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0230 FALMOUTH ROAD/RTE 28 (2)
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 21�'03� Parcel 7. Permit# ` Health Division Date Issued La L Conservation Division Fee ,�U Tax Collec �X,! - .- • Treasure a Planning Dept. - Date Definiitive lan,\AppKoved by Planning Board : Historic-OKH VPreservation/Hyannis Project Street Address �;440,,q w wre_ LS' 23D `Z+2'S( PA LRot)I ,Village Owner 6.Pc 690 HAL4, Q0H I4 ,- TQST - Address bt le" U6-4S 4V Telephone Permit Request �op�jE�V_ 'SKI o\./ \\V-H Ti✓ PLIILoIL14 Square feet: 1st floor: existing proposed" 2nd floor: existing proposed Total new, Estimated Project Cost Zoning District 11,S',S4ocFlood Plain &e 13 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 O 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 U Oil ❑Electric ' ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: Cl-Yes ❑No Detached garage:❑existing ❑new size -,Pool:❑existing ❑new size b 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# CurrentiUse Proposed Use �j BUILDER INFORMATION Name �3c4VEe U l LM V,�2, III Telephone Numbers "Cp(D©b Address 6 ve L,�? AvoG` , License# — 0130 S- ' ( ��i -, D Home Improvement Contractor#. Worker's Compensation# 21S-1 4, 5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i Ap(ozfc' &" ESSEV%14�;-& JdNz.. D2-S 221 SIGNATURE f P&I DATE �P FOR OFFICIAL USE ONLY a r t PERMIT NO. z : DATE ISSUED . 7 ti .• � - � r . . � ' •R • ..� - . _ � •, � : , ^ ._ , a a . MAP/PARCEL NO. " t r E, r • �f• - ' [ • •1 9 - ' �. r _ t t^ S }"• '" r. .. � ,' x-�i s ADDRESS— :• 4 -_ VILLAGE ' �( S 1 J OWNER _ 9 _ t DATE OF INSPECTION: r r , 1 , • •t FOUNDATION • FRAME` t INSULATION FIREPLACE , . } ELECTRICAL: ROUGH FINAL %I' b 1' r ee t PLUMBING: ROUGH FINAL ~M - ROUGH 9 FINAL FINAL BUILDING DATE CLOSED' OUT14 ASSOCIATION PLAN NO. t t •' - M rracira ........! _= -t Depanment of Industrial Accidents Office 91111YestM 111fofts '7 600 Washington Street ei FF�� Boston,Mass. OZlll Workers' Cam ensation Insurance davit tticnnt-rrsf`arutxt /��//%%%///%%///////,..//�% ' ' name: location: .�,� ` city2 `-AAA a phone#. ❑ I am a homeowner p rforming all work myself. ❑ I am a sole proprietor and have no one working in, ca achy ❑ I am an empiover providing workers compensation for my employees working on this job. co m o n n v n a m e: 62t.�t / address: -"+ city phone* : insurance co. i "oiicv# YV Z1j024 am a sole proprietor, beneral contractcr, or homeowner(circle one) and have hired the contractors listed below who have the follo«ing ivorkers' compensation polices: comonnv name: ' address: dtv: phone#t;.. . .. ..... insurnnce cn. t oiicv#.. •/////:/,"/.;�/ail//i/////alai/.anal///%/%///ii/////%//%///////ail%////i%///////%///////////%///////////////////////////////////// L////////// �::%/,6�//.�/// //////.U///////////.G////// �/a%%//�' :. comnnnv name: address- citN- ... phone insurance co. oiicv# Failure to secure coverage as required tinder Section 25A of MGL 152 can lead to the imposition of erlminal penalties of a tine up to 51.500.00 and/or one years'imprisonment as well as civic penalties in the form of a STOP♦VORK 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. I do hereby certify under the pains and penalties of perjury that the information provided above is tru•and correct C,z ZQ Si>mature L4%y.A.�1Date _ 1 '49 - Print name L Phone Econtact use do not write in this area to be completed by city or town official pertnit/!lcense# ❑Building Department ❑Licensing Board ediate response is required ❑Selectmen's Office ❑Health Department phone#; ❑Other MWI (trvuea 9,95 P1A) rui�rruiaiiulr3II� Z�TIIC Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for The employees. As quoted from the "law", an employee is defined as every person in the service of another under anv cozy- of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or anv tvs o or more or the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the reczn-er 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 c: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha< not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither.the . commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented ented to the coauactiaQ authority. p . _ - Eppicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of m' su"r nce 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. 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 permitllicease number which will be used as a reference number. The affidavits may be rennrned io the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Deparanent's McicpEonend fax number. " The Commonwealth Of Massachusetts Department of Industrial Accidents once of Imlesduadons 600 Washington Street . Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 exL 406, 409 or 375 „ ffx k`r e� [j •S•r.. ;� 11 • Sy r«�1S • • t r y RM • ♦ r� is f T w�rho 1.:i�;!'' .:. Z f.Y i e YF • ;ter., ��><.s..,::..�; e � S 0 m will ois ri Ira w CIO Go t f JUN 15 '99 10:24 FR TO 7713329 P.01i02 �Tu/0 From . To . r= 1rni . Fax 7 -7 3-3 a,,,,9 ���� � Phony : �. -- Subject: ( 111CILIding till g e s p, y .TUN 15 '99 10:24 FR TO 7713329 P.02i02 BELL ATLANTIC 44 Old Townhouse Road South Yarmouth, MA. 02664 TO- Cape Cod Mall, LLC June 14, 1999 The location listed below has been field checked and all telephone wires have been removed from the listed location_ 230 Falmouth road Questions concerning these locations should be referred to the undersigned. John S. Shea, Jr. Engineer 508 398-5731 **'TOTAL PAGE.02 .** 06/18✓99 10:21 BARNSTABLE WATER CO. 002 Barnstabie UIAT r�-+� R. 47 f�Id Yarmouth Road P 0. Box 326 50&775-0063 XJW(' () M f' A N 1 Hyannis, Massachusetts 02607.0326 .tune 18, 1999 Basbane'A Linen Service 862 .Andover Street I.owell. , Ma. 01852 To whom it May nanceru: Pleasn he advised, t1it: water service at 230 Falmouth Road. ACc_ount. 293-03j, Service #2667, is uff at the mtreet and the water meter has been removed in preparation for building demolition. Rene L. D'uq as Barnstable Water CompHnY facsimile 7PkA VSM, I T T A ken Bell i M"FAM; 4U14$6ft 771-3329 Rene Douglau/ Barn8table Water Co. R& Demulution of former Snow White. Sails DA-M 6/19199 }� 2 iszCtsc� xlt� srtc-r 1� I c rl L c NO 7 COMM Please call it ykni need ALay thixt� el"U. Ti you would Like the original copy of this It_tter. please call me with your mailing address. v Barnstable Water Company 47 Old Yaxmotsth R=d P.Q. Box?26 F-V-- zniS. NLA. 02601. r , JUN-24-1999 11:16 COL GAS MARKETING P.01 227 e?Plou ,-W COLON L .Sit. Yc7r�tCr,utli,.'bL4 42664 1-800-548-8000 A S C O a P A H Y I'2x:.SQ�-�94-�564 June 24, 1999 Mr. Len Belli fax : 771-3329 re . 230 Falmouth Road Hyannis , MA To Whom It May Concern ; This letter is to confirm that we cut and capped the gas service at the main to this address . This was done on June 21 st — A Sincerel Y . U.ynel Starc.k Distribution Department TOTAL P.01 06/11/99 10:26 '0508 999 9368 5108 HYPERTHE M, INC IR 002 CommOmveelth Electric Company COMElectric War Cranberry Highway Wareham,Massachusetts 02571 Telephone(508)291•o9So 484 V ow St Hyannis,Ma. 02601 June 11, 1999 Mr.Len Belli Development Advisors c/o Cape Cod Mall Re: Removal of meter and service White's Laundry,Falmouth Rd.,Hyannis Dear Mr_Belli: Please be advised that the electric service and meter to the above referenced location has been removed. If you have any questions,please feel free to contact me at 1-800-642-7030 ext 5777. Yours truly, } . � ` Gaudette M Moses CastomeTr Service Supervisor f , 06/11/99 10:25 10508 999 9368 5108 HYPERTHERN, INC Z 001 T R A N S MATT A, L From: CQM/Electric--484 Willow St.,Hyannis l'am I-508-790-1721 ext 5705 Phone: I-508-790-1721 n Pages: . including this cover sheet. g Tate: i To: Comments: �FtNEt The Town of Barnstable o� BAMSTASM Department of Health Safety and Environmental Services Building Division ArFD MA'S s 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 8, 1999 Attorney Michael Ford 72 Main Street, PO Box 665 West Harwich, MA 02671 Re: SPR-021-99 Cape Cod Mall additional parking, 230 Falmouth Road, HY (293/033) Proposal: Existing building to be removed. All impervious material within the 50 foot buffer to wetlands to be removed. Lot to be used for 87 parking spaces. Dear Mr. Ford, The above referenced proposal was reviewed at the Site Plan Review Meeting of March 4, 1999 and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance. This proposal is an allowed use in the HB Business District as accessory to the Cape Cod Mall. Please contact the Engineering Department and the Hyannis Fire Department to coordinate the demolition of the building. Please note a Building Permit is necessary prior to any construction. Upon completion of all work, a letter of certification is required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinance must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Respectfully, Ralph Crossen Building Commissioner -?o U.S. Department of Labor Occupational Safety and Health Administration 639 Granite Street - 4th Floor Braintree, Massachusetts 02184 .as Reply to the Attention of: May 309 1995 FIA request #01-0125-95-100 Thomas A. McKean Town of Barnstable <? Health Department 4 367 Main Street 1c. , y , Hyannis MA 02601 1995 JIU Re: Snow White Sails #109166504 (C6586/020/95) Dear Mr. McKean: 8 In response to your request under the Freedom of Information Act for a copy of the referenced investigation report, the following is forwarded: 4♦ Report #C6586/020/95, Inspection of 04/18/95 (36 aaQes) 1. OSHA 1 - Inspection Report (1 page) 2. OSHA lA - Narrative (with identities deleted) (1 page) 3. OSHA 1B - Worksheet (with identities deleted) (20 pages) 4. OSHA 2 - Citation & Notification of Penalty and Invoice/Debt Collection Notice (11 pages) 5. OSHA 90 - Referral Report (with identities deleted) (1 page). 6. Letter dated 04/26/95 (1 page) 7. Expedited Informal Settlement Agreement (1 page) Please be advised that the deletion of individual names is based on exemptions 7(C) and 7(D) of the Freedom of Information Act and Departmental Regulations 29 CFR, Parts 70.27(a) (3) and 70.27(a) (14) . Exemption 7(C) permits an agency to withhold information that is contained in investigatory files compiled for law enforcement purposes to the extent that production "could reasonably be expected to constitute an unwarranted invasion of personal privacy." Also, exemption 7(C) was designed to protect the privacy of any individual who is mentioned in government records. Exemption 7(D) protects the disclosure of information which could reasonably be expected to identify, individuals who provided data to the government in confidence or under circumstances. implying confidentiality. A major purpose of exemption 7(D) is to encourage private citizens to furnish sensitive information to government agencies. If confidentiality were not available, few individuals would come forth to embroil themselves in a controversy by cooperating during investigations. Please note the failure to cite other specific exemptions which may be applicable to a denial of disclosure does not constitute a waiver thereof. - f _ V.S. Department of Labor Occupational Safety and Health Administration + 639 Granite Street - 4th Floor Braintree, Massachusetts 02184 6s Reply to the Attention of: The total .charge for your request has been waived. If you regard this as a denial of your request, you ar;p further advised that you have the right to appeal such denial within ninety (90) days from receipt of this response, in accordance with 29 CFR, Part 70.50. Such an appeal must state, in writing, the grounds for appeal including any supporting statements or arguments.- The appeal shall be addressed to the Solicitor of Labor, U.S. Department of Labor, 200 Constitution Avenue, N.W. , Washington, D.C. 20210, and such appeal should clearly indicate on the appeal and on the envelope, "FIA APPEAL" Sincerely," ' Br \\\�fdo Area Director r Enclosure }.Et 2 } r -A "Inspection Report U.S. Department of Labor T Occupational safety at " Administration 40 ll MOO Data 1. Reporting 10 2.CSHO IO 3.Optional Report Number 4. Mbar ,, � cam, a l ;„ ,�,,� 109166504 S.Related 5 1 52 b,3 Activity/ Type Number Satisfied Type Number Satisfied IT E. Total ist Atlrwly YDe Number Satisfied Entries Activity / ❑H ❑S ❑ H ❑S ❑ H 7.Previous Actiwty If Yes., Type Number Has there been previous activity at this establishment') ❑Yes ❑No enter �. a ❑ b Establishment Name _ Changer .S .✓drJ w/'�/!C SA 10. a. ❑ b Ste ress (S��ee City. State. ZIP 11. City Code 12. Count Code Cnange� Q ?'�L�* o t17'� S - y y /� 410 -) rs K i9 13. Mailing Address (it different) (Street. City)!State. ZIP) 14. Telephone Number 15. Name of Controlling Corporation. Partner. or Owner 16. Telephone Number (Site) 17. a. O'twate Sector c ❑ Slate Government b. ❑ Local Government d. ❑ Federal Agency/Code 19. Was Advance Notice Given? r�,� 20.Opening 1 ence 0p to ❑ Yes 9<0 '� / f / 21. Mark "X" in one box 22.Primary SIC 23. Secondary SIC W19-afely ❑ Health / la- Guide 24. Mark "X" in one box 25. Inspectlon Cis fkation (Mark all that apply) Unprogrammed a. Safety Planning Guide: La l anufacturing ❑Construction ❑Maritime a. ❑ A ideni e. 13 variance b Health Planning Guide: ❑Manufacturing ❑Construction ❑Maritime b. Corrtplaint f. ❑ Follow-up C. ❑ Referral g. ❑ unprogrammed c. ❑Local Emphasis Program (specify) d. ❑ Monitoring Related Progragpied d. ❑National Emphasis Program (specify) h. tanned i. ❑ Programmed Related e. ❑Migrant Farmworker Camp 26. Number of Employees 27. Number of Employees 23.Number of Employees 2Y. a. ❑Uo n 30. a. ❑Employee Exercised Employed in Establishment Covered by Inspection Controlled by Employer Walkaround Privilege? b. Union Union Copy below the OSHA-200 Log entries,for the most current t;omplete year. 33. LWOI Rate 31. Year: 32. LgDala Not Available OccupatbnaI Injury Cases Occupational Illness Cases (7) 11) 12) (3) (4) (5) (6) (a) (b) (c) (d) (e) (I) (91 (8) (9) (10) (11) (12) (13) 35. Scope a.❑Comprehensive b artial c. ❑Records Only d. ❑No 36. Number of Days Site Visited (Mark "X" in one box) Inspection Inspection Inspection Inspection 37. Anticipatory Warrant/ 36. Date of Denial 36. Date Re-Entered 40. Date Re-Denied 41. Date Re-Entered Subpoena Served ❑ Yes 42.OpIkmW Information Type 10 Value Type ID Value 43. Total Entries 44. 45. It no inspection conducted, mark 'X . in one box 46. Closing It ❑ Chose a. ❑ Establishment Not Found d. ❑Ten or Fewer Employees g ❑Worksite Exempt Through Conference Date(On Site) b. ❑ No Voluntary Program Citations ' b. ❑ Employer Out of Business e. ❑Denied Entry h. ❑Non-Exempt Consultation ,." Issued in Progress c. Process To Be I. ❑SIC Not on i. Cl Other (� spec Not Active Planning Guide / �/yS a• Narrative } U.S. Department of Labor O=PMWW Satety and Health Adminietrattonn 1. Eetabtislvr�ent „p F Inspection Number / le !. Type of Legal �j• ' ��!/ 4. Typo now or Plant S. Additional Citation Ma%v Address" (1) Name \ (2) Name Atin Attu: Street Address Street Address City State Zp City State tip A. Names and Address"of AN C 7. Authorized RepresentaWea of Employ"r, yy �� M A Names 0- Name Tale. No. Y Local No. T o. Organzaton T Address .. Home Address . zip Code Zip Code Name ❑ Name Tale. No. . Y ❑ Local No. Tele. No. Organization T" Address Home A ress zip Code zip Code 4. Employer Rspr"snt• I- Credentials Presented C- Closing Cord. W 0. Other Persons Contacted: atives Contacted: O. Opervo Cont. M. Other Mgmt. Me. A Title Function ' ❑ Name. Occupation&Affikabon ' 1 Y -04 ❑ Home Address Tele. No. Y r ❑ Tip Code Y ❑ Name, Occupation 3 Affiliation r • Y IO.Coverope Inforrnatton , Home Address Tale. No. >t Zip Code flDawe Tune of Entry: 12. Date 6 Time Walkaround Began: 13. Date&Tme Closing Conference Began: 14.Date 6 Time of Exit: (2) w-up Inspection Recommended: No ❑ Reason: $ignat Dat . 17.ACCOmpanied by: o Worksheet U.S. DepartmZnt of Labor Occupational Safety and Health Administration 9-1 10 t �. Date/Twine /G1 5 Instances on Page 7 (a. b. /) 6.TYDe 7.ptatlOn No. 6. Item No. Y.On sitel 10.Stan lard/wo" vlolated 11.No. /Z. No. Instancea /e. REC 1Vlt�o011ta J / C 14.Abatement Period 16.ActionDate Type 16. SAVE Manual' \ 17. SAVE 10(Pg/Item) 16. Ref. No. �aIT(k? �1 ❑C Cl M 6 . v — IL AVO/V don: y-- f 019 4. 20. Insta ription(a. Hazards-Operation/Condition-Accident; b. Equipment; c. Location; d. Injury/Illness; and e. Measurements) Cont'd 21. Photo — Y a. Occupation(&Employer) b. No. c. Total Duration d. Frequency e. Exposed Employee—Name, Address &Telephone �m U.,W 22. Employer Knowledge: 24. Comments (Employer, Employee. Closing Conference): 25. Other Employer Information 1 26. Classif.: a. Failure t le? b. Serious rf r O? c. K owl.? d. Sir O?I e. 9 f. 27. Probability a.No. b. Freq. C. Prox.to d. Stress e. Otner 1. Subtotal g. Prop.0 h. Seventy 0 1. Total t. ,i2 Rating E^tploYees of Exp. Danger Faetors Factors 28. Penalty a. PrOb. of Injury/Illness r vity-Based c. Times Repeated/ d.Alustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days Uncorr.IV 1) Siz�e7 2)Good Faith 3) History 4) Total c; S- G` F Case File Page I Worksheet U.S. Department•of Labor Occupational Safety and Health Administration p" 1.Inspectiqll, r 2.CSH010 i..Optio" NO. 4. Date/Time I IPAt fi. Instances on Page /D J la. b. /1 Il. 1 1. Gtation No. a. Item No. �,On Sit•4 10.Stands Anepedy VIq led 11.No. E 12 No. Instances /1. REC Vble S y O o. 14. Abatement Period Trk? IL Action Date Type 16. SAVE Manual 117. SAVE ID(Pg/llem) 1lll. Rel. No. G I ❑C ❑ M c" , 7 19. AVO/Varia Information: 20. Instance cr. ion (a. Hazards-Operation/Condition-Accident; b. Equipment; c. Location; d. Injury/Illness; and e. Measurements) -,- - _ ---- --- -- _ � ---- — —� — - —�GI L -- --- Conl'd � 2 � 21. Photo -- - - - --- - -- L —. - Y a~Occupation (6 Employer) b. No. c. al Duration d. F uency e. Exposed Employee—Name. Address&Telephone WW 23. Employer Knowledge: 24. C limrnents(Employer. Employee. Closing Conference): 26. Other Employer Information - 26. Classif.: a Failure tolAWt0 o. Se or w C. KnovA.t d. 5 Or a R� 1 27. Probability a No. b. Freq C. Pros.to d. Strew a other I. Su010181 0 Prop 0 h. Seventy 0 Total 1. 02 Rating Employees of Esp Dargar Factors Factors U / 28. Penalty a. Prob. of Injury/Illness ravity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days Uncorr. 1) Size 2) Good Faith 3) History s) Total Case File Page Worksheet U.S. Department of Labor Occupational Safety and Health Administration "� 7 _• D 3. tional R /. date/7urte / S. Instances on Page 7 Qfp (a. b. /) •.Typatof 7.atatbn No. S. Item No. Y.On Site? 10.Standard Alley t 11.No. Ex 12. No. Instances 19. REC VVffooll S ❑ Q / ���� s Z 14.Abatemen ehod Trk? 16. Action Date Type 16. SAVE Manual 17. SAVE ID;(Pg/Item) 16. Ref. NoCaJ L 19.AVO/V tlon: a, 20. Instance Description (a.Pazarkoperaition/Condition-Accident; b. E uipment; C. Location; d. Injury/Illness; and e. Measurements) C ` c L _ ....�_ .. Cont'd 21. Photo — - - -- Y a. Occupation 0 Employer) b. No. c. Total Duration d. Frequency e. Exposed Employee—Name. Address 6 Telephone �g W W N COnt'd 23. Employer Knowledge: 24. Comments(Employer. Employee. Closing Conference): Cont'd 2S. Other Employer Information 26. Classif.: a. Failure to A ate? It. S ' H or 0? C. Kn d. S or 27. Probability a. No. b. Freq. c. Prox.to d. Suess e. Otrw 1. Subtotal p. Prop.O h. Seventy 0 i. Total t. 1r2 Rating Employees o1 Exp. Oanger Factors Factors 26. Penalty a. Prob. of Injury/Illness r vity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Ad usted Penalt No. Cal. Days Uncor( 1) Size 2) Good Faith 3) History a) Total I y Worksheet , U.S. Department of Labor Occupational Safety and Health Administration 1.1,No ' N 2. CSHO 10 13.Optional . Date/T a. Instances on Page / (a. b, /) 0.Tyyppes�p T. Elation No a. item No, e,on site+ Ia.atanearC Ali�peely Vtpog4 11.No. !x Vlpatbn S / G / posed 12. No. Instances 13. AEC �- 14.Abatement Period Trk! 15. Action Date Type 16.;GI�10 Enual 17. SAVE ID (Pg/Item) 18. pal No C ❑ M 19.AVO/VanWe mation: —•— --..—... _ ._ _.... ._. .._. .__ ' fir, 20. Instance Description(a. Hazards-Operation/Coriditi ent; b. Equipment; c. location; d. Injury/Illness; and e. Measurements) or ---- - - -- - _ _ 21. Photo e 3 r a. Occupation(6 Employer) No. c. Total Duration d. Frequency e. Exposed Employee—Name, Address 3 Telephone W W 23. Employer KnotMedge: 21. Comments (Employer. Employee. Closing Conference): 25.Other Employer Information 26. Classif.: a. Farure 10 te? b. Se/ H or Cr C. Knowt.? d. S 27. Probability a No. b Frp. c. Prox.to d. Strew a other I subtotal g NOD.0 h. Seventy 0 1 Total t 02 Rating Employees of Exp Denpar Factors Factors 29. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalt No. Cal. Days(lncorr. 1)Size 2) Good Faith 3) History e) Total y O�� Zy f Worksheet U.S. Department of Labor Occupational Safety and Health Administration L M�Pec 2.CSHO 10 2.Optional Date/T' 6. Instances on Pape / (a. 0. /) �.TYW f 1. Gtatan No.IIII. Item No. a.On Slte?' 10.Standard At VVifddaa s ❑ y�91a ed 11.NO. Exposed 12. No. Instances 13. REC 14. Abaternent Period Trk? Is. Action Date Type 16.;ael EEnnuual (f_ 17. SAVE ID(P9/Item) 1!. Re1. No. ❑C ❑ MC 19.AVO/Variable lion: 20. Instance Description(a. Hazards-Operation/Condition-Accident; b. Equipment; C. Location; d. Injury/Illness; and e. Measurements) of . . .... 21. Photo Y a. Occupation (6 Employer) No. c. Total Duration d. Frequency a. Exposed Employee—Name. Address 6 Telephone WW N Cont'd 23. Employer Knoaeedge: 24. Comments(Employer. Employee. Closing Conference): 26 Other Employer Information I 26. Gassif.: s. Failure to t•' I o Sep;bavity-Based a Cr c KrwnA.? Q. $or Cr e 1 S 27. Probability a. No. 0 Fr•Qc Pro■.to d. Svess • Omer f Sumotat y Proo.0 n. Seventy O rolat Rating Employes o1 E. Danger Factors Factors 28. Penalty a. Prob. of Injury/Illness c. Times Repeated/ d. justment Factors e. Proposed No. Cal. Days Uncorr. nally Degree of Willful Adjusted Penalty 1)Size 2) Good Faith 3) History 4)Total Case File Page Worksheet U.S. Depar ftnt of Labor Occupational Safety anti Health Administration 1•btapec I. CSHO ID S. Optional R . Date/T 11 p �6. Instances on Page (a, b, /) O t�t3tandard ANepady\ 11.No. E 12. No. tnstarto� 13. REC • O. d N.Atbaterttttttl Tr1A — IL Action Data Type /6. SAVE nual t7. SAVE to(Ppliter» IS. Rar. No. �O c p M AVp/Variable tl'on: � 20. Instance Description(a. Hazards-Operation/Condition-Accident; b. Equipment; c. location; d. Injury/Illness; and e. Measurements) pol - --— — n I'd "`�C►p �< - v� •� 21. Photo -- --- -- a. Occupation(& Employer) n No. C. Total Duration d. Frequency e. Ex _ posed Employee—Name, Address iZ Telephone W w _ Cont'd 23. Efooyer Knowledge: 24. Comments (Employer, Employee. Closing Conference): 25. Other Employer Information Cont'd L 26.Classif.: a" Failure to te? b. Seripu H or D?C. Know,? d. S of 09 e R f. W 27. Probability a.No. b" Freer. C. Prox. to d. Strreess e. Other I. SUDIOtai Prop.0 h. Severity 0 i. Total I i/2 Rating Employees of Exp Danger Factors Factors g 26. Penalty a. Prob. of Injury/Illness Gr vityBased C. Times Repeated/ d. A ustment Factors or Penalty Degree of Willful e. Proposed No. Cal. Days Unco Adjusted Penalty 1)Size 2)Good Faith 3) Histo�ry7 4) Total d ! ,Svv Case File Page of Worksheet U.S. DepartAnt of Labor Occupational Safety and Health Administration S. bond t4o. 4. Date/Time p �+ S. Instances on Page (a. b. /) .Citation No. I. Item No. f.0 Site? 10.Standard Allegedy,Vid 11.No. Exposed 12. No. Instances 13. REt 2 liotn i u, ____ I AIL 14.Abatetment Period Trk? 111.Action Date Type 16.SAVE Manual. 17. SAVE ID(Pg/Item) 10. Ref. No. GI ❑C ❑ M 3427 1!.AVD/V formation: 20. Instance Description (a. Hazards-Operation/Con ition-Accident; b. Equipment; c. Location; d. Injury/Illness; and e. Measurements) 46 - - -- /j Cont'd 41. Photo � a. Occupation (& Employer) b. No. c. Total Duration d. Fr uency e. Exposed Employee—Name. Address&Telephone E� WW Cont'd 23. Employer Knowledge: 24.Comments(Employer, Employee, Closing Conference): Cont'd 25. Other Employer Information 26.Classif.: a. Failure to te? b. Set or D7 C. Kno .? d S or Dr a A? t. 7 27. Probability a. No. b. Fret( C. Prox.to d. Stress •� a Other t. Subtotal y. Prob.0 h. Severity 0 i. Total l i/2 Rating Employees OI Exp. Danger Factors Factors 29. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days Uncorr. 1)Size 2) Good Faith 3) History . 4) Total 40 ^-- Case File Page -- - - TOP tp Worksheet U.S. De partrwant of Labor Occupational Safety and Health Administration 1.Inspection r 2. CSHO to 3.Optional . 4. Date/Time S. Instances on Page Citation No. •. ftem *.On Sitil � 10.Slandfro AllegetFy V' 11.No. E.❑ .1. posed Ia. No; In.teno.. ,o, nee 14.Abatemenl Period Trk') IS. Act-son ate Type 16. AV on b ' SE Manual 17. SAVE 10 (Pg/Item) to 1 14. Ref No GI ❑C ❑ M t!.AVGiVariaOl Iormatron: 20. Instance Description(a. Hazards-Operation/ iti0n-Accident; b. Equipment 4 pment; C. Location: d. Injury/Illness; and e. Measurements) 4? Zv - - -- - / �o?- o - ------ - sp�. lJ�y 21. Photo I a. Occupation (d, Employer) b. No. c. Total Duration d. Fr uency e. Exposed Employee—Name, Address d Telephone i W W 22. Employer Knowledge: , Cont'd 24.Conmtents(Employer, Employee. Closing Conference): 25. other Employer Information Cont'd 26. Classif.: a. Fadur•to 101 Is Ser or 09 c. K ? d. S ar O' 1 27. Probability a No. b. Fr c Pro:.to d Stress • other Rating Empbyeea of Exit. Danq•r Favors OtherFacto 1 Subtotal p Prob.O n. Severity O i. Total ,r2 28. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/ or Penalty Degree of Willful d. Adjustment Factors e. Proposed No. Cal. Days UnCorr., Adjusted Penalty /1)Size 2) Good Faith 3) History 4) Total /G J J Case File Page _ TOP - �- Worksheet U.S. Department of Labor �) Occupational Safety and Health Administration 1,tnepection NWnber 2.CSHO 10�� S.Op to R No. s. Oate/Time O c� S. Instances on Page 8 7 la. b. /) 0. yDe01't01 Citation No •. Item No, 0.On Site? 10.Standard Allegedly Violated 11.No. Exposed 12. No. Instances ti. REC Viola 6 O G. 303 a, ' 10. Abatement Period Trk� tb. Action Oate Type tA. SAVE Manual -;—I 2 1�. Sfg/Item) 18. Ref No. 1?0 GI ❑C ❑ M A4 , It.AVD/Variabl formation: - _ _ �c--- - - - -- _ 20. Instance Description (a. Hazards-Ope(ation/ ition-Accident: b. Equipment; c. Location; d. Injury/Illness: and e. Measurements) 21. Photo — -- - -f ------ , -- - / - y t.J • a. Occupation(&Employer) b. No. c. Total Duration d. Fr uenCy e. Exposed Employee—Name. Address 3 Telephone II WW �V Cont'd 23. Employer Knowledge: 24. Corrvrnents(Employer, Employee. Closing Conference): 26. Other Employer Information 20. Classif.: a. Failure to tee b. Serjr or DO C. K .+ it S or O' t. 2?. Probability a. No. b Fr c Pros.to d. Stress J e. Other t. Subtotal p vrcb.O n. Seventy o tout i iz Rating EmWoyees of Exp. Danger Factors Factors 26. Penalty a. Prob. of Injury/Illness avity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days Uncor. 1)Size 2) Good Faith 3) History t)Total TOP ---af - - - ---------- . --'U 3 CaOw.rtvr GMMInq Office' t0??_�t Z.P6+a`oTG Worksheet U.S. Department of Labor !!�. Occupational Safety and Health Administration 1.bt!spisic N r 2.CSHO 10 f.OpliOnai No. e. Date/Time O S. InstinCes pn page 4.�Type of . Gtatton No. s. Item NO. O ,�! Vt0lalion f.On Site. 10.Standard Allegedly VK>lat 11.No. Exposed 12. No. Instances U. AEC 11.Abatement Period Trk� 13. Action Date Type 1f. SAVE Manual tl.SAVE 10(Fig/Item) tf. Ref. No. GI Oc OM /7, V 1�.Av0/Variad formation: , ,>„ 20. Instance Description (a. Hazards-Operation/ tion-Accident: b. Equipment: C. location: d. Injury/Illness: and e. Measurements) -// --- _- - te-d G Z All 21. Photo �a►f� - - S. Occupation (6 Employer) b. No. c. Total Duration d. Fr uertcy e. Exposed Em ployee—Name, Address 6 Telephone i WW �V it'd ZS. Employer Knowledge: . 24. Comments(Employer. Employee. Closing Conference): Coot d 26.Other Employer Information 26. Classif.: a. Farure to tee I b. Se( or Ir C. K .o a. S or Cr 27. Probability a. No. b. Fr . c Prox. to a Suess a Other t subtotal q Prob.0 h. Seventy 0 Total I r2 Rating Emobyees or EX0 Danger Factors Factorsi. 26. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/ d. Adjustment Factors or Penalty Degree of Willful e. Proposed No. Cal. Days Uncorr. Adjusted Penalty 1)Size 2)Good Faith 3) History a) Total TOP_- ----+� •YY' — �•9 rc.c';'o Worksheet U.S. DepartmInt of Labor Occupational Safety and Health Admirrstralion 1.Map�ct N 2. CSHO 10 3.Oplicnal ReQw No. 4. gate/Time i !T. Instances on Page •.Vtolatlo ir. Citalwn No a. Item No. f.On Silel 10.Standard AUegedty Violated 11.No. Ex /2. No. Instances 1S. REC Vbla 111916 . 3 c C� 14. Abatement PerW Trk? 15. Action Date Type 1A. SAVE Manual 17. SAVE 10(Pg/Item) 18. Ref. No t� OC O M �a, 1t.AVO/Vane In 20. Instance ion(a. Hazards-Operation/Condition-Accident; b. Equipment; c. Location; d. Injury/Illness: and e. Measurements) e � - -� -- - --- -%4 1 -- • .. —_ — ---- - 21. Photo a- Occupation(6 Employer) b. No. c. at Duratioq. d. F uency e. Exposed Employee—Name, Address&Telephone W to 23. Employer Knowledge: 24. Comments(Employer. Employee• Closing Conference): 26. Other Employer Information 26. Classif.. S. Farws to tsl b. or Cr IC. Knorw.'r d. S 0' a a+ r 27. Probability a No. b Frrrq. C. Pro..to d. Stress a Omer I Subtotal V Prob.0 h. Seventy O i. Total r. 112 Rating EmWoyees or Up. Oergar I Factors Factors V 29. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days'Uncorr. 1) Size 2) Good Faith 3)History e) Total Worksheet U.S. Department of Labor Occupational Safety and Health Administration tnew 2. CSHO ID 8.pptkx►at ReqW No. 4. Date/Time � S. Instances on Page /P •J (a, b• i► e. tbrt ♦.Gtafon No e. n•r.,Ne. S.on Onay to.standard Alt y sled Ill.No. Exposed tZ. No. Instances 113. REC vtaa B ❑ 11.Abatement Period Trk? 16. Action Date Type 10. SAVE Manual 117. SAVE ID(Pg/Item) 18. Ref. No. ❑C ❑ M ! Sf•It.AVD/Va• 1 1 - . 20. Instance crt ion(a. Hazards-Operation/Condition-Accident: b. Equipment; c. Location; d. Injury/Illness; and e. Measurements) z 21. Photo Y a. Occupation(& Employer) b. No. c. Wal Duration, d. F uency e. Exposed Employee—Name, Address&Telephone W w 23. Employer Knowledge: 24. Comments (Employer, Employee, Closing Conference): Cont'd t 26.Other Employer Information 26.Classif.: a. Failure to Abate? b. SOY M or 00 c. Knows.? d. S 01 I e. R' I. W 27. Probability a No. b. Freq. I c. Pro..to d. Suess e. Otner f. Subtotal g. Prop.O h. Severity O I. Tot&, I. U2 Rating Employees of Exp. Danger Factors Factors 28. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/Sd. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days'Uncorr. 2)Good Faith 3) History 4)Total J e I Worksheet U.S. Department of Labor Occupational Safety and Health Administration �/ _• t 8. R No.14. Date/Tane S. Instances on Page (p r A7 (a. b. /) 6.VTtohUo 1 Q 7. atbn No.1 a. Itoo;No. 0,a stttr7' 'p gta%ard Al�y��/� 11.No. Exposed 17. No. Instances 13. REc Yfda (7C o 14.Abatwwt Ppfiod Trk? 18. Action Date Type 16. SAVE Manual• 17. SAVE ID(Pg/Item) 18. Ref. No. sJG UJGI ❑C ❑ M �— it.AVO/VAW* Lion: 20. Instance Description (a. Hazards-Operation/Condition-Accident: b. Equipment: c. Location, d. Injury/Illness: and e. Measurements) — ------- - — - ----- ----- - -- - - - - W. Cont'd 21. Photo Y a. Occupation(& Employer) b. No. c. Total Ouratioq d. Frequency e. Exposed Employee—Name. Address&Telephone LUw 23. Employer KnoWedge: 24. Comments (Employer. Employee. Closing Conference): 26. Other Employer Information, 26.Classif.: a. Failure t te? b. Ser H or D' C. n ? d. S qr O'i 27. Probability o.No. b. FreQ. c. Prox.to d. Stress e. Other f. Subtotal g. Prop 0 h. Severity 0 s. Total t r2 Rating Employees Olt Danger I Factors I Factors 0/ 28. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days Uncorr. 1) Size 2)Good Faith 3) History 4) Total, �-31 C c. 0—, t Worksheet U.S. Department of Labor Occupational Safety and Health Administration 1.Inspection 2. CSHO 10 �. OpNo tel 4. Date/Time p 5. Instances on Page 0 Is, b, /1 Citation No. Ill. it o. !.On Site? 10.Standard V' t 11,No- Exposed 12. No. Instances 12. REC violation ❑ �J J c I I VL P- 14. Abatemen nod Trk) 15. Action Date Type 16. SAVE Manuel 17. SAVE 10(Pg/Item) 14. Ref- No. GI ❑C ❑ M 1t.AVO/Va forrnalion: a„ i� 10. Instance Description(a. Hazards Operation/ ition•Accident: b. Equipment; C. Location; d. Injury/Illness. and e. Measurements) 21. Photo - - _.• .. Y a. Occupation (3 Employer) b. No. c. Total Duration d. Fr uency e. Exposed Employee—Name. Address 3 Telephone W W t 23. Employer Knowledge: 24. Cownents(Employer. Employee. Closing Conference): Cont'd 25. Other Employer Information 25. Classif.: I a. Faun to tee I b. Setjr or D) C. K .? d. S or O? 27. ProbaNlity a.No, o Fre . c Pros to d. Streu •J e. Other L Subtotal p. Grob.O n. Severity O Total t .i2 Rating Employees of E1D Danger Factors Factor. V 28. Penalty a. Prob. of Injury/Illness b. Gravity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days Uncorr. 1) Size 2)Good Faith 3) History 1)Total -- - -. TOP — �V.S.GownywM PlY1tln0 Omm. low—912.7MI1979 Worksheet U.S. Departm'Tnt of labor Occupational Safety and Health Administration 1.kmapectioril �.CS I i.tJpt' No.14. Date/TS. Instances on Page /r la. b. /I •.Violattof 7. ation NO. S. Item�o 9.On Site? 10.Standard Allegedly Violated tl.No. Exposed 112. No. Instances tS. REC Viola 0 r ❑ O. �;o( 0 14. Abst'ee�ment lTtk') J11111- ActionDele Type 16.,S�AVVE Manual 111?. SAVE 10(P9/Item) 114. Rat No. E3 Gi l ❑C ❑ M �- 16.AVD/Vanable In ation: 20. Instance Description (a. Hazards-Operation/Condition-Accident, b. Equipment; c. location; d. Injury/illness;-yand e. Measurements) 21. Photo Y a. Occupation A Employer) b. No. c. Total DuratioN d. Frequency e. Exposed Employee—Name. Address 6 Telephone uJ J t 23. Employer Knowledge: 24. Comments(Employer. Employee, Closing Conference): Cont'd L 25.Other Employer Information 26.Classif.: a Failure tee b. Ser Nor Cr IC n .A') a S ,cr, e W t. vIP 27. Probability a.No. b Freq. C. Pro• to o Stress Alt. Other I Subtotal p Prob.0 h. Seventy 0 Total I. ir2 Rating Erhpbyses of Epp. Dahger Factors Factors V/ 26. Penalty a. Prob. of Injury/Illness ib. Gravity-Based c. Times Repeated/ d. Adjustment Factors e. Proposed or Penalty Degree of Willful Adjusted Penalty No. Cal. Days Uncorr. 1) Size 2)Good Faith otal / o - .60 C C-1 11Z 5_ r-fly o ;Case File Page U.S. Department of Labor I- Oec upational Safety and Health Ad..aninradon 4* Irv Boston Am Office South 639 Granite Street-4th floor It min"ee. MA 02184 Phone: (617)565.6924 FAX: (617)565-6923 Citation and Notification of Penalty - To: Inspection Number: 109166504 Snow White Sails Inspection Date(s): 04/18/95 - 04/18/95 and its successors Issuance Date: 04/26/95 230 Falmouth Road Hyannis, MA 02601 Inspection Site: ?hc violation(s) described to Jh�t won > 230 Falmouth Road and.N ot......ion 'penalty is (arcj alleged Hyannis. MA 02601 to have occurredoa;arabota the dQy(s)the : :firspi"on +gas shade unless otlurt se �ndicuttd K�hln the descrion given below ' This Citation and Notification of Penalty(this Citation)describes violations of the Occupational Safety and Health Act of 1970. The penalty(ies) listed herein is (are) based on these violations. You must abate the violations referred to in this Citation by the dates listed and pay the penalties proposed, unless within 15 working days (excluding weekends and Federal holidays) from your receipt of this Citation and Notification of Penalty you mail a notice of contest to the U.S. Department of Labor Area Office at the address shown above. Please refer to the enclosed booklet (OSHA 3000) which outlines your rights and responsibilities and which should be read in conjunction with this form. Issuance of this Citation does not constitute a finding that a violation of the Act has occurred unless there is a failure to contest as provided for in the Act or, if contested, unless this Citation is afrumed by the Review Commission or a court. Posting - The law requires that a copy of this Citation and Notification of Penalty be posted immediately in a prominent place at or near the location of the violation(s) cited herein, or , if it is not practicable because of the nature of the employer's operations, where it will be readily observable by all affected employees. This Citation must remain posted until the violation(s) cited herein has (have) been abated, or for 3 working days (excluding weekends and Federal holidays), whichever is longer. The penalty dollar amounts need not be posted and may be marked out or covered up prior to posting. Informal Conference - An informal conference is not required. However, if you wish to have such a conference you may request one with the Area Director during the 15 working day contest period. During such an informal conference you may present any evidence or views which you believe would support an adjustment to the citation(s) and/or penalty(ies). ti If you are considering a request for an informal conference to discuss any issues related to this Citation and Notification of Penalty, you must take care to schedule it early enough to allow time to contest after the informal conference, should you decide to do so. Please keep in mind that a written letter of intent to contest must be submitted to the Area Director within 15 working days of your receipt of this Citation. The running of this contest period is not interrupted by an informal conference. Citation and Notification of Penalty Page t of 9 OSHA-2(Rev. 6/93) If you decide to request an informal conference,please complete, remove and post the page 3 Notice to Employees neat to this Citation and Notification of Penalty as soon as the time,date,and place of the informal conference have been determined. Be sure to bring to the conference any and all supporting documentation of existing conditions as well as any abatement steps taken thus far.' If conditions warrant, we can enter into an informal settlement agreement which amicably resolves this matter without litigation or contest. Right to Contest - You have the right to contest this Citation and Notification of Penalty. You may contest all citation items or only individual items. You may also contest proposed penalties and/or abatement dates without contesting the underlying violations. Unless you Inform the Area Director JU wrift thaty Intend to contest the dtadon(s) and/or pry F-awtWes) Wi In 15 wor ys aftii roydRi. t_hn ..t�Art�.re� �-7 t�� tarotaased nenalt des) will become a W order of the OcM.roational Sa[ety and Health-Review Commission and m vanot_ re ewed by any court or ages Penalty Payment- Penalties are due within 15 working days of receipt of this notification unless contested. (See the enclosed booklet and the additional information provided related to the Debt Collection Act of 1982.) Make your check or money order payable to "DOL-OSHA". Please indicate the Inspection Number on the t+emittance. OSHA does not agree to any restrictions or conditions or endorsements put on any check or money order for less j than the full amount due, and will cash the check or money order as if these restrictions, conditions, or endorsements do not exist. i Notification of Corrective Action - For violations which you do not contest, you should notify the U.S. j Department of Labor Area Office promptly by letter that you have taken appropriate corrective action within the time frame set forth on this Citation. Please inform the Area Office in writing of the abatement steps you have taken and of their dates, together with adequate supporting documentation, e.g., drawings or photographs of corrected conditions, purchase/work orders related to abatement actions, air sampling results, etc. Employer Discrimination Unlawful-The law prohibits discrimination by an employer against an employee for filing a complaint or for exercising any rights under this Act. An employee who believes that he/she has been discriminated against may file a complaint no later than 30 days after the discrimination occurred with the U.S. Department of Labor Area Office at the address shown above. Employer Rights and Responsibilities-The enclosed booklet(OSHA 3000)outlines additional employer rights and responsibilities and should be read in conjunction with this notification. Notice to Employees- The law gives an employee or his/her representative the opportunity to object to any abatement date set for a violation if he/she believes the date to be unreasonable. The contest must be mailed to the U.S. Department of Labor Area Office at the address shown above and postmarked within 15 working days (excluding weekends and Federal holidays) of the receipt by the employer of this Citation and Notification of Penalty. i Citation and Notific aim of Patalty Page 2 of 9 OSHM2(Rev. 6/93) U.S. Department of Labor 0"Watlona! Safety and Health Administration NOTICE TO EMPLOYEES OF INFORMAL CONFERENCE An informal conference has been scheduled with OSHA.to discuss the citation(s) issued on 04/26/95. The conference will be held at the OSHA office located at Boston Area Office South, 639 Granite Street-4th floor, Braintree, MA, 02184 on at i Employees and/or representatives of employees have a right to attend an informal conference. Citation and Notification of penalty Page 3 of 9 OSHA-2(Rev. 6/93) F � A U.S. Department of Labor Inspection Nusnber: 109166504 Occupational Safety and Health Administration IInspectiod Data: 04/18/9S -04/18/93 Issuance Date: 04n6/95 Citation and Notification of Penalty Company Name: Snow White Sails Inspection Site: 230 Falmouth Road, Hyannis, MA 02601 Citation 1 Item 1 Type of violation: Serious 29 CFR 1910.151(c): Where employees were exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body were not provided within the work area for immediate emergency use: Receiving Area: Employees required to handle corrosives were not provided with an adequate eye wash station. Citation 1 Item 2 Type of violation: Serious 29 CFR 1910.212(axl): Machine guarding was not provided to protect operator(s) and other employees from hazard(s)created by moving parts: Receiving Area: The crushing hazards created by the moving platform of the hydraulic lift were not guarded. L See pages I through 3 of this Citation anti Notification of Penalty for information on employer and employee rights and responsibilities. Citation anti Notification of Penalty Page 4 of 9 OSHA-2 (Rev. 6/93) U.S. Department of Labor Inspection Number. 109166504 Oeagwional Safety and Health Administration. IInspecdon Dates: 04/18/95 -04/18/95 Issuanoe Date 04/26M Citation and Notification of Penalty Compmy Name: Snow White Sails Inspection Site: 230 Falmouth Road, Hyannis, MA 02601 Citation 1 Item 3 Type of Violation: Serious 29 CFR 1910.219(dX0: Pulley(s)with part(s)seven feet or less from the floor or work platform were not guarded in acworda=with the requirements specified at 29 CFR 1910.219(m) & (o): Lower Finish Department: 1) ' The belt pulleys on the Saxmeyer typing machines were not guarded. 2) The belt pulleys on the left hand side of the American Laundry sheet ironer were not adequately guarded. Y Citation 1 Item 4 Type of Violation: Serious 29 CFR 1910.219(f)(1): Gear(s) were not guarded by a complete enclosure or by one of the methods specified in 29 CFR 1910.219(fX1XH)and(f)(lXiii) Lower Finish Area: The gears on the left hand side of the American Laundry machinery sheet ironer were not adequately 8u o»x: "'',�` ;»:<•y., �..y�::,�r{:` -�`�i•-'•".ni::tiii;::;Tr.�r-�c�\yi{.:�E;;:T: .�;�wct;.: �/jy�![���.k:.; `A 1 ::::<q•-:...,\vTS.>v�:,.Y.'•TT}ic..:.<':`hawuT::«-:�c:'v:A Y. Y`r-•i 4 Z. }x..f....<:\u:"• ;{Y:"'3.;h,<n{T 4:.<}.� J�'r \n X..v. .:A.?-� - .h.;: --'{- ';:.;i�:TT} •}.T ncT:Y�:':ni'%-..'::r::�:..,y?�.-/�J,'•s.'•:YY{•::•.:'�3.:•'.`.0•'-.':.o•:.w..-: �3•:L <.;:C:Y2Y:},. ..Q4��� T{�4:'ft-i)�':^4X:{:.}�r•:V.tih:Y:lf.:•:hvn•�•h:::`i{:>>`•:,':YiFi.:;T'{{:�./<vi'•:T.•}:iM; .�:YY�•:- 3: >�:' :5::`:<:::' ' • } ..{,x9•'.�;.}?S.}�}.. `�:•••h7uY;rnf.k:_`S ):.+lv}?T......})y+�'<�`. dF�-'�. �:•a:::d:-:..�� �. 2 See pages 1 through 3 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. Citation snd Notification of Penalty Page 5 of 9 OSHA-2(Rev. 6/93) U.S. Department of Labor Inspection Number: 109166504 Occupational Safety and Health Admkds=iogl Inspection Data: 04/18/95 -04/18/95 Citation and Nodf cation of Penal h► Issuance Date: 04n6/95 �� s Company Name: Snow White Salls ` Inspecdon Site: 230 Falmouth Road, Hyannis, MA 02601 Citadon i Item 5 Type of violation: Serious 29 CFR 1910.219(f)(3): Sprocket wheels and chains which were seven feet or less above floors or platforms were not enclosed: Lower Finish Area: 1) The chains and sprockets on the right hand side of the American Laundry machinery sheet ironer were not Vmded. 2) The chains and sprockets on the right hand side of the Chicago Jet fold folding machine were not guarded. 3) The chains and sprockets on the right hand side of the Chicago Jet fold folding machine were not guarded. -;he�t}:<t, CC. `_ a:;;v_r.••q\.:.}. .,�,,,. � •'22?C:`�nr?-}+n}}:;FRx.:�wh xn..:.., y.-.n. INK k� \k.",\�'fir:•1-�}.iti4.'r'+/:-�v�;3C\f.:t;. Oi�S.'. Fq:}?:i i �., . 3�Fj;:;2,•'•AidriF:F'.;Frr.: vv,??4::<;< -.:a:.: . "a,; S . .....•x;t:v"tfst• :iyG`.- `,F;v:�:}`ti'.v^. .f:M1•.:ag:.\ / Citadon 1 Item 6 Type of Violation: Serious 29 CFR 1910.303(gx2xi): Live parts of electric equipment operating at 50 volts or more were not guarded against accidental contact by approved cabinets or other forms of approved enclosures, or other means listed under this provision: a) Lower Finish Area: .The cover for the control box on the Chicago Jet fold folding machine was missing, exposing live electrical per. b) Upper Finish Area: The cover plate for the control box on the Chicago Jet fold folding machine was missing, exposing live electrical parts. ••�:F:�>i:ii::::?{{:}F::i:j}i;i+:::,'.-lF��Ji:::`:•;:}:::nOf .-.^�ivvv�(,.,� '.{. v .�. Y•v .b...}.p.. :n .:.,.:..:}.}.............:...1. .....Z'::..'::::FF},'....:..,n:.:::i:: .;F :'i�``' //�}���,�y). ♦..}:...h .n\\:<�in• wN..' '�'v :}�4�i.-.v:.. %r:'i .��/.jfA• 1 if .. �v. v :..i'Z�..l-.;,t}:)\-:<::.[i?::>•ti?<.r�:<::'i::':•F:ti....... :}:iiXS:•}}}'<-v:Y:<8 '::...,. :: .. .:: .,-. , :��'•:�:..: ..:::: w>:::}r.;3F.},of••:'e:;.;i:fi:::v:;.}}:•::u:;.r r,.�}.:o.•r..•.;;>t: ..:.r.r:.}•,,:::}-::..y tiF;:'r:::i:rvy.-}: :i&f4n\' --,.b^.f'olQ' � - •:k:G:<?< rv:.n.. :}.:rr•.:.:-<•`.':y::a:..::.;�,:.fF..:::F?r`:.;ry ic:•:}:;}:f}a�;<:'y}} '.Y`:.:-:4.};}?:>': .. �x'�:22 :nu.n.,:::74t.W:a.:.;�.}:??<.:<.t.»:?csfBG�:%F�! 'r!6�.:hi.;�:2�:-�••X•w��:of'..}�:.:: ��. I See pages 1 through 3 of this Citation and Notification of Penalty for information on employer and employs rithu and responsibilities. Citation sad Notification of Penalty e 6 of 9 � OSHA•2(Rev. 6/93) • E U.S. Department of Labor Inspection Number: 109166504 Occupations! Safety and Health Add. InspecdonTates: 04/18/95 -04/18/95 � Citation and Notilicadon of Penalty Issuance Hate: 04n6/95 Company Name: Snow White Sails Inspection Site: 230 Falmouth Road, Hyannis, MA 02601 a„ Citadon 2 Item 1 Type of violation: filer 29 CFR 1910.23(ex1): Open sided floor(s)or platform(s)4 feet or more above the adjacent floor or ground level were not guarded by standard railings (or the equivalent as specified in 29 CFR 1910.23(e)(3xi)through(v)), on all open sides: , Receiving Area: . The fall hazard between the upper finish area and the receiving area was not guarded. xr,'•,i .r fly; ,.. Citation 2 Item 2 Type of Violation: Other 29 CFR 1910.24(b): Fixed stairs were not provided for access from one structure level to another where operations necessitated travel regularly, daily, or'at each shift: Receiving Area: A set of fixed steps were not provided for employees required to gain access to the upper finish area. ' hi::: ..'vya`•��i•' RR' ANT y• Yti FOR i. n 4rii: •X '.4 •C: y See pages I through 3 of this Citation and Notification of Penalty for information on enployer and employee rights and responsibilities. Y C iwion and Notification of Penalty Page 7 of 9 OSHA-2(Rev. 6/93) i U.S. Department of Labor Inspection Numbs: 109166504 Ooatpational Safety and Health Admini uwioa ImspecNgnn Data: 04/18M -04/18/95 Cttadon and NotiPicANon of PenallyIssuance Date: 04/26/9S .n S Company Name: Snow White Sails Inspecdon Site: 230 Falmouth Road, Hyannis, MA 02601 Citadon 2 Item 3 Type of Violation: Other 29 CFR 1910.147(cxl): The employer did not establish a program consisting of an energy control procedure and employee training to ensure that before any employee performed any servicing or maintenance on a machine or equipment where the unexpected energizing, start up or release of stored energy could occur and cause injury, the machine or equipment would be isolated, and rendered inoperative in accordance with 29 CFR 1910.147(cx4): Establishment: The employer failed to establish a written Lockout/Tagout Program. Citation 2 Item 4 Type of Violation: Other 29 CFR 1910.303(gx2XH): Enclosures or guards for electric equipment in locations where it would be exposed to physical damage were not arranged and of a strength to prevent such damage to the equipment: Lower Finish Area: The conductors on the left hand side of the Chicago Jet fold folding machine were not guarded. :: :::>: ::; .:.. �><> :fib• t -:� >.}....� :<>£<}.::. :-��«::., • ..;a..:....� :: :�Y}.�.. ...::.:..,:.}::.}:a'Y1R:#:: -:.,Y;y.:.}.;:-.:<;'.:L%':a}:^...... t:}}:::'k:::::>'.�E:L�FC•:'ao...}. ':C w\ -c u:, : ";if::;::c,}: :<:,:; :TipU� ru_.,:c};:::::�1.;}:r?,r'S>•. ".i,<:r,.,..:::}:;o;.s...xs2;•:.•��: h;�..i•>:: .... :1v•}.:::i}.::.:,.. .L;•::L:}:':i;:.2,:.:y:�::�::�. ':7�... ,irt::>'0`:':2:::i``::}•a.•._i •.':�.... :.?o.:., >.;�o. }:��N���:. ':;iYobL..•:. affo3:o}inw•yk�. d'.:,::.,,,:.:::::::.y... \ 'a•,x`�w�3o2f -)�'}•••. :. •,R.. ;: ;<a„}:r:.ttir:... � r L See pages I through 3 of this Citation And Notification of penalty for information on employer ud employee rights ud responsibilities. Citation utd Notification of penalty page 8 of 9 OSHA-2 (Rev. 6/93) i U.S. Department of Labor Inspecdon Numben 1091665" Oem"ttonal Safety and Health Administration. IaspmdowDates: 04/18/9S -04/18/95 Citation and Notification of Imsasnac�ta Ante: OVUMPenalty Company Name: Snow White Sails ImPection Site: 230 Falmouth Road, Hyannis, MA 02601 Citation 2 Item S Type of violation: filer 29 CFR 1910.1200(exl): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met: Establishment: Bleach and Commercial Detergents. •yu•..}::;:.y�{�<'-:r: •:a :c:. ' >eN `�;: � •air...:.. .a}• . .t ,.`f:.;:'JP: .:�'c}w. \�a:•, :4 '-. �.y.•:a>` S,'�,�`.:�'. "Y':,s,.Xri��::.r:.;ph'\Y: } . 'c`... `; ».\� ;: �� '';�� rod•} C , ' W. Hartmann Director i . i i See pages 1 through 3 of this Citation and Notification of Penalty for information on employer and employs rights and responsibilities. f i.:.uion and Notification of Penalty Page 9 of 9 OSHA-2(Rev. 6193) 4' U.S. Department of Labor Occupational Safety and Health Administration Bwwn Area OtRoe South 639 Granite Street4th floor Braintree, MA 02184 Phone: (617)565-6924 FAX: (617)565-6923 INVOICE/ DEBT COLLECTION NOTICE Campaay Nam Snow White Sails Impecdon Slice~ 230 Falmouth Road, Hyannis, MA 02601 8soaooe Dame: 04/26/95 9bmaaa y d Penalties for Inspection Number 109166S4 caw=1, Serious = $ 450.00 Citedw 29 Otbw = $ 0.0o •CMAV CST{4\in`i To avoid additional charges, please remit payment promptly to this Area Office for the total amount of the uncontested penalties summarized above. Make your check or money order payable to: 'DOL-OSHA". Please indicate OSHA's Inspection Number (indicated above) on the remittance. OSHA does not agree to any restrictions or conditions or endorsements put on any check or money order for less than full amount due, and will cash the check or money order as if these restrictions, conditions, or endorsements do not exist. Pursuant to the Debt Collection Act of 1982(Public Law 97-365)and regulations of the U.S. Department of Labor (29 CFR Part 20), the Occupational Safety and Health Administration is required to assess interest, delinquent charges, and administrative costs for the collection of delinquent penalty debts for violations of the Occupational Safety and Health Ace. btgred. Interest charges will be assessed at an annual rate determined by the Secretary of the Treasury on all penalty debt amounts not paid within one month(30 calendar days)of the date on which the debt amount becomes due and payable(penalty due date). The current interest rate is 3%. Interest will accrue from the date on which the penalty amounts (as proposed or adjusted)become a final order of the Occupational Safety and Health Review Commission (that is, 15 working days from your receipt df the Citation and Notification of Penalty), unless you Me a notice of contest. Interest charges will be waived if the full amount owed is paid within 30 calendar days of the final order. Page 1 of 2 y A debt is considered delinquent if It has not been paid within one month (30 calendar days) of the penalty due date or if a satisfactory paymtnt arrangement has not been made. If the debt remains delinquent for more than 90 calendar days, a delinquent charge of six percent(6%)per annum will be assessed Accruing from the date that the debt became delinquent. AdmminlAmdve Cosb. Agencies of the Department of Labor are required to assess additional charges for the recovery of delinquent debts. These additional charges are administrative costs incurred by the Agency in its attempt to collect an unpaid debt. Administrative costs will be assessed for deih. and letters sent in an attempt to collect the unpaid debt, W. Haranann — Date Date Director Page 2 of 2 Referral Report U.S. Departmgl "'of Labor Occupational Safety and Health Administration MOD Date I. Reporting ID 12.„Y;:Agti►rit)R ❑ Yes ❑No 3. Referral Nurntw g 014 7 9 717 Enter Type: Nunlbar: . QdentHies the , 1. a. ❑ b. Eslabt' nt Name � . Ii�sfeerr cx►a 9 v � :—� S A/L S •. a. ❑ b. Site Addr ss(Street. City. State, ZIP) T. City C9d4 Ill. County Cods !. Mailing Address(Street..City, State. ZIP) 10. T of Business 11.Primary SIC 12. No. Employees d$1 2 2 I&Ownersh' (Mark "X" in one box) a. Ovate Sector b. ❑ Local Government c. ❑State Government d. ❑Federal Agency/Code 14. Referred by: 1S.Date Received: a. ❑CSHO(Within office)/CSHO ID I. ❑Consultation b. ❑Federal OSHA g. late/Local Government C. ❑State OSH h. ❑Media d. ❑Discr&nination i. ❑Other (specify) e. ❑Other Federal Agency/Code 16. Source or Contact (Name, L ation, Affiliation, Telephone Dumber) t � 17. a. Safety b. Health (1)❑ Imminent Danger (2) Rlerious (3) ❑Other (1)❑ Imminent Danger (2) ❑Serious (3) ❑Other 1A: ❑Migrant Famwworker Camp It.Hazard Description �j /3�LTs t P&tLeys A/ie ��Jr,�Az�o� -Fiji J G d'9� 4��G�rt ►crl t� /3ukcs 7-14A.4 vG-��c� 20.a. Send Le er b. Date Letter Sent: c. Date Response Due: 21, Supervisor(s)Assigned tt❑ a. b. 22. tion Planned? If Yes, If No, es nNo Priority: / Reason: n.Transfer to (Name):..-_-------_------_-�_----- — --_...._... 24. Transfer Date: 25.Transfer to(Category):. V- c. ❑Other Federal Agency/Code . a. ❑Federal OSHA/Reporting ID d. D State/Local Government b. ❑State OSH/Reporting ID e. El Other 26. Optional information Type ID Value Type ID Value I _ Entries 2f1. Comrr►ents OSHA-90(Rev 1/84) In the muter of: Snow White Sails OSHA/ 109166504 C6586 f EXPEDITED INFO• MAi SETTLEMENT AGREEMM The undersigned EMPLOYER and the undersigned Occupational Safety and Health Administration(OSHA),in settlement of the above reference Citation(s) and Notification(s) of Penalty which were issued on April 26,1995 hereby agree as follows: 1. The EMPLOYER agrees to correct the violations as cited in the above referenced citation(s). 2. The EMPLOYER agrees to provide evidence of the actions taken to correct the cited violations. 3. Upon correction of all violations, the EMPLOYER agrees to provide written certification to the Area Director that all of the violations have been corrected. The EMPLOYER agrees to post a copy of the written certification for a period of three days in the place the citations were posted as described in paragraph 7 of this AGREEMENT. 4. OSHA agrees that the total penalty is amended to $225.00. Failure of the EMPLOYER to comply with the terms of this AGREEMENT shall cause the penalty to revert to the initially proposed penalty of$450.00. S. In consideration of the foregoing amendment(s)and/or modification(s)to the citation(s), the EMPLOYER hereby waives its right to contest said citation(s)pursuant to Section 10(c)of the Occupational Safety and Health Act of 1970. It is understood and agreed by the Occupational Safety and Health Administration and the EMPLOYER that the citation(s)as amended and/or modified by this agreement shall be deemed a final order not subject to review by any court or agency. 6. The EMPLOYER agrees to immediately post a copy of this Settlement Agreement in the same manner and place as the Citations (Citations are required by law to be posted in a prominent place at or near the location of the violation(s). Citations must remain posted until the violations cited have been corrected, or for three working days(excluding weekends and federal holidays, whichever is longer). 7. Each party hereby agrees to bear its own fees and other expenses incurred by such party in connection with any stage of this pro rep ding. ee:,�- F THE OCCUPATIONAL SAFE TRATION i DATE S(GNEb DATE SIGNED """"NOTICE TO EMPLOYEES'*••$+** The law gives you or your representative the opportunity to object-to any abatement date set for a violation if you believe that the date to be unreasonable. Any contest of the abatement dates of the citations referred to in paragraph 1 of this Settlement Agreement must be mailed to the following address within 15 working days (excluding weekends and federal holidays) of the receipt by the Sy: 6 tl £Z��g citations: 5br U.S. Department of Labor Occupational Safety and Health Administration a 639 Granite Street - 4th Floor S n Braintree, Massachusetts 02184 �s~ (617) 565-6924 Y U.S. Department of Labor Oocapatloaal Safety and Health Adminlstratbn Batas Ara Office South 639 Granite Street-4th floor Bralot=, MA 02184 Phone: (617)M-6924 FAX: (617),S65-6923 04/26M � 109166504 (C6586) Snow White Sails a, 230 Falmouth Road Hyannis. MA 02601 7U recent inspection of your workplace revealed no instances of Repeated, Willful, or Failure-to-Abate violations; nor were there a significant number of High Gravity Serious violations. Additionally, the compliance officer has reported that you have a good understanding of the actions necessary to correct the violations that were cited, and that you are willing to make those corrections by the date(s)specified in the citation. The good faith you have exhibited, and the absence of Repeated, Willful, or Failure-to-Abate violations, makes your firm eligible for an Expedited Informal Settlement Agreement (EISA). Under this program, an employer and OSHA can enter into an Informal Settlement Agreement without going through the formal procedure of meeting in the Area Office. However, U you decide to enter Into the Expedited Informal Settlement Agreement, you should be aware that you relinquish your right to contest the citations and penalties. 7Le Expedited Informal Settlement Agreement can be used only where the sole issue of dispute is the dollar amount of proposed penalties. If you wish to discuss, change, or object to any other aspect of the inspection or citations — including abatement dates, validity of violations,classification of violations —then the Expedited Informal Settlement Agreement cannot be used. Under those canoes, you may request an Informal Conference with me and/or exercise your contest rights as explained elsewhere. You should carefully read the enclosed Expedited Informal Settlement Agreement to determine whether the terms of the agreement are acceptable-to you. Key elements of the agreement call for OSHA to agree to a SO per cent eduction in the total penalty amount proposed; for the Employer to correct the violations by the abatement date(s)set forth in the citation(s); for the Employer to provide evidence of corrective actions taken and to provide written certification that all items have been abated at the time of final abatement. Please note that failure to comply with any of the terms set forth in the agreement will cause the penalty to revert to the to revert to the initially proposed amount. The signed agreement and a check for the full amount of the reduced penalty(SO per cent of the total of initially proposed penalties) must be delivered to the Area Office prior to the expiration of the 15-working day contest period. If mailed, the letter must be postmarked not later than the day that the 15-working day contest period ends. If you have any questions regarding the Expedited Informal Settlement Agreement, please contact this office at'(617) 565-6924. Sines*, W�: W. Hartmann Area Director - r___.__._— —____ --.-.._.�--..�. -- _ ...___— I{ i ��T . b �� - � �' f i TOWN OF BARNSTAB�T,,E , '^" BUILDING DEPARTMENT- COMPLAINT/INQUIRY vePORT Da-te Assessor's No. Last Name First Name ORIGINATOR Street_ --- Villa a State 4 Zi Tele hone: Home work Descri tion• _ 'COMPLAINT NQUIRY Requestor's Signature COMPLAINT Street Address * " LOCATION A= OFFICE USE ONLY INSPECTOR'S Date A 1 ACTION/ Ins ector COMYXNTS � y� cj e i ACT1Oi: ADD!T lO2II,L INFO. ATTF:CEED COPY DIS4RIEUTI027: V;F.ITE DiPFF i!'?t:T FILE YELLOW pI2:F, - I27SPECTOR (RETURN TO OFFICE Y.GR.)PECTOR KSSCl COMMERCIAL PROPERTY (/ MAP NO.. LOT.NO. FIRE DISTRICT SUMMARY _ STREET 1 73 LAND BLDGS- 37 O O OWNER TOTAL LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. rn TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAN D BLDGS. 01 TOTAL LAND i i BLDGS. 01 TOTAL LAND INTERIOR INSPECTED: BLDGS. y TOTAL DATE: LAND ACREAGE COMPUTATIONS 01 BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL 'HOUSE LOT LAND -.CLEARED FRONT BLDGS. rn REAR TOTAL i WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. O) TOTAL LAN D 01 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL i V J :EMENT BLK. WALLS COMPO. BOARD �� TOILET RM. FL. & WAINS. S. F. MICK WALLS ACOUSTICAL BATH ROOM FLR" / S. F. :TONE WALLS TOILET ROOM FLR. S. F. INTERIOR. FINISH u7? S. F. BASEMENT AREA LATH & PLASTER MISCELLANEOUS S. F. -A I % I % I(/FULL, DRYWALL FIREPROOF CONSTR. S. F. EXTERIOR WALLS WALLBOARD MILL CONSTRUCTION S. F. ;OLID COM. BRICK UNFIN. INT. [i F RE RESISTING :OM. BR. ON C. B. L STEEL FRAME ACE BR. ON COM. BR, PARTITiONS STEEL BEAMS &-GAt3' DACE BR. ON C. B. LATH AND PLASTER TIMBER BEAMS & COLS. ACE BR. YEN. DRYWALL STEEL TRUSSES :EMENT OR.0 ER BLK,o' BRICK tE1N. CONCRETE C. BLK. SPRINKLER SYST. 7 y C 3L W STONE FACING N PASSENGER ELEV. .3 iTONE:OR T. C. TRIM HEATING FREIGHT ELEV. 7z , ;TUCCO ON STEAM INCINERATOR ;IDING OR SHINGLES HOT WATER F LACES 'ARTY WALLS HOT AIRle siCHIMNEYS ,.wM 'LATE GLASS FRONT GAS ' OIL BURNER STEEL FRAME SASH I; ROOFING COAL STOKER WOOD FRAME SASH REPLACEMENT VALUE 1 38 S0 1 COMPOSITION OR T. & G. jNO HEATING RENTAL CAPITALIZATION LOCATION L, / R COND.—REFRIG. LAND OOD FAIR POOR VOOD D CK s \ AIR COND.—WATER VACANCY LISTER ' DATE AETAL DECK HEATING i, WIRING WATER FLOORS FLEXLUME OR EQUAL ELECTRICITY OCCUPANCY DETAIL & INCOME _,. B PT 2NO 3RD PIPE CONDUIT JANITOR IONCRETE MANAGEMENT J1RTH PLUMBING '!NE BATH ROOMS TOTAL FLAT EXPENSES i_ARDWOOD TOILET ROOMS TINGLE FL. WATER CLOSET EXTRA GROSS ANNUAL INCOME =� _�Ji % ,, ;. E w :;: ,.•,, ice_ i \S,PH. TILE LAVATORY EXTRA LESS FLAT EXPENSES TERRAllO SINK EXTRA BALANCE FOR CAP. VOOD JOIST URINALS CAP. RATE ;TEEL JOIST NO PLUMBING REFLECTED CAP. VALUE MIN. CONC., G Sr I• OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. C/ y2 3 0 P [3 .. _ f 4 �'_y C! TOTAL . . �: The Town of Barnstable A& �a8' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-90-6230 Building Commissioner DATE: April 12, 1995 TO: All Inspectors FROM: Kathy RE: Photo ID's Me have finally been given the go-ahead on your photo ID's. All inspectors should report tc Colby's, 594 Main Street, to Have photo'S tal en vlhs F:iday, April 14 when you leave the office in the morning. Town of BARNSTABLE - �-� saiixsrnslE, SAMPLE MAS& 039. LniloyQe's Signature fpMp�A Ralph L. Jones Department of Health Building Inspector Saftey & Environmental Services 508-790--6250 , 5 / � L Assessor's map and lot number .. .................. Sewage Permit number +� .r THET TOWN OF BARNSTABLE fps Oi Z BAHBSTAILE, i "6 9 Y BUILDING INSPECTOR °CFO Py a' APPLICATION FOR PERMIT TO M n �- �fJ. +� ��N ....................................................... .......................................................... �t��.r7 ra,� r' /71.� TYPEOF CONSTRUCTION .....:..:...............:................................:..........:........................................::...................... ................ .......?. .........19.A.17 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r-�., r� �C- �4( � .7�a /.S / C1.S5 Location ...... ......:..:.^.:... ..............................,..........- p.............. ProposedUse ........A/C?......! ' ?! N.. .�—............................... ................................................................................. Zoning District QM�d�/�F sex .T. .....................` ...................s Name of Owner ,. ........ Address ........, ....................................... Nameof Builder ....................................................................Address .................................................................................... Name of Architect ................Address > r......... ...... ................................................... Number of Rooms M^ '''h.'r ��. n F...................Foundation � r�r.�"12 �.�/V0.PF / �V..... .............................................................................. Exierior ................e!�^ n!,-.� ............................................Roofing ........As 4H !t 4 7 ............................................ Floors /�....�..................................................Interior .......... ?Ll N//f................................................ ...................... Heating :. � � .. / A T�.. ............................................ umng .........: .... ............................................... Fireplace .......... N......................................................Approximate Cost . /; 7 1 ... ........::................... 4(t Definitive Plan Approved by Planning Board ________________________________19________. Area ..................:................... ..... Diagram of Lot and Building with Dimensions Fee I .:.......................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH / , r i l / "o I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,regarding the above construction. 4 ,} Name ........ ................ :...... �........ ......�.........�.. Basbanes,�John A=293-33 19880 permit for move commercial No ............ ............................. building on same lot ............................................................................... Location Route 28 ........................................................ Hyannis ......................... ..................................................... Owner .........John Basbanes ......................................................... Type of Construction . T!as U &„frame ..... ... Plot ......................... .. Lot ....... ................. Permit Granted ,, January fi 78 ... ..................19 Date of Inspection ............ ....................19 Date Completed ........... .......................19 c PERMIT REFUSED .............................. ............................ 19 ......IL ............ ............................ ........................................... . ........................... . ................................................ ................................................................................ Approved ....... ....................................... 19 ............................................................................... ............................................................................... GILIIY 1 CONCRETE WALLS LATH & PLASTER BATH RM. FL. & WAINS.J 2�y S. F. z1 Zael CEMENT BLK. WALLS / COMPO. BOARD TOILET RM. FL. & WAINS. S. F. Zp. /0 ZZ / O BRICK WALLS ACOUSTICAL BATH ROOM FLR. S. F. 'STONE WALLS TOILET ROOM FLR. S. F. 283 .` INTERIOR FINISH S. F. BASEMENT EA LATH & PLASTER MISCELLANEOUS S. F. FUy DRYWALL FIREPROOF CONSTR. S. F. 9 its �S EXTERIOR WALLS WALLBOARD MILL CONSTRUCTION S. F. SOLID COM. BRICK UNFIN. INT. FIRE RESISTING COM. BR. ON C. B. )� c� STEEL FRAME FACE BR. ON COM. BR. PARTITIONS STEEL BEAMS & COLS. y GF FACE BR. ON C. B. LATH AND PLASTER TIMBER BEAMS & COLS. FACE BR. VEN. DRYWALL STEEL TRUSSES CEMENT OR CINDER BLK BRICK ({�/ REIN. CONCRETE FC. BLK. SPRINKLER SYST.CUT STONE FACING �� PASSENGER ELEV. 2 5� STONE OR T. C. TRIM HEATING FREIGHT ELEV. �y yN• STUCCO ON STEAM INCINERATOR 69 SLDI OR SHINGLES, FIREPLACES PARTY WALLS HOT AIR CHIMNEYS /G PLATE GLASS FRONT GAS `,,v4 s� a J • 4k-0I5R#R ( Jc STEEL FRAME SASH f ROOFING COAL STOKER WOOD FRAME SASH REPLACEMENT VALUE ,s'78f� . • z ICJ *�• COMPOSITION OR T. & G. NO HEATING RENTAL CAPITALIZATION LOCATION /a MEAL ���✓ /�� AIR COND.—REFRIG. LAND GOOD_ FAIR POOR FOOD DECK ✓ AIR COND.—WATER VACANCY LISTER DATE Q__ METAL DECK HEATING �/7/ -- WIRING ATER /a• U� �' JG I FLOORS FLEXLUME OR EQUAL ELECTRICITY OCCUPANCY DETAIL & INCOME 9 B 1ST 2N 3RD PIPE CONDUIT JANITOR /2 c^�w :CONCRETE MANAGEMENT ✓ ". O eG L_��I?O✓`� v�S ,EARTH PLUMBING PINE BATH ROOMS TOTAL FLAT EXPENSES HARDWOOD TOILET ROOMS SINGLE FL. WATER CLOSET EXTRA GROSS ANNUAL INCOME ASPH. TIL�/ LAVATORY EXTRA LESS FLAT EXPENSES TERRAZZO SINK EXTRA BALANCE FOR CAP. WOOD JOIST URINALS CAP. RATE STEEL JOIST NO PLUMBING REFLECTED CAP. VALUE REIN. CONC. OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. CONO. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.DeP. ACTUAL VAL. 576) Z_ 3 3 6.3 o io - �3 85c) 3 4 5 li TOTAL ?j.2 da`. COMMERCIAL PROPERTY MAP N.6, LOT NO. j FIRE DISTRICT SUMMARY STREET Route 28 Hyannis LAND 293 33 I H �3 R BLDGS. OWNER li�� �._,...._. ,Fc _. rn 0..� TOTAL /3 D ` O- LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS:E,3E)p T LAn iTnTs x��+r^^-77 -uVi BLDGS. Unifa Inc, v 3 .6 68 334 58 TOTAL LAND 3 8 'jg BLDGS. O I lAt 1A/ /e G 1A.A4 TOTAL LAND BLDGS. 0) TOTAL ZOJ LAND a D BLDGS. TOTAL LAND BLDGS. 0) TOTAL LAND BLDGS. m TOTAL LAND INTERIOR INSPECTED: 0) BLDGS. TOTAL DATE: HLANDACREAGE COMPUTATIONS rnLAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE - HOUSE LOT 9 7 O, 0,00 a �. 2 oo St31 O c7 LAND CLEARED FRONT BLDGS. REAR Ja f, /trl� C v c.r t.l TOTAL WOODS&SPROUT FRONT i ��a�l ��� LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS - TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER 0) BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. TOTAL PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0230 ROUTE 23 07 7R293 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJ•D.UNIT U N I F A M I N C MAP— Land By/Dale size Dim i enson ACRES/UNITS VALUE De LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE acripbon CD. FF-Deth/Aoras E #LAND 3 243,800 CARDS IN ACCOUNT — L 30 3SITE 1 X .8 A D=12 111 220499.9 293705.9 .83 243300 #BLDG(S)—CARD-1 3 23.900 01 OF 02 A #BLDG(S)—CARD-2 3 144.100 COST N MOTEL/HOTEL U X = 100 *159258.01 159258.00 1.00 159300 B #PL 230 FALMOUTH RD/RTE 28 MARKET 413000 D #RR 1388 0200 INCOME #DL 49 & 95 USE A APPRAISED VALUE D i A 411.800 A U PARCEL SUMMARY T LAND 243800 A T BLDGS 168000 0—IMPS M TOTAL 411800 F E N CNST 346400 E N DEED REFERENC Type DATE Recorded P R I O R` YEAR 'V A L U E A T Book Page Ins' MO. Yr.D Sales Price LAND 243800 T S C42208 '00/00 SLOGS 168000 U C109666 : �12/86 TOTAL 411800 R ' E BUILDING PERMIT NO S Number Dale Type An mt LONGER OPERATING LAND LAND—ADJ INC ME SE SP—BLDS FEATURE BLD—ADJS UNITS AS A MOTEL 243800 159300 Con st. Total Year Bu",' Norm. Obsv. Class Units Units Base Rate Adj.Rate A t Aga Depr. Contl. CND. Loc. _%R.G. Repl.Cost New Adj.Repl.Value SlOries. Haight Rdem9 Rma Balhs I Fix. Pariywell Fat. 20D 001 000 001 45 50 ,41 20 75 100 15 159300 23900 1.0 27.0 Description Rate Square Feel Repl.Cost MKT.INDEX: 1•00 IMP.BY/DATE: / SCALE: 1100.17 ELEMENTS CODE CONSTRUCTION DETAIL S BAS 100 .00 2832 GROSS AREA 2832 MOTEL C NST GP: T N*—* STYLE 35C_OM_M_ER_C_I_A_L_ U 0._ ! ! DESIGN AOJ11T 0 0. R ! ! EXTER.YA_CLS 01Vd6D FRAf4- __ 0. 69! HEATIAC TYPE -0 -------------------0. D 95 INTER.FINISII -0 -------------------Q. T ! ! INTER.LAYOUT 0 Q. U * INTER.DUAITT -0 ---------------------Q. R 26! FLOOR STRUCT 0 _ --Q. A W ! ! L p FLOOR_ COVEit-- D -------------------Q. E Total Areas Aux_ Seae- 2832 *BASE R�OFF yfi�VypfE 0 ----Q. BUILDING DIMENSIONS ! ! EI I T R 1 1.A L Q Q T SAS W16 N69 W08 N26 E08 N69 E16 ! ! FDUNDAI'r()N--- -0 -------------------Q: A S95 SAS S69 .. 69! -------------- --- ---------------------- ! ! -----COWNERC7- C-A A ------------- L ! ! LAND TOTAL MARKET PARCEL 243800 411800 *—X AREA 527520 VARIANCE +0 —22 STANDARD 50 S TOPOGRAPHY. 1 LEVEL * TOPOGRAPHY * UTILITIES 2 PUB WATER * UTILITIES 4 GAS * UTILITIES 6 SEPTIC. ST FEATURE 1 PAVED * ST FEATURE * ST FEATURE * ST. COND. * TRAFFIC 4 NONE DWELL LOC. * LOCATION * AMENITIES * AMENITIES * NUISANCES NUISANCES * * : R293 033. P E R M I T [PMT] ACTION[R] CARD[000] KEY 205398 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP ' NEW/DEMO COMMENT [ J [ J { ] [ ] ] [ ] [ ] [ ] [ ] [ ] [ ] [?] PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD KEY NO. 0230 ROUTE 28 07 HB 400 07HY 12/18/93 3011 00 C004 R293 D33. 205398 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADJ'D.UNIT La�tl By/Date S¢e Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description U N I f A M I N C M P- CD. Ff-De Depth/Acres E I CARDS N ACCOUNT — L COMM BLDG U x = 100 *187146.0 187146.00 1.00 187100 B 02 OF 02 A LU51 4118UU— N MARKET 413000 D INCOME A USE APPRAISED VALUE D i A 411.800 A UI PARCEL SUMMARY T LAND 243800 A T BLDGS 168000 0—IMPS M TOTAL 411800 F E PRIOR TYEAR 4VALUE E N i DEED REFERENCE Type DATE Recorded A T Book Page In91. MO. Yr D Sales Price LAND - 2 4 3 80 C p T S BLDGS 168000 U TOTAL 411800 iR 1 E BUILDING PERMIT S Number Dale Type Amount LAND LAND-ADJ INC ME SE SP-SLDS FEATURE S1 BLD-ADJ UNITS 187100 Class Conti. Total gase Rate Adj.Rate Vear Built Age Norm. =b CND. Loc. %R.G. Repl.Coss New Adj.Rapt,Value Stories Nei bi Room9 qma Ballt9 I'Fia. PM ell FK.Units Umts A 1 OBPr. Conti. I P 9 yw 87C 001 000 001 71 71 20 77 100 77 187100 144100 1.0 6.0 Description Rate Square Feet Rep].Cost MKT.INDEX: 1-00 IMP.BY/DATE: / SCALE: 1/0 0.3 6 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 .00 256D R L CNST GP:91 T FSF 90 .00 1788 *--21--* N STYLE 3 COMMERCIAL 0. WOK 25 .00 348 ! WDK5—*--------80------------* DFS_IGN A0JMT -0 -------------------0: YACC_S-- -D --------------------a. U ! ! HFAT7AC-TYPE -D -------------------D: U 43! BASE 32 INTER:YrNI-SN -D -------------------0: T ! '- ' IN'fER:tAYOUT -0 --------------------0: U ! '- I'NTER.-WALTY -D -------------------a- R -------------------0. ! *----*---28---*------40-----x F166R-3TROtT -0 A a ! 5 15 15 FLo6R-X-6VET- -0 -------------------a L E Total Areas Aua_ 348 Be,._ 4348 *—* ! ! RaIIF-TY151---- -0 -------------------0: BUILDING DIMENSIONS * *----30----* ELECTRYC-AC 0 D. T SAS W40 FSF S15 E30 S24 W57 N24 ! ! f_09f DATrON--- -0 -------------------(% A W01 N15 E28 FSF .. SAS W40 WDK ! ! -------------- --- ---------------------- S05 W 06 N43 E21 S06 W15 S32 .. 24 24 --------------- --- ---------------------- L SAS N32 E80 S32 .. ! ! LAND TOTAL MARKET ! FSF ! PARCEL *---------57--------* AREA VARIANCE t0 t0 STANDARD S TOPOGRAPHY 1 LEVEL * TOPOGRAPHY * UTILITIES 2 PUB WATER * UTILITIES 4 GAS * UTILITIES 6 SEPTIC ST FEATURE 1 PAVED * ST FEATURE * ST FEATURE ST. COND. * TRAFFIC 4 NONE DWELL LOC. * LOCATION * AMENITIES * AMENITIES * NUISANCES NUISANCES PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE I LASS I PCS I NBHD KEY NO. 0230 ROUTE 28 07 HB 400 07HY 12/18/93 3011 00 0004 R293 033. 205398 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS I TY UNIT ADJ'D.UNIT Land By/Dale S¢e Dimensron ACRES/UNITS VALUE Description U N I F A M INC M A P- LOCJYR.SPEC.CLASS ADJ. COND. P PRICE PRICE co. FF.De In/Acres E CARDSIN ACCOUNT — L COMM BLDG U X = 100 *187146.0 187146.00 1.00 187100 B 02 OF 02 A N MARKET 413000 D INCOME USE A D APPRAISED VALUE D A 411.800 J A U PARCEL SUMMARY T S LAND 243800 A BLDGS 168000 T 0-IMPS M TOTAL 411800 F E N CNST 346400 E DEED REFERENCE]Tye DATE Recorded PRIOR YEAR VALUE ' A T Book Page Inst. Mo. Y,.p Sales-ice e LAND 243800 T S BLDGS 168000 u TOTAL 411800 R 1 ' E BUILDING PERMIT S Number Data Type Amount LAND LAND-ADJ INC ME SE SP-BLDS FEATURE BLD-ADJ UNITS 187100 Cons, . Total Year Built Norm. obsv. Class Units Units Base Rate Atlj.Rate A 1 Age Depr. Conti. CND. Loc. %R.G. Repl.Cos,Naw Adj.Repl.Value Stories I Height Rooms Rms Baths /Fra. I P.nywall F.c, 87C 001 000 001 71 71 20 77 100 77 187100 144100 1.0 6.0 Des—plion Rate Square .at Rapt.Cost MKT.INDEX: 1-00 IMP,BY/DATE: SCALE: 1/D 0.3 6 ELEMENTS CODE CONSTRUCTION DETAIL S BAS 100 .00 2560 R CNST GP: T FSF 90 .00 1788 *--21--* N STYLE 3 COMMERCIAL 0. WDK 25 .00 348 ! WDK5-*--------80------------* D'F.TIGN-R-DJFIT -D --------------------0: R ! ! EXTERawACE_S-- -0 --------------------0_ D ! ! H�AT7AG-TTP� -0 -------------------Q: D 43! BASE 32 INfER:YINI_SN -D -------------------0: T ! ! INfER11ky0IiT -0 -------------------- U '. ! IWrER:_iUALTY -D --------------------Q: R ' ! *----*---28---*------40-----X F166R-3TR0Z7 -D -------------------Q: A W ! 5 15 15 FLOOR-I:-6VE'R-- -0 -------------------Q. L E Total Areas Aux_ 348 Base_ 4348 *-* i2a5F-TYPE---- -D --- BUILDING BUILDING DIMENSIONS * *----3D----* EI ECT RZfAL--- -0 -----------------.--Q- T SAS W40 FSF S15 E30 S24 W57 N24 ! ! F�UNbATI_ON--- -0 -------------------Q= A W01 N15 E28 FSF .. SAS W40 WDK ! -------------- --- ---------------------- S05 W06 N43 E21 S06 W15 S32 .. 24 24 --------------- --- ---------------------- L SAS N32 E80 S32 .. ! ! LAND TOTAL MARKET FSF ! PARCEL *---------57--------* AREA VARIANCE +0 +0 STANDARD S TOPOGRAPHY 1 LEVEL * TOPOGRAPHY * UTILITIES 2 PUB WATER * UTILITIES 4 GAS UTILITIES 6 SEPTIC ST FEATURE 1 PAVED * ST FEATURE * ST FEATURE * ST. ,COND. * TRAFFIC 4 NONE DWELL LOC. * LOCATION * AMENITIES * AMENITIES * NUISANCES NUISANCES * * r R293 033. A P P R A I S A L D A T A KEY 205398 UNIFAM INC LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=HB 162, 100 116,000 1 A-COST 278, 100 B-MKT BY 00/ BY /00 C-INCOME 281,900 PCA=3161 PCS=00 SIZE= 4348 C JUST-VAL 281,900 LEV=400 CONST-D 370300 ----COMPARISON TO CONTROL AREA HY04 -- TREND EXCEEDS STANDARD COMMERCIAL NBHD IN HYANNIS HY04 PARCEL CONTROL AREA TREND STANDARD 30] 30 LAND-TYPE 162100] LAND-MEAN +0% 278100] 527520 IMPROVED-MEAN -78% 50% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION-[ ] STRUCTURE-CARD NO-[000] DATA-[ ] XMT[?] -7 a [R293 033 . a TAX. ACCOUNTING [ a 1646— [ 2053981 RECEIPT NO . PAYMENT TAX YEAR/B .G . AMOUNT DATE TYPE. PID 0 -------CERTIFIED OWNER-------- TAX DUE 2 ,740 .92 a OUTSTANDING .00 UNIFAM INC a TAX CODE 400 a CITY 071 DISTRICTS MY -------JANUARY 1 OWNER------ ACTION ] MORTGAGE CODE —00001 UNIFAM INC a ----~-CERTIFIED VALUES---- -------CURRENT OWNER--------- TAX EXEMPT .00 a UNIFAM INC a TAXABLE .00 a 1317 MIDDLESEX ST 1 RESIDENT 'L .00 a LOWELL MA 018S21 TAXABLE .00 a 00001 OPEN SPACE .00 a I TAXABLE .00 a ----- LEGAL DESCRIPTION----- COMMERCIAL 411 ,800 .00 a #LAND 3 243 ,8001 TAXABLE 411 ,800 .00 a #BLDG( S )—CARD-1 3 23 ,9001 INDUSTRIAL .00 a #BLDG( S )—CARD-2 3 144 ,1001 TAXABLE .00 a #PL 230 FALMOUTH RD/RTE 28 a a #RR 1388 0200 a a LEGAL DESC CONT 'D XMT [?a y � � �3 r ] [R293 033 . ] POSTED PAYMENTS [NXT] [ 2053981 TYPE REAS/CNCL PAID POSTED -RECEIPT--- AMOUNT PAID INT/DISC APPLIED TAX YEAR = 1995] BILLING GROUP = 13 ROLL NO . = 16461 LAST ACTION = ] TOTAL TAXES DUE = 2 ,740 .92 ] OUTSTANDING BALANCE _ .00 ] D 1 01/13/95 01/18/95 51 15 51 .51 .00 51 .51 CHECK D 1 12/30/94 01/03/95 51 14 2 ,740 .92 51 .51 2 ,689 .41 CHECK TAX YEAR = 19941 BILLING GROUP = 11 ROLL NO . = 17081 LAST ACTION TOTAL TAXES DUE = 5 ,481 .04 ] OUTSTANDING BALANCE _ .00 ] D 9 06/03/94 12/30/94 99 90000001 5 ,537 .95 56 .91 5 ,481 .04 CONSOLIDATION *D1 060394 060994 51 44 2571 .67 .00 *11 010394 010694 51 37 2966 .28 56 .91 TAX YEAR = 19931 BILLING GROUP = 11 ROLL NO . = 15031 LAST ACTION = ] TOTAL TAXES DUE = 5 ,526 .36 ] OUTSTANDING BALANCE _ .00 ] D 9 06/03/93 12/30/94 99 90000001 5 ,574 .02 47 .66 5 ,526 .36 CONSOLIDATION *D1 060393 061693 5D 7 45 .66 2 .00 * * * C O N T I N U E D * * *] XMT [?] PROPERTY ADDRESS ZONING I DISTRICT CODE SIP-DISTS.I DATE PRINTED I CSTATE I PCS I NBHD KEY No. 0230 ROUTE 23 07 HB 4 7 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS ,, UNIT ADJ'D.UNIT Lantl By/Dale Size D,-,,,,on ACRES/UNITS VALUE Description U N I F A M INC M A P- LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE CO_ FF Deres E #LAN D 3 243,800 CARDS IN ACCOUNT — L 30 3SITE 1 x .81D=12C 111 220499.9 293705.9 .83 243300 #BLDG(S)-CARD-1 3 23o,900 01 OF 02 A #BLDG(S)-CARD-2 3 144.100 COST N MOTEL/HOTEL U x = 100 *159258.01 159258.0 C 1.00 159300 B #PL 230 FALMOUTH RD/RTE 28 MARKET 413000 D #RR 1388 0200 INCOME A #DL 49 & 95 USE APPRAISED VALUE D i A 41IP800 A U PARCEL SUMMARY T S LAND 243800 A T BLDGS 168000 0-IMPS E TOTAL 411800 F N CNST 346400 E DEED REFERENCE Type DATE Rxweetl PRIOR YEAR VALUE A T Book Page "" MO. Yr.D s°le'Pric. LAND 243800 T S C42208 00/00 BLDGS 168000 U C109666 : �12/86 TOTAL 411800 I R I � E BUILDING PERMIT NO ''. S Number Data Type Amount LONGER OPERATING LAND LAND-ADJ INC ME SE SP-BLDS FEATURE BLD-ADJS UNITS AS A MOTEL 243800 1 159300 Con st. Total Year Built Norm. Obav Class Units Units Base Rate Atlj.Rate A I Aga Oepr. DOntl. CND. Loc. %R.G. Rapt_Cost New Adj.Repl.Value Stories Height Rooms Rms Baths a Fia. Partyarell F. 20D 001 000 001 45 50 41 20 75 100 15 159300 23900 1.0 27.0 Description Rate Square Feet Repl.Co., MKT.INDEX: 1-DO IMP.BY/DATE: / SCALE: 1100.17 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 .00 2832 GROSS AREAMOTEL CNST GP:01 T N*-* STYLE 35C_OM_M_ER_C_I_A_L 0._ R ! ! DESIGN ADJMT_ _0 0. ! ! EXTER.YALLS 014005 FRAME _______0._ U 69! HEA _ TIAt TYPE -_D --------------------a- T 95 INTER.fINISH 0 0. T ! ! INTER.LAYOUT -0 -------------------0. U -------------- -- R * ! INTER.4UALTY 0 ------ -------0=- A 26! FLOOR_STR UCT -0 -------------------0. D W ! ! FLo6R C6VEA-- -0 -------------------Q. L E pZ BASE' RbOF TYp E---- -0 -------------------Q Total Areas Aux Base 2 8 3 2 BUILDING DIMENSIONS ! ! ELECTRI fAL - D Q_ T SAS W16 N69 W08 N26 E08 N69 E16 ! ! FD1moArrow -D -------------------K A S95 SAS S69 .. 69! -------------- --- ---------------------- ! ! -----COMMERCIAL-A _EA-ZUQ4------------ - L ! ! LAND TOTAL MARKET ! ! PARCEL 243800 411800 *-X AREA 527520 VARIANCE *0 -22 STANDARD 50 S TOPOGRAPHY. 1 LEVEL * TOPOGRAPHY * UTILITIES 2 PUB WATER * UTILITIES 4 GAS * UTILITIES 6 SEPTIC ST FEATURE 1 PAVED * ST FEATURE * ST FEATURE * ST. COND. * TRAFFIC 4 NONE DWELL LOC. * LOCATION * AMENITIES + AMENITIES * NUISANCES NUISANCES * * * Atli •'•.•.. Remember Luj can Printing for all your printing needs! O 428-8700 •4507 Falmouth Road (Route 28),Cotuit Sewage Permit num�er BARNSTABLE TOA OF . . . . , . ^ BUILDING-,, UU�� ��00 � 0-0� 0 ���0� �� �� -= � ���� ° �� �� .� � mm�~ _ � PECTOR APPLICATION ��� ���N�� �� —��'K . '��������� -''�4��o��3��'�'�. ' TYPEOF ............... ___.___._,___.__^__,,_^_,^,,^..^___.________._. ............. TO .THE INSPECTOR Of BUILDINGS: The undersigned hereby applies for o permit according to the following information: . Location -----..�.��^���..����—..^�& —...-----.—.----.--_.—...---.-_----.-----,-- Use —^ —..����J�����..`.—...-------.--.. —.............................................................. Proposed 04; Zoning District - -- 2~,------------Fire District ............. ...................... ^^� Name of Owner '.[�����0�—..(�l...... —.A66reu /3/7...I&002244ES����—��K:..�r��������.��,� Nome of Builder —.---------------------A66rexs -............--....—..—..--..--.--.. . . Name of Architect ----..~-----------------.A66res» ----~-------------.-------- ......... �� Number of Rooms --_--.. ��.......................................Foundation — ......... ----- ��� . Exie,io, ---��.���~�.--.��/�--------------..RooGng -- --------------~— ' � � Floors ---' -----------,]n^e,iov --.. ���������---------------. ------Heating ................ ..................................................................F1um6in0 ........................' -�. ' Fireplace --------.----------------.---ApproxinooteCoo ........ ----._.. ................. Definitive Plan Approved by Planning Board lR---_. Am»o —�����'�.-------- . Diagram of Lot and" Building with Dimensions Fee ........ ______ _ SUBJECT TO APPROVAL OF BOARD Of HEALTH 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 .. ` . � ^ � . . . ' . . . . ' ` . . . \ � Name ..... ----~ Construction Supervisor's License ------------ ' - -BASBANE, JOHN. G. 25498 BUILD ADDITION N ................. Permit for .................................... Commercial .Buildi ................... ................................... ................... 1-6cation ...Rte...2.$. ...Xly.4XIr ..A:............................ .. .............................................................................. Owner ......................... Type of Conitruction .....FXAMe......................... ..................................................................... Plot .............................. Lot ............................... Sept.. Perm it,--,6ra nted ... ....;.. .... 83.. .................. . ....... ..... .......... Date of•Inspe io . .......... fq C Date`Completed ... Ir OL 1317 MIDDLESEX STREET, LOWELL, MASS. I Telephone 452-6459 Falmouth Rd. Rte 28 Laundry Linen Service Dry Cleaning Hyannis, Mass. Telephone 7752989 John G. Basbanes President A� j-X f'd /z o•U, I B d 44 ,ro C yg fzcws r ,, c.4Y =v� =dY � dyk1 �X�s yy a he ade �ldi1 Gvsc7ttc. II ryom Firma hvyrnl .LX/� vNDe-Y _ �5 pn .�potrn4� / `� goY vJ��01 •r�nrj� , J n P ,A/d//3 1N!t I f 1 i t V �vrlty W c7t�vJr1 p IJ�K ye.{o(4te e, of burmJ0 � � t" /1NPFyR F/OOli 1 kXrs�rij� pOtld� n¢ 1 6ar,K po Pon E DR4w r'-oR �v;wL �Nay a 1 I FadJn sucv17 �NE7 Assessors map and lot number .... .. ... Sewage Permit number Z BARBSTLBLE i House number ....:........... .........r?�..,................................ . TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... � ' .. ......b.::: �`� ........: ......... ..... TYPE OF CONSTRUCTION ...............� � ........................................................................................... .. ................. ............` � ..........19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora p�er�mmiit� �according to the following information: Location ...............�.��., ... .Q / ��/.'T7�!:✓[��s.......................................................................................................... ProposedUse ......: ll..� ��'......: ...................................................... .................... ............................... ZoningDistrict .....................: .........................................Fire District f J ;..? ................................................................................ Name of Owner /�1���! to 5 !��!� .....Address `/7 &2,�/.�a�� c� .e�� 1 tI Nameof Builder /....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................... .......................................Foundation ... 11 .........�Y,4.a............... Exterior ....... 7;/. ......./l.. .......................................Roofing .......!`T f�/' /.................................................... zz Floors ............`---.6&� /..F-.......................................Interior ........ /7"�!,!'!'�`! .............................................. HeatingPlumbing ................. ...................................................... Fireplace .................................................................................Approximate. Cost .... '��w�!................... 4& Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area .... !! ........................ Diagram of Lot and Building with Dimensions Fee ........ ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. .n Name ...... .. . .. ..........�.,.4 ...................... Construction Supervisor's License .................................... t I BASBANE, JOHN A=293-33 25498 No ................. Permit for ....................................Bui ld Ad d i t ion Commercial .Building ......... ......................... ................... ................. ... Location ............................................. ................ S............................................................. Owner ...John B i�bane ............................................. Type of Con .....D'4me........................ ..................... ......................................................... Plot ...................... Lot ........................I........ I.......... ........ W000" Permit Granted ................................Septi- 6, 19 83 Date of Inspection .....................................19 Date Comp .......... ..........19 AM 4'� ? -2 le K �. 4 11t�'r'� 4 k s r �v'1 �� �yj jj Fj11tt i. ' � 1'. . �¢ �� 4 i II �.' ��� � �• 1 1 l �` � 1L; 1. � «�i --. ` ._ �� � �� E _ ��___n. _.�eC`� a �.:,., � �� ' �" II'� ,� � 0 --� r ��� ~c ,,� ��' � �� l .; - - ,s�_� _,- _ ;� � �:. ` ? �, ��,'�%-� a � — - � . �,�- - - :�:_ �- ,�_ J� F.� 4 � r' �I� �� IL ;® � �:�� �. ♦� .i5�.. .tf rW 4 "C% _ a w r� , � �— � � � � .--, '�-, . Assessor's map and lof number .. ......................... W :SEPTIC SYSTEM MUST BE �a - ,INSTALLED IN COMPLIANCE ri Sewage;`JPermit number WiTH ARTICLE' li JSTATE 4 SANITAEZI' CODE AN® TOW 4 ' WN all b,q: R . Al c - APPLICATION FOR PERMIT TO C?..v..�..:.?. ...... f��./..tG., �1... ............................ TYPE OF CONSTRUCTION ...... ...O . ..C'. ...�. .T.. ......4k19...0zr... ..'..en . r' CO ............. . .........1`9.. TO THE INSPECTOR_OF BUILDINGS:. The undersigned hereby applies for a permit according to the following information: Location ....... ..........-:�3........../ :?��o..p40.. .. .�..........17.� . /1/7/..s�...../.. /,Q �c............... ProposedUse ........A/o......C., /-.I.N..47.. �. ................................................................................................................... Zoning District ... ............................ .Fire District .. . ../W.-..... ...................... d S Name of Owner ..Address ...44.W.-,6.fl/.. arS. P............................... Nameof .Builder .................................................Address ..................................................................................... Name of Architect .............Q.kY../Z...C'. ................................Address .............m.4Q..a—C.................................................... . Number of Rooms ........&0......O.h.a.n... ...e...................Foundation ..... Fo.a. Exierior ................�i��. './.4�.............................................Roofing ........�7. .!` /L. .............................................. .. Floors ......1!Y.�?��..42..................................................Interior . 014.1/.��............ ............... ........................................... Heating .........c,5. '�� ,T .........................................Plumbing ......... .... TH.............................................. Fireplace ........./.S!.P...&.. ...................................................Approximate Cost a.... ....................... a DefinitivePlan•Approved by Planning. Board __________________________ C______19________. Areal....... d Diagram of Lot and Building with Dimensions Fee � SUBJECT TO tAPPROVAL OF BOARD OF HEALTH Q emu¢/ A r ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable�egarding the above construction. �jJ//1117 ��/?y .��/7C , /G/9/V�JE� S� 3—of <S Name ....... l ..(./�1�..�...�iJ' ?,Q .. Basbanes, John t • No ...19W... Permit for ......move commercial. ............. . ... building on„same„lot . .................. ............................ Location .........RQUI-Q..2$:.................................... 1 ......................... ....................................... T� Owner .:.......John..BarbbaAes............................ ' Type of Construction ...VWAQ.UX7..&.f t:&me..... �.. ......... Plot ............................ Lot ................................ l Permit Granted .......... nuary 6 ..:.....19 78 Date of Inspection ............:.......................19 Date Completed ' PERMIT REFUSED s .... 19 # j ..... :....................................... _ ............... 1 i ............................................................. ............s Approved ............................................ 19 .................... ................................................... r - ............................................................................ 1