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HomeMy WebLinkAbout0050 MAIN STREET (HYANNIS) `� _� i �, . i1 i f` �h ,,__�- -�- �- 7x1,`I�F�q gtitlt .�."p,,•y a,fr > J r �'�� IV �tr�. �/� 1'�Il l4 `•t*.�r<Y'..} �4£^ 'ens 4 fy�1§��Wh `� x T x wt. SCALt F t El • l r x _ IV' �iutzz� s.a a ts'"ave^+F3Fa iY> VIA 404 (tip v a s i a TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID, 342 026 GEOBASE ID 24948 ADDRESS 50 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT UNNUM BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 76998 DESCRIPTION 25 SQ FT HYANNIS INTERNAL MEDICINE � PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: ` Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 COND .00 NSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE0 * BARNSTABLE, + ' A1� FD MP'� 39. BUIL G IVISIO 1 Y DATE ISSUED 06/01/2004 EXPIRATION DATE f r Town of Barnstable D AE Tp�� � o Regulatory Services rl Thomas F.TWI6,05ii-SAWSTASLE �qq BMWSTABLE. 9 MASS, Buildin DivYYisio�n p nMo ss o�"�� Tom Perry, B1. btiaiii i 03 er ' r �} 200 Main Street, Hyannis,MA 02601 4 L 4 rOffice: 508-862-4038i - DIVISION Fax: 508-790-6230 Tax Collector Treasurer _ ' - Application for Sign Permit 1 ,4 Applicant: Assessors No. Doing Business As: _ M Telephone No. —)—Is Sign Location _ Street/Road: Zoning District:` Old Kings Highway? Yes6) Hyannis Historic District? Yeseo Property Own r Name: a=A Telephone: —1 `15 41 3 Address: Village: CU\ c Sign Co ractor Name: Telephone: `1 l_-1 c,S AddressAS O S 0.T Village: V\L • ' 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. l :r f&s he sign to be electrified? Yes/No (Note:If yes, a wiring 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. P L e 4,S u° 5 e r, t-t Signature of Owner/Authorized'Agent Date: ae: �� Co • , - Size: { Permit Fee: G7�✓- "� 8 l� Sign Permit was approved: V. Disapproved: S6 8�1-1l Lt LI Signature of Building Official: �� �) Date: / Signl.doc rev.122801 6E c�kSAL r _ 3 �NJ O 6U S ( c�.d-CI •y V It t t( © S � S Li xq1l n a d � 3 A EngiineeringDept,(3rd floor) Map Z Parcel e . � Permit# - House# Date Issued [f wpm �� Board of Health(3rd floor)(8:15 -9:30•/1:00-�6j � tcvJ /1'1 �� Fee 0 [yd Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)'- Planning Dept.(1st floor/School Admin. Bldg.) THE,q Definitive Pla o d by Planning Board 19 BARNSTABLE. ' RFD DAPS s`� , TOWN OF'BARN5TABLE ' Building Permit Application , Project Street Address 5D rya;,q S Village -— 0-L,a n e1. /( / D Z 6 Owner Address .SAgh.L Telephone Permit Request /��rnr�yL �Y/Snr S��/✓1� ��OI�Ce - �i� fo �`I/9--{�� ✓'-z'a.� �tdd/�o� ' � !�'�sgtyu�'L First Floor _ square feet Second Floor square feet Construction Type Estimated Project Cost $ 45-CV67.00 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ,❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information k Name 90,5$e(/ A Le4 S-ol-) Telephone Number 36 L- c17 z 7 r Address Lk License# Q� Z 6CL//l.5 SK /1'�-fs Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 9DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY r PERMIT NO. .. DATE ISSUED• . r - { W MAP PARCEL NO, a .. p ADDRESS + VILLAGE' t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION s j FIREPLACE t r ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL`. GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. } r The Town of Barnstable 9eb 1 9. 1e$ Department of Health Safety and Environmental Services °r�,r,�► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost q d ` Address of Work: 7 �Ia-/^ SA �S Q line Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name The Commonwealth of Massachusetts lea Department of Industrial Accidents Office Of/nsestigations 600 Washington Street aFs%� Boston,Mass. 02111 --,- Workers' Compensation Insurance Affidavit name: q,)SSe(( A cyu location: 50 IK&(*,\-S city h Q AA ( 1 /fll�� phone# 36 ❑ I am a homeowner performing all work myself. ❑ I am an employer providing workers' compensation for my employees working on this job. company name:. _. _.. .. .. address.. city:: phone#. insurance co. RAO# // I am a sole proprietor, eral contractor omeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name �/ C��S 1/'✓G'rl o!(J .` ��0 (eL address. city' � '""�(I (. /L✓}�5.., phone#. Z�`.' �6 h (4 rirsurance co. h�7 .. T oliev# O!a`� l ? e campanv name. address: crt phone#. insurance co. olicv ��. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Oftice of Investigations of the DIA for coverage verification. I do hereby certify under thepaiin/s/and p/en/a�lties of perjury that the information provided above is true and correct Signature- wit fi( ���n/"! Date / eF _ Print name C)SSec( c-'G,,ato Phone# ( 2- 4/-? Z? offlcial use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check K immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other •.. (revised 9/95 P]A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",.an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street =w Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 `h "¢ :,,.•. `. I�t1 Ity., i � � ,i t. s+ t, s S "' li i ,,� , ,i' wx�+ t r}�. ,�°'�r rf roc sr 3, �• �, ,,.,`t.�. w � I.d 3.k1*t A'y e _ gw r S HOME .•IMPROVEMENT !CONTRACTORS !REGISTRATION f Board: of Building'°Regula ,ons~i'and 'Standards < y 1 Ir : x VFRoom1'3O1 One 'Ashburton Places , .. �,: ('► . T L7 �' � �. `ti*�s � � '� �9=r ��'t� sti�.e ✓! 3 at tCti.� µl.:' Yam, e.x a ..q'...�".,,bb.,ra.s.•r ,�r,!n„ I'� ^� �;°�f'si�a'��}}�f ,4�}� ;sY,. '�+fi.•w -�j��... . as � t 5,: �`. '�x7� et,>,� .�5 '�lj+�- �_.4, C' -`;w.' �r I �1,4Q. 7 r., •.'Yjl. .�`t•,�'3 �}.'i' .��.,�G��: �."MENT x ; E- IMPROVE CONTRACTO HOM R c x. Re.0istration t1O44�8 DI IDUA TypeI�V . , a :HOME �MPROVENENT>CONTRACtOR JSI 'i x{� ` 4 # t o it on 104418„ � IV g GIBBON .JR Ezp ata 7/14Jb0 A ,Gibsso � J '�A# y a d z�Sf f 2 �3:2 MID' PINE � Ai: fiIBSON�JR. 11 r "i�'?vjaA'YARMOU 'HPO.R1� 'MA �YO2675 , RUSSE �'�� x Russell A fiibson Jr c �: r �ce�ne o2✓MID PINE 7. aajEa � -� .� =ao�ewsrw►roR , ;,YARNOUTNPORI NA 02615 yy.,c� i � ,; a f SIDEWALLING x If located in OKH or Hyannis Historic District-Certificate of Appropriateness required unless same color/same materials specified on application. Sig -n offs from: Health Er Tax Collectors' Office 0,- Treasurer [� Owner's name & address Estimated Cost i Complete dwelling Information for the Assessor's dept. Correct square footage OR number of squares of shingles(times 100 sq.ft.) Applicant's telephone number Signature Workman's Comp. form [� Home Improvement Contractor Affidavit [y Home Improvement Specialist's License OR Homeowner's License Exemption [� Fee q-forms-PERMITS 1 Rev 6/2/98 TOWN OF BARNSTABLE r SIGN PERMIT PARCEL ID 342 026 GEOBASE ID 24948 j ADDRESS 50 MAIN STRET?rr (HYANNIS PHONE HYANNI S `" ZIP i LOT UNNUM BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY � PERMIT 33278 DESCRIPTION'iHYANNIS INTERNAL MEDICINE (12 SQ..FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services I TOTAL FEES: $25.00 1HE BOND .00 CONSTRUCTION COSTS $.00 �QA i 753 ISC. NOT CODED ELSEWHERE - -. _ BARxsrABLE, em _ s. �► i63� BUILD ._ ` IVTIIIIIII BY - - DATE ISSUED 09/14/1998 EXPIRATION DATE e own of Barnstable- A Department of Health, Safe and Environmental Services p Building Division 367 Main Street,Hyannis MA 02601 �t Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax, lector f � Application for Sign Permit AQ(- �. C� No. V o2 Applicant: Assessors Doing Business As: �.Y1 (1 S r1 �Gl Telephone No. Sign Location v , Street/Road:- Q Zoning District: Old Kings Highway? Yes'No Hy Historic District? Yes6 Property Owner I I Name• a \ Telephone: L �I . Liz Address:— U �-. � � ���e' �� � .:.... -- Sign Contractor _ Name: Telephone: c Address: 4jVillage: Ale 61 � Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:Yyes, a whingpermitis 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 Zonig Ordinance. Signature of Owner/Authorized Agent: / Date: o� Size: �-� permit Fee: Sign Permit was approved: _ Disapproved: Signature of Building Oiici Date• Signi.doc 50 HYANNIS INTERNAL MEDICINE jorge ]Eq:. Casal, M.D. INTERNAL MEDICINI Charles LLl, M.D. , Yh.D LAN 1)O('R I NOI-0 GY Robert S. Thrope, NJ.D. INNTFIRNAL: 'IE.DICIN F ---- -- --- - �2 _ .. . . y-- -_. ----`�__ - -- c/ d VL�s� � i 1 I 1 I I � � I � ' 1 t r � I � � f t i 1 � i 1 1 1 ! f1 I 1 1 � 1 4 j 1 { � � ! i I {{{ r , I 1 � 1 I ( I 4 1 1 1 { 1 1 i ' I � � ; 1 I ` { I 1 � � � k I ; I � t i � I � I � � ; � � � � ' � I ;,• I � r , I I I � I f ! � � ; � { ; r f � ^ ! f � 1 E 1 � � 1 � ' I 1 � � � � � 1 � � I � + 1 ' I � I � ( i } ' 1 ► t � I I ( � 1 4 i � � � ( { E � i � f I f � � i f � � ! 1 I � 1 � " � � � � I i i ' � 1 1 � ' 1 I I i � t i f ' � i t i � � i i � 1 I 1 t � 1 � i t � � � I , f} ( � I I I � r � � ` ? t � � � � 1 � r ' I � �I 4 � � � { I I � � i � � I i 1 � � I # ' � � � j � 1 { � ; I � � I f I ! } � 1 � , 1 _ t i I ! ; 1 ' 1 , I � , � ( � ; � � r f I � I � � i ; I I � ► � i E I, � 1 i I 1 i � ; I 1 t 1 �- � � a i I f i � � � � { � f � ' ! I i 1 ` ' � 1 � f I 1 � t I � ' � r I 1 j j I ! I � I � � I � - {i i 4 � � 4 � I } 1 1 f I .I I 1 � 1 I I i � 1 ( � .. ! 1 1 � (I � � � j � ( ; FI I � ; � � � � i ! i 1 ' j I t I i ` 1 � 1 � I I � ( I 1 ; t ! 1 i i } I 1 1 { ! ! {_ ` 1 1 � ! III � 1 I � I � ' t � i ! ! ! � � � 1 � i � � t � i I P 1 1 � 1 E � ; � i ; � i � r ! 1 i j � i 1 � � t 1 1 I � I 1 t j � i f j I i i y t � # � � E { � , � ; I � 3 ! 1 � � � � a � 1 ` i � � I � i i � I � � i ! t , '' i � , f r r j � 1 } � i I f 1 t j 1 � � � � 1 ! � � I 1 � I , t � I I t � 1 � � y -•:r�t((.//.���//......_=�QQ- y ✓/LCC/�O7Nm204t1U O�a/!/GQ.dQLGQP.�6 :15242 Restricted To, 00 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE 00 - None _ Nuaber: Expires: 1G - 1 & 2 Faiily Hones Restiicted To= ';00 Failure to possess a current edition of the Massachusetts State Buiilding Code ' CHARLES K KITCHELL is cause for revocation of this license. 33 HARBOR RD HYANNIS, KA 02601 �e /. • , The Comnfulrwealtli of Afassarhusctts Departinent of Industrial Accidents A , , �N� ;;� _! OMeeof/ovest/yalloos . 60011 usliiirgroir Street Boston.Mass. 02111 Workers Compensation Insurance Aflitlavit _ �RpJIC�nf nfnrmatinn,� Please PRIIT•1e bIV �Is:r�e ec e name: location: gin, nhone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an emplover providing workers' compensation for my employees working on this job. �comnam•name � � � �i�,��u�S .G9U/�7�i�G�� .iddress• c7TT (1� Or-f7 . �ncur•tnce CO. W�"" SC"o, V policy# pd�O�177F I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: compnn•name: avid ress• cih•• nhone#- insurance co. policy# � "r:--.T.� � .. 4CJf•:/-r.•G.:,7!1��.:�•y-�..�,•eR,�fT'•5��':�•�'� .�.�...e- •�F �'isRi"!n.it��:ii►'i.'�!L*..�'_'�n4�t�y!Is^!'.�":�—'.7S COmpan•name' address- cih•• phone#• insurance en- on lit 4 :Atiaeh additional sheet if neeasaryE.:+e:z: Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORI:ORDER and a fine of SI00.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of investigations of the DIA for coverage verification IIddo herebr ceraj• nder tl e pants and penalties of pedun•that the information provided above is true and cof7met c✓Siena re ✓Datate 9Z Print name 7 --ones 0 Icial use only do not write in this area to be completed by city or town official city or town: permitAicense# nlluilding Department C)Ucensing Board check if immediate response is required pSelectmen's Once C3I1ealtb Department contact person: phone#; nUther ,r Imised Vgh PJA) r � Easter Casualty'Insurance Company' WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE NCCI Carrier 16942 Risk I.D. # 0858;20R Policy No. WC P 0„Y 1 1778 Federal I.D. # 0.2 7-0--2000 1. The Insured/Mailing address: D. Individual ❑ Partnership CI- ARLE=' AS-:z'Of:I ``TE ❑ -°�� �� Corporation or siYANN;IS . I"1 0-260,1 Other workplaces not shown above: ( .1 ) 33 HARE[.,. ROAD 2. Policy Period: The policy period is from -to C,1 2'j' 7 12:01 A.M. Standard Time, at the insured's mailing address. 3. Coverage: A. Worker's Compensation Insurance:"Part One.of the policy applies to the:Workers Compensation Law of the states listed here: Massachusetts s B. Employers Liability Insurance: Part Two of the policy applies.to work in each state listed in item 3.A. The limits of our liability under Part Two are Bodily Injury by Accident 10+"_Q 0 0 each'accident.,' t Bodily-Injury by Disease =+u G Jar policy imlt Bodily.Injury by Disease 1 C`v Rio . each employee C. Other States Insurance Part Three of the policy applies to the states, If any, listed here: A11V4fe�s)A*f,fh6 X 1. :. , �- ' A a D. This policy includes these endorsements and schedules: =22b�,)WC242, WC332, WC350 ,WC36.7. WC441. See Information Page III for other,applicable endorsements. i Total Estimated`Annual'Premium $ 1 Pro Rata Premium (If Applicable) f" rA a i i Countersigned H0,R , N— 44t BA-F:i` 5-AB, E 40Aty, 11-ty Date B Y Authorized Re resentativ THIS INFORMATION PAGE WITH THE WORKERS COMPENSATION AND EMfvOYERS LIABILITY INSURANCE POLICY AND i ENDORSEMENTS,IF ANY,ISSUED TO FORM A PART THEREOF,COMPLETES THE ABOVE NUMBERED POLICY. AGENT'C"O "' • C,p.�y .E.p.r THE NORTHERN ASSURANCE COMPANY OF AMERICA A Stock Company,Boston,Massachusetts 02108-3100 ti::{YS•.�4w.v: COMMON POLICY DECLARATIONS >> ?'<» �alr��•�ffIMBEFI.........:.:::..:,.:::,..,,..;:.;:.::.,:r:�•�ue:�A��::::«:�:::'>;<`<::............... .. .:.. . NBF823874 0 08/16/95 TRANSACTION: RENEWAL NAMED INSURED and MAILING ADDRESS: REX NUMBER: 5A51KC CHARLES MITCHELL 3 HARBOR RD IiIYANNIS, MA 02601-0000 BUSINESS: CARPENTRY FORM OF BUSINESS: INDIVIDUAL POLICY PERIOD: From 09/29/95 to 09/29/96 at 12:01 A.M. Standard Time at your mailing address. z <># :'O. PREMISES BUILDING OCCUPANCY ADDRESS N0. NO. O1 01 CARPENTRY 84 BARNSTABLE ROAD HYANNIS, MA 02601-0000 >:;;:<::«:«:<:::»»>:«<:>:::<:>::>::::::>::;:::< d. . I�PLMENET IS P 1 .CY.::;:.;•:.;.:<:::.:: :::.;•<:::.::.::;;:,.;:;<..::.;:::<.::.;;:;.;:. :.:::::.:.: .::::.................. .IFiCI.M.IN.G.It..P1�F1�.if�:TH IGI 1 COVERAGE PARTS and SUPPLEMENTS PREMIUM PROPERTY FORM COVERAGES - SECTION I $60 LIABILITY FORM COVERAGES - SECTION II $643 UMBRELLA LIABILITY COVERAGES - SECTION III BOILER AND MACHINERY FORM COVERAGES - SECTION IV TOTAL PREMIUM $703 1 ; THIS POLICY IS SUBJECT TO INSTALLMATIC MONTHLY BILLING The COMPLETE POLICY consists of: (1) this declarations and (2) all other declarations, forms and endorsements for which symbol numbers are listed in this declarations. NAME and ADDRESS OF AGENT: COUNTERSIGNED BY:. P A I -• I. h r dR r _n v Alt o z_ _o es ._ _ G28100(12.93) Page of of 02 AGENT COPY OFFICE: FOXBOROUGH FILE NUMBER: CR228077 IWSNQNI Ewa-IONS CALo.L"_ FOR DATE v TIME M PHDNED`._ OF RETURNED PHONE YgUA CALL AREA CODE NUMBER EXTENSION PLEASE CALL MESSAGE. r 1NILL', ALL AGAIN GAME TO WANTS TO LC � /� SEE YOU SIGNS (Universal- 48003 0 m f `OFiHE The Town of Barnstable Om 7 BARNSTABLE.9! Department of Health Safety and Environmental Services MASS. O i63q' ♦0 plfD,�a+" Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection - Location Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: rlk I Please call: 508-790-622.7} for reeinspection. Inspected by Date °FINE tti . The Town of Barnstable BARNSTABLE. • Department of Health Safety and Environmental Services MASS. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection � � � YP , p �..,.�„ Location ( Wr1'hl Permit Number Owner Builder (auO 15 `V(-1 —1 One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Please call: 508-790-6227 for reeinspection. le Inspected by Date 91 �� `� \�� ! � t �! .1` - �, � j `\ J{ t n '\J g � � � ' o � �� RI HA A C RD SAYS RAMP DOES NOT MEET CODE: NEEDS MORE HAND RAIL BRACKETS. HAND RAILS ARE SUPPOSED TO EXTEND l' BEYOND RAMP. RAMP NEEDS NON-SKID SURFACE-EITHER PAINT OR SOME MECHANICAL MEANS. SAYS MR.MITCHELL BECAME VERY BELLIGERENT. NlITORS LHTRAnL% •1 LAW THE RE GULATIONS ARE AND FACILITIES AT BUILDINGS . - THEY ENSURE THAT ISABILITIES. ARE ACCESSIBLE TO PERSONS WITH D A COPY OF.THE REGULATIONS CONTACT FOR OFFICE OF HANDICAPPED AFFAIRS THE MASSACHUSETTS ONCASHBURTON PLACE, ROOM 1305 BOSTON, MA 02108 - 020 or (617) 727-7440 voice and TDD (800) 322 2 Asse f Parcel �e�rt# 3 conservation Office(4th floor)(8:30-9:30/1:00_-2:00) RVG 4�,YY\-0-%(- ' Date Issued /Y?fo _/144rd of Health(3rd floor)(8:15-.9:30/1:00-4:45 � Fee '(�66 /gineenng Dept.(3rd flo House# Jam' r , $EWER ' tp C AONNBCTI� T E g) �xk.,, 7"' y 1�G++•'� BARNMBLE an APF6@-1@d by19 CONS't$Ut'17 02' TOWN OF BARNSTABLE , -r(� v .z Building Permit Application Project Street A ress ///f}-/A f � tt t Village m Owner .ri �Address' S7e' 7t _••Telephone ^' o Permit Request O .� First Floor square feet Second Floor `square feet Estimated Project Cost $ 60 /Tt77) Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type / Commercial 1/ Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor. Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Aame Builder Information YA2LLe-5 0rre/y L�_ Telephone Number ✓'Address License# S 127 1;7 . 0 Z_�Gd) Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS, PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ) DATE 6 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY P�MIT NO. - - ; D TE ISSUED P/PARCEL NO. DRESS { VILLAGE OiNER DATE OF INSPECTION: ' ~j FOUNDATION FRAME oz , 4r INSULATION FIREPLACE { { a y = ELECTRICAL: ROUGH FINAL + PLUMBING: ROUGH FINAL GAS: UGH ! FINAL FINAL BUILDI DATE CLOSED bs ASSOCIATION'PLAN NO. -f 4T °`$kk r o n ly p Z. LA T r _ a �. �. o 3 x Q T -^&Y` p°� ^sw +±�� icy #+ad��.��`"�°•+'1���« c .'�"'"+�;x C�,�i��+��'�� 3..Kg � }R��.r,�p d s x 4 Ff' �;rr.:. 1� A, OA 4"' sr t (01 J �� 5 Z �a f r�- ml •,;E �1n�4�k � 3 N ,y Mm '. f<« Rif 'U` ^_ ^t .Y .1' ) u3' W x ,�i ..; x� S} � �onz +�a' �$', o.,xs`• ,,(Sa y ',, "; t_,6x ,` MA Z akX p1,4.ti'.r: Y''.6 '•.w .r C4�, -^-.=b�. ja, T �'.rj A, P- IA 3 W ems: y p y r I � S` � zJ O• . v G . r = R n S+ '�3r d , I ISO I IN Ism I Jim oil le=i=i =i� �3 ■ Rf ' - i i Iii111� - i - � I'I I I, i I3 I• t '�,°' � ii:: ui <?sue �t I - I' { ' I� iII•• I i I i , I_ i � i L�Ii jll� �l i I I 1.7 �. 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BOOK 440 1 ET TWENTY F µ -20' PAGE. 53 E3RD OCT 23 SCALE aNE INCH EQ E E L 1987 SITE PLAN ANR MAY 12 ADDITION TO DOCTORS OFFICE 1987 MAIN -STREET HYANNIS . MA FOR DR. ROBERT S THROPE MAP 342 --26 1,fit BY i cfl WILLIAM LIEBERMAN RPE 235 TIMBER LANE MARSTONS MILLS MA ZIP 02648--2151 TEL 508-428-2592 'I19. 271 DATE MARCH 18 1996 q ° " SHEET 1 OF 1 p_ � gTE kQ nFSS10tv41 �G\��