HomeMy WebLinkAbout0988 MAIN STREET (COTUIT) 9� 8 mo IN s`
Town of Barnstable Geographic Information System November 18, 2011
035008,V
#975
035096
#968
034029
#989
i`
034030
#976
034032
#978
034027
#995
034031 034033
#988
034034
034026 t #990
#101.1
034062.
#996
034035
#992 ,u
034061
#1000
034036
0 21 Feet #994..
DISCLAIMERS:This map is for planning purposes only. it is not adequate for legal Map:034 Parcel:031
boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:MARINERS LODGE A F&A M Total Assessed Value:$653400 Selected Parcel
V=100'may not meet established map accuracy standards. The parcel lines on this map :,
are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner:C/O HADLEY,THOMAS,TREAS. Acreage:0.28 acres Abutters
boundaries and do not represent accurate relationships to physical features on the map Location:988 MAIN STREET(COTUIT) X f
such as building locations. Buffer r r
TOWN OF BARNSTABLE
SIGN PERMIT
7.
R
PARCEL ID 034 031 GEOBASE ID 1992
ADDRESS 988 MAIN STREET (COTUIT) PHONE
COTUIT ZIP — p
LOT BLOCK LOT SIZE a
DBA DEVELOPMENT DISTRICT CT
PERMIT 71370 DESCRIPTION 8 SQ FT MARINERS LODGE
PERMIT TYPE BSIGN TITLE SIGN PERMIT
g
CONTRACTORS: Department Of u
ARCHITECTS: P
Regulatory Services
TOTAL FEES: $25.00 1
BOND $.00
CONSTRUCTION COSTS $.00
753 MISC. NOT CODED ELSEWHERE 1 PRIVATE
* sARN UN E,
Mass.
. � 039. ♦� d
10rFo Moy w
BUIL
IDY DIVISION
t
Y
DATE ISSUED 09/09/2003 EXPIRATION DATE Val
Town of Barnstable
°fI"E'O"rti Regulatory Services ,_
Thomas F.Geiler,Director
+ BARNSTM3
9� MASS. Building Division
AtFp Mp'l° Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Irli'viSIOffice: 508-862-4038 Ra : 508-790-6230
Tax Collector
Treasurer
Application for Sign Permit
Applicant: �� /AZjE�5; Assessors No.
Doing Business As: Telephone No.
Sign Location
Street/Road: g 2ro- /� / 7 9' ('dT!/I T
Zoning District: fkZot-' Old Kings Highway? YeQV Hyannis Historic District? Yes -
Property Owner
i. Name: ���-�� l bC� Telephone:
Address: 979 eO7—J/7- Village:
Sign Contractor
Name: G'L/�d,S�5./C _5/6AtVS Telephone: ::7-7/— 2
Address: ��/ /�l�iN _ Village:_
Description
Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of =
the new sign. This should be drawn on the reverse side of this application.
Is the sign to be electrified?. Yes (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
n 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: $ 2 A?
t
Size: Vr 6;a- J=5 — Permit Fee:
Sign Permit wa approve Disapproved:
Signature of Building Official: I Date:
Signl.doc
rev.122801 '
a
0
G
MARHNITERS
ANCMN C` CIE & ACCEP IID MMONS
0 2'�1Z
� i
_p
L.DrrJ Is-�
LOGS r Oa/
n i �.�•r— � f 1r�1
r.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 4Parcel IP Permit#
Health Division �?'/�y/ "�� Date Issued
Conservation Division 1 2-f/�/��p _ Fee C ` ®�
Tax Collector A ►- o /�/v� SEPTIC SYST /hWuu/
EMI MUST DE
Treasurer LDf Sy4 g YA149 / 1��� INSTALLED IN CQINPLIAMCE
Planning Dept. EN Vl' 'WITH TITLE 5
NTAL CODE AND
Date Definitive Plan Approved by Planning Board TOWN REGUL
Historic-OKH Preservation/Hyannis
Project Street Address `7 �-
Village
Owner. QAddress
Telephone
Permit Request
�aVae 0b�rL
0 ILZJa X.
Square feet: 1st floor: existing . proposed 2nd floor: existing proposed Total new
Valuation `1�7'DQ� Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family Cl Multi-Family(#units)
Age of Existing Structure Historic House: O Yes Xlo On Old King's Highway: 0 Yes Y(No
Basement Type: Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Wexisting new Half: existing "Z new
Number of Bedrooms: Sting new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas Oil ❑ Electric ❑Other
Central Air: ❑Yes 4 No Fireplaces: Existing New Existing wood/coal stove: 0 Yes 0 No
Detached garage:❑existing ❑new size Pool: 0 existing O new size Barn:0 existing ❑new size
Attached garage: 0 existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial 'kYes ❑No If yes, site plan review#
Current Use Proposed Use
_ BUILDER INFORMATION /
Name f Telephone Number
Address ' License#
".✓-dAON Home Improvement Contractor#
Worker's Compensation# j
ALL C0 T N IS RESUL ING FROM THIS PROJECT WILL BETAKEN T07_��Ar V10 o t g u
SIGNATU DATE 0?
FOR OFFICIAL USE ONLY ,
PE&MIT NO.
DATE ISSUED JL.
lei
MAP/PARCEL NO.,
ADDRESS ( VILLAGE t
OWNER-
DATE OF INSPECTIO15: ,
FOUNDATION
FRAME
INSULATION ( -
FIREPLACE
{ ELECTRICAL: ROUGH FINAL
s .
PLUMBING: ROUGH FINAL
GAS: ROUGH,.: FINAL ;
C (
FINAL BUILDING ' �' � A01 '
DATE CLOSED•OUT x • ° j ' f#�j to, '
ASSOCIATION PLAN NO.: A
,1
r ,
I .
-
_ __ The Commonwealth of Massachusetts
.. — Department of Industrial Accidents
,
°-- = Ofllce ol/arestl�adoos
600 Washington Street
Boston,Mass. 02111
Workers Com ensation Insurance Affidavil
i
name:
location
ci. Q�' hone# y
I am a homeowner performing all work myself.
I am a sole p riet%or and,have no one working in capacity ,,y,,,y,�,�
%%%/%%%%%------ /
rovidin workers' compensation for my employees working on this job.: ::::::::::: : :::: :: :: ::::::: : :
I am an
m an ........
atldresst .:;'
c
X.
.-M.,
.........:...
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
compensation
polices:
the followingworkers' mP . .............P...:.::::::::::._:::.-.::.::.:...:.:::::::::::.::,::::::.:..::.:::.:::::::::..:...:._::::::::::::::::::::::.:::.:::.::::.::.:..::::::::::::::::.:::::.};:;.;::.::.;:.;:.;::;;>::»»:::
ro -
..........:
......
.............::::...........................
....:::.
::::::::.:
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...................:::w:::rr.�:::::::v:::i4:r.�::::::iiy}}}:•:}:i:i+v}}i}::•}}}i:•}:ice:.rr:ri•}:v:iii•Iiii}}v.v�i•.....:.............. V �'.`
itfarrce
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diiresss
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ilkai:Cii:;;':':C;:
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FFPYY
e to verag r Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or
amrise as penal the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
cof stetem formO of Investigations of the DIA for coverage verification.
I do her y certify the a pew that the information provided above is&w.and c ^cd
Date 7
Sigaa �P
Print name
oindal me only do not write in this area to be completed by city or town o®dal
city or town: perndtNcense# ❑B�ding Depubment
❑Licensing Board
❑checkif immediate response is required ❑Sdectrnen's OlBce
(]Health Departmad
contact person: phone#; ❑Other
. (Jevieed 9l95 PJIQ
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
ions shall enter into an contract for the performance of public work until
commonwealth nor any of its political subdivisions Y
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
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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`9aw"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. •Please
be sure to fill in the pi hill icease number which will be used as a reference number. The affidavits may be retum�fo
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 Departunent's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
office of lmtesduadons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
v t
f DEk thfiT OF PUBLIC SAFE 1�
Al CORSTRUCTd011-SUPERV80R LICE
IN
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map — Parcel ®� Permit#
Health Division Date Issued
Conservation Division Fee
C ra+
Tax Collector
Treasurer LZ_ //Z
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address `
i
Village
t
Owner Address
Telephone y
Permit Request r`
Square feet: 1 st fllootor: existing proposed 2nd floor: existing proposed Total new
Valuation 00 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: Cl 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 AKes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name U� Q� f� JQJ Telephone Number 52A
Address n d1/l��, License# 6,93
2Q L nn 18 Home Improvement Contractor# / 19 z�
Worker's Compensation# 's-3
ALL UNSTRUC D ROM THIS PROJECT WILL BE TAKEN TO. vA^, '
SIGN DATE Q
r
t - FOR OFFICIAL USE ONLY
P- MIT NO. -
DATE ISSUED •'
* MAP/PARCEL NO.
a ,
ADDRESS. f VILLAGE
C OWNER_
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION j
FIREPLACE t ,
,h ELECTRICAL: ROUGH FINAL
i
k PLUMBING: ROUGH FINAL f
GAS: ROUGH FINAL t'
FINAL.BUILDING
DATE CLOSED OUT
'; ASSOCIATION PLAN NO. -
The Commonwealth of Massachusetts
- =—_
_ Department of Industrial Accidents
: y 600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
i
name: 1
location:
ci hone#
❑ I am a homeowner performing all work myself. '
❑ I am a sole PT rietor and have no one workin in ca achy
I am an employer providin workers' compensation for my employees working on this job.
com an name:::
ildress.: . .
. .
ca Y•::. .
'41
ENO
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who
have
the followingworkers' compensation polices:
......:::::::::.::::......::::::::::.:::::::::::::::::.:::::.:::::::::::::.::::.::::.:::::::.
com an name:..
address
44
WN:
: : ..........:::::::::�:::.�::.:::::::::.:::::::::.�::::.::.�.:::.:.ii.:.::.:�:::::....... ....... 4:.iiiii:::.i:.:ri��:.:.i::•:::::i:::!.i::i:::i iii::::i:iii:tiivi:4::•ii:vii:•iiiii::ii:S4iititi::ii::::::::i:::::i::i:.i
.................::::::::::::::::::::::o:::::.c.;;.;...::;.;.;:.:....: :::.::.;;:::;.;;::.........
:.:'�:::::':s.: ::.:.:>:.::::�::;:>ii:•i::%•C••i:•i:'•::•i;�::::::%•''%•'•r•::.':%:'' ::::"�:•i:•i:•::;':::::•:i:?:�.::::::.::..:.`.::i i i i+.::'•i i:•:•:•:•:�: '�' ::M :[%:::;:'i•z:>:::::;':>:::;:;22%Y:?:?:isiij::^ji:% i:::;:< ::::%::.`,w;;..:.,.,�_•:i::_>:;x::•:•i[::av,:;
nsnrance:ca;. ....:.:...:,.:...... ::: .: ;:... .. ... o1�cv
nattre€>:
atidre§s.< x.
dt�....... . ........
X.
....::.::::...:
i »::i::i:;::i.:::;::::.:.;::;:::;..:..::::.:.....::...,
.........:.:::.:;..;: ::::..:..::...:::::::::::::.......... .:.:::::.
:iii::i:.;;:•;:.;::;: .. :.
lmuraace.co.. ::.;
::i«:::>:::..... .::::..:;......... ... :::..:::::.:.:::.:: :>::::.•:•i:•.:>:<::::::> :ii:::::::
Tpy7fthlsstP=nJ
q under Section 25A of GL 152 can lead to the imposition of criminal penalties of a fine up to s1,500.00 wwor
'imeft vfi p ties in the form o STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
[ ed to a ce of Investig ons of the DIA for coverage verificationeby c fyp e es of perjury�the information provided above is trrw.an orree Date '�
Print name
Phone
official use only do not write in this area to be completed by city or town official
city or town: permitAicense# []Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
[]Health Department
contact person• phone#; ❑Other •
(revised 9/95 PJA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer 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
,Xp; a 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 b ' g requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returiiR to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Oltice of Invesduadons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375