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NOTES
Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town.bamstable.ma.us
Pre-application for Business Certificate
Date Map�(/ Parcel 1 ,
Applicant Information
Applicants Name lot-& V 3 '�A'ukS6"
Applicants Address
Email Address LO V O'L,
C-- s69- a- 5ct V _/
Telephone Number (�- ��4 -`?'113 6�_ Listed 0 Unlisted ❑
Business Information
New Business? ----------------------------------------- Yes DNo
Business is a registered corporation? -------------------------- es No
If yes Name of Corporation rtLA e'44 , 0 UL';6yyt� =No,
Does business operate under the registered corporate name? Yes No
Is the business a sole proprietorship or home occupation? ___----__ Yes No
If yes then a Home Occupation C b Registration is required-See Buildingg1
Division Staff
Name of Business �Q kq U�� �(ZA1 ; Ai &U
Business Address
Type of Business
Building Vommissioner Office Use Onl
o ditions -
Building Commission elkDate �—
Clerk Office Use Only
p C><1
U1
�t� TOWN OF BARNSTABLE Building
201507274
BAMUABLE, * Issue Date: 10/29/15 Permit
9 MASS.
GpAr16 �A�� Applicant: Permit Number: B 20153044
Proposed Use: CHARITABLE SERVICES Expiration Date: 04/27/16
Location 84 BEARSE'S WAY Zoning District RB Permit Type: RESIDENTIAL INSULATION
Map Parcel 309162 Permit Fee$ 35.00 Contractor MCCARTHY,MICHAEL J
Village HYANNIS App Fee$ 50.00 License Num 58633
Est Construction Cost$ 1,400
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
THIS CARD MUST BE KEPT POSTED UNTIL FINAL
INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: FRIENDS OF PRISONERS INC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 84 BEARSES WAY INSPECTION HAS EN MADE.
HYANNIS,MA 02601
Application Entered by: PF Building Permit Issued By:
THIS PERMIT CONVEYS NO RIGHT.TO OCCUPY-ANY STREET,ALLEY OR SIDEWALK OR ANY.PART THEREOF,EITHER TEMPORARILY.OR PERMANENTLY -ENCROACH SON PUBLIC PROPERTY,NO
SPECIFICALLY,PERMITTED,UNDER THE'BUILDING CODE,MUST.BE APPROVED BY THE JURISDICTION STREET OR ALLEY.GRADES AS,WELL AS DEPTH AND L OCAT'16N OF PUBLIC SEWERS MAY BIE
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. -
MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.SHEATHING INSPECTION
3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
5,PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION).
6.INSULATION.
7.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
2 2 2
3 1 Heating Inspection Approvals Engineering Dept
Fire Dept 2 Board of Health
TOWN OF BARNSTABLE BUILDING-PERMIT APPLICATION
2 I (p� T Aa, ,F w SA NSTABL Z� 1�67Z�
Map ✓ � Parcel `-� Application #
Health Division '`` `' ? 4^�'._
1€ 31. r Date Issued`
Conservation Division Application Fee
Planning Dept. •• _ .��.� Permit Fee Xt>
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address r.
Village
Owner ����r .�, �t-ter. Address 5—
Telephone 720—lswtl
Permit Request Cc-
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family GY Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl . ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Milre-MeC-sar-th Construction Telephone Number
PO Box 52
Address West Dennis, 02670 License #
Cell (508) 280-6964
,!S -5o«z 11I $6939.3 Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE kola?/1 i
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
r
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
'. FOUNDATION
FRAME
INSULATION
S
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
f
Town 0fBamstable
Regulatory-Sees
1B.uffding Division
,. : � itichard Y.Scali,vii�bor
Tom Perry,Duading-Cowmftdoner
200 Main Skuk Hyannis,'MA 02601 .
www.tOwjLbar=bMe=z.us.
C3ffct 508-$62-4038 Fax: 508-70b4230
PzW y Owner Must
plebe a ad 'x'Us Se.Mon
if Usine- de�c
. � Pr6IeiY
heyautkoe C �C i �o act tin in
Mall matters rr vie To WOr*k au�oiized binding hermit appiicarian far:
9-*P001 feu=and Alarms ase time �of the-applicant Pools
aie rust be.-f&-d.or ed-befoiefence is inst ed and Afinal
;uaspections are pe., Od accetneden
a
$' eX $ O
C-t� + l
Priat Nance
e
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CO
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Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-058633
MICHAEL J MC0_tR
PO BOX 52
W DENNIS MA 0267s
Expiration
Commissioner 04/10/2016
Office of Consumer Affairs and BuS1neSS Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
_ Registration: 169393
Type: Individual
Expirabo : /2017 Tr# 264961
MICHAEL MCCARTHY }°
-MICHAEL MCCARTHY ---
x r.
P.O. BOX 52 - -
WEST DENNIS, MA 02670 ---
Update Ad ess and return card.Mark reason for change.
inn osm -1 Address ❑ Renewal - Employment --ILost Card
1
The Commonwealth ofMassacht►setts
Department of Inth►strial.Acchlents
I Congress Street,S►►ite 100
Boston,MA 02114-2017
www.mass gov/di►r :
11'oi kern'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Phimbem
TO BE FILED IVITII TILE P)RA41TnNG AU mowy.
Applicant information lease Print Le ibl
Mike Ale—Cart] y
Name(Business/Organization/Individual): PO ROX
57
Address: West Dennis, MA 02670
e280-6964
City/State/Zip: -5$6M#: mc-169393
Are yoy an employer?Check the propriate box:
Lr1_❑Y/ Type of project(required):
1. 1 am a employer with employees(full and/or part-time).* 7. ❑New construction
2.0 1 am a sole proprietor or partnership and have no employees working for me in $, O Remodeling
any capacity.[No workers'comp.insurance required.)
3.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]► 9• ❑Demolition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will IOEI Building addition
ensure that all contractors either have workers'compensation insurance or are sole 1 I E]Electrical repairs or additions
proprietors with no employees.
12. Plumbing repairs or additions
5Q I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet.
These sub-contractors have employees and have workers'comp.insurance.? 13.❑Roof repairs
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.dOlher
152,§1(4),and we have no employees.fNo workers'comp.insurance required.)
'Any applicant that checks box#t 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 providbtg workers'compensation insurance for my employees. Below Is the policy and Job site
Information.
Insurance Company Name: M Ma,,i c.�-�D...v
Policy#or Self-ins.Lic.4: V�L h c�- G; J C i 6 �a i`( �j'' Expiration Date:
Job Site Address:_--� LC cr City/State/Zip:
Attach a copy of the workers'compensation policy =on the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine tip 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.A copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance
coverage verification.
I do Itereby certify tin tl al s ant! a/ties rjtliy Mat the-information provided above is trite and correct.
Si nature:
Phone#:
Official use only. Do not write in t/ris area,to be completer)by city or lown 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#:
cM WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
INFORMPAGE
A.I.M. Mutual Insurance Company
54 Third Avenue, Burlington, Massachusetts 01803-0970
800 87672765
_.. NCCI NO 26158
POLICY NO. VWC-100-6017656-2014B
PRIOR NO. VWC-100-6017656-2014A
ITEM
1. The Insured: Michael McCarthy Construction Inc
DBA:
Mailing address: P O Box 52 FEIN: ***3862
West Dennis,MA 02670
Legal Entity Type: Corporation
Other workplaces riot shown above: See Location
2. The policy period is from 12/15/2014 to 12/15/2015 12:01 a.m.standard time at the insured's mailing address.
3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the
states listed here: MA
B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A.
The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000,each accident
Bodily Injury by Disease $ 500,000 policy limit
Bodily Injury by Disease $ 500,000 each employee
C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B
D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans.
All information required below is subject to verification and change by audit.
Classifications Premium Basis Rates
Code Estimated Per$100 Estimated
No. Total Annual Of Annual
Remuneration Remuneration Premium
INTRA 0712979
INTER SEE CLASS CODE SCHEDU E
Minimum Premium $550 Total Estimated Annual Premium $29,332
GOV GOV Deposit Premium $7,748
STATE CLASS
MA 1 5479 State Assessments/Surcharges
$28,601.00 x 5.8000% $1,659
(3ie4�&V
This policy,including all endorsements,is hereby countersigned by 12/15/2014
Authorized Signature Date
Service Office: Bryden&Sullivan Ins Agcy of Dennis Inc
54 Third Avenue PO Box 1497
Burlington MA 01803 So Dennis, MA 02660 F��
WC 00 00 01 A(7-11)Includes copyrighted material of the National Council on Compensation Insurance,used with ifc nermicsinn.
- 790-6252
Ej New Application
BARNSrAHLF : TOWN OF BARNSTABLE ❑ Renewal
vMAR&
s�� ❑ Transfer
ED MAC
r � Other....................
LICENSE APPLICATION
10/29/'97
Date.........................Print or type only (Please bear down hard)
Name of Applicant Friends of Prisoners ,_..Inc. D/B/A....... ...... . ................................................
Corp.Name if Different...................................................... ..........................................................FID#..............................................
Permanent Address of Applicant`67... ........Se , Harwich Ports Ma. 02646`t .."``
Local/Mailing Address..................................... T ^ :............
.... .... ., r .........................
.......................................................Place of Birth................................................................................. .................................
Property Owner ..,,Friends of Pr®loners, Into Business Location -:Same as above,•••„„_..._...
... ...
Name oflVlanag r.....Maurice Guindon
Permanent Address s� 84 TB Xei—v,3y� Hyannis l MA 0260.a . "" ' ..................................................
Same as above
LocalMailing Address................ ............................................................:..............................................................................
place of Birth........S�ringf ield,..,Mass.achusetts
..............................................................
Telephone#of Applicant: Home(.......5 0$ ).........4 3 Zn l 7 8 7 ......................Bus(...............)........:
...... ....... ................................
508 •
Tele h 790-$004
one##of Manager: Home(.......:...............)....................................... .................:...Bus(,......:........).........................................
Lpot #1 on a plan of Land —Barnstable Registry of„Deeds, Plan Book 15,page::
Assessor's Map#(s).....................................:.Parcel#(s)........................................:Zoning District................ ::...............:.................
Any flammable substance or hazardous waste use in business(specify) ..N1 ... .....•.....•.•.••••••.••••••
NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES
Applicants must contact the Building Commissioner's Office, 790-6227; a Board of Health Office, 790-6265.and
the appropriate Fire Di rrict�office to schedule inspezrtionr .
Signature of Applicant......` t I ............................................................................
-, ..........Tliomas...C.. Sfie 'fie'r
...................................................................:.....................................k?...................................................................................................
For Town use only
.THIS. SE EERMITED WITHIN,THI�ZONING DISTRICT?
COmmeniS.:.... ................................. r , j r;
INSPECTORSAPPROVAL.................................................................................................................................................................
Building/Zoning...................................Date...........................................Board of Health.....................................Date......................
Wire..................................Date.................Plumbing.............................Date.......................Gas.................................Date.............
FireDist................................................Date...........................................
TAX OFFICE USE ONLY
TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON
TAX COLLECTOR
White-Licensing Authority Green-Tax Office Canary-Health Department Gold-Building Commissioner Pink-Fire Department
The Town of Barnstable
w►ss.
,g Department of Health Safety and Environmental Services
� BuiIding Division
367 Main Street,Hyannis MA 02601
Ralph Cmssen
Office: 508 790�Z27 Building CommissiO:
F= 508 775-3344
For office use only
Permit no._
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,.rzmmal, demolition, or construction of an addition to aay Pm-cdsting 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 with other
requircrn=ts
Type of Work: Est Cost1;�e5?� ,,
Address of Work:
Owner.Name: F i`�4
Date of Permit Application: -51
I hereby certify that:
Registration is not required for the following reason(s):
Work ccciuded by law
_
_ob under S1,000
Building not owner-occupied
Owner pulling own peanut '
Notice is hereby given that: CONTRACTORS
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UN1iEG
FOR APPLICABLE HOME IMPROVEMEi M WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a pe t as the agent of the owner.
Date Contractor name Registration No.
OR
The Conrntonorealth of Atassachusetts
Department of Industrial Accidents
_ i• =�� Ofllceol*loees�/gatloas •
�: ; ' -"y•;?' 6011 If ashini ton Street
f� Burton,Mass. 02111
Workers' Compensation Insurance.ARdavit _
:ARR1ienn ntormatio'nF- - n.
name. �l AIDS 6 F PIZ S 0 A-),F ./S —
locntion• `i' �/4 f'Z S C s L-A-)Sim
IVN I S . 90 goo
04-am a homeow er performing all work myself.
I am a sole proprietor and have no one working in any capacity
lam an employer providing workers' compensation for my employees working on this job.
company namr•
address: .
��h•• phone#:
insur•roce co noliev#
1 am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
eomr•tnp n•tme-
address,
city phone#r
in�urnncr co peficr#
L: .+_ «-,—:-•- - _ :s..a.-n-.�-�►-••-1•.nt«s+T�Kts+cr_. - -- •TJVFis+J�es�S*s_►-[:+.�:r, ��"•-�.T!!-•
cemeanv name•
address:
Uri•• phone#:
insur•tnce co pefiev# _
:Attach additioeal'sheet if aeeeisa �••-••Y^
failure to secure coverage as required under Section SA of 11iGL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or
one rears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the OlTtce of lavcstigations of the D1A for coverage veriBesdon.
I do herebt•cerify undcr tl:c pants and penalt'es of perju that the information provided above is vue and correct /
Sienazure
ate
Print name I t 2l LC, G..►Lk I N 0 O N Phone# 2$ 4 g b C 7
o&ial use only do not write in this area to be completed by city or town official
city or town: permit/lieease/t nQuildiag Department
Licensing Board
check if immediate response is required CSeleetmea's Office
_ 13lieaith Department
contact person:
phone#; pother
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 emplmvee is defined as every person in the service of another under any
contract ofhire,express or implied, oral or written.
An empoyyrs is defined as an individual. partnership,association.corporation or other : gal entity, or any two or more of
the fore�:oing 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
d+veliing 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 1'52 section 25 also states that every state or local licensing agency shall withhold the issuance or
rene++•al of a license or permit to operate a business or to construct buildings in the common++'ealtli for any
applicant who itas 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 havt
been presented to the contracting authority.
4.7
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 siep
gn 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.
r+.+.�sfweaaR1A7.4m tRn !q.. .. r:::. .1-:-4-,iTt. • .
ii.'.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
: •: •w•- r:.a�-.::ice:.:'-w.+' .%a�:r... 7777
. r. •: :a:!•`�..:....:.`.
z.
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 '.
phone#: (617) 7274900 ext. 406, 409 or 375
YOU WISH To OPEN A BUSINESS
Foi'Your Information: Business certificates (cost$40.00 for 4 years). A busihess certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form.at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE:
Fill in please:
,.: ... APPLICANT'S YOUR NAME/S: -e (1u�„
„t BUSINESS YOUR HOME ADDRESS:
E TELEPHONE # Home Telephone Number
NAME OF CORPORATION: Ele S C5 c_
NAME OF NEW.BUSINESS TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? ✓ YES NO
ADDRESS OF BUSINESS c 9ccZa as G MAP%PARCEL NUMBER
[Assessing]
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 2DO Main St. — [corner'of Yarmouth
Rd. & Main Street] .t❑ make sure,you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COM,M SIOONN R'S OFFICE
de i-nfor red of n re
This individua ha l ' er it
� y quire ants that pertain to this type of business.
q
COMMENT
� Ruth ized Sign t;ure*
CG1
2. BOARD OF HEALTH
This individual has.been informed of the permit requirements that pertain to this type of business,
Authorized Signature**
COMMENTS:
S. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
License PeRtWNIN'SAIRNSTAB
�( �' '�# `~ XR'e
Application
f < , StableQ44 newal
Date: PT 30 2DL]41 �����+� , �� EI]Transfer
LE - - DAmend
The undersigned hereby applies for a License to conduct business in the Town of Barnstable in accordance with the Statues of the
Commonwealth of Massachusetts and subject to the Ordinances of the License Authorities.
NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES
Name of Applicant/Corporation:I /a,n; s 1'9. Business phone#
t
Address of Applicant/Corporation: Kf4 W o Cell Phone# c 9e
J �L�f
Email Address: 1 c i UPI m ce;C ederal.ID# r----� ia5lAdlgals_Q:NtX_
D/B/A: 060 t `• RD Map/Parcel# (g
Business Address: Property Owner
Business Mailing Address: Length of Lease
Name of Manager: Manager's Email -,
License Type: f�: �� e Annual QSeasonal
Hours of O eration: If this application is for a restaurant/bar/club, �es ❑NO
i� would you like to extend operating hours
until 2 a.m.on New Year's Eve?
Entertainment: Yes 0 TV's and Recorded Music Is considered Non-hive Entertainment
and requires a license
If yes, the Entertainment License Application Form is required.
NOTICE:Any misstatement in this application or violation of the applicable town ordinances,bylaws or regulations shall be considered
sufficient cause for refusal,suspension,or revocation of any and all licenses.
warrant the truth of the forgoing statement undr)13,5 penalty of perjury.
Signature of applicant: �ty�
For Town use only
USE PERMITTED WITHIN THIS ZONE?[YES QNO R.E.Tax Paid. G. Mgmt Notified Cons Corn Notified
Yes®Norfl Yes 0 No r1l Yes(No 11
Special Permit Granted YES❑ NO Attach Comment Attach Comment Attach Comment
If yes,include with application
Approved Floor'Plan on File YES� NO® Fire District Police Dept. . Town Clerk
Dater-- Date® Business Cert Filed
Occupancy Number of Units or Rooms Comments: Comments: Yes®No
Seating Capacity -
„..........„„................ ....... ............. Board of Health. Grease Trap last pumped:
Building/Zoning Date F1/26/14 Date I Date:
Comments:ITP Comments '--must show proof of pumping)
CornDlaint`Numlier: 1772 . Taken,l v:,- BUJL_DING,SIJ1tVLC1 S =
Date: 5 18 00 4w `` _ `—Man/parcel` -3
F�
Referred to: L��
G F: a ,�
- -
SUBJECT OF COMPLAINT- U - .: .. . ;
Business/Occupant Name: IFRANK MICHIENZE
Number 84 Street: BEARSES WAYz
Village: I 'Q1S
I
COMPLAINT INFORMATION s
Complainant's Name: -- ANONY
Address:
Telephone Number: m
_
Complaint Descripti6n e4 'RUNNING
BUSINESS----NO CURT.
w ',
>; 7, .
Actions Taken/Results:- WILL CHUCK---TEL BK. FOR 775-7641 NEW
. g> 760-0014 ---CALLED AND LEFT WORD FOR
- HIM TO GET IN TOUCH. Ax
AL
77-77 ,
t 5
_ r
Date Closed: k _. -
-. A
. . --. ,. r '`.k, apt;: ..*. .a__ - - _,,,.. .. $•.:;'. v, • < n..- :, •::.
Parcel l LQt# 14116
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) l= ikte Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) 7 Fee t2dL
Engineering Dept. (3rd floor) House# 01 7 L�� _ C DIME, '
co TT p
— - - --- 19 CONSC7T01k .. ��
TOWN OF BARNSTABLE
Building Permit Application
Pr ' treet Address '�'�
Village . • ` H q A X/A/I S
Owner T 2161t/VS Off p�fSy�IJf✓Q� NLAddress 61. '114A%V 37' / 192WlLfr//-Wcy
Telephone b �d
'Permit Request S , r q
F
First Floor square feet
Second Floor square feet
Estimated Project Cost $ p`z3"y
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use G>re,-6 a Proposed Use
Construction Type Li O U D F A M F� c
Commercial Residential
Dwelling Type: Single Family b/ Two Family Multi-Family
Age of Existing Structure 4A /y/.sic/o LA/W Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths �j No. of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached t/ Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name I F A/ S (� F _F 2 IS0 Telephone Number 3 2 1 7-
Address 1(a?- n
t , v A / A/ S T License#
t2 C/U 1 G k(P 62,-f M A/ Home Improvement Contractor#
b Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE :P1-1°p 9 6=1
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PE IT NO.
D° ISSUED
/PARCEL NO....
i
RESS VILLAGE
OWNER ,
,
DATE OF INSPECTION:
FOUNDATION
FRAME -
i
INSULATION - -
t
FIREPLACE
ELECTRICAL: ; O,J�H FINAL -
PLUMBING FINAL t
GAS: H FINAL Y `
FINAL BUILDING
r ;
DATE CLOSED OUT
ASSOCIATION PLAN NO.
JOSEPI;�Qe :DAN.uz TELEPHONEt 775-1120
Building Commi,riontr EXT. 107
TOWN OF BARNSTABLE -
BUILDING INSPECTOR
TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
February 28, 1986
Mr. M. McNealy
: $— �Bearses Way_ .-J
Hyannis, —MA s 02601
RE: 84 Bearses Way, Hyannis
Dear Mr. McNealy:
This is a follow-up letter to our conversation re the business
operation at the above address. The complaint was based on an ad-
vertisement in a local newspaper. Although you have plans to build
a commercial building for the business operation you still will not
be permitted to operate from the Bearses Way address.
It is therefore directed that the business operation cease from
this address and relocate to an area that will permit such a business
use.
Please be reminded that such violations are subject to a penalty
and each day constitutes a separate offense.
I trust that legal action will be be necessary.
Peace,
t
�seph D. DaLu'z
wilding Commissioner
JDD/gr
r
_u7�i_-�-�z1ueG�
�� . . z..
_ �
<Asscssor's Office(19t:floor) Map34' Lot���_ Permit#
Date Issued —S —
Board of Health 3rd floor i3O 610 vdr
Im
Engineering Dept. 3rd floor House# ERAI°4
MAM
19 ie74 ASEQPEB
(Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) CONNEMO FI;OM THE
ENGIIMMG DIVISION POR TO
CONgT7tUCPION.
TOWN OF BARNSTABLE
Building Permit Application
Proeect Street Address 4 �� C'C(� SPA 4�
Village a S Fire District N�s
Owner a i Pp J1,S
/O f 10/ �&�1'A-S D7 C. Address o —
Telephone Ei LCL— Z 7 ] A 6 a(.
Permit Rc uest:
Zoning District Flood Plain Water Protection
Lot Size Grandfathered
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Tyne ( eae -f 1a n"f,
' / Existing Information
Dwelling Type: Single Family v Two family Multi-family
Age of structure L r1 Basement type
Historic House da Finished
Old Kinp s High3yaj Unfinished
Number of Baths No. of Bedrooms
Total Room Count not includin baths First Floor
Heat Tyne and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name 112,ng6 D%' 114�,76# ,ej AP_ Telephone number 6Of—V39 �`�7 f 7 .
Address 15110 b,17 4 /1-7 S D4.���/ License#
Home Improvement Contractor#
Worker's Compensation #
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
KProiect Cost _ �dy
Fee
SIGNATURE Ile ( ' DATE 5
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
i l
309. 162 FOR OFFICE USE OM.Y
lr
ADDRESS 84 Bearses Way VHlAGE Hyannis, MA 02601 e -�
OWNER Friends of ~Prisoners, Inc.
Q.
DATE,OF INSPECTION
FOUNDATION'
fi -
FRANLD
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL - t
' � k
GAS: ROUGH FINAL �s
FINAL BUILDING:
'V Fv®
CD
If-
DATE CLOSED OUT: —e " �f4 -
ASSOCIATE PLAN NO. ems,
or,
.oFIHE r The Town of Barnstable
BARNSfABLE. ' Department of Health Safety and Environmental Services -
MASS.
t639' �0
�Fo •° Building Division
367 Main Street,Hyannis,MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection ��Q
Location ' . �£� U--) -`/Permit Number
� 2
Owner Builder
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
Lo�-I-p V'\ FuL' &D ivi
T 1- 5 1 cote-(Z�'
1 �
A]
Y
T
VY
Please call: 508-790-h6227 for
Are�einspection.
Inspected by Ft—�1 t,1�t5ty�
Date
11l02'94 17:02 $6177277122 DEPT IND ACCID Q 001
1 l..onunoiuveaft{i o f I aijacIzaJetb
' eJJaparl`menl o���fria[,�icc
600 W-Juaylon.Shl l
James J.Campbell &ton, //(amagwdb 02111
Commissioner
Workers' Compensation Insurance Affidavit
1,
with a principal place of business at:
(awiseaftizip)
do hereby certify under the pains and penalties of perjury, thati
0 I am an employer providing workers' compensation coverage for my employees working on
this job.
Insurance Company Policy Number
() I am a sole proprietor and have no one working for me in any capacity.
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the
contractors listed below who have the following workers' compensation policies:
Contractor insurance Company/Policy Number
Contractor Insurance Company/Policy Humber
Contractor Insurance Company/Policy Number
I am a homeowner performing all the work myself.
1 understand that a copy of this s:atement will be fonrrarded to the Office of Investirations of the DTA for coverage verification and that failure to secure
covf-age as regji,.-ed under Section 25A of MGL 152 can lead to the imposition of criminal pennies consistin¢of a fine of up to s 1,500.00 and/or cr.-
years' imprLsonnent as welt as civil penalties in the four:of a STOP WORK ORDER and a fine of S 100.00 a day against me.
Signed this day of J v r °cam
Y-CR nwt��;�
Licensee/Permittee Building Department
Licensing Board
Selectmen Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TOWN OF BARNSTABLE BUILDING PERMIT #
Peter N. Conathan
Attorney at Law
93 Route 6A
Sandwich, Massachusetts 02563
Phone 508-888-4922
Fax 508-888-4926
February 4, 1994
Joseph Daluz, Building Commissioner
Town of Barnstable
367 Main Street
Hyannis, MA 026.01
Re: 84 Bearses Way, Hyannis, MA
Dear Mr. Daluz :
I represent Friends of Prisoners, prospective purchasers _of the
captioned property. It is my understanding the captioned proper-
ty has in the past been operated as a rooming house,. but is
`-----pr_e.seartly unoccupied.
My question is, will zoning regulations permit occupancy by up to
seven unrelated adults?
What if any modifications to the premises will the Town require?
I look 'forward to, hearing from you on these matters .
Very truly yours,
Peter N. -Conathan
PNC/jm
cc: Friends of Prisoners, Inc.
Reverend Thomas C. Shepard
671 Main Street
Harwich Port, MA 02646
Assessor's map and lot number ... �..C�..�./l a :..�G n oF;TNE TO
Sewage Permit number J7� �.C9.l���e;�2•�t. rat')`6/6
l House number ............�.` .....:............................... :.:... 0�
1 0 �.Maes_
_ D Y `(a,
TOWN ':OF ��BARNSTAB-LE
BUILDING IN ,PECTOR
APPLICATION FOR PERMIT TO ..:...../•.�•1t.t Lb........................:
........................................
TYPE OF CONSTRUCTION .........../. 0100.AVAL........................................................................................................
• 1
' .......19........
TO THE INSPECTOR OF BUILDINGS:
J.
The undersigned hereby applies for anperrmit according
to the following information:
Location .................. .Y....... l.41.......lL.!!.................. ............................ ...................................
Proposed Use ...........11.�d........1.�.�.tt.�.R.4.�.... .. ..X�.O.rh•.. ��it. ....r lP.!-!.'�............................
• s, t
Zoning District ...Fire-District
Name of Owner ......tlt.11* Address'....
Name of Builder ....... .t.t . .et�►.Q..... ,... .t,..4.N. .Addr..ess ...���...�!!T!s!........ r`. ^+ ..�Y.tc.A.M.NJ.!...........
' "
Nameof Architect ............:...................................,:................Address ...................:......,............................................................. ;
Number of Rooms ...................0.19.t,,....................................Foundotion ..........,/��......................................
Exterior ................../�'AA Of.t..................................:....,......Roofing ................v A. /. ............................................ ;
Floors ...............kv.,011........ 'v.........
!r111..........................interior ..............O/A. t. .................................................
Heating ":.:.::.:..��... f....W. :..'.......... ......................Plumbing ..........L�A .4. !. .....................................................
Fireplace ...........................1114...........:...........................:..........Approximate. Cost :.......:.. .........................................
.Definitive Plan Approved by Planning Board ----------------- ----------19--------, /Area Wig. �1... ...................
Diagram of Lot and Building with. Dimensions. Fee Sal .1..�.......
SUBJECT TO APPROV/A'/nr -A-o — uGnl TN
�T��'J► J C�i. ( �� r ��� r �w r w s �{� K J/1 �
r
HM.+
i V ,
S^
OCCUPANCY PERMITS SQUIRED FOR NEW DWELLINGS
I hereby agree to con arm-to all the Rules and Regulations of the Town of Barnstable regarding the ove
construction.
Name '. • ' `•
' "Construction 5upeYvisor'`S' License'' .:Q.`:9:;.�.�.:i�.
OLD STAGE VILLAGE
28067 Build Addition
No ................. Permit for ....................................
.......S,ingle...Famijy..Pwelling
Location ....$. 4�W WSJ a�dd ..........
.....................W.4=i$...........................................
Owner ........QU.5tage..VjJ3-age.....................
Type of Construct-ion .......Frame.......................
.......... ..................................................................
Plot ............................ Lot .................................
Permit Granted ....Ju..n..e....21.............. ......19 85
Date of Inspection ...
Date Completed ......................19
7
L
Assessors map and lot number ....... .................. :..JG D THE
0f T�1r
Sewage Permit number
Z EARNSTAKE, i
House number ........................................................................ 0 S 9.
3 0�
�9
TOWN OF BARNSTABLE
BUILDING INSPECTOR
.._..., j
APPLICATIONFOR PERMIT TO .........'............................... ...............................................................................
TYPEOF CONSTRUCTION .....................................................................................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location
Proposed Use
Zoning District .........................................Fire District ..................
Name of Owner ..:......Address
Nameof Builder ...........................:........................................Address ....................................................................................
Nameof Architect ..................................................................Address ..............:.....................................................................
Numberof Rooms ............................t.......................................Foundation ..............................................................................
Exlerior .................................:..................................................Roofing ...........................:.........:..............................................
F
Floors •.................................Interior ................
Heating ............................... .:................:,......:....................................................... 1
Fireplace ..........:................ ......................................................Approximate Cost ............ QO .......................
Definitive Plan Approved by Planning Board __________________J_--__-------19---_----. Area ...............
Diagram of Lot and Building with Dimensions Fee ......r!.±.. ..d...................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
' � r
AI
-
...� k
� l
OCCUPANCY PERMITS REQUIRED 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. Supervisor's License ..............'.....................
OLD STAGE VILLAGE /A=309— 62-000
bl-.
28067 AD DI 10
No ............ Permit for .........�9..... ...............
cr
Single Fan-Lily Dwell- 9
.................................................. .....84 Road�,
Location ................................................... .........
Hyannis
...............................................................................
Owner
Old Stage Village
..................................................................
Type of Construction ..........................................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ....... ...............19 85
Date of Inspection ....................................19
Date Completed ......................................19
FFILE # C16RO CENSUS TRACTT:nt.torney Riclr,ard I'. l,ar�l�y DEED I300K ► PAGE: Jam(rs Hunt' PLAN BOOK PAGE LOT 1
APPLICANT: Richard McNealy ASSESSORS PLAN PLOT
MORTGAGE INSPECTION PLAN OF LAND
I N
B A R N S T A B L E
SCALE : 1 50 ' AUGUST .23, 1984
LOT 14
l �
56 ,25' '
LOT 1
9, 457±s , F ,
LOT 2 �O
1.
G,/,/
++11 f , ik
f �r
66, -+
B E A R S E S WAY
I CERTIFY TO ATTORNEY RICHARD P , LARGAY , FORTUNE FINANCIAL GROUP , INC ,
AND ITS TITLE INSURANCE COMPANY , THAT. THERE ARE NO VISIBLE ENCROACHMENTS
OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY
IMMEDIATE SUPERVISION ,
THE LOCATION OF THE DWELLING AS SHOWN
HEREON IS IN COMPLIANCE WITH THE LOCAL „ r►+M.��1,
APPLICABLE ZONiNG , BY-LAWS WITH RESPECT
TO HORIZONTAL DIMENSIONAL REQUIREMENTS ,
THE DWELLING ,'SHOWN . MERE DOES NOT FALL .�F•FR`..: I
HAZARD ZONE AS s
WITHIN A SPECIAL FLOOD ,
DELINEATED ON A MAP OF ` COMMUNITY #250001 s;,
DATED 10/1/83 BY THE F . I . A .
Land Surveyors Civil Engineers
Abe �oston xaltb �$ur q (go., �ttr-
26I Won *
(defu �tbforb, AA 02740
(',ENFRAL NOTES: (1) The declarations made above are on the basis of my .knowledge, information, and belief as the
result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land
surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this
date. (3) This plan was no.t made for recording purposes, for use in preparing deed descriptions or for con-
structions. (4) .Verif.icstiono of property litil dilithiicfio, bUildirio of ifts; Fimdelt 6p lot- goofj[iUp®di6A filly
` be a�r.r..a�l i►.NeA :9rTv h r nr. 4rrirrAf r, in. hrrrp�nh ra rry�v. (—
I. — - I