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HomeMy WebLinkAbout0480 OCEAN STREET f4 ��: ���CeQ r1 � �r�.2-f v� s �� _ _ _ �,, .� �' �� �� ;� �, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO � � Map 3 Z T Parcel'. Application Health Division Date Issued S �� Conservation.Division Application Fe� Planning Dept. Permit Fee "I Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address ® Qc ep 1,,, Village k4cl Owner Cti^S Address Telephone 7-T d (c) 3 Permit Request c,YV% a ; Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 1 Totalnew Zoning District Flood Plain Groundwater Overlay Project Valuatio IO.006 Construction Type T Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER). Name T05141ch'C Telephone Number 6 5 Z Address ��� �� e CJ License #� Q11 14e S Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE <-X) t d I r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE — OWNER - DATE OF INSPECTION: {v FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT ASSOCIATION PLANNO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let ibly Name(Business/Organization/Individual): Address: cRI'L P s Q'i a. ._0 r. City/State/Zip: vt s t O / Phone.#: U.�g Are you an employer?eheck the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY $ 9. El Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no v employees. [No workers' 13.EJ06ther &O (r�� A �Ou/yt St(fi ufe comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and thrn.hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contmetors have employees,they must provide their worker;'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: We a o --O�` ( �� Expiration Date: Job Site Address: �j U QeQ� �7 City/State/Zip: U Attach a copy of the workers' compensation policy declaration page(showing the policy numler and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si ature: Date: Ardo Phone#: Sa Z d G,1 1-7 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions J Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in . (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the- applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7744 Revised 11-22-06 www.mass.gov/dia oFWE toy, Town of Barnstable • snaxsrnai.E. 9� MASS. . Regulatory Services a Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner.. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79.0-6230 Property Owner Must Complete and Sign This Section If Using A Builder ,,/e � Je (,i, , as Owner of the subject property rri hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application.for. (Address of Job) Signa e 0!�106r nat,e Print Name L LES\FORMS\building permit forms\EXPRESS.doc 020108 IMME Town of Barnstable Regulatory Services E Thomas F.Geiler,Director BARNSPABI ' AM 9. p m Building Division rEo nno� Tom Perry,Building Commissioner Y 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: �s' � ® l� JOB LOCATION: Q CC �-� (� s� l 2 B •S number street village "HOMEOWNER": If25 FiJ s4464Q2 - 790 Z Sid name home phone# work phone# CURRENT MAILING ADDRESS: Qp rr7 I_rJ> city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirem nts Signal a of Ho owner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC OF SHE tp� Town of Barnstable Barnstable Administrative Services Procurement&Risk Management M-AmedcaC y EIARNSTASLF, •' 230 South Street,Hyannis,MA 02601 y MASS. g www.town.barnstable.ma.us 1639. �0 2007 David W.Anthony Tel 508-8624652 Chief Procurement Officer Fax 508-862-4717 David.anthony@town.barnstable.ma.us October 23, 2007 Building Department Town of Barnstable 200 Main Street Hyannis,MA 02601- Ref: Workers Compensation Coverage July 1, 2007 to June 30, 2008. This letter is to certify that the Town of Barnstable has workers compensation insurance coverage as per the declaration page attached. This covers all full time, part time, seasonal, and volunteer workers, who are injured while doing their directed and assigned activities for the Town of Barnstable. The only exclusion-is for active duty police officers who are covered under a separate and specific. accident and health policy. This letter and.declaration sheet may be kept on file.as proof of coverage for Town of Barnstable Employees. If you have any questions please feel free to call me directly. Sincerely, David W. Anthony Chief Procurement Officer Town of Barnstable 1 / j/ Y MASSACHUSETTS EDUCATION &GOVERNMENT ASSOCIATION PROPERTY AND CASUALTY GROUP,INC. Declaration Item I Participant: Barnstable,Town of Administrator: Mailing Address: 230 South Street CCMSI Hyannis,MA 02601 100 Quannapowitt Parkway Ste 201 Wakefield MA 01880 Certificate Number: WC20-04158 (800)552-1150 Agent: Dowling&O'Neil Ins Page 1 Other workplaces not shown above:See Schedule Item 2 Certificate period is from 7/l/2007 to 7/1/2008 .12:01 AM Standard Time at the Participant's mailing address Item 3 a Workers Compensation Insurance: Part one of the certificate applies to the workers compensation law of the states listed here: Applicable States: Massachusetts 3 b Employers Liability Insurance: Part two of the certificate applies to work in each state listed in Item 3A. The limits of our liability under Part 2: Bodily Injury By Accidem S 1,000,000 Each Accident Bodily Injury By Disease $1,000,000 Certificate Limit - Bodily Injury By Disease $1,000,000 Each Employee 3 c Stales designated in Section 3a Item 4 The fee for this certificate will be determined by our manual of rules,classifications,rates,and rating plans. All information required below is subject.to verification and change by audit. See Attached Schedule Minimum Fee: Total Estimated Fee: $483,428 1 � Authorized Signature: Date Issued 9/52007 _ 4 :'-' � u atio►Ys an, tand.aras i11 Boa f Buil uigReg 4 Construction Sup eryisor License License CS 52139 t. Birthdatees 6I1811958 TO 15608 j motion 6118/-2009 Reti�►ct�or t WOE- FRANK A IBUTI N V w� . FRA Z �. 130 RASPBERRY.`�_S MILLS, Commissioner 02648. MARSTON } 'i JI f i • TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Map Parcel d 3 Application# o?6674 6:7/c Health Division Date Issued. k16 /ff7 Conservation Division Applicatiorr Fee Tax Collector Permit Fee Treasurer Planning Dept. rA, Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Cam- Village -- Owner 2 Address ��`r�(/i'/a1%n r eP� Telephone G-3 zo Permit Request J!a Square feet: 1 st floor:existing /f 2 proposed �amP_2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4/`)D 4. — Construction Type Lot Size j &4 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure !�6 7 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: `Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 114 Basement Unfinished Area(sq.ft) Number of Baths: Full:existing A/A new '{� Half:existing ly new A4__ .__— Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: € c_ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ;v -- _Commercial ❑Yes ❑No If yes, site plan review# m ZZy. Current Use Proposed Use BUILDER INFORMATION Name 2;1 6a el jlc�st �P Telephone Number Lexif 79() Address od License#A AL_ / Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t2O� Y' :tom h FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. - Fr ADDRESS V VILLAGE " DOWNER F. r DATE OF INSPECTION: " FOUNDATION R, x R, FRAME INSULATION " FIREPLACE p ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t F` f The Commonwealth of Massachusetts Department of Industrial ntecidents Office of Investigations , 600 Washington Street Boston,M14 02111 , www.m ass.gov/dia Workers" Compensation Insurance.Affidavit;.Builders/Contractors/EIectricians/PIumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): ��� (,\�C6r,4a Address: Q t o r City/State/Zip: 4hone.#' : 77 Are you an employer? Check the appropriate box: Y -Type of project(required):, 1.❑ I am a employer with 4• ❑ I am a general contractor and I employees(fall and/orpart.time).* have hired the sub-contractors 6. El New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions '3.❑ officers have exercised their I am a homeowner doing all work 11.El Plumbing repairs or additions myself [No workers' comp. right of exemption per MG 12.❑Roof repairs insurance,required.]t c. 152, §1(4),and we have no employees, [No workers' . •13.❑ Other comp. insurance required.] . *Any applicant that checks box#I must also fill out the section belowshowing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached en additional sheet sbowing the name of the sub-contractors and state whether or not those entities-have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: 'City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),. Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certi q Under the paiinns and penalties of perjury that the information provided above is true and correct: Sienature: �/a✓4 / Date: Je� 2 OL 7 _ Phone #: 56 Z. 3 Zg Official use only. Do not write in this area,tb be completed by city or town.oj7cfaL City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building]department 3. City/Town CIerk 4.Electrical Inspector 5.PIumbing Inspector 6. Other Contact Person: Phone#: R t L °F1HE, y Town of Barnstable: r Regulatory Services + BAHNSMUM, Mass. Thomas F. Geller,Director �AtfDMA�a, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ",w.t o wn.b a rns t ab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder CZL/22rIL �_ ,as Owner of the subject property herebyauthorize %'✓� to act on my behalf, in all matters relative to work authorized by this building permit application for: , (Address of Job) Signa e of er Date Print Name Q:FORMS:O W NERP ERM IS S ION - Board of mwRegulatio san tandards Construction Supervisor License License: CS 52139 Birthidate�'.6/18/1958 ! j r E prr-tio 6 18G2009 Tr# 15608 }r =lb A81 A Restriction _OO v I FRANK A ZIBUT� 130 RASPBERRY MARSTONS MILLS,�Mi�t0 64� Commissioner r PURCHASE ORDER AND WORK ORDER REQUEST FORM PURCHASE ORDER REQUEST ALL FORMS MUST BE SUBMITTED AT LEAST 48 HOURS IN ADVANCE. REQUISITION WILL BE SUBMITTED TO STEVE SUNDELIN FOR APPROVAL. DATE: PERSON MAKING REQUEST: �r�h ITEM (S)OR SERVICE: TO BE PURCHASED: LOCATION OF THE WORK: _ C -c' 0 S e-- ESTIMATED COST OF PURCHASE: �U ACCOUNT NUMBER TO BE CHARGED: L4 a v 6 ( VENDOR NAME: ✓ *** IF REQUEST IS OVER$5,000.00,3 QUOTES MUST BE ATTACHED. ***IF THIS IS A NEW VENDOR YOU NEED TO GET NAME,REMITTANCE ADDRESS AND FEDERAL TAX ID FORM.FINANCE WILL NOT ACCEPT A NUMBER ONLY. P.O.MUST BE ISSUED BEFORE PURCHASE IS MADE and PO#NEEDS TO BE ON THE WORK ORDER. APPROVED BY PO NUMBER CJ1 YOUR FORMAN APPROVED BY DIVISION SUPERVISOR o/dpwstructures/blankforms/poworkrequest COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. MASSACHUSETTS- BOSTON,MA 02215 EXPIRATION DATE 07/31/1: 9'5 L I CENSE CONSTR. SUPERVISOR RESTRICTIONS EFFECTIVE DATE LIC—NO. c_i t f 058307 STEvE:r,, M LEBA1=ON PHOTq TINGOPRONLY) FEE: W YARMOUTH 1IA 02673 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT. STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOS: s 05/02/194:=: i, ,!f THIS DOCUMENT MUST BE CARR HOLDERIED ON THEPERSONOF SIGNATURE OF LICENSEE ` - - - THE WHEN EN- OTHERS-RS R INTO GAGEDINTHIS OCCUPAT1pN °..4RA OV. Ar_ITH, Assessor's office(1st Floor): n '/ Assessor's map and lot nu ber K 3 02 Y 'Q �oS TNT too Conservation ^/ _ P • MOBUTY Board of Health 3rd floor): 01U VO�c7ab GO,PCB / TO TOWN SEWEli Pit,:.,h 10 ASiY Sewage Permit number, jT t Deassrant CTION. Engineering Department(3rd floor): oo %ay9• � House number # �o I:F-r f. ��Oil� Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and.1:00-2:00 P.M.only TOWN OF , BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Gt/ /mac, pN��SS�O� C e�� SQL Be*d lj ju TYPE OF CONSTRUCTION ,t ew ��cl9 19 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L'es s � c /�C6wlj S%. Proposed Use Aarr Zoning District Fire District Name of Owner ZWdJ D L ��l/.r/40JA7e Address 36,�' /ft/'A/ Name of Builder S�q '3•413,,.fax/ Address F©o /i Fq/,-,Ps Name of Architect -SVI C a 1111--R PbnJ Address F-0() 2,/C/eri GV4f/ Number of Rooms Foundation COrUCRe% Exterior ��� Roofingp/IAL� Floors m9aC Interior Heating lvoezle Plumbing J/N9 �oa� 1*1 �o Fireplace Approximate Cost ��©�- Area ��� � Diagram of Lot*and Building with Dimensions Fee %v0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �- 0y✓� Construction Supervisor's License 051?JD 7 TOWN OF BARNSTABLE �r i� No 3 5 3 9 8 Permit For REMODEL Bath House Ocean Street, Hyannis - - Owner Town of Barnstable ; Type of Construction -Frame _ 4 Plot Lot PermitLpf r- d September 28,, 19 92 Date of l�risspection z///.ZZ93 19 - Date Compl Red 004A 19 fT-h�f 5 ed fr3 i Y TOWN OF BARNSTABLE PARCEL -ID 324 038 GEOBASE ID 23590 ADDRESS, 480 OCEAN STREET PHONE HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 54222 DESCRIPTION CRABBY JAKES 15 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS. .� and Environmental Services TOTAL FEES: $25-00 i BOND $-00 THEE CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BARN3!'ABLE MAS& C UILpI, G DIVISI , N Qi ' DATE ISSUED 06/28/2001 EXPIRATION DATE (/ COA nC"U1ALU1jT v Thomas F.G ,Dtredor enet • Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Fax: 508'90-62:G Office: 508-862-4038 Tax Collector_ •G7i" Tress Application for Sign Permit ®�. Assessors No, 3 Applicant: Telephone No Doing Business As• ✓®3�� Sign Location a Streetsoad• DrOldY.Ings �� spop K y Hya=is Historic District? YeSI Zoning District:__ Highway? Property Owner Telephone: -------- Name: V.Wage: Address: Sign Contractor s 4 Tel hone: Name: r (V.D �$ Village: Address: Description location of buildings and eustzag signs with dimensions,location Please draw a diagram of lot showing and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? yes/No (Note.If yes, a wiring permit is required) of the owner to make this application, tha I hereby certify that I am the owner or that I have the authority conform to the provisions of Section 4-= the information is correct and that the use and consWWtion shall of the Town of Barnstable Zoning I Signature of OwnerlAuthorized 7Agent* Date:5S . Permit Fee: Size• Disapproved Sign Permit was approved: Date: Signa ture of Building Offc ` signi.doc rer.8/3 l/98 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d Parcel Application#c�66)7D QQ Health Division Date Issued 1 Conservation Division Application Fee Sd Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �w 0 (!P_d . CST—. t MA— Village Owner Address Telephone Permit Request Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7ZS Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ' n EF Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Z, Current Use Proposed Use ri BUILDER INFORMATION Name ��-,p�� Telephone Number �U Address P 0 Y3 0-)!� g �S .� License# 1�(o CO V y l A— 0oIL 6 3 Home Improvement Contractor# a0 02 yr 40 Worker's Compensation# 0 g 50L 75— .5--0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Apt' C t `4 4 , FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t. I MAP/PARCEL NO. r ADDRESS VILLAGE OWNER } t DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .4 DEPARTMENT OF PUBLIC WORKS REQUEST FOR QUOTATION(RFQ) PO# laqO064Y D, I Date: I November 26, 2007 I Division: I S&G Section: Facilities Maint. Items Services : New roofing system Required for: Veteran's Park Lie Guard Station 480 Ocean Street,Hyannis,MA 02601 Purchase Description/Specifications: Quantity The work performed under this contract consists of installing(1)complete roofing system for the above referencedproperty. The contractor shall furnish all equipment, tools, labor and materials to complete the project in accordance with the attached specifications. The Town of Barnstable has specified the use of Timberline Ultra Shingles by GAFMC Color:Patriot Red The contractor shall at all times keep the premisesfreefrom accumulation o waste materials or rubbish caused by their operations.At the completion of the project they shall remove all waste materials as well As their tools, construction equipment and surplus materials. The contractor shall secure and or the bui62inapermit. Date Reg: I December 31, 2007 1 Pick Up? I IDeliver? Ship.? Ship/Deliver Address: Veterans Park Life Guard Station 480 Ocean Street, Hyannis MA 02601 Ordering Official: VENDOR QUOTATION RFQ Received: 11127107 Time: Vendor Name: Fraser Construction Vendor Address: PO Box 1845, Cotuit MA. 02635 Vendor Telephone: 508-428-2292 Vendor Fax: 508-428-0123 Price Item s/Services Quoted list/describe FULLY): Quantity Each Total Install 1 complete roofing system. $7,275.00 Pickup/Service Date: Pickup/Service Time: Delivery Date: Discount Ship Date: Ship Method-T Shipping Date: TOTAL $7,275.00 Vendor's Signature: Dr ENT PRO REMENT OFFICER ACTION Procurement Officer Signature: Rejection Reason Date ccep a ejected: a(ftASR� I Contract/PO Issue Date Con tructio rojects-Prevailing wage law applies to all construction projects including Ch.30B construction contracts Construc ion projects(149 or 3039M)>$10K Formal advertised bid required Goods & Services - 3 Quotes allowed on < $25K. > $10K— forward approved quote sheets to Purchasing Agent for review/approval of requisition. _____--------------------------------------------- STRUCTURES AND GROUNDS Purchase TOWN OF BARNSTABLE Order -28006442-00 FY 2008 800 PITCHER' S WAY HYANNIS, MA The Above Purchase Order Number Must Appear 02601 On All Correspondence - Packing Sheets And Bills Of Lading Mail Invoices In Duplicate To Above Address ORIGINAL Page 1 Vendor Ship To DEAN FRASER STRUCTURES AND GROUNDS FRASER CONSTRUCTION TOWN OF BARNSTABLE PO BOX 1845 800 PITCHER' S WAY COTUIT, MA HYANNIS, MA 02635 02601 Requisition 280067.33 - ------------------------------------------------------------------------------- Date (Vendor (Date ( Ship Ordered Number Required Via Terms Department -- ----------------------------------------------7------------------------------- 11/30/07 1023901 I ISTRUCTURE & GROUNDS -- ----------------------- ------------------------------------------------------- LN Description / Account Unit Qty Unit Price Net Price 001 017402-615010 EA 1 . 0 7275 . 00000 7275 . 00 Commodity 615010 OPERATIONAL SERVICES - BUILDINGS & FACILITIES-VETERAN' S PARK LIFEGUARD STATION ROOFING JOB - 3 QUOTES OBTAINED PO Total 7275 . 00 -------------------------------------------- Chief Procurement Officer "This constitutes a written contract pursuant to the provisions of Chapter 30B, Section 17 (a) Massachusetts General Laws Vendor D to Proc r t Officer D to :::.:::::::::::.:.::::::::..::::.:::::.;;::.;: ,;;;•:: ` ; ::::::;;:.;;:.;::::::.::.:_:.;::::.:::.;>:.:;;:.:<::.:_:.;:.;:.;;•. ;:.:.;:.::.:.;::.;:.;::::::;. DATE(MMIDo .. ..... ........... 10- PRODUCER" ROD ............:.:�:.�:.�::::-:-:;.;.::::::;:.;:-;:�;:.;:::;;:::;:;`;:;;>:::::;;;;::�::.:�<:;;:;:::::::::.;:;:::;;;:::r:.>:.::,:;;`:::::'>:.;>:::;:;::.;:•;::;::>::.::->::>�ri:�ucER THIS CERT15-07 IFICATE IS ISSUED AS A MATTER OF INFORMATION WISE & QUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 449 PLEASANT ST HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR BROCKTON ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 24WC6 MA 02301 COMPANY COMPANIES AFFORDING COVERAGE INSURED A HARTFORD UNDERWRITERS INSURANCE COMPANY FRASER CONSTRUCTION LLC COMPANY PO BOX 1845 COTUIT MA 02635 COMPANY C } � COMPANY ::4:�::}:F:F'F7�!It\d?F+4T;:::;::»>:;::.:::.:::::;:>`.::.>::.::::::::i•: : :....>:.ri::i:::>:.:;:.:::>:;•'.:::::.:.s::>`.:<.:::.:-:.:::.:•:::.:<;.::::;:..::.::: ........... THISIS TO CERTIFY :......::.::::::::::::.:.;;:::::::::::.::::;:::;::::.:::::::;>;::.:::;::.::.:;:.:.>•.:::.;:.::.;•.:::.:;;;:::::,::.::.::.:::.;.:;;::.::.:;.:.:.:.:::::.:::....... .THAT THE PO :;:.:.::•;;;•:::.:<.;;;:.:.;:.;:.:.:;.;>::.;:.:<::.:;;.;:;.;;:;...........;;:.:.;';:.;:::::.;•>:;.;;:;:.;:.;•:,.;::.::.:;:::.;:.:.:.;:.;; INDICATED, POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV...FOR THE 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 RIOD EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co TERMS, LTR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER GENERAL LIABILITY DATE(MMXDDWV) DATE(MMIDDIYY) LIMITS COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE 0 OCCUR. PRODUCTS-COMP/OP AGG. $ OWNER'S&CONTRACTOR'S PROT. PERSONAL&ADV.INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Any one Person) $ ANY AUTO COMBINED SINGLE ALL OWNED AUTOS LIMIT $ SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) $ NON-OWNED AUTOS BODILY INJURY (PerAccldent) $ GARAGE LIABILITY PROPERTY DAMAGE $ ANY AUTO AUTO ONLY-EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT �.$:.:�':::: EXCESS LIABILITY EACH $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (6 S60UB—08 50 L 3 5—5—07 THE PROPRIETOR/ 09-26-07 09-26-08 STATUTORY UMITS PARTNER MEE!l TIVE INCL EACH ACCIDENT $ OFFICERS ARE: X EXCL DISEASE—POLCY Un' O OTHER $ DISEASE—EACH EMPLOYEE $ 50 000 )ESCRIPTION OF OPERATIONS/LOCA I'll ONS/1lEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CER :.:.::::.::.:.:...:::::::.;.::;.;:.:;:.;:.;::.:;::.;::.;;:.:;;.;>:.;;:.;;::::::::;:.:.::.;•::;::<.:::.;::-;::.::.:;::.:.;:.;:..;:<.;::.;;:;;.;:::::.:;.:<.:::<.::..:.-.: AFFECTING WOR COVERAGE. .........:::::::::::::.>:;:.::.:;;;.>::;::>::>::::::::>�::>::»::>::>::>�;::;::::::<:::::;:::;�::>::::s>>:::>:::>:• .. >::-: .. 9NOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL FRASER ENTERPRISES LLC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE PO BOX 1845 LEFT, BUY FAILURE OTU I T HOLDEREpTOTHE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA .:1T:M1!.A1Q.p�i�I:{♦ �{(�d?4i�{.:....�:.���:.:�.�'..'.:..'::':L::: ?ijij::::::_::ii:i:::i::iii::::iiv:}i:4�:..�:::.:�..... •......•..:::::+:..1. 31��?i�::.;�}i:.i'.i{.iii?�::::iiY.vi?iXiiii:::iii•iii???ii:i:^ism:::ii:.::::Liiiii:�wiiii::::ii.iii::.i:iiiiJ�.:�:::..:.�.....................::::.�::::.::4:�:i^iii:ii':i•:�i:>::CL:�ii}?:.:�:ii};•:�::ii:iii??iijiji}::4:}isi:::::0iitiiii:::ii:i:^i:?iiiL}i::L�:Oi;;iii:�i:;•i%i•}y:.::�:::::::............ �?:'>': ' '?.{j.�.:.�:.::�.i?}.......... :•�:.�{: The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): FRf�SEt 610/l)�T LU-ct I C) /y Address: 'Po Q / Q LJ__5 City/State/Zip: C° ��(a -L _5Phone Are you an employer? Check the appropriate box: Type of project(required): 1.0I am a employer with_ !9 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.KRoof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Ey. jL Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: 2M (I �a- City/State/Zip: a,1t U-o Attach a copy of the workers' compensation policy declaration page(showing the policy n ber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi der the ains and =ties of perjury that the information provided above is true and correct Signature: Date: �a - a� Phone#: Jc— _ y b `o� o') /a Official use only. Do not write in this area,to be completed by city or town offu ial .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: d10 Board ®f ding One -fie la Ashbwon Ons and Stan�aCe - � ds � �OstQnq Maissa H®tee chuse ®� 13®1 ` �T��°®ve� .�ent� oac ®r�.�®� ,e.,, F ��� ®��,- Registration: 11253. OF-AN CONSASER RUCTION Co. Tyne: 08A P.0. BOX 145 Expiration: 3/23/2009 C OTUIT, AfiA 02635 T�# 127920 DPS-Cqy � SOM-OS/08-PC8480 -. III — �lDdate - - Address and.return �r °� ❑ Address ❑ 1�ene�� �ffi —- and 1W!F,,�reason for Board®fl8ufldii¢ -•-- -•------••- - ❑ I�lo�aent mange. HOABE IINI� g�Sulati®ns and 5taadax� Lost(Card - f�SiVT C®R91'RACT® License or -- Regl tlon: R gUtratlon Va$id for' 12538 b�®ate flee�trRUOU date. ggf® d�8dn1 use only �F�lrati ; I 'aoard Of-BURd� and return to: e: •p3/2 ,tom-. D9 Tay# 127920 one�dslab 88R CONSTRU ` ®sgo n PRse �®1 and Standards D ERASER CTIrYY� ja 1�a,0219S 4556 RT 28 =/ COTUIT, MA 02@35 � sa tar mot Vaud without sg�� i I T; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4�� Parcel pp A lication 90 � � Health Division Date Issued r `� 61 Conservation Division Application Fee f 'Sc/ Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street/A'ddress wo ac C Village -F-t Yq ti k-L < Owner r� LJ n`T R<,en.s" (Q, Address_ Too UJCLV Telephone 3 Permit Request j I-It Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation X5 600 EdClonstruction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 'c. 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 z Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal,stove: O,Yes r ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑-new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name eJvJ►1 6T t /h. ±12-�(P�, Telephone Number 569 710 E-, 32,0 Address O PL:bz4C,0,,,5 a License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z FOR OFFICIAL USE ONLY ?: APPLICATION# _ z DATE ISSUED MAP PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: k FOUNDATION a t• N FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL r� FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • Town of Barnstable; Regulatory Services Thomas F.Geiler,Director �ArEVY9. Building D1vis1011 Tom Berry, Building Commissioner 200 Main Street, Hyannis,MA 02601 wmw.town.barnstable.ma.us Office: 5 08-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign. This Section If Using A Builder as Owner of the subject property hereby authoriz fee Z-t 101 AR{ _ to act on my behalf, in all matters relative to work authorized bythis bi ilding permit application for. , (Address of Job) Sipa of er ate ,.sz�•P�E.tJ sycJ,t��•L.zzJ '. Print Name Q FORMS:07n=ERM LS S I0N TOWN OF BARNSTABLE'` SIGN PERMIT ( PARCEL ID 3.24 038 GEOBASE ID 23590 ADDRESS 480 OCEAN STREET PHONE HYANNIS ZIP. LOT BLOCK LOT SIZE ' DBA DEVELOPMENT DISTRICT HY PERMIT 30028 DESCRIPTION HYANNIS--BRIDGEWATER PHYSICAL ED.ALUMI-.ASSOC.I PERMIT TYPE BS,IGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety , ..and-Environmental Services TOTAL FEES: t $10.00 DIME BOND $.00 CONSTRUCTION COSTS $.00 i i 753 MISC. NOT CODED ELSEWHERE' * BARNMBM btA83. Y, ~ BUY DL ING DZVIS +ON B ;�. . DATE ISSUED 04/08/t1998 EXPIRATION DATE b� v/ + The Town of Barnstable I Department of Health, Safety and Environmental Services Building Division 367 Main SUM Hyannis MA 02601 Office: 508-790-6227 Ralph Ctussen Fax: 508-790-6230 -.. . _..__ _.... .._. . ..... ........_ Building Commissioner 4 Application for Sign Permit Applicant: Assessors No. to v(_aj_j o n t�1 Um t�b� f�55�u r�,orj Doing Business As: Telephone No.501& U q-1 U-1 Sign Location �� — - `_f G al Street/Road. 6V' vi fa.Q art ft J��Yt'Y�r (yT" �bVr/eS i � nn-o u<.cl U cvnCLU(A- StiwWY\tr 56U Zoning District: Old Tangs Highway? Ye U Property Owner of 1!Ans Name: I + b[t Telephone: Address: village l�S Sign Contractor Name:_ jtw-Jae) S�Wo Co. . Telephone: Sbr'6 --7 71-1402 O Address: C 02j RJ . Village: Z4Y Description Please draw a diagram: of lot shoning location of bd:iidings and etista.ng signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. ��� �r1�111i'1 Is the sign to be eleca feed? Ye ti 1a (More.If}•es, a wiring permit is requmrd) ymr off iCO- I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the Provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent-8r Date: GI Size• Permit Fee: A c/ Sign Permit was approved: Disapproved: Signature of Building Offici G Date: �—%� 'I� JAN-21-98 WED 09 :00 AM WINTHROPS-ATTLEBORO 508 223 1.889 P. 01 'D A, Jamuary' 21 , 1998 TJ 1937 c y _ o To: Gloria ups From: Sheila McKenna Re: Plaque to be mounted on a building adjacent to the Kennedy Memorial and currently used to conduct a summer sailing program. ') We are currently in the process of getting estimates for the sign and will submit the required Application for Sign Permit when this is completed. Will your worY;ers From the Building Division install the sign and if so what would the cost be? Waiting to hear from you. ppSincerely, Sheila McKenna e�lv • Hyannis-Bridgewater Physical Education Alumni Association • • Post Office Box 13 • Bridgewater, Massachusetts 02324-0013 • (508) 697-1287 9 FAX (508) 697-1722 � I g412�15i97 MON 12:18 FAX tool �pUC$�►CO December 15 , 1997 AL 1937 C ® yV O G To: Gloria Uranus From: Sheila McKenna Re_ Plaque to be mounted on a building, adjacent to the Kennedy Memorial and currently used to conduct a summer sailing program, that was the original camp house used by the Physical Education Majors at Hyannis State Teachers College and Br' dgewater State Teachers College .ram: - -' �\ `•\ r" Between window and door, 2 ' 5" . We would like to place the plaque on the lef+ , between the window and door . The size of the plaque would be 18" X 24" . I hope this meets with your approval. i 'plaiting to hear from you. Sincerely, Sheila McKenna • Hyannis-Bridgewater Physical Education Alumni Association • • Post Office Box 13 9 Bridgewater,Massachusetts 02324.0013 9 (508) 697-1287 9 FAX (508)697.1722 • `Assessor's map and lot number . w. OF THE tO Sewage Permit. number Y�o EARNSTAX E. i r House number �.:.. ............... :....:.:....r........ s b a 4i R v �O 1,39• \0� TOWN OF BARNSI AZLE 5 BUILDING INSPECTOR_ APPLICATION FOR PERMIT.TO ... ��,::4� ^:. Z ' , ''1............................................... \�� TYPE OF CONSTRUCTION ..... . .�. .... ....... .... .. .. ............................................................ e ll....�:...... .............19.2i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......../el..15..�..�................................................................................................................... Proposed Use .... (��t�l. .l'. ..7......... '. /.71..: ......... l"," /�%c?�� L' ................. ............. ZoningDistrict ........ .....................................................Fire District .���/ 1 ........... ........... .......................... Name of Owner 77!yP/(.... ......Address Name of Builder ..��.�..... .............................................Address /��<...G? � SC/�C�fy7? .� ............ .. ..... . ............ . Name of Architect GOGG 9 f1 .61 i[i ....../2.. .C/.A Q!�YGf : f! ddress 7��.: .; ,76..!...,:...T. 3J,T... Number of Rooms ......p�.........................................................Foundation 1 '�. / ......?.eM.... .t?iyC . , rr..o'6vG F Roofing ... 1.. ✓..: :T ....Sid/ice/ l .. ........ Exterior W�©..'•�.....��/N..l��:..f.:........................... ...........Roo Floors .... .fl'...........................Interior ...../>-4.e.c fi Heating ................................:.............................Plumbing ... sue. ... ............... y ...;`.7.G ........................ Fireplace .© ..... ............ Approximate Cost ............. ........................... Definitive Plan Approved by Planning Board ________________________________19________. Area ���D..j .:4 ........ .. Diagram of Lot and Building with Dimensions Fee �n ` SUBJECT TO APPROVAL OF BOARD OF HEALTH q; 1 - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. J' rName ...� � ,,3 tC! .................................. Construction Supervisor's license �.`'f.`f..�.->T .... TOWN OF BARNSTABLE A=324-38 �F. No .... Permit for ...Build,,,,,,,,,,,,,,,,,,,,,, Via' p�QLT ................. ...qn.......... ... Location ...,Veterans Parr . .. .................... .............................. .....................HY.ann s.... ...................................... Owner Town of Rams.table............ } Type of Construction ......Exame......................... .................................................................:.............. Plot ............................. Lot ................................ Permit.Granted ,.....December 10,.......19 85 Date of Inspection ....................................19 Date Completed 1 K Asse51 ssors map and lot number.' - yof r"eTo� !P Sewage Permit number d7i$": o� 344- q70 k� L A P P R 0 !! E SASd9TAX Ha,�se number .... ........... D v rnea able Consery atlon C. TOWN OF BARN$.T.OaU., 70 @[Ito BUILDING INSPECTOR APPLICATION FOR PERMIT TO: .��....... .............................................. ........ TYPE OF CONSTRUCTION :...lf.....-.....s•Z.............19,2� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. uz...... 9 ........ �'.I...:;o..................... .............. ...... ............. ........... ... ....... Proposed Use .... 1; e7.......:r r Tl o .......... `rT.......................o�►j................................... Zoning District ......Y.1...4� ....................................................Fire District .... / . ...................... Name of Owner . . f!f!1V.... !G.. / T / Ga ......Address .41lV....sTry.. !.�Y/-f Name of Builder .. FL.CO................. ..................... �:...9oX....z���� jG1 -41 'fT?� ems} .Address r ... .........:.. r.. Name of Architect GOLD ? 7'iC� /� ,!%l�N.Address .......................ayGlT6,v....�T. Number of Rooms .C-.1..................... ..............................Foundation P111:Ke:.....4.2.N......c!Fl!'�r':.. Exterior WOOD... ?Y//.Y.IfG/r..l........................................Roofing ... .f ?faCtf.G.T..:J!?'� /. .. .%........ Floors .........� �.... .''T„s......... �..'�.�.1 ....... fl C D /' ...............':....Interior ...... ....G.o.� ....................................................... Heating .I.V.02YO .........................................................Plumbing ...... ...................... Fireplace ................................................Approximate Cost .. f............................................. Definitive Plan Approved by Planning Board ------------ Area ��JOD 1'F..... Diagram of Lot and Building with Dimensions Fee i "U F'4,,:,.. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of. Barnstable regarding the above;' construction. Name ... l .../4 ...... Construction Supervisor's License .O,l.cL�CVR, , TOWM OF BA CABLE 28751r' BUILD No ...!.............. Permit for ..................................... ation ! ......... .... ....1'� Veterans Park , Location ........... Hyannis } Town of Barnstable Owner •.... . ........ ............ .....,. .. .. ...... ...... ........ Type of Construction Frame Plot ............................ Lot ................................ December 10, 85 Permit Granted .......19 Date,of Inspection ........ ........ ,.. ..-19 r Date Completed ......... 19 c1 2 µs i^ Rail Cut from half 13'-7" piece of rail 6'-9 1/2" ��° •. P�'�~ Make rail level ? New Aluminum Railing Existing �— Building o � o to Ground - ---- Y CO p c c / xisting Retaining Wall t � v i L o CIO woo � OD U d. 2 West Elevation at Snack Bar p Q. A-4 SCALE:1/2"=1'-0" 'h a CD o �+ as E Q Existing 2 Building �\ CKS tr c � Q U CO Rail lengths are from > ¢ O = post to post. Cut off 4" extra tubing. 13'-10" 4" Elevations 13'-10" 14'-2" New Aluminum Rail 1 0112M7 - „ r 0 round r7 New Ramp -existing Retaining :Wall r AN ,Jti-_ - a As Noted ;6a5N7 a ' 1 North Elevation at Snack Bar A-4 SCALE: 1/2"=1'-0" A-4 k n ' Ramp Slope as per •�» ^' ADA Standards 9" 1 7' 20' Footings Footings Concrete Ramp Rails ` Ramp Landing to be flush _ •^ With top of Existing Sea Wall 9" 0 6' 0� _ CID 0 0 Bench & Planter Rails � � Bit. Concrete Ramp --_.,—Bit. Concrete Patch F o 'c CO aD62 I �j� // /Q (L L J W fC Handicap Si .n osts ?� OID E � r- c0 U D_ 0orC) Cross Walk — Painted Yellow Lines Add New Curb ..� Walkway flush With roadway Remove Curb & Walkway I Add Ne a Landsca ng CO E N O Add New R p g Q rA 5 (2 07 I Handicap Sign Post 2 1/2" Bit. ncret a) aa CU Do a> Existing ¢ g Add New o ¢ O = I Existing Patio 'Landscaping Site Plan-Proposed Add Aluminum Rails Snack Bar M 109/06107 3 RLN ;k&07 Proposed Site Plan S-1 SCALE: 1/8"=1'-0" S I-2 i w � m D r 0 y W w � - s (D O3 Iv w b a 8 s J I� m iS iJ a / 4 CD CD WS II W A p _ !s 1-8• o m_ . m N a O 3 CD � o I I I i � I 3O � 9 I I I 5 I y i I R I I II 91 i I I 31 I ' I I I I I I I I I I I I I I I I I I I I I I I D Pt I I I W Cn ! I i D NCL II a W O p3�7 ... !► . .. wN _:_' - CD UCn j aCD �7- N II E 3 m I A o 7 O C - ET E _ C II � I I w I I i I I i I �I JJI D W i I 1 I w I I I I I I Cr) O g m iI :3 a ICI I' a f I I II to 1 CD 1I I( v I III I I Of N �,. � • 3� I I I . I it 1 i I I l i l ii - .. i ' it Tax . . . 3 rhla w v 5 Egli � .. Veterans Beach Park TOWN OF BARNSTABLE CD aADA Requirements Department of Public WorksI Ocean Street Structures&Grounds M Hyannis, MA 02601 800 Pitchers Way, Hyannis, MA 02061 Fid g. D N N D F, C/) N 0 w coN 3 n ►� o m 3 � T v' cn m n i Cn 11' (D -p X o _ a O zth: K O_ O x 4h, n O O N (hD CD rp+ a a ° ;U X A m 0 p ml 2$-0" D - C 3 5 0 _ - o^ ; w 3 o 0 0 0 0 0 a000 o o C 0 o000000 p = 0D J o o 0 0 0 0 4� TI 0000000 _ do 00 3 o00 0001 ,* 0000e 0 00000C.: �p Oc 0000C _ Co o000000c p 0000000 O cn - c000000; :: o 0.000000 n - 0000000: m • c� �0000000 i Y ° � 0000000 n �000000 ''� lD F �_ ,n I -3 C) 000000C S p CD p 0000000i 0000000 c - m rn o0000001 % 36" n n TI 0000000 0. a 0 0000000 AI rn OOOOO c` 18 oococo - 5 . 0 0 0 0 C 0 0 — DOWN 00000 — UP = fi o m = w nM1 - I mI° -0 c o= - o �1 3 to 4'-0" 2'-0" to c rn I z N 3 x m 7 tp 3-_ En Ln CD 3 p - � ° M I ^ - I I x p Q (D D J IC 4n - �a C - 3 L4 � = w p = y y w. Veterans Beach Park TOWN OF BARNSTABLE ' i V ADA Requirements Department of Public Works N CD C Ocean Street Structures&Grounds sAxNSTABLE, i o HYannis, MA 02601 800 Pitchers Way, Hyannis, MA 02061 Ui