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Home My WebLink About0340 NORTH STREET ��ti� w s 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, I"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) f' V" �,, =:��rw:,>u, DATE: I y -{- _ Fill in please: }' 1. .dr }"" � ` APPLICANT'S YOUR NAME/S: Ir BUST ESS YOUR HOME ADDRESS: ` 2 a, =f. il^.jTal�'`�.�.1�' :�Fi1:+Y.1�'"nl�c�;, � / T%4pONE # Home Telephone Number pTy r.. •L R a� i NAME OF CORPORATION: ��` �w - NAME OF NEW BUSINESS ' TYPE OF BUSINESS S S HOME OCCUPATION? YES NO THIS A H _ MAP/PARCEL T r nl(S M � � PARCEL NUMBER SQ + Assessing) ADDRESS OF BU SINESS 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 need. ,You MUST GO TO 200 Main St. - (corner of Yarmouth. Barns y 9 Y Y to make sure you have the appropriate ermits and licenses required to legally operate your business in this town. Rd. & Main Street) yP q 1 BUILDING COMQha� be 'S OFFIC This individunfoi me of �rquire that ertain to this type of business. i t� rized ignatur COMMENTS: M1 2. BOARD OF HEALTH This individual ha e info t e per jtrequir "ents that pertain to this type of business. Aut prized in a-t u r e ( 1ST COOLY WMNM COMMENTS: 3. CONSUMER AFFAIRS [LIC NSING AUTHO /ng This individual has infor e oft &;i uirements that pertain to this type of business. A prized COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years)`V' w!bG!siniRs-',U;AkiUte ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed-form to the Town Clerk's Office, 1st FI., 367 Main;StrrHyar�nis MA1.02601. (Town Hall) and get the Business Certificate that is required by law. . DATE: R_ Fill in please: ic.t A ICE R APPLICANT'S YOUR NAME/S �USINESS YOUR HOME ADDRESS. iZ.5 '7 N l O 2- G CY r,. .,c,.,sil-1'vS,:Sr .. f` :y:.Y�� .�s � Telephone Number a '7 TELEPHONE # Home Tel p �1 EIN #: E—MAIL: Q �, ��f. O NAME OF CORPORATION: A C N ZFA T c r NAME OF•NEW BUSINESS = - �- c TYPE.OF BUSINESS o IS THIS A HOME OCCUPATION? . YES No ADDRESS OF BUSINESS 3 Li-ID /I�ue tlt {'Ype. MAP/PARCEL NUMBER 3b� U [Assessing) %/A &rw e S, A-1 A O Z. /o o When starting a new business there are several things you must do in order to be in compliance with the rules and regufations 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 COMMISSIONE13112 OFFICE This individual has b en i or of any I requirements that pertain to this type of business. Autho ' erA Signa re** COMMENTS: A-_ -77 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: . i Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.towil.barnstable.ma.us Pre-application for Business Certificate Date f ` , z Map 5- Parcel. �l Applicant Information Applicants Name eA4 Applicants Address�� Q_ r) ail Address err Calh Telephone Number J 97— 7 75 a 1-12- Listed E� Unlisted ❑ Business Information New Business? -------------------------------------- to Business is a registered corporation? ------------------------• Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? --------- Yes If yes then a Horne O pation Registration is required—See Building Division Staff Name of Business r `S V Business Address O 'r Type of Business d �' Building Commissioner Office Use my Conditions Building Commissione e� g' F. Date 0 Clerk Office Use Only f °F THE 1p� Barnstable The Town of Barnstable " '" MASS. ` Growth Management Department All-America CRY �s� 1639.�p,O� 367 Main Street,Hyannis,MA 02601 wQ D Office: 508-862-4678 Patty Daley Fax: 508-862-4782 Interim Director 2007 MEMORANDUM TO: Tom Perry, Building Commissioner CC: Christine Palkoski FROM: Patty Daley, Growth Management DATE: April 14, 2008 RE: Anonymous Letter Hi Tom, The attached came to Growth Management, attention Ruth Well, in an envelope with no return address—postmarked from Brockton, MA on 4/11/08. I forward it for your information. Patty { r f;f � k rrr l -MMLMO-WM GROWTH MANAGEMENT O,� o saslesraEQ,t,, ! . SABB �O x639. D NAY�"� �ss� . a6daco�suae a 02601 COMMISSIONERS: (508) 775.1120 F-W. 123 KEVIN O'NEEIL.. CHAIRMAN THOMIAS J. MULLEN JOHN J. ROSARIO. VICE CHAIRMAN SUPERINTENDENT PHILIP C. MICCARTIN ROBERT L. O'BRIEN- FLOYD SIL VIA ASSISTANT SUPERINTENDENT GEORGE F. WETMORE September 1, 1989, To: Joseph DaLuz, Building Commissioner From: Thomas J Mullen, Superintendent, DPW Subject: Improperly Located Sign . at Mitchell's Way and North Street A recent sideline survey 'has shown the sign belonging to "Mr Perry's ' Tux" located at the above intersection to be located within the public way layout and represents,a hazard to motor vehicles and a nuisance to utility and road maintenance activities. I would ask that through your authority as Building Commisioner the owner.of the above sign be notified to relocate same to a position on his property and to remove it entirely from the public way. It would also appear that several parking spaces on the North Street side of the lot actually extend into the raod layout. These should be modified so as not to interfere with the road layout. THOMAS MU EN Superint debt TJM/bw it k.4 it -rod niaiq,.;?, Vic! bur ;r, fxj?, 7 �f Enr 3"o �;l ".11-1 t)' I A j- q(31q pit! C,-) W,L:r ro go.:,,AkjT Ill O'e, t4.,�,.,f 3dOfvf IN \Xx A 7, j I FtNETO TOWN OF BARNSTABLE ii i BAUST"M i 039. � BUILDING INSPECTOR E M a' Perrys Barber Shop APPLICATIONFOR PERMIT TO .....................................................................:....................................................... TYPE OF CONSTRUCTION Interior & Exterior Work ................................................19........ TO THE INSPECTOR OF BUILDINGS: — The undersigned hereby applies for a permit according to the following information: Location 340 North Street .................................................................................................................................................:..................................... Barber Shop ProposedUse .....................................................................................................................................................:...................... ZoningDistrict ........................................................................Fire District .............................................................................. ` t Name of Owner Butbh Perry - Address 340 North Street .....:........................................ ..................................................................................... E.• Flick Nameof Builder ....................................................................Address .................................................................................... Name of Architect Luigi D' Ellessandr.O ,Address .................... ................................... ......................................,......................... Number of Rooms Tko �............................Foundation Yes .................................... .. ........................................ ................................... Exterior Painting ............................Roofing No ................................................. ...........................:.........................I.......................... Floors Wood, Carpet, Tile ..Interior Wood, Sheet Rock P ....................................... ........................ HeatingNo ................................Plumbing.................................................. .:.Yes........................................................................ 041ace .....NO.......................................::...............................Approximate Cost .....5.,600............ .................... G Definitive Plan Approved by Planning Board -------------------------------19 Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH o��✓ `��`` o � Psi. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. _ �` Names ...... ......... Perry, B. 16042 remodel arber ........ ....No ................. Permit for .............. :2�..... sh6p .......................................................... .. ................. .340 North Street Location ................................................................ ........................Hy.......annis................................................ B.Owner ....................Perry.............................................. masonry Type of Construction .......................................... ................................................................................. Plot ............................ Lot ................................ ` 1 Permit Granted ...........Mar-Ch 2-5............19 73- Date of Inspection .........................19 -7 3Date Completed ..........19 PERMIT"REFUSED ...............................................C. 19 ................................................................................ .................................................................................. .............. ......................................... . ...................... ............................................................................... Approyed ................................................. 19 ............................................................................... ................ .................................................. HAflHSTABL$, o y MASM t63�'011ca 8Y p,�� a rs j aa6ssclucac d 02601 COMMISSIONERS: (508) 775-1120 Fe. 123 KEVIN O'NEIL,•CHAIRMAN THOMAS J. MULLEN JOHN J. ROSARIO. VICE CHAIRMAN SUPERINTENDENT PHILIP C. McCARTIN ROBERT L. O'BRIEN FLOYD SILVIA ASSISTANT SUPERINTENDENT GEORGE F. WETMORE September 1, 1989 To: Joseph DaLuz, Building Commissioner From: Thomas J Mullen, Superintendent, DPW Subject: Improperly Located Sign at Mitchell's Way and North Street A recent sideline survey has shown the sign belonging to "Mr Perry's, Tux" located at the above intersection to be located within the public way layout and represents a hazard to motor vehicles and a nuisance to utility and road maintenance activities. I would ask that through your authority as Building Commisioner the owner of the above sign be notified to relocate same to a position on his property and to remove it entirely from the public way. It would also appear that several parking spaces on the North Street side of the lot actually extend into the raod layout. These should be modified so as not to interfere with the road , layout. .L )THOMAS MU EN Superint dent TJM/bw I tAq r I 1 Z� � �tlQ MH Mali p iv n 0.+ Z M .� ► p - 1 — l 1A'�S h�\ 7 0 2J-;'C►W d Q, 7A �y,o�>,`al/�SMs ► b �-l _ 7 iv,(A 9 Z of k,-;\AOOVTJJ 1 �.. Lt Y's l x0�1 'M10S 5Qr-1�0 " t,�®S -7/n4/A I-Lrv31,\ �xz S z��"►' 3�p� A=308: � J09rPH D. DALUZ --�- -------- --�—-- Building Commissioner rELOPHONE: 773.1120 EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 September. 5, 1989 Mr. Benjamin A. Perry 340 North Street Hyannis, MA 02601 Re: A=308-010 North Street & Mitchell Way, Hyannis qd 3 Dear Mr. Perry: Recent complaints re the construction of a planter and sign at the corner of North Street and Mitchell Way prompted the Town of Barnstable Engineering De- partment to survey the property for the street designation. The survey clearly indicates that your planter/sign is located on property owned by the Town of Barnstable. In addition, the sign is in violation of several sections of the Sign Regulations of the Town of Barnstable Zoning By-law. Enclosed is a copy of a letter to me from the Department of Public Works re- questing that I take the proper action to have the sign removed from public property. Please be further advised of Sections 86:3 and 86:7 (copies enclosed) of Chapter 86 of the Massachusetts -General Laws. Section 86:7 reads in part: "The aldermen or selectmen may cause the removal from public ways . • . .structures or other appliances, at the ex-. _. pense of the owners thereof". This letter is to inform you that you must remove the above described sign immediately or I will be forced- to take further action. Peace, r �\�Joseph D. Da u —Building Commissioner cc: Board of Selectmen Town Attorney T. Mullen, D.P.W. Enc. 3 Certified Mail: P 017 014 291 R.R.R. Mr. Peny 's Plaza 340-343 North Street•Hyannis, MA 02601 •FAX 508-790-4871 c�a eo) Jan clt. �Cnitt�lSufC �� Mr. Perry's DESIGNER FORMAL WEAR La C�EZ�at+dcz, C' PROFESSIONAL EXCLUSIVE 341 NORTH STREET beauty at its best" Men'SHairstyling ti HYANNIS,MA 02601 342 NORTH STREET,HYANNIS,MA 02601 340 NORTH STREET,HYANNIS,MA 02601 508-775-2242 • Fax 508-790-4871 (508)171-4567 508-771-1086 TOWN OF BARNSTABLE J - Ordinance or Regulation BAR-W 1014 W ING NOTICE Name of Offender/Manage Address of Offender 7 MV/MB Reg.# Village/State/Zip Business Name pm on 19�� Business Address Village/State/Zi Signa re�OfE�nfor�cg Officer p -- Location of Offense � � nforcin Dept Division Offense / � ' Facts This will serve my as a rn• " It is the goal of Town agenciesA to this achieve voluntaryaction has been taken. Ordinances, Rules and Regulations. Education efforts and warninannotiof ces ce Town are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. r' SENDER: Complete items 1 and 2 when additional services are desired, and complete items -3 and 4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you.The retur receipt fee will provide ou the name of the person delivered to and the date of delivery.Fora rtiona ees the following services are available.Consult postmaster nr mes and c ecK box(esi for additional service(s) requested. 1:` ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) 3.. Article Addressed to: 4. Article Number P 017 014, 291 Mr. Benjamin A. Perry Type of Service: 340 North Street ❑ Registered ❑ Insured Hyannis, MA 02601 ❑ Certified ❑ COD ❑ Express Mail ❑ Return Receipt for Merchandise Always obtain signature of addressee or agent and DATE DELIVERED. Q. SifinaDhe A dre s 8. Addressee's Address (ONLY if X requested and fee paid) 6, Signature — Agent X 7. Date of Delivery 79 1 PS Form 381 1,'Mar. 1688 * .U.S.G.P.O. 1988-212-865 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE, � OFFICIAL BUSINESS !'2 M ' ~w SENDER INSTRUCTIONS �. Print your name,address and ZIP Code`.",,"! `' .---- In the apace below. • Complete Items 1,2,3,and 4 on the U C reverse. �0 • Attach to front of article If space permits, otherwise affix to back of article. PENALTY FOR PRIVATE • Endorse article "Return Receipt USE, $300 Requested"adjacent to number: RETURN Print Sender's name, address, and ZIP Code in the space below. TO Mr. Joseph DaLuz, Bldg. Commissioner F Town of Barnstable , 367 Main Street Hyannis, MA 02601 JOSF,PH D. DALU2 Building Commistiontr TELEPHONE: 775.1120 EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 September 5, 1989 Mr. Benjamin A. Perry . 340 North Street Hyannis, MA 02601 Re: A=308-010 North Street & Mitchell Way, Hyannis Dear Mr. Perry: Recent complaints re the construction of a planter and sign at the corner of North Street and Mitchell Way prompted the Town of Barnstable Engineering De- partment to survey the property for the street designation. The survey clearly indicates that your planter/sign is located on property owned by the Town of Barnstable. In addition, the sign is in violation of several sections of the Sign Regulations of the Town of Barnstable Zoning By-law. Enclosed is a copy of a letter to me from the Department of Public Works re- questing that I take the proper action to have the sign removed from public property. Please be further advised of Sections 86:3 and 86:7 (copies enclosed) of Chapter 86 of the Massachusetts .General Laws. Section 86:7 reads in part: "The aldermen or selectmen may cause the removal from public ways . . . . . . . . . . . . . . . . . . . . . . .structures or other appliances, at the ex-.. pense of the owners thereof". This letter is to inform you that you must remove the above described sign immediately or I will be forced- to take further action. Peace, FNrJoseph D. Da u ----Building Commissioner cc: Board of Selectmen Town Attorney T. Mullen, D.P.W. Enc. 3 Certified Mail: P 017 014 291 R.R.R. t ' Y� c 1 7,1 t .444 A Ef - j -777774 - - -- --- - 41 1 i1i � • 7 � f f. 1 c 3CR308 009. 1 LOC30044 MAIN STREET CTY107 TDSI 400 HY KEY3 2i9793 ----MAILING ADDRESS------- PCAD3221 PCS300 YR300 PARENT3 PERRY, BENJAMIN A MAP..1 AREA3CO08 Jvl MT030000 340 NORTH S-1'' SP13 SPZ'I SP33 ' uTl _I UT23 n 10 SQ FT3 1050 HYANNIS MA 02601 AYBD1975 EYB31975 OBS3 CONST] 000() LAND 122500 IMP 47700 OTHER ----LEGAL DESCRIP11ON---- TRUE MKT 170200 REA CLASSIFIED #i-AolD 3 122, 500 ASO LNO 122500 ASO IMP 47700 ASO OTH #BLDG(S)—CARD-1 3 47, 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE RPL 340 NORTH ST HYN TAX EXEMPT #RR 0952 0075 1032 0055 RESIDENT"[..- *SR mITCHELL"S WAY OPEN SPACE COMMERCIAL 170200 17020() 17020) INDUSTRIAL EXEMPTIONS SALE300/00 PRICE-] ORB31767/247 AFDl LAST ACTIVITY300/00/00 PCR3Y c ICR308 010. 3 LOCA0340 MAIN STREET CTY307 TDS3 400 HY KEY] 219800 ----MAILING ADDRESS------- PCA33921 PCS300 YR300 PARENT3 HOLMES, PAULINE mAP'_'I AREAIC008 iv:i M1 G30000 294 STEVENS S'T spi ''I SP23 SP3_'I UT13 UT23 . 01 SQ FT3 HYANNIS MA 02601 AYB::! EYB) OBS3 CONST) 0000 LAND 12500 1 m OTHER ----LEGAL DESCRIPTIOIN—�-- TRUE MKT 12500 REA CLASSIFIED OLANi) 3 12, 500 ASO LND 12500 ASO IMP ASO OTH #PL NORTH ST' DESCRIPTION TAX YR CURRENT , EXEMPT TAXABLE #RR 0952 0022 1032 0010 TAX EXEMPT #SR MITCHELL"S WAY RESIDE lei T0 OPEN SPACE CXWIMERCIAL 12500 250(..) 12500 INDUSTRIAi EXEMPTIONS SALE303/87 PRICE::I I ORB35596/241 AFD:I 1: A LAST ACTIVITY)08/ 19/88 PCR3Y _ cam- �,;.zs- - �% �. _ _� � c�. _ �a� cat' � �-, �—�- .ter... �.r�a.n. - ,4e�s �. - - - - - � _ _ _� a apt _s<dc. moo(.. - - - — - - - -- — .�,`.1-tnso�t..,ey.. �rrCo_swuot ceQm� Sc�cA' — - — - - - -S�1 PAS� o, �r tj1-iU+,�t �.0 U�. _ - - .. -- - -- IJ�u tAp" �'�A� NC. <Un1I.J' 'at I • [Chap. 86.] (1; A t '1 86:4. Remo) CHAPTER 86. Section BOUNDARIES OF HIGHWAYS AND OTHER PUBLIC PLACES, judged a AND ENCROACHMENTS THEREON. at auctior Section the prose. Section � � - -` 1 T. Erection of monuments. ! ' 5. Removal of gates,rails,bars or fences upon the rema 1= 2. .Buildings or fences as boundaries. or across ways. defendant ;'•�: 3. Encroachment on public ways. 6. Barbed wire fences: : 4. Removal of encroachments. 7. Removal of matter from public ways. 86:5. Remov Fill; ' 86:1. Erection of monuments. ,•�;... Section Section 1. The aldermen, selectmen or road commissioners shall 1 which arE cause permanent bounds to be erected at the termini and angles of all 2 .` ways laid out by them. Such bounds shall be of stone Portland 3 kt unless the ..:':. cement or concrete not less than three feet long two feet of which at 4 ' . dangerou. ,'`Q continued least shall be set in the ground, or of stone not less than three feet 5 1; long with holes drilled therein and filled with lead placed a few inches 6 selectmen : below the traveled part of the way, or if stone, Portland cement or 7 private w; concrete bounds are impracticable, a heap of stones, a living tree a 8 apply to t permanent rock, or the corner of a building, or such other permanent 9 respective ! , bounds as said officers may determine. 1p bars or fe 86:2. Buildings or fences as boundaries. x order then. ;: 1 Section 2. If building or fences have been erected and continued 1 7At :,. 86:6. Barbed for more than twenty years, fronting upon or against a highway, 2 7 town way, private way, training field, burying place, landing place, 3 Section street, lane or alley, or other.land appropriated for the general use or 4 ''" six feet of convenience of the inhabitants of the commonwealth, or of a county, 5 t be punish city, town or parish, and from the length of time or otherwise the 6 ,:.. dollars. boundaries thereof are not known and cannot be made certain by the 7 l records or by monuments, such buildings or fences shall be taken to 8 86:7, Remov< { l' be the true boundaries thereof. 9 ' >»' Section ' 86:3. Encroachment on public ways. public wad it Section 3. If the boundaries of a public way are known or can be 1 ` ' appliances, made certain by records or monuments, no length of possession or 2 occupancy of land within the limits thereof, by the owner or occupant 3 of adjoining land shall give him any title thereto, unless it has been 4 f I acquired prior to May.twenty-sixth, nineteen hundred and seventeen, 5 ' " s ' and an fences buildings s or other obstructions encroaching upon such 6 Y jl way* shall, upon written notice from the county commissioners or 7 . board or officer having authority over ways in towns, be forthwith 8 F' removed by the owner or occupant of adjoining land, and if not so 9 b removed said commissioners, board or officer may cause the.same to 10 be removed upon said adjoining land. y ; 292 I{ �i [Chap. 86.] BOUNDARIES — ENCROACHMENTS. 86:7. 86:4. Removal of encroachments. Section 4. If such building, fence or other encumbrance is ad- 1 judged a nuisance and ordered to be abated, the materials may be sold 2 at auction and the proceeds applied to the payment of the expenses of 3 .. the prosecution and removal, and, if insufficient, the court may order 4 the remainder to be raised and levied upon the property of the 5 defendant. 6 86:5. Removal of gates, rails, bars or fences upon or across ways. Section 5. Any person may remove gates, rails, bars or fences . 1 which are upon or across a public or private way legally laid out, 2 unless they have been placed there to prevent the spread of disease 3 dangerous to the.public health, or unless they have been erected or 4 continued by the license of the county commissioners or of the 5 selectmen or road commissioners or of the person for whose use such 6 private way was laid out. A person aggrieved by such removal may 7 apply to the county commissioners, selectmen or road commissioners, 8 respectively, and if upon examination it appears that such gates, rails, 9 bars or fences were erected or continued by such license, they shall 10 order them replaced. 11 ,t 86:6. Barbed wire fences. Section 6. Whoever builds or maintains a barbed wire fence within 1 six feet of the ground along a sidewalk located on a public way shall 2 be punished by a fine of not less than twenty nor more than fifty 3 dollars. 4 86:7. Removal of matter from public ways. Section 7. The aldermen or,selectmen may cause the removal from 1 public ways and places of unused poles, wires, structures or other 2 appliances, at the expense of the owners thereof. 3 ji t 293 1 TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 308 010 AP✓7q- GEOBASE ID 21980 ADDRESS 340 , 4 STREET (HYANNIS PHONE Hyannis ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 24309 DESCRIPTION CAPE WIDE TELEPHONE (B" X 2- ) PERMIT TYPE BSIGN TITLE SIGN PERMIT p CONTRACTORS: Department of Health, Safet ARCHITECTS: y and Environmental Services TOTAL FEES: $10.00 BOND $.00 1HE CONSTRUCTION COSTS $_00 753 MISC. NOT CODED ELSEWHERE • _ * �ARNSTABLE, + MASS. OWNER PERRY, BENJAMIN� .ADDRESS 343 NORTH STREET HYANN I S MA BUILDING DIVISMN BY /l�,,' A f./1. . DATE ISSUED 07/09/1997 EXPIRATION DATE`'" "� � T TOWN OF BARNSTABLE -- SIGN PERMIT PARCEL ID 308 010 GEOBASE ID 21980 ADDRESS 340 .ti 'STREET (HYANNI•S " ONE. Hyannis ZIP - LOT B K LOT SIZE DBA MENT DISTRICT HY PERMIT 24309 DESCRIPTION CAPE WIDE ONE (6' X 2.' ) PERMIT TYPE BSIGN TITLE SIGN PE IT ( CONTRACTORS: De rtment of Health,.Safety ARCHITECTS: P ' and nvironmental Services TOTAL FEES: _v ' BOND Ox THE ' CONSTRUCTION COSTS $ 0 753 , MISC. NOT CODED SEWHERE * SAItNSTABLF, MASS. OWNER PERRY, BENJAMIN 1639. A�O� ADDRESS D ESS 343 NORTH STREET HYANN I S MA BUS ILDIN( IVI�SIION DATE ISSUED 07/09/1997 EXPIRATION DATE a • � -97 The Town of Barnstable Department of Health, Safety and Environmental Services t Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen twice: 508-790-6227 Fix: 508.790.6230 Building Coratnissioner Application for Sign Penn it: Applicant: G�/�S Z2 Assessors No.?;il Doing Busincss As: �Telephone No. Sign Location StreeVRoad: Zoning Disuicc /J? , Old Rings Highway? Ye . 'o Property OW TM tiame: �i Telephone: �� '��Q AddressLJ Village- Sign Cont7kftar - Name: /G / Telephone:; ZZ — 12IJ Address: Village: ,l Descripdon Please draw a diagram of lot showing location of bddinp and existing sigxts «zth dimensions, location and size of the new sign. This should be-drawn oIa tfie reverse side of this application. Is the sign to be electrified? - 11 oo (Note:Y)rs, a rtgllr gPer r it is required) I hereby,certify that I am the owner or that I have the authority of the oRner to make this application, that the information is correct d that the use and consauction shall conform to the provisions of Section 4-3 of the Tonn of table Zonin Ordinance. XZ Signae of Owner/Authorized Agee • � �1: �-� Date: 9 tur / dw Fermit Fees Size: — , _ u f Sign Permit was approved: Disapproved: -- — Signature of Building Offid dl- Dater- . , C - Engt�� Dept. (3rd B �floor) Map Parcel 4 Permit# D House# 3 y0, Date Issued Board of Heal(3rd floor)(8:15 9:30/1:00-4:30) / _g Feed 4' ' i d onservation Oe(4th floor)(8:30-9:30/1:00-2:00) - 444�� _ ®� Planning Dept.(1st floor/School Admin. Bldg.) �-. N ��T/�/ wEnq, m l®� /y� <. DinApproved by Planning Board 19 /�/ ; R� ' aH TOWN OF BARNSTABLE Building Permit Application Pddress ` tj� t - Village Owner Pf2 OVA\� NJ, Address 0 a yVi�;t VV\ Ct Ls TelephonePer 6 A ' 4 ` square feet Second Floor square feet Construction Type V/Estimated Project Cost $o aS�'d7J Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# nits) Age of Existing Structure Historic House ❑Yes On Old King's Highway ❑Yes U140 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: v Gas ❑Oil ❑Electric ❑Other Central Air ZYes ❑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 r Builder Information �ame e. -'fele hone Number ,14' ddress V Q e)O `��-� License# c� /SJ— `� V ow -V\A Home Improvement Contractor# ,,N orker'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 Y ATE ✓ l , �� BUILDING PERMIT DENIED FO HE FOLLOWING WING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUL'MA 1 P PARCEL NO. ADDRESS - t VILLAGE" 4 r OWNER DATE OF INSPECTION: _ FOUNDATION ' FRAME oZ r t ' ' INSULATION. FIREPLACE • _ f t ' � �: » - i � „�, `" , f; J ELECTRICAL: , ROUGH ��t ' t FINAL PLUMBING: ' ( UGH FINAL GAS: 'A EL OUGH }` � FINAL FINAL BUILDING DATE CLOSED OUT f ASSOCIATION PLAN NO. 4 1 , CQE 'not.lAilrc.� y Gk. a ' llJ9T�k Assessor's"map and lot number .......................... 7 /C : ................ Off' � THE j A � — �'�`/— �Jo1T' Gc,c�car- TD o�y ewage Permit number A.4....�?:V4 !T!�................... G cG��/EzP. vQr/4- a�.r/��` S T/I'' 0� T�'� Z BARNSTABLE• i House number ........................ "6 q w 900 7 ` Q jL r J C��TLi /�C UG�IT�a c�S 0 MpY{�• TOWN OFBARNSABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ...... .................................................... TYPE OF CONSTRUCTION ................................................. �Ol,Y�/y� F � �...................... .........'......... .................................................................. i. .................................................19....... TO THE INSPECTOR OF, BUILDINGS er.. The undersigned hereby applies for a permit accordWg , the following information: Location L...:' /✓ �S .. ... �.......... ..... ✓........................................ ........... ProposedUse .:.......... /!�/".'Y ........................... ................................. .......................................................... Zoning District .....Fire District �� ............... ICJ � .... ......................... .Address � (. . ..'.."��1T .1 . . Name of Owner ........................... .... y . Name of.Builder -DOIJ `.........................................Address Nameof Architect ..................................................................Address ............................................................................ ....... Numberof Rooms ..................................................................Foundation ....... ...................,...........,..................................... • W d 0.0 �L ��`CICC'O..Roofing, Exie,rior .................................................................................. ........................................ Floors p t ...Interior ��1` w�%�� .................. ............................. ...... ........................ ............. .................................:............................:... -- - _Heating`....... ....... `.... ................:..Plumbing �......T £�J.... ..................... Fireplace .:....:............:...:..........................................................Approxim .te. Cost ........ .......0 .. ............................. Definitive Plan Approved by Planning Board --------------------------------19;___'____. Area ....f.6D.U.... .. ....... .Ar...... Diagram of Lot and Building with Dimensions Fee E. ............. ... 1 SUBJECT TO APPROVAL OF BOARD OF HEALTH .� OCCUPANCY PERMITS_'R`i<QUIRED FOR NEW D INGS I hereb agree to conform to a'N.the Rules and Regulatio of the To of Barnstable regarding the above c nstru Name .�.... . ... ... .................... `Construction Superviso{r's License PERRY, BENJMUN • . 26571 ADD 2ND Ixlo .�........... Permit for ..................F'lt�..... r Commrcial Building �'f s ,x loca#ion. .North_.Stxeet........... .......... Hyannis r :� ... Ben'ami.n Per...... .......................... �: _ ' ` , r'� �� ' I,,r r.� ., - • Owner .........j.............!q-K Y........... ................. ,� , Type of Construction ..E.K .............. t t r` fsrl r I �.• Plot ............................ Lot ................................ June 8 ' . S 84 ' Permit Granted ...................!......... .......19 sDate of Inspection. ............................... 19Y Date Completed ,....... :...: 9 � io ell Lok) R ' ISSUE DATE(MMIDDNY) 08/06/97 Fl......... ..... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE �r =T AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE THE FREDERICKS -INSURANCE AGENC ' S BELOW. 1046 MAIN STREET OSTERVILLE, MA 026550427 COMPANIES AFFORDING COVERAGE _7 CODE SUB-CODE COMPANY A EASTERN CASUALTY INSURANCE CO LETTER COMPANY B INSURED LETTER S .J. & J GIATRELIS D/B/A COMPANY C. LETTER GIATRELIS CONSTRUCTION 106 CAPE DRIVE COMPANY D LETTER MASHPEE, MA 02649 COMPANY E LETTER ............................ ....... ..... ..............xx ...... ..F. ............x ................................. ................ .... % .... ........ ... ........................ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELA)W HAVE BEEN ISSIZ;D TO THE INSUIRED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIOP timns DATE(MMIDDNY) DATE(MM/DDfYY) GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GEN.LIABILITY PRODUCTS-COMP/Ol'AGG. $ ....--]CLAIMS MADE F❑OCCUR. PERSONAL&ADV.INJURY OWNER'S&CONTRACTOR'S PRar. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY (Per Aociden $ t) NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM ............................. I STATUTORY LIMITS A WORKERS COMPENSATION WCP0008522 11-05-96 11-05-97 EACH ACCIDENT s 10 0 0 o AND DISEASE-POLICY LIMIT s . 500,000 EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 100, 00c OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEMCLES/SPECIAL ITEMS mcw. ........................................................... ............................................. ......... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE NORTH SIDE BUILDING EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO i MAIL10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO T'HE CONSULTANTS, 141 MAIN INC I STREET . i:i*i LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR YARMOUTHPORT, MA 02675 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENT'S OR REPRESENTATIVES. . AUTHORIZED REPRESENTATIVE #4763-6* RJiTI .. .... ........................ ........... .. .. . ... -- .. ......... .. ........... ..... .. ...... ....... . . ............ ........... ..... .. ... . . .................. ... . ............. ............. .. ... . ..... . ................... ... . ............... '` � ✓fte -VO�mr�na�2u�e� O��i2(a�GGu:ru�ef�4 HOME IMPROVEMENT CONTRACTORS REGISTRATION j Board of Building Regulations and Standards One Ashburton Place — Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR _ Registration 115020 Expiration 11/23/97 Type — PARTNERSHIP HOME IMPROVEMENT CONTRACTOR Registration 115020 GIATRELIS CONSTRUCTION Type - PARTNERSHIP STEPHEN J. GIATRELIS 106 CAPE DR i Expiration 11/23/97 MASHPEE MA 02649 i GIATRELIS CONSTRUCTION i I STEPHEN J. GIATRELIS 1 06 CAPE DR ADMINISTRATOR MASHPEE MA 02649 I � ✓� V/4'IJImt.O4uI/P,ctGC,t O`�-lGciJJQ.c�G.ie�1 T r, a DEPARTMENT OF PUBLIC SAFETY E _- CONSTRUCTION SUPERVISOR LICENSE Number. 5xrirQs: j Restricted To: 1G STEPHEN j GIATRELIS x CTU"' 106 CAPE DR MASHFEE, NA 02649 I, IIW41- IMPROVEMENT CONTRACTORS REGISTRATION j Board of Building Regulations and Standards One Ashburton Place — Room 1301 Boston, Massachusetts 02108 i I HOME IMPROVEMENT CONTRACTOR _ Registration 115020 Expiration 11/23/97 i- Type — PARTNERSHIP I I HOME IMPROVEMENT CONTRACTOR GIATRELIS CONSTRUCTION Registration 115020 STEPHEN J. GIATRELIS Tree - PARTNERSHIP 106 CAPE DR i Eipirstion 11/23/97 MASHPEE MA 02649 t 6IATRELIS CONSTRUCTION STEPHEN J. 6IATRELIS t,06 CAPE DR no NMTR noa HAMM MA 02649 i I ,q ✓� V/6'gLYt04tU/¢ll�lil O�a.l�tWJQ.C�d.J¢�J i Z-\ T '1 DEPARTMENT Of PUBLIC SAFETY E F CONSTRUCTION SUPERVISOR LICENSE Number: Ezr:re.: j Restricted To. 1G x *� STEPHEN d GIATRELIS 106 CAPE DR MASHPEE, MA 02649 .. M/DD/Y >: ISSUE DATE(M Y) .. .A.. ......... 97 .. . :.:::.:::::::.:::.::::::::::::::.::::::::::::.::: '::: .J� .::::.::::: / /PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE THE FREDERI CKS INSURANCE AGENC ,pD,�T AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE S BELOW. 1046 MAIN STREET OSTERV I LLE, MA 026550427 COMPANIES AFFORDING COVERAGE CODE SUB-CODE COMPAN LETTER Y A EASTERN CASUALTY INSURANCE CO COMPANY B INSURED LETTER I S .J. & J GIATRELIS D/B/A COMPANY C. LETTER GIATRELIS CONSTRUCTION 106 CAPE DRIVE COMPANY D LETTER MASHPEE, MA 02649 , COMPANY E LETTER Q. ::::::::::::::: ::::::::::::::<::::i:: ::::i::::?::::i:::::::::::::::Y:::i3::::::::::::::::::i:::::: ::y:: :: ::::::;::::....:............::::::::::::i::::i:::::::::::::::: :::::::::::::;:::::_:::::':::: :: . _^;>;> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iS� . TO THF..lNSI IRFD NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, h EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATIO f LTR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GEN.LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE ❑OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ a FIRE DAMAGE(Anyone fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS - I BODILY!:JURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ r t RM OTHER THAN UMBRELLA FO STATUTORY LIMITS .............. A WORKER'S COMPENSATION WC P 0 0 0 8 5 2 2 11-0 5-9 6 11-0 5-9 7 EACH ACCIDENT $ .. 1 u V .y..v.. AND DISEASE—POLICY LIMIT $ 500, 000, EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 100, O O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Yl�.� . 0. :: i::;::;:;:i:::;:i::;::i::i::;::::::::::::f:::::;:;:;::;::t::.`.':.`:.`:::::......;:::"':.'::i:....::..F'f�i'1`'4.Tr.#A'K :is7,#/L\:::::::r:: ::::::r:':: i::::::::::::::::::::::::::::::: :...........: ... %: :?;::::: ::::::`;:;:;<:::::;'::::;:: :::;:::<?>";':''':':: 'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE NORTH SIDE BUILDING # .EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO. CONSULTANTS, INC MAIL1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 141 MAIN STREET <` LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR YARMOUTHPORT, MA 02675 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE #4763-6* << .....:'<:><>::>::> >« »?<;<z> [?'>:.;:.;:.:...................:...:............................:........... s MnmCK_` 1�S Sranvo. • j i � 'L•54tlt��a I.V.. }10 WW✓'Gv ' - — =-' um .SEGTI ON ir Qiustbm �t.,-,, ....#ntr'iue.'ecm<�CCC�in�nr ow wV a.ertn�tsiawq WCwcLe'oV egwV - . y 4cus r cxw n�r� f'Yj 3i '"1 't it.: �I., � 30e•448 E19) r r _ nor o rns J 71 �f' hi j t '�• ..1y Rtsmw.tg 3 Yam, } a evlln ; • 'yr 2 ..t is r i + y ,Pe �vq. �� I .A .99 a y' _ �' 'p <. :E}lSi'.EIEV�IT ltsl•t's '° k.a^f .� t. t 1 ( , ;, 1 �s �,� � r r' �'rC ;,n �, 'tiff[ �c _-.•,T :'+ .; y _�.. l,:S ° .r ^� .Trn..r P r.-Qc off.• .. - � � i¢ • t.':,j it 11i1! '�; _ l f, t1'r nf.3 44 1 i 11 l I f 1 .. 4.�::y.��.• I �.i'- ,.t:r ,,' r EF 1I,:^l ,4 r'ia`�`• ' '- ` �, + "-. `� ' - '"ft 1�-':./ �.�+}�qt., - '!T. wu��•_..:'.. ., t 'i `l li r'ft i f�JLL� 1 �:! I 'i fi.� ..S i i♦p }�.1 G 4. :i' \ ..ti. 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'.�, r � •"'+ k�'+: ;t, � � 1. y I_ t'.b' 1O'.d' l 10.0' L•O. • v - 7--- r :o a ^ J 508.428.6191 . o evi i n J I r (BUstom o esigns i � � copyngnt� I!!7 All RigMf r is %IXMAR.::C.I.A%PUKLL i • i I , • SecOlyn.:F1,ORR.Rl.J1 N... NV E Au W.W..ta kN*MtM'BE AZ t•ERIPED It"CONTRACRXi 4'BUt I** Z Ptehmtnary plans and layouts by DC D are for the use of their CUttOmert only Any other use n ttrtctly Front Ottet J 1 1 , 2 p ti.0• �� i 1 - ' y 1 c \ v wz'e4 r{'YY W s9 0 of ru N ry J Q _ (t It I O (v ♦ l JEFFREY CLANCY CONTRACTING . Page No., of Pages Building & Remodeling 142 James Circle P.O. Box 1723 �u co11tra tgrPPPut - MASHPEE, MA 02649 i JOB P NE DATE (508) 477.6526 I t! f 0 f JOB NAME CATION TO .- !..,l.... ......`_.. .....1... .c,. ►...�.. .......5.... ._._................. ..._....... FRS ove x ls,�t ooF JOB NUMB ARCHITECT JOB SPECIFICATIO � n � ......... fiC.rrX�• -I o W ro lZ '-rV x ..._.._ a� ........... jo _ New �XcX► t u W l pc)►— �..... Q -Y DecX over . rvc.. .. ........ . . ...... . ;c2 �'2 v►� • NewZ►A+nn 1 _ cv oirZt� +4-S p rU ply.w' Z TLZV,�scs.... lc.f-�-I^ ...3/y..T. .6 / wooer �1 /VeW..ZX� Z7ooS . . Wr4L('S K wS 4-A LZ. N ec.v 5 /8. .00k �Y 3 ACC e) frto t rL, T iz t�.,1 .. t.-XIS/_...._• __�X�ir�, .. ....... ..Y...,. .,. ......... ....... iZ�4V Y t� tti, S r�eo<Z -.Ov............. �� Trus4 a-LL u ` s... 1. 1 ad. f , S�oi•-� �- Kti rbD -�o G� C me S oc, .. x r41 o✓? T2►NV� S T �5s F.. 0° $ _ Io W 1,c1 i w c _a w Foy rsG � ' T n�_A�. ................. �" For the sum of i �L liars ($ The above specified project is to be completed in strict conformance with all specifications nd conditions relating to this agreement. in addition, the project is to be performed in compliance with OSHA regulations and local, st and national building codes.Although the !� contractor has control over the quality of all work relating to this project, the subcontractor is independent contractor in all respects; the �I subcontractor is responsible for his employees, his subcontractors, materials, equipment and I applicable taxes, benefits and insurances. The subcontractor is responsible for coordinating his activity with other trades and promptly aning up any surplus or refuse which was created by his work. Payment will be made as follows; I Contractor �.1 P i-#-r��--/ 1`(C.�VA C-L-10 j Subcontractor I' Authorized Authorized Signature Signature Date 04 Date j ',;. e ``��' "��• ��A,a" '�s � .td�.. k� °'`- .�� ty l`1•. is ,0''q�,�tk�'+ ,a,,},,r d --�y�` * i�.. • .`7�.. i`.,f�":r�r^ Jr'�`i'"fsw,7�'.1Y��°' '4,T�I, :!,.,,.�',W4`..;:�tVa{,, � -,:��'' �. ,✓� ' 'W .r 'i.l'�' �� '�•. a.. . ... ..n•!.. ..'�t- ••'' 'r.� t.' Assessor's map and lot number ............. ... ....:: THE: • '+��-- d'/< o" : Q�pU 6ewage Permit number x� ...�ka�f'!lir�c�,.............. ...... A aA .s MA"STAnLE. S House number ........:...... .....S.d rE'`t ... ...... � /111 F.. �ww 0/ ftay�F so 2639. 6 a a . jctic,/ *%T /? fc �'?E�YPY Ar- TOWN OF BARNSTABLE ' BUILDING INSPECTOR. �^ APPLICATION FOR PERMIT TO Coles • ` TYPE OF CONSTRUCTION .....................................................4`.�......................................................................... r ................................................19........ TO`THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the following information: r J Location .....;..... "...................d..................... ..`......:.......��.....f."................,...................................................................... ProposedUse .............../ /.....��..................... .�..1,f.`......................... .......... ./.... .................................................. I ZoningDistrict;/.......................A...... .....................:.............Fire District ............... �.f...... ....�...............:. Name of Owner �'" rf-,',1A2� Address `7`( kg� .. .......... .....................p .................... ... .f.. Name of Builder ............N...�.:..".��.....:� .........................Address .................... ............... ........................................ Name `of Architect ............................ ........ ..........................:Address ................. 4•_: � Foundation. .. Number of Rooms ...................................:................... :..........:.....?.................................... Roofing .......`...�"�T/��....'.................................... Exterior ..................................................................I.............. g • Floors ...................:..............................::...... j ............... ..........Interior .......................... .....................................: Heating '.......!7�!� `.;a• J .......... .,Plumbing ... t �/ T.. ................... Fireplace ..........................`............................. .,..................Approximate. Cost .... ..Yvv................................ Definitive Plari-Approved by Planning Board -------------------_-----------19_______. \Area /�:�.�....1 !.............. w+ Diagram of Lot and Building,wwith Dimensions Fee ��R. ... ........ice....... ......... .. SUBJECT TO APPROVAL OF BOARD OF HEALTH �C/ �" `� �� i��;. � COX✓":t.^� % - ' m y \ tid OCCUPANCY'PERMITS #REQUIRED. FOR NEW DWELLINGS { "I"hereby agree to conform` two dll�the Rules and Regulations of the Town of Barnstable regarding the above construction. r a r Name ... �...J............ ................... Construction Su ervisor's License � ��... ~ � �. 2G ^ .'- -----.. Permit_ _ ---- . .~.~ . .� xxw+�� / . .~~..~ ' Location —..��W�N��th.. ............... ---- . ^ � ------'t ------..L�------. V| Owner .......Aenj41=_Re;tzJ/............................ � ` Type of Construction Fram.............................. � . -------------------------- ' Plot ............................ Lot ................................ � ^ Permit G,on+e6 --' 8r-----]V84 ` ^ � Dote of Inspection .................................. ' � _ Dota Comp)ete6~/--------'_--`lV � ' , ' ~ ' | ' " � . /0-0 ^ 4� ` ' ' ` - ' . � . . . . -r. ` ' ^ le > 4 . 5 P,AVEo P 44 VE PARK NG 19.1 6 ,, 2)-2 7 1} 9. / 7 PAVED ARKING o � /J s •\ i •i }� 1 ,I \,� 35.3 }/ 29.1 1 ' 5 i/34. i �¢^,ok3tii z c E fis3 y' UNPA r" and 'a , PARKING } :9 PARKING , ' /20. rr r p AV ED \\ X 24. _ \ • }� 17.1 i }/28.5 + 1 ll� ' 27.1 _ 18.8 �° 4kD PA( - - gRkT 54 18.9 fo RKING l� �s PACED l�0 � ��7. }�22.9 � R 4F gRKINC .5 41 ` RK F'7 274 .. 2`T � 7 f 2 , �p RKI PA Q 2� 16.1 �L� 15.1 X 17`6 A ED 3 }� o 4 18. �G'15.4 f ,�� 2 9 }/25.4 }/ 2 7 1 Tile CutrrrrZ011lrca/t/1 of atastachusctir Dc purtlrzeirl of Industrial Acculefrls ff liwv •: •,i;ia 600 !f aslihigru» Street 4 �: B��storr.1 as-Y. U?III �• Work-en' Compensation Insurance Alydavit �11iPlic iintinfortnatiori ('Ic'ts'e 1'R(NT Ie��:iiiy ^! name• , loc^tion- rite. nhon 1 am a homeowner performing all wort: myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers* compensation form% employees working on this job. �mn inv n tmt t Icirrcc C) vV 1 tin.. Y`I -t ei�" nnc (/ in-mr:tnrr rn. it i I am a sole proprietor. general contractor. or homeowner(circle once and have hired the contractors listed below who -c the oiloxvinz compensation cmmn:rnr Hamel - ..1'• / �`� atirl rr«• J rit... G nne a. 7 3s � in<nr-nrr rn �. mitt•-d ®✓ (YMmnnnc n:iinr- atirlrr«• rin nhnne#- incur^nrc rn -"tics d _ %ttach additional sheet if necesiary �� r� ^_ _• �`,iari u— �v+`_•�•r,�" ��-• ——r-- F:tiiure ttt secure till crane:is required under�cction:_SA of l%IGL in can lead to the imposition of enmtnal penalties of a line up to S1.500.UU anuru; unc cars' imprisonment:is i%eil:is civil penalties in the form of a STOP WORK ORDER and a litic of S100.00 a day against me. I undet•stand th=t- copy of this a:nemcnt ma urn rded to the OlrIce of Investigations of the DIA for coverage s•erification. /do i,rrcnr crrrii rurr/e r pains nod •rallies �cl, urn•/th'that the informationprorided above is true and correct f/ Dam Print ntunc ��/1 \ �- 'a\ )\1 v Phone# (tr otTtciai, . do not«rite in this area to be completed by tits or town oRcial E• tin•or tnwn• rertttidlicensc d rttauiidin,Department L CLicensina Board Scicctmcn's Omer check irimincdiaic response is required L1tlealth Department is phone it• r-TUther coninct ncrson: information and Instructions q , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' ctnntpetts.1,11orl Ic etnnlm•ccs. As yuotcd from the "la��".all empfi,ree is droned as every person in the service of another unQcr::: contract of hire. express or implied. oral or written. An emplorcr is defined as an individual. partnership. association. corporation or other legal entity. or any two or the foregoing cn-un_ed in a joint enterprise, and including the legal representatives of a deceased employer. or.!% recci%-er or trustee of an individual . partnership. association-or other legal entity, employing employees. Ho«•e-.•: owner ofa dwelling house having not more than three apartments and who resides therein. or the occupant of tile d%%-cllin`_ house of another who emploN s persons to do maintenance ;construction or repair wort: on such dwelIitl, or oil the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an e.mp: MGL chapter 152 section :5 also states that every state or local licensing agency shall withhold the issuance o 11c11•al ofa license or permit to operate a business or to construct buildings in the commonivenith far any :cant who itas not produced acceptable evidence ofcomhlianee with the insurance coverage required. .Aa�.:ionally. ncitller the commonwealth nor any of its political subdivisions shall enter into any contract for the pertU,rniz::ce of public wort: until acceptable evidence of compliance with the insurance requirements of this chap: been pre!:c:,,ted to the contracting authority. appiicznts Plc::se r11 in the workers' compensation affidavit completely, by checking the box that applies to your situation c: sucpi\ ins_ company names. address and phone numbers as all affidavits may be submitted to the Departmcta of (11C,Ustr1:11 .Acc:delfts for confirmation of insurance coverage. Also be sure to sign and date the afTdavit. The ,::Ivlt should be returned to the cin• or town that the application for the permit or license is being requested. r :he Derartme:,.t•of'Industrial .-accidents. Should you have any questions regarding the "law" or if you are recc: .o obtain a workers compctlsation policy. please call the Department at the number listed below. Cin• or Twxn.s pie-�c ne -ure that the aff;davit is complete and printed legibly. The Department has provided a space at the boron. the for %•ou to fill out in the event the Office of Investigations has to contact you re`ardin= the applicant. F be _ -, to fill in the permit/license number which will be used as a reference number. The affidavits may be return, -:ie Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for Npou cooperation and should you have any quest please do not hesitate ro _ive us a call. Z. The Depari nent's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents -• office of Investigations 600 Washington Street Boston, Ma. 02111 �. fax r: (617) 7Z7-7749 rihone =. :.6 i—) = -4900 e�:t. 406. 409 or :77 _ DATE(MMIDDIYY) acoRv.,. CERTFIATE C� LIABILIT )NURANC � 12/11/97 PRoouceh THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Humphrey; Covill i Coleman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 195 Rempton St. P.O. Box 1901 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Bedford MA 02741 COMPANIES AFFORDING COVERAGE Raymond A. Covill COMPANY PnoneNo. 508-997-3321 Fax No. A Hingham Mutual Insurance Co. INSURED COMPANY B COMPANY Jeffrey Clancy C James Circle, P.O. Box 1723 COMPANY Mashpee MA 02649 D CON ._ _. E&......... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MWDDIYY) DATE(MWDDIYY) GENERAL LIABILITY GENERAL AGGREGATE S 600,000 A • X COMMERCIAL GENERAL LIABILITY ART9700740 05/30/97 05/30/98 PRODUCTS-COMP/OP AGO S 300,000 CLAIMS MADE �OCCUR PERSONAL&ADV INJURY $ 300,000 OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE $300,000 FIRE DAMAGE(Any one fire) S 501000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ........................................ ....................................... ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND WC STATU- Ol}I ::i:ist ( TORV LIMBS EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS Carpentry ;CERTIFICATE HOLDER...:; .: .. CdNCELLATION ........ . ....... ..... ..... .._ ... ............ ... ....... _. . ...... .. ... ._....... ..... _...... _..... PERRBE I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ben Perry BUT FAILURE TO MA H NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY #340 North Street Hyannis MA 02601 , OF ANY KIND U COMPANY,ITS AO TS OR P ENTA AUTHORIZED REPgESE E t ............:::...:.:.::.:::..:...:::::::::::: ::::::::::::::.:.:::::::.:.........:..........:................................................ Raymond..A.'.... O.. .11.....................................................:...................................... �-S 1/gg :.:::::.:::::::::::::::::::..::::::.::::::::::::::::.:::::.:..::.::::::::.:::.:::::::::::.:::::::::::::::::::::::::::::::::::::::::::::: :::......:::::::: ..:...::...::....::_::...:.:..1 ::::::::::::::::.:. .::.:...:....................:........................................................................................:......:.:._........::..:.::.Qd ACt�ItO.001tp01tAYIbN:1998 ISSUE DATE M/D Dm(M ............ #1 Vie: '`:'` 1 7 . ............. ......... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE THE FREDERI CKS INSURANCE AGENC D=T AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE S BELOW. 1046 MAIN STREET OSTERV I LLE, MA 026550427 COMPANIES AFFORDING COVERAGE CODE SUB-CODE COMPAN LETTER Y A EASTERN CASUALTY COMPANY B INSURED LETTER JEFFREY CLANCY DBA COMPANY `. LETTER JEFFREY CLANCY CONTRACT P.O. BOX 1723 COMPANY D LETTER MASHPEE MA 02649 COMPANY E LETTER ": r ::+: ':': ::::: :::::: :: ::::: :': ?: : ': : 5 : is::::%':::::2: 2 : :::< ::::: :': :`':':`::::: :':'2 ::2:: :':':::::5:= THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE!SSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATIO LTR TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE I COMMERCIAL GEN.LIABILITY PRODUCTS-COMP/OP AGG. S CLAIMS MADE ❑OCCUR. PERSONAL&ADV.INJURY S OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) S MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS A WORKER'S COMPENSATION WCP 0 0 0 812 8 11-0 5-9 7 11-0 5-9 8 EACH ACCIDENT $ 100, .0.0 AND DISEASE-POLICY LIMIT $ 5 0 0, 0 0 EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ l O O, O O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MR. PERRY' S HAIR STYLING #> EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAILl 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 340 NORTH ST. LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR z LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS MA 02601 i < AUTHORIZED REPRESENTATIVE #4692-3* ........................:.:...:::::::::::::::.:::.:::::::::.::::::.:::::::.::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::. ......................;............................ . ........ ... ............. ......... ........... ..... ::.,; .. ................. ......... .. ..... ....... ........ ...... DATE(MM.. .............. . ................e.".:.. ................ IDDNY) .................. IX AB A CORD GO." ............. . ... .. . ...... .......... .1 ........... 1/05/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fredericks Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 427 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1046 main street COMPANIES AFFORDING COVERAGE Osterville MA 02655-0427 COMPANY (508) 42 B-8999 A EASTERN CASUALTY CO INSURED COMPANY Jeffrey Clancy Contracting B P 0 Box 1723 COMPANY C Mashpee MA 02649- COMPANY (508) 477J6526 D ................. ....................... .................... .................. ................ ....... ........ ............ ............. ................................................. ....... ........ .............. . ......... ............ . ..... .... .. ............ ............... i. ......... ....... ............. ........ ............ .......E ......:0-0VERAG ............... .....I....... .... ..... ........... THIS IS TO CERTIFY THAT THE POLICIES 0 FI..N SURANCE LIS.T E.D..BELOW HAVE BEEN ISSUED TO THE INSURED NAMED BOVE FOR THE POLIC YPE.R,10.D INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR I DATE(MM/DD/YY) DATE(MM/DD1YV) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ —1 CLAIMS MADE OCCURF PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED E)(P(Any one person) $ AUTOMOBILE LIABILITY ANY COMBINED SINGLE LIMIT $ ALLOWNED-AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS - BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ F-1 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ 1 AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ '& §TATU- 1 JOTH- Y _ LIMITS ER A WORKERS COMPENSATION AND FTQR EMPLOYERS'LIABILITY WCP0008128 11/05/96 11/05/97 EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE,$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS WORKERS COMPENSATION INSURANCE IS PROVIDED BY EASTERN CASUALTY INSURANCE CO THROUGH THE WORKERS COMPENSATION ASSIGNED RISK PLAN OF MASSACHUSETTS. A CERTIFICATE WILL BE ISSUED BY EASTERN CASUALTY INSURANCE CO WITHIN 5 DAYS. ........................ . . ....... ........... ............... ..... : .. .... .... --,-,�. ........................................................... RT ...... .......... ...... ........................ ..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Mr Perry's Hair Styling BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 340 North Street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Hyannis MA 02601 AUTHOR17,E"EPRgSENTATIV ........................ ................................. ............ ...... ............... .............. ... .................... .....4............................. ................ ........... .......... ....... ............ "AC� A-0. P...' ........... f P.4): .......... ...........F'A v Nit N,r:', •. •ZJ r • r i - ., , • : r- i - •, •. , .- mill -, 14 ,- - - 1 �a TOWN OF BARNSTABLEJPUILDING PERMIT APPLICATION Map Parcel ® \ Permit# Health Division --3 2®m ---�� Date Is ued o 7 Conservation Division 6 Fee 94 Tax Collector a ;. r �o add ( z i Treasurer /v�� j SEPTIC SYSTEM MUST B. E INSTALLED{N COMPLIANCE Planning Dept, ATE 8 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND T®WN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address J��— O'(Z aN\NMZ, \WA �� 3 v Y�'�' "'�s✓ Village t`lyoww\\cJ Owner Address E "10 V_�C)P260S} lV�1n tS�Vll Telephone Permit Request (Z )oNIAA-\m e )(_AoiE-c v A b�— -TvX 9D9A-mv, t)v-\ 6� may,\c1 Vvwc . Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: O'Gas ❑Oil ❑ Electric ❑Other Central Air: &rf'es ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:Cl 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 L S -p BUILDER INFORMATION _ Name Telephone Number Addres HA)0 3(L�� n-se# 10 6D 7120 I � l5 Home Improvement Contractor# Worker's Compensation#ALL CONSTRU�CTIO DEBRIS EULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU i DATE FOR OFFICIAL USE ONLY , PERMIT NO. / Ko 'DATE ISSUED , r log MAR/PARCEL NO: A - ADDRESS VILLAGE OWNER DATE OF INSPECT ; ;f FOUNDATION ` FRAME /EVI cJ INSULATION j FIREPLACE 'a '."ELECTRICAL, ROUGH FINAL 'PLUMBING: ROUGH 's FINAL rw T GAS: ROUGH Q FINAL t FINAL BUILDING' r DATE CLOSED OUT A ft ASSOCIATION PLAN NO.— sX m a o: , II The Commvnwealln _, Department — ` `: ` �� Office allBi�eSldgllyfi7tr: 600 Washington Street Boston,Mass. 02111 Workers' Comensation Insurance Affidavit name• location- city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. comnnnv name: address- City phone#� I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the foI1o«ing Nvorkers' compensation polices: r d comnanv name: `� ' address: Po ` r� �c�-J cites• V NFJ� VA& f AS yhone#c ........ insvrnnce crt. D -000 camnanv name- addresr. ... phone#� .. volley# .:: :;:.;;;;<::::::��:;::>;::>•: : ;.::.::.: ::.;::,::.:..,.x,�::.....,.:: insprance co. 0 ON/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Me up to S 1.500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of 3100.00 a day against me. I tmderstond that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriacatioa I do hereby certrfj an the and penalties of perjury that;he information provided above is tare and eorred mature Date l , I� _ Print name &IJ9 Phone# official use only do not write in this area to be completed by city or town official city or town: permitAicense# Mudding Department (]Licensing Board ❑ check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#: ❑Other�� (t!'riatG Y+9S P1AI 1v, „p Pzn-14 on and Instructions 1' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the' employees. As quoted from the "law", an employee is defined as every person in the service of another under any cq�- 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 rec,:.ve: 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 dowelling 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 Iicensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who 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,.=rd acceptable evidence of compliance with the insurance requirements ofthis chapter have been presented to the contracting authority. , Applicants , Please fill in the workers' compensation affidavit completely, by checldng 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 h du=W Accidents for confirmation of insnrance coverage. Also be sure to sign and date the affidavit. 'Ile 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 caU the Department at the number listed below. - / i! �/ 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 applic= Please be sure to fill in the permiillicease member which wM be used as a reference member. The affidavits may be tenoned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would hike 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 amce of loltesugallons 600 Washington street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 o Z I ti. cj Tl HTS iq _ J d } , , 0. . k i � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number::CS O46420 Expires: 11/.14/2000 Tr.no: 4565 d Restricted To: 00 EDWARD T STAFFORD. � ! . 298 MAIN ST#5 HYANNIS, MA 02601 Administrator - -mil-- •-- ...._ -_. .. - - 1 d.j. i �API�,� , r 7"�rin 7 Elvanniq V. , Z 5, & n nFarce� 308011 i K � arcs <308011 PERRY,MARY A s Fib RO1113 TA ; rFm nR NORTH STREETS it '�'.,•., k rf�«, �� y a t I'�o ti f .'a 4 uti✓, �;"' p 4 ,�I , .�� c,ay f y ��M1 la,�. �� r �� f � 1 AA ItA 4 f� S I o +�gl�y ON rknt7 � a -p " �r � µ 11 ynil F + I v a Ps t,V f N-E 1 { 5084201637 10/15 '99 13:33 N0.779 01 _... a IGATE(MMrDDtlY) ifS. A(/_►..O.RRAN C PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR F. 04 L x a_'? ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. T,Tt3t' M;iir ,;;rr=.rl I COMPANIES AFFORDING COVERAGE f�..- Ceterv,lle hL4 [riyL.y f,g;i7 I COMPANY 154HI a:R ••cy AF:ASTE&N i:AS?L\T,T`i (7,0 INSURED COMPANY ,7;^ffrr/ ;aar,^/ .,nt-h rant t;iq I' N,:X 1. ? i (A)M?ANY C Mn::hl;r.r. KA I COMPANY I D CCVEAtiES 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 REOU'IREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PEPTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEC) HEREIN IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURaHCE POLICY NUMB€R POLICY EFFECTIVE POLICY EXPIRATION! LIMITS LrR I DATE{MMMDlYY) PATE(MWDO! N) GENERAL LIABILITY GENERAL AGGREGA i'E $ - I CCMME.RiCIAi GENE?A_L,A[W Tl' / / / PRODl1C''S-COMP/OP AGCi CLAiM9 NAVE UCCUH i PERSONAL&,ADV INJURY 1 S I i OWNER'S&CONTRACTOR'S PROTI I EACH OCCURRENCE S FIRE DAMAGE(Any one fire; g — --- -- — - - �y MEO EXP(Any one Persor) 5 AUTOMOBILE LIABILITY C ` - ANY AUTOJ r I COMBINED SINGLE LIMIT I $ [--- - Al l OWNr 'A1)TnT:� BODI V N RY J ' I r; 1 SCHEDULEDAJ;(}y (Pnrparspn) HIFEU AU IL j I 60DI V IN 'RY $ NICK-OWNED A._ITOS (Pev acade:,q — --- f PROPERTY UAMAOE S GARAGE LIABILITY --- -- -- A'l.;TO O.N"Y-EA AGC DENT I S —. ANY A„TO ! (TTI!EA THAN A'JTO ONLY T[A0I AC;CIOENT�✓6 I � AGGRFGATr I b EXCESS LIABILITY EACH OCCURRENCE $ d _..... I�UMBRELLA=GPM ! / / AGGREGATE I 1 i I OTHER THAN U,N18HEL-4 f UNIJ i WC 6TATU- �1 OTH-1. A I WORKERS COMPENSATION AND TCRY LIM; S II i ER 1. .. EMPLOYERS'LIABILITY _............._ . EL EACH AC:CIDENT Is —._ _ .. THE I'I?01'f'flETOR( I INCL EL OISEASE-POLICY LIMI[ I$ PA.RT,NERSIEXECU I IVt. I C OFFICERS ARC rxcl FI 0!SEA.6E-EA EMPLOYEE 8 I OTHER i ., DESCRIPTION Of OPERATIONS!LOCATiONS.VEHiCLESiSPECIAL ITEMS TIIE WORKERS COMPENS,TTTON AF T$S1[=,0 TiY t'A';'1'Eg.N 7`L'A T` iPi:i,r.,'.T?]c'.L J WTTHiN o.• RTIICA'C :Ffp�C3EF� CANC: i t.AClt1�}_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1�1 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, hls"' PnrrY• u " BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY +91 1`40-tI: CCirrL OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. N nnni..3 MA e6UI AU IZE�EIIRIESENTAT E I ... y. Ai�.'CIRD•�S•.:+,L ..:.:...:.:.:..:,:,:::''>::':::::•:ii'::'i'.:i.i::".;:;;:::i:::;x:isi.:.::;!:;:.::...:::.......:::.:.:.,......:........:::....:.:..:'r::: :' •::iaxi:>::.;; 's::::.[;:::: .::;; ..,.:: .. ., : .. . ,. I-C1I °5-'1999 2: 18PM FROH HUMPHRE'r. COV I LL-COLE 5C1899 7 32d P. '1 g�xgn g@ �� A63 6.�� 91i9 �8l� CLANC ;1 ...: 08� 8 E(MM/DO:YYI PRoouclln10115199 THt5 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Humphrey, Covill & Coleman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 195 Kempton St, P.C. Fox 1901 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New Bedford MA 02741 COMPANIES AFFORDING COVERAGE Raymond A. Covill COMPANY Phone No. 8-957-332 F„xNo. A Hingham Mutual. Insurance Co. INsuRED -- CCMPAnIY COMPANY Jeffrey Clancy C James Circle, P.O. BOX 1723 L- ---,.__.— Mashpas MA 02649 j<)vlPgNv 1 COVElGES - 7777 — THIS IS TO CERTIFY THAT TIyE POLICIES OF INSLIRANCE JSTED SELO%V HAVE BEEN ISSUED TO 7PE INSURED NAMED ABOVE ,OR THIS POLIC Y i%ERIOO INDICATED,NOTWITHSTANDING ANY PEOWRENIENT, TERPA 0:1 CONDITION Or ANY CONTRACT OF,tiTHEr DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY EiE ISSUED OR MAY PERTAIN,THE )NSURAN:,E AFFORDED BY THE POLICIFS DESCRtSFO HEREIN SS SUBJECY TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SVCH POLICIES. t.IN411S SHOWN MAY HAVE BEEN REDUCED BY'P-CJD CLAIMS. CO TYOC OF INSVRF.NCC POLICY Zf:ECTIVt POUCY tXPIKA'10e4 lJh11T5 LTR POLICY NUn.".$EOi i DATE(r,MIDD;VY) DATF(r.SM;DDlYY) � - OENW-ALUABIUTY 3F�IFRAL AGGR£GaTE 1c600,000 A X I CI CQ,n(MFRC;A.CEreRAL L,ABILIrY ART9700740 05 J 3,0 99 i 05 -30 00 PRODUCTS-t.OPAP,OP A.a a 600 000 l I: .' 1 CLAIMS MAOE $�OCCUk �'" a PERSONAL i Aav Ir1JUR'{ s300,000 _ —I OtbT1ER'S&COI:'RACTOR S PRO ( E:ACr OCCVRAeNCE C 300,000 �..- r:RE OAMAG(tAry on.ri,e) s 50,000 - - - - -_---w•�,.W`^IaEB EXP IA^y o+a Porten; 5 Sj,000 AVTOMOa•rl4 UAOIUTY ANY Ai.TQ CO).tt•INED S1NDLE W01T S -.d ALL OWNEV AUTOS —! BODILY INJURY � SCH)U;M AUTOS Per PeFgw) HIRED AI.TQS — -- ---- "'�' ErDl;,v m1Jl'R'f NON•O%MYED AUTOS I ! tr'er acc60110 f r 'FROPEFTr DAMAGE b ChRAOE UAFIJUTY I A`J-Q ONLY EA ACCIDEN i S ANY AUYQ OTHER THAN AUTO`OIJL Y: ACCME,4T I F AGGREGATE a EXCESS t1A9+Urr EACH OCCURRENCE c UMSRELLA FORM AGGRtGATE S OTHER THAN VMBP.ELLA FORM I wOFMCKSCOMPENSAT1ONANO STATU- --'BOTH.', --_ 7777= -- Et++1PLOt°ERS'UABIUTY 1 I ,Y,i 1JRy I-�nAITs j�ER 1 — EL EACH ACcIDENT b THE PRCPRIETCR/ I PARTNERS/EXECUTIVE r—d INCL I i i EL E,4SEASE-POLICY LIM17 $ OFFICERS ARE. ( Ekwl EEL DIS.A,SE-EA EMPLOYEE OTHER 1 _ I DESCRIPTION OF OP ERRTIONSROCATIONS,'YE>'IICLE$lEPECIAL ITEMS CRTIFICA7 HQ�p63 - CA�JIvLEAT3UN MR'TUX-1 4"QVLO ANY OF THE ABOVE DWRISED POLICIES BE CANCELLED SEFORE THE EXPIRATION DATE THEREOF,THE ISSkANG COMPANY WILL ENDEAVOR TO MAIL Mr. Per.ry's Tux 10 DAYS WRITTEN NOTICE TO THE CERTIPICATg HOLDS&NAMED TO THE LEFT, - 341 North Street BUT FAILURE TO MAIL SVCH NOTICE SHALL IMPOst NO OBUGATION OR UABIUTY Hyannis MA 02601 OF ANY KIND UPON THE COMPANY GENTS OR REPRESENTATI AUYHDRIZED REPAESENTATIVE y tZ A:GQRD 2 ${t J9l: . Ra mOtid 440� D OR OfV.'ZS6$ I ................................................................. _..........................,.......................................,.................................................................................................... ................................ I DATE 7M/DD/YY :::................................::.:;;;:t::::; ;:;.;:.;:.;:.;:.;:.::.;:.:;:; .:;;.;:.;:.;:.;:.;:.;:::;:::;:::.;::;:.;:.;:.:;:;:.;; s:.::;:::.::.: �::;:.;::;> 2::::;:::;::;:::::::::::::::::: :::;; ISSUE m ) II I1Tv ............................... ...................... ................... UA. 11 ::::: ................ :: : 10 18 9 9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE THE FREDERICKS INSURANCE AGENCY,D=T AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PO S BELOW. P.O: BOX 427 OSTERVILLE, MA COMPANIES AFFORDING COVERAGE 026550427 - CODE- 1 SUB-CODE COMPANY A EASTERN CASUALTY LETTER COMPANY. B � _ .. -. ..,. .-• ., INSURED LETTER -- JEFFREY CLANCY COMPANY C __.. LETTER DBA JEFFREY CLANCY CONTRA P.O. BOX 1723 COMPANY D LETTER MASHPEE, MA 02649 FLETTFER OMANY E ;{�.•:�.(t{.�.�..�.�.;.t�... ..........................:.� :::.�:. : :.:::.:::::.:::: . :.:: .::.::: :::.:::::::::::::::::::::::::::::.:::.::.:::::::::::::::::::::.:::::::::::::::::::::.::::::::::::.::::::::::::::::::.::::::::::::::::::::::::.::::::::.::.::::::::::::: : :::. ...... .............. ...... .... ....... ......... .....::.. ........................ .. ........ ........ ......... ........ .::::..:: ......:.... ....... ........ .............. ........... THIS 1 T CERTIFY THAT THE P.... E BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD S S O C A E POLICIES OF INSURANCE LISTED INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIO LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GEN.LIABILITY PRODUCTS-COMP/OP AGG. $ - CLAIMS MADE ❑OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. .. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSF.(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE S ---. LIMIT ANY AUTO ALL OWNED AUTOS .. - . .. .. BODILY INJURY .. __. $ ... . SCHEDULED AUTOS _ _ (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ ...................................................................................... ....................................................................................... ...................................................................................... ..............__................_..........................._...................... OTHER THAN UMBRELLA FORM _._ . . >: i STD+TUTOP.Y LL+.�E?'S ...............::..:...: .. . A WORKER'S COMPENSATION WCP 0 0 0 812 8 11-0 5-9 8 11-0 5-9 9 EACH ACCIDENT $ 10 0, 0 0 AND DISEASE-POLICY LIMIT $ 500, O O EMPLOYERS'LIABILITY - DISEASE-EACH EMPLOYEE $ 100, O O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ... ... ...:... .: RTII Ii LDEI2. >:>::>.: ....;:.;:.;::;:... .::. SHOULD ANY OF THE,ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MR. PERRY S TUX EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 341 NORTH STREET LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE OMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNI S, MA 02601 AUTHORIZED REPRESENTATIVE #4692-7* . _ .:.::...... t3C£fRD.2�5:?1911.:;:,.. ':`.> i3cG R R?'<?R Z . i 1a9�4: .::.. _(....... ............................................._.. . .... c: Assessor's map_ and lot number 1 SEPTIC SYST ;Jt MMT BE INSTALLED IN CGiIPUANCE WITH ARTICLE li STATE us Sewage Permit number . N SAi`�IT, Y C� ? J FtHJe REGULATW4 TOWNS �OF BARNSTABLE BAHBSTOIILE, • : "U` � 1679• DUItLDING INwSPECTOR �0 L, • RFD MAX d' , � .....................66,0 PEM �.... ) &��10/APPLICATIONFORRLT TO ... .....KJ -......:............................... P TYPE OF CONSTRUCTION ............ C.Q.CA......................................................................................................... .............................1.06.....�97 � y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... j .U... ,(�.XYI. .L.�v....... R7-Aj... T........./l .....I..S................................................................... . .................. ProposedUse (. �� G a ~.... ..... ...........................................................................:........................................................................ 19 Zoning District ........�...........................................................Fire District ..�.X ......................................... Name of Owner M.t.l,. � J ...� .nt,Y.........Address 04 7 I Tj1�dL�F �prY.....L�:.��..�........ Name of Builder .................11..............................................Address Nameof Architect .............I.(................................................Address .................................................................................... Number of Rooms ..............�.`..............................................Foundation .......... l�J L4.0. ..................................................Roofing .:.....1?`.S.�fi�/9�7— Exterior ............... ........................................................ Interior ...............Floors i9�1/�'FT"/.i.!i ................. ....................................................I................ Heating ..........U�l ............................................................Plumbing .......4X................................................................... ,O pOo Fireplace ..................................................................................Approximate Cost ........... ...................................................... Definitive Plan Approved by Planning Board ________________________________19_ . Area � U .... Diagram of Lot and Building with Dimensions Fee ..... ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... .......... .. «y . ..... Perry, Benjamin N 17,973 add to commercial o ................. Permit for .................................... building ............................................................................... Location ..........340 North Street...................................................... Hyannis ............................................................................... Benjamin Perry Owner. ................................................................... Type of-tonstliuction ....... masonry ................................... E .......................................................... Plot .... n.......... . Lot ................................. Crl ermit Granted ..........October 6; 19 75 .............................. Date of,lnspection ....................................19 0) Date Completed ...... 19 - a 7" PERMIT REFUSED . .............. ........ ...... '19.................. .... ......... ... ..................... ...................................................... ......................................................... ..................... I..............4.... .............................. ...................... ................................................................................ CL) Approved ................................................ 19 0 0 ............................................................................ > i AT!, ......................................................................... Assessor's map and lot number ..........F1............. ........ ' Sewage: Permit number ..................................... r of7HETa TOWN OF BARNSTABLE Cb i BAHH9TADLE, i "6 BUILDING INSPECTOR am At' APPLICATIONFOR PERMIT TO .............:.:.:..............................................:............................................................ .........TYPE OF CONSTRUCTION � .!: . . ......................................................................................................... ................................U,/F'......195 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: L/0No rQ T� �T ��4 /k,/0/ C Location ...................................................... ,...........j,.................................................................................................................. Proposed Use .... ...................�.................................y ..........................................................................................I......................... Zoning District ........ ............................................................Fire District .. .y/,q.A -, /..5....................... Name of Owner ......:.F....................Address ... .................................................;............ o... Nameof Builder .............................................:......................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............0...................................................Foundation .... G. �5........................................................... Exterior ...............� ....................`Q .............................................Roofing ............................................................................ G� r�f�f T// ...................................... ....................................... Floors - ............................................. ...................... ....................... Heating ` -�............................................................Plumbing ....... ................... ........................................................................ Fireplace2 G� Q U �..................................................................................Approximate Cost ....:........:...................................................... Definitive Plan Approved by Planning Board -----------_-----------------___19--------. Area ;oC.9t Diagram of Lot and Building with Dimensions 'aE Fee ........"" SUBJECT TO APPROVAL OF BOARD OF HEALTH f } 90 2542 i i X i7 -Mr 4 ll�� 5� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .!.:`....L,,''..`.`.'....' :: _ ....... --':".... 'j...... Perryi .Benjamin 'A=306-9 • 17973 add to commercial No ................. Permit for .................................... building - ............................................................................... 0 349 North Street Location ............................:................................... 0 Hyannis ............................................................................... Benjamin Perry Owner .................................................................. 0 0 Type of Construction masonry o ................................................................................ Plot ............................ Lot ................................. 75 Permit Granted .......�Qq.t.q.ber...6.............19 Date of Inspection ....................................19. Date Completed ...... 19 -A a IT REFUSED .. ........... .. Y....... ... . 19 nl ................ ............. ...... Y. ................. .............................. ......... ... ... ............................. r .. ..... ................ ......... .. ................................... ........................ ............................................... JCI- Approved ................................................ 19 0 ............... .............................................. ................ ............................................................................... , 1 I _ _ t 1' 3. ,i , y, h,. f � _Y• i i 1 i ._ i o � , rLoa Lt..£_'�; ;-- - Il y: 1 - 2 'rL - 1 �s 1 i s Iz I�1ft -l� a , ✓'� 1. �� ; tG�i�ii� . � % C/ Tat " - ' • t ' " � p I Ic MOM ro X' �� t , I Date AL Revisions c n- t 1- c- -a- r t c r s Co . DESIGNER PLANNERS CREATIVE CONSULTANTS Sheet BOX 784, HYANNIS, CAPE COD, MASS IUSETTS 02601 A 3 T23 AV- f-.- %_F- 6,