HomeMy WebLinkAbout0497 BEARSE'S WAY C �f
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Assessor's Office 1st floor MaD Lot Permit# , 3� 6"T (/
. Conservation Office 4th floor 7 9� Date Issued
Board of Health 3rd floor
Engineering Dept. Ord floor) House#
Planning Dept. (1st floor/School Admin.Bldg.): iRAMUrABMNAM
..�
Definitive Plan Approved by Planning Board 19 639.
(Applications processed 8:30-9: a.m. 1:00-2:00 .m.
OWN OF BARNSTABLE
Building Permit Application
Pro'ect Street Address Route 28 and Bearses Way 9
Village RArnstable Fire District Barnstable
Owner Peter Mihos Realty Trust Address 22 Christy Drive - Brockton MA 02401
Telephone (508) 586-0474
Permit Request: To remove old ATM machi nP in the parking 10t:at thecorner o
Bearses Way & Falmouth Rd (Rt 28) Hyannis
Zonin District Flood Plain Water Protection
Lot Size Grandfathered
Zoning Board of Appeals A thorization Recorded
Current Use Pro sed Use
Construction Typq
Existing Information
Dwelling Type: Single Family Two family Multi-family
Age of structure Basement jyN
Historic House Finished
Old Kings Highway Unfinished
Number of Baths No. of Bedrooms
Total Room Count not including baths First Floor
Heat Type and Fuel Ce tral Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name Telephone number
Address 4444_ License#
Home Improvement Contractor#
Worker's Com nsation #
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
J Pro'ect Cost _
Fee
44W
SIGNATURE G DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
FOR OFFICE USE ONLY
/( 5/1/95 37690
292.077
ADDRESS 497 Bearses Way VILLAGE Hyannis
Peter Mihos Realty Trust �• ;'
OWNER
• 1
DATE OF LVSPECTION: # i
FOUNDATION
FRAME
INSULATION F {
FIREPLACE `.
s
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING:
,
DATE CLOSED OUT: ` 1
ASSOCIATE PLAN NO.
it/02•'94 17:02 V6177277122 DEPT IND ACCID z001
Conunon.cvea,Ctli. o{ )&Jaclztt�ettj
olJopartinent o��nc�u�tria6�ccidea�
600 1/VuLyton Shy l
James J.Campbell Dolton, X",zc"t6 02 f f f
Commissioner
Workers' Compensation Insurance Affidavit
1, Kenneth E. Eubanks
(UG=%-J )
with a principal place of business at:
KEE Enterprises, Inc. dba: AMS
89 Willow Street - Yarmouthport, MA 02675
(ccyise,x�zla)
do hereby certify under the pains and penalties of perjury, that:
( i am an employer provic1mg workers' compensation coverage for my employees working on
this job.
Savers Property & Casualty WC0000326-00
Insurance Company Policy Number
() I am a sole proprietor and have no one working for me in any capacity.
() 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 Number
Contractor Insurance Company/Policy Number
O I am a homeowner performing all the work myself.
I unde.<_[and t-.at a copy of dais s=ternent will be fonne.zrded to cite Office of Invedrations of the DTA for co%Trage verification and that f:ifure to secure
cove-.,age as reG-ired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or cr-
years' impriserrnent as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me.
Signed this day of 19
Licensee/Permittee Building Department
Licensing Board
Selectmens Office
Health Department
TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375
TOWN OF BARNSTABLE BUILDING PERMIT # -3-7e��
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95
....... ...... .. ..... 03/29/
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Cl
KERRY INSURANCE AGENCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
L
EASTHAM COMMON ROUTE 6 THIS
THE COVERAGE AFFORDED BY THE POLICES BELOW.
P 0 BOX 5040 COMPANIES AFFORDING COVERAGE
NORTH EASTHAM MA 02651 COMPANY
A SAVERS PROPERTY & CASUALTY
INSURED COMPANY
KEE ENTERPRISES INC DBA B
A M S COMPANY
89 WILLOW ST C
YARMOUTHPORT MA 02675 COMPANY
D
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............. ...............
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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 BY 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.
POLICY
co TYPE OF INSURANCE POLICY NUMBER DATE(EFFECTIVE POLICY EXPIRATION
LTR MM/DDfYY) DATE(MM/DDlYY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
CLAIMS MADE OCCURF
PERSONAL&ADV INJURY $
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED EXP(Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NOWOWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
H AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC0000326-00 3/01/95 3/01/96 X I STATUTORY LIMITS
EMPLOYERS'LIABILITY ....................
EACH ACCIDENT $ 500, 000
THE PR PRIE70R INCL DISEASE-POLICY LIMIT - 500, 000
� $
PARTNERS/EXECUTIVE 4'
OFFICERS EXCL DISEASE-EACH EMPLOYEE 5 0 0,0 0 0
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
PARKING LOT MAINTENANCE, SWEEPING AND JANATORIAL SERVICES
.............
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. ......................... .........
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
382 FALMOUTH RD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
HYANNIS MA 02601 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE No OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMP Aj4Y, ITS AGM OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
S�
...... KERRY INSURANCE AGCY INC J
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:.::::::: DATE M/DD Y
A ISII : .: ::: : :.::: : .: : . .:: <.: .....:::.:. .: .: .::.::.::.:
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::... 2 9 9 5
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
OLDS CAPE COD INS AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
435 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW.
COMPANIES AFFORDING COVERAGE
HYANN I S MA 02601 COMPANY
A COMMERCIAL UNION INSURANCE
INSURED
COMPANY
KEE ENTERPRISES INC DBA B
A M S COMPANY
89 WILLOW ST C
YARMOUTHPORT MA 02675 COMPANY
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......................::::::::::::::::.::.....................................................::::::::::::::::.................................................:....:..:::::::::::::.. :...................................................:::::::.:..::....................................
THIS:.ITER::::.............................................................................................................................................................................................................................................................
S O 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 BY 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 POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMIT'S
GENERAL LIABILITY ABR 3 0 6 7 0 8 0 2/2 8/9 5 0 2/2 8/9 6 GENERAL AGGREGATE $2 0 0 0 0 0 0
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG s2 , 000,000
CLAIMS MADE OCCUR PERSONAL&ADV INJURY $1 0 0 O 0 0 0
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1 000 000
FIRE DAMAGE(Any one fire) $ 50,000
MED EXP(Any one person) $ 5, 000
Pi AUTOMOBILE LIABILITY CBXA 0 0 9 3 8 10/01/9 4 10/01/9 5
ANY AUTO
COMBINED SINGLE LIMIT $
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS (Per person) $1, 000, 000
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident) $1, 000, 000
PROPERTY DAMAGE $ 250, 000
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS'LIABILITY
EACH ACCIDENT $
THE PROPRIETOR/PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $
OFFICERS ARE: R EXCL DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
PARKING LOT MAINTENANCE, SWEEPING AND JANATORIAL SERVICES
Ate . .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MALL
382 FALMOUTH RD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
HYANN I S MA 02601 BUT FAILURE TO MALL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATNES.
AUTHORS REPRESENTATIVE d /r ��w /.
L Gl� Lt
OLDE C
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,.:COM ELECTRIC ID :508-291-U95U+�(U� IIIHK UJ vi IV 14W •Vvv
COM Electric
484 Willow St.
Hyannis, MA 02601
March 3, 1995
Ken Eubanks
Dear Ken,
.The electric service to the.old ATM machine in the parking lot at the corner of
Bearses Way& Falmouth Rd. (Rte•28), Hyannis was disconnected on February.28,
1995. The electric meter was removed in December of 1992.
Vary truly yours,
Barbara A.Trocchi
Customer Service Rep.
TRANSMITTAL. COVER SHED
Commonwealth Electric Company
508-291-0950
Cape & Vineyard District---Telecopier #5705
You will receive - pages including this cover
sheet.
i
Date: Time:
TO:
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Location:
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