Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1620 FALMOUTH ROAD/RTE 28 (19)
ON g v y s I i. •� ��,y a ;,� .r�.p: [ I[6 .,y�ya (w Y,:ly d3 Z�� ��.� ,: ... ,- ... ..� :. ,. . .; -r. e. ,. .y . 'b �r�yp. .. ..,� .:SY.�� Tr` 'T d"ax �r�f. f '` •+St, ,>')Ijc x.a' 1�'..,r. {, U�• lJ'. t ,I e -...: .�,�N„ .,w }; l�. _.' Ska�.r Y'., , ;' ,�# t�pj srr t-� r h@.s.. �.rt .i. „ : 'vP 1. fly.. lf�i.� Yl.jr't�?! r r �,...�� -� �..M .� k��a�� :d- � a� .-Y,tW +t.r�r�L(.: .� i'.. ti`,a` S k rA�S:+r t, .•x„" c ko,@ '%'-r� I aa,:= t w>�,1+' �-,1, ;rt I. +• „ +,- :t. �r�i` is C:• D� fi..� ,.�' ,� .l.r, {' � .err .� @ �,, t„t c t ,.Y v�`r �!a, a `� t.l :i �:'. � 5v..7:�4 1 .tr iiyi, ,�k � ,�p�} i..�. �, Apt i•zf;'!" t k� a1.;.i�dr� a&L<+K,::, �tf A.�'..,)?�"� rt ��'Y ?4 9, t i r r a ! ;� a .�' '1} ��+.• ! ,. G i, ,� a! _1.�'� �s h'= a�f lwt�#•i...i r, r@ s ,� I � ' r..'Mr `{ 'Y1';.. ,�. L. ,(�.I�. b- � , .� ta�-.1'l�.r- � F. ��i.a f,tp•. 4:a, � ,v. i �d„ ,.�`'` ..��' e..a �'..�±. ,• k'tr � � 1. ill - � 4� :�� �. !° M 'a t�^ � .t k��� ' ��a�t � � # ;?� �.., �.r �� .. ` y{��r/ y}'. ' ;:" . .r ' ., �q:r ,. + �" ,�,•.I�./...� � I�. .�. ,} .•`'Wit.'i .�>� ?r ,ti}�`�6�i�A.YP 2.}t.F';x,+f, ,> ,: xa{h „('�$.ty.,t t. r.q ',.s r tr'� x , [.. �. ��-.� { 'Y!7'ep,. ,p t4(�r�'; f, e���'�r rdSk.,,,'�"'. r,�yy,Y.: ��{{ a •+t {t ,.t.ti' {:,4 x� „!, ., � ►`1; �Y !y tt AU ��[,J/qqkk�r.)r r '"7,{y� :1.. '.[`�'� r ,9. ,.f t s '�s�k :.a.e �r•�„ �ar.! /., t�l S Usk 1 -r i :. w s ,:5 , ,, h,;a�r r .:,..,,,, ,+� a+.="7: },r: � ...@. ,. �f,:4., r7•-.. �y�,_. .. ., ,?v� .. ?. � k, .,t .„'f� .:t'. , A. a:.� P� r 5 �� -r't fS.•rin Al rl iil$d e �.W,-,1Ii�t,r,� )t.'�� r >�4 �+�tt` �""" ,r'F)acT;a. r.. .'�',[:( I {rw��,..,�, �' e :;t S'» !w#.;: t , ry .f3'+I T .4,' r �;.4 �: .y Y, lk •�+ �'t"i +..4 Tr ..4 r~:a ,',;�J �SrC.�d,,, 6 d fi � i .dt,' +' a .,k,.�� { !,?�.',r'g"�@e r� x.s,; y r�r,.a i.;.; �.,� :.� � Af"� � � u 1, � ., Y `� �"f >r-• � i r �{'.',:IF.:I,,t�..,�5. k,. I{k ��,2, �Y,., i{t r#rq.. {)� r ..�fr� { r •� 1. k r t � � ���• I 1 .�. �"+�� ti �t !;���a,, yjr+�'��� s'f�s a�.X to /ir Rr6 s:i r�� ��ktd..frt rZ � "ua` rl, ,ra ?r;r t r x @ '�131` c k,¢ � R;, + s�•. 1� r'Y1,ke F.,...� � uf. �g� ,@ f" ,;;� r r r , § ddR b Sc k �*la- a. r., i .r n<., n�,ry t ,E.�,tayr4f iP`i}7 •sin t41.C..{c §ts `..r,+,i9r,C',,r5. F,t a„n•; 3� t�,.d r fO , °:;f Ij 4,+..;h;,,S. Av>!: ,�� .r c ,i �. )'}:a �a ��•��� 3!�;11 s+"��'� �v'��#��'e : �'k`���°1� �� '{�.{ }t'� 'F-4� '{���lt .a f ,r� I,j,. ' �d , I �t ?r _ �, :' i# d •j# t!t f �� �.� t�i ��}s!r- ti. t at( p� " d t��0' $ >Y �-4 y 'y ,,Y ^:�as. tt '� '%�' ,.5.. ,1;•!i=�`Kt )I.n.�R�j�yM .',1, ��Y?'�t17 N;^�}Vl,•� �i � ?' @` � ¢ r p. .+h�Ay� �. ,3 t�{7 k'�„`�'�,. 4 •.al,`t� '�i t ; f �rs � .,f ;.a "a'.'a i r,i'�� �.A`�,• ,:��^�",-. w1; r 4 rx�t�l fak '�'^r.. i S ,rr ' .3a�#tss;=. t.fbra At. pvl$ p , y' b. ,t t�� �1�� M'�a; � �;�:5��3: ?�{ ..�� " �F d. f4� �,�f f Moh�e ��4's< �:�N i� �,•..`+,,. nfn � a{� fr �� kl4�raa �• � ;�� FY��A?I S$ @ 4 ip.�d"tia Alr,S ,�#r r ��t�{�y x.. y �y y 17 t p r (t e d �,r. `..,.ak'�e a 3° BnL�+x' �Y�rv.;� 1.��'�� ,�'b1 i •.''! ra ":�';;� rt, � ft r 4�dx,. i'��, ,�; a-{a �'y7d• 3 �,>7 "}�e b l�nf� �. 3,vii�ft� rost,�.S++�� SSt��h?�� �.p: � t�rpy}ff ra.,q�((��,.;: : ., ,d � .'' � S �, y.,r ,, 3"�'��,<•n, s..��.t� t�J{ ,.y,,a'i, { :.p. ,a .e 1, .r , l�` S 1 A .af �" .�:�{{• .�+A�.. �a...:i••� 'I p,,y,� d� Y.�,, 4 H . $1;,',I.,fit": , - a A � ":4. a,:.. �. a 'i�: '��, !:a� - ,�• r. - n R4'Sr'. ,Xl,. "{ �, `t: .. :. ..,� - �,e... /,:.. � .�: „ �...A. k {�iY.NI.. "1 t. ,.Vr ...�9, s:.I 1 :-M1 ::4 ✓, �5., .h C� .d> 6. 7��I!';I�, 't �fr. gg j' .. . 7" '.: , e. . ,. ,,,., ,.. ,; n•..,y,. f(:,h.,<@, 4_ad#�7s:• .!. $•.. I d i I t d a- 4 fi,f a pp .. , ,.yq r ,.I�,.,t , 3} ,:.�i ,i�!'t �,r.,.#*'{,fj•�:il, ttk.,. � +{ ..,,,s!a �,,.f� ., �'4f�i�rth" � q7? t !, �r s 6. -u�,�, a r-a r rikya h,q'ra x.a j i,:,f,� �' .s.�'� e �"�a��d a•x:;: r�t 3r, a as.t a o n,, rs#� f � � x ,R,1 of ,� ` f+:P. x r l ,r r''"- r,a +.t .., �:��sc..rpp.. d t .. ,, �. ,• �r . .. . ��r k. uv .. ,.. ,df;^ .. i r wp � , N,r<.,.r4�:^: f r t v.4+v!�r#5i l4'v,.. P, t ,.:•. �'F t K,I .".h,; i`LF, o:;xs.:., , ,...��x>i,xF , �'-. � :: ,. a�.�, - �. f.�l �' e ��-i:l:<,,. ,: sir kf.:�e .f 1�3t F.,t ,�Ss„ s:1 td. -,F,fS ,•...,r �.. .,,,,.}a. I M: .a, fg ,�5 � r� r„t� r. �^sr„g r a. „r,a pf„E,.�a. b •ti µ� '' t �;t �F. � �..,tr.. , " Yz _ .d� ?• ! '. 3 fin•:` °i...su" - - Zoxung, Board. of Appeals Marce Z R. Poyarit. Deed duly recorded in the Property Cwner,, County Registry, of Deeds in Book' Same Pace , . R pg�tT3' Petitioner District: of the Land Court Certificate No, Book Page:: ippeal,No 1984-84 19 FACTS -and DEOISION Marcel R. Poyant: Petitaer. filed petition on; 19' requesting a va iance-perm t`for premises.at �62Q-167Q F'aZ-mouthy Road in the village CenterviZZe Shopping_ Center e5teot) Of a djoinmgi premises of {see attached Local :under consideration:' Barnstable Assessor's Map no 209 lot no 13 + Petition for Special Permit s Application for Variance: ❑ made anger Sec:'. " of the Town of Barnstable> Zoning by-laws and See : :' Chapter 40A,.Mass (lea,. Laws: To ena' Ze the etitiorcer' to tP. ,�fj raZ hhaase of for the '.Purpose of P his Centervil:Ze Sho in' Center. PP 9 • Locus is -presently Toned i' Notice of this hearing was given. by mail, postage'prepaid, to. all persons- deemed. 'affected. and by publishing in Barnstable Patr2ot newspaper'published ,ui Town of Barnstable a copy of which is attached-to the_ he record of`,these• proceedings filed with Town Clerk. A public 1%earmgx:by th6 Boarii of �Ppeals oof..the >Town:`of Barnstable was;`.field at the Town: Office Building: Hyannis, bLass, at 7'45 tiI: P,hf : Augur-t _16, 1984 ` ' upon said Petition'under aoniag;bylaws. Present at the. Bearing: were :4he. follovcino members;•,' • Rticnard Lii ;,Boy Luke P. LaZ y Ga21._N ghitngalee:,.. __Chairman m Janssori..., . :-, EZz�zabeth Horton' - At the eonclusvon of the L.Aring, the Beard"took said petition unazr advisement. A view of the- locus was made by the Board. 1984-84 Appeal. No Page of On September 13, 84. 19 ,.The Board:;of Appeals.found _ t, Attorney Jack Furman of Hyannis represented the petitioner; MareeZ.Pdygnt,. who io' , seeking a, special permit to, construct seven stores/ ices at the.Centervi>ZZe S�iopp.ing Center, FaDficuth Road, CenterviZte in a -Highway Business!. zoni district`. The ng , pettionez acquired the .property in,Z97.4' and in 1975 he began the comp lex - .he intended to comp Zete. the project in three phases to be on the locus of 4;s0 acres,, In.;19:74'la permit was issued for 22,000 square foot construction = and in .Z975 construction of the Five: Cents Savings .Bank and the Post Office building- were completed° In 1983 ' the ,petitioner° constructed six additiorta, stores, however, at. the` :Nov,enber 1983 Town Meeting a b." lain was passed requi.rzng a special permit. for`.. stores in a Highway Business--zone. The. proposed addition would be comprised of seven 1,,000 square foot units -.' he petitioner does not intend to rent toPanyone requiring either a ,food or beverage license. The new construction will be simply an. extension of what exists on the 'site ' t this time to be a wood frama building on a concrete slab . to be in line with the Post Office building and about 141 from it -- to include paving, `grading, etc. The,Board voted unanimousZy .:to grant the ,petitioner a special permit to .construct- seven retail store/ offices at the site - per, the:'pZari submitted,: avith ,the restrictions:'` there are to be trees p<:Z""anted as`designated 'on the Plan indicated'by an 'X to be at least four (4,.') feet in height.0i. a curb- around them the second. and third curb cuts heading-east' be eliminated - and a ,green strip to match., the: existing strip be Zn`StalZed = 'existing strip to be nidintazned-i far retail stores= - no .food or beverag.,e, .services. a maximwn of seven. re.td Z.stores the parking' ;aot to;, be clearly delineated, as`'per` the Plan' . - 4; . All of the above requirements must be' conpZied'wizh':prior to an occupancy permit ...'`' being issued. Y : Clerk of the TVown. of Barnstable, Barnstable 'County,. Massachusetts; hereby. certify that`twenty (20) :days have elapsed since theBoard of Appeals` rendered its decision.in the.ab,ove. .en"titled petition: and that no.appeal of said decision has been filed'_° in:the office of;the Town .Cler_b: Sipned and Sealed this; day;of _ ?_.- , _ ..w. ...,19 ,_ �.-. under the paihns. and.V penalties of perjury 'Distribution': s } Property'Owner Town Clerk board of Appeals. Applicant T0Avn . B'a,�Siable F Persons interested. Building Inspector Public Information By . ► _ , Board of .Appeals Chairman. ;;f' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A m / �C(LJ IL DATA QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAM+---------------------------------------------------------+----- 03/21/03 PARCEi PARCEL ID 1620 FALMOUTH ROAD (ROUTE LOT/B PROPEi 1658 FALMOUTH RD/ RTE 28 1620 j 1638 FALMOUTH RD/ RTE 28 j 1 . 1644 & 1646 FALMOUTH RD/RTE 28 (ANDERSON HARDWARE) CENTEi j 02601 PHONE DEVEL NINI FOLOOD CUYI p I i OKH? ZBA Di PRESS ESCAPE TO END DISPLAY LOT Si WETL+---------------------------------------------------------+ USE 323 PROTECT DIST AP I 03/20/2003 10:00 15087785688 RENE POYANT INC PAGE 01 M Y `` MCA L. PtlYAW, Inc. FAX: (508) 778-5688 REALTORS TEL: (508) 7154079 ::,;,,..a,,. .. .. ,ra�yy:...qp:..,..., .. .•.,. Y� `:�.. ,:y:i!.�:�ii eyf��sji,� ,r,�,diSIii:.I„rp;'.,,:, ' „.,; sit f } I s LOfr' � liF 1 f RENE L.POYANT 1909.2000 MARCEL R.POYANT,President&Treasurer MARY J.POYANT,Exec,Vice President RENE M.POYANT,Vice President March 20, 2003 BY FACSIMILE TO 508-295-9305 John K. O'Connor Director of Retail Operations Couto Management Group, LLC 17 Kendrick Road Wareham,MA 02.157 RE: Lease—Marcel R. Poyartt to Donut One Realty Trust 1648 Falmouth Road Centerville, MA 02632 Dear-John: This is to acknowledge receipt of t e copy of the building permit dated February 21, 2003, for ,renovations at the above location, Permit No. 67097/BREMODC. Thank you for furnishing me with a copy. In reading the permit I notice that you have used an address of 1620 Falmouth Road. I would advise you that the address of the subject unit is 1648.Falmouth Road. 1620 Falmouth Road is the Cape Cod Five Cents Savings Bank Centerville Branch. I do not wish them to be incorrectly assessed for improvements attributable to your unit. Very trt 1y yours, arcel R. Poyant MRP/mcrn Copy to: Jack Fitzgerald,Building Inspector Via fax 508-790-'6230 REAITQR`" "SERVING CAPE COD SINCE 1947" r. I COMMERCIAL SALES, COMMERCIAL LEASING. 4 COMMERCIAL PROPERTY MANAGEMENT', APPRAISING AND CONSULTING 03/20/2003 10:00 15097785688 RENE POYANT INC PAGE 02 f Towl of I3A.RNbTABLE BUILDING PESMIT � I�EI, ID 203 013 GEOBASE ID 1'281 AL)DRE-3S 16`%0 FALAMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP L01' BLOCK .E3A DEVELOPMENT" DISTRrI y Co �- PERMIT 67097 DESCRIPTION RENOV CEILING/FLTZLE/MTLLWORX/LTFdX. PERHIT TYPE: SHEMODC TITLE COMMERCIAL ALT,,'CCiNV coNT a:Irru� s: SAr,uz Cc�UTO Department of ARCRI EC.G S: Regulatory Services: TOTAL FEES: BbO.(}t� Bore $.00 CONSTRUCTION COSTS $i00,000.00 437 I.Y0NRSS-/NONHSKP ADD/CONY 1 PRIVATE � MAS& 6M1�Al BUEU is ION DATE ISSUED 02/21/200:3 EXPIRATION DATA. i I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PART THEREOF,EITNCR 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 BF 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. y MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON.lOB AND I.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 2.PRIOR TO COVERING STRUCTURAL MEMBERS MAS BEEN MADE.WHERE A CERTIFICATE OF OCCU• PERMITS ARE REpUIRED FOR y'I (READY TO LATM). PANCY IS REQUIRED,SUCH BUILDING SMALL NOT BE ELECTRICAL,PLUMBING AND MECM. 3.INSULATION, OCCUPIED UNTIL FINAL INSPECTION MAS BEEN MADE. ANICAL INSTALLATIONS. 4,FINAL INSPECTION BEFORE OCCUPANCY, 7BUILOING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I ,J 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I Z BOARD OF HEALTH OTHER: WE PLAN REVIEW APPROVAL WORK SMALL NOT PROCEED UNTIL PEP4AIT WILL BECOME NULL AND VOID IF CON- INSAE=crIONS 1NDICATEO ON THIS THE INSPECTOR HAS APPROVEDTHE $TRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE, TION. TOWN OF BARNSTABLE SIGN PERMIT. PARCEL ID 209 013 GEOBASE ID 1281.1 ADDRESS 1620 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO I PERMIT 62377 DESCRIPTION ONLINE COMMUNICATIONS/UNDER 15 SQ, PERMIT TYPE BSIGN TITLE SIGN PERMIT I CONTRACTORS: Department of Health, Safety ARCHITECTS: -and Environmental Services TOTAL FEES: $25.00 TM� CO $ ND .00 NSTRUCTION COSTS .001 i 753 MISC. NOT CODED ELSEWHERE * BARN STABLE, + MASS. i639. A`0� / ED� BUILDING'DIVISION BY DATE ISSUED 07/15/2002 EXPIRATION DATE _" y Town of Barnstable °p 1HE Regulatory Services Thomas F.Geiler,Director * SARNSTAHLE, • M MASS. � Building Division ABED MA'S Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax.Collector Treasurer Application for Sign Permit / � 2-7 � Applicant: GAssessors No. O —O Doing Business As: �tU 1 ` n"a Telephone No. SO8 -u 39- a0Y) Sign Location Street/Road: V t E ?- Zoning District: _ r Old Kings Highway? Yesg)Hyannis Historic District? Yes To Property Owner Name: QP tiJ 2. L� PQ .aw -��w e. Telephone:__ d �y ,,nn Address: G�BoG Qo+t`w e U 12 l#ua tud ¢llage: Sign Contractor Name: �'t cJ '� A W W w �C, Telephone:_ 0 -S'�' - g� Address: II'ma d(*aQ S / i illage: 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? Ye o (Note:If yes, a wiring permit is required) I hereby certify that.I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. 'Signature of Owner/Authorized Ag Date: Size: PermitFee: ��,/--U Sign Permit was approved: Disapproved: Signature of Building Officgal: / Date: 7 —/sO Z Signl.doc rev.122801 n :.. s d"a tir AlT7HORi2ED REAREa Ell I.A.II T'�. (n 'S *SAL fie *SE ICE COMMU14CATIONS INC. k RIES j7 ..,a Z s p TAT 1 V E * A�r +► SO xRJZEjD REPR-E.SEN . R - , F 7 n ey fuming Inc k^ Image i8 2tnon 5f ' t 843 euppei S 0203 a .. "; � ranklin, 9 a I P�"' �gg98a h ' Fax. 5080b et *Magesign.n •h P T6• r 4 ((( gib~ 3 Q° @' : . a •'' u E NEX- 1 no AU714aPiZED REP P ESE M7.A711•'E " �"MOfGAi�'!1°� , EL R ANIM A& 5ALrMs Z EIC z COMMUNICATIONS INC. D AM lab, ffi�s i Z _AUTHO.RizEa REPRESENTATIVE ' *ACCESWOUII Afl. ' t Sign qulttln8 lnc< z image 3per .Union St. t� 1 (L : Franklint A 020 .. a - ph. 50 •9soa ss co 8 v, Fax 508•��3.998 w ' ` ,%vw.lMagesign.net* - n FA)MD Dote, m TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _ .Map .a-.G� Parcel 013 Permit# fV 43� Health Division ��'�3 JC3 �'C �U�� Date Issued Conservation Division Application Fee . d.Ud Tax Collector J�"ow� —' Permit Fee iftya�_� s�� Treasurer SEPTIC SYSTEM!MUST BE Planning Dept. INSTALLED IN COMPLIANCE WITS TITLE S Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE Az'D Historic-OKH Preservation/Hyannis T hkl PE( " Project Street Address /(a Village r'��2 !e GL� Owner ` n Address L3 to s K O-voo Telephone SO —22,5—00 7 Permit Request � z7S�/ t a,� - Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new i Zoning District Flood Plain Groundwater Overlay Project Valuation o�3 00U ' Construction Type U . Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 3o I YP_ Historic House: ❑Yes C8'No On Old King's Highway: ❑;)ibs 5&No i Basement Type: Full ❑Crawl ❑Walkout ❑Other ) Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ti N Number of Baths: Full: existing new Half:existing new:: ? Number of Bedrooms: existing new co r- �s rn Total Room Count(not including baths): existing new First Floor Room Cou t Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# ( ' ' Recorded❑ Commercial C es ❑No If yes,site plan review# Current Use /3ff/V1t Proposed Use BUILDER INFORMATION Name tRus'sQM P�0.5b2ff Telephone Number Address 1D.0• LAX 3Q(O License# 60()1.Q µ- sco_IdZ QX . Rk 09(03 t Home Improvement Contractor# / Worker's Compensation# (t)C (bA 55J` Q! L ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a—1H 7 /y�� SIGNATUR����, DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED r ' MAP/PARCEL NO. z ; ADDRESS- VILLAGE OWNER _ f , ;,DATE OF INSPECTION: ;t•FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH. T FINAL ,= •,- GAS: ROUGH- FINAL. s FINAL BUILDING �23 3 y = f Y ! j DATE CLOSED OUil :j _ ASSOCIATION PLAN NO-- �.; _ o ? I 'IL_(I J -J) LOf7E1fo MENS • o OF..P051T V/�l1LT CSR at MORGAGE M0RC,AGE N -- .--- OFFICE OF�10E ♦. 4 —.._..-._-_. M0 Ln CSR 93 \ x, D 4 L_ �111 \CSR tit � ❑ Qh C l CLOSING/ CONFERENCE'* RECEPTION, CE o C6R 01. ra . i c - TELLERS LOBBY i r !' Cvvvl v • V U V C1 v U �7 1 ` His.O =aPY1LCHC PRL /"QCtkfes CM nl Ar: a{l;xq- 'M UAWFOT" 6tTLCIY ALL fbnHTs O�rt � aaL !'� ED. NO Wf OA p3L- WGn 1! rloe tU reFIAL 1eepeff— T� PROPOSD PLAN * ems DAM � CENTERWLE MA r.. 7M cus O(W RTA aelvts ancwe T-ixs - DO NOT 6CALF O�vnlAy� ram{ Cf"NKOKe eHo�L.'2wr' Al .ue W, :?Gq!- c4mAvotre 0A Nit. MCI p r � - tie -� ---------- ___.._..._.,_._. • anvmaruueal(/ a�✓�aaaac�cuvelta j Y BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR j Number CS 000674 . ),) /; # �ExpireS OL4/0912004 Tr.no: 20190 f i �nchnrtTinn_PC Resrtrioted looms. : . RUSSELL M BASSE,TT 4 t; •2351 MAIN ST/P61 OX4396 - BREWSTER, MA`0263.1"t` Administrator . rt� fie �oor�inaizurea�i o�'���ac/auaeCta 3 - �\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 111575. ' ;';.Expiration; 1272/03 °. ' Type: .DBA ' R.B.CONSTRUCTION RUSSELL BASSETT'' PO BOX 396/2351 MAIN ST BREWSTER, MA 02631 �� Administrator `"rl—\ The Commonwealth of Massachusetts f� -____= .. -_ I Department o Industrial Accidents - _ P f -� _= Office ollnt/estigations . .__� 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 r netor and have no one workix in an capacity achy %/G%/%%%%��%/ % %%%%%%%%��%%O%%%%%/%%%%%/%/%/%/�%%7/%/////%%%%/%O/%%%%%%%%/%%%%%%%/%%%%%%%�/�%/�%%�%%�%%%%/�%/�%%%%%/ I am an employer providing workers' compensation for my employees working on this job. rom an:Warne::. . . ... -...-.,-=` - :;:;.;:::x:: ::<:i:;.::::...:.: :. :<:':: atlilress... Cl, :;::>::;:::>:>::>::»:;: ^ ::.:<.;: .::::::.:...:.:.:..:.:..... id. ;::: :;:.::: .:.::;.:::: eitvrQ �... tL't d phone# �$ _ ...__.r..� .�. :; t11s11]ranee:.co:.;:<.;.<::.:.. :..:::. :.;:.; >;:.;;:.;:.>:.;::.:::.. // ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have . thefollowing workers'compensation polices:::..::.::.:.::::::.:::..:::::::::::::::.::::::::::::.::::.:.::::::::.::.:::::.::::.:::::::::::::.<:::::::::,.;:.;.:;.;:.;;:.:;<.;:.;:.:;;:.;:;::;:.;;:;<:.>:.:.:::.;:. . ..... ............ »»»::>:: coa»uany.name.: ...;...:.<.>::::::>::>:::>:::;::>:;:>:. :;:: a s''« cites ry >>«'< I.::Dian li ttll _....._.. .........""....... I%I%l .. ............. . ...... ;c an name:>.:: :::>::>::::::«:::-...:.:..:.: :>:< is .... ... ..... a I. ilrfr s one ':> < ;>' < € <">'>': >>''< < >-4 >%` c ' h li fF Failure to secure coverage as required under Section 25A of MGL 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$100.00 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. I do hereby certify under the pains�nand penalties of perjury that the information provided above is true and'�correct Signat� � �(//t� % Date �11' '���---- Print names Sr SQL L��. 4��l=7 Phone# !l c3 official use only do not write in this area to be completed by city or town official city or town: permit/license# • ❑Bufiding Department ` ❑Licensing Board - ❑checkif immediate response is required ❑Selectmen's Office . �Heslth Depar6nent . contact person: phone#; ❑Other (Devised 9195 PJA) - N Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers'. compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer 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 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance 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 requiredtto obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be used as a reference number. The affidavits may be returned in- the Department bymail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investloatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r TOWN OF BARNSTABLE. ` +' (� SIGN PERMIT PARCEL ID 209 013 GEOBASE ID 12811 ADDRESS 1620 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 58627 DESCRIPTION TANLINES - UNDER 24 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 px THE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE + * BARNSTABLE, *' MASS. 039. Ep�l A BUILDING DI VISION DATE ISSUED O1/24/2002 EXPIRATION DATE 0 Town of Barnstable �� ►7 HE J+tioRegulatory Services Thomas F.Geiler,Director i BARNSTABLL MASS. g Building Division �'ArEo 1639. °' Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601 -.Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application`for Sign Permit Applicant:✓ �� N� � sessors No' Doing Business Ash ati CIl c.S Telephone.No. o} ►v W (vs��j Sign Location Street/Road: District: Old Kings Highway? Yes//Hyannis Historic District? .Property Owner Name: v d � Telephone: .�-�'S 6� e� Address: Villager 13 Sign Contrac r Name: v Sim Telephone: Address: r iy ram/ G � Village: 4UAAVM93 Description Al 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? QNo (Note:If yes, a wiring permit is required) x 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 Barnstabl 'Zoning Ordinance. Signature of Owner/Authorize �ent• Date: v.z�. � F t Size: l Permit Fee:-��� •. Sign Permit was approved• " .F Disapproved: _ Signature of Building ici Q'� Date: Signl.doc ' rev.8/31/98 e D D e D o „ - F " r , a t c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map s /) ' Parcel Ql\� Permit# Health Division ffq 77 2A Date Issued,NC _efrservation Division Fee Tax Collector Treasurer O Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1640 LL& 10ad, UN IT 2— Village Owner--pau dl Address S Telephone its 2, klm'Mre Permit Request -k.?l pLl- iA o ffC pa e �i,�ALs dwes Pm NA" A.) Square feet: 1st floor: existing proposed 0f 2nd floor: existing proposed Total new Valuation !/ are Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Y: Number of Baths: Full: existing clrL 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: VGas ❑Oil ❑ Electric ❑Other Central Air: 6/Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use - -- Proposed Use BUILDER INFORMATION Named �. �. Telephone Number VY 36 2 eb 2.S Address t2o R!t,, ��Z License# C S o 6 C/ 3 may' e-o Ce 0 arL S�` Home Improvement Contractor# K ,q— Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE v _(/ �� � DATE ! 2v� 5 j FOR OFFICIAL USE ONLY i PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS { VILLAGE OWNER , DATE OF INSPECTION: , FOUNDATION FRAME 1 .� S 1 INSULATION ' FIREPLACE j ry ELECTRICAL: ROUGH FINAL - i PLUMBING: ROUGH FINAL ~ GAS: ROUGH FINAL l ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . r sou 0- 0 ��k /l 04/16 ,,0 �S �� '4,C The Town of Barnstable - P� - BARNSTABLE:� MASS. Department ✓artment of Health Safety and Environmental Services 0 039. �0 p�FO MA+a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Q Fax: 508-790-6230 PLAN REVIEW Owner: �G 0-1 ► ` Map/Parcel: 2 6-2 0 IA'� � Builder: C (; 1 _� Project Address: �.y ���l' l 5 (? The following items were noted on reviewing: JA--\,J r \-�� Reviewed by: < " Date: q:building:forms:review a/•rl=fru/•juy%iu/3%iiuu�urfi.'C/uruii�/�����������/////�/�G7//�/ .%%'%%% ;.�'` .%��i��i'%�������������������������/�� 3l:�:ss✓�•ss/s•s ss�ss�ts�s?;s R :•F-IM,MR9 s. . . •.• . .0• 1 1• • . • ...•• s .0 •-1...«1 - ////////////////////////////%//�///////////////i//////////////////////////////////ii/i///////////////////iiii/zzi/ii i•ri/iG�/i.is i//ii"�"'�%4 r�"'iv�ii�i/iiii/iiii/////////i/////////////////////////////////////////////////////////////ifS' . Is • ..•n• • ' •1 • •In • ..•-. •nn✓..• xn •n nl 11 � ul. - ��• n • . w r ., • 1 1 :I11 •1 .•H r1U 1111• 011 •1 _, ' 1•. 1• 1 1 11 .. v�..�. .h,is... .n, )YMb�4)� :. .C�:::v,' i(JiT'.4::''::-..i �i?+F•is<:�:�::':'::'/.:.::�.:Niti�:!Y ���'�\J.\'V.'.;JR^.. .),v: '\' '• ..`,5X<CC:..... .J:u'w-• „rl%'� `Y P��::. E:i. ;.:W:.: 'Ov., :,�. /::... . '�• {., -'4., .h:9.Y��' �•„• r•�-';J�;Kir'' � �,;.� :a �.ioy\'.�.-.-^•i.�5.b3 ��i��i„�) •,:,�• h ---------------------- r;F. ,:�s`°�µ.>'°��.\w• >..`� ac�a2;�•v `""�<f(<.��4»���'"�4'1°°h eel<�>::r>r�2cc � w.. �,. 11 11 I 11 ■ • f Information and Instructions General Laws chapter 152 section 25 re all employers to provide workers' compensation for th--' Massac husetts P q� , emplovees. As quoted from the"law", an employee is defined as every person in the service of another under any cam. of hire, e:cpress or implied, oral or written. An emplover 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 rece ve: trustee of as individual,partnership, associataa or other entity legal ., Maytag employees. However the owner of a Y dwelling house having not more than three apartments and who resides them,or the occupant ofthe dwelling house of another who employs persons to do maintenance, construction ar repair wmk on such dwelling house or on the grounds c: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 sectkm 25 also states that every state or local.1iceasin9 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,ncitherthc commonwealth nor any of its political subdivisians shall ender into any cm=ct for the performance of public work m=1 acceptable evidence of compliance with the insurance regmremetns ofthis chapter have been presented to the cmmzctln authority - Applicants Please fill in the workers' csmmpeusation affdavit campieteiy,by gang the.boxthatnpplies to your simPliOn and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for mnfir�en ofhowm=coverage. Also be sure to sign and U date the affidavit The affidavit should be retu reed to the city artownthatthe application fort permit or license is being requested,not the Department of bulustziat Accidents. Should you have nay qm=d ms regarding the"law"or if 5-au are required to obtain a worer ks' camzpensatiaim policy,Please caU the Department atthe mmber listed below. City or Towns I I M=D has dcd a space at the bottom of the Please be-sure that the affidavit is complete aria printed egu'b y. eP�� P� � ham. Please affidavit for you to fill nut in the event the Off ce of bas to ca=ct you regarding aPP • an r to Please- be sure to fill in the pemutlIiceas0 number which will be used as a reference n�er- The affidavits may arr the Department by mail or FAX unless other anges have beaamzdis. 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=1. OF The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Iwesduadons 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 4061, 409 or 375 � w - �. �r-•-- ram.----i'-�3+„^^. - BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR `.? Number. CS 064359 . , , Expires 04/08/2002 Tr.no: 21085 :Restricted To 00 ,R. STEPHEN B�ELDREDGE PO BOX 572/140 CEDAR ST ;.."W BARNSTABLE, MA 02668 Administrator k w r t w H w ro r of Id H r 77/ � D ��� Giangregorio, Robin From: 'Traczyk, Art Sent: Tuesday, December 11, 2001 10:07 AM To: Giangregorio, Robin Subject: Reuse of Anderson Hardware Store- Rt 28 - Centerville Robin: As we discussed today, the reuse of the former Anderson Hardware Store on Route 28 should be permitted as-of-right if its primary use.is retail. The two woman we meet with today did commit to the primary use as retail.' I see no problem in permitting that use with sun tanning as accessory to retail of bathing/swimming suits and sundries. art 141 6 1 i low- sr - 10 _ r• Plpe Space - 2666 s 2x4 Studs @ 16 c o r c y I STORE No.3' STORE No. 2 Q l 4 1001 sf 1018 sf o q. c 0 w I Double 2x4 stud walls with separate shoes&plates. $ Set apart @ 8"face to face. Studs 16"oc-staggered. Z 1111'Y Weave R-11 blanket insulation horizonatally. Finish each t face with 5/8"GBFC over 1/2"t sound board. Total thickness-- 10va" Y co BD Scale. 1/8"=V-0" 0 5 10 N FSTANLEY F.ALGER,IR STORES NO 3 & 2 >ARCHITECT< PLAN VIEW 38 LEONARD DRIVE CENTER VIT.T.E SHOPPING CENTER - II FAR 02RVILLE•IAA ROUTE 28 • CENTERVILLE• MA 02655.2416 Marcel R. Poyant CONTRACTORS SHALL VERIFY ALL DIMENSIONS AND CONDITIONS ON SITE October 27,2000 r .T EST. 1947 �o ru�mu usnwo s� com terfzed � . RJA'ITOR• g-P®YANT • RESIDENTIAL&COMMERCIAL SALES COMMERCIAL LEASING APPRAISING COMMERCIAL PROPERTY MANAGEMENT MARCEL R. POYANT, RM 282 BARNSTABLE ROAD PRESIDENT&TREASURER HYANNIS, MA 02601 PHONE: SOB-775-0079 RES:420-0288 i - ' EMAIL: POYANTgCAPECOD.NET FAX: 508-778-5688 r . ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel P2 1 �3 �� Permit# Health Division - 7 7�� `� Date Issued f( 20v Conservation Division Fee. 07� a Tax Collecto � 0/0 -/a add % fP�� guiple- �� Treasur ( ��.,Ti� SYSTEM INSTALLED IN OOMPLIAN"11 Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic=OKH Preservation/Hyannis Project Str`ee dress Village .Owner Address Telephone Permit Request &A 2 V 0d / alaz tv �_j' 00 0 ar ze e w al,( Square feet: 1 st floor: existing 2—b propose ZOM 2nd floor: existing VA' proposed Total new V Valuation af Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure A Historic House: O Yes ( On Old King's Highway: O Yes Basement Type: ❑ Full ❑Crawl O Walkout O Other Basemqnt Finished Area(sq.ft.) A/04 Basement Unfinished Area(sq.ft) � Number of Baths: Full: existing new O Half: existing — new Number of Bedrooms: existing new Total Room Count(not including baths): existing new J"_V,01Ve First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑ Electric ❑Other Central Air: �s 0 No Fireplaces: Existing 4L7 Newer Existing wood/coal stove: ❑Yes ❑ No Detached garage:0 existing ❑new size Pool:❑existing ❑new size ` Barn: 0 existing ❑new size Attached garage:0 existing ❑new size _ Shed:0 existing 0 new size L_Other: ,Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial;Qle-s ❑No If yes,site plan review# y ~ Current Use Proposed Use ` BU L!107;4elephoneDEORMATION Name Number _ Address /�l� License# 3 ® Home Improvement Contractor# Worker's Compensation# Te 9` /0, 6_�606�roll� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f r - FOR OFFICIAL USE ONLY PSRMIT NO. 1 DATE ISSUED "' F MAP/PARCEL NO. ADDRESS' VILLAGE ` OWNER DATE OF INSPECTION - F` FOUNDATION r - M FRAME s2 dfaOC� ' Lb INSULATION FIREPLACE . - r ELECTRICAL: ROUGH FINAL - F PLUMBING: ROUGH FINAL _ GAS: ROUGH _ FINAL - *1 . ,,. r FINAL BUILDING — �- - DATE CLOSED OUT ASSOCIATION PLAN N.O. t f FROM Alice 8 Stan Alger FAX NO. : SOB-420-1637 Oct. 27 2000 02:15PM P2 Pipe Space T. 2666 I r • I! t I 2n4 Studs® 16 I 4 C®L� I is v . STORE No.3 STORE No.2 . Q 1001 Sf -5 101.8 Sf 4 i r Double 2x4 stud walls with i separate shoes S plates. Set apart 9 8"face to face' i m Studs 16"oc-staggered. z 1/0 Weave R-1 I blanket insulation horizontally. Finish each i face with 51W GBFC over - Ij2"t sound hoard. Total thickness Scale: 1/8"=1'-0" -0 5 10 _ FAsTANLEY F.ALGER,JR STORES NO 3 & Z >AACiFiITECTe , ''• PLAN VIEW 38 LEONARD DRIVE OS ERVILLE•MA I S;EI ERVITt .F.SHQ PINQ'�"Ei � 1� 02655.2416 } ROUTE 28•CENTERVILLE•MA CONTRACTORS SHALL VSUn ALL I ) Marcel R. Poyant DIMENSIONS AND CONDITIONS ON SYM ul, Odober 27,2000 The Commonwealth of Massachusetts Department of Industrial Accidents �'����:" -��� Olftce of/n�estigations 600 Washington Street ` � +i Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location city , ^� phone I am a homeowner performing all work myself I am a sole proprietor and have no one working in-aav ca acity µ.- — - //%%/%/%/%/14W/// ///01Z,117,,WZ Z/////////�///// I am an employ roviding workers' compensation.for my:.empiovees worktng on this lob comonm•name: _ address: .:.....: .... :-:... • .. hone#� � �t~ city: insurance cn. % . //// ///// ///// / %/ „ // ///////////////////%/////%//// I am a sole proprietor,general contractor, or homeowner,(circle nsle)and have hired the contractors listed below who have the folloning workers' compensation polices: .. :::... company name. - address: hone.#. city: :.:-. norev# insarnnce cn. .............. comnanv name. . address: ..... ..::::.:.:.. one :• ::.....,.. cmtV, ::•. insurance co. .... .......... s Failure to secure coverage as required tinder section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one venra'imprisonment as well as civil penalties m the form of a STOP WORK ORDER and a tine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the once of investigations of theDIA for coverage verification I do herenv ce f} un the p an penald f perjury that the information provided above is ttp and correct Sienature e ^ Print: e � �X®G/ •�r '� Phone# 7 otlicial use only do not write in this area to be completed by city or town official permit/license# ❑Building Deparvnent city or town: (]Licensing Board ❑Selectmen's Onice check if immediate response is required ❑1lealth Deparunent phone#; Other_ contact person: .:A nrITT 11 �0 ::� Information and Instructions t Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their from the"law",an empl°Yee is defined as every person in the service of another under any cons-- employees. As quoted of hire, express or implied, oral or written- An employer is defined as association, corporation or other legal entity, or any two or more e I .as individual,partnership, the foregoing engaged in a joist enterprise and including the legal representatives of a deceased employer, or the receiver asso,ciation or other'legal entity, employing employees. However the owner of a trustee of an individual,partnership, arts who or the occupa t of the dwelling house of dwelling house having not more than three ap . rteaau�. construction.or repair work on such dowelling house or on the grounds another who employs persons to domaw shall not because of such employment be deemed to be an employer. building appurtenant thereto g shall withhold the issuance or rene4 MGL chapter 152 section 25 also states that every state LLor local licensing agency of a license or permit to operate a busmess.oFto constnrcf buildrugs rn the::commonwealth-for-any-_appli T o hr-ry ti not produced acceptable evidence of compliance with the insurance coverage requ rerdforrna'ilida onafll,neither ei he rk..uat1i,. commonwealth nor any of its pthe olitical subdivisions shall -into�Y y performance w. with the�ce requirements-ofthas cbaptenhave,.been presented to the corrrc�., acceptable evidence of compliance q authority. �. •.. _ -. Applicants 4 the box that applies to your situation and k Please fill in the workers' compensation afftdavrt COm°PletelY�by chi be, _..� £ . supplying companynames,address phommrmbers iil*with a certificate of insurance as all affidavits may and. Accidents.fi -co on;of insurance cOvem 1 e Also be sure to sign to the Department of`Industrial`_.__-- _ licatzon for the pit or license is , submitted to,tbe or town . 4p W date the Affidavit The affidavit-should be - ---- 9 - ofIndustrual4cctdeuts. You have ►questions regarding `the being requested,not Departmea�t : . �_ _._._�.:_ -- artment atthe,-m=ber.Iisted.belowr.�. .or _yc.w • ems policy,please caII the Dep- _ are required to obtain a workers caap City or Towns 1 --�Department has provided a space at the bottom of . Please be sure that the affidavit is complete and printed legit y. . the Office of . has to contact-you regarding the apples , please . , affidavit you to fiIl out m the event mraiber. The affidavits may be returned t^ be sure to fill in the pe�rtllicense number which will be used as a reference _ .- �_.__ the Department by mail or FAX unless other arn have been made- The Office of Investigations would Mo to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a ca.L ' The Department's address,telephone and fax mrmber: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invest10adons 600 Washington Street - Boston;Ma 02111 far#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 I - . a I .. a TDOI)7/Ift0721(/P.Q.GI/L O�✓!/GQ.GQUQC000 \•,1 .. BOARD OF BUILDING REGULATIONS { ° License: CONSTRUCTION SUPERVISOR 3 Numbdr�^,euCS O43556 x J' 1 ~a. 13/2b00 Tr.no: 548$ 1�i -R stnc o: 00 Fct4[ 41 t I SCOTT.E CROSBY • 62'"CROSBY CIR OSTERVILLE,.MA 02ti65 Administrator fie �anvmaiuueaLC/ � � Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registratiom.131378 Expiration 07/.13/2002 i Type i ; PEACOCK&CROSBY BUILDERS, SCOTT CROSBY 4 1112 MAIN STREET UNIT 7 � t OSTERVILLE,MA 02655 Administrator -- - - - - r � �6� y - �I � �� ��� �a--� f � ti � . � , - _�•m _ . Z w . i i - , j a i } f ' - ' -- �. - - -..- ��w , , 1 3 i i _ -_ �.. ` Town of Barnstable *Permit#. S3,2 Erpires 6 months from issue date sr� Regulatory Services Fee old BAANi639 I Thomas F.Geiler,Director � �� Building Division Elbert C Ulshoeffer,Jr. Building CommisslePj S s t P� 367 Main Street, Hyannis,MA 02601w M Office: 508-862-4038 TQ AY j 5 ZOO' Fax: 508 790 6230 EXPRESS PERMIT without Red APrPeLss lm AT IO 0 F84i"/V,3r Not cE�V rint Map/parcel Number 209/13 Property Address 1620-30 Falmouth Road, Centerville, MA 02601(Centville Shoppine Center 7T1 ❑Residential OR ®Commercial Value of Work $12,000 00 Owners' Name&Address Marcel R 'Poyant, 282 Barnstable Road, P. 0 Box K. Hyannis MA 0260i Contractor's Name Rene L. Poyant, Inc. /' Telephone Number 508-775=nn7A Home Improvement Contractor License#(if applicable) N/A V Construction Supervisor's License#(if applicable) lL CS 0 14219 Philip S. Butler is an employee of Rene L. Poyant, Inc which is wholely owned by Marcel R. ❑x Workman's Compensation Insurance Poyant Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Traveler's Insurance Company Workman's Comp.Policy# IUB862W288199' Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ® Re-side Cedar shingles South and West side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Lz: Philip S. B t er, Construction Supervisor Marcel R. Poyant, Owng 5/14/01 expmtrg r � ;� fat e� f , %, o .�. a a 3•_ ` dOMMCNWSI LTH O�MTMtw OF 1 uwc Ofiexo coaaONMre�u.TM wiA. IMAUACMUTTs TOMF MA OWN t t� CAUTION aSE COExPIRATIbNDATE YI= FOR PROTECTION AGAINST ��s{ 94 EFFECTIVE DATE uaNb. THEFT,PUT RIGHT THUMB WCM PRINT IN APPROPRIATE i>�dONIc , ,r-r• 11/30/1992 0435S6 BOX ON UCENSI:. 1' �Q j T BLASTING OPERATORS 10113411111� b� MUST INCLUDE PHOTO. ME RVYLLE MA r ToieiieTwoDO�ON►n flrE� _. r- -�.y Q > NDTVAMtAftM NlDevlfCB�#aHDG tr �y ��s� NEOt�TC�V nM,P�o-at.ma+�Tt avPTHl� !(.� li MlTB� 3 a « 650N NA► � ►IOVi Tvm 04 CAARIVON THE PERSON OF •1 TN6 HOIDER WHEN 6N. AOE S. p7HER�•wOH►1HWiPAINf ODIHTMBOCCUPATION yy�� ! � 57 >` y `_r•. }jOME IMPROVEI{ENS CONTRACTOR 4 Replattatioa 103592 TYP i D6 A ;, ;.•, : . .. ExPite Boa 07/09/94 Pocock 3 Crosby Builders Scott E. Crosby 62 CTosby CiT. r' �o+ "°R Oatetville KAac 02655 f „ 1 CO MMO NWE,ALTH OF MA SSACHUSE TET S -- DEr/02 r Or rN�vSTRt „ACCIDENTS ' 600 \:71,SJ-JrNGTON STkLT lames. BOSTON, MASSACJ-IUSI_TTS 02111 'WORKERS'COMPENSATION INSURANCE AFFIDAVIT 1, - (liccnscdpermiacc) with 2 principal place of businuslresidcncc at: r3�1OLD ' ',' (City/ScacclZiP) - do hereby ccr-66% under the pains and penalties of perjuq =hat: j) 1 am an emplover providing the following workers'compensation coverage for my employees v orkins on this TT Job lnsurancc Company Policy Numbcr j) lams sole proprietor a d havc no onc working for me. j 1 12m 2 sole proprietor,generd eontraor or homeowner(eircic one) a.nd hsvc hired the eontraaors listed below -who havc the following Workers'eompc=tion iusur- nce politics: F=mc of Contractor Insu=cc CompanylPolicy Number -N-zmc of Contraaor lnsunncc Co mpanylPolicy Dumber NimcofContnaor Ins=ncc CompanylPolicyNumbcr Q 12m a homeowner performing ill ific work mysel f- 1x'OTE: Mcuc bcs�.ark,s5atv�0clorcowacawbocmpJoypersoo:to cro raaiotcaaocc,coartnsctioaor«paitwocJcon a ,d"-C11iny ornot more tbza three uoiu ia.:+Si6 i3<6mco•Nacr also residcs or oa Lbc LZr+ouads apparccaant tbcrcto arc Doc Lzcncr2M)• Cr<uJ to or pctdrnit rr y v 8cccc ibc)<FJ s ms cr�-ccr_<-loycptcvoodcr tic Gorlccr Act(CL CCorapcosac;oso/,cpPliatioa by i boracowact for a Iiccas< i c�c<rstznc tn:t a.copy of iris scsicra<rt..is ix for•ydcd to ti,c Dcp: ;ncnc of IndustriJ/,cddcnv'Or�cc of lasc::ncc(or.co�<rzrc 'wfiftcccion znd that fa.ilurc to sccucc Cover-gc u rcSuircd under Section 25A of MGL 152 c n kad to the impotiuon of 6rnina!pcnJucs eonsistins or fine of up to 51590.00.z-Ocr imprisonment of up to onc year and c;Q pcnalcics in the form of:Scop York Ordcr and a fine of S100.00 s da agains(mc. SionccJ this dsyof cJ ,.39 U I'ccnscclPcrmtttcc 1iccnsorlPumiaor t w s Assessor's office(Ist-Floor): Assessor's map and lot number ® ' 3C: c�THE to Conservation(4th Floor): e Board of,Health(3id floor): Sewage.Permit number ' t DA113TU LZ . • � rua Engineering Department.(3rd floor):: °° i639' House number ' ��MAI Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M:and 1:00-2:00 P.M.only TOWN OF BAR_ NSTABLE BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO -" TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The updered hereby applies for a permit according to the following information: Loc1on 0 f o Ce.K+rV 1�1� Proposed Use // Zoning District 7� / Fire District C' I� Name of Owne Address a �� Name of Builder &evn& Address l5i' S Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area �b ✓e•a- �,4�5'� Diagram of Lot and Building with Dimensions Fee ' -' `OCCUPANCY PERMITS REOUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License . � POYANT, JULIE M. re -;, No 36598 Permit For RE-ROOF Julie M. Poyant , Location. 1620 Route 28 Centerville } Owner Julie M. Poyant • Type of Construction Frame Plot Lot Permit Granted April 6 19' 9 4 Date of Inspection: 4' + Frame 19 ' }� • - r Insulation 19 v Fireplace 19 Date Completed 19 } i _. ..�..T6 OF"TBARNSTABLE TEMPORARY SIGN PERMIT PARCEL ID 209 013 GEOBASE ID 12811 ADDRESS 1620 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 35939 DESCRIPTION BUSINESS CENTER OF CAPE COD (20 SQ_FT. )TEMP PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: Ox � BOND $.00 4p�' CONSTRUCTION COSTS $.00 �T 753 MISC. NOT CODED ELSEWHERE * ■ARNSTABLF, # MASS. 039. A1O� �Ep MA'S BUILDING�.I�- ISI9 BY DATE ISSUED 01/19/1999 EXPIRATION DATE Department of Health, Safety and Environmental Services _ Building Division 367 Main Street,Hyannis MA 02661 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collectort Treasurer 6 �• 3 9 39 Application for Sign Permit 9 Applicant: C W L A B Assessors No. �—63 Doing Business As: l �S OPCIV6 CDP Telephone No. 77S9��/y Sign Location: Street/Road: �� , A LH0AT �i9-P Ccl'1? VILLGL � © 3�_. Zoning District: ' Old Kings Highway? Yee Hyannis Historic District? Ye' Property Owner Name: G Telephone: _77,�Q 0 1� Address: �aZ l KA(S- W-6 d i2d� Village: At il/'/S Sign Contractor Name: H OU7H---5 i G4 Telephone: `ta7 R4 Address: 430 L D Village: S YAW nfo f4W 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 o (Note.ffyes, a wiringpem tis 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 B s 1 Zoning Ordinance. Signature of Owner/Authorized Agent: d Dom. Size: �b o J - 6 Permit Fee:- O 0-0 Sign Permit was approved: Disapproved: Signature of Building Off ic' Date: Signl.doc mv.8131/98 Psss -ter F fore less VILLAGE VIDEO) .Q�norrcl�oxaflA; FAL F. saw,- --- A'Y t t, 4 VL � ' 4 's v C' :SA4 I— NJ eel 4 roa. 4 «o N AE p f- - - I.oGv A GG� LV+�tT£ K6lQDU1� j;jTOA� S� d n x t � ' r { e i t xi. ter.. r i ._ , • ZONING �' �> -•� BEEN DE1'ER1�J AUGHT IiAg ENFORCEMENTBy pgFICER THE TO NINGBE ' PROPRiq�t nmsR JAN 1 91999 rR T TOWN OF BARNSTABLE saes OF APPEAISR Daft Somfted . sons duck oEtisa •s • - Oaairiea Dor sba ' ? r to tJM sooia� so:s+d of AppeaU toe a variaaear.seas � �®� ��. fs tba aaaare aad tour tbi� saarous art !'ortDs �1a4- rrt�tioaw adds+ass Sh - . 'b • a sooat3o0s M o� � 1�1� s� ssop•�stt o�m.es - 1`71 G Eti of PoYkn-r 77 Q 7 addess/ of Oroaes ?, �18�'n1 iTrd-6LC"l�aa9-D NA-�y�v13 I`� ��bo) Z!Prt�[Ltaart-dt lY &M anae, stao a to= of utm�t: '• �T FN Pr�1T' V=bW of iaars 0. ds - 'r Asa ,1 eZo )3 aram tac Oeselsf Omits N a he vat 4/-3• .� l�z) ;�.�f, rite ssarefoo s stele of the Samdft oedfraooeA-L '— . oisp�sipt#os at vald,aroa _ . r u>w NE W -SI6W FAZ-6 Fs7Z �.�;��sf C a r c 5-e- Irk-601SVIl G trod F 'G am-` Untr p iau,rc. .Uj tV SU V14tt.*•c-f Oiaasi-otim of-the msm a aad/oe Med toe the variaooes o px#iA •o ' cT Go�! F .vc W rrm Al-c 0 jFftVW 9I6- a3 tVIPCAf-- IIUC•�Ga'F� SlCVs. aitarfpt3as o! aotivitt tit ip�lsaabsals � Ttcnf Of. E(IKIW - • U 1 r, G,�-N tT'r�`- 17 Eu) Q a17 t. or/ ;?e-o p scuts* zoo" of arraiti�st t1r azopuft.- unbt of an'1,14" s: • madt v,.�r�� c G �.� slow art: .aebtad:,fd97� �' 4�rrOFH� . utrsrd: Business Center of Cape Cod 1652 Falmouth Road Centerville, MA 02632 1-14-99 Ralph Crossen Building Commissioner Town of Barnstable 367 Main St. Hyannis, MA 02632 RE: Conditionally approval of roof sign pending variance by Zoning Appeal for new business at 1652 Falmouth Road, Centerville, MA Dear Sir, I would appreciate your consideration for a temporary relief regarding a conditional sign permit for my new business which I am hoping to open February 1, 1999. 1 will be applying to the Board of Appeals for a variance and this hearing is likely to be scheduled in mid February to early March,however in the interim I would like to position a new facing in the existing can unit at roof level. Their would be a financial hardship for me but of equal concern is the aesthetic consideration;were I to move my sign to `gutter level' this would be the only one at this level of a total of eight signs and I perceive the intent of the revised sign code to eliminate just this type of inconsistent appearance. By way of this letter I will commit to move my sign(if-allowed to stay at current position pending new regulations)to the `gutter level' or wherever else is deemed appropriate. Please see Mr. Poyant's letter of 1-13-99 which expresses his position on this matter. Regards, Raymond w. aser ! 4 r., k - \F. FAX: (508) .778.5688 .t REALTORS TEL: (508) 775.0079 282 BARNSTABLE ROAD, BOX K - HYANNIS, MASS. 02601 RENE L.POYANT,Chairman of the Board MARCEL R.POYANT,President&Treasurer - January 13, 1999 MARY J.POYANT,Vice President Ralph Crossen Building Commissioner TOWN OF BARNSTABLE 367 Main Street Hyannis, MA 02601 RE: Lease-Marcel R..P6yant to Raymond W. Glaser 1652 Falmouth Road Centerville, MA 02632 Dear Mr. Crossen: As a follow-up to my meeting with you and Gloria Uraneus, I am writing to inform you that my tenant, Mr. Raymond W. Glaser, is applying to the Barnstable Board of Appeals to secure a variance for the existing roof sign which was formally owned by Lisa Pappas of Village Video. I have sold this sign to Mr. Glaser. We were all hopeful that the proposed new revisions to the Town Sign Code would have passed in either October or on 7`h which would have made this letter and variance application unnecessary. With Mr. Glaser's application to the Board of Appeals, I am hopeful that you will issue a sign permit for the new plastic facing to be inserted in the existing roof sign, anticipating success with the Board of Appeals. This present prohibition on roof signs is a hardship to my tenant. His requirement to lower the sign to the gutter line would be discriminatory and not be in keeping with the other signs, all of which are of the roof type. Your conditional issuance of a sign permit subject to Board of Appeals approval will allow him to open in time. If Mr. Glaser is not successful in obtaining a variance, he understands that he will have to lower the sign to the gutter/fascia board and will furnish you with a letter to that effect. Thank you for your cooperation. We are all hopeful that this.roof sign matter will be-corrected in the near future. At present this by-law is a real hardship. Very truly yours, , - RE N .,POYA C. C M cel R. 'oyant, O ner Centerville Shoppir} Center II MPR/mcm moo ru�nxE usnro sE,� u�com�ut'epri�e� "SERVING CAPE COD SINCE 1947" REALTOR0 RESIDENTIAL AND COMMERCIAL SALES, COMMERCIAL LEASING, APPRAISALS, COMMERCIAL PROPERTY MANAGEMENT CONSULTANTS i i Salim amxa of Ameals Amaiaa to Emma 2w a ymt dam Daft mscaived air offimt fte only: sosn cl k office. �> # Dam • Daaiaim an NJ** mdtrsignad htsaW appiiat to the icoiaq board of ,pptals fm a varianw fsaaa the saving Ordinance, In the manner and loot the stasans hareinaftar art faa:tug p+�rit3as� sat.. Y1`-I 6 AJO Mine I'/ ?(j4 oras : �`rett � � 1 psapast= toeatiaa! fy �t'o�-D � UIL pscopsCty G Ez C PO 7170 77 7 addrass of osaer! . .2 Ll 9 ge'v i-Trre L C-G 4-D- #�-y�s 1-> c') ZE oamtt, cents Bata= of 3btestsfs 3fubw at !ears Ol d: assasor•s Mp/ftwcs1 sabres .0 13 - sO�O� District! R7/w b?'Y )�jtnSleTESS 6la 1litav OvWIW Oistriatis Nc variancm ilaq�ltsted:' �- 3 • 3 Cate pevefom a rttle of as samdag osdlnnwe Disgrfptias of vstfano. ids �.o ti1 JIBE W •S7 G W FA-zf FdT�u.�;��J�C��►� a� c DbuwiptL= of the am= asdloc data ,for the variant! o_Pe g;,ff A- t�-►4ae�r�� a ,nl 0 r rrH 14LL L`,--F -�' El vi j kvlpc.N- At c A-rT- 916WS. . t piaCWI_Dtiom of tuaetien activi i �- t� - 1 l i �j t To ;1 i -3T1 6unc 0/,l P -,� • Y.eval of Da.. sat off` the arty.- X=b= of M dinga: �•:I pmeant use(a I LM7 t p G yr , Gros. plooz aitea: nt.ft. Bsaposad "a Hoot Am to be Added! 7%4 y-q0A"'a , slterada • Application to Petition for a variance Is the property .within a 8istoric .District2 yes 0 so [� _ is the Property a Designated L=4zarkr yes n m - abr_siatorie Department Vim Only: MM Plies Ravi" Number Signatures . Date approved : - Signatures Have yon applied far a buiMng pe LW yes-[] so [ sas the. MI;t_L ng znspeo= refused a permit? t yes AU a--lications for a variance which proposes a change is use, new construct-a-, reconstruction, alteration- ct expansion, except for single or two-family dw lings, vM requires an approved site Plan (see section 4- 7.3 of the toning ordinmae). That•pccicess should be completed prior to - salmtittiag this application to the so-isg Board of.appeals voir_Bu 1 a i na 29269MEM Vac $oly a Not Required ................. [) site Plan Review number Date Approved rig-atnsrs Tbs followings --formation must be s muftted with the Petition at the time of filing, without iu h the soard of Appeals mey dmy yaw request: (3) copies of OW completed ApPlicatioa lrort. each ir-th original signatures. live •(S) aopi,NS of 'a oestified pxoPML' sarvey 'Plot Plan) showing the dimensions of the land, all wetlands, water bodies, snrroaadiag =always and the location of the esi.stiaq Wravemsats on the land. All proposed deaelap®ent•aativities, except- single and tray-family hansing devslop®eat, .will . Ave, (5) copies of a prowsed site isprc�wmeaI plan approved by the site Plea Review Committee. This Plan must show the azacti•location of all proposed improvements ind alterations on:the laud and to st=wtures. gas sconte-ts of site plan:• Section. 4-7.5 of the Son-ng otdinance, for detail ' s�equiresmats. • The petitioner ma sWmit pup.additional s"' Porting documents to assist the _making its dste=4nation. .s-gaatnre: Dates / J •Hsi or Aged`'s SIgna Age-t phone: Notice For Public Hearing The following are the most recent names Assessors asap Parcel N • mailing addresses and- corresponding land directly opposite Numbers of the abutting ,property owners,.-the owners of abutters to the abaft roprty, a public or private street or way, and all of the subject p era within three hundred (.3ci feet of the property lines Assessorts Map i Parcel number Owner#a Name 0�6 V&h II Is _ DR-6"177 ` 02 i a /RuS 0-ri i imr,QA FL 3 31 ON-C&c#940 VI tit t' 6 X Z J a j 3 o 6�i s A —'KS- 1D Sq My LA ul RR �4-tft 1 f7: 1�, »7 C_a;H jL,t xt�Laa /�l D 2101-2- 216 143 it,#Xlft T 4- Vie,Pnj+ 7 ti 4 dl I�b-/ �zE 'itbodr�r ; 3� �KEtl�f7~ 9-Jj9'tAL, �x ' �a yAG� ti j 7 Y h u I�S b�Lt.To w hA . -iRa-r S7' ti o Upon submission of application, it -is required that all facts and docnmeatation necessary- to support the relief being sought g by Presented by the applicant. The failure of which may - y result in the denial of the application at the �{// scheduled hearing At,Lf � �6 4y,�-n1 f 7 poq 3 L (4- CROU6-(jw `t Lot ow.3:2 . o164 +J14's irk) i,V, iA ou Z !0 1�9�� � '�'►�, , '� Cape 0� � Lk & ref ki y, �Ate ryo�.� v z s3 � �-T` � ti LA � O N j 3 a3 In TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 209 013 GEOBASE ID 12811 ADDRESS ,/ 1620-1672 FALMOUTH ROAD (ROUTE PHONE Centerville ZIP j i LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 14652 DESCRIPTION DUNKIN DONUTS (19 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 Oki BOND $.00 CONSTRUCTION COSTS $.00 �T 753 MISC. NOT CODED ELSEWHERE BARIV3TABLE, MASS. 03 OWNER POYANT, MARCEL. R FQ.MA� ADDRESS P O BOX R BUILDING DIMS ON HYANNIS MA BY+ L� �f`tfl DATE ISSUED 04 22 1996 EXPIRATION D / / ATE �--_ d •� th Safe and Environmental Services*Wl Department of Health,, Safety Building Division � ' 367 Main Sttzet,Hyaaais MA 0260I Application for Sign Permit Applicant: 12e-149 L Assessor's no. 69- Doing Business As: Sign Location "ME streethoad: 9 �4c,inoo 6 � L Zoning District Old Kings Idighway District? yes no Property Owner Name: In em2cg i���o� ✓ Telephone A,;dress: �€3..2 S,9t&vS'722a ..;5- ��� Village /4i,-77 � bn Contractor Telephone Name: Address: V�age Description Diagram of lot showing location of buil� dings and existing signs with dimensions, location and size of the new to hp drawn on the reverse side of this application.. is the sign to be electrified7 yes t/ 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. f Date Signature of Owner/ orized Agent Size (sq.fL) / Permit Fee S Sign Permit was approved: disapproved: TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 209 013 GEOBASE ID 12811 ADDRESS 1620 FALMOUTH.ROAD (ROUTE PHONE CENTERVILLE ZIP - LOT BLOCK "LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 48302 DE CRIPTION "HUNTER'S" - 1 @ 18 SQ, 1@ 2 SQ. PERMIT TYPE BSIGN TILE SIGN PERMIT CONTRACTORS: x Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $3 00 BOND $.00 � . CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE PR* EaA►itivsTABM * � MASS. 039. ED MI�►I� B o' LDING DIVASIO BY DATE ISSUED 06/28/2000 EXPIRATION DATE `f� THE T W 2 The Town of Barnstable ! �J©'� Department of Health, Safety and Environmental Services • sUxsT'AsU& • Building Division 9�b &659. �� 367 Main Street,Hyannis MA 02601 ` Office: 508-862-4038 %` Ralph Crossen Fax: 508-790-6230 „ f. Building Commissioner Tax Collector Treasurer Application for Sign Permit Applicant. I�I YYl e l y o ra G�1. Assessors No. - Doing Business As: xlui?r..�/� Telephone No. Sign Location , F Street/Road: A-1 © l/ r Zonin strict: Old Kings Highway? ' Ye a=s Historic District? Yes/'� Property Owner / �V "�/U r - Name: C ✓ r �: Telephone: t _ Address: �D U� 5 �!7 (�'' Village: �� Sign Contractor JORDAN SIGN CO. n / Name: 103 ENTERPRISE ROAD Telephone: MAIMS, MA U26U11-2212 Address: Village: Description •. !q 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 (1Vote:If yes, a wiring permit is required) I hereby certify that I am the'owner or.that I have the.authority-of the owner to make this r application, that the information is corret:t and that the use and construction shall conform to the provisions of Section 4-3 pf the Town of Barnstable Zoning Ordinance. Signature of Owner/ uthorized ent' Date: 1 l�dd Size: ��, y'.. �� Permit Fee:, Sign Permit was approved: Disapproved: Signature of Building Offi ial: Date: Signl.doc rev.8/31/98 A° �k�'+�'x .Tf ® .,W e3� 7 M 7 7- COPYRIGHTED SCALED DRAWING NO- UNLAWFUL USE OR COPIES OF SAME SUBJECT TO COURT ACTION 103 ENTERPRISE R®. kY�NNIS, MA 02601 TEL.: 508-ate-4020 SCALE: 1.5"= 1 FOOT ❑ DATE ---�--� SCALE: 3/4"= 1 FOOT DRNNN BY: LT � SC ALE: 1/2"= 1 FOOT El WORK ORDER NO. S I HEREBY AGREE TO THIS SCALED DRAWING FOR INTENDED SIGN DISPLAY AND APPROVE OF SAME: SIGNATURE BATE wI Fn .. J � J l ell r r r r. r r r � 1 J h„1 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 209 014 GEOBASE ID 12812 ADDRESS 1600 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO .PERMIT 44705 DESCRIPTION 3 SIGNS FOR FLEET BANK, BELL TOWER MALL PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services j TOTAL FEES: $50.00 BOND $.00 Ox THE CONSTRUCTION COSTS $.00 753 MISC. NOT .CODED ELSEWHERE 1 PRIVATE Pl ,,I'EY-� * BARN3I'ABLE, + MASS. 039. 'B ILDING,DI�V�ISIO.• Y. _G1L1 DATE ISSUED 03/14/2000 EXPIRATION DATE ' l 1 „,�,,,�, : Department of Health, Safety and Environmental Services Euildiag Division rEo 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector t Treasurer L Application for Sign Permit Applicant: Le /_f yy d t Assessors No. Doing Business As: e. Telephone No. Sign Location Street/Road: Ott 0'106'1 1 /�r ci Ile Zoning District: . / Old Kings Highway? Yes, CoHyannis Historic District? Ye Property Owner Name: Pl /aw C C old Telephone: Address: 6 dO 2q/xw 4v/7'1 �� l>�i%�1� Village: CP/l,0—,- r ”' Sign Contractor Name: 1 <`L S 5 `7 Telephone: Address: �a �3 d sLsL f �� Village: , /--,77 a ,�i !��- Description << 14(4,oln e, «T o.v 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? Yo Vo:�vote.-IfyesawhingpemVtisreqidred) 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. Sign f Owner/Authorized Agent: Size: / �O ,7. / / ' �7,�SPermit Fee: f Sign Permit was approved: Disapproved: Signature of Building Oflic' Date: Signl.doc rev.8/31/98 Signage Facility Name: Centerville(R) Facility Type: Remote Address: 1600 Falmouth Road Facility No: 2615 ,I Recommend. Company: BankBoston City,State,Zip: Barnstable,MA 2630 Site ID: _0375A ProposedExisting Signage ..- N. �f 4 nA , .t ' 7= S r �r F n IF ^` Vw C' t' 4 w , I g 9 l MIN n� t M S. v� .a µ t, Side A: Side B: Item Number: E-01 Product: Custom Reface Logo Fleet Sign Type: Box/Wall Action: RF Height: 18 Height: 18 Width: 97.25 Letter Height: N/A Sq Footage: 12.156 Width: 97.25 Depth: 8 Depth: N/A Overall Height: 100 Overall Height: 100 Illumination: Internally illuminated Sq.Footage: 12.15625 #of Faces: Single Faced � Illumination: Intemally illumina Text(side a): BankBoston #of Faces: Single Faced Text(side b): N/A Comments VIF Required e. "r'designates reface "a"designates white backgrounds for directional sign types and alternative logo format for letter sets E-01 Signage Facility Name: Centerville(R) Facility Type: Remote Address: 1600 Falmouth Road Facility No: 2615 ✓Recommend. Company: BankBoston City,State,Zip: Barnstable,MA 2630 Site ID: 0375A Sign..Signage Proposed .. Od nkBoston 5 a ry vti y • r i x ..,n � _ . as� ,. 5e. sr�"Fs. 1 � :.�. ,�• i, k,i a �w9.:�r- .M+.�P'"'""7"" .my`�'e Y t t rc t y Side A: Side B: Item Number: E-02 Product: Custom Reface Logo Fleet Sign Type: Box/Wall Action: RF Height: 18 Height: 18 Width: 97.25 Letter Height: N/A Sq Footage: 12.156 Width: 97.25 Depth: 8 Depth: N/A Overall Height: 120 Overall Height: 120 Illumination: Intemally illuminated Sq.Footage: 12.15625 #of Faces: Single Faced Illumination: Internally illumina Text(side a): BankBoston #of Faces: Single Faced Text(side b): N/A Comments VIF Required 1S "r'designates reface "a"designates white backgrounds for directional sign types and alternative logo format for letter sets E-02 r � ✓-4 °ESE The Town of Barnstable • BnsxsrrABU& • s.6,59. `0g Department of Health Safety and Environmental Services '°rEnrr,►�° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 30, 1998 Marcel R.Poyant PO Box K Hyannis,MA 02101 Re: 1620 Falmouth Road,Centerville,Map 209 Parcel 013 Dear Mr.Poyant: On inspection of the above referenced property,I noticed you have the following violation(s)of the Town of Barnstable's General Ordinances,Article XLIII PARKING FOR HANDICAPPED PERSONS, Section 2 Sign Requit-ements for and Location of Handicapped Parking: X_ The handicapped parking signs do not meet the requirements of the Town of Barnstable's General Ordinances Faded/missing pavement striping and handicapped logo in your parking lot Please see that these violations are brought into compliance by July 24, 1998. Call for a reinspection when this has been done. If this is not brought into compliance by the above date, a fine of$200.00 per day will result. Enclosed,please find a copy of the"Handicapped Parking Signs Key"as well as a copy of the appropriate section of the Ordinances to use as a guide and for your file. Sincerely, VIOLATION No sign,Landing Cleaners A new sign needed,Tedeschi Store hly,�� A new sign needed,CVS Ralph L.Jones Deputy Building Inspector RLJ/km enclosures(1) FORMS Q970922B .a FTHET TOWN OF BARNSTABLE - 3jAH79TABL t? t39. ,e� Office of the Building Inspector. m4l June 4, 1985 r Permit #79`- . � r - r-- •. - + 5 Fee: $25.00 PERMIT TO ERECT SIGN IS HEREBY: . . -... .- ••' - - GRANTED TO ..............ohn Dmling ?5 =-_. --:.: -.:-�...--;..........:...:.._ LOCATION ............Centerville -plaza, Centerville = ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT ?..= i Bu dirig nspedor TOWN OF BARNSTABLE �. SIGN APPLICATION �Al ,9�� Owner's Name Address Location q Name of Builder ell Address Type of Construction ;' � � o Free Stand i66,..o?'Attached.. Zoning District y., Fire District I hereby agree to conform-to- all Rules and Regulations of the Town of Barnstable regarding the above construction. All permits subject to approval of the Inspector of Wires. Name Diagram of Lot and Sign with Dimensions to be placed on reverse side. s TOWN OF BAIRNSTABLE f SIGN PERMIT PARCEL ID 209 013 GEOBASE ID 12811 i. ADDRESS 1620 FALMOUTH ROAD (ROUTE PHONE CEENTERVILLE ZIP fi LOT BLOCK LOT SIZE l_ � DBA DEVELOPMENT DISTRICT CO s I PERMIT 28583 DESCRIPTION CAPE COD BAND & TRUST CO. (26 SQ.FT. ) ' PERMIT TYPE BSIGN. TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ' ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 tME BOND , $..00 Ox . CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE ,.; * BARN3TABLE. • MA83. f' i639. A` Ep MAl B ILDING DIVI N DATE ISSUED 01/28/1998 EXPIRATION DATE J The Town of Barnstable s Department of Health Safe and Environmental Services !3' ►� BuiIding Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit / a._g Apphcanc Assessors No. 4:20/ l3 Doinr,Business As: CAPE COD BANK & trust co. Telephone No. 508-394-1 300 Sign Location 14,20 //&7 Street/Road: RTE 28 AND OLD STAGE -ROAD , Nm RVI r F Zoning District: Old Kings Highuay? Ye ) Property Owner Name: RENE L. POYANT, INC . Telephone: 1-508-775-0079 � , Address: 382 fiBarnstable Road Rax x VL11agC.'� anni` x �` .rM a tJ` a t _, T a " ♦ o-A M y t. 1 ..r t e.},.,,.� t k - i -? h s., a� .3 . k,tR....{-......:'ti...... .'.;i �, };...» c. ' .3.5 , t. .. "-•' a t`t1 r. '. i :="' ... Sign Contractor Name: SHORELINE SIGN CO. Telephone: 5 Q8- r, 9 Q 4 Address: 188 BARLOWS LANDING ROAD Village: POCASSET Description Please draw a diagram of lot shoning location of buildings and e.Xasting signs pith dimensions, 1c-cati0A a:,d s;-- aft.,he new sign. •TM,is should be drawn on the reverse side of this application. Is the sign to be electrified? Yes49 (Note:Ifirs, a cvirirlg permit isrequired) 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 B 1 Zoning Orlin ce. Signature of Owner/Authorized Age Date: 1 _.7 A 8 0- Size: 3 . 5 f t . x7 . 5 f t . 26 s q.' f t permit Fee• �� Sign Permit was approved: Disapproved: Date: Signature of Building Office Y . . 'r BARNSTA'BLE ROAD, ROUTE 28 SIGN: : CA el 11, t i S ; AM RUU ' 24 HOUR"' ATM i f total squar';e footage for -this s' 'gn is26. 5 inthe.s . :Color is the same as E � other. sign°,.,with .carveed I D white`s lettering S i i + Engineering Dept. (3rd floor) Map �D n7 Parcel Permit#' House# .' Q� a Date Issu d 2. Board of Health(3rd ffoor)(8:15 -9:30/1:00-4:30), F�'" g C Fee so"ah Conservation Office(4th floor)(8:30-9:30/1:00. 2:00) Q SEPTIC,SY MUST BE Planning Dept.(1st floor/School Admin. Bldg.) IN ST DANCE D miti lan Approved by Planning Board 19 _ ENVIRON A DE AND TOWN OF BARNSTABLE TOWN TIONS a �Building Permit Application VStreetAddress C>_)_rE+ PC,Acn �►?-o�� Z8� t , Village O Z(v 3 Z Owner m AYLGEL pyej7 Address p D� Pyo�C }` 444A A6 , 44, Telephone 506 — 771 cro 7 o�•l0 21 .' Permit Request pr'h2 mc7.e"o-a , �y''�Y/k8 Coot L -Pert, First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ _T�, DO ' 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 ❑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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size). ❑None ❑Shed(size) ❑Other(size) Zoning Board of Anneals Authorization ❑ Appeal# Recorded❑ Commercial Zes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name A-ai!2 Telephone Number 78I-" tZB- �Z low Zl Address 1 k-{��,��g,,,,p SZ�,E�-I' License# D'S to 1719 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 1'�J Vol�t82 w dv SIGNATURE DATE / 9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED_ MAP/PARCEL NO. t H ADDRESS VILLAGE• OWNER DATE OF INSPECTION: FOUNDATION- FRAME f ,. INSULATION FIREPLACE ELECTRICAL: ROUGH EINALI PLUMBING: &OUP FINAL GAS: - U( It FINAL FINAL BUILDI + S ' t co + + DATE CLOSED RU d r y f c ASSOCIATION NOS f11 i + f The Conrtnoinvealth of:ltassachusctts Department of Industrial.4ccidents OJtice ollnvestlgations 600 If ashiilrton Street -,:�- Boston, A1ass. 02111 _ Workers' Compensation Insurance Affidavit lic:int informaiion: - Plc;, a PRINT leg j�"'•�"" -" �'_....^..____�_..______ �_ _ name: ':� 6}+Dzas J, hye- . location 1 4- �6t.-,-A� NC�r p M,+,. p?-370 I hone 7g g7g'BZ�� I am a homeowner performing all work myself. 17 1 am a sole proprietor and have no one working_ in any capacity .-r.. ....+......��v...,.-_......._r+_.�.1.rvw�.s+�s�47n••+�Mn+I7►!+e�;�7TV.w_,..++"�!T�..�..�.i.�.�.�w�.�.�..�.y...+.....r•�.war..w.•�..�•w...__....___...:. ("I am an employer providing workers* compensation for my employees working on this job. cornnanc name: �Q�i✓�G�,�� O�tO �11�� }NL cite: too W4A1-,0 M t- • v Z37--::�, nhonc#• 781 = B 78' 8 zl o insurance co. �/I��L f �V'ZUr91� nolic� # w�2 I l - 2-19 Z3 S ' 017 M 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: cmmn:rm• name: nddress• _phone#• insurance co. nniies•# emmrinnc nntnc: iddress- cite: nhnne#- insurnnce co. policy to Attach additional sheet itneccssary _,.. - __ ___ _ ""� �'•'-�' -'� Failure to secure co�•crat :ts required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties ol•a line up to S1.500.00 andiur unc%cars'imprisonment as hell as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that n cope of Misstatement mac be forwarded to the Once of Investigations of the DIA for cowr•age verification. 1 do herchr ce our c die pains and enalt' jperju,•th the information provided agave is true and correct. Si_naturc Datc 9 2`f Print name �/9'l/!O & 4!,;06,A1x t/ �T� Phone# 7F1- f 7e- LLIAO .X Z official use unit- do not%write in this area to be completed by city or town official cin or tor.•n: permitfliccnse# riBuildinr Department C3Licensing hoard 0 check if immediate response is required 13selectmen's Office I • .. C311catth Department contact Person: phone#: nUttter S: information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th employees. As quoted from the "la++ an etnpl( ree is defined as every person in the service of another under an+• contract of hire, express or implied. oral or written. ideal, partnership, association. corporation or other legal entity. or anv two or mo An r»rp/urrr is defined as an indi+ the foregoin;; 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 tl owner of a dwelling house Navin` not more than three apartments and who resides therein.'or the occupant of the dwellin house of another who employs persons to do maintenance , construction or repair work on such dwelling_ he or on the ;;rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL chapter 152 section 25 also states that every.state or local licensing agency shall withhold the issuance or renewal • license or permit too crate a business or to construct buildings in the commonwealth for any rcnc of.t t permit P ' applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into anv contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. __ . Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers 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 require: to obtain a workers compensation police, please call the Department at the number listed below. City or,towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom c the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned 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 questie please do not hesitate to give us a c:ll. _ The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 ,u. (,<,.;) '717_annn (%vt A06. 409 or 375 DEPARTMENT'OF PUBLIC SAFETY CONST60-1-001UPERVISOR LICENSE Ndb expires f y r Rtsi x DE�L O�ed�IiA� 00 0YI0 Sl :RENZVOR OURBURY, NA 42332 s. I TOWN OF BARNSTABLE V SIGN PERMIT PARCEL ID 209 Old GEOBASE ID 12811 ADDRESS 1620-1672 FALMOUTH ROAD (ROUTE PHONE �- Centerville ZIP - i i LOT BLOCK LOT SXZE IDBA DEVELOPMENT DISTRICT CO PERMIT '23837 DESCRIPTION SASSY NAILS (20 SQRS_ ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS:* and Environmental Services TOTAL FEES: $25-00 BOND $.00 SINE CONSTRUCTION COSTS $.00 j • 753 MISC. NOT CODED ELSEWHERE « • * BARNSTABLF, MASS. OWNER POYANT, MARCEL R 1639. A�O� ADDRESS P 0 BOX K ED Mp►l r HYANNIS MA. BUILDIN3, IV,ISI0 BY DATE ISSUED 06/18/1997 EXPIRATION DATE ;� `. The Town of Barnstable 4*- -,2-39 : f Health Safe and Environmental Services A I Department o Safety � KM Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen 'fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: `f . � Assessors No. a0C? . 0 13 kaTC-' MULTI Adds A-ccaU,T.) Doing Business As: Telephone -o JK — as 3 7 i� 't 6,17 -,-2-.9g— 99O9 Sign Location Street/Road: ✓5y Zoning District: OOld Dings Highmay? Yes :'o Property Owner �� Name; Telephone: Address: Village: Sign Contrac Name; t rLJ_09_� Telephone: Address:--L— Village: k+ Description Please dmNv 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 (Xote.Yjw, a wiringpermit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agents Date: Size: o Permit Fee: o�S Sign Permit was approved: '�r Disapproved: )P. Date: Signature of Building Offid � e 11 o s z (? O P/ C7 P/�-14ZR . s ��12`0 . REN Imo. P®YANW. Inc. FAX:(508)778-5688 REALTORS TEL:-(508)775-0079 1 282 BARNSTABLE ROAD, BOX K - HYANNIS, MASS. 02601 - Y RENE L. POYANT, Chairman of the Board MARCEL R. POYANT, President&Treasurer DAVID F. BISBEE, Vice President June 15, 1995 BY HAND TO Ms. Gloria Urenas Building Department Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: List of Tenants Centerville Shopping Center II 1620-1772 Falmouth Road • Centerville, MA Dear Gloria: Per your request of June 2, 1995, I am enclosing a sheet indicating the list of original tenants for the Centerville Shopping Center. If you have any questions, please feel free to call. VyMael truly yours, OYANT, Poyant MRP/mcm Enclosure `OD MULTIPLE LISTNO 4[qi W w V CO tenze REALTORS "SERVING CAPE COD SINCE 1947" m RESIDENTIAL AND COMMERCIAL SALES, COMMERCIAL LEASING, APPRAISALS, COMMERCIAL PROPERTY MANAGEMENT CONSULTANTS tC'. May 19, 1995 SCHEDULE OF CONSTRUCTION CENTERVILLE SHOPPING CENTER II Falmouth Road Centerville, MA 02632 MARCEL R. POYANT Assessors' Map 209/013 1620-30 Cape Cod Five - Completed 9/18/75 1638 Tedeschi Food Shops, Inc. , (1) - Completed 8/6/76 1644 Anderson Hardware (2) - Completed 8/76)1917 < 1646 Anderson Hardware (3) - Occupancy Permit 6/6/84 `1648 Roasters, Inc. (4) - Occupancy Permit 6/25/84 1650 Innovations (5) - Occupancy Permit 6/21/84 1652 Village Video (6) - Occupancy Permit 6/6/84 1654 Golf Fore Less (7) - Occupancy Permit 6/6/84 • 1656 Cardfather (8) - Occupancy Permit 6/6/84 1658 H & R Block (9) - Occupancy Permit 4/29/85 per Permit 1984-84 1660 Dunkin Donuts (10) - Occupancy Permit 4/29/85 per Permit 1984-84 31,04 —9/�3/ . gy3Gi2 1662 Dowling Optical (11) - Occupancy Permit 4/29/85 per Permit 1984-84 1664-70 CVS Pharmacy (12-15) - Occupancy Permit 3/29/85 per Permit 85-02 & 84-84 1672 U. S. Postal Service - Occupancy Permit 4/30/76 '� ��� /�� • r I • LIST. OF ORIGINAL TENANTS Marcel R. Poyant Centerville Shopping Center II 1620-72 Falmouth Road Centerville, MA 02632 1620 William Ferhnstrom, Optometrist 1630 Cape Cod Five Cents Savings Bank 1638 Marjorie Bliss et ux, d/b/a Centerville Hardware 1646 Marjorie Bliss et ux, d/b/a Centerville Hardware 1648 James G. Grevelis, d/b/a Donut Galley 1650 John Elecqua and Sandry Hays, d/b/a Head Shop, Inc. (Beautifican) 1652 Donna Bartlett et al, d/b/a Village Video 1654 E. E. Associates, Inc. , d/b/a A Printery & Copy Center • 1656 Cape Cod Vacuum Mart, Inc. 1658 The Wildflower of Cape Cod, Inc. (Florist) 1660 Abbott Davidson (Butcher Block) 1652 John R. Dowling, Jr. , d/b/a .Dowling Optical 1664-70 Thayer Pharmacies, Inc. 1672 U. S. Postal Service TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 209 013 GEOBASE ID 12813. ADDRESS 1620--1672 FALMOUTH ROAD (ROUTE PHONE Centerville ZIP - ILOT BLOCK LOT SIZE IDBA DEVELOPMENT DISTRICT CO PERMIT 23530 DESCRIPTION CELLULAR ONE (19 SQ_FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 t11E, BOND $.00 � CONSTRUCTION COSTS $.00 753 MI St . NOT CODED ELSEWHERE EARNs1,ABI.E, MASS. OWNER POYANT, MARCEL R 039. ( ADDRESS P 0 BOX K �FD BUIL�DIVISION HYANNIS MA �BY/��.P.�-- �• G���'-���� DATE ISSUED 06/03/1997 EXPIRATION DATE `' 36 The Town of Barnstable Departme nt of Health Safe and Environmental Services 9 7 . .�.,►�, . , . t3' KM Building Division i"9. Epr 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: �� � �, [{�C- 9- & Assessors No. �� 9—G/-3 �• o 1- Tele hone No. Doin1:Business As: P Sign Location F� �_ f �l�- PLA-2- Street/Road: Zoning District: /7 /� ' Old Dings Highmay? Ye CO )"I Property Owner Name: s�rrJ Telephone: Address: -2426- T Village: �5 Sign Contractor `� Name: 1 C Telephone.,, 4�v���9 Address: M 9-Y13t MArOZ7 Z Village: Description Please draw a diagram of lot sho«Ming 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? I 1 o (vote:ff j es, a wiring permit rs 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 constriction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Age t: Date: o ( q Size: X / Permit Fee: Sign Permit was approved- Disapproved: Signature of Building Official. Date: Cr xi" �} K :� Jr p �F y.:�}^a, we • � � �e..�y,� :i..�. mar %^,ry�c "4F'.S' PR'. t' � � -} qF �-ey 4.i .ti. . Ni'p.� {g yMy _rr •�•.C�.'Y a, t,•;s �a .��„ y.'t }, c .et O' 101,1011 O' 101,101, O' ".p`rr, .+,✓ 'w.s.�r-- ..a... "",'Cr ...s tAi, ,e- Al" -a-.-.v .r"" ,..r,.z..�K.� ,'�.•._,Y„yw }' -. ''vim-w,w�i1��'►'3^�c!S"'+w��. �'4`'���'' w r+« �L '6�eR""k�. � i�r •r�� +^ ~ • - .",n' '�'r�""r� n+`7_ r��M� .. h � r,y H''�'..j� "�.+ ,a'"� �AG• y_�.� �•++ik...4.... A 3,aFe.rv.a�+atirZ"`r .,,�.�,°a�,,..'z:�.�A ".d.t"� -�f4w..T:'� v I _ t t i _ i� i L i � 'i c t C y.ti C' v F i t,. t Ja) -•._. }' t } i F ,4 C � 'j N-MIA TIT C S :.......................J .....................JF`.t....................... .�...................R �^ :.4. Si...444 • n : r a ' . : rt�..-1 r�.l'�-' ►' 1 e -- — i � 21 � Ig�rX/y� �/ �1 ow i a 71ze GARDFATti ING OPTICAL _Lv�i€air='` 144 �H _ � I ,, ,. I _ _:. ,_ _ ._ T,__+J�,�':.::k.r4 fin.,iR:;,'� ..r. :.:T'u.",+r^t+;p-,^4.�^rh'iwc,"'is'.."Ny„.,...'^,+.+r�a'!i":"`"`. •_il:.�_'+'+.. �t _ .. x ��FTHET�� TOWN ¢ UF BAR STABLE Office of the Building Inspector 6 9 0NnYk� May 27, 1987 Date ................................................ $25. 00 Fee ................................................... Permit No. 17-50 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO ................Cape,Ctod...Five. Cents...Savings...Bank.................... . ........................... ...... ... ......... ............ ............... ............... .... ............. ..... D/B/A Same ....... ................................................................. LOCATION .......................'62..5...Palmoilith .............................................R...oad £enter•rille, �`*ass-. . - , ................................................................................................................................................................................................................ ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT Building Inspector— 1 t, ,a °•. y• TOWN. OF. 'BARNSTAB,LE (J BUILDING'. DEPARTMENT TOWN OFFICE EIUILOING HYANNIS, MASS. 02601 /q APPLICATION FOR SIGN PERMIT DATE / / 19 Application is hereby.made for a sign permit in accordance with the description and.for the purposes hereinafter set forth. This application is made subject tot all Rules and Regulations of the Town of Barnstable ,now in force or that mdy hereafter be'enacted affecting or regulating thereto and which.are hereby agreed to by the undersigned applicant arid which shag be deemed a condition entering into the exercise of this permit.' • . INSTRUCTIONS 1. This application must be filled out.completely. 2 A.drawing, in duplicate, showing the shape and dimensions of the sign, lettering on same, height, method of securing to building, or if freestanding, method of erection a. . . . _. •a..7 must show g DvY sizes of structural supports, and size,and depth of foundation. . SIGN LOCATION� _Owner•._. C hi• e(�'c� � C 77�� .SQ��Yi9JLS�� Street.- Rd. Alp _A, ct a�, v,/LeJ Zoning District �— _ . . _ Fire .District OWNER OF PROPERTY Name Q. G Adorers ®o City drh h s St Zip Tel No.(9 7 ) 7 7 = O d 5� SIGN CONTRACTOR Area Code .Name• Address City ?•' Tel No.( ) Type of Construction , °`'®'� Free Standing or Attached DESCRIPTION D�GR-AM OF LOT SHOWING LOCATION*; OF BUILDINGS TAND EXISTING SIGNS WITH DIMENSIONS LOCATION'AND TO BE D SIZE OF THE NEW SIGN RAWN ON THE REVERSE SIDE OF THIS APPLICATION. Is there any electrical wiring required for this sign? Yes No If"Yes."who Is the electrical contractor t Area FOR OFFICE USE ONLY Permit Fee -' - DATE ' r DATE DATE' DEPT. ROUTE RECEIVED APPROVED REJECTED INITIALS I Mail permit to:' PLANNING & ZONING ELECTRICAL INSPECTOR BUILDING INSPECTION g'y • � T I hereby certify that I am the owner or that I have the authority of the owner to make application, that the informa'iio- given is correct and that the use and cohstruction shall conform to all the Rules and Regulations of the Town of Borns:z which are imposed on the property. l� + t r. S 1 i t TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 209 013 GEOBASE ID 12811 ADDRESS 1620 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 67162 DESCRIPTION 19.5 & 3.9 GARBER TRAVEL PERMIT TYPE BSIGN TITLE SIGN PERMIT I CONTRACTORS: Department of { ARCHITECTS: i Regulatory Services , { TOTAL FEES: $50.00 BOND $.00 p�F CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE MAW 1639. 'I BUILDIN , IVISION BY DATE ISSUED 02/25/2003 EXPIRATION DATE I Town of Barnstable �FtHE ram, Regulatory Services v Thomas F.Gei'Trl p reEtor ARNSTABLE B"NSTABLE, MASS. Building Division Oren t° Tom Perry, Buildi9jVq DQi¢neP kj 1: 5 6 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 a k7lS10N Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: ���5ER YKA-U 4_— Assessors No. Doing Business As: / &Emo_v Telephone No. fp Sign Location Street/Road: Cf AJ 6 L S t2 n r Ce Af t r_Q I- Zoning District:_,ki A Old Kings Highway? . Ye CIN)8 Hyannis Historic District? Ye /No Property Owners Name: ! V t 4P L� p l) Y� Telephone: Address: E0, - a Village: Sign Contracto Name: z Telephone: 7 7 '16d Z Address: IT� I� r' S ICd Village: U S 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. l Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required). I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: � Date: Size: /� £ 3• Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: Signl.doc rev.122801 C-7107E2 VI//c- SWoP1'1-'tJC CEA) Fgcc- OF S rC31A) C1409 A G-E ® ® ® 0 1) <--- i 5- 2i fi 47 rl ® TRAVEL ] SCALE 3/4" = l ft. OcJIUE,e OG 1DROPEeTf /19.9A2 C 6/ P0y19'7- JORDAN SIGN COMPANY 103 ENTERPRISE ROAD HYANNIS, MA 02601-2212 LOCAL 508-771-4020 FAX 508-771-6658 SCALE 3/4" = ( ft. JORDi--NI :SIGN COMPANY 103 ENTERPRISE ROAD HYANNIS, MA 02601-2212 LOCAL `508-771-4020 FAX 508-771-6658 p s p e o a � �W L►�.] V �LS SCALE 1 ft. . J() 'w SIGN COMPANY 103 ENTERPRISE ROAD HYANN IS, MA 02601-2212 LOCAL 508-771-4020 FAX 508-771-6658 ����� �o � � ^ . . .- . Ili _ . . �. - - � � _ � � ' - �,k?, "a — , Y ��.i -f • ' .( f� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Q09 Parcel Permit# C7C_9 2 /� fl�c �a3 Tt7��Nr0 rE�a�E'S T��� - 2i - u3 Health Division `�`�-6 7'7 2�310 3 ��"' a e ss Q 2 Conservation Division 3 FEB 3 / li*i ee �o Tax Collector � � Permit Fee /0 0 u Treasurer �. YfLU DIVISION Planning Dept. SEPTIC SYSTEM MUST BE Date Definitive Plan Approved by Planning Board 'YSTALLED IN COMPLIANCE VM TITLE 5 Historic-OKH Preservation/Hyannis MMROMMEANTAL CODE AND I ,j,3 Project Street Address FQ vto �N �©q3 Village Owner SA`y► C Oy_\_V Address /6 9 144 in J+ Sione6w. IVA Telephone Permit Request Remode\ (U1,S4;hg Lunkkn btnv- s Qec folQ»S. New 40 C'o, � e,_iT_�na . 510ot wall rJ!;6peC 40. etc. - c Square feet: 1st floor: existing /2 a7 proposed /'ScI7 2nd floor: existing lI K proposed N/ Total new N!/� Zoning District /1 eA Flood Plain Groundwater Overlay Project Valuation /U U,000-00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other C on c r e k e Slab , Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing _�new O Half:existing O new Number of Bedrooms: existing Nf]A new 1Vf A — Total Room Count(not including baths): existing new First Floor Room Count /y/A Heat Type and Fuel: *'Gas ❑Oil ❑ Electric ❑Other Central Air: Q es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size /'VM 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 t=ft Comae 2 S kmn Proposed Use Sa•"9— BUILDER INFORMATION Name SQk V 1 CO V_�© Telephone Number G 17",S'Q Ll 8 4 Address 1�o r1 rn a 1 V1 S_- License# C S C 7 8 1 6 S— �'i4r1C��ncx►y1,, m n oa l as Home Improvement Contractor# 1 3as If off. Worker's Compensation# '2 P Sv b--!3 X674-_�-O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C ;s `Ve bed4c C . SIGNATURE DATE /- •3G'O 3 FOR OFFICIAL USE ONLY f PERMIT NO. DATE ISSUED ` MAP/PARCEL NO.- ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 12 J)4 - �2Na INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' FINAL GAS: ROUGH '. FINAL FINAL BUILDING _5 s °i¢ DATE CLOSED,OUT • ASSOCIATION PLAN NO. t'' The Commonwealth of Massachusetts Department of Industrial Accidents `— office oflosestigatioos .600 Washington Street Boston,Mass. 02111 'r— Workers' Compensation Insurance Affidavit name: SPA-2 i C-00'20 Plot , location: to Lk �' �'^p�\1.. .. city UAk-10 phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one worlds in capacity ens 1 er ravidin workers' compensation for my employees working on :tons an ::nuns . ............ gddre .................................................................... X. i%>i ij i'>'% ?' i%<: ; :'iy ic. 2:i 3[; <:`•:>;:%XXi< "'olicv ��risuran ® I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have n workers" compensation polices: the following ................. ...:..::.:::::..:.:::::.:.:.:.......... .::::.::::..:............:::.:::.::. .: ::::.:::.:.:::::::::.}.<?.:.::::::::::.:: ::y: •come �. i............. •::f:�:iYii;{....::•:i?::::;•i::.•..}•:.;;::....:i1:{::4ifi:�:%'4iii:�ivJ'i,?•:;:•}:<.4:i}:;-.?4i}?i:•}:+n::^}:::.}}..:;�.:.::.:�.}w.}�::::i:;::•.�•i:i:::�'{:}•::::•::.�.:::.;..:.v,....::...::....... :.....�::•:.:..:.::.:.:':•}::�1 •::: ........ :•: i:•}::::isvi:::':'r'�ii?�i?'<�:i�:�"'vL�iiij::�iii';Y,.'rii:i�i:�>iY:?�:^i.'•iiij::�}.i::si:`$;Yvi:::::$? :.'iiii:}{:} ; ii'i:;:;:;i:;:T'i:+'f�iii}ii•ii'•:i:}::}::�ii?i'�:i�i: XX ::yiiiii::y:?isi�i:•i}$:�:ii�ii:�i}:::?':::•:::}:i::v:::::::y:'r:<}i,:.:::.�ii:::�!i>i Y::�i:�:�:t�:�:;:�::iiT:�::ji: :::jY;Y:::ski:;:+i��:�:v':ii}:;?i�}i::?:{::?:::}'i:::^:?:.;;ri:::.:::::.•�.:.;. ?..?4 aY aK :i is x.? t...........................:.... .. .......•::::::}:::::::::•. .. iss ::is?i:}:},,!:�{}}Y{?.}.i.}:::.}}:}Y.r:! '•'rjff::'•:j:'•S:':?,�•::::.�::.: .i':::.:::::: .. ..i }.... W. Sri+ ?,:i�i:}:•,f?i:': .:...............:...:. .:;:.};•}'{.}}•:::}:•.�:w::.y}}•:.}w:{.}•.gip• O;•}:??•}}:•}:'::::::::.:::.}'::::•.•.;':.:.}v::::.}•:.; httlranceca;.;:; � '. ....... ... ....... ary ess :::e `on ......................................................... :.::}}:};. SAN ti....z. Oli�:} MM :`nyura Fame to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby c under td enalties of perjury that the information provided above is tru.-and correct. signature Date Printname SalV'l WU�O Phone# 6 ��— Vy'���� MOM Fdty:or only do not write in this area to be completed by city or town official n• permit/license ❑Building Department ❑Licensing Board immediate response is required ❑Selectmen's Office ❑Health Department � contact person: phone#; Other Umwd 9/95 PUa i Information and Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer 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 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company 1 ' co an names, address and phone numbers along with a certificate of insurance as all affidavits maybe :. submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and w. 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. 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 permitllicense number which will be used as a reference number. The affidavits may be retmmed'10- 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 Investloatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext.406, 409 or 375 I 1 ' t �'�` � ✓�ie�ommonrura�c o�'✓�uaaa�icmetfa BOARD OF•BUILDING REGULATIONS zr License: CONSTRUCTIONSUPERbI$OR Kum ber•;C$•. 07816.5 rF : ' w Expires,03/07/20p'4 Tr.no: 78165 I. ResMcted To 00; SMVI GOUTO _ 21 ASHWOOD AVE WiLMINGTON, MA 01887 9iliririisfraf6t ,yam �e�amoH.o-xu.eallli o�.�rua�riaeAa $40 M. tip ADMINISTRATOR s* AM , I(ORO Y..; REAt L. POYAW, Inc. `we`d -.�..,`�o\Cr� � w• FAX: (508) 778-5688 REALTORS TEL: (508) 775-0079 IN,I W, 48i,�, . ff1 01` $ RENE L.POYANT 1909-2000 March 4, 2003 MARCEL R.POYANT,President&Treasurer MARY J.POYANT,Exec.Vice President BY FACSIMILE TO RENE M.POYANT,Vice President 508-295-9305 Stephen J. McCarthy, Trustee Donut One Realty Trust 4 Barlows Landing, Unit No. 1 Pocasset, MA 02559 RE: Lease—Marcel R. Poyant to Donut One Realty Trust 1648 Falmouth Road Centerville, MA 02632 Dear Steve: I am writing as a follow-up to the request of John K. O'Connor on February 14th. It is my understanding when he sought a building permit from the Town of Barnstable to renovate the above location, he was informed that an approval letter from me was required before a permit could be issued. As you know, under our lease dated April 15, 1996, and further extended to April 30, 2004, you are required under Article V, Section 2, Page 5 to secure my written authorization prior to making any alterations. I am therefore writing for your benefit to notify the Building Commissioner that I am approving your plans for renovations according to the controlling plans entitled "Dunkin Donuts prepared by New England Design P. O. Box 311 W. Barnstable, MA 02668 File #300789 Date; 01/22/03 for 1648 Falmouth Road, Centerville,. MA 02632 Sheets T1, Al-A4, K1-K2, El-E2, P1-P2, and M1-M2, Owner: Couto Management Group LLC c/o Dunkin Donuts 169 Main Street, Stoneham, MA 02180." This approval is subject to the following conditions: 1. The installation or alteration of the sprinkler system will be coordinated with my sprinkler installer at your expense to prevent any activation of the alarm system which is located in the Tedeschi Food Shops premises at 1638 Falmouth Road. Any damage (if any) will be at your sole expense. 2. The penetration of the roof with any venting shall be done in good workmanlike manner to. prevent leaks and any such installation shall not be visible from Falmouth Road(Route 28). VOO WAfMU USTWO$W. • w u com ten. REALTOR" "SERVING CAPE COD SINCE 1947" COMMERCIAL SALES, COMMERCIAL LEASING, & COMMERCIAL PROPERTY MANAGEMENT; APPRAISING AND CONSULTING RENE L. POYANT,.INC. Stephen J. McCarthy, Trustee March 4, 2003 Page 2 3. The grease trap capacity in conjunction with the septic system shall not be changed. : 4. Lessor shall be furnished with a copy of the sign permit. 5. Lessor shall be furnished with a copy of the building alteration permit. In the future, please remember to seek my approvals according to the lease. Thank you. Very tru y yours, IMel . Poyant MRP/mcm Copies to: Couto Management Group LLC Philip M. Boudreau, Esquire/via fax r ^ `HE'° The Town of Barnstable BARN A SS.ABLE. • Department of Health Safety and Environmental Services 9 M � t639• �0 "'E�Mpy Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel:- VO q lalg Project Address: /Aze'*IT/-/ /fit'D, Builder: .�A4 y/ Cc), u o C/o-/ 7�(si12 lrj LG-T The following items were noted on reviewing: qPD ONe 0 4/ /f r 44kyp —Z� Rd 7%¢ AiVU IVC- 5 y57��,,W L TG ; c/ v c r� Ygj,y/ co v-ram Reviewed by: p Date: q:building:forms:review 3- .r TF`TY /n/FS RFSC/L Ts -- -- I,:NT., d� . TE3r.x'.Y E�/ .•� TEST rKYE c2 d• __ Y. Ida SEPTIC TANK REGYIiREMENTS FJ VAGE- DISPOSAL m'.e.•-n).Par a+,u e•,.,<o.w... enm:•cuw S+w ao.rw..ra _ "'-`"•.Q�""a"` �t c._ INN D lTA b��•r uv.Aev L.aao' • erw aw> __ ararew e•w»>n owe.. Ai'-�~•p.U✓nwvrF.ArHC.,3N[' mK^a4.D Y.]OK O¢.Kt / • d, J>J>l•d-1V OY.. . •��'• T/MAT / Y WA F W !n u.c.:/rww rra!w•�w- ^a/CllLYwT:OV rrar.eea„eco i ZZ-AQ Wr, AREA REOUIREMENTS ar3T arvea acu+r••>;:o>)•>�x//<laJ••/o.r,a:cv�o.eJQWa.! TE^—�F� /'J/ /, .w rd��TTa�wv roa�raov�n.eaaxa r�ir emef=.rino.v,•J e.c/ovrma/.s s /on J'•!- r a6n� /r //j,'!\• IP/ a•Am.r o...c.c.0 -..••�,•ro ec r•.v J...vrc0 y-...wr<u a.2r/la..,d••...r.a>�%in:. a.u../O+r • •tu.ax s+.0 4Nw Q j \ ///1 ..cuc ,oa o.slswc/r-rr a ,>T.�.. >->TCu•/. U6 OPO..Q>J 3/ 6LL•sra/ ,Qt!/wcnr.t JTpfY•r•ea]OJ/ •M.CY aww •/ � / / (D lT D✓J'T<w.r• rY OP.A.O.Ta /.iu..•d__./. Ja91<KsaM >:v/-.•..a.J3_\.f . �r.TC4 / �I•, Jr L . xtaxwrwav TLJr !a"" r•J Jla .OT31w s.....a.maw woaw K,u. ..aa.,een >rdrur•..r-J o>a.Q saw e+e.•rasa/mra/we-raa a>n¢<•e•.waP ✓/ / •, roK1./.�a0Y).JC+t•:/Mr.IR•..?.dl..Ju/Mi /' lur.>1otll,! �•�ww o.a.wv M•!L.:K >w•.:..w.L i. _.,J•4/�M✓ \at� eewcr.lr✓c� .= ae<�e lnaew.er.+T� ..rue-e•r4.c>_ . - ;:' \ ° - =glfwl�w•,44 s.0.aN aP/tea.- /R art/fY M wCrrn.� •TOIK•_VJOSi ------------ �4lPTic TIH,[ CGOuiREMLMS 7DTwl./!J.ma/I.SQti/d/.b3P /TTJ a,4/awr • oy \ •Td " w•oor.s // I >n .me... vTw.rrc•.a. / -ar P r�.u.=-*: • / ALi7/TiL�NAL s>STSM+�q:.3EPT..Yo,/DT_T wr. c?,-....r a- emu•:mac... ••�- \ \�- FlTiuTLD Guar AO.r wT�./KIJOr dr/9/ir4>ab / PiVT�!?td.0• / BIBYI.fr sK GC9M•LwfCV./TAa:' ,.r H-.>Y.?:' �.�.Y•.TCr � ..- �_�.-�� .�� ` - I ar m Outr/tO1rr RJ•.wl.aSW RPr•lJJ 6K./ar rm•w0 nw>.lv>v nr lel•� >v.•r>•. � Jr e<wC/Mti A4•A FEN4avFNT3 w0 r w•T.�`>.v -.r ^N- -�•, �/ .•"'�'`"°,�'` l tld PRO.Y0.1SS.f/6.L.•r1L 1R/3lYSRKl1Mc� Aw0 CLNL w nd/r i'.OQ Lv4'•..1'Mr d)rl,`.Yw.Y y'' .-- ` ,��hu J ` ��..,�5' Tf`' °Jd 3LPT/C T;wK OERPRdJ4FNTJ TLM WN.T• >D YI rr. -BEN CH-YARK J �• v= !„'p �"•> -- 4[.Cat D. y .Ps•�lJ St•'yG�1t��•SI y� LJ isP� r \' ^ +•�°° p OP. B �� IIpr' u�'\ i� �.- -icy °U�i1'T'^ \ r 1 LOT AREA. SB ...4 S. 1 c . r�>" _ •-� ..� .......:...,........... ,.. �.. ' 1 11 ra4T MQ�� / sn"us/r nn•..• rTis" �.. �,'0 `�- 1 f 1 w ti�•' � `CAT)L/s'C 7l4!!S �> yr. • gJO.f7w n.a ara I � . - h/.( � I �•. /' .., 't /tea ' P, d _ �// I /�`r��'�\� •`/ �/ •.ate \ o 4. I SITE PLAN BARNSTABLE, -MASS. i R.r POYANT � i• /AT.I. 4iw• rrA iu>fs t-Iew.�>moWa a.�rdl c. " ! - ,r n,.o+s• `��+a'm.4._La�n-r-��.t...,�.c• �—dl-4.v.�s.r.r>...>r ans- a' ' _ - -a ---. _T _- �• "��aaar:fa ! AE-NE L, POYANT, INC. _�-•- -r --Q-,;�x< r e � ,a. � - -- 82 t3aMN'SIADLE ROA a .. BENCH NARK L' - STATE .. r A>..,,.. _ --- _. L i -_ yarAn• tar or.[4r•[aanol or.%� \ __ LK1t.L.aO Yil.� / °• G//✓••• --wf C t wr., `dd Ow^fi✓.__«=3_- 'f -' - _ • _ 7, 7 J, F t, D44 ;AD 74o + -170 + t4i lit VA :t J r p "w t to Prie f2e� 15�r Z jl,alw�`,. �4 d wx J tl,I It t` lv "k, 3 lt: R P OP tf e0 �K 7, I"OW'A T-44AOCKLAW-4,AM V, �zt, A r % I m,l I A K