HomeMy WebLinkAbout1620 FALMOUTH ROAD/RTE 28 2v L�r
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i
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TOWN OF BARNSTABLE
TEMPORARY CERTIFICATE OF OCCUPANCY - .EXPIRES ON 1/9/07
PARCEL ID 209 013 GEOBASE ID 12811
ADDRESS 1620 FALMOUTH ROAD (ROUTE PHONE
. CENTERVILLE ZIP -
LOT BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 88970 DESCRIPTION TEMP C.O. FOR THIRTY DAYS
PERMIT TYPE BTC00 •TITLE TEMP. OCCUPANCY PERMIT
CONTRACTORS: _ Department of
ARCHITECTS: Regulatory Services
TOTAL FEES: $75.00
BOND $.00 �tME
CONSTRUCTION COSTS $.00
i
753 MISC..-::,:NOT CODED ELSEWHERE
* BARMSTABLE,
MASS. 8
039.
Ep�'►l
BUILD . G DIVISLON
BY
4 DATE ISSUED 12/09/2005 EXPIRATION DATE 01/,6 Om-
_- sir._------- ----- -- -------�
TOWN OF BARNSTABLE
'60 DAY TEMP CERTIFCATE OF OCCUPANCY EXPIRES 05/01/06
PARCEL ID 209 013 GEOBASE ID 12811
ADDRESS 1620 FALMOUTH ROAD (ROUTE PHONE
---CERTERVILLE ZIP
LOT BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
. PERMIT 88970 DESCRIPTION 2ND TEMP CO FOR SIXTY DAYS
PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT
CONTRACTORS: Department of
ARCHITECTS: Regulatory Service_ s
o�
TOTAL FEES: $150.'00
BOND -"� $.00 tM1E
CONSTRUCTION COSTS $.00
753 MISC. NOT CODED ELSEWHERE sAxxsraBi.E,
rinse.
16g9. 1
FD NIA A
BUILDING,DLVISION i
BY i
DATE ISSUED 12/09/2005 EXPIRATION DATE 05/01/2006 �
TOWN OF BARNSTABLE BUILDING PERMIT,APPLICAT, ION;-,
j
Map - Parcel '' �`] :'Applicatioh # �-
Health Division "Date Issued
Conservation Division ,Application Fee
Planning'Dept: 'Permit Fee;
Date Definitive;Plan Approved by Planning Board
Historic - OKH- _ Preservation / Hyannis
Project Street Address`
Village 1,-enkw I I I-e-
Owner. CE&,q2&_rAddress 'Zo f �&Ip O C •
Telephone -�"Z -00 7 ::C,`� 1
Permit Request
Square feet: 1 st floor: existing proposed ,2nd floor: existing proposed Total new
Zoning District_ /� Flood Plain Groundwater Overlay
Project Valuation OPO Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ..0 Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -
Commercial )Yes ❑ No If yes, site plan review#
IA
Current Use Proposed-Use-
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
NamePi("r, 'NA . Telephone Number
Address u/ License #
ii �' r
Home Improvement Contractor,# 1�/B5
Worker's'Compensation Com ensation # W e'` o - "/tp-&2-
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '
SIGNATURE DATE
FOR OFFICIAL USE ONLY
( F
li APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
1
ADDRESS VILLAGE
OWNER
{ DATE OF INSPECTION:
FOUNDATION
i
FRAME
INSULATION
t FIREPLACE
4
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
r
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Jun 15 09 12: 42p p. 2
Town of Barnstable
' . Regulatory Services
8, Thomas F.Geiler,Director
i63¢ �o
fo ram' Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, MARCEL R. POYANT as Owner of the subject Property
hereby authorizeSCOTT PEACOCK BUILLDING 6 REMODELING, INC. to act on my behalf,
in all matters relative to Work authorized by this building permit application for
1672 Falmouth Road, Centerville, MA 02632
(Address of Job)
June 15, 2009
Si lure of Owner Date
Print Dame MARCEL R. POYANT
20F Camp Opechee Road,
Centerville, MA 02632
Q:FORMS,OWNERPERMLSS10N
..................
W:"!pv j.
8/Z5 008
K:
PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER or INFORMATION
GERMANI INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
OSTERVILLE, MA 02655 COMPANIES AFFORDING COVERAGE
COMPANY
A SAFETY INSURANCE
INSURED COMPANY AIG AMERICAN HOME ASSURANCE CO.
SCOTT PEACOCK BUILDING&REMODELING
PO BOX 171 COMPANY
OSTERVILLE, MA 02656 C
COMPANY
D.
Fg
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 13 Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co
LTR' TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER LIMITS
0AYr;(MNIDM`Y) CLATEtMMIDDIYVI .
GENERAL LIABILITY :GENERAL AGGREGATE 2,000,WO
A ' 1CP00U01152 07105/08 07/05/09 ; . ...AGGREGATE
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGO S
CLAIMS MADE "OCCUR PERSONAL&A60V INJURY l.5
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE IL 1,000,000
FIRE DAMAGE (Any one fire) i 5
MED EXP (Anyone person) It
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT S
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS I (Per person)
HIRED AUTOS
BODILY INJURY
NON-OWNED AUTOS (Per acddvnl)
PROPERTY DAMAGE
_9!!�RAGE LUMILITY AUTO ONLY-FA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT 6
AGGREGATE 5
ERCESS LIABILITY I EACH OCCURRENCE 16
UMBRELLA FORM
AGGREGATE is
OTHER THAN UMBRE
LLA FORM
BTW-ORKEWS COMPENSATION.N AND I WC aTATU.
__j_jCtRyMMlTeL
EMPLOYERS'LIABILITY IWC 696-76-62 06MI08 0602/09
EL EACH ACCIDENT.
THE PROPME'ropi
FARTWAIVEXECWTIVE INCL EL DISEASE-POLICY LIMIT 5 500,000
QFFICERS ARE: i EXCL EL OISEASF-EA EMPLOYEE
100.000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONWEHICLESISPECIAL ITEMS
COVER PROPERTIES AT:MARCEL R.POYANT 269,274,282 SARNSTABL.E RD.HYANNIS,MA 02501; 1620-72 FALMOUTH RD.CENTERVILLE,MA 0262 2:
PLAZ TWENTY-EIGHT NOMINEE TRUST. 181-196 FALMOUTH RD.HYANNIS,MA 02601,CENTERVILLE SHOPPING CENTER I NOMINEE TRUST,
1676-1698 FALMOUTH RD.CENTERVILLE,MA 02632:20-30 OPECHEE RD.CENTERVILLE,MA 02632
O MEMSAil
. . t-
SHOULD ANYOF THE Ascra ammueu roucies BE CANCIELLPI)BEFORE THE'
AT7N.: SALLY EXPIRATION DATA THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To MAIL
10
QAY9 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
TOWN OF BARNSTABLE , BUT FAILURE To MAR SUCH NOTICE SHALL IMP93E No onuGAyloN OR u"UTy
OF ANY KIND UPON THE CQMI!AWY. ITS AGENTS OR REPREZIENTAMM
FAX#-, 508-790-6230 AUTHOPWP REPRESENTATI&,
j"� ✓/tP. l/P'lYLIYGO-YLLUCq�LiL bL�/(' ,fy�p,�
Board of Building Regulatious and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration.:,, 151853 _ Board of Building Regulations and Standards
Expiratiom-7/7/2010 Tr# 271501 One Ashburton Place Rm 1301
Type Private Corporation Boston,Ma.02108
SCOTT PEACOCK BUILDING&REMODELING INC
JAMES PEACOCK
1046 MAIN STREET 8UITE`7.
OSTERVILLE, MA 02655 Administrator Not valid without signature
Y.
f
License: CONSTRUCTION SUPERVISOR
Number: CS 094500 '
Expires: 07/22/2010 Tr.no: 94500
Restricted: 00 '
JAMES S PEACOCK
PO. )X 171 G
OSTEVILLE, MA 02632.
Commissioner
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name (Business/Organization/Individual): 5
. f
Address: V (0
City/State/Zip 0 Phone#: 5b$' q22 '7WO
Are you an employer?Check the appropriate box: Type of project(required):
1. I am a employer with � 4. 1 am a general contractor and I
* have hired the sub-contractors 6: 0 New construction
employees(full and/or part-time). ,
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. Demolition.
working for me in any capacity. employees and have workers'
[No workers' comp, insurance comp.insurance.t 9. ❑Building addition
required.] 5. We are a corporation and its ` 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I I. Plumbing repairs or additions
myself o workers' com right of exemption per MGL
y � p• 12X.� Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees.[No workers' 13.❑ Other
comp.insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. -
Insurance Company Name:
Policy#or Self-ins. Lic.#: 0 ~W Z Expiration Date:
r�
Job Site Address: m. -1— Mod City/State/Zip: /J 20J
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Iq, ,y
i underthe ins andpenalties of perjury that the information providedabove is true and correct
Date:PU 0 ~ -! 0' 7WO
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#•
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
C•
Map C Parcel 0 Application#
Health Division �`�
r
Conservation Division Permit#
Tax Collector Date Issued 1�11 o"1
Treasurer Application Fee Jw
®� 07
Planning Dept. Permit Fee S�"
Date Definitive Plan Approved by Planning Board oK
Historic-OKH Preservation/Hyannis
Project Street AddressC M rh Com
Village('en-kry,1le-
Owner 0,0n. L. ffi4kfiTl (Aa�_ Address ZYZ- 6M?TS1 44bU e _
Telephone A l l ��� W M A-
Permit Request, Puy{ 3 ' i=cw `"
b Fam-� �Luiatn Q
j
Square feet: 1 st floor:existing `' proposed 2nd floor:existing proposed Totknew m
Zoning District Flood Plain Groundwater Overlay ''1
c
Project ValuationA,
Construction Type l rn'c
k
Lot Size Grandfathered: ❑Yes ❑ No If yes,.attach supporting do(umentation. `
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure f7 � Historic House: ❑Yes N�&,No 'On Old King's Highway: ❑Yes No
Basement Type: ❑`Full ❑Crawl ❑Walkout �q Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing b new d Half:existing new y
Number of Bedrooms: existing new
Total Room Count(not including baths):existing new First Floor Room Count I
P
•Heat Type and Fuel: *as ❑Oil ❑Electric ❑Other
Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Ye. , O``N0
Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:❑exist ng ❑n ize�'
Attached garage:O existing ❑new size Shed:❑existing ❑new size Other:
ram,
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial �-Yes o If yes, site plan review#
---Current-Use Tku l ff c64��Proposed Use
LeAmcicBUILDER INFORMATIONName� Telephone Number 5-M — q2Y- 9 loon
Address �utfl Mull(ull J/ 1 � License# l , I `i 00
M Home Improvement Contractor# 5� ® ) 3
A OWS Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO MOM Of V &rrP 0U_1tf%_'
SIGNATURE - - DATE I
FOR OFFICIAL USE ONLY
r PERMIT NO.
= DATE ISSUED '
.y MAP/PARCEL NO.
5
ADDRESS V ILLAG E
s
OWNER
S
r
DATE OF INSPECTION:
FOUNDATION
FRAME S1007
INSULATION
FIREPLACE
a '
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
i
I` GAS: ROUGH FINAL -
FINAL BUILDING
DATE CLOSED OUT
R
ASSOCIATION PLAN NO.
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
,• '' www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl,
Name(Business/Orgmizatiowhdividual): eaw&. S
Address:
City/State/Zip: Phone.#: 219 1��
Are you an employer?Check theme appropriate bog: :Type of project(required):.
4. I am a general contractor and I
1. I am a employer with 1) 6. ❑New construction . .
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a'sole proprietor or partner-
listed on the'attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, 0 Demolition
workers'
d h employees and wr
'working for me in any capacity. 9. ❑Building addition
[No workers'comp.insurance comp. insurance.
required.]
15. We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself.[No workers' comp. t right of exemption per MGL. '12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no 13.F Other
employees. [No workers'
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: 2-0 150 Q�;-1 Expiration Date: z 21 a
Job Site Address: l(I 5 /1 V City/State/Zip: (_�C I I��r vc i D 30
Attach a copy of the workers' compensation policy declaration page*(showing the policy number and expiration date).
Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the MA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Simature• Date "J►� I �� _
Phone#' �y '12� X
rfcialonly. Do not write in this area, to be completed by.city or town official.
n: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
intormatlon anct instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter.152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority.
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members*or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit.or license is.being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
60 Washin:gton Street
Boston,.MA 02111
Tel. ##617-727 4900 ext 406 or 1-977-IVIASSAFE
Fax##617-727-7749
Revised 11-22-06
www.mass.gov/dia
Regulatory Services
h �
y�uvsza . ; Thomas F.Geller,Director
WAss.
Building Division
Tom.Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.,barnstable.ma.us
&ce: 508-862-4038 Fax: 508-190-6230
Permit no.
Date
AFFIDAVIT
HOME DIPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c, 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion,
improvement;removal, demolition,or construction of an addition•to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units.or to structures which'are adjacent to
\ such residence or building be done by registered contractors,with certain exceptions,along Wdth other
requirements. ()i van d�-�- c� n orl� (j/1•L
Type of Work: f� _ � . Estimated Cost V U
Address of Work:. 1 Sk QU'' ' , k k r
i, � 100. Ism s
• Owner's Name:
Date of Application % V
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded bylaw
Mob Under$1,000
Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME WROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND UNDER MGL c.142A.
SiG UNDER PENALTIES OF PERJURY
I h reby a fo a p t as th ent of the owner;
j ® Contractor Signature Registration No.
ate
OR
Date Owner's Signature
Q:wpMes brms:hom eaffi day
Rev 060606
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $50.00
Alterations/Renovations $ 50.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq,foot= ��g x.0041=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/.sq.foot= x.0041=
plus from below'(:f applicable)
GARAGES(attached&detached)
square feet x$32/sq,ft.= x.0041=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00='
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Pmojcost Permit Fee
Rev:063004
f
Table J&Llb(continued)
Prescriptive Packages for One and Two-Fan:W Residential fluildlags"Heated with fossil fuels
MAXIMUM MINIMUM
Glazing Glaring Ceiling Wall Floor Basemeat : Slab Hesdag/Cooling
r
'(a) U-value= R-value' R-value' R-value° Wall Perimeter Equipment Efficieacy�
Package R value° R-valuer
5701 to 6500 Heating Degree Days
Q 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 19 19 10 6 Normal
S 12% 0.50 38 13 1 19 10 6 85'AFUE
T 15% 036 38 13 25 1 N/A N/A Normal
U 15% 0.46 38 19 19 10 6 Normal
V 15% 0.44 38 13 25 N/A N/A 85 AFUE
W 15% 0.52 30 19 19 10 6 83 AFUE
X 18% 0.32 38 13 23 N/A N/A Normal
Y 18% 0.42 38 19 23 NIA N19 Normal
Z 18% 0.42 38 13 19 10 6 90 AFUE
AA 18% 0.50 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY: D LA �
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2):
5. SELECT PACKAGE(Q—AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q-forms-0803 03 a
780 CMR Appendix J
Footnotes to Fable J8.2.1b:
' Glazing area is the ratio of-the area of the glazing assemblies (including sliding-glass doors, skylights, and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement.
For example,3 ffls of decorative glass may be excluded from a building design with 300 ft of glazing area.
'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units:center-of-glass U-values cannot be used.
3 The ceiling.R-values do not assume a raised or oversized truss construction: If the insulation-achieves-the full
insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between
the conditioned space and the ventilated portion of the roof.
'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-b insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
The floor requirements apply to floors over unconditioned spaces(such as.unconditioned crawlspaces,basements,
or garages).Floors over outside air must meet the ceiling requirements.
The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding.glass doors of conditioned
basements must be included with-the other glazing. Basement doors must meet the door U-value requirement
described in Note b.
'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to install more
one piece of coolie a ui men the equipment with the lowest
than one piece of heating equipment or more than p g q p. 1;
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see.Table J5.2.1a
NOTES:
a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC.test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may.be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
f
08r11-"2006 12:39 FAX 5084283068 GERHANI INSLIRA*ICE (a of)1
T7 'f�{" 3,.T-" •`-„'•� ..,.. s I .I -1 I ! - �I 1 i i t - .
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811/2006
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FRpDUGER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
13ERMANI INSURANCE AGENCY I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
908 MAIN STREET ` ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
O$TERVILLE,MA 02055 COMPANIES AFFORDING COVERAGE .. ._. _.
COMPANY ESSEX INSURANCE CG,
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INSURED
COMPANY AIG AMERICAN HOME-ASSURANCE CO-
SCOI'T PEACOCK BUILDING&REMODELINGI B
PO BOX 171 i OSTERVI cQaaPaNv -- —--------- ----------—— —
L_LE:,MA 02666 C
COMPANY
r. � -_ --.-..- Yrs'msw�v,.�.r�fs�fm�Jt�� �.myli-4',-mm r��"I•
rGVEfiAGE 91 ! r I ®a` �.
TH S IS TO C ER i I=Y THAT THE POLICIES OF INSURANCE LISTED EELOW Hk%IE BEEN SSUEO TO TH' INSURED 14AW-ED ABOVE FOR THE POOCY NERt00
INQICAT6r) NGWl 11 TANDING ANY REQUIREMENT,TERM;:)R CONDITION OF ANY CONTRACT OR G IHI"R DOCUMENT WITH RESPECT TO WHICH THI;
C ruel'{FICATE MAY'5E 15S!UEC 0-,MAY PER'AIN,ThE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCWSIONS AND GONDI?'!UNS OR SUQh POLICIES,Ll,errg sF,-QvgN MAY HP.VE BEEN REDUCED BY PAID C'.AINIS:
PLLJGY EPPEC'1'IYE i POLICY EXpIRATN?N I----- _.-----------------
L7R TYPE OF INSURANCE POLICY NUMBERI DATE(AIMfDU" DATE jMiV.1DD.NYI LIMIT S
A GENERAL UAB!L_ITY !GENERAL AGGREGATE 5 2,000,OOQ
3^U0420 0710b108 07/05107 --- —.._.............. .
?( t)QMNIEkC1AL�3GI-0L(t/hL!IF,3ILITY I PRODUCTS-COMP/OF AGGI$ ,0G0.060
CLAWS mlQDE I OCCUR PERSONAI
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1 00Q 000
FIRE DAMAGE Ia)r one fire) S 510,000
EXP (Any anv pv
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-- --- --
ANY A_.TC] -_ _ I , I I F GDMBINEl?SINGLE LIMIT 1....._.._I:$..__.—._. .._..-........—
--1 i
ALL OWNED AUTOS � �BODILY INJURY I$
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-------.._-----..—..,_. i PROPERTY DAMAGE is
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ANY AUT,J j i !- - Cl'HER THAN AUTO ONLY' j
EA(;H AGQIOENT $
I
--"-AOOREOATE �S ------
EXCE59 LIAHILI'iY EACH OCCURRENCE $—! —
AOOREf3kTE --_.—_._--
UMBRELLA FORi,A ' i I ._.-..._.._.._._.._..... ,
f
OTHER THAN IJMSRF---LA A FORM
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THEPROPAIemA !tNGI I I EL DISEASE-POLICY Lim 16 600 000
PARTNFRPOEuUTInF L— _
r7!-iCk7ft5.4R8: i EXC�I -� ! I EL D DISEASE-EA 100,000
DESCRIPTION OF OPERAllOi4SiLOCATIONSNEHICLESSISFECIAL ITEMS
IFyO1AT�.HOLL7hR ! p.�IpFA ,.. l.,
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,. _t., I I,aa ,.- �.,
' SHOULD ANY OF THE ABOVE DESCRIBED POUCIRS .PR CANCELL0 1;6FORG THC 1
TOtiNN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAR:
10
_BAYS WRWr9N NOTICE TO INC CERTIFIGATEHOLDERN$WIEDTO'•THE L&-r,
F,-V,#;500-428-7628 HUY FAILOJRE tO MAIL SUCH NOTICE IUHAn.L IMPOSE NO C 5LIGATION OR LIAB:LffY
Qr ANY KIND UW7N THE COMPA_NY,..ITS AGENTS OR REPRESENTATIVES.
AUTHO }3REPRES�E7NTATIV
,ami(r {r �IYY�ry�r -
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r
Board of Building Regula ons and Standards
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement`Contractor Registration
Reqistration: 151853
Type: Private Corporation
Expiration: 7/7/2008
SCOTT PEACOCK BUILDING & REM-ODELI'
JAMES PEACOCK --
PO BOX 171
w "
OSTERVILLE, MA 02655
Update Address and return card. Mark reason for change.
``. 1 1 Address Renewal i Employment lost('ar ri
DPS-CA1 0 5OM-05/06-PC8490
/ QQ ////
- Board of Building Regulations and Standards License or registration valid for individul use only:
HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to:
Registrat.on N151853 Board of Building Regulations and Standards
Expiration:-;7/j/2008 One Ashburton Place Rm 1301
Boston,Ma.02108
Type Private Corporation t
SCOTT PEAC0CK�8UILDING-&REMODELING INC
.TAMES PEACOCK
1046 MAIN STREET SUITE 7 C� ^` ,
OSTERVILLE,MA 02655` Deputy Administrator Not valid without signature
License: CONSTRUCTION SUPERVISOR
Number:'-CS 094500
pi
Expiresr 07/22/2010 Tr. no: 94500
Restricted:'00
JAMES S PEACOCK
PO: JY171
OSTEVILLE, MA 02632.
Commissioner
f
• �ppTHE T°,S� ` 'down'of Barnstable
Regulatory Services
9snxx M.. Thomas F. Geiler,Director
19•. ° Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I� Marcel R. POyant , P as Owner of the subject property
_ J Pam'
hereby authorize, Scott Peacock Building & Remodeling Inc. to act on my behalf,
in all matters relative to work authorized by this building permit application for:
1654-56 Falmouth Road, Centerville, MA 02632
(Address of job)
:Marfl Poyant, 041 April 2, 2007
Signature of Owner Cente ille Shop Center II Date
MARCEL R. POYANT
Print Name
Q:FORMS:OWNERPERMISSION
Deb F OL ,
I
{1 / .' y
r 1
Lj
i
FEf Town of Barnstable
6
Regulatory Services � �
BAMSTAB
MAW`E Thomas F. Geiler, Director'
s639• 10�'
A�f039 p Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
April 19, 2005 t
Marcel R. Poyant
PO Box K
Hyannis, MA 02601
Re: Missing Handicapped Parking Sign
Dear Mr. Poyant:
This office has received complaints regarding a missing handicapped parking sign in
front of the Dunkin Donuts.
Please bring this sign into compliance by May 3, 2005.
Sincerely,
A ,
Thomas Perry
Building Commissioner
TP/lb
Hps3
PW RFjW I,. ,POYAw. Inc.
u FAX: (508) 778-5688 REALTORS TEL: (508) 775-0079
4 J`jli� , 0282BARNSTABLER 2601OAD, K
o
RENE L.POYANT 1909-2000
MARCEL R.POYANT,President&Treasurer
November 22, 2005
MARY J.POYANT,Exec.Vice President .
BY HAND TO RENE M.POYANT,Vice President
Mr. Thomas Perry
Building Commissioner
TOWN OF BARNSTABLE
200 Main Street
Hyannis, MA 02601
RE: Sign Permit#81883
Marcel R. Poyant
Centerville Shopping Center ly
�1620 Falmouth"Road
C enterville;MA 02632
Issued 01/20/2005
Dear Mr. Perry:
As a follow-up to our meeting this morning, I am writing to request that the applicant
name on the above permit be changed from Rene Poyant to myself, Marcel R. Poyant.
When G. Michael Caggiano, Jr., of Jordan Sign Company, Inc., pulled the sign permit for
this sign, he erroneously named the applicant as Rene Poyant and not Marcel Poyant. As
this is a non-conforming sign, I am concerned that this permit name in your computer
base be changed to correctly indicate the owner, Marcel R. Poyant.
Thank you for your cooperation and best wishes for a Happy Thanksgiving.
Very t yours
M cel R. Poyant, Own
Centerville Shopping C ter
MRP/mcm
Enclosures:
Copy of application
Copy of permit dated 1/20/0
Copy to Jordan Sign Company, Inc./via fax 508-760-3130
u�MULTUU UsnMo sy�
u com Teri-
REACTOR
® "SERVING.CAPE COD SINCE 1947" - .
COMMERCIAL SALES, COMMERCIAL LEASING, & COMMERCIAL PROPERTY MANAGEMENT, APPRAISING AND CONSULTING
77�7-
r7 i
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=d
_
fiO4i1N-TTdF;•BARNSTAB r
> N
PARCEL ID 209 '013 m
ADDRESS •1620 :FALMOUTH-ROAD.=.:(ROUTR-,
CENTRRVILL-E
ZIP
, . . . - NE
_ -
LOT
BLOC
D$A DE"LOPMfiNT DISTRICT CO
PERMIT 81883 DESCRIPTTO -77 GQ CE jTE_R ILT,^ SHOPPI�'Gr. CN-A m
PERMIT .ryp-E --.BSIGN TITLE00
� SIGN: ;PERMIT ::: .•-:
CONTRACTORS
ARC GTE.
HIT
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y
_ .77
a-
TAL - -,E8S_ =
- i`q^�BON -
ST CTION=.
- -
COSTS
759 MISC. NOT CODED ELSEMHERE`.^j 2---
- m
DATE ISSUED 01/20/2005 EXPIRATION DAT
a
' D
t
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m
m
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM ' POOR
QUALITY ORIGINALS)
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Office: 54 -662-4036rai
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{Fi � l r,lF(� ril� zf'lNi; I,9r�"r ' r,q 2' r �I� I �t
n,I �?, ! V
Tax Collector
.,,�•, r ¢} � �I I ?� 4' e,l , I 1 S ri,a r ct'{4rrl" dlV�l+
Treasurer ri4
I' i ! rP dJ i!r j � i4. 3JY11���r1[ 2�� ,.i�r 1 �; 1 }t r I s Ih rF�(�'1�i �r•(l4�yl i Itl,r
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SIgiqLocation 'lk(1w f til
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Street(Road:
l•f�I e Y I 'f 4+Ii '' p , ,I n�4� g���� , '',
Zoning District it41. �arFa t 4 I r N, ,r rI 4 3 r k iJ4 =r t H� A
way
PropertyOWuer
y,Ir�, +'') t�
t1,^r3t{.a 'F:ISR ' (.MF1
*1' tt ,r �l Lt@@f
II,'i.ei.e GIs f✓< 1 �I�h Il�trl FnA I.� +lak �I I�i,�, } l nI:
Address. 1
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agdr
Sign Co81CLO a �t9dlf�t�t�H , rt } r rl i i! j }c s r},;.:•' F t r
X r rt 1{II''�G{P N
�rl �'• �1 }" 7 i E t }!;� ` ,' ' `
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Address? � n r Ia!i' ' r. f'','E(,. �' it ,.� it 1�t,s1
Please.draw a diagr
the new si burl
gn, Tfns. sc si of P
Is the sign to ba elec
N.�r + yam.
i hereby'certify that I 0 the d� 3,• f r
information !is COjYGCt cti
of Barnstable Zoning `` y�^
t t,f"fr1 `� J. p� I° y r, hd {Y� Y�II't, r�"t ��' µ�'.�li kM,t.,( v`; •tS � 1 tr I (7;i
Signature of Ow
J / t 'I `y� 1 A• � 3 7 's ILL �,.I 4'�, ,};' r I ,�x ,r 1 �,I t{.,
size'
pp �rtr)r S9S�8 a� 1.
• r
Sip Permit was appro }n 1Y t dll'e3f ° � {' n n1 PI wl lP rEl Y' n V t Z19� t fss� �; + i'1
� w
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r ,ql+' r br t S � 1 � .� A I.� �'� .r �Y 7 ill�h.�,�3��11�i�'`,• If'E',. r�,;•
a fty�jFaa 3}tr b� � I f I. ! •JH + r t ri M
Si�ature of Buil 1 1 Sl z? r dJ i,I t Ij` r1�1 s {� 11 p�st'1) t it yy f f 11 t�r(J �� dll I L ii� 0 j
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.1M
ZO 39dd ONdIDOVO W 398039 OCT603LBOS OT :CT 900ZI1Z/TT
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 81883 DESCRIPTION 77 SQ CENTERVILLE SHOPPING CNTR
PERMIT TYPE BSIGN TITLE SIGN PERMIT
CONTRACTORS: Department of
ARCHITECTS: Regulatory Services
TOTAL FEES: $100.00
BOND $.00 �1NE
CONSTRUCTION COSTS $.00
753 MISC. NOT CODED ELSEWHERE 1 PRIVATE "'.0_
* ELAMSTABLE,
MAM
BUH DING ION
BY�,
DATE ISSUED O1/20/2005 EXPIRATION DATE—/
Tow» of Barnstable
�oFIME r Re ' latory Services l
h Q.mas F:.Geiler Director -
SARNSTABLE,
wilding Division
iOTEc ru•'��' Tom Perry„Buildmg Commissioner
� .
200 Mom Street,>Hyannis,MA`02601
Office: 508-862-4038 rK ;. _ ax• 508-790-6230
Tax Collector
Treasurer `EYk
P�A pph• cation for Sign Per
Applicant: R e h. T6 V1 hz Assessors No.
Doing Business As: LL : n C- CL. Telephone No. *7 7 C'�t�-7G'(. .
Sign Location :`
Street/Road: >4` t, �` :� C2�/l tt v l\tQ—>, `
Zoning District:'. Old Kings Highway? Yes�o�Iyannis Historic District? " Yes
Property Owner :
Name: 'Re Telephone: �yo
Address: a c�z �i4rZ�,9 �•5 -�"i'l30 k� Village: �yutiytyL�S ,
Sign Con ctor
Name: 2bti1N glC Telephone: S613=7.7t �l07-0,
Address �3o t-`�w� c►� S"t"_ Village • \Agz( v�.•�h r
Description
Please.draw a diagram of lot showmgaocation 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 (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,Tthat the
information is cotrect 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• �99 QS
Size: Permit Fee: _O�,
Sign Permit was approved. Disapproved:
Signature of Building Official: Date:
• .fir-'"""®""-,� -- -
l t •
e -
:
tl
t
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o�Td �:�ASS►.•^c� os-Cs u-ti.w� w��1 n d� he v�ov-ecC �,c �� f .
S\�c��- � Cam• �M�c)r\� C�•�c��w� � ��yL� -
08/20/2002 11:45 15087785688 RENE POYANT INC PAGE 01
r4
^ FAX: (508) 778-3689 ,902AIRE •LTPRS TEL., (508) 775�079
I. ,
�'^-- E L.POYANT 1900-2000
D11t -
d 1SIO iARCEI ANT,President&Treasurer
MARY J.POYANT,Exec.Vice Presiden
RENE M.POYANT,Vice President
! FACSIMILE TRANSMISSION COVER PAGE
TO: TO WHOM IT MAY CONCERN 508-790-6230
I �,
FROM: MARCEL POYANT
{71M
DATE: _8_/ 20 / 02 TIME; Z1 . 45 • {{pM
(NUMBER OF PAGES : (Including This Page)
TRANSMITTAL COMMENTS:
IT HAS COME TO MY ATTENTION THAT YOU HAVE REGISTERED A COMPLAINT WITH
THE BUILDING DEPARTMENT REGARDING THE PERMITTING OF THE NEXTEL SIGN AT
THE CENTERVILLE SHOPPING CENTER. IF YOU WOULD BE KIND ENOUGH TO CALL ME,
I WOULD BE HAPPY TO EXPLAIN THE SITUATION. I CANNOT UNDERSTAND WHY YOU
WOULD SUGGSEST THE WORD 1RETALIATION"!
r
IT Own I-ah
REALTOR' "SERVING CAPE COD SINCE 1047" _
COMMERCIAL SALES, COMMERCIAL LEASING, 8 COMMERCIAL PROPERTY MANAGEMENT; APPRAISING A140 CONSWING
To whom it may concern,
I do not understand why its OK for the new Nextel store here at Centerville Plaza
to have a banner on there building. When I was told I could not have one under any
circumstance in the very same plaza. I wanted to have my front sign a different color,I
was told NO.I was also told that my sign had to be 1/3 the size of the building frontage
yet theirs is not. l do not understand why the rules are not applied equally to all. I do not
understand how you can just make them up as you go. I am taking pictures and sending
them to the Capecod Times and other media I am also sending copies to the different
board members. l would give my name if 1 wasn't afraid of retaliation.
Thank You
9
'I
TOWN OF BARNSTABLE•BUILDING PERMIT APPLICATION
Map Parcel Application #
Health Division Date Issued Cr I
Conservation Division v Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board bg
Historic - OKH Preservation/Hyannis
Project Street,Address
Village
Owner ( Address_ D
Telephone
Permit Request ` t
Square feet: 1 st floor: existing proposed C�2nd floor: existing proposed d Total new o
Zoning District Flood Plain Groundwater Overlay —
Project Valuation 0
Construction Type IVM4/qZ4&-t g-
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family_ ❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) - Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new _ Half: existing new
Number of Bedrooms: — existing—new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: � . ❑Oil ❑ Electric ❑Other
Central Air: 3-Ye—s - ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes "o
Detached garage: ❑existing U new size_Pool: ❑ existing ❑ new size _ Barn: xisting ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ µ _
Commercial Wre—s ❑ No If yes, site plan review# _CV
Current Use - _ Proposed Use
x�
APPLICANT INFORMATION ?
(BUILDER OR HOMEOWNER)
< o r '
Name Telephone Number
Address /�7,U License# (9q,fil 0
Home Improvement Contractor# 15-195>
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 0 ( ��
f
FOR OFFICIAL USE ONLY
`F APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
R_
;3
;. ADDRESS VILLAGE
A OWNER
1
t DATE OF INSPECTION:
t FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
` GAS: ROUGH FINAL
r -
y FINAL BUILDING
r
E
DATE CLOSED OUT
S ASSOCIATION PLAN NO. F
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
k- 600 Washington Street "
_ Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name(Business/Organization/Individual): 4 �
Address: V oire
IllG�h ,
City/State/Zip Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1 I am a employer with 4. ❑ I am a general contractor and I
6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.:
9. ❑Building addition
required.] _ 5. ❑ We area corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]tµ c. 152,§1(4),and we have no
employees. [No workers' 13.❑Other
comp.insurance required.]
'Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Aw&A 41nm kw"(p I
Policy#or Self-ins.Lic.#: ILL('. 0(6 -7(p4Z. Expiration Date:
NO 12,2 /Dl-
Job Site Address:_ 16 3 D 1A 5 City/State/Zip: '
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby rdfy-under the pay and penalties of perjury that the information provided above is true and correct.
Date: r� g
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
1 ,,.y n�,�illitVG,y .•,, _•:jn .,;�,✓,d-" , •.�• ns.. "1a91 L!11".( ' ";:�:li:'-.6, ';� , _ .L-
p d „rrI:e..,l�.;; ii. DATE(MNUDOIYY) I
M ''h_'7�__�l_._._ .... �j,,, •, ny';;W�.fis 1.' ' 1. ' �•:,r._�,!;�. E ,_.::,1_I.w-:!i�:iiq'.e;.- ..L=J�ii`�::
.�--_,-,=.•rx,.r?�,-:-!vlcr•.:......r.:... ;,r.'k!•r..�,:ti lw r.�,a.y.... 1..�4...9._.�_,._.•nwv_ .�
PRODUCER THIS CERTIFICATE M ISSUED AS A MATTER OF INFORMAT1ON
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
OSTERVILLE, NIA 02655 .- , ...,COMPANIES AFFORDING COVERAGE
COMPANY A SAFETY INSURANCE
INSURED COMPANY
SCOTT PEACOCK BUILDING S REMODELING g AIG AMERICAN HOME ASSURANCE CO.
PO BOX 171 COMPANY
OSTERVILLE, MA 02655 C
COMPANY
D
1'' I ill:. �f', 1� ��ti. :{ s•I, .�-!i g` .CIII�_I'.• !�L'i .:N 4'_ .l F;" _
^�w>r•, zi° :i ,,, _L•.
- -.r�• �.Y., is J,,:A,���:rd6•: •:r i3,v
'V V .y! l. ..y'••• ,
,r r , bn.v ,:i•.-...,-., .,-r., .._._��y�_.L.,. :.,n._ y,l,,,,.,aAu:A,:a"n.0 .nb,..en4s",,...d..S:IL,,.......lu...�.�naJ':..-e.,,,,.,c.:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MMIDDIYY) DATE(MWD0FfY)
GENERAL LIABILITY 'GENERAL AGGREGATE 6 2,090,000
A X COMMERCIAL GENERAL LIABILITY I CPOpp01 SZ 07I05/08 07/05J09 PRODUCTS-COMP/OF Al30 6
CLAIMS MADE "OCCUR OCCUR PERSONAL S ADV INJURY 1 s - -
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 16 1,000,000
i FIRE DAMAGE (Any one two) 15
�. __.�__-.-- •• MED EXP (Amy one perevn) 16
AUTOMOBILE LIABILITY I
ANY AUTO COMBINED SINGLE LIMIT Is
ALL OWNED AUTOS - BODILY INJURY S
SCHEDULED AUTOS (Per person)
�.;
HIRED AUTOS BODILY 1 I eery ac4dvnp INJURY I y
NON-OWNED AUTOS .. _. __._._.5.._ .. . . .
1
- ----•• I. PROPERTY DAMAGE
GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT. .6.. ---
AGGREGATE s
EXCESS LIABILITY I EACH OCCURRENCE _ !6
E= UMBRELLA FORM ! AGGREGATE I s
i OTHER THAN UMBRELLA FORM - • - ;6
lAll
VA.- Ofl4
B WORKER'S COMPENSATION AND WC 696-76-62 06/22/06 06/22/09 TY 111ARe_
EMPLOYERS'LIABILITY EL EACH ACCIDENT 6 100 000
THE PROPMETOW i INCL - -PARTNLA&EXECVTIVF EL DISEASE-POLICY LIMIT s 500,000
- -...--•• ••
OFFICERS ARE: I EXCL- EL DISFASF-EA EMPLOYEE 16 100,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLES/SPECIAL ITEMS
COVER PROPERTIES AT:MARCEL R.POYANT 269,274,282 BARNSTABLE RD.HYANNIS,MA 02501; 1620-72 FALMOUTH RD.CENTERMLLE,MA 02 ;
PLAZ TWENTY-EIGHT NOMINEE TRUST, 181-196 FALMOUTH RD.HYANNIS,MA 02601;CENTERVILLE SHOPPING CENTER I NOMINEE TRUST,
1676.1698 FALMOUTH RD.CENTERVILLE,MA 02632:20-30 OPECHEE RD.CENTERVILLE,MA 02632
^ .. ... � � �..1... .fr I.;,'r.i� .e,'•.:�..^.'.; .r•,,�.I? ,it. -L�I„ti:� ::•C: .;i;i .�1�tiEti! ��..,. ��;,:,::ti' i::✓•. �•9�_�..i:i`�nx,:::v.�r,;.re.;:r.. �]LTA.+N[1LOFR�:-,{- �-7 'I r: '�!§•,•r_�,•- r':i1 �. .,.,. G;i.I•! ,+"�•; .o=i'� -
Ly, ...�.._:�i.lE:, r �Ir.�6!!!�.Ili{';1.1.:•,.. :•, t:r_�7:. � 4.�y�'A� �"M1'=-li;.r �1�,Iu�� .!.I iiU,:� _..�'��•� .ah-_�..�a.': �,,i�v:_,a -:�•,- ih;•�r:�ti-.:-.:...,..,...-..-,a„r.rJ" 1 _ .�.�..,,,_ .t.�!l'.tli�9,,,r„-.r....._.�',:.,.s�... � Arxdr..!)1..,.�.(....I_.:L.._:�;pr.+...,�.....i!riiSL•'...,..�.:��.:��;. �s`_ ._,!E_-.._LC-_��__.y..._..._._r..
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
I EXPIRATION DAT@ WILL TNEREOF, THE ISSUINU COMPANY ENDEAVOR TO IIAIL
ATTItl SADLY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALLIMP93E NO OBLIGATION ORLIABILOY
TOWN OF BARNSTABLE
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATNEB,
FAX#: 508-790-6230 AUTHOWR EP TAT11/5�a
r; `13"^ } li';;i5'7 Sy51!Gri" '4'1��. :•n't:;Iti!:if'�i�^' "a, r",C. ..yF;a fb4��yb•l9 ,•rrl; •�J+Jrnrr�/r.: - _ _.,�,.., --
woo,- -
,.Iiii:i si.,� .I('P" 11 '!r'.r. ..:�1.1n!ilh;r't;"'•.'I''i:!sr� :M,.:I�:: 1 i, .LCE.4f..�•^-"IU.
'..F+Q.'._ i„'.i:•,.nr:-:,°::;;:::-:,...,..,r.'� ..!+LI.fell..'•,LI,..I)-�!:<r!::;1.•:• Yi':;.i i_:•!";.::.F.�-+�!Ck y;d:, ..,� i!+.,,;:;, ��, i!! - �i , ,�.ti9_-L:!!1.11.� �:r�;:rr!G r?.I ORD: O `..
t
i�`d7�tl,
License: CONSTRUCTION SUPERVISOR
Number: CS 094500
Expires:07/22/2010 Tr.no: 94500
Restricted: 00
JAMES S PEACOCK
PO, )X 171 c,
OSTEVILLE, MA 02632
Commissioner
. I
Aug 28 08 08: 46a p. 2
Town of Barnstable
Regulatory Services
Thomas F.Ceder,IDirector
Building Division
Tkentns Perry,CBo
Building con aimioner
200 Main Sau:t Hyannis,MA 02601
www.tewn.bsr*SUblc n*.es
Otlicc: 50 K-862-403 8 Fan: 50&790-b230
Property Owner Must .
Complete and Sign Tl ies Scction
If Using A Builder
1• Marcel R. Poyant „- ,as Owner of the ssubicct property
hereby aurluori= Scott Peacock Buildirx & Remode i no7nvap act no any bcbalf,
iq all mamma: relnrive to ware;authorized by this vuil&ng penrit application for:
1638-1658 Falmouth Road,
Centerville, MA 02632 *roof reshingling
(Address ofjob)
412
Mar el R. Poyant 8/28/08
$ip)ahire of Okiicr ,1 Date
Marcel'R Poyant
Prier Name
lrt'gn11S'M�ildingperm a!Jd><pfcax
I1evin;J i2J lll� •
T •d caQ/ Aai Onc w si►�r r►�r na �^n�u�� i nnc .�o�ion on i > >nu