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0852 BEARSE'S WAY
��� �� f� r` -�.__ ���� _�� rl 4 �( �i V T: . TROY WALL ASSOCIATES ATTORNEYS AND COUNSELLORS AT LAW7 + , 90 ROUTE 6A SANDWICH, MASSACHUSETTS 02563-1866 ROBERTS. TROY BRIAN J. WALL November 15, 2010 VIA U.S. CERTIFIED MAIL RETURN RECEIPT REQUESTED I I10111as I CITY, M1 GCLo Building Division Town of Barnstable 200 Main Street Hyannis, MA .02601 Re: Request for Zoning Determination Pursuant to Massachusetts General Laws Chapter 40A, Section 7 Dear Mr. Perry: Please be advised that I represent Jack G. Carter, Jr., the President of Hyannis Enterprises; Inc. and owner of Hyannis Toyota. This serves as a request, pursuant to M.G.L. c. 40A, § 7, for a zoning determination in order to confirm that the property located at 852 Bearse's Way, Hyannis, can be used to store new and used motor vehicle inventory and for overflow employee parking. The factual background that gives rise to this request is as follows. The _ iS vibrant and placing demands u.non the limited space available on site. In order to address these. demands, Mr. Carter ha,.- been searching for a nearby property that he can use to store new and used vehicle inventory and to provide extra employee parking. Mr. Carter has succeeded in reaching an agreement with the Elks Club of Hyannis to purchase the property at 852 Bearse's Way. Before he closes on the property, Mr. Carter seeks your determination that his intended use of the property is allowed by zoning. The subject property consists of, approximately, 1.08 acres. It is improved with an existing structure with 14,711.square feet of interior space and an asphalt parking lot. The property is situated in a Business Zoning District. Permitted uses in the Business District.include, but are not limited to, the following: PHONE: (508) 888-5700 FACSIMILE: (508) 888-5701 November 15, 2010 Page 2 1. Retail and wholesale store/salesroom. 2. Retail trade service or shop. 3. Office and bank. 4. Restaurant and other food establishment. 5. Place of business of baker, barber, blacksmith-builder, carpenter, caterer, clothes cleaner or presser, confectioner, contractor, decorator, dressmaker, dyer, electricianAorist, furrier, hairdresser, hand laundry, manicurist, mason, milliner, news dealer, optician, painter, paper hanger, photographer, plumber, printer, publisher, roofer, shoemaker, shoe repairer, shoe shiner, tailor, tinsmith, telephone exchange, telegraph office, undertaker, upholsterer, wheelwright. 6. Gasoline and oil filling stations and garages. 7. Hotel/motel (subject to certain other provisions of the Zoning Ordinance). - 8. Any other ordinary business use of a similar nature. Mr. Carter respectfully submits that the uses he proposes -- storage of new and used motor vehicle inventory and employee parking -- are allowed as-of-right in the Business Zoning District.as they fall within the allowed uses of"retail and wholesale store/salesroom," "garages," and "any other business uses of a similar nature." Indeed, Mr. Carter is, essentially, proposing to park cars on the property. Such use is inextricably linked with all of the uses allowed in the Business District and occurs throughout the Business Zoning District. We appreciate your consideration of this matter and respectfully request. that you render your decision within fourteen days as specified in M.G.L. c. 40A, § 7. If you agree with our analysis, you can respond to this request by signing the proposed zoning determination set forth on the following page. I November 15, 2010 Page 3 Thank you. Sincerely, Brian J. Wall Cc: Jack G. Carter, Jr. ZONING DETERMINATION This will confirm my agreement that the use of the property at 852 Bearse's Way. Hyannis, for storing new,and used motor vehicle inventory and employee parking is allowed as-of-right and does not require any approval or relief from the Zoning Board of Appeals. Dated: ector Building Division Town of Barnstable' YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis; MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE:%k`C"Si Fill in please: -7R� APPLICANT'S YOUR NAME/S: f5'.'�/. \ 7xr " j 7C�c'C' c1 L.lC1�1 _ ' r USINESS _ YOUR HOME ADDRESS:, 0 7 c Lainn cab 17,�` �R fi D 9s gr a •..#sr$ f4�' V V � .��� � `{'r. - •J-' ep.G_ . '� TELEPHONE # Home Telephone Number v ON a" v = v Cam, ,. NAME OF:NEW<BUSIN NAME OF.,.CDRPORATI ESSLLLTYPE.OF.BUSINESS IS THIS A HOME OCCIJPATION? YES NO MMAP/P ARCENUMBERADDRESS OFBUSIN 8S (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 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.. 1. BUILDING COMMfSSIONER'S FFICE This individual has bee.R of permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 2 BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION - Map pp Ma "� Parcel Application # fC7 Health-Division Date Issued � ) Conservation Division Application Fee Planning Dept. Permit Fee = -�3 Date Definitive Plan Approved by Planning Board Historic - OKH_ _ Preservation/Hyannis Project Street Address �� ���✓�� ��y / � �'1 S Village #YA h� S Owner Address Telephone _ D Permit Request e v�c c,) e.C%$ �� bt y �v6��� '�' ovC /�iCC '+/l/ �V affix iY Sy Square feet: 1 st floor: existing proposed 2nd floor: existing proposed _ Total new Zoning District Flood Plain_ Groundwater Overlay Project Valuation L���_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 Krgs Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)_ _ Basement Unfinished Area.(sq!.ft) w Number of Baths: Full: existing new Half: existing t ;new Number of Bedrooms: existing _new ' x Total Room Count (not including baths): existing new First Floor Room Cou tt 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 J/ -A_ Jk Telephone Number l c Address Five Q nr rS License # S l 0 0 311 CC rnri/�/��P W1°L Ud2(,3 Home Improvement Contractor# ( C GO-? _ Worker's Compensation # VC- do d_6 1fl03,o V Uv ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f,. 3 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE,18SUED MAP/PARCEL NO. r u ADDRESS VILLAGE OWNER 4 ' DATE OF INSPECTION: .;FOUNDATION ,: FRAME Y. '? � ' INSULATION' z ' FIREPLACE ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL .FINAL BUILDING;' " � t DATE CLOSED OUT t ASSOCIATION PLAN NO. , P t I ne Commonwealth of Massachusetts Department of Industrial Accidents Office of Inveskgafions 600 Washington Street Boston, MA 0,2111 wwru.macs g v1kUa Workers' Compensation prance AffidaPit: grinders/Confractors/EIectrieians/Plumbers A licant Information Please Print Le gib Name (mrotorganiza]ionandividual): �� (C,zc"J f 4 l,Arj Address: f l✓� C�v n r..�� City/StaWZip: Ccin�_I oJlle i"I&- p)L( ;- Phone#,' r a �-- Are you an employer? Check the appropriate box: U 4 I am a Type of project(regnaredj: . 1. I am a employer with ❑ general contractor and II.F. employees(full and/or part-tie),* have hired the sub-contractors 6. ❑New construction 2.[] I am a sole proprietor or partner- listed on the attached sheet, 7 ❑Remodeling ship and have no. to ees These sub-contractors have �p Y 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.m 9. surance.# ❑Building addition required.] 5. ❑ We are a corporation and its I0.0 Electrical repairs or additions 3.❑-I am a homeowner doing all work officers have exercised their l I.❑Plumbing repass or additions myself [No workers' comp. right of exemption per It�ICrL insurance required]t c. 152, §1(4), and we have no 12.0 Roof repairs employees. [No workers' US Other e I insurance required.] *Amy applicant that checks box#1 must also fM out the section below showing their work=,compensation policy iaformatioa• t Homeowner;who suhmit this affidavit indicating they arc doing an work end that check then but outside contractors must submit a new afi5davit indicating such t<actars eck this box most at�ched an additional sheet showing the name of the sob-contractors end state whether or not those entities have employees If he sub-contnictors have employees they mast provide ffi wcd:='o oli number, omP P ey lam an emplayer that is providing workers'compensation insurance far my eraployeea. Below is the policy and job site inform don. Insurance Company Name: �j �d `� �- Policy#or Self-ins.Lie.# �`� 3-0 C)® 0 3v r Exgiraiion Date: ® 3 Job Site Address: ��— "e�Isc-f 1./! City/State/Zip: A@L/1'h Attach a copy of the workers' compensation policy declaration gage(showing the policy number and expiration elate). Failure to secure coverage as required under Section 25A of MOIL c. 152 can lead to the imposition of crjra n penalties of a fne 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 viohitor. Be advised that a copy of this statement may be forwarded to the Office of Imlestigations of the DIA for insurance coverage veufication. i I do hereby certify under tthe ains and penal€ies of perjary that the information provided above is true and correct, �i I/V �Z4__2� Date: G /Y 'hone �ffzcivl use only. Do not write in this area, to be completed by city or town of"iciaL City or Town: Permift icense# fssling Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Cl 6. Other erk 4.Electrical Inspector S.Plumbmg Inspector Contact Person: Phone#: I R. CAZEAULT\ ROOFING AIRS PROPOSAL Proposal No.12-105 January 17,2011 To: _ Hyannis Elks Work to be performed at Hyannis Elks Hyannis MA We hereby propose to.furnish the materials_and perform the labor necessary for the completion of:. NEW RUBBERROOF 1: Remove existing rubber roof 2. Secure ihil., aytnent 3 Install tapered poly-iso cricket insulation and.fasten(creating pitch) 4: Install fully adhered rubber roof system 5. Flash all pipes and penetrations 6 Install gutter system at.eac..h end 7: Remove all rubbish from project Labor and Materials $12,500 Gnaranteed For._15 yrs All:material�s guaranteed to be.as specified;and the above work to be performed in accordance withtheapecifications andcompleted in-a substantial workmanlike manner for the sum of: Twelve Tlonsand and Frye Hundred Dollars$12,500 with payment as foIlows Six Thousand Two Hundred and Fifty.Dollars$6,250 due with acceptance of proposal and . Sig.Thousand Two Hundred and Fifty Dollars$6,250 due upon Completion Respectfil s Richard' :::Cazeault,Jr. 198 Five Corners:Road Centerville,MA 02632 (508)420-5482 Acceptance of Proposal No. 12-105 The above prices specifications and conditions are satisfactory and are hereby accepted. Yo to do the work as specified.Pa ent is utlined above. �==-_- ---- "� --� z --� ---_- Signature Da e ATE(MM/DD/YYYY) .4coRv CERTIFICATE OF LIABILITY INSURANCE F2;13/2012 THIS CERTIFICATEiS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to !� the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). . PRODUCER GONTACT - MCSHEA INSURANCE AGENCY INC -NAME: PHONE FAX A/c No. o Ell- C508) 420-9011 AIc No:(508)420-9010 749 Main St #H E-MAIL ADDRESS.insure - Osterville, MA 02655-1944 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A:Acadia Insurance INSURED Cazeault, Richard ` InIsuRERt3:Norfolk and. Dedham M^ F, Inc s INSURER C: ` 198 Five Corners Road` INSURER D Centerville MA 02632. INSURER E sue #508-737-9313 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR - - ADDL S BR _ LTR TYPE OF INSURANCE' INSR wvD POLICY NUMBER MM/DD� MM/DD//YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence _ $ 50 000 a CLAIMS-MADE OCCUR MED EXP(Any one person) - $' 5 000 A #NPP13040.49 1/25/121/25/13 PERSONAL&ADV INJURY $ 1,000,000 Y GENERAL AGGREGATE s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY F JF LOC $ . AUTOMOBILE LIABILITY MBINED SINGLE LIMIT Ea accident $ 1,000,000 ANYAUTO E 11/17/20 BODILY INJURY(Per person) $ 100 ALL OWNED SCHEDULED 91153275A. -, 11 11/17/2012 BODILY INJURY(Per accident) $A AUTOS . X AUTOS ' - ' .'.. , .,. _ 300, HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ 200 UMBRELLA LIAB OCCUR- - a EACH OCCURRENCE $ �DXE CESS LIAB CLAIMS-MADE AGGREGATE $ D RETENTION$ $ . WORKERS COMPENSATION WC STATU- OTH- f„ AND EMPLOYERS'LIABILITY Y/N *= X TORYLIMITS ` ER ANY PROPRIETORMARTNERIEXECUTIVE OOO 00 EACH ACCIDENT $ p WC-20 20- 4 003093 2/4/2012 2� /2013 E.L. - 5 A OFFICER/MEMBER EXCLUDED? ` ❑ N/Af / (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ ,500,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ . _ 500,000 . t DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) carpentry and roofing. This Certificate, is in reference to theVHyannis Elks Club.El CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHO ANY THE OVE DES9R ED POLICIES BE CELLED BEFORE } Building Dept. TH 'EXPIRA ON ATE rtiER F, NOTICE WI DELIVERED IN 200,Main St. A CORDANC, WI THE OL ; Hyannis,, MA 02601 A IZE SENTATI 01988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD i< ,rtis:tAhutietts.- Dep.t_rtmi 5 11 + 1N 't 13u:u d oi'I; rildinh Re-uiations an`I St ind ►1S+1�" t;otrstruction Supervisor License;•` '`.a Wcehse C$- 100393 - Res61 t'ed.to 00 RI -HARD CAZEAULT JR i 198 F1VE C'I ,.ERS RD }a CENTERVIL,(1�, A'02632 . ,...k/,�VI 7. Expiration: 2/3/2012 �, + +rufnii�auaJta' TrM 100393 ✓sue �o n�ny.Zal// o�✓G�uaoi�r7uo " Office of Consumer Affairs,'. Bdsmess Regulation 'i HOME IMPROVEMENT CONTRACTOR j +` Registration y 1,68G0T Type ;; Expiration: 3/8f20,13 Individual V 1t; _ RI ARD P.CAZEA�ULT. JR RICHARD CAZEA VU'1 198 FIVE CORNwE ID-11 7 r CENTERVILLE Mtq Q jt Uodirseci eNry 'License or registration valid for individul=use only before the expiration date. If found return to: Office of Consumer Affairs and BusinesslRegulation 10 Park Plaza-Suite 5170 j Boston,MA 02116 I Not lid without signature I _ Find a Licensee Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Mass.Gov,Home Public Safety Department of Public Safety Licensee Lookup The list is current as of Friday,October 21,2011. You can search/filter the licensee list by any of the criteria below. License I Businesses11 Individuals Select a License Type p Construction Supervisor w Search by License Number 100393_ Search Select a License Type Select One i.�. Search by Business Name _ Search by Contact Last Name i First Search by City�— _ — Zip Code_ Search • Select a License Type Construction Supervisor !4 . Search by Last Name First Search by City Zip Code _ Search Results LICENSE TYPE BUSINESS NAME CONTACT NAME LICENSE RESTRICTION ADDRESS STATUS Construction Supervisory N/A Cazeault Jr,Richard 100393 00 Centerville,MA 026321 Current i http://db.state.ma.us/dps/licenseelist.asp 2/13/2012 RE-ROOFING/RESIDING/WINDOWS (COMMERCIAL) ❑ rf located in OKH or Hyannis Historic District- Certificate of Appropriateness re fired unless same color/same materials specified on application Map/parcel number Approval Sign-offs from: ❑ Tax Collector ❑ Treasurer ❑ # of squares of shingles or square footage of roof or sidewall to be shingled/sided ❑ Specify stripping old shingles or going over old roof. If going over ❑how many roof layers existing now ❑what size are rafters? What is span? ❑ Owner's name & address ❑ Project�� ct valuation must be entered l ❑ Builders Information Signature ❑ Workman's Compensation Insurance Affidavit State form must be completed and a copy of Insurance Compliance Certificate must be submitted. ❑ A copy of the Construction Supervisor license is required. Effective March I, 2009 ❑ Check expiration date, no restrictions ❑ Permit fee $160.00 ❑ Property Owner must sign Property Owner Letter of Permission. Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission -forms/b ldgpermits/permitcheckl ists w.070610 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION c Map Parcel' b(3 App IIiat i6j,1 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 A". (/V, Z4 Village Owner Address 12 LV. Telephone vg� :3,t 11:!i:�,9 Permit Request 7- Square feet: 1 st floor: existing-,.-_proposed 2nd floor: existing proposed Total new Z. oning District Flood Plain Groundwater:Overlay 4� d Project Valuation 6r "-Construction Type Lot Size Grandfathered: LJ Yes J No If yes, attach supporting documentation. Dwelling Type: Single Family Ll Two Family LJ Multi-Family (# units) Age of Existing Structure Historic House: U Yes LJ No On Old King's Highway: 0 Yes U No Basement Type: LJ Full LJ Crawl LJ Walkout LJ 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: LJ Gas LJ Oil LJ Electric U Other Central Air: LJ Yes LJ No Fireplaces: Existing New Existing wood/coal stove: Ll Yes LJ No Detached garage: L]existing LJ new size—Pool: L1 existing U new size Barn: U existing 0 new size Attached garage: Ll existing U. new size —Shed: Ll existing LJ new size Other: ti Zoning Board of Appeals Authorization Ll Appeal # Recorded U Commercial U Yes J No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address ti,-<- LV,4-,l License # /-tn 14cs 6,9C3-7 Home Improvement Contractor# /0Q Worker's Compensation # Awe 2t)oqji jojaoo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z14 SIGNATURE DATE Ay/e 7 r FOR OFFICIAL USE ONLY r APPLICATION# DATE ISSUED s MAP/PARCEL NO. z F ' ADDRESS VILLAGE OWNER t a DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 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/Eleetricians/Plumbers Applicant Information n p Please Print Legibly Name(Business/Organization/Individual): //,� /' r/✓tlR /�6�//%v5 Address: /j S /1�3 g City/State/Zip: -� Phone.#: ;ia'o 3 7 60 o 7 y s Are you an employer?Check the appropriate box: Type of project(required): 1.E]"I am a er w employer 4. ❑ I am a general contractor and I p y —� 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' 9. ❑Building addition [No workers'-comp.-insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised.their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0Roof 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#1 must also fill out the section below showing their workers'compensation policy infommtion. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors 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: 4,. /�u m z �N, Policy#or Self-ins.Lie.#: �.1,y C 'JO 0 f/ / ;3 of a Od,P Expiration Date: ,1--al/O V Job Site Address: o i `yJ- City/State/Zip: 4,�1 ,vrs'r J"y)L e 9 urc t` 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: ow_�� v'"� Date: i311 d 9 Phone M 16 G G? �t Off use only. Do not write in this area,tb 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#: Information and 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-conkactor(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 maybe 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 hike 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 Industri,al Accidents Office of Investigatkus. 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia s► Toti Town of Barnstable Regulatory Services. BAMSUBce Thomas F.Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I �V 49� e6;'& — vtJ;?7�as Owner of the subject.property hereby authorize s� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:F0 RM S:0 WNERPERM IS S 10N Town of Barnstable tKE „�. Regulatory Services Thomas F.Geiler,Director BAMSrABLF- ` MAs3. Building Division �PlFD �A Tom Perry,Building Commissioner 200 Main-Street.-Hyannis MA_02601._ www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to- be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner perfomring work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assunring the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application. that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a fonn/certification for use in your community. Q:forms:homeexempt I r 7 DATE(MM/DD/YYYY) ACORD . CERTIFICATE OF LIABILITY INSURANCE 06 PRODUCER Phone: (508)987-0333 Fax: 508-987-0063 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAATIONTION08 OXFORD INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE3 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTE P O BOX 370 N[� ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL( OXFORD MA 01540 INSURERS AFFORDING COVERAGE NAIC# INSURER A: A I M Mutual Insurance Company INSURED LIBERO MOLINARI INSURER B: DBA MOLINARI HOME IMPROVEMENT INSURER C: 11 SHEEP PASTURE WAY INSURER D: EAST SANDWICH MA 02537 INSURER E: COVERAGES 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 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — wsR ADutr POLICY NUMBER POLICY EFFECINE POLICY LXFIRAI ION LIMITS N5 INSR TYPE OF INSURANCE DATE MM/DD/YY DATE MM/DDIYV $ GENERAL LIABILITY NONE EACH OCCURRENCE DAMAGE TO RENTED $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) MED.EXP(Any one person) $ CLAIMS OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ GENT AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT AUTOMOBILE LIABILITY NONE COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY ALL OWNED AUTOS (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS/UMBRELLA LIABILITY NONE AGGREGATE $ OCCUR ❑CLAIMS MADE $ DEDUCTIBLE $ RETENTION$ we sTATu- X TORY LIMITS OTHER WORKERS COMPENSATION AND AWC7008113012008 05/21/08 05/21/09 E.L.EACH ACCIDENT $ 100,000 EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNERIEXECUTIVE - E.L.DISEASE-EA EMPLOYEE $ 100,000 OFFICERIMEMBER EXCLUDED? If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The workers'compensation policy does not provide coverage for Libero Molinari CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS ZOO MAIN STREET WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE 200 MAIN T ET TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S AGENTS OR REPRESENTATIVES. FAX#508-790-6230 AUTHORIZED REPRESENTATIVE Attention: BARNSTABL E BUILDING DEPT. 6-, Joseph E.Anastasl ACORD 25(2001108) Certificate# 42128 ©ACORD CORPORATION 1988 t FINE ram, Town of Barnstable ti Regulatory Services r. BARNSTABLE, Thomas F. Geiler, Director lfoMArA Building Division. Thomas Perry, CBO Building Commissioner .200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 RE: 85.2 Bearses Way Hyannis, MA Map 294 Par 043 To Whom It May Concern: Recently is has come to this.offices attention that there has been recreational vehicles with occupants on a regular basis occupying your parking lot overnight. According to 240-9, this in is not permitted unless a permit is first obtained through this office. We realize that it is possible that your organization may even be unaware that this is occurring. We would suggest the placement of signage to forbid.this activity. On another matter your designated handi-cap parking spots lacks the signage which must be place no more than ten feet away and between 60"-96"to the top of the sign. Please have this proper signage installed. Your anticipated cooperation in these matters is appreciated. Respectfully Thomas Perry, CBO Building Commissioner f Perry, Tom From: Geiler, Tom Sent: Tuesday, September 30, 2008 2:59 PM To: Perry, Tom Subject: RE: Complaint OK I assume the property owner would be responsible for getting the permit. Send the Elks a letter advising that a complaint has been filed. Advised the of the requirement for the permit and the conditions that go with it. This sounds like a situation that goes on regularly with out of town members of other Elks lodges are spending the weekend in there RV in the Elks parking lot. Not matter what the situation is we need to make them aware of the regulations with respect to overnight trailers/RVs. If they tell us that this has not happened, we can accept that and respond appropriately with any future complaints. Thanks -----Original Message----- From: Perry, Tom Sent: Tuesday, September 30, 2008 11:25 AM To: Geiler, Tom Subject: RE: Complaint I can't get a straight answer about the RV;we usually look upon them as being the same as a trailer.To have a trailer on a temporary basis you are supposed to get a permit.What's probably happening is that people are traveling and just pulling in there for the night.The RVs are usually self contained. -----Original Message----- From: Geiler, Tom Sent: Tuesday, September 30, 2008 10:57 AM To: Perry, Tom Subject: RE: Complaint Does a temporary trailer require any approvals or permits? If an RV is not a trailer, does that mean it is not allowed in any situation? -----Original Message----- From: Perry, Tom Sent: Tuesday, September 30, 2008 10:54 AM To: Geiler, Tom Subject: RE: Complaint You can have a"trailer" on a temporary basis in all zoning districts.If they are doing this without the permission of the land owner then it's trespassing and the owner needs to call the police. The ordinance is silent with respect to RVs, it only talks about trailers and I can never get a straight answer of whether they are the same.To me they are different. -----Original Message-- -- From: Geiler, Tom Sent: Tuesday, September 30, 2008 10:19 AM To: Perry, Tom Subject: Complaint Tom ; we have received a complaint about the Elks property. The concern is that frequently on weekends there are 1-3 RVs in the parking lot with people living in them. I am not sure what the rules are with respect to RVs. Please take a look at the regs and get back to me. Thanks 1 I n Perry, Tom From: Geiler, Tom Sent: Tuesday, September 30, 2008 2:59 PM To: Perry, Tom Subject: RE: Complaint OK I assume the property owner would be responsible for getting the permit. Send the Elks a letter advising that a complaint has been filed. Advised the of the requirement for the permit and the conditions that go with it. This sounds like a situation that goes on regularly with out of town members of other Elks lodges are spending the weekend in there RV in the Elks parking lot. Not matter what the situation is we need to make them aware of the regulations with respect to overnight trailers/RVs. If they tell us that this has not happened, we can accept that and respond appropriately with any future complaints. Thanks -----Original Message----- . From: Perry, Tom Sent: Tuesday, September 30, 2008 11:25 AM To: Geiler, Tom Subject: RE: Complaint I can't get a straight answer about the RV;we usually look upon them as being the same as a trailer.To have a trailer on a temporary basis you are supposed to get a permit.What's probably happening is that people are traveling and just pulling in there for the night.The RVs are usually self contained. -----Original Message----- From: Geiler, Tom Sent: Tuesday, September 30, 2008 10:57 AM To: Perry, Tom Subject: RE: Complaint Does a temporary trailer require any approvals or permits? If an RV is not a trailer, does that mean it is not allowed in any situation? -----Original Message----- From: Perry, Tom Sent: Tuesday, September 30, 2008 10:54 AM To: Geiler, Tom Subject: RE: Complaint You can have a"trailer" on a temporary basis in all zoning districts.If they are doing this without the permission of the land owner then it's trespassing and the owner needs to call the police. The ordinance is silent with respect to RVs, it only talks about trailers and I can never get a straight answer of whether they are the same.To me they are different. -----Original Message----- From: Geiler, Tom Sent: Tuesday, September 30, 2008 10:19 AM To: Perry, Tom Subject: Complaint Tom ; we have received a complaint about the Elks property. The concern is that frequently on weekends there are 1-3 RVs in the parking lot with people living in them. I am not sure what the rules are with respect to RVs. Please take a look at the regs and get back to me. Thanks 1 1HE r ti Sign °� TOWN OF BARNSTABLE Permit * BARNSTABLE. y MASS. $ArE1 39�- A Permit Number: Application Ref: 200804302 20070200 Issue Date: 08/12/08 Applicant: HYANNIS ELKS HOME INC Proposed Use: FRATERNAL ORGANIZATION Permit Type: SIGN PERMIT Permit Fee $ 75.00 Location 852 BEARSE'S WAY Map Parcel 294043 Town HYANNIS Zoning District B Contractor PROPERTY OWNER ti Remarks REPLACE EXISTING SIGN NO MORE THAN I l' W/4 CHANGBLE LINES Owner: HYANNIS ELKS HOME INC Address: 852 BEARSES WAY HYANNIS, MA 02601 Issued By: PC POST THIS CARD SO;TIiAT IS VISIBLE FROM THE STREET r ' Town of Barnstable �oFt"E' ti Regulatory Services o� Thomas F.Geiler,Director y s y$"a'AM LE. Building Division SS E1 39. Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit .4 .V `- 6 q ✓ " Application for Sign Permit Applicant: 14V A hZ 6//S t9 o D b r VP E7 114 S' Map &Parcel # Doing Business As: S 2 e&(Z SST VS4 + Telephone No. Sign Location Street/Road: �'S 2 ig` cz-S es � Zoning District: Old Kings Highway? Yes/IS Hyannis Historic District?. Yes4 Property Owner Name: VSI Apjx( l� tvD l)F ®F Elk 4 14 C. Telephone: 571D9 I 1 I Y Address: S2 13 E-A-R-S ES WA-M�Village: y AyIA1/ S Sign Contractor S V� cu p �® S -4 5' 7 - 1 Name: �— �L� S > > Telephone: Mailing Address: , Z L o c"S Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign.to be electrified? Yes/No (Note:If yes, a wiring permit is required) ` Width of building face r (;9 f ft. x to= 1 `p 30x.lo= 163 Sq.Ft.of proposed sign 3 70 I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of§240-59 through-§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: AP-V a'be: �- Permit Fee: Ms :c Wd — 5' V860l Sign Permit was approved: Disapproved: ' Signature of Building Official: Date: In order to process application without delays all sections must be completed. Q:l WPFILESI SIGNnSIGNAPP.D0C Rev.9112106 t -- 5'-0" b' 6" . .R i 2'-8" 5 T/2"°L"�_ I r HYANMS LODGE e' 1/2° 4"[ #1549- i 8"L 852 Bearses Way LETTER:6" our messages to be Displayed here with Changeable letters With four lines Pt fish, AomhhL AMID, i .f� PYiON 5'-6"OC (A r 1 t' Q1Y 1 4U.6 Sty.F I. NEW INTERNALLY ILLUMINATED DOUBLE FACE PYLON SIGN CABINI,I I I"DEEP TYPE I CABINET 2"COPING RETAINER&RETURNS PAINTED BLUE TO MATCH LOGO 3/16"1 FXAN FACF WITT i TRANSLUCENT VINYI GRAPI TICS LOGO 10 BE DIGITALLY PRINTED `CLISTOh4FTt 10 SUPPLY HIGH RESO U R 114 TILF Of ;r.l.r. 10(-.()SIANDARh COI ORS MANUAL READER BOARD:4 LINES OF 6"HIGI-I BLACK CONDENSED LETTERS WITH CLEAR COPY TRACK POLES (2)6"SQUARE PAINTED MATTHEWS BRUSHED ALUMINUM COLORS&MATERIALS \<LF.TO MATCH LOGO STANDARDS V.I.F.10 MAICI I[CIGC0 STANDARDS MATTHEWS BRUSHED ALUMINUM PAINT MP 30136 • DIGITAL PRINT 11" SPECIFICATIONS ( 1 ® .040 NUM C W IREWAYCIOVER 2" © 3/16'LEXAN FACE I. © 2"COPING REMNER 'J FLUORESCENT LAMPS ! © O �In NANG BAR 0 TYPE 1 FRAME iJ (R'INPE i CABINET DETAIL D NOT TO SCALE T he Commonweal th of M assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to HYANNIS ELKS CLUB, INC. Certify that I have inspected the premises known as: HYANNIS LODGE OF ELKS located at 852 BEARSES WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity A3 UPSTRS BAR-AT TABLE 16 UPSTRS BAR-STOOLS 19 MAIN FUNCTION ROO 149 FOR BINGO 245 ALCOVE 27 FOR BINGO 58 UPSTAIRS A-FRAME 74 FOR BINGO 100 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 14515 4/30/2001 4/30/2002 294 043 The building official shall be notified within(10)days of any changes in the above information Building Official s , t 11 1 JI 1 1 1 1 11 I r 1 1 %cam✓,a,//„i- �%%/----- {.] 11 I •111_. •• 1-+ ..i 11.1.11111 _ � •••1/. 11 •-� .111 !• 1 • • • •I .Ii . 1 ' 1 • •11• "•1..�/1 11 .11 ✓,1•{ MI ■ .•IIIU�11 -•:1/ •11 1.1 11 -•1111 • _� '••I•..11 _ UI 11 . to :tt aun • �t • . • •111 , 1�.•1•. 1 11 <4 ligsic . 1 r ?A ■ 11 1 Iltl �1 .11 1 1 - 111 �. 1 ./1111 .1. �• •- f'• 1. .Ili �• • • •1. -II.1 ' -11 d rlllll r11) 1 1• I It .•1111•-11 `✓.11 111 •• 1 • ... -.. .. . ..4 q=;,Q;{w,�•�a���t.4�-�.ti•aa} .",4a.<}.C"�,',•a:3�ff•�m, ,xr<• {M{oy," ; :,- .: .;�. .:. .:,�y?�'::. :....:.•.,�: :>..^•t}. :c;2<vJi�r'.?Z�'��S:,.�.� -°3 ^wt`•�"�Jfiha' J• ::.�...{;....:vv ., .�x ,.r.' s(�:'Cnti'•.w;x::^.1> }.;::- H s:3:-b'!$:�J:.<•,;}>:.4nsk <•Y`<.3.» +r4'..:t3;K..' .a q'•' ar:t�' ,gy�.QQ' y%,'�" n..:...:'.�? - f.�c.v. 4��.r• +c2:}:a:`<��:y:.5"' 2,v+v.%r` '` .`• r4:d;, : k:-- ;�'�ya.:>'KS:.,?. •.w?i-S'�' %>'r'{.a.: :�.�'�{.2;2).L:.£::.:: �.�-.'.;..�ti4?:'{; . -u :}ss{.? <:z ..{$%.:5?•>;.ri{?ai:;:iha'".yrj::: i??:::3:}.y;,:`'•;- >'�.'•i'8 . 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I emdesstsnd that a copy of this statement mad be forwarded to the OIDoa otlanst[=atlons of tba DlAfor�1� I do hereby catijy under the pals and paw(tia vfpQlW'Jtha the informmim pJnvvi&d aborr is trues and evrrrd Siffiattire Print name Phcme - CconfAct do not write in this am to be complete$b'y city or town oIDdd town: permdtAlceasa • OB�e Deoard Q ;Board ediate tsspansa is requited QSdsetmea's Once Q$ealtbDepartment Pip; ❑fir. Urnam$195 PJA) 1 — ,., EST/MA TED PROJECT COST WORKSHEET Value LIVING SPACE � D' square feet X $55/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X $20/sq. foot= DECK square feet X $15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost For Office Use Only lnclusionar Affordable Housing Fe ❑ R idential Co rcial" Property Owner's Name Project Location Project Value ermit Number "Existing Sq. Ft. "Prop o d New Sq. Ft. Fe IAHFORM 1/3/00 �y�a ZE-i".1f6/N�AG/-y"u�~�f.. �.).!,rr ]•mow dirt.v[:..'.ate ",� . BOARD-OF BUILDING REGULATIONS T { License: CONSTRUC-nON SUPERVISOR ' l Number:.-CS . ---917357 IBirthdatie'0711338" Eicprres 07Jx11206t` Tr.no: 433 s - -- esbi To: 00 RAYMOND.A PAYN BLUEBERRY HILL RQ. a HYANNIS, MA.02601 L•Administrator 1. a Assessor's Office'(lst floor) Map' Lot M1 Permit# X Conservation Office(4th floor) L � 4 Date Issued ' oe Board of Health(3rd floor)(8:30 9:30/'1:00-2:00)9 � ee /GD o o J _. Engineering De t.'(3rd floor) House#1 ��c� JS SEPTIC SYS T BIC la i t. o /S o m' . ldg. ..INSTALLED g HCE ' a _ niti a Pla o Pa ng rd 9 ONMEIN E AND TOWN OF BARNSTABdow"EaulAT102,9S Building Permit Application r Project Street Village AHN,J Owner G k S Address S'P h,7V " Telephone tf a o f p 4 Permit Request 'F nwi vet f JLufl/ iDc¢-S r .5 c }� Total 1 Story Area(include 1 story garages&decks) square feet cEE� \ Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ '6 0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type 'Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 0 X L t o p b-n flz Telephone Number yMos-, 6 O Address 2 Y )_A c4R r1 C'J L/V, License# ®o rr 7 2 zi- liter- aA-f`f Home Improvement Contractor# / 0-9 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 7-„2 i/-1P BUILDING PERMIT DENIED FOR 4E FOLLOWING REASON(S) "a . ' FOR OFFICIAL USE ONLY - I h • PERMIT NO. #10585 DATE ISSUED Sept. 26, 1995 Y' - MAP/PARCEL NO. . 294.043 ' ADDRESS Bearse 852 ''s Way VILLAGE Hyannis, MA 02601 OWNER Hyannis'Elks Home, Inc. F' DATE OF INSPECTION: { 4 FOUNDATION FRAME INSULATION FIREPLACE' ELECTRICAL: ROUGH -FINAL - - PLUMBING: ' ROUGH: -FINAL GAS: .( UGH FINAL ! s� Q FINAL BUILDING-, DATE'CLOSED OUT' 'a r ASSOCIATION PLAN,NO. t ER 5,7 Ir �� azS I 1. _ a r - n in =�':i�' j;• � j? r;, A ire .� i3 I I iRl 1-4 I� I i a' I 15 O I _77 i I � iI j I I I I ' „ I I 9� ' A. alt.C.,..G ccc000 �i:• 3 G;in Y-d �p o c v - ' - r - tn a �o r\-• --R �o r_ O� �f H• d a R v m y � � R y o p N N 11 1 O+ O � O x 0 w y 1 � R - lJ +1 1 `7 R e•. The Commonwealth of Atassachusetty �.. ._:_...�;_ Deparnncnt ojLrdustrialAccidents ' 011�ceoJ/n�esUgallons �' 6(I0 11'ashinrtun Street is-- '-' Boston,Muss. 02111 `— Workers' Compensation Insurance Affidavit �pltcanttnform—at ion• '� T -Oki legt�lv name: (// �r/ .7 r locitionL� ci 1i is--Pl 12honc# o 91— I am dhomeowner performing all work myself. B-rim a sole proprietor and have no one working to any capacity :....,tTD•W�f.o+�y' .ac.�;.s �',':7 �T a .,.. t �`?�* , .a; �"g .� s�'"�� _"'*".,e_=arks I am an entplover providing workers' compensation for my employees working on this job. comnanv name address 7-I �! I L'f Ll1t citl;_ N rL./,J' phone#• insurance co police# ... ..::., , ...�': '4'r.r.....:� a�'T snt'.+�its i*iQ....,. ,..,... r7m.;giYasn., .,.:.o- ._t7� '.., ,., ...:..:..• .�:..,. y, ,..:3. �. 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: company name address: city: phone#: insurance co policy# 'ss !+CFs>is.-•;r -r�wn- ->ay.. „( Hsr' .:'rrs-,r_^._yC�t7'�+ w-ak"�`.P/R'1r+ .*s"'tA '- -.::.�5t....,.-.:ram_ �.._.:s•liti '•�`au:cti - company name: .address: city: phone#• insurance co policy# _ :Attach addi_ti6nal sheet if neees3aRR .,�- .,.iry,—`,r-, .''.ans or::...�r Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as*vcll as civil penalties in the form of a STOP NvORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehr serif r under the pains and penalties of perjury that the information provided above is true and correct Sienature Date Print name , !) I*Ld A--Z Phone# A official use onh• do not write in this area to be completed by city or town official +' city or"town: permit/license# riBuilding Department [3Liccnsing Board D check if immediate response is required OSclectmcn's Office Cjliealth Department contact person: phone#; nOther ' (revised 3;95 PIA) TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health Division Date Issued 7 Fee -0-6 06 Tax Collector '' l u ` S�Pric sj, 1 j Treasurer lQ C3� rA1,S,I,,COA#LAN E : E f w T �� �f� L E 5 r01' GU CoiDS ANo D r(-p Project Street Address U� f Village N t4 s 5 Owner 6L KS� y-yAWn S Address 52- Der y -e-5 i j_,A4�1 Telephone 7 25— /- Y Permit Request ti S(tfr)l 611,.E-t v Yu tic e y A P; Sh Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 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 Cl No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 1?14Y/ iW A PXY,10 Telephone Number 7.,75 3,1 U 7 Address/ 134-U L���e i•��"I LI r l f l�c� . License# a/2 35 fi(yAw 5 /L1A5-5 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO i3 a rNsf►�3ti p;,,, SIGNATURE DATE l FOR OFFICIAL USE ONLY �RMIT NO. r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER .ram•� .I • a DATE OF INSPECTION: � s FOUNDATION r FRAME INSULATION �'� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL' s FINAL BUILDING �.4+� —O 1 Cl-1 ' 1c; w—t r DATE CLOSED OUT w ` ASSOCIATION PLAN NO., J Assessor's map and lot.'number ................:........ �..............; r c. zzag a Permit number ... # ..... ... .... _ Py0ffMEt��y TOWN. OF BARNSTABLE i BASHSTAIAE, y MAO& a °' o�pYa��` _ BIJUDING� INSPECTOR = ,. C, :*' a APPLICATION FOR PERMIT TO ...3.1... P,A I (.. ...... .t..!3.!= A.i?:.E..................................... TYPE OF CONSTRUCTION .......�..?o�.........� 2:a'."`.�:...... . ...................... .................................. ................................................19...7..`.7 TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location +-J � NNlS E KS LO � \JF-A- 2Sr S f} -� rvn�fS �. ................................ .�. ................. w..... ... . ..1....�. ........................ Proposed Use ..................... ...................................... :............. ......... ..... .... Zoning District ...................... ..................I,..,...,.......................Fire District ............ ...... . ...............,......................................... Name of Owner ..... /. .....................................Address ...................... ..... Name of Builder Q.W....... Address nyc Qj VV , (tq R wi o�tT ....,;,.. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ...................................................:................................Roofing ..............................:..................................................... Floors ......................................................................................Interior .........................................................................:.......... Heating ..Plumbing . �6 add Fireplace ..................................................................................Approximate Cost .................................................................... f Definitive.Plan Approved by Planning Board ________________________________19--------- Area ... ...... ............ f Lot and Building with Dimensions Diagram o o g Fee ............. ..................::........... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the To nlof Ba nstable regarding the above construction. Nam .. . . . ... . .............. 294-43 Hyannis Elks Lodge 19391 Re No.................. Permit for.......... ........ D wage . ............................................................................... Location ..B.e.arse.s...Way......YyAT4pjj$.� ... . ........ . .... .............. ............................................................................... Owner ......�"IRRiR...Elks„.] Qfte..................... Type of Construction ....................... ................... ............................................................................... Plot ..2.9.4-4.3............. Lot ................................ 'Permit Granted ..................!JTiy.A2...........1977 'Ddte of Inspection ...................................19 Date Completed ... -?) -`�.... ............ ....... 9 PERMIT REFUSED ................................................................ 19 ............................................................................... ....................................... ............................................................................... ......................... .4 Approved ................................................ 19 ............................................................................ ................................... ........................................... Assessor's map and lot number .................................... .. Sewage Permit number .........................:.. .............................. r ��Q�D�TNE'T��yw TOWN OF, BARNSTABLE 2 • j 89EBSTAIME, i _ N6 BUI-LDING_' INSPECTOR 0 ypY a' APPLICATION FOR PERMIT TO .....�f',I�*t1.t..........f" .. .. .......�.Aw!!.�1.G!.�:...................................... TYPE OF CONSTRUCTION W L3�� . '� m ........................... .................................................................•.................................... ..........................................19..`?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......�..i w �1 ti1�.'.1.5...... .�.N . .....�....(' c� Q V)P �1fz-j.�..��......��.�.A.� f .. �� `�.!a.^'.N!.5.......... i. .,. .I. ProposedUse ................................................................................................ Zoning District ...................../ ............................................Fire District ............'?" 'f........................................................ Nameof Ownerlt�(t�irtf � ................................Address'.......0....... .................................................................................... Name of Builder �L.l� , , �nt,.��r.eDe,� U� ��IAf+�N��9tt � ...........................................Address .................................................................................... Nameof Architect ..................................................................Address ...........................................................................0........ Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing ..............................................................0..................... Floors ......................................................................................Interior .................................................................................... Heating ............Plumbing ......:0................ Fireplace .........................................................0........................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ---------------____-----------19________. Area !...{" . 7 r�ol Li ........................... Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH F, t 4 f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name zz �I, /�= -411!_ �................ 294~43 Bvano10 Elks Lod' ' No '1939-1—. Permit for. ...APQAir..Ficm....... Damage ' ---^^--^--^^---'--/'--~—^—~--- Locotion .. 3.earses'.Wuy. 1m.------. ' ----'----'--^~--`^''------'---'' Owner ........... .J8l}s.. ----- Typm of Constructimn .......................................... . _..---~---------.----------.. ` � � Plot ( ' - ) � / . � Date of Inspection_ ..................................... ^ � . Date Completed ^ . . y � � . � / � K ' � '--\— — `=—'[.1% ^^--.----. `�...................................................... ` '— / � ^^'—'~~— ^'~^ Approved `q9 ----------'-----' � ------.--.----.--.—.,.--......^—.. ----.------.--.--....—...—......— c ' ` . ' Assessor's office st Floor): -� � 7n Assessor's map and lot number y", � of INC To Conservation(4th Floor): Board of Health(3rd floor): Sewage Permit number sASlY�t ; Engineering Department(3rd floor): a °''?Fo esr►��� House number =� Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:60 P.M.only TOWN , OF BARNSTABLE BUILUNG , INSPECTOR APPLICATION FOR PERMIT TO Q�i/�.C/�'�j ®®� uc°tve? TYPE OF CONSTRUCTION r s �CJ Z' 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /S�Y.9.�v�✓rS �L�S' Proposed Use i �l/`O, ll'.5- Zoning District Fire District Name of Owner/`�ya�w�S �L�f !/d�r� /nIG, Address F6 -2 �a,-,re P Gf/a f/ Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area `—�, /c Diagram of Lot and Building with Dimensions Fee No-/"G 13� G�A 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 HYANNIS ELKS HOME, INC. No 36267 Permit For Demolish Pool & Structure Swimming Pool Location 852 Bearses Way THvanni G ' r Owner Hyannis Elks Home, Inc. Type of Construction i Plot Lot Permit Granted October 27 , 19 93 s Date of Inspection: r �{ Frame 19 Insulation 19— Fireplace 19 Date Completed ���-���� 19 5 F OV- BA BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES BARNSTABLE COUNTY HEALTH&HUMAN SERVICES ADVISORY COUNCIL POST OFFICE BOX 427 BARNSTABLE,MASSACHUSETTS 02630 LEN STEWART,DIRECTOR x k FAX Main Office E-mail ACI-IVS (508)362-0290 (508)375-6628 humanservices@capecod.com TDD Information Services Web (508)362-5885 (508)375-6629 www.bchumanservices.net August 20, 2001 Mr. T. Garth Connelly 9 Heather Road Ellington, CT 06029-3610 Dear Mr. Connelly: The Barnstable County Commissioners have sent me a copy of your letter regarding the accessibility situation at the Elks Club in Hyannis. The Elks maintain that, as a private club, they do not have to be accessible. They do, however,plan to install'a lift-'as part of their`renovation and are waiting for installation. The fact that the Elks have rented space in their private membership building to an organization which holds events open to the public does put a different spin on the subject. However, if this is a pre-existing, non-conforming building, MA Architectural Access Board regulations suggest that it is the renovation project that may trigger the access requirements under state law. In any event, I am forwarding this to the Town of Barnstable's Building Inspector, to see if that office has any additional information or a different opinion on this subject. However, the County has no rulemaking or enforcement authority on this subject, aside from County functions and County property. S nee el , \ en Stewart LeiTic) i,j..•. 2 20 cc. Building Inspector`,Town of Barnstable Task Force on Youth•Cape Cod and Islands Community Health Network•Community Health Needs Assessment Project Lighthouse(Health Access Alliance -4z � 5290 FRS Barnstable County Commissioners Superior Court House 3195 Main Street P.O. Box 427 Barnstable, MA 02630 Attention: Barnstable County Building Official To Whom It May Concern: My name is T. Garth Connelly. I am a property owner in Osterville, but I work and live in Connecticut. I recently inquired about a scale model show that is being held at the Elks Club in Hyannis this September. I inquired about it because I am confined to a wheelchair and I wanted to see if the Club was wheelchair accessible. The representative of the model club, which is putting on the show, that I spoke to said that a Elk Club member told him that they had a wheelchair lift that the Elks' were planning to put in as part of a renovation to the building. However, the Elks' permit for the lift was being held up for some reason. Isn't having access to a building which is opened to the public the"rule" under the ADA Law of 1992? Sincere , T. Garth oInelly 9 Heather Road Ellington, Connecticut 06029-M (860) 875-3047 T. Garth Connelly ' o G T 9 Heather Road �l F Ellington, CT 06029-3610 JUL 2 5 Barnstable County Commissioners Superior Court House gARN5ABLE COUNTY 3195 Main Street COMNlISsioNERS P.O. Box 427 Barnstable, MA 02630 Attention: Barnstable County Building Official 'r-114s,rs-1,oAll fss _4 �r ,a Mir BARNSTABLE COUNTY ` S �'� • DEPARTMENT OF HU MAN SERVICES �� P.O. BOX 427 �✓ ti0 .34 R BARNSTABLE,.MA 02630 ppryry 1094056 U.S. POSTAGE ilJJ !! jj jggggg }j ¢ D(( j� { j pp j jjpj lfflflifflf !!' it f if If 1 41Ji19tlf \ i "^'4dv" �r.._.. _ � ,..Y... .., ...... ram.,._�.��:..yJ•— i i sii i + s ix { isr "(itt Ft! fy i tEiiilll i itt tt fl t 1[i tltfi ttt 1 i� ttttltitI i SEARCH RECORDS S FREET FILES PENTAMATION PERMIT BOOK YELLOW COPIES r ' TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 294 043 GEOBASE ID 20646 ADDRESS 852 BEARSE' S WAY PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 10585 DESCRIPTION WINDOWS/DOOR & SIDING TO BE COMPLETED PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: PERRY, DAVID ARCHITECTS: TOTAL FEES: $100 . 00 BOND $ . 00 CONSTRUCTION COSTS $9, 600 .00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE PROPERTY DATE ISSUED 09/26/1995 EXPIRATION DATE TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 294 043 GEOBASE ID 20646 ADDRESS 852 BEARSE'S WAY PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 46595 DESCRIPTION INSTALL INSU-DRYWALL-TRIM PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONY CONTRACTORS: RAYMOND A PAYNE JR. ARCHITECTS: TOTAL FEES: $50 . 00 BOND $ . 00 CONSTRUCTION COSTS $1, 500 . 00 437 NONRES. /NONHSKP ADD/CONY 1 PRIVATE PROPERTY DATE ISSUED 06/07/2000 EXPIRATION DATE r TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 294 043 GEOBASE ID 20646 ADDRESS 852 BEARSE' S WAY PHONE . HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 47645 DESCRIPTION REWEIRE FIRST FLOOR HYANNIS ELKS PERMIT TYPE BELEC TITLE WIRING PERMIT CONTRACTORS: MEDEIROS, ROGER A. ARCHITECTS: TOTAL FEES : $50 . 00 BOND $ . 00 CONSTRUCTION COSTS $ . 00 753 MISC. NOT CODED ELSEWHERE DATE ISSUED 07/25/2000 EXPIRATION DATE i