AM To: Shea, Sally Subject: Fwd: 379 West Main Street Units 2&3 Attachments: 26910000B.pdf; 26910000C.pdf Sally, I checked into this further with my Attorney. Evidently units 2&3 are accuratehowever unit 2 technically faces Suomi Road. It appears that the Salon and my request are for unit�3 a� at 9 West Main Street and Angels Cut is unit 2 on Suomi Road. The units are attached I apologize for the mistake. Please call me to discuss Thank you Steven Costello 781-389-8441 From:John Stephenson<iohn@iohnstephensonlaw.com> Sent:Tuesday, March 24, 2020 4:10:43 PM To:Steven Costello<scostello47@gmail.com> Subject: RE: 379 West Main Street Units 2&3 Steven Assessors records attached. John Law Office of John C.Stephenson 336 South Street Hyannis, MA 02601 Office: 508-778-0746 Cell: 508-596-9598 ..........._., ......... From:Steven Costello Sent:Tuesday, March 24, 2020 3:16 PM To:John Stephenson Subject: 379 West Main Street Units 2&3 Good afternoon John, I am trying to get some insurance coverage on the condo we recently closed on. My agent looked on the Barnstable Assessors Map and it only shows Unit 3. We know it is 2 units and on your HUD you had taxes paid for each unit. Where can I find some documentation to support that with my Agent? CAUTION:This email originated from outside of the Town of Barnstable! Do not`click Ii'nks, open' attachments or reply, unless you recognize the sender's email address and know the content is safe!' i i Town of Barnstable Building Department, BUILDING pEPT Brian Florence, CBO ' N� Building Commissn ioer MAY i 2020 P, 200 Main Street-..Hyannis,NLA,0 6,01 � e,-s�1c:toL��_bam�u;bl.e_r�ta.ua jp w . OF BARNSTABIE Pre-application for Business Certificate Date V P Ma Parcel Applicant Information Applicants Name PP ' Applicants Address' c ' mail Address& '(L "Telephone Number � �¢ ��`0� 3 Listed ❑`� Unlisted ❑ PAl c- o'( /D 13 5�t u d�, IM oa 6S5 Business Information New Business? ----------------------------------------Cye No Business is a registered corporation? ----- -------- -___-. Yes s. / Nnl If yes Name of Corporation' s Does business operate under the registered corporate name? Yes Is the business sole proprietorshi or home occupation? -_-_--__- Yes No If yes then a Home Occupa"on Registration is required—See Building Division Staff Name of Business Business Address L 1 1 Type of Business r Building Commissioner Office Use Only Conditions Building Commissioner Date ' Clerk Office Use Only - e 1. " . . . ,. . . . . 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, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 01o,OLD, sma � Fill in please: t _ : y APPLICANT'S YOUR NAME: ��� «�S BUSINESS YOUR HOME ADDRESS: N' /0 k- v, ✓-Q- ` nip _ TELEPHONE # Home Telephone Number 413 -3- LI NAME OF NEW BUSINESS TYPE OF BUSINESS I l) r-) IS THIS A HOME OCCUPATION? YES VNO Have you been given approval from the building division? YES NO o ADDRESS OF BUSINESS 3 77 L UO-& - ' "(1 s aA-0aMAP/PARCEL NUMBER oo00 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 required4to legally operate your business in this town. 1. BUILDING COMMISSIONER' FFICE This individual has been i r of any per equirements that pertain to this type of business. utho Vied pigrtia ure* COM ENTS: 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: 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, 1st FI., 367 Main,St.,. Hyannis, MA 02601. (Town.Hall) and get the Business Certificate that is required by law. - DATE: 1—) Fill in please: APPLICANT'S YOUR NAME/S: 1 s c BUSINESS YOUR HOME ADDRESS: a! , �!�✓ i) _feces V►� ¢. JL f. TELEPHONE.# Home Telephone Number ) ir��!iy"'i Jtgtn� EIN #: 03L( 1 (, E-MAIL: NAME OF CORPORATION: e— d l ►� 1 ' / NAME OF-NEW BUSINESS -lel L' L TYPE OF BUSINESS �hCti !' _/ et/1_ c, L SR �J•.,/ IS THIS A HOME OCCUPATION? YEJS NO _ I /� h ADDRESS OF BUSINESS.J' �`� c ) S MAP/PARCEL NUMBER "l— V- (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 appro riate permits and licenses.required to legally operate your business in this town.. 1. BUILDING COMMISSIONE OF This individual has been e f any p i equirements that pertain to this type of business. uthd ed S at e e CO TS Jtv lad 2. BOARD OF HEPTH• 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: . 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: I�ZG`�T �I� -� Fill in please: APPLICANT'S YOUR NAME/S: �� . t BUSINESS YOUR HO E ADDRESS: 2 04LaA (n TELEPHONE # Home Tele hone Number SACS 6of,54 NAME OF CORPORATION: 1� NAME OF NEW BUSINESS h ©n TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS �lq ✓1 f If)lS MAP/PARCEL NUMBER-100 C,dG (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 ISS R'S OFF M- d I E This individual has n irtfar o Of n er it requirements that pertain to this type of business. ' Auth ized-Signatur t _ r. . COMMENTS: fit . : x_ 2. BOARD OF HEALTH This individual ha-Q. been info of he e rpit re_qR!kements that pertain to this type of business.' - Authorized Kignature COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has bOen i �'m�d wof the licensing requirements that pertain to this type-of business. Authorized i ature* COMMENTS: Q 11 &11-44� ,K�A411 �1 . f: 1Grri _. ail Biad�''s, Etc. � 6 profess PPli I / i 2 4,4 f 1 14 r d Retai D-ELL OPEN 1224,-4 011614 PiLAR0i!D ' ! . :._ rr�tu�woaicr.� MAIR..SNIry..NA1L5 !• Great Reflections ' H�irstyliRq _ BE:1LTl'SLPPLI OPEC 110tiDAl' J 12 2.4 ?0 1 10 14 TOWN?OF BARNSTABLE � BAR-W 223 Ordinance or Regulation WARNING NOTICE Y Name of Offender/Manager '� - 'Address of Offender MV/MB Reg.# Village/State/Zip :A Business Name / - ''� fG� .A /pm; on.�V19 2 Business Address .71'.7-r ' f/Ir'GeS7 S gfiature of-Enforei-n 1officer Village/State/Zipf� �G'' Location of Offense Enforcing Dept/Division Offense 4 / Tt 1> 1/G �r : / '7" c1 . / � 'f�rc ,. _ ,Z?s Facts -- r.4�_�' t� rye, 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. TOWN OF BARNSTABLE "BAR-W 582 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager /�..--C a . Address of Offender MV/MB Reg.# Village/State/Zip Business Name Business Address /,-5 ZZ - ��Jfc° �G 4-�• aJ- /� �t Signature/of Enforcing Officer Village/State/Zip --�� a>rr.. ��t c a L t Location of Offense '9 / 'i-- Enforcing Dept/Division Offense /ter 7 . Facts 7 7 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. TOWN�'OF BARNSTABLE BAR-W 582 Ordinance or Regulation WARNING NOTICE t Name of Offender/Manager ✓` ,i'n ,! l -- r '/4-t �d Address of Offender r' v MV/MB Reg.# Village/State/Zip ---""" Business Namef. pm; on Business Address. Signature/of Enforcing Officer Village/State/Zip 4-�'t ///rr , z Location of Offense Enforcing/Dept/Division 0f f e n s e '-77 Facts rt /' tF/ 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. TOWICOF BARNSTABLE BAR-W 562 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender t MV/MB Reg.# Village/State/Zip Business Name _ 'Z -r'am/pm; on 19.' Business Address Signature of Enforcing Officer t Village/State/Zip `a Location of Offense Enforcing Dept/Division Offense Facts r 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. Y ' TOWN OF'13ARNSTABLE SIGN PERMIT PARCEL ID 269 100 CEOBASE ID 17493 ADDRESS 379 WEST MAIN STREET PHONE Hyannis ZIP - .LOT 2 tC113 BLOCK -LOT SIZE DBA DEVELOPMENT DISTRICT HY 'PERMIT 11-747 DESCRIPTION THE SEAFARER CAFE Yga MIT TYPE BSIGN TITLE SIGN PERMIT Department of Health, Safety and Environmental Services CONTRACTORS: •., ARCHITECTS: TOTAL FEES: $50.00 pfrIm BOND $_00 CONSTRUCTION COSTS $_00 753 MISC. NOT CODED ELSEWHERE + 1A MAS& LE, MA88. i : A1� OWNER HICKEY, CORNELIUS J Ep z6g9 30►l ADDRESS PO BOX 662 FALMOf1TH MA BUILDING DIVI ION7 DATE ISSUED 11/20/1995 EXPIRATION DATE �_ y --- DIVISION APPROVALS FOR CERTIFICATE OF,OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION BUILDING:" DATE: COMMENTS:f ' j PLUMBING: DATE: COMMENTS:'-,-' •_= '�'• r ELECTRICAL: - DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: - COMMENTS: OTHER: DATE: COMMENTS: I TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. d The Town of Barnstable p Zm= . Department of Health, Safety and Environmental Services �/ _ ' NAM Building Division date � 9S .1"9. ` 367 Main Street,Hyannis MA 02601 Application for Sign Permit Applicant:V i —C Assessor's noZ L — �C Doing Business As: —C rt' C C t � Telep hone sag 1! Sign Location street/road: -3-1 k s o Z G a f Zoning Distri Old King's Highway District? yes no Property Owner Name: 0oYy-,e mA Telephone 96 8 S7Sr,? —� Address: Ro, 13 r�u Village . Sign Contractor Name: S`G — �`� Telephone 7 7 p75a Address: rll 0= Village Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign to be drawn on the reverse side of this application. Is the sign to be electrified? yes no ✓ (Note: if yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. ate Si ture,of Owner/Authorized Agent ,Size (sq. ft.) v� Permit Fee 4�- ., F y w Sign Permit was approved: disapproved: xt Date Signature of Building Official , _ - --- T. - . EAT=IN TAKEmOUT ' 17 RVED DAILY BREA STSE ........... ................. I i i j --- - ------- I Ili � I J i� I l� B12des,Etc. I� s�. ,1 . ,_-;: F+ f.+ �• ¢-._ v l t H .�,vl C 0 t +a w „ f Blade's Etc, 14 �}t�7k�1:�4� �•Sw.ti MNNIN6 w _ N a �y q •a 'r -x i �, .,� -� _� .�, �, - �,� . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ) Map lahw Parcel Applicatio ^I(v� Health Division Date Issued Conservation Division Application Fee f / Planning Dept. Permit Fee 1 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis `Project`Street Address ��g ��-� �yJ�-/�� �• TI +CVillage� VCe Owner-J Address LTelephone -j Permit.Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Projecfi�V ation 6b Construction Type �.�. Lot Size Grandfathered: ❑Yes ❑ No If yes, attaa 'supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# unit15) �P0�� Age of Existing Structure Historic House: ❑Yes ❑ No Wn Old Kn�j�s H,�'p`hway: ❑Yes ❑ No P Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Abe (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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name�� i Tel�e hone NumberS:68:— V 4v p +Address--�, V\`t, �.__ �.� Home Improvement Contractor# Emaiil7:"* Worker's Compensation # ALL'CONSTRUCTION-DEBRIS-RESULTING-FROM THIS PROJECT WILL BE TAKEN TO &� A4 'e-, Vj DATE SIGNATURE FOR OFFICIAL USE ONLY I APPLICATION # ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r OWNER _ DATE OF INSPECTION: FOUNDATION FRAME j INSULATION FIREPLACE . 7 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TTie Commomweedth ofMassachusetts Dep arttama o,frnr mbial Accidents - - Off we of'Investigadens - 600 Washington,Street Boston,MA 02.111 n-,#mvmaxLgvv/din Warkers' Campensation Insurance Affidavit:Bu Applicant Information Please Print . 'bl Name(Brrsmemxkzmizatim Individual 6 Address: 01 VW Citylstate(zip: Phone Are you an employer?Check the appropriate box: ' Type of project{require - 1.❑ I am a employer with ' 4. ❑I am a gen- ral contractor and I 6. 0 New constucticm yees(full an(lor part-time)-* 'have hired the sub-coatractors 2. I am a sore proprietor or IQ _ finer- listed on the attached sheet~ 7. ❑�odeliug par ship and have no en3pploryees. These sob-contractors have " g.,❑Demolition wvorinng fur me in any capacity.' employees and have wodeers' [No wvorbars'comp.insurance ce aep•insuran I 9. ❑Building addition required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions. myself, o waworkers' right of exemption per MGL �` � �F- lfi,❑Roof repairs. insurance required.]F c.152,§1(4h and we have no employees.[No workers' 13.❑Other camp.insurance required.] JA 'Any Wbc=t dut ckedzsbos#1 most also fill out the smdoubelow shm mg diekwoskere compensationpolicy iufbn=dasL I Hazeaw en who submit ibis affidavit=gff frog they are doing s11 wa&sad then hire outside contractors amst submit a new affidavit' sadL FCantrsckm Ybat rhKk this bass must attsrhad sa additional sheet showing the name of the sub-cam snd state*hether or not tbose entities bane employees.IftheSnb-contmctorsbaveemploy-s,they—ntpmuidetiLeir srork—'tomp.palicyummber. lam an eniplger Heat ispm ding ttrorkers'coitgmnsativtr insurance f br my enrplo3ees $eloty is thepoticy and job site infornzatiorz Insurance Company Name: Policy 4 or Self-ins-Lic.k Rkpirat on 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 Seztion 25A of MGL c-152 can lead to the imposition of crinaival penalties of a fine up to$1,50D.GO and+'or sae-year imprisonment,as well as civil penalties.in the farm of a STOP WORK ORDER and a fine of up to MG.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Irrvestgatians aft IF4.f has once coverage verification. I do Irene c P rat is and afpet uty that the info rmatialf prmrided abm a is true acid correct $ienatur Date: Official acial use only Do not write in Abarea,d be campieted by c4 ar toorn offidat City or Town: PerrmtUcense 4 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.QtyfTown Clerk 4,Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone it: Information and Instructions ` M,ss chusetfs Gc-nmsl Laws chapter 152 requ r all employers to provide wormers'compensation for their employees. ' porsaantto this stye,an ernpky�is defined as."_.every parson in the service of another under any contract of lice, express or implied,oral or wiittrn" An employs-is defined as"an individual,parfnemship,association,corporation or other legal entity,or any two or more of the foregoing engaged in a Joint entergrlse,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occ¢pant of the - dwelling house of another who employs pemons to do maintenance,construction or repair work on such dweIImg house or on time grounds or building appurtenant thereto shall not because of such employment be deemed to be.an employer." MGL chapter 152,§25C(6)also sties 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 buldmgs in the commonwealth for any app&cant;who lias�not produced acceptable evidence of compliance with the insurance.coverage requkeCL Additionally,MGL chapter 152, §256( )states`Neither the commaaweali nor nay of ifs political subdivisions shall eater intD"any{contract for the performance ofpubho wow until acceptable evidence of compliance with the incrrranCB. requirements of this chapter have been presented ID the contracting anfhozity." Applicants Please fill out the workers'compensation affidavit completely,by chm1dac me boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificates)of fimn-ante. Lmmited Liability Companies(LLC) or Limited Liability Pa dnerships(LLP)with no employees other than the members or partners,are not roquir d to cagy workers' compensation ij�ce If an LLC or LLP does have employees,a policy is rDgbIred. Be advised that this affidavit maybe submith.;d to the Department of Industrial Accidents for conformation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be ret med to time city or town that the application for the permit or license is being requested,not the Department of Tnri•r,.strial Accidmts. Should you have any questions regarding time law or ifyou are repaired to obtain a workers' compensation policy,please call the Department at the number listed below. Self-inslred companies should enter their s elf-fi suran ce license number on the appropriate line. City or Town Officials Please be sire that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you in fill out in.the event the Office of Inv��lions has to contact you regarding the applicant Please be s ri-,to fill in the pemmit/icense rm aber which will be used as a reference number. In addition, an applicant that must submit multiple pennitllicense applications m any given year,need only submit one affidavit indicating current policy ins =ation(if necessary)and under"Job Site Address"the applicant should wri{e"all locations m (city or town)--A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the " applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled omit each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Lt. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The of of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Dep arfm east's address,telephone and fax number: 'Ile C:amMwWealt1r of Massa.ahn&etts ' : - Depar rent of Iiidustzal Aocident% , of lnveggatia-� a � � ;•. � ` t� �Q� hitQn Siz=t - Bastan,MA G2111 T(,-L 1617 727-4900 Q�z 4-06 or 1-977-MASSATI� Fax f 17-`27 7M P..evised 4-24-07 .mass-gavf dia I . _ .?Tie�'onxrnorrfweatth�,iF�rrssr€cTirisetts Deoiwftnrerit ofrudirsaiatAccidews 600 Washington Street Boston,41A 02,111 >;tumv,rarrimgorldia 'Warkers' Campensafien Insurance Affidavit Md1i1e17SJCUntra I i ians/Mmnbers hcant Infu-.-anon hease P ' f Lem it ,[ (I C-L(I V-d RA&� � to er D phono Ai-e3rou an empIoyer?Cleckthe appropriate bom rect of Type project . am a+general contractor and I � p � (required): I.❑ I am a employef-Xith ❑I g 6- ❑New consfruotion ,7ampIoyees(full antMor part.time)-* 1iave lured the sub-contractors 2. I am a sale prRpzietor or partner- Usted on the attached sheet. I ❑Rem6deEng These sob-contractors have ship and have spa employees: $_ ❑I]etnalitioa ' w a forme in an c ; employees and have workers' �o Y� i t3 9. ❑B.uilritng additiog. [Ne w orioers'camp.insurance comp.inmrani:e.l required-] 5. ❑ We are a-corporation and its 10:❑Elecf ical repairs or ad&iozzs 3.❑ I am a biameowner doing aft work ofcm have exercised their ME]Plumbingrepairs or additions righth of exemption MGL rnpsel£[No workwc c+xmF- � per 12.❑Roafregairs . insurance required]Y c.152,§1{4k and we have no employees.[Na workers' 13.❑Other comp_insurance requ¢ed.Z SayappEi�ttfistchecksboxi"I=nstalsofiIloufthesectFoabeTawshmsiugi�eazuor3�es'c�peasatiaupoT�cgiafnrmauaa fiamEasvnerswho submft 3ais ai dac indwsiing they am Aamg allwank aaii ffimlme cutader_ontracftYmamct offs dt anew affidavit indien�nv sacs_ fCant<actoes chat checYili¢z box must attached as 2ddi6nnal sheet showing the name of the sab-ccmt-scbmand sfateWhethec arnotTIMse eati inhave employees empIoyt-s,they=Lstprnidetheir warkea'•mmp.policy amnber- I am atr errtplo}�r tlrrrt is pra><zdritg,workers'cartrperrSrrh'art irrsrirance for rr�}*encplo,}�,ees $elo�v is the pallry�rcrrd jab ate ir�armrciion Insurance Company Name: Policy or^elf-iszs_Lic_ EkcpirationDate: Job Sif e Addresr CitylState�7.tp: At#ach a copy ofthework-ere.compensalionpolicy declaration page(shouing the policy number and expiration date). Failme to secure coverage as requireduuder-Section 25A of MGL m 152 can lead to the imposition of crim+mal penabaes of a fine up to$L5QO,.00 and+'ar one yearimpdsonnF-Tlt as well as civil peuslties.in the form of a STOP WORK ORDERand a frne of up to$250-00 a day against the violater. Be advised drat a copy of this statement=y ba forwarded to the Office of IuvesErgations of the DI,A for coy erage scat on. I rIo tier�Rby c tt 'rs ria g. ' ,tliatthe inf onriadmi-prini&d above.ts bare mid correct Sffiatur Da Phone �> OR&ial use anly. Da Prot errite in thb.area,to be corpple M by city artan-rr o,- rcm City or To-an: PermitUcense;9 rssuing:4.ufhority(mrIe once).: 1,Board 0. HeaIth 2.Building Department 3.City1rown,Clerk- 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Ph-one#: --- —- 6 Massachusetts General Laws chapter 152 reqoares aff employers to provide worker'compensation for their employees. ee is defined as.`�.every peason M tube service of another Under any contract Of.ire, a Pnmsu�tn this sty,�.�'jO3' . express or implied,oral or wutimz" An�Ivyer is defined as°`an individual,partnership,associaf?cm,corporation or other Iegal eey,or�Y iv'o t mare of the:foregoing engaged m a j omt enterprise,andincloding the Iegal representatives of a deceased employer,or the receiver or tmstee of an mdi-vidnal,partnerslnp,association or other legal entity,employing employees. Howeverthe owner of a dwelling house having not more t3�three apartments and who resides tberei u,or the occapant of the - dwaMng house of another who employs peisans to do maiinenan ce,construction or repair work on such dwelling house or on the grounds or bu LYIng appurtenantthereto shallnotbecanse of such employment be deemed to be an employer." MGL chapter 152,§25g6)also sues chat every state or local licensing a.9McyshaIlwIfhhold theissuanceor renewal of a llcrose or permitto opexate a business or to construct bu ff ings in the commonwealth for any applicantw'ho has not produced acceptable evidence of compliance tun the iztsarance eoverageregTtored Additionally,MGL chaPt: 152,§2SC(7)states-Na-ither the commquweallh nor airy ofits political subdivisions shall entr_-r mi`n any contract for the perfbnnmct ofpublic work ua i•I acceptable evidence of compliance wia the i MIrance•. requ�emenfs oftbi chapterhave beenp=cut!:dto the contracting aiihozity:' Appli�.n� Please fiII out the worker'compensation affidavit completely,by checI®g i-he boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phonenumber(s) alongwiLtheir certiEcate(s)of insurance. LmiiFr-dLiabiUy Companies(LLC)or LiuutedLiabMtyPa taD=4s(LLI?)Wnno employees other than.at, ' members orpmtaers,are not req�edto cagy workers'compensationinsor�ce IfanLLC'orLLP does have employees, apolicyisregnued. Be advisedthatthisaffidayitmaybembmitty--dto the Departmentoflndustrial Accidents for conErmation of insurance coverage. Also he sure to sign and date fdte affidavit The affidavit should be ret=e;d to the city or town that the application for the peonit or license is being requested,not the Department of Ldus�Accidents. Shoutd.yon have any questions regarding the law or if you regatired to obtain a workers' compensation policy,please call the.Dep mt ent at the number listed beIow Self-insured comPa Ed"should en'tr their self-insance license mmlber on tie appropriate line. City or Town Officials . Please be sure that the affidavit is complete andprinfed legibly. The Departmeuthas provided a space at the bottom Of the affidavit for youfn fill out in the event the Office ofInvestigations has to conactyouregardingt3ie applicant Pleasebesuretofltiathepen]q llicensemnubes which wMbe used asare&rencenumber. Tu addition,anapplicant that must submit multiple pe=WHcense applications in airy givenyear,need only submit one affidavit indicating cent policy information(rFnecessary)and under"lob ob Site�4_dd,-ess"tie applicant should write"all locations n ( Y town)_'A copy ofthe-affidm&that has baeu.officially sped or markedbythe ciEy or t may be provided to$ie applicant as proof that=a valid affidavit is on file for fuhn e perm. s or licenses. Anew affidavit must be,filed Oi t each year."i here a home owner or citizen is obtaining a license or permitnot related in any business or commercial v � (i..e. a dog license or pemsit to bum Ieaves eta:.)said.pemon is NOT required to complete II affidavit: The Office of Investigations would like to&=k you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. . The I?epar[ment's address,telephone and fax nmober: 1 CGMMCaV(I-abh Of JAzssarhn&-&J� l�egaz-�n�c�flud�ia.1 Acci�-�n� �. fact`4f Xuig�fiio� - . . Cm-VaaLZGn St t Tf,-1.4 617-' -49OG�Lxt 406 or 1477 MA�A' + Fax 617`27 7M evised4 24-07gIdia . s Town of-Barnstable . � Regulatory Services MASS Richard V.Scali,Director 1639.,yea Building Division Paul Roma,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 I 0 , as Own ex of the subject property hereby authorizeon my behalf, in all matters relative to work authoriz y s building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are.no to be filled or utilized before fence is installed and all final in ec ns e performed and acce S' ture of Appli Print NamePrint Name Date I I Q:PORMS:OWNERPERMISSIONPOOLS Massachusetts Department of Public Safety Board of Building Regulafions and Standards License: CS-063817 Construction Supervisor RICHARD J PECKHAM 1 99 PINE AVENUE HYANNIS MA 02601 Expiration: Commissioner. 01/26/2018 Z f'�vtS= 64, 1pr L fi y'S f p RE-ROOFINGM91DINGIWINDOWS (COMMERCIAL) ❑ If located in OKH or Hyannis Historic District- Certificate of Appropriateness required unless same colorlsame materials specified on application ❑ Map/parcel number Approval Sign-offs from: ❑ Tak Collector ❑ Treasurer ❑ # of squares of shingles or square footage of roof or sidewall to be shingled/sided [� Specify stripping old shingles or going over old roof If going over ❑how many roof layers existing now ❑what size are rafters? What is span? ❑ Owner's name& address ❑ Project valuation must be entered ❑ Builders Information ❑ Signature ❑ Workman's Compensation Insurance Affidavit State form must be completed and a copy of Insurance Compliance Certificate must be submitted. ❑ A copy of the Construction Supervisor license is required. Effective March 1,2009 ❑Check expiration date,no restrictions ❑ Permit fee$160.00 ❑ Property Owner'must sign Property Owner Letter of Permission. Projects requiring the use of a crane must complet6 the forms issued by the Aeronautics Commission q-forms/bidgp=itsiprx,mitr-hecklist r<v.070610 ' s yoFTHE Tp�I TOWN N O B:milRNSTABL ■ Z BA199TABLE, i "6 9 o M BUILDING INSPECTOR pv a APPLICATION FOR PERMIT TO ... ............ .. Q �... . r .../...... ................................ TYPE OF CONSTRUCTION ......}�If�ca.®..��.... ��a4J�.�:................................:..................................:.....:........ ....%m74P ........ 19.7.4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. .-QYXoR. .....� .Qk>"�..,..�.�.f...Vkea.7' ,.......��c�!Y.����...f�j!h.��sri1' ........... nn J, Proposed Use ..hxi 4.. .2�/.....&'if. ............... Zoning District ...y(( Q9S:113� 0�. ....................................Fire District .............................................................................. Name of Owner !.../...t ./€l . ..4�.. .�/�N. .SC......Address Gift.t'71......./ O.r� ..... Yn!l.5.............. Name of Builder . I � . . . l. . . ... . ........Address wrQ... . .W ..�...�Y�,....T'.X�ff�S!'h!'J..�................... Nameof Architect :.......................:.........................................Address .................................................................................... i n f Number of Rooms ......��.......................................................Foundation .1. �f N ./! „��................................ Exterior ......................................Roofing ... �fF/.. ........................................................ i Floors ... i!'! lSr .....................................................Interior .. ..................................................... - - - - -.Piumoing - �✓C�N ' Heating - ........................:............... ............................... ....... .... ............................................ .......... Fireplace ....Approximate Cost ........l.�� Difinitive Plan Approved by Planning Board --------------------------------19-------- Diagram of Lot and Building with Dimensions 00 O Q UJ LL (n. m t IL ❑ p � < i- > ww � w z 5 (D r d = r,eQre Li m I LLJ, w 0 r � o o o � 1 00 F=--- F- Oc ry � O p "`LU LJJ ❑ W co U) M 1-- Z Z o 9 O < I 1 0 CL < f G / .1r i A Q �o Ii4, 4dQ taw / hereby agree -to,conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......................................................... ~1toryeo, Berztti &''Kaz'ttu DEC =� � ���� ��~ w � ^~^ ' | ^ ~ . No —.�+���.. Permit for —.ad�..to.��gp������I ! > ` --_ ----'-----~------' } � � Location ...... - .......................Hyazn1s-------------. � . {]vvnar --- �'&. Ka � _.. | ' / Type of Construction ............X�rqMq.................. � , \----.---------------------- Plot ............................ Lot � , ----------.. / ! - Permit �ronx»6 � lV 7I ����- ^/ r�,�v �,onn:o ---. -------�/v ' — [ ~ Date of Inspection ---. ----.lV / . . ���"� 4 / � Dote Completed --'��—��.^^^----..lg . ' � PERMIT REFUSED -----------------..�---. lA � . � .------------------..-----.�—. � _'-------------------------. ' -------^-----^'-------^''--'—^ . i � --------^~^^--^—^^—^^'—'^^--'�—~' | . � Approved .............................................. lV \ . ' -------------'--'--------'^—' . ! ................ � ^ ` 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, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE�Ji_X�Z_ b 2- Fill in please: APPLICANT'S. YOUR NAME/S: t _,CA_ Cc�11J C tV B INS YOUR HOME ADDRESS: Q 2-A 1v,0—, It it C e-Co 6) TELEPHONE # Hfine Telephone Number S NAME OF,CORPORATION: ' NAME OF NEW BUSINESS TYPE OF BUSINESS ` b IS THIS A HOME OCCUPATION? YES O U <no I. ADDRESS OF BUSINESS - _!"ILA=1 hS MAP/PARCEL NUMBER 2aq' i (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 malce sure you have the appropriate permits and licenses required to legally operate your business in this tovun: 1. BUILDING COMMISSIONER' CE This individual has�beinf ed of an armit requirements that pertain`to this type of business. ri d Signature** COMMENTS: 2. BOARD OF HEALTH This individual he be for ,ad of the permit requirements that pertain.to this type of business. awT+� Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS'[LICENSING AUTHORITY] This individual has n i7 oq d� of the licensing requireirments that pertain to this type of business. . Authorized Sign ture** COMMENTS: © ti ( )'1, D (.fl S lies C � YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost+_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 Maim 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 bylaw. , DATE: a o / Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: -_ 3 e? (Cl' _j 14 •-L Z_t 10-e x fi r-jq iLl �-� l rG /72 ct ©7.t-• �i o TELEPHONE # Home Telephone Number 3O 2 4- NAME OF CORPORATION: _ NAME OF NEW BUSINESS at?,a C-j Gi�'t-� F^,ec i I` Q _n.' s�R1 TYPE OF BUSINESS I c L.i ST IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS� )`1' Al 01MAP/PARCEL NUMBER Z(pq (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 COM ISSIO R'S OFFICE This individ�ial has a +afor(elan p mit requiremen that pertain to this type of business. Auth rized Signat COMMENTS: 2. BOARD OF HEALTH This individual has been or ed of the permit requirements that pertain to this type of business: MUST COMPLY WITH ALL • hair y 1 k1 HAZARDOUS MATERIALS REGULATIOIN1 Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS LICENSING AUTHORITY This individual has i e of the licensing requirements that pertain to this type of business. Aut rized at re** COMMENTS: '�� 5 ./l If AEI (.�1.(! / (� J r YOU WISH TO O( A BUSINESS? For Your Information: Business Certificates cost $30.60 for 4 years. A Business.Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does not give you permission to operate.) You must``'first obtain the necessary signatures on this form at'200 Main .St., Hyannis. Take the completed form to the'Town Clerk's Office, t$t FL., 367 Main Street; Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. Fill in please: Date: i APPLICANT'S NAME: YOUR HOME ADDRESo BUSINESS TELEPHONE HOME TELELPHONE#: NAME OF CORPORATION: FID# NAME OF NEW BUSINESS G ) TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES j NO ADDRESS OF BUSINESS %� �_ MAPIPARCEL`NUMBER (Assessing) When starting a new business there are sever9I things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is do assist you in obtainmq the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. 8 Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 9. BUILDING,CO,)IA SS NER'S OFEJ.PE f ' This individual n i d a y permit requirements that pertain to this type of business. 14 rl� u o ed Sig a e** _ COMMENTS: 2." BOARD OF HEALTH MJST COMPLY WITH ALL This individual has be informed of the permit requirements that pertain to this type cf business. HAZARDOUS MATERIALS REGIlF_pT'^"� �ry [VA Authorized Signature" COMMENTS: 3. CONSUMER AFFAIRS (L ICENSING AUTHORITY N This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: , TO ALL NEW BUSINESS OWNERS b�°A /. DATE: -//-08 In JWk/ ,jO�U/��l' 9�� A✓E M�i�'hor Mills', /4/� do&yy Fill in please: APPLICANT'S YOUR NAME: �� �u �r BUSINESS YOUR HOME ADDRESS: Je�ff'I1' �rrY�oGt-�,�W. Oafo 4 TELEPHONE Telephone umber Home NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES N Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS;31 Q�� _ - ;.`= �_ _�. _�-= MAP/PARCEL NUMBER QO When starting a new business there are several things you must do in order fo 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. Once you have obtained the required signatures, .Fisted below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDI MMISSIONER'S OFFICE This indivi ual be i r e of any permit requirements that pertain to this type of business. �— A thorized S' nature** ' 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 een i ad of tf &&6ireme I nts that pertain.to this type of business. I 1 Aput�,orzed Si ature* COMMENTS: UJ�X C� fi►'� aJ 1�'�/ C&i fl-e. L4 C.Q.►IJA- ", lScLlGi Business certificates (cost $30.00 for 4 ye rs). A business certificate ONLY REGISTERS Y4IAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the.various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. Cal'- Assessor's map and lot number ..2 �.....�.:�.�0..... INSTALLED IN COMPLIANCE .�dITH ws. .:.....C��: . 13..s".4 ... d ARTICLE it STATE Sewage Permit number ... ` � Y SANITARY CODE MID �QyoFTHEro�♦o TOWN OF + BARI� `� 'RE BARNSTABLE, " 9 �•� BUILD1119�' IN PECTOR APPLICATION FOR PERMIT TO ... ??11`/ . .:......... 1 ;?...... ........................................... �So.v�e TYPE OF CONSTRUCTION ........lG ,,........................................ ....... .................................................. TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby )applies for a permit accordin(g�to the following information: Location^..... .... fir.....,? ��hr.`.. .9:.A........................................ ................................... f ProposedUse ..... �GI`4��1. 'j. ..f......................................................................................................................................... ZoningDistrict .........K ......................................................... District ........... ... Q! 1 ............................................... Name of w er .. e. l. (�....�1,. ..�.ar��............Address ..... . ..&P :I...... ..(a to tc) �/?C—Cf Name of B ilderAddressbL �... ..�?. . Nameof Architect ...: GNr!:::6�............................................Address .................................................................................... Number of Rooms ............/....................................................Foundation .....CCruC'!':!�A................................................ Exterior ....... l.UCe. .......................................................Roofing .......S.?`.e�'./.......................................................... Floors .....................G Interior ....." . G� 4 :......... .................................................... ................ Heating ..................................................................................Plumbing .......,Kra(e:. ....................................................... Fireplace ............ ...................................................Approximate Cost ...........<.i..a� ............,(................. ......... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH _e h I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. %y ............ L!................... Altonen, Pehtti 17008 ad to No ................. Permit for ........ .0.1....... c7omercial building ............. ........ ...............I...... 3� 7 .......................... Location .....................West............Main....................... Hyannis ...... . ..... Owner ....;..............Pentti.............Alton..e...n.......................I ...... masonry Type of Construction ..................................... ...................................................................... Plot ............................ Lot ......................... . ..............19 74 Permit Granted .........A. 7Y Date of Ins,pecti .... ...(:......I.eQ. .....191 Date Completed' .. . Ck �.Iq /b.7... ................. -PERMIT REFUSED ............................................ ................... 19 ......................................................................... .......................................................... .............. ................................................................................ . ..........................................................................L.J Approved ................................................ 19 ........................................................... ............. . . ...................................................................... . A k. y Town of Barnstable oE�� oky ..� .�•� - _ Regulatory Services ,$ Thomas F.Geller,Director XAM 2619..N,� Building Division ` Tom-Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508 790-6230 Office: 508-8624038 Date Address t /" `r c s-` 13sre< Y S To Whom It May Concern: 1�e /1 41 i r✓ our attention has been alerted to the fact that you are flying illegal ding contrary to fl explicit the Town of B arnstable's Zoning ordinances.The Town o code which which is set is.motion re ar -m ags• Section 4-3.3,Prohibited Signs(1)"Any sign,all or any portion of including pets,banners or flags,except official flags of nations or administrative or political subdivisions thereof" Please contact me at 508-8624033 when these flags have been removed so that I can inspect the site.Thank you for your anticipated cooperation. Sincerely, David Mattos Building Inspector F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 269 Parcel 100 Permit# ! /S® 8��� Health Division Date Issued J v2 Conservation Division Fee 4 Tax Collector r�y� Treasurer L2�/j�c Planning Dept: Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 379 W. Main St. Village Hyannis Owner Hickey, Cornelius J. %Huntingest Group MngAddress 40 Indusstry Rd. Unit 4 Marstons Mills Telephone 428-1112 Permit Request Reroof Building Strip exsisting asphalt Reroof 26 Sq. of asphalt 27 Sq. Rubber Square feet: 1st floor: existing 3,7RR proposed 2nd floor:existing proposed Total new Estimated Project Cost $11,950.00 Zoning District Flood Plain Groundwater Overlay Construction Type Reroof Lot Size •24 Acres Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 1940 Historic House: ❑Yes 3 No On Old King's Highway: ❑Yes 3 No Basement Type: :]Full ❑Crawl ❑Walkout ❑Other 1,16o of 1,788 Total Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1,160 Number of Baths: Full: existing new Half:existing 4 new Number of Bedrooms: existing 0 new Total Room Count(not including baths): existing 7 new First Floor Room Count 7 Heat Type and Fuel: ®Gas ❑Oil ❑ Electric O Other Central Air: 6 Yes ❑No Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes ]No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing O new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial C!Yes ❑No If yes, site,plan review# Current Use Hair Saloi,jailor,Restaurant Proposed Use BUILDER INFORMATION Name Kerrigan/Axon Inc. Telephone Number (508) 540-4426 Address 565 Carr iap-eshon Rd. E. IiaLnouth, MA. License# CS 068287 Mailinc: PO Box 2069 Teatic,-et, Ifla. 02536 Home Improvement Contractor# 100138 Worker's Compensation# WC99 B05005 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Bourne Land Fii i SIGNATURE \ . DATE 10/27/99 y . FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED MAP/PARCEL NO. h SY If( ADDRESS VILLAGE "i OWNER f` DATE OF INSPECTION: +` FOUNDATION y FRAME INSULATION FIREPLACE f` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT r% • ASSOCIATION PLAN NO. J k .a The Commonwealth of Massachusetts == z Department of Industrial Accidents - -_ " 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance davit i %% �� 11 name: r location: city phone# ❑ I am a homeowner performing all work myself; ❑ I am a sole nor and have no one worliig in anv =tv ❑ lam an employer providing workers'compensation for my employees working on this job.:. :::::::::::::::.::::::::::::::::::::::::: comoanv naive x :: .:::......: . .. ::::: address -P .......... :....:::. . . . :..:..:...::.: . .:.:.:,:::::.:::. .,.:.... .....:::::,:.:::::.:,.: . .: have#.� €%.ft15 ._ . .:. ;>;::.:::::;:.;;<::;:;.;;<.;:<:;:>:> :>«:>:«>;»»<:; qty�. E, fFlbf3t` 1+dg ... . .Q �7 n &fi{,� insurance co. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comyenv n ;.sa ss > > «`...... ....................... :.::..................... .:..................:•::::v.....................v................................. V. :......... n..................... ..........;v:•::.....:..: ...... .......... ..................... .....................•. ....::.:.:.::::i:::••.:v.v;:.:...:.:.::::.::.::r.. 1:•'}i:?'i:?{:iy:+:;i;:;:;{':iiiiii:�i$i:iTiii:•:iiii::::i:i::i:C::'ti:ti! :i:C:: �ii ........... city' ::.: ?::$;'i:ii$;:$'iiii:?i.r}Y:{rill:Lii:ii:;uvvvq;{};;i:•iF ................ ...........:::�:•:.v:v .:•:!:.is?'•:w::'•::.v:::::. :?:::.�'•::::.:•.v:::Li}'•:j::{:j::•??:!^?'i•:;+:?i.?':•?'i:::i?:�j?r•r:i ::•:::�?:•?:•? .................... ...}...................................... ...........v.....�... .... .....v ni...: x::•:::.v:.vr4:•}:•:{:{::..'•:?:i??:.{•:i{{i}:{•f::??vit�w:w'J'{.}\K: .. .. .:.�::.:::............:�:::�::.xv:•:nv.v::• .�.�::::.�::::.v•.::�.�:::•:::::•.........v: ;rr.::,.;:::::.;y�!:i-i:::;:::_.: .N .::.:...........:........................................:.. .. olicv#:..:.::;:.;;.:!:{:.;::;..::::.:,,:.:.:::::.;::.;�:.:,:::.:.�:::.:::;::>.�,:::.;>..::,;<;;!.;�::;:::.;::, XXXXXXX address. `en h atv,.. . ....................................... .. ..�::::v :{:•:i:i:!•??:�ii?Y: :r?isii•?i?i::..........................................:ir:.:: .................... ............................... wn:}.........,i:::.?:}:ln;•};.}?:w::;:::xy!!•?}::x?'•....:::•iY:'v:;iJi:jii:•i:•i:•?iT.` .. ...... ::::..r:•i?ri:!•i:!•i}Y:i:.:::.::::.::v::::h. ............:..:.::..:.::.:.;...,i?i}:r:•?:{:i::???,:;?•?T:•?::{•?:•? va xna Failure to secure coverage as required under$ectton 25A of MGL 152 can lead to the impodtion of crimind penalties of a Sae nil to 51,500.00 and/or one years'imprisonment as well as clrfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification 1 do hereby certify under the pains and penalties of perjury that the information provided above is tru.and correct Signature �' —�—� Date 1 n/2 7/9 9 Printname Brian T. Axon- Phone SGn-11A9ti CO nly do not write in this area to be completed by city or town ot8cial town: permit/dcense# ❑Building Department ❑Licensing Board mmediate response is required �selectmea's Ofi1ce _ ❑Health Department on: phone#; ❑Othu (tensed 9/95 P1A) . ZN- 90408 DEPARTMENT OF PUBLIC SAFETY 90408 ONE ASHBURTON PLACE, RM 1301 ` BOSTON,-MA.,02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 _ fw �•� �'fir.-""."�"' BRIAN T AXON Detach bottom, fold sign on 23 PILOT WAY # - back, and laminate license card. HATCHVILLE, MA 02536 -'; -i Keep top for receipt and change 4 -4 g a �2,`of address notification. ,p r p r# ; ,r 19Y-ads- - '`� HOME� IMPROVEMENT ONTRACTORS REGISTRATION�tiIxa w,. a ^Ow,a�k A`-1 h -et 5 , Board�'offBui=ldi=ng pRegulations and Standards `S't � a"'"� '}'` .i�4 L= +{>:^t a � Sf �OneAshbur4togna�Place c '«ROOfn 1301 y 4i'iax tn5 ,3q }, a' "fi ::r� T y �.. i i kp � 3 yn��+- r Bkroston; Massachusetts.-02108 w I t ' ��`s�ct,., �, HOME IMPROVEMENT CONTRACTORQ`^ - a °'- rv. .;+ir 2ps-' sy$ . S4Y ,a..1� �;x '„ �:� ,a r,G^ I ! ! :y- Registratxon 100138klEXphiratiori -06/09%00 Type'y PRIVATEICORPORATION HOME IMPROVEMENT CONTRACTOR ;. � `� 'Registration . 10013 KERRIGAN/AXON INC .. ,` s, �. 'Type PRIVATE CORPORATION t Jame!s M. Kerrigan Expiration 06/09/00 PO BOX -2069/ 12 Ouashnet Way TEATICKET MA 02536 KERRIGAN/AXON INC t i L� QoJam s M. Kerrigan ADMINISTRATOR BOX 2069/ 12 Ouashnet Way E T ATICKET MA 02536 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 269 100 GEOBASE ID 17493 ADDRESS 379 WEST MAIN STREET PHONE HYANNIS ZIP ILOT F'` 2 LC113 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 36795 DESCRIPTION MISAKI RESTAURANT(1=22.5SQ.FT. )&1-24 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 tHE BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * HgRNgTABLE. *' MASS. 039. FD MA'S B ILD G DIIyISIA DATE ISSUED 03/02/1999 EXPIRATION DATE y �FTHE Tqr,. The Town of Barnstable „ ,,�rABI,E : Department of Health, Safety and Environmental Services 9� 'M �0� Building Division - 1 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Col or 3 Tre v2 VVV "a Application for Sign Permit Applicant:_ l� _� .= Assessors No. 2_l 9 //,W Doing Business As: /✓,7/S/ate/ je7 S'Ti9�/�irniT Telephone No. 7/ 3 7 / Sign Location Street/Road:_ q i 7- 1 i G�� l Zoning District:%S_Old Kings Highway? Yes/N!o, Hyannis Historic District? Yes/No. Property Owner Name: (o��,'O/VZJ!/S Telephone: /` y0 °r.PV' A-_0 Address: �/e; Village: N//q;9�5TV/. /L'r/L[S Sign Contractor Name: S/6A4S _Telephone: "7 7/_Z-Z�U Address: `'Z-4/ IL4 L-�Z 1A/ 57— Village: 14--)�ILI c l/_5 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:Ifyes, a wiringpermitis 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: 2 2. j s r. / 2 Sa Fr Permit Fee: Sign Permit was approved: Disapproved: C� Signature of Building Offici , Date:_�� Signl.doc rev.8/31/98 c,�Syi 4 6REATREF CEL ITONS HAIRSTYLING J ' S.4RPI.VINL 1 THC YARN BNM � t I 1 � I ,____ � � is .aki - APAN E 41 1 Ul IN ushi , Ba r a -e u ZZ 5. SOn f=—1 Ujo �6- s ��IJ S � JA PANESE Mis.aki CUISINESUSHI BAR Take - out 7713.771 zti � � OJpLL- �S FiME SIZE 14S CX � STI�F� 0 o o - — � s f Y� �.I `�` \! 1� '�e �1 1a1\ u ®. i- _ »�;�.. i � - _ , I � -� a - -_--- — ; I 1---'-._-�_-._ -� --- a 1 ►� pry A�v1s� t. - s 1&�\l M r F i 0 rq L r9 LLOK-)f"1 g LE S ,&AJ 25' -3 0Ji9 L C S 16I� � 9 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 269 100 GEOBASE ID 11493 ADDRESS 379 WEST MAIN STREET PHONE HYANNIS ZIP - LOT 2 LC113 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 37175 DESCRIPTION STITCHES' -(damaged sign) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services e TOTAL FEES-( BOND r THE CONSTRUCTION c6STS, $.00 Qi► I 753 MISC. NOT CODED ELSEWHERE * 1ARNSTABI.E • MASS. � 16S9. Fp A i BI/ILDING DIVISI'i N Bkly,4 ' I DATE ISSUED 03/18/1999 EXPIRATION DATE 0 I? r��` � a � ol �n MASS,"„, epartment of Health, Safety and Environmental Services Building Division •r Eo 367 Main Street,Hyannis MA 02601 _ Office: 108-862-4038 Ralph Crossen Fax 508-790-6230 - Building Commissioner Tax Collector Treasurer �p Application for Sign Permit Applicant: //G.izcc�l �1J- Assessors No. a Doing Business As: � Telephone No. Sign Location Street/Road: 3 �• � 0 2G o Zoning District: -- Old Kings Highway? Yes "�c�) )Hyannis Historic District? Yes a-- Property Owner Name: Telephone: Address: --�Village:_ALU Sign Contractor Name: Telephone: Address: X Village: —:249-) 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.Ifyes, a wilingpem tisrequired) 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 Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Size: Permit Fee: Sign Permit was approved: 1/ y Disapproved: Signature of Building Official: - i Date: J7 /g-- 01 Signl.doc rev.8/31/98 TOWN OF BARNSTABLE ' SIGN PERMIT PARCEL ID 269 100 GEOBASE .ID 17493 ' ADDRESS 379 WEST MAIN STREET PHONE HYANNIS ZIP - LOT Z LC113 BLOCK LOT SIZE D13A DEVELOPMENT DISTRICT HY PERMIT 33030 DESCRIPTION YARN SLOP (5"X 42") PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health Safety ARCHITECTS: and Environmental Services TOTAL FEES: $10.00 INE 'BOND $.00 .CONSTRUCTION COSTS $.00 4 p` 753 MISC. NOT CODED ELSEWHERE BARtvsTABi.E. _. i6 UILDING D VI ON BY DATE ISSUED 09/01/1998 EXPIRATION DATE TheTown of Barnstable Department of Health, Safety and Environmental Services I ,� Building Division "- 367 Main Street,Hyannis MA 02601 Office: 508-790.6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner -PE Application for Sign Permit Applicant:_ j�ct�L Assessors No. /Chu Doing Business As: J0,V'n ilk ilkq,p Telephone No. 02� Scz© 'YVC, o.z(,V I Sign Location , Street/Road: �S 1�f Ct,i ✓1 Cz t,c vL c Zoning District: Old Kings Highway? Yeg�NDo Hyannis Historic District? YeWfq-0 ) Property Owner Name: 1 li ' ,,t' , ' Telephone: a.0 D � , Address: i a � ?>4 0 Village. b�ICz y �zt)vu� �'1 +►1 s Sign Contractor Name: W . r 01 v\ Telephone: Address• I,k) i (OO.u:) ag 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. B the sign to be electrified? Yes o (Note.Dyes, a wiringpermitis 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: /t� Sign Permit was approved: . _ Disapproved: Signature of Building O ffici �� �� „�� Date: � F Sign 1.doc K Lq 40 Le ce Pce 1 " �/� .GG TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 269 100 GEOBASE ID 174.93 ( ADDRESS 379 WEST MAIN STREET PHONE Hyannis ZIP - LOT 2 LC113 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT_ HY PERMIT 21098 , DESCRIPTION THE NEEDLEWORK CENTER (4SQ. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $10.00 BOND $.00 OxTHE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BARNSTABLF, MAS& OWNER HICKEY, CORNELIUS JEC 39' A� ADDRESS PO BOX 662 BU ' DING)DIVIS�fl{ FALMOUTH MA B DATE ISSUED 02/12/1997 EXPIRATION DATE i I 9' The Town of Barnstable a_,a -9 7 Department of Health, Safety and Environmental Services 1659.� Building Division Fpt 367 Main Street,Hyannis MA 0260.1 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit ti '1kdA Applicant: � �{.(.(� Assessors No. Doing Business As: GC I P.wak 1�t&- Telephone No. 71- Sign Location n Street/Road: ,)c1 Zoning District: Old Kings Highway? Yes/No Property Owner Name: Telephone: Address: Village: Sign Contractor Name: Telephone: Address: Village: 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.Ifyes, a wviringpermitis 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 con:ect and that the use and construction shall conform to the prol*isions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Size: Permit Fee: Sign Permit was approved: i! - Disapproved: Signature of Building Offici - ate: — r TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 269 100 GEOBASE ID 17493 , ADDRESS 379 WEST MAIN STREET PHONE Hyannis ZIP - I I LOT 2 LC113 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 21099 DESCRIPTION BLADES, ETC. (4 SQ.. ) PERMIT TYPE BSIGN. TITLE SIGN PERMIT CONTRACTORS Department of Health, Safety ARCHITECTS: ._ and Environmental Services TOTAL FEES: $10.00 BOND Tt1E CONSTRUCTION COSTS $.00 I 753 MISC. NOT CODED ELSEWHERE * BARNSI'ABLE. MASS. OWNER HICKEY, CORNELIUS J i639' ADDRESS PO BOX 662 FD Mlr►� FALMOUTH MA BUILDING DIVISIO�NBV DATE ISSUED 02/12/1997 EXPIRATION DATE ' CD The Town of Barnstable � �' Department of Health Safe and Environmental Services • ,�er�au. • P Building Division Ec Nu•�" 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Per n it Applicant: S),v* 6 1 rf\ r/ Assessors No. Doing Business As: 43 LAC� s Telephone NOS" '??F-�� Sign Location Street/Road: ° �✓ //(�/�! /T` �9�vc>i �/L�,�sS Zoning District: Old Kings Highway? Yes/No Property 97er Name: r ) Telephone: 5Q�� -5Ye 774 Address: 7e17 47-021le- 40, Village: cry/* . w,4s rY/ Sign Contractor Name: Telephone: Address: Village: 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 riving 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: Sign Permit was approved. Disapproved: Signature of Building Offrci `� "A.I—Date: TOWN OF BAARNSTABLE SIGN PERMIT PARCEL ID 269 100 GEOBASE ID, 17493 ADDRESS 379 WEST MAIN STREET PHONE Hyannis ZIP - ( LOT 2 LC113 BLOCK LOT SIZE DBA DEVELOPMENT j DISTRICT HY 1 PERMIT 21107 DESCRIPTION GREAT REFLECTIONS HAIR (4 Sty. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental. Services RTGTAL FEES: $10.00 BOND $.00 , CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BAAN3TABLE. * � MASS. OWNER HICKEY, CORNELIUS J i639. ADDRESS PO BOX 662 E� FALMOUTH MA BJUI G D.IVISION DATE ISSUED 02/12/1997 EXPIRATION DATE 7 The Town of Barnstable = � �'Department of Health Safe and Environmental Services a�nNsr,�. • P KM& Building Division 1"9. .� Ep " 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: a e Assessors No. Doing Business As: Q�al 4&d—IOX C2/' Telephone No OF 271'"J")Y-5" Sign Location Street/Road: Oesk /i'! d _ � G 0 Zoning District: Old Kings Highway? Yes/No Property Own , Name: ✓-A Telephone:,'jb4 Address:?b �'��Y1 m��✓� /t-sSt Village: Sign Contractor Name: - Telephone: Address: Village: Description Please draw a diagram of lot showing location of buildings and e!asting 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:ffyes, a wbingpermrtisrequired) 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/Authorize Agent: Date: 2—- — 9 7 Size: `/` Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: i Date: 7 q 7 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 269 100 GEOBASE ID 17493 ADDRESS 379 WEST MAIN STREET PHONE Hyannis ZIP LOT 2 LC113 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 2110E DESCRIPTION SUSHI BY ,YOSHI PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services I I TOTAL FEES: $20.00 BOND $.00 CONSTRUCTION COSTP $.00 753 MISC. NOT CODED ELSEWHERE * BARN3TABLE. +� . MA88. s6g9. OWNER HICKEY, CORNELIUS JFD ADDRESS PO BOX 662 ! � I FALMOUTH MA BU LDING�DIVISiO " B � _ ��` DATE ISSUED 02/12/1997 EXPIRATION DATE The Town of Barnstable 9 7 : Department of Health, Safety and Environmental Services KM& Building Division 1659. Fp Nu•�� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: 'all UO n( 6a_/f' Assessors No. 07I,/ Doins;Business As: .SU 517i b t/ �b S Telephone No. �o�7°�1 3 Sign Location J ff 1 Street Road: 3 �9 w e 5T /`�ai h 5 T 41,14 /'S 14 4 0 2 60/ Zoning District: Old Kings Highway? Yes/No Property Owner Name: rot A a GC'S i e_ -eV Telephone: S W-S�'9T- Address: 7 0 � C, paz -y 7 � Sign Contractor Name: Telephone: Address: Village: Description Please draw a diagram of lot showuig 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.Ifyes, a wiringpermitisrequired) 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 Barn/stable Zoning Ordinance. Signature of Owner/Authorized Agent: ✓ Date: ' 7 7 Size: Pernut Fee: G Sign Permit was approved: !/ Disapproved: Signature of Building Official: 7— ,/ - Date: z — 7 — 2 7 f Ear l Ll 11V:-: Nl z U�lv7-5 2 � • BY • N .9 lo N EFDLE WO R K rn d` -Refie�f 1.Ons l o / j 1 '� 1 -f l•w�l�J 1.� ,^Y1.•tY '.fl �,�f 1. �Y� , �� `« 1, 7a _ '�- , is s T*{'A �N) Q �7 =37 71. '`�,'' ��,+' �s?. �`r 1 �� i„r,�•-•� , „'fir z'; gVbl 73 Af St. ��j,{ �� ry♦ art � .3}. it ' 41 43• d . r to ,� IAV 10 1. i Ark,1 YND � ��i-,r: '{ -A 4C -4te �QX j Y. A _271 S, 5 • $"A P ING Gr eat 2 re Reflections NIL w A.L ✓- iv" 77 lip ........... P IF m to) 77 �44_�Mltfiq if� gill tp- e 1, x- T 9E 4 FA Or �v- Z5 7il Lf aff I i >� . ... `� . .��.- , ; ,. ,, • .1 ri s� � � .� .. ` - � � ,+ .. .� r � .>'. _• ,, i H i + •., r .k �. ! J� . ... 4. 1 � �, J If. 1 \\ \\_.t � �. \\ ' , J .\\ , V r E .._ ,SEA' .. € ':.:?, h!E' i h, !�'• !» ,. €�� - - , 2 097 `� 269 100 -z i i��i��a w:s'E �,�....i`•'� ... ,.- -....�.. ...., tE€€. ....,.E� �..::� ...�• - i4€ E@...... s z; ... •it'�'� �~tE�' �•;nlc»i!;��.�� ,;.'" is _, E �' - q�..- q+� x r. x .( E Yoshi 1� 4„ ;`3 a 379 ;` _ °West Main Street E" Mr. D'Agostino Eft n`�€ g WIN 362 2131 (ext 4442) A ta• It3!€ =3111 tt E C•EE SEEI Kd y 3 Shouldn't there be a handicap ramp at this ` Er 'restaurant? Mr. D'Agostino wants a call back E ' please. �SSe��E Et� ..."+X•i' It F',•t.. �ltE€• z ��.. t - ,:� � ..•�E�• t,€(€€` .�4� :. €ttl„ ..lE€ i�E ��E.E tyr!!ts u V {„/ E t t- E , M ,� {� LS•. 'fie `.. C - \ :.:i E•.l M E E{.:� . -. P4t "€E��I ,E� � €li:: i.�'E••"� -, �..t. E ,€�• ! y`jF�.�`E.. H 7 / la E —7 !z ��� � ..:..: ..yF. -o;E �Et i•tt E 4'..• ..�I!.,�ya, £:�- �•E°£`Sep P•P S��E ���d El ��:: Engineering Dept. (3rd floor) Map Parcel Permit# G� House# Date Issued // �� ,��3oard of Health(3rd floor)(8:15 -9:30/1:00-4:30 1 om— J Q • aD ,ems Conservation Office(4th floor)(8:30-9:30,/1:00-2:00) l Planning Dept.(1st floor/School Admin.Bldg.) �1HE Tp,_ 1� De ' I a Plan Approved by Planning Board 19 ` BARNSTABLE. ` 6 9 TOWN OF BARNSTABLE APPLICANT MUST OBTAIN A SEWER Building Permit Application CONNECTION PERMIT FROM THE Project Street Address ENGINEERING DIMON PRIOR TO j � �� �J141AI CONSTRUCTION. Village '1VW AS, Owner 1/ AAlce f 'k�" ddress Telephone -Permit Request ��First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes XNo On Old King's Highway ❑Yes �No Basement Type: XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 0 New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air XYes ❑No Fireplaces: Existing D New Existing wood/coal stove ❑Yes Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial XYes ❑No If yes, site plan review# Current Use gR /Q4AJ7_ Proposed Use Builder Information Name (.tJ W- Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C, DATE BUILDING PE IT DENIED F16R THE FOLLOWING REASON(S) o f FOR OFFICIAL USE ONLY i PERMIT NO. .�r DATE ISSUED MAP/PARCEL NO. ". •,�� i � 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME = ! � INSULATION _ FIREPLACE--- ELECTRICAL: ROUGH ' FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING '- s �` tr tv M DATE CLOSED OUT Ci 1 ASSOCIATION PLAN NO. , J `;RIJ FF tiru•!7 The Commonwealth of Massachusetts Department of Industrial Accidents t 1 rA office efloyest/921/0/Is 600 N ashinl ton Street Boston, Afars. 02111 Workers' Compensation Insurance Affidavit ��nhcant mfrmation: - -. ._._.. .. _�_-._._'lease PRI1VT;lebtblL4„z» ._• •_ _ • /lo name• 1r��� �/'��!/[.c—!7 / c ST p city iU,� /TG�G -T phone I am a homeowner performing all wort.myself. I am a sole proprietor and have no one working in any capacity R'« -'T "r�T 4f „ �:' .....'.• ,. �.aar�.sS._. _ r�5�.i ram•1.....,6:T.e..:.L�.S�.�'�s=.2v+..wF�r&YJ1!xYir.YntlsWu•YlCi ":a..�..�:La.n'S�:uY�,.x>;t+ +.or..w.rr�._r I am an employer providing workers' compensation for my employees working on this job. company name: address: city: Rhone#• insurance co policy# t I :.. ...., Yy � :.... '7 .Tt J�4v�9i(�y 1� .!W.+y+v"WVu'.�.AN4Y;4MP2�,^Xrn• [11+•' y v.ww.: •,mwf. ,.�.w.s I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: ,address: city: phone#• insurance co. policy# •.:� c - «a:Fi:::.;�.-�?��cv`a^�•^r .;'-"p•c't" a t,���Y'��'.{'�.'+sm„'.�tt4bT^�:?t�F'a,`°�,r •T�3•:�"R. ..>'rW14 f�':a...n.�a-�.• cy>.,'t°3'i -K-1.......•--•x•. ...._. _. :.�=s..a,:::-=•. -... • :1��i •• - -•.n,.^,Li►.arAS �`s Lu ..-;m..__..�, - •C:rw►w ... :aaaaix�is company name: address: city: phone#• insurance co. policy# .Attach additional sheaf if necessa,��.�- +�_.�, ,�_�����_ � :�_ _ter :�c� .�""•c�••���=.r°�.:�: �� zr " -- , �;�; Failure to secure coverage as required under Section 25A of A1GL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do berebt cart' under = its and p res o rjuq rl / information provided above is true and corrrec. xSianatu / Date // Pri name J' � /v/ / Phone# — OOP/ :,. ........... ..... zw:official use oniv do not write in this area to be completed by city or town official city or town: permit/liccnse# riBuilding Department Licensing Board p.check if immediate response is required QSclectmen's Office OHealth Department ' contact person: phone#: I"10ther "...-.aa•-�•..�•-r•>••.•..r�.«r:.�.�.- �.p...:.... _.. .,ems, (revised 3105 P1A) Information and Instructions _ ti Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted iront the "law", an empinree is defined as every person in the service of another wi der any contract of hire, express or implied, oral or written. -,N., , ',, An enrpint,er is defined as an individual, partnership, association, corporation or other 16gal entii,�!., or any two or more of the foregoing- engagedfin 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 dwellino house of another who employs persons to do maintenance , construction or repair work on such dwellini, 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 ever•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-.%•Ito has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth Dior 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. 7 7777 •.....—,--..,.......-- —is--'t"z—•.�..�,'` 1. , .s. 4 vCe '_,';,µ`mn`''°`g ."i,R""..".'°`t' Applicants Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the 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. .-;'x.... Em!. .ry.•..,..-a!'.. ... ..•y. -:.".a,•.e+ .#!�'w+.sEp9'7R.t^i�'T .f. '.n '�^s—^w`.^e^T" i1oT^n^""r City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference 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 in advance for you cooperation and should you have any questions, please do not hesitate to give us'a call. r tM.,au..,,e.... ..;,...... .'•—•rvrv:-._..•�..a.,gam.,.-r.r .... .R.n..�w ....-�.fits?:t��'��..s+.+mvw. .;:�asn.x,.—s.�—�-,�+ ,.n_.,wow.w..�.ta-ra,..?�..rte'r!:-n—,.,v..,•,w.w.,r The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations " 600 «'ashington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 yOFTHET��� TOWN OF BARNSTABLE ii • 7 i BARNS LE. i t 19 BUILDING INSPECTOR o �e �✓ Q0 0 <.. APPLICATION FOR' PERMIT TO .. .... .............................. ...................................................................................... � iced'/ 7,�s TYPE OF CONSTRUCTION ...........t......`? ........ ........ . , . 2..... -..........19.7'�— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................... .......................................... ...........`j",:`...... .......................`:............................................... ProposedUse ....J..�VG>i7.v........................................................................................................................................ Zoning District ........................................................................Fire District .............................................................................. Name of Owner ....... ........................................Address J ... l �� [mac-Cry wa.._ .......................... Name of Builder .. ......... .`. ....................Address ."..............................` .............. ...........`..."_'-...`.. Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ..../...........................................................Foundation .�C........�. ..y. o-�v�e .. Exterior ....................................................................................Roofing ....... ................................ �` ............................. Floors .Interior Heating ......'...�..Z......................................................................Plumbing ..... .. .................................................... 0 a Fireplace .`..............................................................................Approximate Cost ....�......................................................... Difinitive Plan Approved by Planning Board ---------------_----------------19-------- Diagram of Lot and Building with Dimensions �— Q w Ld m Ln � ,1oo � z <`:} WWn � W o J (D ` m = , Q � JU) a LLO � � w W k -- 0 IlkOO ui uJ 7: UJ m J J UV) z ow `!� I o o < LLJ U) Q 0_, z z w ►-= boo CL' O -- 1_d- < z cn < I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam? ... '`'!' ....................... - ' AItoneo* Peotti. � / No a�� to atxnro ..�3J�(— Permit for ------------. � ^ ----'^—'—^'—^'-^—~----'~----'~~~^~' 379 West Hain Street ^vp^npn --....—.-'—.--.-----------. Hyanrds —^..--^^—^'--'`--'--~^—^—`—~----- k � Owner ----�ortt---- .�.�~^^~^ ---.------ . . ' . . frame Type of Construction -------------.- . � = .—~--.—.—...--.—,..—~.----.------ Plot ............................ Lot ................................ ' . ~ 0 ]� �� PermitGron,a6 —.�����--------]g - Date of Inspection ------------.l9 � . � Dote Completed ........... � � ' . � PERMIT REFUSED i , ^ --.--..~--.---.--.------- lQ / . . `—.—.—,.----.-----.—....—..---.~—. � ' ' ^ . ^---'—~—'-~--''---^—^'—^^'--^—'--^ —^—^^----^—''—'`^^'`'~^^^—'~—'~^---^' - .—.—..~--.—.,^.......-...—.....—.—...~' , ` � ~ Approved .............................................. lQ ' -----------------'---^--^—`— , -------------'—^--^^'^—~--^'~^— -- , ` � IL 4'k�O�a'Y � ys �.� 'ks'%"•`lk,�,��.. ti �r: '� ��'_:.".£y, ;y'�' f KJ3 ,.'� _}-•a 3r �t7C".�d � "� a��3 �'sts.;�r � �. _ -,_,..F_dw{Fn.-rEd' �.,«c_"{t r _':mow-_zt'. =.z .: :� .. - � ..,>-,� �".� ?'�#a`- y• t" t"{�-T �Y.4. �4 rti E"{+� a$ *4 X+ �r.S�.t^-�"' :1't�^t'- ,�r �. / � r•,o- •t 2.':..k a. ..� R�'° ' ,�,� s � y a�.� y�'�:y�„r, •�P' ^9., e r,� �xs�"9,..r ,�, ; ^ : .,gyp: °a Y ,.,-..} s - r '� �r� s};- ;�.�'� �*� ,�,,,-� �.sy.n ��•' .'ice ia, rWO _Q Q -,3 xcs.a- .�.� * Mr `T�1 i. iP .•c'�l '�' . kT t ` j EX/ST� r s (.3.. i 4 ,CNO. FA/D L Q 4-,A:T4 OrW.; S:'C A FE: D ATE /Z 2 R`E tw'E'TR ,E N C E 4<>=: S3 /qs sA/owl✓ f GATE t. H.EWEIBY CERTt` PY THAT THE BUILDING RE LAND SURvE VR S-H O:W N. O N T H I S P L A N ( S L O C. A T E D O N G•A-0UND A 5 H 0 W N HEREON AND ` f r * WA-T tF C0NF0R" M , TO T,HE iN,p'V ZONING 8Y - L.AWS OF THE TOWN -0F N5:rAAS41 ' W H E N C 0 N E-S-T R U C T D wN J!?S`@PH Fits ON Rft k B`'A F lV S T`-A- S, . S U R V Y, C O N S U L.-TA N '1'S; 1 N i ES'T ,YA A Ki0uTH MAS5 . w,w !t•".,F,"��r-z.�A 4�" ,5.,� � '" � ;, ,S fi^` i. _`` �, eF ��:Sx� �-'' > - _ ''��sr' ""�..�- ,Assessor's map and lot number ...... .�?..1.. ..d..o.:�4�....: ' D Sewage Permit number .......................... °ft"Er° TOWN OF BARNSTABLE BA"STULL i 1639. BUILDING INSPECTOR 0,,�0 YpYa,0 APPLICATION FOR PERMIT TO ....�� ...... . .... /. fir ................. TYPE OF CONSTRUCTION ..........1���P .� !�Ra�Qom-.................. . . .. .. ................................................................... .........................%, , 9. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to �the- following information: Location ..... ...!0.2................ .......... ...'(....................... z ...................................... Proposed Use ......... ....,.. ....... ... --1.....................................................................................I......................... ZoningDistrict ....... ...................................................Fire District .................................................................... Nameof Owner ..............Address .......... ram- ....................................................... Name of Builder ...��ct�-.,�-r....f...�.1�..��',f.�.P..............Address Name of Architect ......., e. e....................................Address .................... ............................................. Numberof Rooms ............: .. ......................................Foundation ..... ............................................. Exterior ........4. re..1C.e.s.......................................................Roofing ........ 5'f7 �f ......................................... Floors ,V..f-e-Qv .................Interior ........ iyt✓.G l ............................................. Heating .......................... ......................................................Plumbing ........ ......................................................... Fireplace ..............�.............................................................Approximate Cost ........... `aod �. ................. Definitive Plan Approved by Planning Board ______________________________ --1 9--------. Area //..... . . ..... ................. Diagram of Lot and Building with Dimensions Fee .... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .... ......... .« � ................ Altonen, Pentti 17503 add to single N Permit for .................................... family dwelling ...................I.......................................................... LocationS Suomi Road d • Hyannis is ........................ ..................... Owner ............Pen.t.t.i...A.1.t.onen........................ ...... . . . .. . . ........ Type of Construction ......f.r.ame.......................... ................................................................................ Plot ............................ Lot ................................ k Permit Granted .........December 26 74............................19 19 Af Date of Inspection ...........................*.....1§ Date Completed ...... ..............19 \7L PERMIT REFUSED .... 19 ............................ ........ ....... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 .............................. ........................................ ............................................................................... AL`POu aNg PENTT FEE TOWN OF BARNSTABLE, MASS. 26 1978o- THIS IS TO CERTIFY.:THAT A PERMIT IS HEREBY GRANTED TO op d 0 - pafftti Al2ona Rrse n9 tad sa� O IPROPE RTY OWNER) e Of TO Addl an ` '(BUILD) )ALTER),? (REPAIR) FrLtr E _ Z36 xr 26 (TYPE OF BUILOING) - - (APPROXIMATE SIZE) •• mm ~ LOCATION' ' Rc)t _43 firtraiznf 2a . _ / fAcTAnsn-0r ' _ , R). . •••-- ••_—• (VILLAOR)t _ .NAME OF BUILDER OR CONTRACTOR. �e4)lcah TGr4tkc3gCtrt f ll - o' r _ �Jfl004. APPROXIMATE COST -. 'a 1 '.HEREBY-AGREE-TO CONFORM.TO.ALL THE RULES:ANO REGULATIONS OF THE TOWN _ OF BARNSTABLE,'REGARDING THE ABOVE CONSTRUCTION: y0 N IS (OWNER) - (DONTRACTORI o s Ci _ - ,•' f r A"�"' BUILDING INSPECTOR Subject to Approval of Board of Health \w - - •'ter i. _ ;: . .• , -.. __-_ . .:.'._ . _..�•-'_.�wr°__. :,. _...-, ...�... _.__, ... Yam. .a. _.. __ _.. ... ...-. _._-.. -_...- " � 6/�.� � r a h 'TOA,VN OF BARNSTABLE BULK RATE COUNCIL ON AGING U.S. POSTAGE PAID 198 SOUTH STREET NON-PROFIT ORG, HYANNIS, NIA, 02601 PERMIT NO. 2 4 I y, 4 s i • ..,,W p✓6' , ...t,-A,. ,�,�';tiL+'`tI�.C3' UY/ // !! ��3.•C l�Ri6,j..5b'IaTi^'�i'y_':!'A' `SY��7' s++µi p�.�.r ._, y.♦ ;. ,e Assessor's mai and lot:number . .• /c %«�.•+/,,i�c. � �O>, is i� Sewage •Permit number.....................�`'�' '.`..... / .!cu.lQt,. . .F.L - �� f l h� fur ; oFTNETo TOWN , Off' BAR.NSTABLE y BABdSTABLE, "Ag BUILDING 'ANSPECTOR. s = APPLICATION FOR PERMIT TO: ........................................................ ?�i�? lS�iii��tiq,,,• TYPE .OF, CONSTRUCTION �... .. ¢. �... .� «' ....................................... .:ls..... .. TO THE IINSPECTOR OF BUILDINGS:`;, The undersigned hereby applies for'`a permit according to;,the following information: ,7........ f;... ,lu .....Gc.7 Location ............... ' Proposed Use ...:.................w —a-o F> /Go rr. +y:::::........ .... .. ... ............ v Zoning' District °,. ..l�'........ ...... ......... :.......Fire District ....'.. ...... .. ............ Name of Owner`.'�•r...X&.r..... i�r�.: ....:: ' Address ' �cu o .......... Name `of Builder :../y^.r . . ....... !.....l.A ,:......Address'. ,.. .,•;....oN,.../c• ...........° � s, r Name of Architect ...: .....C. ............................ :::.t.... . .:.Address ........ ..... ..'a+....i� ..... ;.. ....... Number of Rooms ... ... . .. p Foundation .�r_�.,•>o/} ........, Exterior Iry 4. ,e' :....... R6ofing, Q i ?` .... 1 Floors'. ....:/ /r./' Y��rJ / 1 ( fir rl ,� Interior Zi �ti+. . . Heating Plumbing ills *. . ,. � _ - .�' � f L•i%•�� ! r .`�.♦ .4.' S I ♦ dr. •f•- '7 - Fireplace ...........'� .:... .,..:.. .. ...., .... APProximate Cost .................................. Definitive,Plan A' % pproved by`Planning,'Board 19__._ Area .; V .!:... .... ; . / Diagram of Lot and Building' with Dimensions Fee„ .. .......".0 SUBJECT.TO APPROVAL OF BOARD OF' 'HEALTH'• 1;hereby agree*to conform to all the Rules and Regulations of the Town of Barnstable regarding the above , construction., ' Name Altooeo^ Pentt1 No ...l75D3... erm"~ � " .add_tm..a1�ole...... .........f=uy. ------------ ' Location ..... .\J. ------'�yalmiw--------------. Owner .......... Type of Construction ---.�r.Amer------.. ' ................^............................................................'. Plot ............................ Lot ................................ Permit Gnznxa6 .....R,��ambm�..26---.lV 74 Date of Inspection ------------lA � Dote Completed ...................................... ~ PERMIT REFUSED -----_--------------.. lV --------------------------' ^-----~—^^------------------ � '------------------~^'-----^' � .----.----.------.—~--..--.~—. � � Approved ................................................ lQ � � ^ . --------~------------~----'' -------'-------------'—'---- � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 60 Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address �:�.. r--Owner 1 Address �—Telleepph` o Permit Reque'stLL 1 (P �'I��{V1Cii1 I� eQJVIC. r Square feet: 1 st floor: existing proposed 2 floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach°supporting cQ�cu entation. CW Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) - Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'%Highway,,❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other b 7 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) , q Name - V1 Telephone Number" -- l` Address .ra _1 I is/1 License # k4 PA 02JI)o Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE (DATE""" r ;t i FOR OFFICIAL USE ONLY �4 (APPLICATION# 4 t DATE ISSUED } MAP/PARCEL NO. i x ADDRESS VILLAGE OWNER DATE OF INSPECTION: z FOUNDATION , FRAME INSULATION • FIREPLACE 4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING r DATE CLOSED OUT . ASSOCIATION PLAN NO. r G r t _I• Rle Edit Tools Help (' Ir-i Av ry .``.. G�-Y'{ Year TypelBill NO. Customer account information History 15152' `_ 2S •'S Detail KIEFFER.SCOTT L Property information 375 WEST MAIN ST=UNIT-2 { Orig Bill Parcel ID 1�1 -1fl3 336 HYANNIS, PAA.rJHAt v1 Effective Date Effective Prop Lrr_ D Lien;`Sale rJiJ .Cj3 Special Conditions/Notes .Scan Bill Quick Entr; Int Dt Billed Abt:',Adj Prnt.•'Crd Interest Unpaid bal 94.49 � F 34 lfJ �p 1L8 5 LRilit;"cct 11r64 771 t 94.47 r tl4 fl , 30 69 r 125.145 Customer ' �}2 tl3'i}9Ww ..v. ..._. .___1'9�'`� m, 52.10'' .._.. .._.23175 . I5;O 'rJ9 12� 3 f1�1 3 33 21152 Name -• . w ; Fees:'Per? 5 43�7 t7tl 3�7, 5M Parcel Totals 495 53.34 CASH HECKLE � Prop Cade c PJates. Jerts s Due 92.'2V2011 653,34 Billing Dates 2 �E dAN.1 Owner: KIEfFER,SCOTT L y Per Diem 19 Bill '-a�drt T01/VI! t` BARiV STABLE Int Paid 00 PER __ Reprint _ COLLECTOR.OF TAX ES C�vie-v pn^ a+^aid �Jls Preferences Diagnostics ' i Display transaction historf for the current bill. G - My EiIe%Edd Tools Help. (� --- —, Year.•Type.`Bill No.- - - -- -- ----------------.-----_-__..---.------, Customer account information History 2010 RE 2n3 r A Detail I KIEFFER,SCOTT L. Property information' " — 379.1+.YEST MAIN ST-'UNIT-2 l I _ i . HY,�:NP�IS.f+��..'2601 Ong Bill Parcel ID t 1fl0 30B r'•Jt Parc . Effective Date -.•- _._._,. _.. __._.._ ' Prop Loc D I Lien/Sale �30 Special Conditions`Notes Scan Bill { Quick Entry Billed. _ bt,'Adi Pmt:-Ord Interest Unpaid tal fl�lfl" {lS 112107 Ofl flfl s 2?: i S r 136.74 LRility cct flfl .. .w. . . Zs .77S. ,... _. 132.922 .Customer 03-'fl2'10 3Q5 74 E 40 0 5�0{l !40 74 05 fld lfl 3£6 r; Qfl _... .. w 485 4313Name Fees Pen { 5 fl0' 00' fl0 Parcel Totals 997 60 5.00 Go., 1 :03 Prop Code m Notes%" erts Dui 0,12 9 2011 1 1'6 68 Billing Dates JAN 1 Owner: KIEFFER,SCOTT L" Per Diem zg Bill;audit It Paid fl;3 Re print - �-i1a, snraid �ss �Yybti Preferences Diagnostics � 1 or 1 !Display transaction history for the currerrt bill. - FW• Roe Ldi't Tools Help YearrT{pe./Bill No.. .. — Customer account information ( story 2{109 RE-R 15153; 380Q n 26 -KIE � PdDetail Fry ert,information 373 ESTfAIS T-UNIT-? Orig Bill Parcel ID' 253100OOC HY�NhJ1S.:t�tA 025:f31 - i Aft Parc - Effective Date _ _...._._ ..:w_.,._.. ..,... .. Prop Loc, 1373 VYEST MAIN STREET B I Cien:Sale TBv ( Special Cvnditivns."'Notes _j 4 Scan Bill Quick Entr/ f Int Dt Billed "bt;'.=tdj Pmt,•'Crd Interest Unpaid bal 0$•02'03 123 20 �� 00 123 20 00; 00 utli t'/Ace 123.18 0{} 12113 � 30 0, Customer 13.744,Otr'03'Ct3 196 3 k& 00 120$t t $3 17 _... 05`0203 w_ 14629a 00.: 533� 183$' 11k30 .: Name ' Fees:Pen 00' S 00 5 00 3 00 �— 00. I Parcel Totals 428 Prop Cad w CASH )CHECK s tJvtes :4terts Dub 02'21,`2011 �Q.07' Billing Dates JAN 1 Owner: I{IEFFER,SCOTT L F � 28 �Q1 Per Diem m0 . Bill,�a�drt i 9 Irit Paid s 6- .33' 1_0U'vN O B RNSTABLE. Reprint PER Vl�ta,pn-or unpaid bills COLLECTOR OF.TAXES Preferences fDiagnostics Display/transaction histor/for the current bill. . l .. M3C FH6-,UK -Tools Help _ f H f. -Year,-"Type"Bill No. - - —_ :. Customer account information - Histor, ( 231rJ: RE R l t$ ! i _.2639a . . Detail C KIEFFER,SCOTT L Properh;iriformatian: j 3 3 4�.EST h�.�.ICd ST UtIIT 3. _. Orig Bill Parcel.-ID 2£9-100 I 1 .HYA.NNIS, M.A.-012 O-1 . . i Aft Parr Effective Date Prop Lor 3 'a"LEST t,4r;IN STREET B Lien;Sale I i Special Conditions,'Notes Scan Bill Quick Entrf Int Dt Billed Pmt`Crd` Interest Unsaid taal & � r 2.�67 1 64 43 v ., late �_. 59 Lltilih/Ar_ct 11 fl3'4t3 134 4 {l5 €}3 24.8 159.t Customer 35 51 2S 55 4 U5'fl;.1rJ 25502 {}` t�7 2945 Est a! f Name - Fees "Pen Ago I Parcel Totals 56 5 . ..,..... 0 ....._> . 11B _.. �+34.25 i Prop Cade haates.:alerts Due 62 23.,2>311. — 9014.26 Billina Dates Per Diem 31 J,AN 1 Gvrner. KIEFFER,SCOTT L Bill,edit Int Paid 00 Repenta r ew pr,tor,_srcpa,d nMls Pre-ferenr_es Diagnostics i 1 or 1 jDisplay transaction history for the current bill: ��_