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����� ��ys%���` a If r I� , `' ,,. (S-r 0ve, (2�(� ZXDYp (16 JW TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION O Map Parcel f r Application #� Health Division Date Issued I /I Conservation Division : - Application Fee l" Planning Dept. `. ` 'Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Wes,-A' A�/ +.v Q Village Al nU Owner 6-Z 44 f2 �f C. Addresses Telephone Permit Request i e 2 -2NJ A - - -4c- ` �2 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuation �`JT Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. v Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count.r t C) Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other c� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woodcoal stove; ❑ s ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ Existing �,g nevi size_ w Attached garage: ❑ existing q 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 Telephone Number `7 -7�WY 7 Z2 Address D e M `f License # &0 6 0L Home Improvement Contractor# ) 72, :�6 3 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT ILL BE TAKEN TO SIGNATURE DATE ,k R I� tt �i { FOR OFFICIAL USE ONLY APPLICATION# j DATE ISSUED MAP PARCEL NO. ADDRESS �' VILLAGE OWNER 'r,r DATE OF INSPECTION: f FOUNDATION FRAME INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT _ 4 ASSOCIATION PLAN NO. { S i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLribly //�� Name(Business/Organization/Individual): i( �{ 1''7 0 �_ Address: 0z-u City/State/Zip: ...t Phone.#: e-'6 E 7767 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a with employer . 4. ❑ I am a general contractor and I - 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' Building addition ❑ g [No workers'comp..insurance comp. insurance.$ 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. ' right of exemption per MGL Y �o workers co mP• 12.gRoof repairs insurance required.] t. c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required_] *Any applicant,that checks box#1 must also fiIl out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submits new affidavit indicating such. Icontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M 0 6,fj S 1 GI" 0 43' Expiration Da e: Job Site Address: I �tl 4 1 �' City/State/Zip: � Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine rip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage ve ' catio I do hereby certify r the ains d penalties f ury that the information provided abovet is true and correct. Si ature: Date: Z A/2)V _ Phone#: V Official use only. Do not write in this area,to be completed by city or town official -City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),-address(es)and.phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. hi addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town),".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accldents Office of Investigations, 600 Washington Street Boston, MA 02111 Tel. #617--727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia IKE Town of Barnstable Regulatory Services 9BARN STAB Thomas K Geiler,Director i639- Fnyq, 16 Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.rna.us Office: 508-862--4038 Fax: 508-790-6230 ProperLy Owner Must Complete and Sign This Section If Using A Builder r C 6 Owner of the subject property herebyauthorize l. o act on m behalf, \ L Y z in all matters relative to work authorized by this building permit apph tion for. (Address of Job) Signature of Owner Date �- Print Name . If Property Owner is applying for permit please complete,the '' Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable O T Regulatory Services RRNSrAE Thomas F.Geiler,Director R.. t� w � 16S9 ,$� Building Division ArED �s Tom Perry, Building Commissioner 200 Maiu.Street, Hyannis,MA_02601 www.town.barnstable.ma.us Office: 508-862 4038 Fax: 508"790-6230 ETON EOWNER LICENSE EXEMPTION Please Print DATE:/ ✓ �/ / 7 JOB LOCATION; �S'. number street llage ---"HOMEOWNER!': OC4 name home phone# / work,.pbPne# CURRENT MAILING ADDRESS: �I aIC I W _s•- P-4", �tty�town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow hQpcowners to engage an individual for hire who'�does not possess a license,provided that the owner acts as supervisor. DEFINITTON OF HOMEOWNER Person(s)who owns a parcel of land on which be/she resides or intends to reside, on which there is,or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building pcmrit is required shall be exempt from the provisions of this section.(Scction 109.1.1 -Licensing of eanstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her msponnbilitics,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns.'You may care t amend and adopt such a forrn/certiftcation for use in your community. Q:forrns:homeexempt I AC® CERTIFICATE OF LIABILITY INSURANCE DA /20/20°°/YY �� 11/200 09 PRODUCER (508)775-4559 FAX: (508)775-4577 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marshall K Lovelette Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 396 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 836 West Yarmouth MA 02673 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Miscellaneous Ins. Cos. 0006 Healy Brothers Construction Corp INSURERB:Safety Insurance Company 0005 72 Old Main Street INSURERC: INSURER D: South Y rmouth MA 02664 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER D yy DATE D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence)_ $ 50,000 A CLAIMS MADE � OCCUR TIPP1224501 4/13/2009 4/13/2010 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY I $ 11000,000 GENERAL AGGREGATE _ I $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG� $ 11000,000 JECT X POLICY n PRO- n LOC �^ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ ANY AUTO (Ea accident) - B ALL OWNED AUTOS 6202555 3/3/2009 3/3/2010 BODILY INJURY ,i $ - X SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY/ $ NON-OWNED AUTOS (Per accident) — --- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT _$_ ANY AUTO OTHER THAN EA ACC $ _ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-ICLAIMS MADE AGGREGATE_ $ DEDUCTIBLE $ RETENTION $ $ ------ A WORKERS COMPENSATION pCgY LA IT ___ R_-__-�� AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? - -- ----- (Mandatory in NH) 6S60UB0655N46109 6/21/2009 6/21/2010 E.L.DISEASE-EA EMPLOYEE;$ 100000 If yes,describe under - -- - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT I $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (5 0 8)7 9 0-6 2 3 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 367 South Street Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Timothy Lovelette/TIM ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200901) The ACORD name and logo are registered marks of ACORD j 1 ft«,uhuti�tu 13o trdt Bu�ldin�J I ctrt PuF}ia Sat�f� . rti01 tnd S.r tnd _� Construction Su • P. =.License: CS 60855 Aervisor.. License # ^, R4D§Pcted to: 00 y>a � `MICHAEL A -HEALY � c 72 OLD MAIN:ST SO YARMOUTH MA 02664 r` �Xwation 11/22/2010 '1 ^-�1111111�11Sg1111Ci' - _ i7. Tr# 7116_ I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Q� Health Division Conservation Division Permit# Tax Collector Date Issued 6f ��/1�' Treasurer Application Fee � � lw Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ` �I�-- Project Street Address 'idol / //U�Sf /yl//i,�✓ 5'f/�ff�� Village ��S Owner ��/ziylDG [�o�lk Address -�`33 G(/g5Ll �fDJ,r.�/iS Telephone - 7 7,* 77 7 Permit Request �U//�a/�°. L�✓s�.�// may/ SiairrOF Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D04 Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supportin6 documentation. I Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: 0 Yes MNo On Old King's Highway: ❑Yes RkNo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes 0 No If yes, site plan review# Current Use //7�lll���/ ���f���9NS Proposed Use / BUILDER INFORMATION /L_ Name /�.y •�, �R/1 o�/l/Z Telephone Number J-��Zs� Address ;�o,g 9 License# aZ5`S 7 9 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /S �d/Yi�/S / r SIGNATURE U DATE " � ��0(/� FOR OFFICIAL USE ONLY PERMIT NO. ,4-DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i I-Y VVII-II-YI-/iY�M-I- r.r wr�wr.--.rr-� Department oflndustrldAccidents Office of Investigations 600 Washington Street '• r' Bosto?; AM 02111 ww.massgovldia' Workers' Compensation Insurance Affidavit; Builders/ContractorslElectridans/Plwooibers ATmii0ant Information ' - Please Print LegibIy. Name PudaesaIorganizatioaamHyida4 c Address: G�i�ySo�� ✓�a r City/StateMp; • 5a64 e4olf Phone#: T70 Are you an employer? Check the-appropriate boa; Type of project(reguirecl): 1,❑ I an a employer with 4. ❑I an a general contractor and I 6, ❑New construction employees(&U and/or part-time).* have hired the sub-contractors 2.$ I am a sole proprietor or patam- listed on the attached sheet t 7. [� Remodeling sbip and have no employees These sub-contractors have 8; ❑ DemolidCM worlang for me in any capacity. workers' comp.insoranee. 9. ❑ Building addition [No workers' Camp.insurance• . •5. ❑We are a corpgradan and its • 10.0 Electrical repairs or additions required.] Is officers have ex'eroised their 3.❑ I am a hoaieownes doing all work right of exemption p or MGL 11.❑ Phimbmg repairs c r additions Myself.[No workers' wrap, c. 152,§1(4),and ve have no 12.[]Roof repairs m n=ce requaed:]t , employees.(No workers 13•❑ Olher r eg yl- i!/ camp•iasnrancc required.] ' - r *Any applicaat that checlm box#1 moat also fM out the section below showing their workers'cavenuti=polieyinfomAtion.• •. t Eoraeownen who submit this affidavit mdiuling they are doing all work aadt�ea hire outside coatraotors must submit anew eflidavrt indiastiag such lroatractors that check this box mast attached sir additioadl aheet sho Wing the acme of the eub-coat%hors sad their workers'soup,policy infarmati=. tam an employer that is providing workers'compensation insurance for.my employees: Below is the policy and job eiti 'Information. Insarancd Company Name: ?'olicy or Sel€-ems.tic. .tea : lob Site Address: 41al Ak✓ oOOJA/ : rAgA -//— City/5tate/Zip':__ / ei�/yirii s T G2(01 Attach a copy of the workers' compensation pelicy declaration page(showing the policy number and expiration dat•e). FmIme to secure-coverage as required trade=Section 25A of MGL c. 152 cirri lead to$le imposition of crffiraalpcnaities cf a fine up to$1,500;.00 and/or one year iapisoament,as well as clog penalties is theIorm of.a STOP WORK ORDER and a fine of up to S250.00 a day kgainst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby cerh;fy undder the Pajl;y andpe aloes ofperjury that the information provided above is true and tarred Sr tyro: Date: 7` �� 0 ciai u36 may. Do M 11ft tea,-to-UcmWeftd b,ct or _ id City or Town-. pern tUceuse# , ILsuing Authority(circle one), 1.Boa-*d of Health 3.Building Department 3.Ctty/Tiowa Clerk a.Electrical inspector 5.Plumbing Inspe&ar• 16.Other Coeact Fersau: Phone#: Information and Instructions Massaghusetts General Laws chapter 152 requires sit employers to providewoikeW compensationfortheu employees, pursuant to this statute, an employee is defi � Wined as ...everyperson in the im-dee of another under any contract of hire, express or implied,.oral or written." ; An employer is defined as."an individual,partnership,association,corporation dr other legal entity,or any two or more of the for•egomg engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partners4,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair wont on such dwelling house or on the grounds or building gTmtc=tthereto shall not because of such employment bed eemedtobe an emp-loyer, MGL chapter 152, 125C(6)also states that"every state or local licensing agency shall witbbold the issuance or renewal of a license or permit to operate it business or to construct buildings in the colnmanwealth for any applicant who has pot produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither thie comamrswealth nor any of its political subdivisions shall enter into any contract .for the pmfonmanct ofpublic Work until acceptable evidence of commliance with the insurance requaemerds of this chapter have been presented to the contracting authority." Applicants plena fM out the workers'compensation affidavit completely,by cheelaug the boxes that apply to your situation amd, if necessary,supply sub-contractor(s)name(s),address(es)and phone=mber(s)along with then cmrtif mte(s)of insurance. Limited Mabft Companies(LLC)or-Limited Likili'ty Partnerships(LLP)with no employees other than the members or partners,are not required to carry Workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advisod that this affidavit may be submitted to the Departmmt.of industrial Accidents for confirmation of insurance coverage. Also be sure to sign&Ad date the affidavit. Thvaffidavit should be returned to the city or town&At the application for the permit or license is being requested;not thin Department of Industrial Accidents. Should you have say questions regarding the law or if you are required to obtain a workers' compensationpolicy,•please call the Department at the number listedbelow. 5e1f-insured companies fed s aDer;than self insc mcc license number on-the appropriator lima City or Town Offidds . Please be suze that the affidavit is complete and printed legffily: The Department has provided a space at the bottom. oflh of *for you to fill ont.in the Vent the Office of Investiga ns has to contact you regarding.tle applicant - Please be sure to fill in the pez=kllieewe number which wr`li be used as are... cc ubcr. in addition;an appliraat thatmastsubrmtm ldplopermit/license applications m,any givenyw need.only submit one affidavitindicating current policy information(if necessary)and under"Iola Site Address"the applicant should write"all locations in_T_(city or town)."A copy of the afi'idavit that has been officially stamped or markedby the city or town may be provided to Ilu applicatin proof that•a valid affidavit is on file for future permits or licenses. A now affidavit mustbe tMed out each year.Where a ifame owner of citizen;s obtaining a license or permit notrelated to any business or commercial venture (i.e.a dog license or permit to bran leaves etc.)said person is NOT required to complete this affidavit The Office of hvestigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fix utmber: —111e Ca=onwealt of Ma sadm0 t5 Deprtmmt of Industrial.Aecidmts OfFfiCe;�En 600 Washington Street Boston, MA 02111 Tel,#617-727-4900 e t 406 os 1 077- ASSAFE ' Fax#617-727-7749 Revised 5-26-05 vrhvma.ss.gov/dia r f . Town of Barnstable do Regulatory Services K s�i.E,� Thomas F.Geller,Director m �If 619. 1 Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstabl e.m a.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, D Y'YY1GL�— �1� ,as Owner of the subject property hereby authorize ` `C'6� a" to act on my behalf, in all matters relative to work authorized by this building permit application for: off) [A�-42,4 (Address of Job) Signature of Owner Date Print Name Q:FORMS:0WNERPER1VMS10N f ell BOARD OF BUILLicensejU DI G`R EGSTRUCTION i S LATIONS Number'�,S UPERVISO'R j 015579 � B►r�htl3Ee i EXpjr� r f, a RtC2� 320b7 Tr.no: 9417.0 i ALLEN 5 ed�MF� S B'ENT NS S YARMOUTE RD <L` � `r ✓ r? H, MA ©26.54= C- . _— Commissioner f ' . TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY i PARCEL ID 269 119 GEOBASE ID 17510 ADDRESS 421 WEST MAIN STREET - ' PHONE HYANNIS ZIP - LOT 98 & 99 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 51956 DESCRIPTION 30 DAY TEMPORARY. 00UPANCY PERMIT PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: ..Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 Ok tHE ( CONSTRUCTION COSTS $.00 I 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P ,?.ET` ; * STABLE, MASS. FD MA'S r BUILDING DIVISI,' N BY DATE ISSUED 03/05/2001 EXPIRATION DATE 05/05/2001 '' a t TOWN OF BARNSTABLE 1 30 Dt`,' TEMPORARY 0 CUPANCY PERMIT--BLDG.PMT.#50294 PARCEL ID 269 119 GEOBA E ID 17510 ADDRESS 421 WEST MAIN STREET .w�. PHONE HYANNIS ZIP LOT 98 & 99 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 51956 DESCRIPTION 30 DAY TEMPORARY OCUPANCY PERMIT PERMIT TYPE BTC00 TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: ARCHITECTS: Department of Health, Safety and Environmental Services TOTAL FEES: BOND $_00 pfr 1ME . CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE. P Q �F�` * BARNSTABLE, MASS. 039. ED MA'I #� BUILDING/r IVISION DATE ISSUED 03/05/2001 EXPIRATION DATE B T/5/2001" �/ 46 'TOWN OF BARNSTABLE - > BUILDING PERMIT S PARCEL ID 269 119 GEOBAgE ID 17514 ADDRESS 421 WEST MAIN STREET y . �� r PHONE HYANNIS e ZIP — LOT 98 & 99 BLOCK LOT SIZE - DBA DEVELOPMENT DISTRICT HY PERMIT 50294 DESCRIPTION FINISH INTERIOR EXISTING BUILDING SPR 131-0( PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONV CONTRACTORS: HEALY BROTHERS COSTT. Department of Health, Safety ARCHITECTS: and Environmental Services. TOTAL FEES: $335.50 'BOND - $..00 �TNE rCONSTRUCTION COSTS $55,000.04 437 NONRES./NONHSKP ADD/CONY 1 PRIVATE P ,f.- ; * BARNSTABLF, • MASS. 1639. ♦� BUILDING DIVISIBY T I DATE ISSUED 11/30/2000 EXPIRATION DATE �i— all F, "GOWN OF 'BARNSTABLE I3LILDSC PERMIT PARCEL,. ID 269 11:� UEaB1aS�� :LD 175IC> ADDRESS 421 WEST MAIN STR' E+F'T 1IYANNISLOT DBE DEVELOPMENT D?�`�RTC`��` -fy � PERMIT 5 DESCRTPTINt�ISH I '.,':'IRICR EISTT1 BUT.LDxNR81—Q!: PERMT.`.f' TYPE. BREMODC -TITLE COMMERCIAL AST/CONS( � I CONTRACTORS:. HEALY: BROTHS S CONSTI_ Department of Health; Safety Att;l3lT]+aC'I'S and Environmental Services `.E'OTAL ,�'AR 355.50 INE ,BOND $.00 ryd CON,S.'I RLICI' .ON: COSTS Y$55 000.00 . =.37 NONP,.ES./N0NHSKR ADD/CO , �r G PRIVATE Pill}'Ex.:b s. + BARIVSTABM s MA83. M1►� BUILDING DIVISION DATE ISSJED I.1/30/2004 ; EX13IRAYION DATE THIS'.PERMIT-CONVEYS NO RIGHT;TO OCCUPY ANY'STREET ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-' CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE.,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC'WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT-FROM-THE CONDITIONS OF ANY APPLICABLE'SUBDIVISION RESTRICTIONS.' m MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBE S HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS. ARE REQUIRED FOR ELECTRICAL;PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT.BE ANICAL INSTALLATIONS. 3.INSULATION. - OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS tom"•_ ..yip• 2 2 I•�/ .r .a- ".l 040 Owl. 3 1 HEATING I ECTION APPROVALS ENGINEERING DE P RTMENT 2 BOARD OF HEALTH AA all OTHER: SITE PLAN REVIEW APPROVAL W WORK SHALL NOTrPROCEED NATIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR H4 APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX, CARD CAN BE ARRANGED FOR BY VARIOUS'STAGES OF CONSTRUC- MONTHS.OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTENNOTIFICA-. TION. NOTED ABOVE. TION. . • � 4 r a d� , -- - __ � j i y,,� yeq ,� �� f ^I� . �o ju i �FTHE The Town of Barnstable BAMSTA9�A 1639. , Department of Health Safety and Environmental Services QED A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 6, 2000 Dr. Cormac Coyle 433 West Main Street Hyannis,MA 02601 Re: SPR 131-2000, 421 West Main St., Hyannis,R269-119 & 221 Proposal: Establish private office, lab, conference room & storage use Dear Dr. Coyle; Please be advised that this application was approved at the Site Plan Review hearing on October 12, 2000 with the following conditions: The dumpster must be screened from view. The applicant shall install 2'sump on the catch basin and an MDC trap. -Sincerely, : C. no 'o Robin C. Giangrego SPR Coordinator q/bldg/wpfiles/siteplan/site2000/cormac yi i ' - MG OAR OQG X � 0 x I . LA1fbUT � N .sp � 1xO xlf 7Gd Md PIWPOM BOOR RNR mar Rme ME ,- oowuo aons ROfamm DII� x x s.�;� �a Plwll �� M Im inim t v 1 L i X. HN • � � • _ � a� I 1 I X III "r—%.1 bl la a111� 1 HN HN 11 PROPOSED*ALES r' . 10 1 �� I ibil IM Ij A I 1N l 11M Q11� a l IN 22.0' 1 m 1&0' I I Q, I 70 11 7.0' I 11.0' FIRST FLOOR PLAN ME* 7 y' h y. I' L— -- Wor SL Lb PROPOSM WALLS C:fl Amw o b o N FN $ "Co 0 � NI FN 26 6' X X BASEMENT PLAN ME* TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 269 Parcel 119 & 2 21 �;' Permit# J � Health Division Date Issued Conservation Division oe) Fee Tax Collector „ (,p� I�'�4wn) Treasurer e� A""C'ANT MUST OM W A SEWER G0NNECTION PERMIT FROM THE Planning Dept. R'NGINEERINa DIMIQN pBiO1 To C 0M—T$iJ PION Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 421 (a.k.a. 413) West Main Street Village Hyannis r Owner Emerald Physicians Address 433 West Main "Street, Hyannis Telephone 778-4899 ' °Permit Request To finish the interior of an-existing commercial building and. to Provide drainage and resurfacing of an existing blacktop parking area Square feet: 1st floor: existing 1907 proposed 19 0 7 2nd floor: existing proposed Total new 0 r . Valuation 55 aiV Zoning District H.B. Flood Plain C Groundwater Overlay WP 17 Construction Type Commercial Lot Size 15 , 0 4 0+/— S.Q. feet Grandfathered: CXYes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: Cl Yes Q No On Old King's Highway: ❑Yes ®No Basement Type: Lk Full ❑Crawl ®Walkout ❑Other Basement Finished Area(sq.ft.) 1850 s.g. feet Basement Unfinished Area(sq.ft) Number of Baths: Full: existing1 new 2 Half: existing 0 new 1 9 Number of Bedrooms: . existing none new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ®Gas ❑Oil ❑ Electric ❑Other Central Air: 3 Yes ❑ No Fireplaces: Existing no New no Existing wood/coal stove: ❑Yes Q No Detached garage:❑existing ❑new size Pool:Cl 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 0 Yes ❑ No If yes, site plan review#,'SPR 13172 000 Current Use Vacant Proposed Use Office, Lab, Conference Room & Storage BUILDER INFORMATION Healy Brothers Construction 778-4232 Name ITelephone Number Address 4 Amos Road, W. Yarmouth License# 060855 MA 02673 Home Improvement Contractor# 107187 Worker's Compensation# 6F29UB668X18560 ALL CONSTRUCTIO EBRIS RESULTING FROM T PROJECT WILL BETAKEN TO ya rmnuth T,c;ndf i 1 1 �CGNATIJI E DATE i FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED MAP%PARCEL'NO.` + ADDRESS `� �- VILLAGE OWNER DATE OF INSPECTION: e FOUNDATION �• — FRAME INSULATION f t FIREPLACE ELECTRICAL: ROUGH >`s+ FINAL PLUMBING: ROUGH ` FINAL �! e`er.--.�-�, • . GAS_: 'f ROUGH 1 FINAL - z FINAL BUILDING DATE CLOSED OUT t <u ASSOCIATION-PLAN NO. } t 44 _ 1� � The Commonwealth of Massachusetts --- _ Department of Industrial Accidents office OfIOYOSI/ N OOS 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: Michael A. Healy, 4 Amos Road, W. Yarmouth, MA 02673 421 West Main Street location city Hyannis, Barnstable phone# 778-4232 ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worlds in ca acity I am an employer providing workers' compensation for my employees working on this job.: :: :::::::::: : .......... ..... .. . .. . Am Road :<<:>:...........e. t... Qu.tkt.............:................ ahane.# city.:::......: . ::::......:..:::. 61�'2'�1��668�>1��5���>``�``�>�'��, I am a sole proprietor eneral contr c o' homeowner(ezrcle one)and have hired the contractors listed below who have the following workers'compensation polices: a om an 'name.. - ..... .'...:. ........"' .. :.:..::- .... .iii};:4iiii::4rii:4iiii'•ii:•:ir:•iii'••Mi:^i:iiiiii:^:^ii:iiLt: iiii:J%:iiTiiiiiif''""•:vii:i4:::„\.j;,ii. y i•:i4i::•i-:•>::.�::,..:;{::..�:;..,.;.:.>:+•-.:...:;:::•::.:.::.;;:.::»:::>:•:•?:.;::.,�.:•::.:;.;.:.:::::>'•:--::'`::::::::.'::.':�::�:::::�:iv�iiii::::i�:ii:{i:�...::::::'i?:3::•::•:Ci: :oii::t:i: : x•:::t. :t::-:::::.!...., .. >:<.;::- Yr:........ n.tf A.�`4 w» awL ..................:..........:....................:...................................................................... .....................::............................::: ///mil%l sn ;na�ne3 :: ::...:.:..:..::.:::::........................:, r.:.:.. :sdtlresss . ;; ; .............. v%vv: •�1PncV C Fafi�e to seeme coverage as regaited mmder Section 25A of MGL 152 can lead to tie imposition of criminal penalties of a fine up to s1, mo0 and/or one years'imprfsomneat as weII as civfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy o[thb statement may be forwarded to the Office of Lrvestigations of the DU for coverage verdicadon I do hereby certify wider the pains and penalties of perjury that the information provided above is trw and coned Siglsature Date Print name Michael A. Healy Phone# 508 778-4232 official use only do not write in this area to be completed by city or town official city or town: permit/license# QBuilding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; "- ❑Other -------------------- 0a wd 9195 PIA) _. rt Information and Instructions e I II Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal construct buildings applicant who has of a license or permit to operate a business or to co gs m the commonwealth for any not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ON VIM 9F ., , qk% Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and �a supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be v 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. City or Towns the affidavit' and printed legibly.' The D Department has provided a ace at the bottom of the Please be sure that is complete pep p space 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 retachR io the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Imlesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 11/09/2000 16:08 918028624926 PAGE 01 L - The Town of ]Barnstable BARMABM t j9. � Department of Health Safety and Environmental Services ►ep,"K+` Building Division 367 Main Street,Hymmis MA 02601 Office: 508-862-4038 Ralph Crosscn Fax: 508-790 6230 Building Commissioner November 6,2000 Dr. Cormac Coyle 433 West Main Street z - , Hyannis,MA 02601 Re: SPR 131-2000, 421 West Main St., Hyannis,R269-119 &221 Proposal: Establish private office, lab,conference room & storage use Dear Dr. Coyle; Please be advised that this application was approved at the Site Plan Review hearing on October 12,2000 with the following conditions: , The dumpster must be screened from view. The applicant shall install 2'sump on the catch basin and an MDC trap. .-Sincerely, Robin C.Gian a ori�o 8r g , SPR Coordinator q/bldg/wpfites/siteptan/site20001cormac ttY� r r VIA 11328,r SVWIVI3ION PLAN OF LAND IN BARNSTABLE k Massachusetts Department of public Works E. J. McCarthy, Chief Engineer January 6, 1959 I I I I I I Sr'4TE HIGHWAY 0� I 6/ I M.N.S. S S3° ,SB• 00 Z- - 43.¢9 ^BOB 50.DO J-4 57 i N W3 n1 W� . 14499 �� No �.; 190 L.C. Plan //Jzal I O N Cerf BS 0 6 Id .7 N S9° 5f 00, 'W ° ° �0.57 4/. 00 IV)h' - �' 9457 y 0 oPARCEL D—3 —F a 0 00 co c� a Z 9 /. 00 9.0 �. 219 Subdivision of Lots and 91. Shown on Plans 11328 sheet 2 and 11328E. `Filed with Certs. of Title Nos. 1972 and Registry District of Barnstable County S408rate certifkates of title may be issued for land shm beret,» es lotA_9.8i_9.2_ By the Court. LAND RE61STRARON ©r=f - ---• ✓ocr/9/ass SCak.of this p/en 30 flirt to sn uwh ae s' .r C.112$�SpaceMassach � uee�ts S�Builder Qr the . use toi revocation of fhb iCense. DIG SAFE CALL CENTER: n (sea)344-7233 6 F � s 16 ••airr ' Y..Qy - �1e TOo�umdo�cureal�4c�. aaaac/uae�ta BaARD OF BUILDING REGULATIONS: Licensor. CONSTRUCTION SUPERVISOR Number C.� :�p60855. - • IBirtltdate t /19y59 -• �- t��22t2000 Tr.no: 11133 - testricted:To: 00 " !' MICHAEL A HEALY f4 � 4 AMOS RD W YARMOUTH, MA 02673 Administrator t - I ,tee � Ll TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map r !� �'/ •,Parcel M / �� _Permit 7MO Wea+�-Bidision ( �� J1 Date Issued �*y Conservation Division = Fee Tax Collector Treasurer • r 1 Planning Dept. Date Definitive Plan Approved by Planning Board + Historic-OKH Preservation/Hyannis Project Street Address y�l Uv e-S�- M01/ASAP ! �� ,J iS 9�d >S J Village n ��j1n Nr Owner Address U Telephone Permit.Request CQ__ �S'•7�-4C�.j Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost ' o G Zoning District Flood Plain Groundwater Overlay Construction Type ldcx�.-�cqf p A Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full . ❑Crawl : ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: - existing" ' new Total Room Count(not including baths): existing —new, First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other t Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:❑existing ❑new size. Pool:❑existing ❑new size Barn:❑existing ❑new size. Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name G �C� � �ylC— Telephone Number 77� Address 'S g� ;51x/ GAI1/�_, License# D S/ 3 '3 Z 1960 Home Improvement Contractor# i 1/0L Worker's Compensation# 000iS'y7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� FOR OFFICIAL USE ONLY - PERMIT NO.' DATE ISSUED `- MAP/PARCEL NO: ADDRESS VILLAGE - 8 n OWNER DATE OF INSPECTION. 3 FOUNDATION FRAME r i f INSULATION 1 FIREPLACE v ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` r GAS: M ROUGH FINAL a �� FINAL BUILDING r R s DATE CLOSED OUT ASSOCIATION PLAN NO. i 4 a r, ' "' ---�_- The Commonwealth of Massachusetts - - Department of Industrial Accidents — Ofllceof/m�esU�a�oos 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit %��� name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole ietor,and have no one wo in any=acitv Iam an 1 workers'compensation for my employees working on this job.: :::::;::::;;:;::;;;;;;;::::;::;:;;;::::::::::::..........<:::i:: emp Dyer providing.....................:. :::.:::...:::::.:... .:..::::.::.. :::::::::::: :.::::.:::::.:::::::::.:::::.:.:..........::::::::::.::::._:::::::::::::.:::::::::.::::.::.::::,:::.::::::.....:.::::: m an :name:. �.�,•' ��.�:,.�. ..��.l� _.. ..:.... .. ............ ,,,f r '> :.:.. ;irtldressc ... _ .. .::.. .... ... M .- ..:......., . .._..................phone.#.., .� ... ... ..... ._...._..............................._..,.:::.:::.::::::::;;;::. Q ❑ 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:• a om an name. .. ....:....:::.. - - ham.....; n}i:iiii:4iii?•rw:::::::.ii:•):Ciiiii:?i•i:-i:r tJrrri'r:±:i:i;?:l;:i;:j;:j;::;::;:;;r:;: i_:j;:j;:i`ri::�::ii'r:iir i:f:`::rii rrir.'::{r:t:i v<`<isC:j;iY.j:'ir: "ii:^r' i':::......i i irrrrr rrr:::ii v}}ii::v:iv^i:•i:4:•iiii:•i:•:;}ii:iiiiiii:4:i:::•:: .. ... :yiY�i:?:.ri:ii rr rrrrrrrr:;i::rii:;r:{:iL"`i;ri{•rrri rr:'r;:ii+:•4i!�r;•:}:r•):;:j?i: cl �`�h ...........:..::::::•:::::.�^::•::;::;%:;':r;%•r:•r:•;:•)ii:-:Sire:%:R�::%�::is�::t�:i::�ii;:�:::;:::::�:i'::::<_:::..::•..:... ::;;.:.;�:�;;•>:+.;;;a):;:•:::::::):a::::•:;::•: ,...... tiaiurattceca ;�':.;'.;':<:.;;;::«.;:�:i':>';;:.;:•,:ii;:.;:.:.;:.:i<;.::;:i:<i;;,;;:>:.;»;:;..:;.�:::. . ...:.:.:. ...... ..:. _ .. .. . b�t:� MEMN � ••: '2 «ra ?» ..<: :> >:: :.::;•i::::.:.':;:;;i is<::::>:::r::>::ii:<:i:;::�is<:::;::i:i:<::>c<:::;:•<:::;:::..::> ..................: h ........................:...................................................................... ............................................................ ..... .. ................... ............. Fan=to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of cri,ttinal penalties of a 8ne up to 51,500.00 and/or one years'imprisonment as well as civil penalties in,the forth of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that e Copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification _. - I do hereby certify th penalties of perjury that the information provided above is&&V-an coned Signature _. Hate Print name Phone ' official use only do not write in this area to be completed by city or town official city or town: permitNcense# Munding Department QLicensing Board ❑checkif inmtediate response is required QSelectmen's Office _ Mealth Department contact person: phone#; Other (Uag W 9195 PIA) �9 W T cL d . � v/lam �xrvsMrPai �o�..�bfer.43avr{•u4� BOARD OF SUILDM G REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 054830 IL p Sirthdate: 0210311964 EXPlMs: OQV3fL002 Tr.no: 95652 Restricted To: 00 MICHAEL K SOUIER W BAY LN Z A t� j I}�. t CENTERVILLE. 1tAA 02632 ABaninistrator O c� t>' 1 PR''Vil i NT i I,L i; Ira1- GD CD m 0 m CV i tD 4717 , . !s BOARD OF.QUILDDIO REGULATION3 t �. • � License. CONSTRUCTION SUPERVISOR e • - � ,, J i Number. CS' 060855 ^ . k Bl�rthd8l"5 1r221959 Eicpires 4,�IqWQ02 Tr. ' k - - - - mot; 4765 . Restricted To j'001 a MICHAELA HEALY .J 4AMOS RD W YARMOUTH, AAA 02673 Administrator memo it , TOWN OF BARNSTABLE Zoning Board of Appeals RICHARD WEINTRAUB ...................................................................................................................................... Deed duly recorded in the ..................................................... Property Owner County Registry of Deeds in Book .............................. .........SAME.............................................................................................................................. Page ........................ ...........................................................ReistrA, Petitioner District of the Land Court Certificate No. ......................... ........................ Book ........................ Page .................. Appeal No. ........1.9.8.77.4.0....................................... .............................................................................. 19 .................. FACTS and DECISION Petitioner .................Richard Weintraub . .......................... filed petition on ..................................................................................................... .............. 19 413 West Main Street requesting a variance-permit for premises at .................................................................. ......................................... in the village (Street) Hyannis Of ............................................................................................. adjoining premises of ................. (see attached list) .................................... Locus under consideration: Barnstable Assessor's Map no. .......2.6..9.............................. lot no. ......119 .... .. ..................... Petition for Special Permit: ❑ Application for Variance: F-1 made under See. .................................................................. of the Town of Barnstable Zoning by-laws and See. ........................................................................................................................ Chapter 40A., Mass. Gen. Laws 0 for the purpose of ..to connect. . .. the he existing buildings (two) ..a.n......d a....d...d...-.....a ...p.a....r...t....i...a....1.. s....e...c......o.nd .. floor and renovate basement for office and storage use making bldg. commercial ............................................................................................................................................................................................................................................................................... HB Locusis presently zoned in........._........_........_............................................................................................................................................................... Notice of this livarino was given by mail, postage prepaid, to all persons deemed affected and by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy -of which is attached. to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was Held at the Town Office Building, Hyannis, Mass., at. ...... 815 May 14 )m P.M. .......................................,........................................... 19 87 upon said petition under Yoning by-laws. Present at the livarinr were the followim-, members: Richard L. Boy Gail Nightingale Dgx.. t...e.r B.liss................................. .................................................................................... .................. ........................................... ........... Chairman hel:e-n:—Wirtane_F, .................................................................................. ........ .............................................. . ...................... ................ ............ i'At thta conclusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. Appeal No , __.1987-40 ............... Page 2 of 3 ._ on July 1, ...... 19 ....87........ The Board of Appeals found Attorney Bruce Gilmore represented the petitioner who is seeking a Special Permit/Variance for a lot consisting of 8910 square feet located on the south side of West Main St. , Hyannis in a Highway Business zoning district where business use is allowed by special permit in accordance with Section P of the Zoning By-Law. non-conforming The applicant proposes to convert the existing/office, storage and residential structure to office and storage only by connecting the two existing buildings, adding a partial second floor and renovating the basement, per Proposal # three (3) as submitted with the application by the petitioner who is the Terminex Company. The twcubsuiIdintsated on Map 269, Lot 119, 413 West 'Main Street and currently contains/a �hree-uniP motel and the lower level contains apartment use. The petitioner intends to use the basement for storage area for the Terminex Company and two offices for his employees, with three remaining offices for rentals. The renovated building would not be larger ground cover and would increase the lot size by 30%. The petitioner is in the process of acquiring parcel D-3-17, located at the rear of 413 Main Street from the Commonwealth of Massachusetts, Lot 221, containing 5,460 square feet, as indicated by letter as LO- 4751, of June 25, 1987. After purchasing this land, the total land area will contain 14,370 square feet. Dexter Bliss made the following findings: That the information received from the Department of Public Works states that the traffic created by the intensification of the use on this lot would not affect West Main St. , adversely. Find that the petitioner has provided documentation from the Commonwealth of Massachusetts, DPW pertaining to the acquisition of the property behind the structure for required parking; The lot is identified as LO-4751, Parcel D-3-F, as relating to the sale of the State owned land and relocation of a drainage easement, in a letter from the DPW dated June' 25, 1987; I, ..._...._..............................................................................._..................................... Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this ........................ da}- of. ....................................................................... 19 ........................ under the pains and penalties of perjury. Distribution:— PropertyOwner .......................................................................................................................................... Town Clerk Board of Appeals Applicant To«-n of Barnstable Persons interested Building Inspector Public Information ]ty ........ .................. '.................. .... ........ ... ...: ..... z. _ .�i t .�_Ch irman _ v _ At'the conelusion of the hearing, the Board took said petition under advisement. A view of the locus was made by the Board. Appeal No._ _._..1987-40 ........._. Page ._....3............. of 3 July 1, 87 On ..............._._._..............................._............................_............_._....... 19 ................_. The Board of Appeals found Further find that the improvement and expansion of the property at this site would not be detrimental to the neighborhood and when built would improve the area. Further find that the applicant must maintain the required 10' green buffer strip and that the parking spaces on the Plan, as submitted, in the front of the building be restricted to two (2) handicapped parking spaces only, parallel to the building . Dexter Bliss made a motion to grant the relief requested based on the findings, per the Plan. To be limited to four (4) office suites (proposal #3) seconded by Gail Nightingale. To be six (6) foot high natural buffer vegetation between the rear parking area and the residential area; All over head lighting to be of low intensity and shaded; Dumpster to be restricted to the rear yard and to be screened. The Board voted unanimously to grant the Special Permit with the amendments as indicated. s J IV_.D/. ......... A�,�DOr✓........................._._. nn SS T!.T.........`........... Clerk of the '1'mwu of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty- (20) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this .... .. ..... da}- of ...................../)U.b.................................... ................ under the pains and penalties of perjury. Distribution:— PropertyOwner .......................................................................................................................................... Town Clerk Board of Appeals :Applicant 'I'oWn of Barnstable Persons interested Building Inspector Public Information ./ I;y ...... ......_.......Z. ................ B ..... . oard .of Appeals y I,CC �Ch man - f 7 4 Assessor's offioe (1st floor): �.�� Askssttir's map and lot number ............................................ Q.. Board of Health (3rd floor): Sewage Permit number .....�j, ......... ....... ` Z BasasTsnLB. Engineering Department (3rd floor): oo MAS& House number ............................., 0.......... . APPLICATIONS PROCESSED 8:30-9:30 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Gibr',5&-I.G.T.... .. �143�.. SST/.t/��... .Z D1S................................. TYPE OF CONSTRUCTION ........4hO... ?'I ......................................... .Alm 1 19.Jj, �r .�'yQ—TH4, INSPECTOR OF BUILDINGS: The.unde signed hereby applies fora rmit ac rding to the following information: Location ....hG7.5.... r ..$..9 ............ .����? ...//v.��'s' /r�l..,�. ...... ..................... Proposed Use '.�f,�?A wiwc...(nrFze.47..................................................................................................................... e, g . � .....................................Fire District ...�Yi�.�f/.ef//�.Zoning District ,'.................................... .................................................... Name of Owner ...lC1C/�amD...lAll.�..I rAq.me..................Address 7.....Ab........V`�. 7W.(X.., . Name of Builder :":4 �..... �ONT'P Address ................................... Name of Architect .2?kew ...�KOl a�... ....Address ........� Number of Rooms ...... .......................................................Foundation .......4.'�i� rt �.. ............................................ Exterior ....11 161.P...................................................................Roofing ...........� f i�4-7................................................. Floors . 4q 7).......................................................Interior AE!a,............................................� Heating ..... .............................................Plum.bing ....... ......A347� .................................. Fireplace ................/.10.........................................................Approximate Cost ...... ®. � ..r.. Definitive Plan Approved by Planning Board --------------------------------19-------- . Area '-........ Diagram of Lot and Building with Dimensions Fee .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town f Bar sta e;* go in the above construction. Name ....1�[.�I. . ..... ..... .!r. � /...... ko' AtLh# C nstruction u ervisorIs censeX......................... �62 /V1 j sr, + WEII,4TRAUB, RICHARD ADDTTION No ................. Permit for ..................,....._........... . Commercial...Bldg,,......................... Location .West,.Ma .??...5. ,:p. ......... .................H.Yanni s............................................ Owner .Richard Weintraut�.................... v Type'of Construction ,.F.r.able............................ 4 ..................:........:........................................ Plot ............................ Lot ................................ Permit Granted ...APY i l 1.9.1..............19 88 Date of Inspection ...................................19 Date Completed ...................................:. 19 r v ' 9 Qy�FTHE'r0�y TOWN OF BARNSTABLE • BAHHSTAIiLE, i 1NAZ 69 BUILDING INSPECTOR am a APPLICATION FOR PERMIT TO .....�.....v c 'D NCw /..D a ti ............................................................................................................ TYPE OF CONSTRUCTION iv 3 V .......................... ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 511-? ..L✓Cs T...... 'lh'i�v........�^ rR«T ...... ........... ............................................................................................................ / Proposed Use ........�.�............FT.......S',4/c..........F'....................................................................................................................................... Zoning District ........23 c� ..'...E.fs ....................................Fire District .............................................................................. Name of Owner 14-6N�.......Address ..... ......... ......lti,y?{.r. r7` fi�yi9ivi✓�r Name of Builder ......�Ujv�!. .......................Address .......................... .................... .�jP6:T .............. Name of Architect cr v.......... Address r!R!."V •r'T' «'kFv f e-4e- f-t fl!°. . Number of Rooms ............................./.'...................................Foundation ......r°E n�F n,�-...... 0 ............................. Exierior ................. ...................................................Roofing .........TgeA..`4Z.... .Rh7U.0 .................................... Floors . '. .!�7 .......r4A73 e2cJ ��%� ........... .... ....................................Interior .............. .............. ............................................. Heating ..............C.A'..........................................................Plumbing .............n.!.o.............................................................. Fireplace ............ .p.............................................................Approximate Cost .........."z...................................................... Difinitive Plan Approved by Planning Board ________________________________19________. -� Diagram of Lot and Building with Dimensions r� D � J pDalr/cry K/.r7-�ev 6 W 2 ��„ hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .. .....f.r..... '!`Name .. .... .......... i McManus, Robert F. No ... Permit for ....add to commercial ................... building........................................................ Location � West Main Street ..................... .......................................... .......................Fyann is;.................:..................... Owner Robert F. McManus .................................................................. Type of Construction frame i .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..... ............19 65 Date of Inspection ....................................19 Date Completed ......................................19 F PERMIT RE US D ......................................... .C . . ....... 19 ..... . ............................... ... e. . .................................. r .................................. ................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's offioe (1st floor)i Assessor's map and lot number ......... .......... .... .. Board of Health (3rd floor): ` /f Sewage Permit number 4z........ . c/�7� 4= s"/.� i BasasTAbLE, J lr° rose - Engineering Department (3rd floor): ( ,° moo NAM \0�° House number ............................ :r.,...y.�.. �.. �1�.:..V,:..,............. APPLICATIONS PROCESSED 8:30-9:30 AM, and 1:00-2:00 P.M. only Js T•.OWN ' OF� /,BARNS,TABLE._ BUILDING INSPECT`01 f APPLICATION FOR PERMIT TO ar±�,., '/! T.. .. ����f LS7/.UG F�l 11„h,,;. t'/-. //CfC TYPE OF CONSTRUCTION ........W.0... 61 ?<F'........................................ .............................. .......... ........./.cY............ 19. ' TO THE INSPECTOR OF-BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....ahfi..'ls.....�I�r .$..c. ............ ..�7...... ..................... ProposedUse AWWA 144....e5; y r-?.!a ..................................................................................................................... ZoningDistrict ............ ..............................................'...Fire District ... .................................................... zla Name of Owner ... .A. 'f�?,n '...( 1 .(/7 ./•/?.................Address .T— ... �.�1J�R+��r � ... !�'.f ........ / a 70X........ Name of Builder ..........--!5;-Ao.?/--7-.......(7---&..,.....................Address ................................ Name of Architect .. ft/�+�� (�i��7'Z.....4 .....Address ........ Number of Rooms ......`/............:...:......................... .............Foundation .......t_'.Q�f ............................................... 4 y Exterior ....(N(Il .........................:...:.............J........................Roofing ...........4`r� %,{/J .......................................T........... Floors .....1..... �Z LF7 ................................................tl:......Interior ......... -. .G?��"�f .:...'............................................... Heating ... .e,,X"3 f1� 1- Plumbing,........ ....:F/5.. ........ ...................... .... Fireplace //t ....................Approximate Cost ..... //�f ... .. .... .Definitive Plan Approved by Planning Board ________________________________19________ . Areo g g Fee .CC/. .. Diagram of Lot and Building with Dimensions ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable`r' •egarding the above construction. Name .............. � MYl.4s Re As h Construction Su,pervisor'U censeX.......................... j ,�. WEINTRATJB, RICHARD A=269-119 �q No ,.31815 Permit for ...ADDITION ......................... r Commercial Bld ............................................(j........................... Location .,..4.13 We.st. ...M.ain. ...Street. . . ......... .. .. .. .. .... .. .. .... .. .... . ......Hyanni s.............................................. Owner ,...,Richard Weintraub ..................................................... Type of Construction .....Fram.e .......................... ............................................................I.................. Plot ............................ Lot ................................ < Permit Granted ....April 19 , ..19 88 Date of Inspection ....................................19 Date Completed ......................................19 (J0, 11i1SQ 6� PERMIT COMPLETED - f Town of Barnstable �" �MASS a' Department of Public Works MASS - �Eo,,,,+� 367 Main Street,Hyannis,MA 02601 Office 508-790-6300 Thomas J.Mullen FAX 508-775-3344 Superintendent September 4 , 1992 TO WBOM IT MAY CONCERN: Re: Demolition Disposal Mr. John AAlto is approved for disposal at the Town of Barnstable Landfill from September 14 , 1992 to September .19y •1992""for approximately 8 loads '. t from 10 wh6eler,, approximately 12 • tons of debris. Russell Davenport Acting Town Engineer Jq,cnki'US, . J/iL;f1E'.S B. FEE b a N? '10 3 5 2 TOWN OF BARNSTABLE, MASS. � awm ,. 66 � °; °a � 19 a THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO u... w,.. „_..., a CIS C ticW^� `(PROPERTY OWNER) - (ADDRESS) y e a TO cwwr6ial b�'l��di�-A TM1• � ILDI (ALTER( �•� _ `"'d (REPAIR)im - - a No area C$anP ~ O (TYPE OF BUILDING) d Vr N - - ... _ (APPROXIMATE SIZE) b O•5'a LOCATION ubSt � street g _ E=A - .(STREET AND NUMBER) _...._, _.. -~•(VILLAGE) NAME OF BUILDER OR CONTRACTOR John 000 APPROXIMATE COST _ w o r�h0 1 HEREBY AGREE TO CONFORM .TO ALL THE RULES AND REGULATIONS OF THE TOWN c In >a OF BARNSTABLE, REGARDING 'THE ABOVE CONSTRUCTION. p. (OWNER( ICONT ACTOR) V 00 +Oi �_ r.. t BUI ING INSPECTOR Subject to Approval,,of Board of Health. 111CN11i'USI . j MES B. /¢0 >,o FEE b a N® 1.0352 TOWN OF BARNSTABLE, 'MASS. m Lt at 1) o.. F, G c ry i 9 Vo m 1. $3 ho > o� d o� o THIS IS TO CERTIFY THAT-'A PERMIT IS HEREBY GRANTED TO iq ° cmo �1►���..� — ram' r .W CI Cd m _ (PROPERTY OWNER) (ADDRESS) 0 TO �. CCIA1'481R � _ tD (BUILD) i; (REPAIR) , Uhl mTram ...; {y y a ur ;� J �. .-.arft abanp .. O - O (TYPE OF BUILDING) _ w w - s, �(APPROXIMATfi SIZE) 'West .1'1 ! oC ' V (STREET AND NUMBER) 4 -'( s ;VILLAGE) In tia1 NAME OF BUILDER OR CONTRACTOR � ❑b APPROXIMATE COST t 1 HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN ..°0 d OF BARNSTABLE, REGARDING ;THE: ABOVE CONSTRUCTION o PQ 0 B �U (OWNER) ,,,• �, y , r r f ICONT ACTOR) V 0 BUI ING INSPECTOR Subject to Approval of Board of Health. ` }} J i . Y REVISIONS: NO. DATE DESC. HH s I I s� Is 1 X 11.5' HH I C) i s.s I I I 11 I 1 jlHNIIHH L_r� I I I I OFFICE I 1 1 I r--&J tn, ho OFFICE I I I I I 1 01 10 I 1 I ! 8.0' HH IIHH II r---- r------�7 I j _ L I I I I I I`-�---�-- .J o I ' L�--—�---�Ll- I N ; ` ' - PROPOSED �r �n Y� PROPOSED WALLS M I OFFICE 10.8' INTERIOR i �---- -===1-- -- I LAYOUT r I �� 1 t �-�- i �"\ I I M I I I I I I 7.5' #421 I I �--II I I �-___= =J i ——*--%N I 8.0' HH A.K.A. 413 I I I I II oil 1 1 HH i , m OFFICE o i I WEST MAIN STREET Inx_ IN nl I I , HH! I HH I I �_ �- I I I ! l l HYANNIS HH 22.0' I HH 13.0' 1 1 C`,,� Ci"N I �.5' 11 7.0' 1 1 11.0' M AS SAC H U S ETTS IF (BARNSTABLE COUNTY) FLOOR PLANS FIRST FLOOR PLAN VIEW NOTE' OFFICES TO HAVE 4 GANG ELECTRICIAL OUTLETS EVERY 4 FEET. NOVEMBER 10, 2000 OTHER ROOMS M HAVE 2 GANG OUTLETS EVERY 4' W DENOTE'S HARDWARE CONNECTIONS TO NCLUDE CABLE. PHONE COMPUTER NETWORK MARES I , II I , I , I ( EWING CONCRETE WALLS 1 , j MEaCAL r �, I 1 !rsK�I I I FILESL�_jL--- --1LJLBATH E I I ST. ROOM II I , EMPLOYEE L I �----T-- ---------—————————— KITCHEN COMPUTER PROPOSED WALLS AREA � SERVER ROOM 0 0 vi (V H HH PREPARED FOR: t CORMAC COYLE 12.0' 433 WEST MAIN STREET J Q HYANNIS, MA SIC& 3 0 02601 FILES z X W 00 o SCALE: 1" = 4' 0 0.5 1 2 werERs 0 2 4 8 �Er HH HH HN 25.5' X X i I DRAWN: K. HEALY BASEMENT PLAN VIEW FILE: 8192-INT.DWG DWG. NO: 627-1 ono win. r►nnn c-7 1SHEET 1 OF 1 ISI`. REV ONS: NO. DATE DESC. 1 HN x I 1 j r,j l , 5 ! i i HH I C I x 6,5' ,°5 I I i ^00 OFFICE I i I I r— � I I oI l0 1 11 8.0' _HH HH It �i it I II II I HH X�� I I —_j L—.r�l I I i 1 I i l� 4 o �Z 1 L -- ---- I I I I i J 'Ju I L: ————;4( 3(\- b?, PRO ,,R D WALLS '� � $�'��s '`�' PROPOSED 1 31 N 1 OFFICE INTERIOR i ♦ 10.8 r I LAYOUT x iI II � ♦ ♦ II MII II II 7.5' HH � HH 1 i ��_�--� i I i I I L———— —;$ o HH —, � , � �.s A.K.A. �1 I I I I ! I OFFICE o Wtt "MAN' RM I Ilk � I N II nl I i t HH IHH zz.o' I 13.0' I I �,� t) 11 1 7 5' 1 i I I HYANNIS HH HH ,, a MASSACHUSETTS (BARNSTAf'1 .�_ C OUN 1Y) FLOOR PLANS FIRST FLOOR PLAN VIE 1N NOTE. OFFICES TO HAVE 4 GANG ELECTRICIAL OUTLETS EWRY 4 FEET. NOWMBER 1O. .2000 OTHER ROODS TO HAVE 2 GANG OUTLETS WRY 4' ow"I "HH Oil rs HARDWARE ©ONNEC110NS TO MCLUDE CABLE. PHONE & COMPUTER NETWORK n cl m wc ! I I I EXISTING CONCRETE WALLS it j ! MEDICAL r-- (* .. f 1 1 S I REP. 11 t t 1 ASK.J i E)WN E 1S L_...I�---- =�3---i---f— OATH ST. ROOM i ! 1 ____ __ ___ EMPLOYEE L�___�________�_ 10 TER 6 PROPOSED WALLS AREA l SERVER ROOM IL, c� o lJ o i r\ o -------- ao L H HH PREPARED FOR 12.0' CpRk4C YLE 433 WtST MAIN STRECT Q ' HYANI'*f$, MA MEDICAL 0 1' FILES z t G f= w_ X W 0 0 SCALE: 1" 4' { Hyannis Fire Department 0 0.5 1 .2 MUM J J � r REVIEWED ' �k 0 2 4 $ ►mT Location N umbwl I HH HH HH 25.5' I I ,� �, , tst Floor r 2nd Foot X Other - A 4j Tood Nolen (1 2-orx � DRAWN: K. HEALY r E T ELAN �i►tE '!� FILE: 8192—INT.DWGV DWG. N0: 627—1 SKEF OF 1 • R. - -- — CB RIM 98.7 " - zz _ EXISTING SIDEWALK a >�, N0. DATE n>=sr.. o qIN ST — CBOf 74 RIM 98.1 LOCUS G — _ RD - - - _ _ _ _ -- - -� WEST MAIN ".:-) TREET - _ CB u� RIM 99.8' -'— D o I 77 0 C8 -- -- ....._ - - - - - - - - --- - � RIM 99.0' G _ - _ - ._ - - -- 1 f _ - - - -- - - - - - - - - - - - -- - -- - - - - -� - - - m .0 UPT I � L=112.68' 58.48' moo SIGN R=1040.00' L y4 3.49' ` 53.58'00"E ® I sy SIGN 99 j �.. CB - � •� R=�35.81 I RIM 9$.7' � - •` ' - ---- r - I ii CB R M 8.5' � ( I PROFESSIONAL LAND SURVEYOR DATE 9 I 1 EXISTING I I PAVEMENT I LEGEND 1 43.1' 50,9 X SPOT ELEVATION ._ ... _ _ SITE 1 I C.B. ® C4TCH BASIN I G.TRAP GREASE TRAP PLAN , OF. �N SMH SEWER MANHOLE p ey� i I I TM m TELEPHONE MANHOLE UPTca, UTILITY POLE / TRANSFORMER #421 CQJ UTILITY POLE I —E— ELECTRIC LINE (A.K.A. #413) o EHH ELECTRIC HANDHOLE I l O GMET GAS METER WEST MAIN STREET J ---v- GAS LINE - - _ ! i - _ _ - L __ - __ - - __._ — — — GAS GATE IN D4 EXISTING WOOD wv WATER GATE - - -� - L .2 N HYANNIS RETAINING WALL I GikS METER ELE METE —W— WATER LINE i TEST PIT MASSACHUSETTS j I ' (BARNSTABL.E CO JNTY j i I ! EXISTING UNFINISHED I ! OFFICE BUILDING o EXISTING CONDITIONS I I j ! ! - JULY 31 , 2000 ! !� ! II o o o z i EXISTING MEDICAL BUILDING 1 PREPARED FOR: CORMAC COYLE 433 WEST MAIN STREET 9`L S EE ' HYANNf S, MA RECORD LOCUS INFORMATION Q26Q 1 I ( CURRENT OWNER: RICHARD P. WEINTRAUB TITLE REFERENCE: CTF 109469 & 145518 PLAN REFERENCE: L,C, 11328-1 ASSESSORS MAP: 269 !! x r ' PARCELS: 119 & 221 i '� BSC Group, Rc. 1 _ I V) . s z r`. ... COMMERCIAL ZONE: HB gg SETBACKS: FRONT 60' ! ! p I 1 0 SIDE 30' f ( I ! z RFAR 20 I p p ! D 88 MINIMUM LOT SIZE. 40,000S.F. 657 Main Street, Unit I; ! M West Yarmouth, Massachusetts GROUNDWATER OVERLAY DISTRICT: WP 0267.3 p p C ! � � � + f •' � z ° 508 778 8019 j2000 The BSC Group, Inc. SCALE: 1" - 10' I t 8p IRON PIPE 0 1.25 2.5 5 METERS ! f t, 553'58100"E FOUND 0 5 10 20 Fut I _ 100.00 PROJ. MGR.: C. FIELD 14,02' FIELD: D. G. / D. B. CB I CALC./DESIGN: K. HEALY RIM 98.4' CB I _ RIM 98.3' ! ' DRAWN: K. HEALY �"- T- -,-_ I CHECK: C. FIELD _ — I FILE: 8192-SP.DWG I I DWG. N0: 5233-01 JOB. NO: 4-8192.00 SHEET 1 OF 2