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Home My WebLink About505 MAIN STREET (HYANNIS) a �t Sign << � � BARNSTABLE PeTOWN OF rmit fggNSTABLE. � .. MASS. Permit Number. Application Ref: 20160079 20071172 Issue Date: 01/06/16 Applicant: THIND, PARAMJIT K Proposed Use: RETAIL& SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 505 MAIN STREET (HYANNIS) Map Parcel 308093 Town HYANNIS Zoning.District HVB Contractor PROPERTY OWNER Remarks NEW 15 SQ SQ WALL SIGN MINI MARKET AMERICAN AND SPANISH FOOD Owner: THIND, PARAMJIT K Address: 140 KILKORE DR HYANNIS, MA 02601 Issued By: PC POST TIIS CARD SO THAT IS VISIBLE FROM THE ST ET d PERMIT A MENT RECEIPT •j TOWN OF BARNSTABI,I BUILDING DEPARTMEPdI 200 MAIN iSTREET HYANNIS,I MA. 0.2.601 DATE: •P'l/(_6%I"i �F TIME: •r10:30 — -- ------ ----TOTALS— ------�--- — PERMIT $ PAID 5.0.00 AMT TENDERED: `50.00 AMT APPLIED: 50.00 CHANGE:. .00 APPLICATION NUMBER: PROPERTY OWNER PAYMENT METH: CHECK . PAYMENT REF: 1 � YS �0*ME ro Town of Barnstable Regulatory Services �B"R'' `E MASS. Richard V. Scali,Director 1639. ,� �Eo �0. Building Division 10 I Tom Perry, Com missioner mmissioner Hyannis,MA 02601 C/ 200 Main Street, H y �6 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving Application for Sign Permit Applican f 0 t aS.CO por-e-S Assessors No.� Doing Business As: C o u P o I c vice S'fa rZ Telephone No. Sign Location Street/Road:_ Zoning District Old Kings Highway? Yes/No Hyannis Historic District? Yes No Property Oyvner / , Name: /1 I ✓1 �-e►� T�I Telephone: I'll - 'b 9 y Address: (�h S�. Village: Sign Contractor Name: 17r-Gl vtC4S(0 KS Telephone: NQ)a)&)S-iWO Mailing Address: H r,& m 4V.( s O 2_66 Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Ye /No (Note:Ifyes, a wir ngpermitisrequired) Width of building face O'.__JL x 10 = J QJ x.10= 2 0 Check one Reface existing sign�r New Total Sq. Ft. of proposed sign (s) Ifyou have additional signs please attach a sheetlisting each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the us#con shall conform to the provisions of §240-59 through§240-89 of the Town of Bainance. Signature of Owner/Authorized Agent: Date�� = rct e� a ►'�'1 a-c C oyn SIGNS/SIGNREQU revisedl 10413 oFTHE r Town of Barnstable Regulatory Services BAMST"LE„� $ Richard V. Scall,Director i639• �� a Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS l. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall, hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1 . Minimum sheet size, 8.5 x 11". A scale drawing of the bracket. A colored scale graphic indicating dimensions 3. g � P g showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x I P. 4. A completed Town of Barnstable Sign Application, including scaled diagram P p showing location of sign on building or location of free-standing sign. Show dimensions. e width of the building face or theaeased area. 5. The w g 'NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revisedl 10413 - j i 507 Main st Hyannis Mini Market Convenience store Floor plan Bathroom Bathroom door no public door she sh Ive elv s es Groceries Groceries shelves shelves freezer Reg iste r cou fridge me r fridge door �C� f AlI ER NISH FOOD S\C)v1 S12c. , Z G. j(a tt � k4- c4w--� �T L 1 3 M 1 c 6 y 6 �Milsrr�IWasi+� lrtll ��`�I�IY.I,E�+.�.ri�l.��rw�ww"�.i�.rl��r�.�"�� '.A.rt�_�.�'ai�r��• ��, .�! 1�rr ■I�MIr 1.�11.�srr+�rwww�� `r��4��Y� .rr� �rn.l�.l�,t ar�rrr ---- —- +�swrl ��'i��r�rr� ��.r��►�� ill.Ll�..Ir� � }4 e �. Sign TOWN OF BARNSTABLE Permit * BARNSTABLE. y MAS& s639. Permit Number: Application Ref: 201402517 20070979 Issue Date: 05/01/14 Applicant: THIND, PARAMJIT K Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 505 MAIN STREET (HYANNIS) Map Parcel 308093 Town HYANNIS Zoning District HVB Contractor PROPERTY OWNER Remarks 13 SQ FT SIGN ON BUILDING LIVIN' EZ CASUAL Owner: THIND, PARAM]IT K Address: 140 KILKORE DR HYANNIS, MA 02601 Issued By: PC' POST THIS BARD;SO THAT IS VISIBLE FROM TFIE STW ET THE Town of Barnstable Regulatory Services BAM g` Richard V.Scali,Interim Director 039. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# ® Z �/ Building Official approving Application for Sign Permit Applicant: Z-1111y, C?— Assessors No. So'o—0102 Doing Business As: Zgyl✓1 r-� Telephone No. 4QOI5—Go Sign Location _Street/Road: Sd /a17 S f 0d 6 a l Zoning District:44 V Id Kings Highway? Yes/No Hyannis Historic District? Yes/No Property, 1Vameq�n C �a __Telephone: � Address �� /'�ia►1 � s � ��(Do Village: Sign Contractor Name: PA`( 31 G/4 Co m N At`( Telephone: `Z 7- Sr 3 2 1 Mailing Address: I c6 P Pa W4 c-X )ZD, Iyt,f)311 P r-E k wt. q Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes N6 (Note:Ifyes, a wirmgpermitis required) Width of building face �6 ft.x10 x.10= Check one Reface existing sign or ew Total Sq. Ft. of proposed sign(s)20i'0 "72 w : 13 s'a Nr_ Ifyou have additional signs please attach a sheet listing each one with dimensions v If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and.that e use and constructio shall conform to the provisions of §240-59 through §240-89 of the To Barnstabl oning din e Signature of Owner/Authorized Age ,Dat t!a SIGNS/SIGNREQU '# `revisecl 13 �WE Town of Barnstable Regulatdry Services y �. • saiuvsTasi.E. i Richard V. Scali,Interim Director Building Division Thomas Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstabie.ma.us Office: 508-862-4038 Fax: 508-790-6230 SIGN PERNUT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architects elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall, hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revisedl 10413 DAY SIGN COMPANY Cape Cod Signmakers since 1974f' . Email: daysigns@verizon.net 4 Cappawack Rd,Mashpee,MA 02649 www.daysigns.net Tel& Fax: (508) 477-8824 s_ .,..rww`* •w+��•-+F. .� —"E �-v"r_�^� .. � �� "t.� t... t.,u.xt_uk+..;s 4A.., ..,«s a k �� *WEAR �I `� 'i •rep e + 4 CASUAL J a C) ' L "" �.. ' r " v s size 20"ht. x 92" wide Store 18'wide x 10'ht = 180'sq ft made from 1/2$1pvc plastic Sign 20"ht. x 92"wide =13' sq ft 'ToWh of Barn-stable. °^U " g lie -ulato Services BAI Regulatory 9 Mass. Richard V.:Scali,Interim Director �p i639• ♦0 rEo 39.,s Building Division Tom Perry, Building Commissioner her l /d_f��y 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us /f rJ/ �I It Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official,approving Application for Sign Permit Applicant: Assessors No. Doing Business As: ��t� Telephone No,,14- 0), (A Sign Location Street/Road: . '5051 - Zoning District: Old Kings Highway? Yes/No,_ Hyannis Historic District? Ye�/No Property Owner Name: �Gl-i�nC'� ,b //(��! l.' Telephone: Address: �l� /'!�✓'1 Sf !��IdII� /'/�t-0,320( Village:. - Sign Contractor Name: C/i C�'7 °2 Telephone: ^ Mailing Address: Description p Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes/I0 (Note:Ifyes, a wiringpermitis required) Width of building face _fL x 10- x.10= dV4 �7L Check one Reface existing sign or New Total Sq.Ft. of proposed sign (s) Ifyou have additional signs please attach a sheetlis&g each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the n ority of the owner to make this application, that the information is correct and that e use and c tiction shall conform to the provisions of §240-59 through§240-89 of the To o Barnstable g Or ' ance. / Signature of Owner/Authorized Age Date q/1) SIGNS/SIGNREQU . revisedl 10413 _ DAY SIGN COMPANY Cape Cod Si nmakers since 1974 �• p 9 o r Email.: daysigns@verizon.net 4 Cappawaek Rd.,Mashpee,MA 02649 ----__ www.daysigns.net Tel&Fax: (508) 477-8824 WX � w '...'w+'�t—..� 'R..M� ,Mtn✓+�.✓ �. i ,.. �,.]a -._ ,..�,,,.r M .. _I�u..+�.:�r/iFA Gl w%%ten.`�,d.t:-.4i�+f.bi]•W+"JiA-`.wo.#. � ;, �..w..m.Y^4nwMT iz.$rt'd..�'T�"F""`_�A+•F - ] '�� . �.._..:jrx...vnw...._.. M. 1 WEAF L Ct1SUAL Q Q r I ' CASUAL '� 1 e 'y size 20"ht. x 92" wide Store 18'wide x 10'ht = 180'sq ft made from 1/2"pvc plastic Sign 20"ht. x 92"wide =13' sq ft Awl ABLR ;Town;of Barnstable Growth Management Department Hyannis Main street waterfront Historic ii0ict?Commission www.town.bamstabte.maps/hyannismainstreef DecWdn-Certificate of Appropriateness . ivin' EZ incorporated So Main Streit, Hyannos I'he Hyannis Main.Streef Waterfront Historic;Distiict'Gommssion,;pursuanf to the Code of the Town of Barnstable Chapter 112,Historic Properties,Article tII,Hyannis Main Street Waterfront Historic District,hereby approves a Certificate of Appropriateness for thefollQwing property: Property Address: 565 Maio Streeft, Assessor's Map/ `arcel: 348/091 the d=At the.April 16,2014 hearing after consideration of testimony given an materials submitted by the applicant and members of the public, the Commission found the proposed design for one.Business Sign ;will appropriately contribute to::thc histonc character of the 'Hyannis Main Street 'Waterfront Historic N trict: Mie Commission. considered "the' materials, design, color; size., location, and context of the proposed signage and found it be appropriate "for the protection:and preseryaton of tile.district. Based on these findings, the Commission voted to grant the certiftcatc of appropriateness subject'to the followirg,condttons. 1. Design of the busmess'sign isi approved as shown n the rendering submitted to the file dated 1Vtarch 27,2614': • Size,of sign shall not exceed 20"high by 92%wide • Sign material shall he4A inch-ove w white 2. The sign shall be:centered horizontally and vertically within the sign fascia 3. No lighting is planned at this time 4. Sign permits from the l3uildine l�ivtsion are required. ' O Present and voting m.'the affyrniatrve.�to grant the certiftcate of appropriateness were:,George 3es& /Paill Anic d, Z. Brenda:Mazzeo,Daiav c lombo,VJil1 am Cronin•and Taryn`lhoman: Opposed.None 1 -T-7 George A.Jessop jr AlA e: = Hyannis Main Street Waterfront Histo isfnct Commission e l.ra r`re cc Bill Frowlcy,Applicant l'om Perry,C tAlding Commissioner . I,Ann..Qutrk.Clerk oFthe`Town of.Barmtale,Barnstable County,lVlassachtsetts,hereby certify that twenty(20). ilay5 have elapsed since the Elyannis iVlain.Street Waterfront Tiistoric;.District Commission.nled this decision and that 4. no appeal of file , ecision.has P een filed in the°•office of the T iwn Clerk. Signed;and sealed flits day of under the pains and penalties of perjury: .—. Ann Quirk,Town Clerk YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you.must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: Fill in please: APPLICANT'S YOUR NAME/S: . � 9. BUSINESS YOUR HOME ADDRESS- 1/ TEL # Home Telephone Number 8 - Ti `lI O W, NAME OF CORPORATION: qlO NAME OF NEW BUSINESS i TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YE5 NO _ ADDRESS OF BUSINESS 11 MAP/PARCEL NUMBER 3030?3 J-OrJ— (Assessing) SDI I'1 cs IV S A21od l . Wheri--starting a new business there are several things must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth -Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1'. BUILDING CO MISSIO R'S OFFIC This individ al h s b r�inf r of ny req��ir _ents that pertain to this type of business. Aut rized Sign tr"e* COMMENTS �' /� S`I t�� ? .< 2. BOARD OF HEALTH This individual has een rm d of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (L ENSING AUTHORITY) This individual has ee inform f the licensing requirements that pertain to this type of business. Authorized E69nature** COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE 1 Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME i l tK6 l�aro iul BUSINESS TYPE: BUSINESS YOUR HOME ADDRESS:, k- y ; 5a nu. Cis Ce-1 TELEPHONE # Home Telephone Number - 5-09- r-?3 c L L- NAME OF NEW BUSINESS 1(�GC I o L1i Ce Have you been given approval from the buil to ivision? .YES NO. ADDRESS OF BUSINESS_ J O CA I✓� e� {� S MAP/PARCEE NUMBER When starting a new business there are.several things you must do in order to be in compliance with the rules and regulations of the Town ofY Barnstable. This form is intended to assist you in.obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have,the appropriate permits and licenses required to legally ,operate your business in this town. 1. BUILDING COMMISSIONER'S O tI�E This individual has bee rr rmed of anj ermit requirements that pertain to this type of business. uthori Signature** COMMENTS: 2. BOARD OF HEALTH This individual h qen infor e f the rmit a irements that pertain to this type of business. Authorized ** nature COMMENTS: i 3. CONSUMER AFFAIRS LICENSING UTHORITY This individual has been norm &censing requirements that pertain to this type of business. I Authorized Signature** COMMENTS: Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date U �� b Map43� Parcel Applicant Information / In Applicants Name AJ I l,, Applicants Address o ► L GO10C , . h h l Email Address l�n►to /� Telephone Number 50,9 r 7 3-7-� 0 24 Listed ©- Unlisted ❑ Business Information New Business? _ --• Yes ND� Business is aregistered corporation? L` ------- � -- Yet,-' N0. If yes Name of Corporation Does business operate under the registered corporate name? Yet,,," No prietorship or home occupation? _-------- Yes/ No Is the business a sole pro If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business Business Address 1 41 A i J titiip Nl U26v� Type of Business Bu' ing Commissioner Office Use Only [Conditions Building Commissioner Date Cleric Office Use Only <r T h 9/6/11 ��, ��/. . . �� - ��f�� /®�« » . ��y . � �� » � \�� . \ . I < � , } � � , . < . � . �. : \< ¥ � < � < � y � � - w:�� . . ; : a : �` \ : y < > � } � [ , � � � � � � �` � � � . . / . � ` \ � . ' ; \ : ' � � ` ` . � \� � »\ \ \ \ � \ . � \ \ \ \\� � :� . �� \ � � ' \ _ \ � \ � � � � / . ' } � \ �:/� � \ \ \ \ \ . \ : � \. � � \ � , y � , . r. `�\ \ � � � - � ! ` . - � � - � v \ � i � �. . �} � � . \ . � : . � / � . § / \ . � � \ � \ � . \ . , � \ y \p . \ \ � . s� \ �� \ . �� }� �. } <, f » � � \ \ \ T \ . . < : , may ,, � \� � ` � \ \ � � �� ,[ . , � . / - � . , . . � � . � \ © � . . d: �\ \ � � � \ � \\� . � < ®� � � � � � � \ � � ��\ � w:� . . . - � : \. � - � 2 � , . � * _ .? � «\ . , « - � °� � ` f�: - |\�� . \� . @.��` • r t b r . _.. F • ��_ � `.tip 4 tE j f It � .A »� :: �_ ��..: ---�•-- ml 44 , .�.� :` Al 'i' �+;r •;fir t � A �`i�d � �tv.'1.:,'`Ef. ,/� ��p.R y "4�5 xt•. nd o4 b� � '�-a2 e„ �;,� �"`�—+_-I_�—� . hh ok +.,� ,r .w • j .N' .�,'f t pyy i. � e� f : �. �y..) ♦..w.s .y � `�' d ., .yam: Kam" 4a N' 4W4 ; �isS Af�nS' l A q F u r _ • - wu a; i �. "�� Hyannis; Fire Department E`S I, LI p�o 95 High School Road Extension In Hyannis, Massachusetts 0260.1 1896 Phone:(508) 775-1300 Facsimile:(508) 778-6448 1 To Report an Emergency Dial 911 or 775-2323 Property Inspection Report Form _7 Business Name: Phone Street Address �-/y 1''Ie Sprinkler System :Yes - No PSI / Can System be Pumped When, ?y p Shut Down. Yes_•„�No FDC Location:Side Near Shut Off Location Closest Fire Hydrant Location Fire Alarm System :Yes No Monitored by Hyannis Fire : Annunciator Location :Side Near Main Panel Location Suppression System(s) Yes No Last Inspection : /i - �/e' Key Box:Yes No a�� / - ✓f�C� i � - Location :Side —Near: (##=Violation, '•=Notes,o= uncorrected,J=corrected) Reinspection Date: "7.•.i��%�`lr'�,/�;f"� f t.F(' ,�,, / P�!'.,�s'`✓ {/ice;/)f� !6 %� .'i Jl�{ t Vic=•.: !� ,/ y / / /IR �C� �>7"!•i I ' - �3.-,ii t.;/;C/'.'_. !)I'•/.f J,/r�� .�E..7i; �✓f�.:l�.�r /�...'g�^Bii r'=�'X.-:I CD vv e Fire Dept. Inspector: ;!, 4``, r,t_ -;:.,. _ 7 �� vS Date Occupant• :S� ..... - 211 Phone EMERGENCY CONTACT NUMBERS 1. Phone : 2. Phone : 3. Phone: White: Fire Dept. Canary: Reinspect PInk:Property TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parce� A lication p pp � t67e Health Division Date Issued Conservation Division ApplicationWe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address 7- Village Owner ° Address .511 17/g'1-- J-- Telephone 10Y 790 '0 99-S . Permit Request j2-e:®/g-i2 {=O.Z C 777K 6,f �` t��'z.✓ /��-7 icy.� �-�� /c�J7�"Z�"�o v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2dd0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half: existing _ _new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) L'%/1114 _S Ac V/ff's 4-C/9 y Name ZZettL'7^J� �!� f %�/'/l/%' //�"� Telephone Number W" Z L< '7-. Address 7 t License # �I�% 7� " '" rS 2 3 `7 �i'L Z Z /y/4 CIZ6 2. Home Improvement Contractor# Worker's Compensation # WC, L1��L 5 3 -7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �9 n 01 SIGNATURE DATE s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PAR EL T C N 0. f ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION t FRAME -INSULATION' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: - ROUGH FINAL t FINAL BUILDING _ DATE CLOSED OUT ASSOCIATION PLAN NO. s The Commonwealth of Massachusetts c ! Department of Industrial Accidents Office of Investigations 600 Washington Street it if fl - "=i Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Z. /Aylf S ��=j/�/Vy�(f�S Please Print LeoblY Name(Business/Organization/Individual): la/fz 7/41-11 6�C,E'�/' Address: 7 e.`e� _V City/State/Zip: "V/ lZe ! I- t-1 6,j&one #: `i S `7-3 701 employer? Check the appropriate box: Type of project(required): employer with 4. ❑ I am a general contractor and I 5. New construction ees(full and/or part-time).* have hired the sub-contractors sole proprietor or partner- listed on the attached sheet ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity.. orkers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. e are a corporation and its required.] / officers have exercised their 10•0 Electrical repairs or additions 3.❑ I am a homeowner doing all work 'right of exemption per MGL 1 LE] Plumbing repairs or additions myself [No workers' comp. c. 152, §1(4),and we have no 12 Roof repairs insurance required.] t. employees. [No workers' r`� comp. insurance required.] 13.❑ Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required unAr Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hergby certify u der the pains andp 5zalties of erjury that the information provided above is true and correct Signature: G✓ .� I,-,r Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Qther Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter l52 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under an contract of hire, , , express or implied, oral or written." An employer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who 'resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also stages that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or'to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checLiffing the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Pl,ease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permittlicense applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i:e. a dog Iicense or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: _ The Commonwealth of Massachusetts D&partmlent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 Qr 1-977-MASSAFE Revised 5-26-05 Fax ## 617-727-7749 www.m,ass..gov/dia THE►�y Town of Barnstable u7 Regulatory Services • BAMSTesta. MASS g Thomas F. Geiler,Director ►��' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize (.% / A/A� to act on my,behalf, in all matters relative to work authorized by this building permit a (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date i Q:FORMS:O WNERPERMISSIONPOOLS J �TME?I Town of Barnstable Regulatory Services BAMSTABLE, Thomas F. Geiler,Director y MASS. 0.19. �� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. .1 DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides-or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home,in a two-year period shall not be considered'a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the'Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109,1.1.-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Massachusetts- Department of Public SafctN Board of Buildin- Re-ulations and Standards Construction Supervisor License License: CS 94476 Restricted to: 00 LINAS REVINSKAS : 447 WINSLOW GRAY RD S YARMOUTH, MA 02664 Expiration: 10/2/2011 Commissioner Tr#: 6288 YOU WISH TO OPEN A BUSINESS? For.Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on. this form at 200 Mai.mSt., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business'Certificate that is required by law. DATE �r Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME A'�A �, /rlol�� j �{ S'y �/.� F. 4' - `' BUSINESS YOUR HOME ADDRESS: �6 �1 ck- A YA IVAI,A, ,In pia TELEPHONE # Home Telephone Number r NAME OF NEW BUSINESS' FAhA 1770 A G 4/V,A TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO Have you been given approval from-the building division? YES NO. ADDRESS OF BUSINESS �J.S A� 'n S7_. N ANN�_S j _41lk 02 Cr'o I MAP/PARCEL NUMBER 30g lO�I When starting a new business there are several things you must`do in order to be in compliance with the rules.and regulations of the Town of Barnstable. This form is intended- to assist you .in obtaining the information you :may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) .to make sure you have the appropriate permits and. licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has be ormed of ark ermit requirements that pertain to this type of business. - l Authorized Signature* i COMMENTS: 1v-.,- VD_Q,—vh� - '� ` I�x✓Lv��Sc� �-aL . �C�v ��: � lG to •, _ �� 2. BOARD OF HEALTH This individual has`been informed of the permitrequirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has en i m f the licensing requirements that pertain to this type of business. Au e Signature** COMMENTS: O JI � � C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #c> G Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address S a ✓L S 6ch n Village Owner f Address Telephone n� Permit Request, p/'� r od?e &© C 6-) h U Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Al ij ('07 K /Y Telephone Number Address License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e SIGNATURE DATE-5 IJ 2 /Z !I `l� jjj e FOR OFFICIAL USE ONLY APPLICATION# { DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION l{@ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r ,t kom-merdal Gross Lease 1.Names. This lease is made b,7R, ' 1 1, jib Lan lord, and y Tenant. D g A PS�l G ti 1 c 1/ i Sl v"1 2. Premises Being Leased. Landlord is leasing to Tenant and Tenant is leasing from Landlord the following premises: M A ) Aj SIT 14 A aJ to i,S 62— 0 1 [ ] Part of Building Only. Specifically,Tenant is leasing the o sr- )- w S of the building. [ ]. Shared Facilities.Tenant and Tenant's employees and customers may use the following additional facilities in common with other tenants, employees, and customers: [ ] Parking spaces' - C.-a-X- [ ) Restroom facilities: [ ] Storage areas: [ ] Hallways, stairways, and elevators: 1�.�ti�-cry •> [ ] Conference rooms: CS . [ ] Other: J J 3.Term of Lease. This lease begins on n AZt -" ` � � a and ends on � 1�� I 2011 4. Rent. Tenant will pay rent in advance on theme day of each month. Tenant's first rent payment will be on 2-0 in the amount of$ ,-- Tenant will pay rent of$ per month thereafter. [9, - enant will pay this rental amount for the entire term of the lease. [ ] Rent will increase each.year, on the anniversary of the starting date in paragraph 3, as follows: 5. Option to Extend Lease [ ] First Option. Landlord grants Tenant the option to extend this lease for an additionalTi e-years. To exercise this option,Tenant must give Landlord written notice on or before G�r`A Tenant may exercise this option only if Tenant is in substantial compliance with the terms of.this lease.Tenant will lease the premises on the same terms as in.this lease except as follows: [ ] Second Option. If Tenant exercises the option granted above,Tenant will then have the option to extend this lease for ' years beyond the first option period. To exercise this option,Tenant must give Landlord written notice on or before Tenant may exercise this option only if Tenant is in substantial compli- ance with•the terms of this lease.Tenant will lease the premises on the same terms as,in this lease except as follows: Cima'good ecurity Deposit. Tenant has deposited$ tom' 'i with Landlord as security for Tenant's performance this lease. Land- lord will refund the frill security deposit to Tenant within 14 days following the end of the lease if nant returns the premises to Landlord in good condition(except for reasonable wear and tear) and Tenant has paid ndlord all sums due under this lease. Otherwise, Landlord may deduct any amounts required to place the premises condition and to pay for any money owed to Landlord under the lease. LF218P Commercial Gross Lease 10-08-1 ©noIo M-10 www.nolo.com 7. Improvements by Landlord [ ] Before the lease term begins,Landlord(at Landlord's expense)will make the repairs and.improvements listed in Atta lment 1 to this contract. [' Tenant accepts the premises in"as is condition. Landlord need not provide any repairs or improvements before the lease term begins. 8.Improvements by Tenant. Tenant may make alterations and improvements to the premises after obtaining the Landlord's written consent,which will not be unreasonably withheld.At any time before this lease ends,Tenant may remove any of Tenant's alterations and improvements, as long as.Tenant repairs any damage caused by attaching the items to or removing them from the premises. 9.Tenant's Use of Premises. Tenant will use the premises for the following business purposes: Tenant may also use the premises for purposes reasonably related to the main use. 10.Landlord's Representations. Landlord represents that: ` A. At the beginning of the lease term, the premises will be properly zoned for Tenant's stated use and will be in com- pliance with.all applicable laws and regulations. B. The premises have not been used for the storage or disposal of any toxic or hazardous substance, and Landlord has received no notice from any governmental authority concerning removal of any toxic or hazardous substance from the property. 11.Utilities and Services. Landlord will pay for the following utilities and services: [eWater [•Electricity [' -'Gas �,., $ s [Meat �_:.. [ YA'ir-Conditioning Any items not checked will be the responsibility of Tenant. 12.Maintenance and Repairs A. Landlord will maintain and make all necessary repairs to: (1)the roof, structural components, exterior walls, and interior common walls of the premises, and(2)the plumbing, electrical,heating, ventilating, and air-conditioning systems. B. Landlord will regularly clean and maintain(including snow removal) the parking areas, yards, common areas, and exterior of the building and remove all litter so that the premises will be kept in an attractive condition. C. Tenant will clean and maintain Tenant's portion of the building so that it will be kept in an attractive condition. 13.Insurance A. Landlord will carry fire and extended coverage insurance on the building. B. Tenant will carry public liability insurance; this insurance will include Landlord as an insured party.The public liability coverage for personal injury will be in at least the following amounts: • $ per occurrence. • $ in any one year. C. Landlord and Tenant release each other from any liability to.the other for any property loss,property damage, or personal injury to the extent covered by insurance carried by the party suffering the loss, damage, or injury. D. Tenant will give Landlord a copy of all insurance policies that this lease requires Tenant to obtain. 14.Taxes A. Landlord will pay all real property taxes levied and,assessed against the premises. B. Tenant will pay all personal property taxes levied and assessed against Tenant's personal property. 15. Subletting and Assignment. Tenant will not assign this lease or sublet an art of the Y p premises without the writ- ten consent of Landlord. Landlord will not unreasonably withhold such consent. . 16. Damage to Premises A. If the premises are damaged through fire or other cause not the fault of Tenant,Tenant will owe no rent for any period during which Tenant is substantially deprived of the use of the premises. B. If Tenant is substantially deprived of the use of the premises for more than 90 days be of such damage, Ten- ant may terminate this lease by delivering written notice of termination to Landlord. 17.Notice of Default. Before starting a legal action to recover possession of the premises based on Tenant's default Landlord will notify Tenant in writing of the default. Landlord will take legal action only if Tenant does not correct the default within ten days after written notice is given or mailed to Tenant. 18. Quiet Enjoyment. As long as Tenant is not in default under the terms of this lease,Tenant will have the ri ht to occupy the premises peacefully and without interference.. g 19.Eminent Domain. This lease will become void if any part of the leased premises or the building in which the leased premises are located are taken by eminent domain. Tenant has the right to receive.and keep any amount of money that the agency taking the premises by eminent domain pays for the value of Tenant's lease, its loss of busi- ness, and for moving and relocation expenses. 20. Holding Over. If Tenant remains in possession after this lease ends,the continuing tenancy will be from month to month. 21.Disputes [ ] itigation. If a dispute arises, either party may take the matter to court. [°Mediation and Possible Litigation. If a disp ute lute arises, the parties will tion conducted by try in good faith to settle it through media [ ] a mediator to be mutually selected. The parties will share the costs of the mediator equally. Each party will cooperate fully and fairly with the mediator and will attempt to reach a mutually satisfactory compromise to the dispute. If the dispute is not resolved within 30 days after it is referred to the mediator, either party may take the matter to court. II'Mediation and Possible Arbitration. If a dispute arises, the parties will try in good faith to settle it through media- tion conducted by [ ] [ ] a mediator to be mutually selected. The parties will share the costs of the mediator equally. Each party will cooperate fully and fairly with the mediator and will attempt to reach a mutually satisfactory compromise to the dispute. If the dispute is not resolved within 30 days after it is referred to the mediator, it will be arbitrated by [' an arbitrator to be mutually selected. Judgment on the arbitration award may be entered in any court that has jurisdiction over the matter. Costs of arbitra- tion, including lawyers'fees,will be allocated by the arbitrator. Landlord need not participate in mediation or arbitration of a dispute unless Tenant has paid the rent called for by this lease or has placed any unpaid rent in escrow with an agreed upon mediator or arbitrator. .. 22.Additional Agreements. Landlord and Tenant additionally agree that: LF218P Commercial Gross Lease 10-08.2 d 23.Entire Agreement. This is the entire agreement between the parties. It replaces and supersedes any and`all oral agreements between the parties, as well as any prior writings. " ; 24. Successors and Assignees. ,This lease binds and benefits the heirs,successors, and assignees of the parties. 25.Notices. All notices must be in writing.A notice may be delivered to a party at the address that follows a parry's signature or to a new address that a party designates in writing.A notice may delivered: (1) in person (2)by certified mail, or (3)by overnight courier. 26. Governing Law. This lease will be governed by and construed in accordance with the laws of the state of 27. Counterparts. The parties may sign several identical counterparts of this lease.Any fully signed counterpart shall be treated as an original. '28.Modification. This lease may be modified only by a writing signed by the party against whom such modification is sought to be enforced. 29.Waiver. If one party waives any term or provision of this lease at any time, that waiver will be effective only for the specific instance and specific purpose for which the waiver was given. If either party fails to exercise or delays exercising any of its rights or remedies under this lease,that party.retains the right to enforce that term or provision at a later time. 30. Severability. If any court determines that any provision of this lease is invalid or unenforceable, any invalidity or unenforceability will affect only that provision and will not make any other provision of this lease invalid or unen- forceable, and shall be modified, amended, or.limited only to the extent necessary to render it valid and enforceable. Dated: �� 27 1 LANDLORD_ — ��N--,� TENANT Name of Business: Name of Business: , r ff at at s�,, �s�/C, iC By: By: Printed Name: Printed Name: Title: Title: Address: Address: [ ) GUARANTOR By signing this lease, I personally guarantee the performance of all financial obligations of under this lease. Dated: Printed Name: Title: Address: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) , Business Certificates are available at the Town Clerk's Office, 1" FL., 367 Main Street,- Hyannis, MA:02601 (Town Hall) DATE: Fill in please: APPLICANT'S S: /k YOUR NAME i�lA Mt� �lolc / � � � BUSINESS YOUR HOME ADDRESS.pzps.i3�fi.E` 'kl�ri 1..alas - _ 6'l�(— / / TELEPHONE # Home Telephone Number TEEN, - NAME OF CORPORATION: - c - NAME OF NEW.BUSINESS TYPE OF.BUSINESS 1 IS THIS A HOME OCCUPATION? YES: NO ADDRESS.OF BUSINESS q :. ;: f MAP/PARCEL..NUMBER C [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISS10 ER'S OFFI E This individ al h's ee inform d f ny er it requir ments that pertain to this type of business. Authorized-Signature*,. COMMENTS:, 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOU14 NAME in-town (which. you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: IO 0 Fill in please: .0, APPLICANT'S YOUR NAME/S: w. BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number NAME OF CORPORATION: Eli 24vin NAME OF NEW BUSINESS TYPE OF BUSINESS-. 4Eln�nc� IS THIS A HOME OCCUPATIQN? YES NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER �6� (5 cl (Assessing) f-o S When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 20O Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMM ER'S OFFI E This individual hay b it r ed 'aaner it requirements that pertain to this type of business. h -ized SignaTnl,,e* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit.requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSIBIG AUTHORITY) This individual has n inf r e otf the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 Ii #a609 q0SIS Map- 9 Parcel ;Application n Health Division Date Issued D Conservation Division Application Fee Permit Fee Planning'Dept. Date Definitive Plan Approved by Planning Board Historic OKH Preservation Hyannis Project Street Address �OS S- 11 M. A S Village Owner A (Z Address 0 v7qo� CI LC Telephone Permit Request 1r?/],AA tO6Ud a4A-d. /&V V 1i :-I-Acr ;4117 Square feet: 1 st floor: existing—proposed 2nd floor: existing—proposed Total new Z oning District Flood Plain Groundwater.Overlay Project Valuation Construction Type Lot Size Grandfathered: LJ Yes Q No If yes, attach supp orting documentation. Dwelling Type: Single Family %L3 Two Family 0 Multi-Family(# units) Age of Existing Structure Historic House: Ll Yes LJ No On Old King's Highway: 0 Yes J No Basement Type: LJ Full El Crawl LJ Walkout LJ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing —new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Roorn Coun Heat Type and Fuel: U Gas LJ Oil L3 Electric Ll Other C-0) §R Central Air: LJ Yes L1 No Fireplaces: Existing New Existing woe oal stow; LJs Ll No Detached garage: LJ existing U new size Pool: L3 existing LJ new size Barn: Ll isting Ll ne�size Attached garage: Ll existing LJ new size Shed: LJ existing L] new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded Q Commercial Ll Yes Ll No If yes, site plan review Current Use -Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 5 of-260 Address la License#_ i2e 0263 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 113 C—.1 DATE SIGNATURE t%` `^-�- -' FOR OFFICIAL USE ONLY ' APPLICATION# r DATE ISSUED MAP/PARCEL NO. t I ADDRESS VILLAGE OWNER F DATE OF INSPECTION: FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL' ; FINAL BUILDING DATE CLOSED OUT -; ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): //1 or•-1 .l Address: O 0404K /30-4 City/State/Zip: yJ Aber Phone.#: -ate 364c 1-9ZZJ Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. �m a general contractor and I employees(full and/or part-time).* have hired the slib-contractors 6. ❑New construction .2. I am a soleproprietor or partner-' listed on the attached sheet. T. [j] emodeling ship and have no employees These sub-contractors have g, '0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'"comp.-insurance comp. insurance.# required.] 5. We are a corporation and its '10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑Other comp.insurance required.] 'Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide:their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: S^ sit Q�"� $� City/State/Zip: 0 ZQ O/ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimuial penalties of a f nq up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to,$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ' Ander the paths an�en es of perjury that the information provided abo a is tru and correct Si ature: �•-- �� —^' Date: Phone#: J-01 360-72, Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: l Information and. Instructions T Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation'for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An,employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or tiustee 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 of on the grounds or building appurtenant thereto shall not because of.such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has riot`produced-acceptable.evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the Commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conti•actor(s)name(s),-address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter&ir self-insurame license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or marked .the city,onto ma. ;be, rovidedto the •,t, town).'31 iFopy�oaf:the,.af davit that has been officially stamped or rizrk y,, .. ,tyr%F ,, Y'1 Y,_ . ". -,. applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The:Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MA.SSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia . Town of Barn-stable Regulatory Services . `� " KA&IL $; Thomas F_ Geiler,Director i639. �v, fv, " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder y i C as Owner of the subject property hereby authorize ---��i4^' 4• P ICc- to act on my behalf, in all matters relative to work authorized by this building permit application for. (Andress of job) Signature of Owner Mate 4 Print Name . If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION Town of)Barnstable o Regulatory Services RARNS.,BL Thomas F.Geiler,Director puss. � 1639. .lb Building Division PrFOy n Tom Perry, g Commissioner ommissioner 200 Maiu.Street, Hyannis,MA 02601 vs4w.town.b arnstable.ma.us Office: 508-862-4038 Fax: S08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �S 12 I 0 I JOB LOCATION: S number A '' street village 1 �n a -'- ---"HOMEOWNER": gI =eomie 0-1�—F . name {� home phone# work.phone# CURRENT MAILING ADDRESS: J 1 ` ' I S I— c cit} wn state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow huneowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there•is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that-he/she understands the Town of Barmtable Building Department minimum inspection procedures and requirements and that he/sbe will coinply with said procedures and requirements. Signature of Homeowner Approval of Building Official . Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control, HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.I.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work that such Homeowner shall act as supervisor." . Many homeowners who use this cxcmption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness*often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her rzsponsibilitics,many communities require,as part of the permit application, that the homeowner certify that heshe understands the responsibilities of a Supervisor. On the last page of this issue is a,form currently used by several towns. You may care t amend and adopt such a fomrlccrtification for use in your community. ' Q:forrM:homeexcmpt ✓�ie �amv»eo,,mzea&.4 o�✓j/�aaoactr��ael'a Board of Building Regulations and Standards Construct!on Supervisor License 3{ License: CS 66751 BK Mate; .10/4/1941 Expiration: 10l4/2009 Tr# 7254 ''Restriction 00 WILLIAM G PEIRC_E JR - PO BOX 1304 DENNISPORT,MA 02639 Commissioner --------------- 00=35,000 cf enclosed space 1A-Masonry only 1G-1.2 Family Homes i Failure to possess a current edition of the k Massachusetts State Building Code is cause for revocation of this license. •w r � �� '� N � � � ;��' 0 i; 1 \to U i� � �� i ! --� � D t, � o � ;!� � � � � � � ' , s � S ., 1 . �„ ��\ E :o � � �,. � �, � ,�, r . � , m :� `� ,, ;i. __ -_- �, ---� ��, r�� e �� -� � a RightFax N2-1 6/1/2009 9: 15:51 AM PAGE 3/003 Fax Server �- _ ISSUE DATE r T.: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AAIEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BRYDEN&SULLIVAN INSURANCE AGENCY INC COMPANIES AFFORDING COVERAGE 88 FALMOUTH RD HYANNIS MA 02601 COMPANY A TRAVELERS PROPERTY CASUALTY CO OF LETTER AMERICA COMPACOMPANY B NY INSURED COMPANY C 1=-R TORRES,ERICSSON DBA HOME IMPROVEMENT �R D 16 HOOVER RD ZVEST YARMOUTH MA 02673 COMPANY E � K THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE'INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTALN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLARVIS CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY--- --' LIMITS LTR EFFECTIVE DATE EXPIRATION DATE MMIDD M/DDIYY GENERAL LIABILITY GENERAL AGGREGATE __ § hOMIIERCIAL.GENERALLIABILITY PRODUCTS-COMPIOPAGG. $ PERSONAL&ADV.INJURY § CLAIMS MADE OCCUR. OWNER'S S CONTRACTOR'S PROT. EACH OCCURRENCE $ TIRE DAMAGE(Any One rim) § - MED.EXPENSE(Airy one Person § AUTONIOBILE LIABILITY COMBINED SINGLE LIMIT § ANY AUTO ALLO)NNE•DAUTOS - BODILY INJURY § (Per RIME) SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per Acrid-) NON-OWNL•DAUTOS .. GARAGE LIABILITY PROPERTY DAMAGE § EXCF>CSLIABILITY , UMBREI LA FORM - - EACH OCCURRENCE § OTHER THAN UMBRELLA FOw AGGREGATE S. STATUTORY LIMITS X c A WORKER'S COMPENSATION EACH ACCIDENT $100000 AND TBD 05-22-2009 05-22-2010 DISEASE POLICY LIMIT §SIm,UIxl EMPLOYER'SLIABIL[TY DISEASL•EACH EMPLOYEE $100.000 OTHER THE SOLE PROPRIETOR(PARTNER(S)ARE ' INCLUDED EXCLUDED X DESCRIPTION OF OPEIL%TLONSfLOCATIONSJVEMCLF—QAPECIAL ITEMS THE INSUREDS NIA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES INSURANCE ENDORSEME W AUTHORIZES THE PAYMENT OF BENEFITS FOR CLAWS MADE BY THE INSURED'S MA Fri 1PLOYEES IN STATES OTHER THAN MA.NO AUTHORIZATION IS Gn%N TO PAY CLAIMS FOR BENEFITS IN ANY SPATE OTH1Ht THAN MA IF1fiE INSURED HIRES,OR HAS HIRED,EMPLOYEES OUTSIDE OF MA.TT:HS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE cERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE m�_ Ell TOWN OF BARNSTABLE SHOULD ANY OF THE ABOvE DESCRBJIID POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOr,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 200 MAIN ST DAYS WRITmN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, HYANNLS MA 02601 _ BUT FAILURE TO MAIL SUCH NOTICE SHALL RMIM NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESEN'TATIVI.S. AURAIOJRIZED'REAPRESENNPATIVE ,- Wraka �- _ a Ali: °�� A vlk��^S� 4 t �43 ��J��,�, •k w_ d•d- ,�'S+V �}�F'� � �� > �/i.��,&, b. }�(�. 1 €€ 6 a" dux €� t CUB- E '�N4 V FYN WON Ov 5 '1M"_EWD2aQhWKv All� 3 4 3loop! `' f27,7 f 3 a Fyn 'Am ztl PARIS a y F IN "R 11-10 �"3 ✓� �• -� ' w , w . 1� fi �E3 � E A� F �. .. 7� Message Page 1 of 1 Anderson, Robin To: dlawler.atty@verizon.com Subject: 500 Block Hi David, I have two issues that require your assistance. First, we need to resolve the free standing sign issue on North Street for the fitness club. Now, I see they have actually dangled a small hanging sign under the un-permitted temporary sign at that location. I believe that they have also consumed their entire sign allotment with the wall sign but I will leave that to you to confirm and address accordingly as you have promised in the past. Historic approval may be necessary, too. Secondly, I am hearing that the00TBtockTis lacking"the required'handicapped parking signs. I know the ground has been lettered but the actual signs are not posted as required to be officially a designate he space. Can you also address this issue, too in a reasonable amount of time? Please advise. Thanks. 9�y6in Robin C. Anderson Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, NA 026oi 5o8-862-4027 7/17/2009 TOWN OF PG 1 LE permit2009 12 :42 1PROPERTYBARNST MASTERBPROFILE Opropmt GENERAL PROPERTY USE -------------------- Parcel ID 308093 Owner Name THIND, PARAMJIT K Address 140 KILKORE DR HYANNIS, MA 02601 Location 505 MAIN STREET (HYANNIS) Between Location desc LOT 1 Municipality HYANNIS Alternate parcel Parent parcel Status ACTIVE Lot created Use/group RETAIL & SERVICE STORE SMALL memo Zone HYANNIS VILLAGE BUSINESS DIST Zoning ref Subdivision Lot number 0 Section Subdiv Phase Approved lots Water type Corner Lot N Sewer type Vacant Lot N Gas type Govt Owned N Undground Util Rental N Road type Inspection area AQUIFER PROTECTION OVERLAY Allowed% Lot/bld 0 Actual*-. Lot/bld 0 Lot Square Feet 0 Lot Acres . 350 Street front 1 0 2 0 Impervious Surf 0 Base Flood elev Flood zone Waterfront footage 0 Lot front . 00 Setback front . 00 rear . 00 back . 00 left . 00 left . 00 right . 00 right . 00 Book/page 22422/309 Reference 1 370/097 Reference 2 SUB-ADDRESSES ------------- Location Reference Bldg 511 MAIN STREET - PAVILION 1N 308093 06/17/2009 12 :42 TOWN OF BARNSTABLE Opropmt 2 permit PROPERTY MASTER PROFILE Parcel ID: 308093 Location: 505 MAIN STREET (HYANNIS) (continued) GEO/DISTRICTS ------------- AQUIFER PROTECTION OVERLAY GIZ BUILDINGS Building Seq 1 Building Use RETAIL & SERVICE STORE SMALL Existing setbacks Building Desc STORE front . 00 Structure type back . 00 left . 00 right . 00 Stories 1 . 0 right . 00 Height 0 Front dimension 0 Back dimension 0 Left dimension 0 Right dimension 0 Dimension memo Condition AVERAGE Constructn .Type .Occupancy group Gross Square Ft 12, 315 Garage Sq Ft 0 Net Square Ft 5, 880 Basement Sq Ft 0 Finished Sq Ft 0 Unfinished Sq Ft 0 Footprint 0 Current State ACTIVE Attic N Year Built 1964 Basement N Year demolished 0 Central Air Y Heat Type NATURAL GAS HW Smoke Det N Firewalls Fire Alarms N Elevators Sprinklers heads 0 Building Style STORE Total Rooms Total Units 0 Bedrooms 1 Bedroom Units 0 Bathrooms 2 Bedroom Units 0 Garage 3+Bedroom Units 0 Deck/Porch RESTRICTIONS ------------ Restriction Date added HYANNIS HISTORIC COMM 08/31/2005 HYANNIS VILLAGE BUSINESS 07/14/2005 06/17/2009 12 :42 TOWN OF BARNSTABLE 1pipropmt PG 3 permit PROPERTY MASTER PROFILE Parcel ID: 308093 Location: 505 MAIN STREET (HYANNIS) (continued) APPLICATION HISTORY ------------------- Applied Completed Status Project Use Zone 06/17/09 06/17/09 ERROR COMMERCIAL ADDITION ALTERATION RET & SERV HVB 07/21/08 06/05/09 EXPIRD COMMERCIAL ADDITION ALTERATION RET & SERV HVB 06/16/08 06/13/08 COMPLT CERTIFICATE OF INSPECTION RET & SERV HVB 05/20/08 05/20/08 COMPLT MISCELLANEOUS RET & SERV HVB 06/26/07 06/13/07 COMPLT CERTIFICATE OF INSPECTION RET & SERV HVB 07/10/06 07/10/06 COMPLT CERTIFICATE OF• INSPECTION RET & SERV HVB 06/26/06 10/28/06 COMPLT ROOF/SIDING/WINDOW COMMERCIAL RET & SERV HVB 06/13/05 12/18/06 COMPLT CERTIFICATE OF INSPECTION RET & SERV HVB 10/25/99 12/01/04 COMPLT SIGN RET & SERV HVB 09/09/96 12/01/04 _ COMPLT SIGN RET & SERV HVB 09/09/96 12/01/04 COMPLT SIGN RET & SERV HVB ** END OF REPORT - Generated by Permit Counter User ** J 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ) / Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee L" Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH 4 Pr es rvation/Hyannis Project Street Address l/ , Village If V A'N 1 s ,� Owner m Iln ,S• T qP/Vv Address 511 �� Q _ #Y;J-NVS Telephone (508) 776 6 " ®/ C0;1jr r' �j °� 773 -7 14 01 Z/ n Permit Request �'�•E— �FI/U 6A056 44fl k 7-A-3 54;.0 L E 4alflq Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio d Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:0 existing ❑new size Barn:❑existing q new size L� Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ j Commercial ❑Yes ❑No If yes, site plan review# T "Current Use--_4 _, - �-- - --� �=� proposed Use _ - - I BUILDER INFORMATION L-5O Name fll/ • • • . VG Telephone Number 82 Address .5-6 r License# JC Home Improvement Contractor# Worker's Compensation# 00o?3 49 703 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'D�' osAL 4Pc—i4 SIGNATURE J DATE 1 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH -FINAL FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. ' r The (,'ommonwealttz of lwassacnuserrs *c Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 M www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A_pulicaut Information Please Print Leiably Name (Business/Organization/Individual): �`'' �` vG' CO Address: 45(0 D�LT74� City/State/Zip: A'V AN f —ItM -02 kkhone#: �S�� 958, Are pu an employer? Check the-appropriate box: Type of project(required): 1.W1 I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6' ❑ New construction 2.( am a sole proprietor or patner- listed on the attached sheet ❑ Remodeling ship and have no employees These sub-contractors have S: ❑ Demolition working for mein any capacity. workers' comp, insurance. g, ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ lumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12./Roof repairs insurance required.] t employees:(No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy inforrrnation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. /►�,� Insurance Company Name: A4t ` t�k-4}C'AI ±4rEpWP-r10tJAU 5poop ,=7 C- Policy#or Self-ins.Lic. #: —s 3 , 90 Expiration Date: Job Site Address: lI �>�� Jr - City/State/Zip: t Y_A_MV -, "A f Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t pains andpenalties of perjury that the information provided above is true and correct Si ature: .[� Date: Phone#; O4 2 It Official use only. Do not write in this area,to be completed by city or town officinal. a City or Town: Permit/License# Issuing Authority (circle one): 1.Bo2rd of Health 2.Building(Department 3.City/Town Clerk e.Electrical inspector 5.Flumbina Inspector � b. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or.other legal entity, employing employees. However the owner of a dwelling house having not more than tliiee,apaitments and who resides therein, or the occupant of the dwelling house of another who ernploys persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be'deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local,licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insuzance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Depar:rnent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City.or Town Officials Please be sure that-the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contactyou regarding the applicant. . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant thatmust submit nit iple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or " affidavit that has been o stamped or marked b the city or town may be provided to the town). A copy of the a s e officially tamp y ty y 'c d applicant as proof that h a valid affidavit its on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT requited to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ent 406 or 1-877-MASSA E Fax rr' 617-727-7749 Revised 5-26-05 v-w-w.mass.gov/pia Town of Ba instable °* Regulatory Services 9� �$ Thomas F.Geller,Director �,FpM;�•�` Building Division. Tom Perry, Budding Commissioner 200 Main Street, ljyannis,MA b2601 www.town.b arnstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder r<f'Jit1I� ,as Owner of the subject property he reby autho rize W• NT V(C • to act on my behalf, in all matters relative to work authorized by this building permit application for. v. -511 1441 N s-r #Y4 tjAjir— t,% (Address of Job) i- 6 Z! 6.6 Signature of Owner IlDate Print Name Q:F0RMS:0WNERPERNMs10N TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map , Parcel" Application #. Health,Division r9' ! / b Date Issue Conservation Division Applic ion Fee Planning Dept. Pe it Fee Date Definitive Plan Approved by Planning Board Historic:- OKH servation/Hyannis Project"Street Address Village H-11W.1vfJ Owner-�-, � fin/ A dres "S�� ,,,_-Telepho"--new Sid' _;90- 9 8 Permit Request t401n*11ara: J� e6L�_ Square feet: 1 st floor: existing propo d 2nd floor: xisting proposed Total new Zoning District ! Flood Plain roundwater Overlay LIP Project Valuatio 2) D Construc i e Lot Size Grand thered: No If yes, attach supporting documentation. Dwelling Type: Si le Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing ructure Historic ouse: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Typ ❑ Full Crawl ❑Walko t Other Basement in' hed Area( ft.) Basement Unfinished Area(sq.ft) e Number of B s: Full: isting new Half: existing j nv w Number of Bedro s: a sting _new c Total Room Count (n ncluding baths): e isting new First Floor Roz County Heat Type and Fuel: ❑ G ❑ Oil Electric ❑ Other c)r N Central Air: ❑Yes ❑ No replac s: Existing New Existing,wood/c oal stove: ❑'Yes ❑ No • cts Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e isting cal new, size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name,--- .�wrGe >A'e pr�C�.. C._ph no e Number-, Mr 737. JS Address—_ License # S f �=��• i,4`� �� i4' Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �-�u-�„� t�� DAB , K - LL FOR OFFICIAL USE ONLY .APPLICATION# t - , DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE _ y OWNER r DATE OF INSPECTION: t FOUNDATION }� FRAME INSULATION I~ FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information J Please Print LeLribly Name(Business/Organization/Individual): Oi/n Address: City/State/Zip:Ikf� S2&3!1 Phone.#: Soe Are you an employer?Check the appropriate bog: UlJ P Type of project(required): 1.❑ I am a employer with 4;�'f am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] S. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LP Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing thew workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then•hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their worker;'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 50r-,T14 'bl r City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains andDena�lties of perjury that the information provided above is true and correct: Signafore: r e��s- Date: _ Phone#• S-M- Official use only. Do not write in this area,to be completed by city or town official City or Town:. Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: . Phone#: l Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"..:every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees..However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for'any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract form the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." r Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply,sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should ' being requested,not the De.Department of be returned to the city or town that the application for the permit or license is g p Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the, applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or'permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The.Commonwealth of(Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA Q2111 A Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia Hyannis Main Street Waterfront �FTHE Tp� Historic District Commission • Growth Management { 'il,�; OFf3f�Fix $!.E Y BAMUrABLE, '�' - 9 �• g 200 Main Street iB3p• �� i0len.19 Hyannis, Massachusetts 02601 2006 JUN 12 PM 12: 4 4 Phone: 508-862-4665 /Fax: 508-862-4784 CERTIFICATE OF NON APPLICABILITY UI�l15'O Application is hereby made, in triplicate, for the issuance of a certificate of non applicability under M.G.L. Chapter 40C, The Historic Districts Act, for proposed work as described below and on plans, drawings, or photographs accompanying this application. c� Iib . TYPE OR PRINT LEGIBLY DATE I �J ADDRES OR PROPOSED WORK b 05-6 1� l�I ' ASSESSORS MAP NO. 7U� OWNER 1 I 14 t ASSESSORS LOT NO. V I HOME ADDRESS �, i �� TEL. NO.'3�S• 1-90. Q' 5- AGENT OR CONTRACTOR ADDRESS akk >Vt lA TEL. NO. This application is for exemption of proposed exterior construction on the ground that: (1)It will not be visible'from anyway or public place. (2) It is within a category declared entitled.to exemption by The Hyannis Main Street Waterfront Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot, and if an addition is involved, showing location of existing.building. -k�e ACXWU� DQ N�OA��, aAC;J�, SIGNED �l� X-rZell; Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. The Certificate is hereby Qg- Date Time By mate Approved ❑ Disapproved ❑ 1 1/4fv(- . .., 7F:i :i C�PA G � CK • r-F- THE Town of Barnstable • sAMSrAsi,e, 'K"� 1639. Regulatory Services 9� �� '0lfn►��A Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, / 1A At k1b E!Q- S TRItJZ , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application.for. (Address of Job) Signature of Owner Date LSIAAI &A-. , TEDt, � Print Name Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 Town of Barnstable 'Al �,��►�rOk•o Regulatory Services aaRvslnsi>r Thomas F.Geiler,Director 9�A 1639. ,�� Building.Division lEo �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC 41 : . Board oiSuilding Rep,4tions`and Standards onsir;uction Supervisor License } % `�' ILicenid CS ;6675,4; rate 1;0/4 94'1 009 • � Ex�pi�ration:�,at�. , ��.�..T lRestriction 0,0 ILLIAM G EIRCE':1R _ a� f DENNIS'PORT-,AMA 02639 Commissioner ... � .. .. 1. w . s�•� ..�. ♦ .. .. .. .... .. .... 1 s ... - ... .. .. .... .. .... .. .. .. .... :T .... .-. .. .... .. V .... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,. Map Parcel Application # Health Division :r Date Issued odd zw Conservation;Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address G l J Village Owner A—( a neq �� v� Address Telephone Permit Request V tt aw v a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq:ft:) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number S� ` `7 7 i s ' ' Address License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _---___ DATE 517 J f FOR OFFICIAL USE ONLY APPLICATION# r , DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE } OWNER i DATE OF INSPECTION: z . FOUNDATION FRAME INSULATION I FIREPLACE ELECTRICAL: ROUGH FINAL d I i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL } FINAL BUILDING I .4 DATE CLOSED OUT ASSOCIATION PLAN NO. 4 4 , The Town of Barnstable KAM• snanrer,�,E, • ��' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: ATTN: FAX NO: FROM: DATE: I _ PAGE(S): -- 7 (EXCLUDING COVER SHEET) --_ TOWN OF BARNSTABLE .z SIGN PERMIT ' PARCEL ID 308 093 GEOBASE ID 22063 ADDRESS 505 MAIN STREET (HYANNIS PHONE Hyannis ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 17770, DESCRIPTION COMMERCIAL CREDIT (20 SQ.FT. ). PERMIT TYPE BSIGN TITLE SIGN R;RMIT CONTRACTORS: Department of Health, Safet3 ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $_00 Oki CONSTRUCTION COSTS $.00 753 'DISC. NOT CODED ELSEWHERE x BARNgrJu3m ; . MA88. OWNER �I,EMOS, JOHN A 1639. h%N ADDRESS BAY LN CENTERVILLE MA BUIL N BY DATE ISSUED 09/09/1996 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY Af'7-SriREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMA NENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POSTTHIS CARD SO IT ISIVISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. TRANSMISSION VERIFICATION REPORT �4 TIME: 11/01/1996 14:20 NAME: BARNSTABLE BLDG DIV FAX 1-508-790-6230 TEL 1-508-790-6227 DATE,TIME 11I01. 14:18 FAX NO. /NAME 97716658 DURATION 00:01: 17 PAGE(S) 02 RESULT OK I! MODE STANDARD Office Use Only Tlie Commonwealth of Massachusetts Permit No. Deporrment of Public Sofcty Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12-M 3/90 (leavebLnk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Maasachusetu Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHMON) Date A "2 'j/ TOWN OF BARNSTABLE SO_< To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Number) 06-ner or Tenant r Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of BuildingaAbYJ/ T ®///'EGG _Utility Authorization NO. Existing Service IZ-00 Amps 1/C'J /—' dU Volts Overhead Undgrd❑ No. of Meters_ New Service Amps 1 Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ��!fi)(,� �/ 1-('een 7y0 04 v-v/p ail 76CTS y U� /x/ ie7c- c4ez" No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Q� No. of Lighting Fixtures Swimming Pool Above In- Ngrnd. ❑ grnd. ❑ Generators KVA ♦ No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting t Battery Units b No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Ranges No. of Air Cond. tons No. of Detection and Initiating Devices No. of Disposals No. of Heats Total Total No. of Sounding Devices Pump Tons KW No. of Dishwashers Space/Area Heating KW No. Self Contained Detection/Sounding tion/Sounding Devices No. of Dryers Heating Devices KW Local Municipal ❑ Connect ❑Other Connection No. of Water Heaters KW No, o No. or— Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NOB I have submitted valid proof of same to this office. YES❑ NO If you hav checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) (Expiration ate Estimated Value of Electrical Work S g Work to Start O0=7`9 Inspection Date Requested: Rough Signed under the penalties of perjury: - FIRM NAME b"�LC /'+�� e �OD�/�p�✓ %�G72I�j LIC..:10 191 y�?J/� LicenseeD;�7� /L/Ly/ln�Q� Signature LIC. NO. Address,0':.:�e,e X 7y� G'.y?/9d/7.' r /r? Bus. Tel. No. .—Alt. Tel.Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent TOWN OF BARNSTABLE 3 SIGN PERMIT PARCEL ID 308 093 GEOBASE ID 22063 ADDRESS 505 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT TYPE BSIGN DESCRIPTION SIGN PERMIT - 2' X 9' CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 THE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P . � * 1ARN3TABLE, MASS. i639. A� ,� E�� B ILDING DIV1isIO BY DATE ISSUED 10/25/1999 EXPIRATION DATE ol The- Town of Barnstable �9 } ; BAMST►BL& : Department of Health, Safety and Environment-al Services 9eb i639. `e$ Building Division pTFD MA'S A 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector Treasurer O A liation for Si Permit PP l� Applicant: (2 +� If �I L Assessors No. Doing Business As: C 1-1-7 E(I 13an C/ a%_Telephone No. Sign Location Street/Road: Zoning District Old Kings Highway? Yes/No Hyannis Historic District? (((,Y 0 NameProperty )t, Dbdnci a L Telephoner Address: ,«n�, ��"/ C"C , Village: 4y,9r1 n 1 Sign C actor Name: �' Telephone: Address 1 o y� h Village: U )2c ' Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes�'1Vo� (Note.Ifyes, a wirrngpermitisrequired) I hereby certify that I am the owner ��or�that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of BarnstableZoning Ordinance. Signature of Owner/Authorized A ntes-t �or4 a c1r �xx tn' Date: 10 (at 19 S Size: � � �'1 / 14 Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: Signl.doc rev.8/31/98 - JOB NUMBER CITI FINANCIAL 21 .0860 509 MAIN STREET I--IYA( [�IIS, I1IIA {}2601 5407 k I�. r t r SI'OREFRONT u T FASCIA SIGN BAND 20 RELIEF DETAIL NON ILLUMINATEtD SINGLE SIDED SAND BLASTED SIGN I Kai WOOD CONSTRUCTION WITH EXTERIOR ENAMEL FINISH rF4CE-.LIGHTDIRECT MOUNT TO WALLPMS 2 BL E PY86 U UFABRELLA: PMS 485 RED � DESIGNER WAYNE . DATE 9 -2,�-99 SCALE 3116" = I' REV. CABINET: N/A CUSTOMER CITI FINANCIAL SALES JOE • • 'CUSTOMER APPROVAL DATE ART-KRAFT SIGN COMPANY - - tPIC.� a 4a7=727ro erl+e of Art-Kraft Slgn Company.And may not beused 6934 Sonny Date Dr.W. Melbourne,Fl.329D4 j40.1 727-9966 FAX(407)727-2229 ( ,the p p --ion of Art-Kraft sign company. TOWN OFBARNSTABLE f SIGN PERMIT PARCEL ID 308 093 GEOBASE. ID 22063 ADDRESS 505EMAIN STREET (HYANNI.S PHONE Hyannis .ZIP LOT BLOCK LOT SIZE. DBA DEVELOPMENT DISTRICT. HY PERMIT 17771 DESCRIPTION JOHN LEM68 REAL ESTATE (24" X 120" ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: ; Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 ` BOND $.00 Ox ENE CONSTRUCTION COSTS $.00 t K 753 MISC. NOT CODED ELSEWHERE : BARN31'ABI.E, +' .. KAM OWNER LEMOS, JOHN A 1639.�A� ADDRESSD BAY LN NUS CENTERVILLE MA BUILDWG D ISION BY DATE ISSUED 09/09/1996 EXPIRATION DATE 4t •:� .n The Town of Barnstable - s = Department of Health Safe and Environmental Services MWWAMX KAM Buildin Division 367 Main Street,Hyannis MA 02601 .. .,, ..:,.J'..-.. ,. `." ;.:' „ .. ., . ....._ �ttr. . i .. .-S ,. . , , '11 .1,7+-"1�,4 .Avdr•t;i;l ..., .P, '.:I.., . .r a. r. .. Office: 508 790-6227 Ralph Crossen Fax: 508-790-6230 B 'ding-Cq oner � `7�71 Application for Sign Permit 9 � Applicant: L.e vim.0 5 Assessors No. 3 0 1? - 3 Doing Business As: Zo�w Le KO.s R Q.A Cs.r tl Tk-' Telephone No. 7 L 3 3�.2 Sign Location Street/Road: -5-0 S S/7 nevi s Zoning District: Old Kings Highway? Yes/No Property Owned Name: �'��x w Lc o s Telephone: 7 75-- 3 3 Z- z- Address• Village: JORDAN SIGN COMPANY Sign Contractor 103 ENTERPRISE ROAD Name: HYAN N IS, MA 02601-2212 Telephone: LOCAL. 508;=771-4020 Address: FAX 508-771-6658 Village: USA 800-247-4467 Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified?. �e��/No (Note:If yes, a wuwg permit is required) I hereby certify that I am the owner or'that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the.Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent~ Date: -�G Size: Permit Fee: z Sign Permit was approved: Disapproved: Signature of Building Offici AA ..o..:- ...o_., -... o. TOWN OF BARNSTABLE SIGN PERMIT '' PARCEL ID 308 093 GEOBASE ID 22063 ADDRESS 506 MAIN STREET (HYANNIS PHONE Hyannis ZIP LOT BLOCK LOT SIZE it DBA DEVELOPMENT DISTRICT HY PERMIT 17770, DESCRIPTION COMMERCIAL CREDIT (20 SQ.FT. ) PERMIT TYPE BSIGN` TITLE SIGN RMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services. TOTAL FEES: $25.00 BOND $.00 O� CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE ; t * BARNSTABM + MAS& OWNER LEMOS, JOHN A s6g9. A� ADDRESS BAY LN CENTERVILLE MA BUILD NT I 'ISION BY DATE ISSUED 09/09/1996 EXPIRATION DATE A i - z PERMIT NO. : DATE: 6 g TOWN OF BARNSTABLE BUILDING DEPARTMENT 367 MAIN STREET 7 7 70 HYANNIS, MA 02601 #PPLICATION FOR SIGN PERMIT kPPLICANTi ASSESSORS NO. : )OING BUSINESS AS: TELEPHONE: 77�- 8 S' 76' SIGN LOCATION Street/Roads w/V/ :ONING`DISTRICTs OLD KING'S HIGHWAY DISTRICT? yes no 'ROPERTY OWNER lame: 1. �3 wL� ►ddre.ss: 317' . :ity: ,i�q�y�o 3 State: -- Zip; O/ Tel. No. : 7 7 33-1.2 :IGN CONTRACTOR tame: SIGN c0• . .ddresss lU3 EN+ERr�c ` -ity: NYI�NNIS, rAl� State: Zip: Tel. No. : ?V`' '7��Q 3 DESCRIPTION IAGRAM OF LOT SHOWING LOCATION OF BUILDINGS AND EXISTING SIGNS WITH DIMENSIONS, LOCATION AND IZE OF, THg NEW SIGN TO BE DRAWN ON THE REVERSE SIDE QF THIS APPLICATION. s the sign to be electrified? yes no .__. (NOTE: if yes, a wiring permit is required.) hereby certify that I am the owner or that I have the authority of the owner to make oplic A. ion, that. the information is correct and that the upe and construction shall conform to he provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. 9 A Ite Signature of Owns /Authorized Agent Dr Office Use - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ize (Sq. Ft.) AQ Permit Fee d'. e7Z) ?proved z/ Disapproved ate Si ature Of Bui ing ficial Ia i I 11 13�0 EGt, q pE6055�D "CHECK MARICI WWWD C9055Y�\i, i 1 I 1 com ercl" ed*it p . oal Cr i tr w ....�._.-.- EM�OSSF.D. I.ti:1SERtNCq� , G�4Lk bAR I�AGRYI.. .444-R 12�p. Q W OENZRAL SPECIFICATIONS 77 I i m ,-�_ ..r. .��:��,�' aa.9 a•.A'83 G�• ep0 0•�r,Q,P.. �� y � — ---------------- Assessor's map and lot number .3�! ...cL . :K... x cr' ' �o /1• oi6z _ � F N E A_ �c--if/< - — P�Sew t number A... Toy �LCrriuc�, aw ,f/A.��s 7-0 B AUS E, Houje number .......................... _ ADL 1639. 0 NOR{►� TOWN OF. BARNSTABLE fISP TOR roAPPLICATION FOR PERMIT TO ' --r--- TYPEOF CONSTRUCTION ....................................................... ......... ...... ....................................................... i . .+ . ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for �ar/'permit according to the following information: Location ....:......... .�..........\ `� �*` ............. . ................................................................... ...................... ProposedUse ..:.. .. ................................. .......................... Zoning District .......................... ......................................Fire District . Name of Owner J�l, �....�.. �1�. ......Address .Q ,/••.Lll' ...f� T1�...... �L Name,of Builder ................................ ........................Address .. ................ .............................. 1 ..................... Name of Architect ......Address .................. Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ...................Roofing .....................:....................................................:......... Floors .Interior ............................I......... ... . Heating ................................. .......................... .............Plumbing .............ln. ?.1.n.. ............................... Fireplace ............................................ ....Approximate Cost ........ . ... ... , ..... ...... . Definitive Plan ,Approved by Planning Board'_______________________________19____:___. Area ... .:.4... A ... ... ".:....... Diagram of„Lot.and :Building with Dimensions Fee : II SUBJECT- TO APPROVAL OF BOARD OF HEALTH . r 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I :hereby agree ,to conform to all the Rules and Regulations of the Town of BarnLblegarding the above construction. Name ..... .. ..... ... ....... ... . ' `Cp • Construction Supervisor's License ......... ..... .............. �A LEMOS, JOHN A ?y �25093 REMODEL DWELLING v No .............r.A Permit for .................................... Comm v�l/Pop..Corn ...Store................... Main Street" Location .................... ................................... Hyannis `' Owner .John..A....Lemon....................°.......... z Type of Construction' .Frame.............. _. d ry {_ R _ s Plot Lot ................................ Permit Granted ..'May 20 r...................19 83 c . .Date of. Inspection ...... � -d�: .. t. 19 � _ Date Completed .. ......................................� 19 by � ,, . ,a, -�� - _ ;M„� . ' i • •` i - _ ,' Assessor's map and lot number .3 v Sewage Permit numberh..::............................�.......:..... � w 70 -w�d SG�u-C-�� •9 ooB as■ eT ABLE. Hous! number. ...... 1639.� • \0� w TOWN OF BARNSTABLE f BUILDING INSPECTOR r APPLICATIONFOR PERMIT TO ........................... --.. ...........,.. ...... .. ... .. .:........................................................ TYPE OF CONSTRUCTION .......................................................1/. . . � ... .19......... ... ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............. .......... ................... ................................................................... ................................... ProposedUse ................ .. ............. ..................................... ................. ............I......................... ZoningDistrict ........................ .....................................Fire District ........ ........ ............................................................ Name of Owner ...>Jo}, ., ..... .L.. .�`l .J ..........Address ..G��" Nameof Builder ....................................................................Address ...............................................:..................................... Nameof Architect ..................................................................Address .....................................................:....I.......................... Numberof Rooms .............:....................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ..........................................................Interior ...........................:...........7::........................................... Heating ..................................................................................Plumbing �1i .............!�? Fireplace p Approximate Cost .......... ................... .......................... Definitive Plan Approved by Planning Board ---------------—---------------19--------• Area..c::`. t:: ...:":......... of Lot and Building with Dimensions --�' Diagram 9 Fee ......../. ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barest ble regarding the above construction. Name ........ .............................................. ........................ r� a 1,� Construction Supervisor's License oL...... L...�.............. LEMOS, JOHN A. 308-93 25093 REMODEL DWELLING No ............. Pe7fr1it for .................................... ......Commerce aA Pop Corn Store .... ........ A100LocatiMain Street ........................................................ .................Hy.anni.s............................................ Owner John A. Lemos .................................................................. Type of Construction ....Frame ...................................... I Plot ............................ Lot ................................ Permit Granted May 20, 19 83 Date of Inspection ....................................19 Date Completed ......................................19 f, � q y - 1n r r--✓ -Z`s�w - �-.- ,�� L - ',r,,�v m. ., .._ a=��v,� ; r: � . '''' ...-r-�.r"-� - ^�(/�.�..�-;"*r:-. 5 �'L '.r � ^ta a� r oFt r Town of Barnstable Regulatory Services $" "BLSMA&M Thomas F. Geiler,Director 039p�p`e� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 e June 29,2005 '1 Indianav Pilion:Restau_r �5:a Main si—' 7 iHyannis,'MA 0 6 To Whom It May Concern: Recently it has come to the attention of this office that you have done some work involving landscaping in the front of your restaurant on Main St. As I am sure you are aware,your business is located in the Hyannis Historic District. Because of this, any changes to the outside of your building requires that you obtain permission from the historic commission. If you need assistance with this process feel free to contact the historic commission,via the planning department at 508 862-4665 and they will be happy to help you through the process. Sincerel homas Perry Building Commissioner TP/AW I QD C)Prz r�� VD"tj Town of Barnstable Regulatory Services HP �� Thomas F.Geiler,Director "' ASS' ' MASS. ` Building Division 9 M ma ibg9• �0 p�ED MAy Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax7 508-790-6230 COMPLAINVINQUIRY REPORT Date: _ Rec'd by: Complaint Name:I �� ,( Map/Parcel Location _ Address: _ , �� ' —=--� ,� (( G°'t,q.r✓ S WX Originator Name:— Street:- Village- State: Zip: Telephone: Complaint Description:l a}�1 A�F'�F- f� �-'T ��7c .►-�� d FOR OFFICE USE ONLY 1 Inspector's Actio Comments Date: f,!z Inspector: Sb CA �P•P F-0e2 r Additional Info.Attached 0-forms:comvlaint