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0052 WEST MAIN STREET
�� ��t���� ���� i _---_ _-�_ - -- - - -_- --_- - -- --- __ --_ __ - _. - - _ i __ -_-- .f„ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p pp r�6 S6� Ma Parcel A licatio Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 5_1 bo-Ou Date Definitive Plan Approved by Planning Board ow,n,�' V Historic - OKH _ Preservation/ Hyannis rw Project Street Address a w ^ Village Yl Owner � � �h(�.,,n�.� Address Telephone �i 6>� ? 9 S N—D0 7 s' avo Permit Request r� �? �►.��_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. J CD Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King1's Highway, ❑Y`d ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Areas ft. Basement Unfinished Area (sq. -� 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 -2AI Telephone Number 6 d Address // �� _ License # Home Improvement Contractor# !a a 3 J 1 Email Worker's Compensation # A G&c yGG 200I-//1 9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4zie 43�_ SIGNATURE DATE f. FOR OFFICIAL USE ONLY 'y 'APPLICATION# DATE ISSUED i MAP./PARCEL NO. 4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL f' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSgpIATION PLAN NO. 17m Cvzn txazryw-�of•�ass7ac trfsaYs .feprftnmt of lulus, &ialAccidents -- - O ke ofImesttgr ads 600 Wgshiggton Street ffastaj,.MA 02- 111 wnrw.2nasmgmAdia Applkant Iaformatim Please Print,Leeibly Name(Buzirwml oaladividnall" City7Stati/4 9.5 3 r7 Phone Zd' t�J y Are you an employerR Check the appropriate box: T of ect (r f 4_ I am contractor dad I 31i = -_L LV�am a employer with ❑ 6_ Neu consauc6oa employees(tali andlorpait-fame}* }�avetlie scanlractrns. 7 ❑.I am a sole proprietor or partner listen on the attached sheep 7_ ❑Remodeling slip and have no employees Thesesob-contractors have 8_ .❑Demr�Iitioa yr for me-in an Capacity. C.Ployees and have Workers' �� Y calxa �`- �_ ❑Buitdmg addition. WO workers' con p_in�,**ance comp.instranm r _ 5_❑ We are a corporation and its lf}_❑Electdcai repairs ar additionsrecl- . offi h id officers aum exercised ftier 1 L.❑Plumbin airs or additions 3_❑ I am a hameozrn�s doing all word i g� msel€ [Nolvorl—='oo� right.ofeartnpfiarrperMGL 12-❑Roof repang. c-15Z §1(4,and we fiave no �loY�-LNo 1 -El comp_msurence requires] *Any apgrxxne that checks box rl mist also fM o=the sectian below stuecing iheir woakea'coition goULT infnMXWfrnL T Hameawners arhn submit this aSdxvif in&c t g they are doing sff vm&sad flied hire onside contractors must submit anew atSdsvit inrrarstmg surh :Contractors first cheek this 6ccc msst sttached sa addidanxl sheet&ILb —thP-nmpe of the soh s aid stele vrhetfxe[arrant ti sn mdties have employees_ Ifthe employee%they must provide their warps'comp policy nwnber- .Fain arz crrrtplr3yer that isprm fibWg workers'compeunnio.n irmiraric8 for my emp£aycem Hetow is the paEcy and,}ob site irzformatiarr_ In�iziant e`CatnpaN :_ / /�01 /U1'y 1 y r�L / A/ GtT _ Pal ey fr cr Self-ins-Uc-4` � n 0 "7�0 1/? a! y�f` -Expiration Date: :� b cy?a'Ei Si[te Mdaess= '? � we�,/Mt u b istawZig_ YM61,&i Attach at copy of the workers'compensation policy declaration page(shoving the policy uuzaber zfnd erz n tion date). , Failure to se,=e cwumrage as required under Section 25A of MGL c_ 152 can lead to the imposition of criminal VCaatties of a fine up to$1,50D_00 and/or one-yearuagri as need as cirri penalties in$ie form of a STOP ORK ORDER and a fine ofup.to$250_00 a day against the violatar_ Be advised that a copy of this aldement may be forwarded to the Office of Imrmtigstions of the DIA far anexstnce,coverage verification_ I dd hereby cerhfp r n2--r the pains,anrlpenalties afperfury thatthe inforrru an prcnide:£ubm a is sus and correct Bate ©f girl us$Only. Der not write in this area,#a be completed by city or town of f ciaL City or Town: PamiitUcease# Issuing Autharaty{dr-de onef: 1.Board of Health 2.Bui[ding Departtaeut I CitFlrawn(3erk 4_EIectdcal Inspector 5.Plumbing Iu-spector ti.Other Contact Person: Phonne#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuantto 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 ajoint enterprise,and including the Iegal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the dwelling house of another who employs persons to do maintenance,construction or repair work on suc'n dwelling house ounds or building urtenant thereto shall not because of such employment be deemed to be an employer." or on the g app P MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license orpermit;to operate a business or to construct buildings in the common;Fe2lth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally, MGL chapter 152, §25C(/)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" A-pplicauts Please fill out the workers' compensation affidavit completely,by checking The boxes that apply to your sit on and,if necessary,supply sub-contractor(s)name(s),addresses)and phone numbers)along with their cer�ficatc(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than ht members or partners,are not recarryuired to carry workers' compensation hiTnauce_ Lf 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: '11ne a,.idavit should be returned to the city or town that the application for the permit or License is being requested,not �'ze Dcpartaient of Industrial Accidents. Should you have any.questions regarding the law or if you are rNul-ed to obta-m a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should eater_their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the a idavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to BE out in the event the Office of Investigations has to contact you regarding the applicant Please be sure.to fill in the pemiit/licease number which wr71 be used as a reference number. Inaddition,an applicant that must submit multiple pmait/license applications in any given year,need only submit one affidavit indicating current policy information(if ne(--essary)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 maybe provided to the applicant as proof that a valid affidavit is on file fir future permits or licenses_ A new-affidavit must be rolled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete his 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: Fho common ealth of Massachusttts Depai4zncnt of Ind-astrlal Accidents Q�xee Qz Irtvestig�4�n� 600 Washington S'tz Boston,MA 02111 76L A 617- `�-4�W 406 or 1-&�I�ASS�F� Fax#6I7-727-7149 Revised 4-24-07 WV;W-ma&5-gavjdia - Mass. Corporations, external master page Page 1 of 2 M : 9x 'a Corporations Division Business Entity Summary ID Number: 203711074Request certificate I New search Summary for: MFRE REALTY, LLC The exact name of the Domestic Limited Liability Company (LLC): MFRE REALTY, LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 203711074 Old ID Number: 002100000 Date of Organization in Massachusetts: 10-31-2005 Last date certain: 12-31-2105 The location or address where the records are maintained (A PO box is not a valid location or address): Address: City or town, State, Zip code, Country: The name and address of the Resident Agent: Name: PETER D. MURRAY Address: 336 HOLLY POINT ROAD City or town, State, Zip code, CENTERVILLE, MA 02632 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER PETER D. MURRAY 336 HOLLY POINT RD. CENTERVILLE, MA 02632 USA MANAGER CATHERINE A. MURRAY 336 HOLLY POINT RD. CENTERVILLE, MA 02632 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY PETER D. MURRAY 336 HOLLY POINT RD. CENTERVILLE, MA 02632 USA SOC SIGNATORY CATHERINE A. MURRAY 336 HOLLY POINT RD. CENTERVILLE, MA 02632 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=203 711074&... 4/30/2015 Mass. Corporations, external master page Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY PETER D. MURRAY 336 HOLLY POINT RD. CENTERVILLE, MA 02632 USA r R-4 Confidential 0- Merger r Consent Data Allowed Manufacturing View filings for this business entity: :ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment View filings Comments or notes associated with this business entity: I New search) http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=203 7 1 1 074&... 4/30/2015 I Page No. 1 of y Pages. MC INARI HOME IMPROrV NgEN ii S 93 THORNTON DRIVE HYANNIS, M:ASSACHUS TTS 0260 Pone/Fads (508) 883-3750 sandwich PRO POS Phane/Eax (502).771-5266 Hyannis PHONE DATE "t'wv TO 508-775•-0500 MR PETER MURRAY JOB NAME/LOCATION 52 WEST MAIN ST HYANNIS MA 02601 508-775•-3808 JOB NUMBER JOBPHONE We hereby submit specifications and estimates for: RE—ROOF ENTIRE . MAIN ROOF #1 S:TRIP GFF_ EXISTING ROOFING #2 INSTALL METAL DRIP EDGE. ##3 INSTALL NEW VENT PIPE FLASHING #4 CHIMNEY CHECK. ALL. FLASHING AND COUTEP. FLASH WH"ER.E NECESSARY' #y INSTALL SHINGLE UNDERLAYMENT AND ICE AND WATER SHIELD WHERE NECESSARY #6 INSTALL 30 '(FEAR CERTATNTIED 5�iTNGLES t COLOR } #7.' THOROUGH CLEAN ._1P OF ALL DEBRIS RELATING TO THE ABOVE WORK TEN ' '`YEAR WORKMANSI iTP GUARANTEE - ---- - the abo hereby to furnish material and labor—complete in accordance with ve specifications,for the sum of: ) ar TWELVE THOUSAND EIGHT HUNDRED -_- _ --- Payment to be made as follows: ONE HALF TO BE COMMENCEMENT OF THE Ac CVE WORK , THE BALANCE PAID UPON I C L E. PAID UPON COMPL cfi70P1 . y Authorized �— Alt material is guaranteed to be as specified. All work to be completed in a professional Signature manner according to standard practices. An alteration.or deviation from above spece an lions involving extra costs will be executed only upon written orders,and will become anNote:This proposal may be days. extra charge over and above the estimate. All agreements contingent upon strikes,accidents or `3 A YS delays beyond our control: Owner to carry fire,tornado,and other necessary insurance.Our withdrawn by us if not ac opted within workers are fully covered by Worker's Compensation Insurance. ®� SIP® t��5�1A —The above prices, specifications Signature and conditions are satisfactory aan u twil are l bebm de as outlined above. . You are uthorized to do the work as specified. yL? Signature ' Date of Acceptance: r �p �� �1e tP��nzo�ruuerr`��o�C��Cz�aac�crae�,:,f :• dfi ce of Consumer Affairs:&BusipeowguWion ' L tense or registration valid for individulf use only T.OME iMP(fOVEMENT CONTRACTOR before the expiration date. If found return to: ` egistratidrf �02322 Type Office of Consumer Affairs and Business Regulation Expiration - 7/1/2016 DBA 10 Park Plaza-Suite 5170 T+ _t = j Boston,MA 02116 MQLINARI ROOFiNC - ; Libero Molinari j If SHEEP PASTURE WAY EAST SANDWICH MA 02537 3AtS�S Undersecretary 1 - Not valid.without.signature Massachusetts -Department of Public Safety Board of Buil ding Regulations and Standards C0 ii,truction Jiil'ier'v iSoi' License: CS-040124 .r,rr.ti i LIBERO J MO 11 SHEEP PAS T[fRE East SandwichM> i r IX� ' Expiration Commissionnerer 03/29/2017 I t .,i; �Po�nr�zoaeiue"41,o/A Fi Affairs&-Business Regulationense or registration valid for ind►vidul use only OME�MPI OV MENT CONTRACTOR ore the expiration date.`If found return toc egistratidri 102322Type fice of Consumer Affairs and Business Regulation Expiration =7/1/201ti DBA Park Plaza-Suite.5170 Boston,MA 02116 MOLINARI ROOFINGk } Libero"Molinari �i r 11 SHEEP PASTURE 1/If&I R i EAST SANDWICH MA 02537 Uo.der j. secretarY Not valid without signature ;: Unrestricted-Buildings of an Y use contain less than 35,000 cubic feet(991m3which enclosed space. 4 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. I For DPS Licensing information visit: www•Mass.Gov/DPS ti f DATE(MMIDDIYYYY) ;d► o CERTIFICATE OF LIABILITY INSURANCE 05/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 01 OS3-001 NAMEACT Oxford Insurance Agency AIC No.Et: (608)987-0333' FAIL.No.: (608)987.0063 P O Box 370 ADDRESS: Oxford,MA 01640 I S G COVERAGE NAIC INSURER A. A.I.M.Mutual Insurance Company 2615e INSURED INSURER B: Libero Molinari Molinari Home Improvement INSURER C' 11 Sheep Pasture Way INSURER East Sandwich,MA 02637 SURER E SURER F' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS-IS TO CERTIFY THAT THE-POLICIES.OF.INSURANCE LISTED BELOW HAVE BEEN ISSUED._T.O THE-JNSURED 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 BYPAID ppCLAIMS. ���� �R TYPE OF INSURANCE jNypR yy�p POLICY NUMBER MMIDDIYYYF MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAPREMISGETESOERa oxENTEDurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OUCY EtO- oC ED AUTOMOBILE LIABILITY EO acol idea SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB I CLAIMS MADE AGGREGATE $ DED RETENTION $ T $ WORKERSOOMPETISA�1� X TORY LIMTS H. AND EMPL YERS LIAB L Y/N E.L.EACH ACCIDENT $ 100,000.00 A AONYICROPRI5UPARTNB@/RCECUTIVEa NIA AWC400-7008113-2014A 6/21/2014 5/21/2015 E.L.DISEASE-EA EMPLOYEE $ 100,000,00 (Mandatory in NH) EXCLu t� 6 CRI1Fr ON OF OrPERATIONS I bw E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,ff more space Is required) The workers compensation policy does not provide coverage for Libero Molinari CERTIFICATE HOLDER CANCELLATION Town of Barnstable 200 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hyannis,MA 02601 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / l� ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 290 083 GEOBASE ID 1.9611 ADDRESS 52 WEST MAIN STREET PHONE (508)778-9516 Hyannis ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY EE TT gggg g CR .` PERIT TYPE BSIGN TI LEIPTION RIGNIPEF&T& MORGAN, P.A. (50 SQ_FT. ) CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services Bo�DL FEES: $50.00 $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE ; . * BARMABLE, • MASS. OWNER MURPHY, BALE M. Ep 39. to ADDRESS 125 CHILDS ST_ 'CENTERVILLE, MA BUILDING DIVISION / BY DATE ISSUED 03/15/1996 EXPIRATION DATE + 4 The Town of Barnstable 4 t�._ nvironmental Servic 99 Department of Health, Safety and Ens • £ Building Division B g !h¢ 367 Main Street,Hyannis MA 02601 Application for Sign Permit Applicant: Dale M. Murphy Assessor's no. Map 290, Parral 81 Doing Business As: , '-Oliveira & Morgan, P.A. Telephone (508) 771-4454 Law Offices of Michael J. Murphy Sign Location Streettroad: 52 West Main Street, Hyannis Zoning District H B Old King's ffighway District? yes no x Property Owner Name: Dale M. MAzir.phy Telephone Address: 125 'Childs Street Viiffage Centerville 66N7,gn Contractor Naive: Plymouth Sin Co Telephone (508) 398-2721 Address: P.O. Box 134 Village South Yarmouth Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new s: to Ci drawn on the reverse side of this application. *** SEE ATTACHED*** Is the sign to be electrified? yes no xx (Note: if yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make 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 Ordinances. Date Si weer/Authorized Agent Size (sq.ft.) O &71 Permit Fee �-ro o O Sign Permit was approved: disapproved: Post-it,Fax Note 7671 Daie3 7 G �► Z. E o L E_ From *JDap1. c p ovr �°S/G/� cU i Pnoae* Pram* Fax Fax* -i t �M!' r� 1(DILMII� LaVL ©► +�� ou PF�(DID) Ve H-WOM BUD W- LAW FM r: ru 0 OOM 0 r L -1 •I =lo n D P.a BOX 136 i SOU M YAMIK#M,Ut DOW FAX(MO)7503l30 N t m v o: 9 i 52 WEST MZA-'N� SSTREET Q o 0 a 'U IC lO C 87 n L � I 5--- 2 7A A 4I M JL 0 J O D i D PLYMOUTH SIGN CO. r P.O.BOX 134 I SOUTH YARMOUTH,MA OW Phone(508)398 2721 FAX(508)76"130 TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY PARCEL ID 290 083 GEOBASE ID 19611 ADDRESS 52 WEST MAIN STREET Sit? (4VItic PHONE (508)778-9516 Hyannis AALfr ZIP LOT BLOCK t LOT SIZE DBA . DEVELOPNrT DISTRICT 14Y PERMIT 12861 DESCRIPTION RE NOV.TQ EXISTING STRUCTURE/REMOVE GARAGE PERMIT TYPE BTCOO TITLE TEMP, OCCUPANCY PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: THE BOND -- . $.00 CONSTRUCTION. COSTS $.00 756 'bERTIFICATE OF OCCUPANCY B MASS. 1639' ( OWNER MURPHY, DALE M. ADDRESS 125 CHILDS ST. BUILDING` IVISION BY ;e CENTERVILLE, MA I 0io, 411, DATE ISSUED 01/23/1996 EXPIRATION DATE TOWN OF BARNS 'L'AAlL ` -1.-1<s� BUILDING PERMIT �P�AF 'ID `�90 OF3:3 GEOBASE ID 19611 ADRI;SS 52 WEST MAIN STREET PRUNE (508)778 -95! Hyannis ZIP - LOT BLOCK -LOT SIZE _ �DBA DEVELOPMENT DISTRICT HY �.I PERMIT 8832 DESCRIPTION RENQVATIONS TO HOME Sc REMOVAL 0 ' GARAGE '. PERMIT TYPE -GREMOD TITLE RESIDENTIAL ALT/CONV Department of Health, Safet3 ' CONTRACTORS: PROPERTY OWNER and Environmental Services : ARCHITECTS: ; TOTAL FEES: 100.00 BOND $.00 pX� CONSTRUCTION COSTS) $75,000-00 434 RESID ADD/ALT/CoNV * ; + BARMABLE, • MA8$. OM4ER MURP'HY , DALE M. i639. �1 ] ADDRESS 1Z5 CHILI S ST. � CENTERVILLE, MA �� BUILDIN,G°D VISJON�• DATE ISSUED 07,'1 /1U9f, EXPIRATIC:-N DATE BYt THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ,& /o'c3a 9s 4/° 2 2 2 L , � 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL oo, f/l ` . WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON. INSPECTIONS .INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790 6227 TUG 3 0 EiARNS"ABLE TEMPORARY .CERTIFICATE OF OCCUPANCY 76 I PARCEL AID 250� 083 r . ` CEO`BAS�? ID :19 ,3. . r i ADDRESS 52 WEST .MAIN STREET �� � �. PHONE (508) t73-96161 Hyannis tvar XiAvo ZIP LOT BLOCK � � LOT SIZE DRA DEVELOPMENT DISTRICT H11 PERMIT 12861 DESCRIPTION RENOV..T0 EXISTING STRUCTURE/REMOVE GARAGE PERMIT I.'YPE DTC00 TITLE TEMP. OCCUPANCY PERMIT i i ' CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL ItEES. CONSTRUCTION•..{COSTS $,00 756 CERTIFICATE OF OCCUPhNCY � - MAS& OWNER MURAL?', DALR M �>t6g9. A1�, ADDRESS 125 CHI LDS ST. FD BUILDIl ..G 0• CENTERV I LLE; MA BY DATE ISSUED 0.1/23/1996 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM.THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLE,POST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2. 3 1 HEATING INSPECTION APPROVALS.. ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. II I T I W CI � v - z � � ,: TOWN OF 13ARNSTABLE BUILDING PERMIT D 290 -083 GEC►T3A5E ID 19611 AlS 62 WEST MAIN_ STREET, PHONE {508}778 g516! ZIP LOT ` BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY "PERMIT 6632 DESCRIPTION RENOVATIONS TO HOME & REMOVAL OF GARAGE; , PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY Department of Health, Safety CONTRACTORS: PR,nPERTY OWNER and Environmental Services ARCHITECTS: TOTAL �'EEfi 100..04 - - BOND $.00 Ox CONSTRUCTION COSTS $75,000.0O 434 RESID ADD/ALT/CONV snartsrABI.E. . , MASIL OWNER MURP'HY, DALE M , A ADDRESS. .125 CHIyLDS ST. CENTERVI LLE, MA BUILDINGI VIS ON �f DATE ISSUED 07/1.2,/1995 EXPIRATION DATE BY, r" THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED.PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. o 10 o BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL r E K SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS NSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BYOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-. NOTED ABOVE. TION. 508-790-6227 r �. } 1 t t�' "�... i ,.✓ I ,� [['` r i '� I 1 I \ , .. �t� (.' ��j .� y � , i �f BUILDING DEPARTMENT TOWN OF BARNSTABLE Correction Notice JobLocated at ..............................................'.......... ....... I have this day inspected this structure and these premises and have found the following violations. ........PX u. Q........f}......." .......v.! .... � ....... ........... I� t Q ....... TtTL�ro a ram.......—....: .................. ...... ................................ ::. rlb.. 8 l� ` - i . ............... .............................:........ . ...... .................................................................................................................. .................................................................................................................. .................................................................................................................. When corrections have been made, call for in- spection. Date ..... L. ........................................................ ..... • Inspector for Building Dept. • DO NOT REMOVE THIS SIGN SPR 05/18/95 SP-48-95 M. Murphy, 52 West Main Street,Hyannis, 290/083. • M. Murphy appeared to explain proposal seeks to expand existing building for office use in BB area. • Will add 218 sq. ft to existing bldg., add second story, building will total 2,000+ sq. ft. • Will have false front on W. Main St., parking in rear, accessed from Betty's Pond Rd., seeks to maintain West Main Street address. • R. Burgmann explained that due to new emergency 911, address is determined by access to site. • Will remove existing garage. • Will pave part of parking area lot, slopes to northern corner will back fill corner&install retaining wall. • Concrete pad under dumpster. • Required parking: ten spaces will provide twelve. • Will provide sufficient parking for four offices. Plan three uses for site. • Second story will not be HP accessible. Will provide first floor space for second story tenants. • Basement for storage. • Non-conforming use due to structure, and set backs. • Screening will be provided between site and abutters. • Approved for review by ZBA. COURTESY VISIT 00-19 Amerigas, 193 Iyanough Road, Hyannis, 328/203. Proposal: Replace free standing sign. • R. Maiolini appeared, stated sign will meet sign code for height. • Must change license&permits for storage; see fire dept. • Nothing posted on site from fire dept. for storage. • Applicant must have license for business, storage permit, registration for tanks. • Approved. 4 Assessor's Office(1st floor) Map Lot Permit# �� Conservation Office(4th floor) /�/� Date Issued /.1:00- 2:00) � wee l Zl Engineering Dept.(3rd floor) House#1 g ep BARNBTABLE.7 ` o ed b 19 6 a9. + ems. - rfD MIy 0 TOWN;OF�;BARNSTABLE Building Permit Application Project St dress 52 West Main Street , Village Hyannis i Owner Dale M. Murphy Address 125 Childs St , Centerville, MA Telephone ( 5 0 8 ) 7 7 8—9 516 . .Permit Request Bu i 1 d i ng PPrmi t for rPnovat i ons to Pxi s i nQ G r u . ur Total 1 Story Area(include 1 story garages&decks) = -12 p p square feet Total 2 Story Area(total of 1st&2nd stories) = '12 0 0 square feet Estimated Project Cost $ 75 ,000 .00 Zoning District HR Flood Plain C Water Protection GP Lot Size .25 acres Grandfathered ? yes Zoning Board of Appeals Authorization N/A Recorded N/A Current Use .Res id�nt ial Proposed Use Construction Type Wood Frame Commercial Residential X Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure 7 4 years Basement Type: Finished `,:,Historic House No Unfinished X Old King's Highway No Number of Baths 1 No.of Bedrooms 2 Total Room Count(not including baths) 5 First Floor Heat Type and Fuel Hetiiflil Central Air No Fireplaces, 0 Garage: Detached 1 Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Dale M. Murphy Telephone Number ( 5 0 9 ) 7 7 8—9 516 Address 125 Childs Street License# Centerville, MA 02632 f Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Barnstable Landfill and Falmouth Landfill SIGNATURE DATE 7110 S/ BUILDING PERMIT DENIED FOR THE FOLLOWING ASON(S) ` FOR OFFICIAL USE ONLY PERMIT NO. #8832 � �• , + DATE ISSUED July 12, 1995' ; MAP/PARCEL NO. 290.083 ` ADDRESS 52 West Main STreet + VILLAGE Hyannis, MA 02601 4 ,_ OWNER Dale M. Murphy + DATE OF INSPECTION: FOUNDATION FRAME' - INSULATION - • FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ;„r ROUGH FINAL a FINAL BUILDING DATE CLOSED OUT. t ASSOCIATION PLAN NO. t , I11/02/9 4 1 i:02 Z1561 27-:7 122 DEPT IND ACCID 1�100 r; Coirunonitlea t1L o aljacli.udetb ' �JaParfine�tf o��ndu�fria[�cciclen� 600 WauhiV&-Sb+ l James J.Campbell &Ion$ //la"44WA 02 f f f Commissioner Workers' Compensation Insurance Affidavit 1, �g�� �/? �/�vr/°�y o�'l � 2s GL,,`/�.r Sv��<z< C,���,r•�.�/,�, �.��d u�z with a principal place of business at: tccrisrsedzty) do hereby certify under the pains and penalties of perjury, that: Q I am an employer provid'mg workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. (� I am a sole proprietor, general contractor homeowner 'rcle one) and have hired the contractors listed below who have the following wo ers' compensation policies: ss��11 074 e*- / �y Eastsd/�^ C 4Jvy/Ey (/ ' /[7/GL /LrJ v✓ r�r4hG C �d M�Ur+�✓/�f/G�C'��2�?� Contractor do l yoF� I��� ld,�� htr �C�'idur�hJ Insurance Company/Policy Nu' mber Contractor Insurance Company/Policy Humber Contractor Insurance Company/Policy Number {) I am a homeowner performing all the work myself. 1 t nd�r<_t2rd t`:t a copy of[`;is slternent will be fo:vrarded to the Office of Invesbr2dons of the DiA for coverage verification and that failure to secure cove-age as reec:i;ed under Section 25A of MGL 152 can Iead to the Imposition of criminal penalties eonsisdu of a fine of up to s 1,5o0.o0 and/or crr, years' imprLerment.s well as civil penalties in the fora:of a STOP WORK ORDER and a tine of S 100.00 a day against me. Signed this day of 19 .[a11 L-J/ - Licensee/Permittee 0 Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 __ __ -- /11- n A-Tr A- T --T T1TTT/". nr.nlfTT 11 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE 'EXEMPTION Please print. DATE JOB LOCATION 52 West Main Street Hyannis Number Street address Section of town "HOMEOWNER" Dale M. Murphy ( 508 ) 778-9516 ( 508 )- 996=5550 Name Home phone Work phone PRESENT MAILING ADDRESS 125 Childs Street Centerville MA 02632 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 such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Officia on a form aceeptable to the BuildingOfficial,icial, that he/she shall be responsibl for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. d HOME OWNER' S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner- actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the . permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. �.UP.xsr,►stE. The Town of Barnstable KAMtee$ Department of Health Safety and Environmental Services Building Division 367 Main Street.,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Renovations ons Est.Cost $75 .000 .00 Address of Work: 52 West Main Street , Hyannis, MA Owner Name: Dale M. Murphy Date of Permit Application: I heretn•certify that: Registration is not required for the following reason(s): Work excluded by law Job under S 1,000 Building not owner-occupied X Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR & ( � Date Owner's name Town of Barnstable Zoning Board of Appeals = Decision and Notice Appeal No. 1995-72 Murphy Special Permit-Change in a Non-conforming Structure Summary Granted with Conditions Applicant&Owner: Dale M. Murphy Appeal Address: 52,WestsMi in Streeis, MA Assessor's Map/Parcel: 90-083 2 Zoning: HB- Highway Business Zoning.District Applicant's Request: Special Permit in accordance with the Zoning Ordinance, Section 4-4.2,to provide a change in a non-conformity structure and to increase the foot print of the existing structure Background Information: The application is for a Special Permit to permit a change in an existing non-conforming structure to increase the foot print by 218 sq.ft. and construct a second floor in accordance with Section 4- 4.2 of the Zoning Ordinance, Change from One Non-conforming Use to Another. The structure at present is used as a single family dwelling within the HB Zoning District and is non-conforming in use. The applicant is seeking to change the use to the principal permitted use of offices and expand the structure. The locus is a 0.27 acre lot located on West Main Street and Betty's Pond Road in Hyannis. The lot is developed with a 1,412 sq.ft. residential structure. The applicant is proposing to add to the foot print of the building, create a second story to the building and convert its use to offices.An existing accessory garage building on site is to be razed and the locus landscaped, and accessory parking provided for the offices. The site plan has been approved by Site Plan Review(SPR No. 48-95). Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 11, 1995. A public hearing held before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on June 7, 1995 at which time the Board found to grant the appeal with conditions. Board members sitting on this appeal were: Ron Jansson, Richard Boy, Emmett Glynn, Dexter Bliss and Chairman Gail Nightingale. Attorney Michael Murphy represented the appeal before the Board. For demonstration of his applicant's standing before the Board, Attorney Murphy presented a copy of the signed Purchase and Sale Agreement. He also submitted a memorandum to the Board supporting the appeal. He cited that the permit request was to permit the expansion of a non conforming structure. The. property has two required front yard setbacks. The structure presently does not conform to the front yard setback requirement which is 60 feet in the Highway Business District. The degree of infringement of the structure into the front yard would not be increased by the addition. The established setback of$8.3 would be maintained. The structure is 11.3 feet from Betty's Pond Road which requires a 60 foot front yard setback, and that would not change. Attorney Murphy noted that the building was built 74 years ago and predates zoning. It was legally built and the structure has the benefit of a non-conformity in setback and in use in that the s Zoning Board of Appeals-Decision and Notice Appeal No. 1995-72 Murphy residential use of the structure is not permitted. The intent of this proposal is to abandon that residential use and provide offices on the locus,which is in conformance to the uses permitted in the Highway District. All of the parking is to the rear of the structure. It is accessed from Betty's Pond Road, not from West Main Street. Curbing, screening and fencing are to be installed as well as landscaping of the site. Parking is provided for up to four suites in the building, however it is the applicant's intention that only 2 professional attorney/law offices would be in the structure. No medical or dental offices will be located in the building. The office use will conform to the permitted uses in the HB District. The building will be attractive and will fit in well with the neighborhood which includes multi family condominiums, offices and businesses. Attorney Murphy noted that the intent is to improve and enhance the neighborhood. The public was requested to testify. No one spoke in opposition or in favor of this appeal. Finding of Facts: Based upon the testimony given during the public hearing on this appeal, the Board unanimously found the following findings of fact: 1. The proposed use of the locus is offices. This is a principal permitted use within the HB District. This change would change an existing non-conforming residential use to one which is conforming to the district. 2. No medical office is being proposed. 3. The increase in the footprint is 218 square feet and the increase in the area of the building is 1,450 sq.ft. This would not be detrimental to the neighborhood, nor in degradation of the spirit and intent of the Zoning Ordinance. 4. The proposed improvements to the building and site will enhance the area. 5. A site plan has been approved by the Site Plan Review Committee. Decision: Based upon the positive findings a motion was duly made and seconded to grant the Special Permit for the change in a non-conforming structure as requested in Appeal No. 1995-72 with the following conditions: 1. The development shall be as presented to the Board and as per the plans submitted. 2. The number of professional offices shall be limited to a maximum of 4 office suites. The Vote was as follows: AYE: Dexter Bliss, Ron Jansson, Emmett Glynn, Richard Boy and Chairman Gail Nightingale. NAY: None Order: Special Permit Number 1995-72 has been granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. a 2 Zoning Board of Appeals-Decision and Notice Appeal No. 1995-72 Murphy Appeals of this decision, if any, shall be made to the Bamstable Superior Court pursuant to MGL Chapter 40A, Section 17,within twenty (20)days after the date of the filing of this decision in the offs a of the To n Clerk. s � 3 S GayNightingal Chairm Date Signed I Linda Leppanen, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decisio has been f e in the office of the Town Clerk. Signed and sealed this day o 19,Ecunder the pains and penalties of perjury. Linda Leppa Town Clerk 3 PAR: R290 038.". PAR: R290 112. PAR: R290 111. KEY: 195648 TAX COOE:400 KEY: 197726 TAX CODE:400 KEY: 197717 TAX� CODE:400 FISH* STEPHEN J & GAILE E COULTERP ROGER B COULTER• ROGER 8 BOX 385 %SMITH. EDWARD E TRUST. %BSD&T CO HYANNIS MA 02601-0000 XBSD&T CO-06 CIRONE %SMITH. E TR/DG CIRONE 1 BOSTON PL — 0806C 1 BOSTON'PL — 0806C BOSTON MA.02108-0000 BOSTON MA.02100-0000 PAR: R290.100. PAR: R290 101. PAR: R290 092.002 KEY: 196601 TAX CODE:400 KEY: 196610 TAX CODE:400 KEY:' 196219'TAX CODE:400 . COULTER• ROGER 8 SOUSA• JOSEPH J MITCHELL* RAYMOND %SMITH• EDWARD E TRUST 143 TOPSFIELD RD 38 BETTY$ POND RD XBSD&T CO—DG CIRONE WENHAM MA 01984-0000 HYANNIS MA 02601-0000 1 BOSTON PL — 0806C BOSTON MA 02108-0000 PAR: R290 092.001 PAR: R290 086. PAR: R290 085. KEY: 196200 TAX CODE:400 KEY: 196148 TAX CODE:400 KEY: 196139 TAX CODE:400 RUSSELL• THOMAS J& MICHELLE GRIGGS* LINDA S WANNIE• JOHN F. 44 BETTY'S POND ROAD 47 BETTYS POND RD 42 AMHERST OR HYANNIS MA 02601-0000 HYANNIS MA. 02601-0000 SAYVILLE NJ 08721-0000 T'* PAR: R290 084. PAR: R290 082. PAR: R290 080. KEY: 196120 TAX CODE:400 KEY: 196102 TAX CODE:400 KEY: 196086 TAX CODE:40V GREENSLADE• JACK EDWARD FOSTER• FRANCIS X FOSTER. FRANCIS X & 49 DEERBROOKE CIRCLE 1 BELMONT RD M620 FOSTER, FRANCES M' SOUTHINGTON CT 06489-0000 W HARWICH MA 02671-0000 I:BELMONT'RD #620 W HARWICH: MA"'02671-0000 PAR: R290 081. PAR: R290 163.00A PAR: R290 163.008 KEY: 196095 TAX CODE:400 KEY: .198217 TAX CODE:400 KEY: 198226 TAX CODE:400 BARNSTABLEP TOWN OF (CON) BLEAUP ALFRED A PECKHAM• STEPHEN M CONSERVATION COMMISION 28 PEACH TREE RD P 0 BOX 69 367 MAIN ST MARSTONS MILLS .MA 02648-0000 HYANNIS MA 02601-0400 HYANNIS MA 02601-0000 PAR: R290 163.000 PAR: R290 163.00D PAR: R290 163.00E KEY: 198235 TAX CODE:400 KEY: 198244 TAX'CODE:400 KEY 198253 TAX CODE:400 BLEAU• ALFRED A TR BLEAU. ALFRED A ROGERS• ROBERT C & L•ANA. OF BAYVIEW REALTY TRUST 28 PEACH°TREE RD 11 .FAIRVIEW TERRACE 28 PEACH TREE RD MARSTONS.MILLS MA 02648-0000 NEWTON MA 02165-0000 MARSTONS MILLS MA 02648-0000 PAR: R290 163.00F PAR: R290 163.00G PAR: R290. 163.00H KEY: 198262 TAX CODE:400 KEY: 198271 TAX CODE:400 KEY: 198280 TAX CODE:400*. BAILEY. FREDERICK W RUSKEY. ANTHONY J.JR SMITH. WILLIAM L &ELIZABETH 10 PINE GROVE AVE UNIT 6 10 PINE 'GROVE AVE #7 1 SALVI OR HYANNIS MA 02601-0000 HYANNIS MA 02601-0000 FRAMINGHAM MA 01701-0000 PAR: R290 163.00I PAR: R290 160. PAR: R290 093.20A KEY: 198299 TAX CODE:400 KEY: 198182 TAX CODE:400 KEY: 196399 TAX CODE:400 JOYCE. FRANCESCA TOOHEY. PETER L. ALBERICOi LYNN M 1562 UNIVERSITY LN #711 P 0 BOX 1171 24.BETTYS POND RD NIA ' COCOA FL 32922-0000 HYANNIS MA 02601-0000 HYANNIS MA 02601-0000 7,2 s PAR: R290 093.20C PAR: R290 093.2UD PAR: R290 093.208 KEY: 196424 TAX CODE:400 KEY: 196406 TAX CODE:400 KEY: 196415 TAX CODE:400 T.ROIA, MICHAEL A SANTOSr NANCY A MCMAAAWAY# JACKLTN B 24C BETTY'S POND RD XJACKIE BROWNE 9 WALNUT COURT MA 02601-ODOU 133 W MAIN ST SE ROCKLAND MA 02370-0000 HYANNIS HYANNIS MA 02601-0000 PAR: k2 19 093.20E PAR: R290 093.20F PAR: R290 093.206 KEY; 6433 TAX CODE:400 KEY: 196442 TAX CODE:400 KEY: 196451 TAX CODE:400 8OYDSTON• CLARK & 14ARY ORAFFERTYP EMMET J COL8Y♦ CUSHMAN S ET ALS X MRS S PAMBUKO bZO LAFAYETTE RD SUITE 201 1CHUNG. KAR 8 VIRGINIA P O BOX 135 HAMPTON NH 03842-1267 2624 IMAM DRIVE RALEIGH NC 27615-0000 'SAGAMORE BEACH MA 02562-0000 R: R290 093.20H PAR: R290 093.20I PAR: R290 093.20J PAR: 96460 TAX CODE:400 KEY: 196479 TAX CODE:400 KEY: 196488 TAX CODE:400 A3HLEY. MICHAEL R CAHILL•JAMES J HORAN• GAIL P ° 1J63 MAIN ST 336 N BIRCH RD #4-D ATTN GERALD GROSS OiTERVILLE MA 02655-0000 FORT LAUDERDALE FL 33304-0000 210 CHESTNUT SHILL TON ST MA 02167-0000 PAR: R290 093.20K PAR: R290 093.20L PAR: R290 093.20M KEY: 196497 TAX CODE:400 KEY: 196503 TAX CODE:400 KEY: 196512 TAX CODE:400 ALTIMASr STEPHEN E& TERRYLL HORAN• GAIL P MARSDEN• JACQU,ELINE S P U dOX 2124 ATTN GERALD GROSS dd 806 RD NARSiONS MILLS MA 02648-0000 SANDWICH MA 02563-0000 210 BOYLSTON ST CHESTNUT HILL MA 02167-0000 PAR: R29U 093.20N PAR: R290 093.200 PAR: R290 093.20P KEY: 196521 TAX CODE:400 KEY: 196530 TAX CODE:400 KEY: 196549 TAX CODE:400 PION* PUL SUM & YEE KIU WESTWOOD• BARBARA A DESILVAI ENES 24N dETTTS POND RD 87 NEWPORT AVE XDESILVA. ROLAND A 24 HYANNIS MA 02601-0000 W HARTFORD CT 06107-0000 HYANNISYS POND RMAD02601-0000 PAR: R290 093.01A PAR: R290 093.018 PAR: R290 093.01C KEY: 196228 TAX CODE:400 KEY: 196237 TAX CODE:400 KEY: 196246 TAX CODE:400 ALLEN. ELIZASETH L DINITTO• ANNA PENALOZA• GABRIEL & ROSA 3J W MAIN ST. UNIT #1 30 WEST MAIN ST UNIT 2 ONE SHORT ST HYANNIS MA 02601-0000 HYANNIS MA C2601-0000 3URLINGTON MA 01803-0000 PAR: R290 C93.01D PAR: R290 093.01E PAR: R290 093.01F KEY: 196255 TAX CODE:400 KEY: 196264 TAX CODE:400 KEY: 196273 TAX CODE:400 BUTTRICK• JOHN B JR CARTON* CAROLINE SURMACH. LUCY & RICHARD 3J WEST MAIN ST 04 UNIT 5. 30 WEST MAIN ST 76 PERKINS ST HYANNIS MA 02601-0000 HYANNIS MA 02601-0000 STONEHAM MA 02180-0000 PAR• R290 093.01G PAR: R290 093.01H PAR: R290 093.011 KEY: 196282 TAX CODE:400 KEY: 196291 TAX CODE:400 KEY: 196308 TAX CODE:400 ASSENHEIMER. ROBERT F LEWIS• AARON & BEVERLY.A CARTONP CAROLINE ASSENHEIMER• GEORGIA PO BOX 974 30 W MAIN ST APT 5 240 SICKLETOWN RD FRAMINGHAM MA 01701-0000 dYANNIS MA 02601-0000 WEST NYACK NY 10994-0000 s �l� o � l�Qs O •7� PAR: R290. 093.01L PAR: R290 093.01K KEY: 196335 TAX CODE:400 PAR: R290 093.01J KEY: 196326 TAX CODE:400 KEY; 1-16317 TAX CODE:400 VANCE• MARY.JEAN VACHER• ROBERT A X MCLEAN• MARY JEAN PARK. PATRICIA Y 30 W MAIN ST UNIT .11 1g0 COURTSHIRE LANE P 0 BOX 1675 HYANNIS MA 02601-0000 PENFIELD NY 14526-0000 NORTH CONWAY NH D386D-1675 PAR: R290 093-010 PAR: R290 093.01N KEY: 196362 TAX CODE:400a PAR: R290 C93.01M KEY: 196353 TAX CODE:400 KEY: 196344 TAX CODE:400 SpIOTTA• ESTHER M KEPICS• ELIZABETH 2 BROOKSIDE ROAD NJ07040-0000 GREGORIAN. ZAREH t99 HOLLY HILL LN MAPLEWOOD GdEGORIAN, EMILY SHULTZ SOUTHdURY CT 06488-0000 75 SPAING VALLEY RD M 02178-0000 B2LMONT PAR: R290 093.01a PAR: R290 093.O1P KEY: 196380 TAX CODE:400 KEY: 196371 TAX CODE:400 TOGNALLI• JOSEPH J KHEARY• VICORIA L TOGNALLI• GLORIA R 3U W MAIN ST 016MA 02601-0000 381 CLEARVIEW AVE HYANNIS TORRINGTON CT 06490-0000 3 " PAR: R290 082. PAR: R290 080.KEY; 196086 TAX CODE:400 PAR: R29U 034- KEY: 196102 TAX CODE:400 K-Y: 190120 TAX CODE-400 FOSTER. FRANCIS X FOSTER, FRANCIS X 8 FOSTER, FRANCES M GREENSLADE• JACK EDWARD 1 BELMONT RD N621D RD g620 41 DEERBROOKE CIRCLE W HARWICH MA 02671-0000 1 W BELMONT BELMONTHARWICH MA 02671-0000 S)UTHINGTON CT 06489-0000 PAR: R290 163.008 PAR: R290 163.00A KEY: 198226 TAX CODE:400 PAR: R290 C81- KEY: 198217 TAX CODE:400 KEY: 196095 TAX CODE:400 PECKHAM• STEPHEN M BLEAU, ALFRED A p 0 BOX 69 6ARNSTABLE• TOWN OF (CON) 26 PEACH TREE RD HYANNIS MA 02601-0400 CONSERVATION COMMISION MARSTONS MILLS MA 02648-0000 357 MAIN ST HYANNIS MA 02601-0000 PAR: R290 163.00E PAR: R290 163.000 PAR: R219 163.00D KEY: 198253 TAX CODE:400 19d235 TAX CODE:400 KEY: 198244 TAX CODE:400 KcY: ROGERS, ROBERT C B LANA BLEAU, ALFRED A 11 FAIRVIEW TERRACE BLEAU, ALFRED A TR 26 PEACH TREE RD NEWTON MA 02165-0000 OF dAYVIEW REALTY TRUST MARSTONS MILLS MA 02648—UDOD G3 PEACH TREE RD MARSTONS MILLS MA 02648-0000 PAR: R290 163.00H ork PAR; R29U 163.00F PAR: R2 KEY: 19 163.O8271 TA KEY: 198280 TAX CODE:400 19&262 TAX CODE:400 X CODE:400 KEY: SMIT4, WILLIA14 L &ELIZABETH BAILEY, FkEDERICK W RUSKEY• ANTHONY J JR 1 SALVI DR 1U PINE GROVE AVE A7 FRAMINGHAM MA 01701-000L! 1J PINE GROVE AVE UNIT 6 0000 HYANNIS MA 02601-0000 HYANNIS MA PAR: R290 160. PAR: R290 093.20A KEY; 196399 TAX CODE:400 PAR: R290 163.001 KEY; 196182 TAX CODE:400 KEY: 198299 TAX CODE:400 ALBERICO• LYNN M . TOOHEY• PETER L 24 BETTYS POND RD' NIA JOYCE• FRANCESCA P O BOX 1171 HYANNIS MA 02601-000 1562 UNIVERSITY LN #711 HYANNIS MA 02601-0000 COCOA FL 32422-0000 s _...... :....-.'.ram. -.... ._ - Y `t..,•:.•a!!'fl. y'.1 ::.. _....AP to-r". .,.•,. - , ¢a 'TOWN OF BARNSTABLE 20NLEGAL NOTICES 40 ING BOARD OF PEALS 1YIEETING.OF JUNE'7 `1995 NOTICE OF PUBLIC HEARING UNDER THE ZONING ORDINANCE •: xJ 7,"::::•r��.:.r.� � .1,y+.mot_ t.. w,- ;` To all persons deemed In or affected by the Board of Appeals,under Sec. 11 of Chap..40A of General laws of the Commonwealth of Massachusetts and all amendments f thereto.you are hereby notified that: APPEAL NO. 1995-69 Gott(-`Ha Daniel B.Conti at all..Trustee of Flay yD T Trust has appealed to the Zoning Board of Appeals fora Special Permit in accordancew itthh Section 4.4.2Alteration ofallon-conforming Structure to permit the.addition of downers to the second floor of an existing structure that r does not conform to the requlrid setbacks. The property is shown on Assessor's Map 033, ', as Parcel 003.001,commonlyaddressed246 Ocean Ave..Cotuit,MAinaRFZoningDistrict. • A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 7:30 P.M. APPEAL NO. 1995-70 Soche-Fox Den Antiques John Socha d/b/a Fox Den Antiques has appealed to the Zoning Board of Appeals for a Modification of Special Permit No.1977-09'pursuant to M.G.L.Chapter40A Section 14 and .` the Barnstable Zoning Ordinance,Section 3-1.4(4)(A)Professional or Home Occupation, to permit the change in use from a gift shop.. an antiques shop,remove restrictions of gift merchandise and inventory and to permit an Increase in the allowable retail sales floor area from 1,008 sq.ft.to 1,536 sq.ft.The property is shown on Assessor's Map 197 as Parcel 048,and commonly addressed as 1492 Main Street(Route'6A)West Bamstable,MA in a RF Zoning District. A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 7:45 P.M.: APPEAL NO. 1995-71 Horan Charles Horan has appealed to the Zoning Board of Appeals for a Modification of Special . permit No.1994-34 In accordance with the ZoningOrdinance,Section 3-3.6(3A)Conditional `- r use.OutdoorAmusement to reissue the Special Permit to allow for On extension of time to Implement the permit that authorized outdoor batting cages. The property is shown on Assessors Map 328, as Parcel Loase Lot 3,:commonly addressed 280 lyanough Road (Route 28)Hyannis,MA Ina HB-Highway Business Zoning District. A.PUBUC HEARING WILL BE HELD ON THISAPPEAL.AT 8:00 P.M. APPEAL NO. 1995-72 Murphy = Dale M. Murphy has appealed to.the ZoninBo g ard of Appeals for a'Special'Permit in accordance with theZoning Ordinance.Section 4-4.2,Change ins Non-Conformityto permit x a change from residential use to professional offices and to increase the foot print of the existing structure by 218 sq.ft.and construct a second floor.An existing accessory building is to be razed. The property is shown.on Assessor's Map 290,as Parcel 083.commonly addressed 52 West Main Street;Hyannis,MA in a HB:Highway Business Zoning D A PUBLIC HEARING WILL BE HELD ON THIS APPEAL AT 8:15 P.M. istrict. :Second Floor,New Town Hall;367 These Public Hearings will be held in the Hearing Room 'Main Street, Hyannis, Massachusetts on Wednesday. June 07, 1995. All plans and applications may be reviewed at the Zoning Board of Appeals Office in the Planning Department,230 South Street,Hyannis,MA Gail Nightingale,CHAIRMAN ZONING BOARD OF APPEALS The Barnstable Patriot May 25&June 1, 1995 r . APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector of Wires Wiring Permit# ��7� COM%Electric # 3 2 2 3 2 7 Town of BARNSTABLE Massachusetts Building Permit # Date 7/24/95 Customer: HIR , J)AT,E its MIKE on (Street #) 52 BEST MAIN STREET Lot # in the village of HYAN IS utility pole number or underground number Customer's billing address 350 UNION STREET NEW BEDFORD MA. 0274 Temporary OVERHEAD— New installation Change of service Starting date Job description /nlo Service entrance voltage Amperage Phase Wire size(cu.or-al.) Conductor per phase Number of meters Water heater Off peak: YesNo— Estimated load: Electric heat kw, lights kw, Range dryer Motors,H.P. & Phase Ready for first inspection Ready for final inspection 7 124 195 Electrical Contractor BREWER ELECTRIC & UTILITIES. IN(;c, # A14092 Telephone # (508)394-3211 Address 100 OLD TC)WNHOUSE ROAD SOUTH YARMOUTH MA 02664 Additional Remarks: Do Not Write Below This Line . ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS' DATE FEE CHARGE Temporary Service ''95 Roughing in Service and Meter O Off Peak Meter U Final Approval Disapproved` D `For the following reasons CERTIFICATE OF INSPECTION Date To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been completed and has this day been inspected and approval granted for connection to your service, Insp�%e�e�e'tor of'Wires WIRING INSPECTOR TO BE NOTIFIED}WHEN WORK IS READY FOR INSPECTION Permit Good For`One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE 1 M TOWN OF BARNSTABLE WIRING PERMIT PARCEL ID 290 083 GEOBASE ID 19611 ADDRESS 52 WEST MAIN STREET PHONE (508)778-9516 Hyannis ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 9350 DESCRIPTION tEMP SER PERMIT TYPE BELEC TITLE WIRING PERMIT CONTRACTORS: BREWER ELECTRIC & UTILITIES, INC. ARCHITECTS: TOTAL FEES: $10.00 BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE OWNER MURPHY, DALE M. ADDRESS 125 CHILDS ST. CENTERVILLE, MA DATE ISSUED 07/26/1995 EXPIRATION DATE Department of Health, Safety and Environmental Services . 0�IHE Tn._ BARNSTABLE, MASS. 9�j i639. 1�� BUILDING DIVISION BY GENERAL.DOC REVISED 4/26/95 The G _ ornmonwealth of Massachusetts ,�rt p =l Department of Pubre Safety a« p,neT a F..a,tc►.� BOARO OF ME PREVENTION REGuunoN5 w CMR IZ 3/90 (t.,.e et,�rl GO APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All .orie to be ycr%t-cd In accordance with the Mauachuseru Electrical Code. S27 CMA 12.00 (PLEASE PRINT IN ti�'K Oat TYPE ALL INF'OMA110N) Date City or Town o To the Inspector of Wicess / The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 52 WEST MAIN STREET HYANNIS MA.02601 I�Lie� Owner or Tenant— MURPHY, DALE,7& MIKE Owner's Address 350 UNION STREET NEW BEDFORD MA. 02746 Is this permit in conjunction With a building permit: Yes❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. • Existing Service Axps / Volts Overhead ❑ Undgrd❑ No. of Meters NeV Service Amps _/ Volts Overhead ❑ Undgrd❑ No. of liete:s Number of Feeders and A=pacity Location and Nature of Proposed Electrical Work SUPPLY & INSTALL TEMPORARY Q HF�VFR" CE Total No. of Lighting Outlets No. of Not Tubs No. of Transformers KVA No. of Lighting Fixtiures Swimming Pool Above❑ In- ❑ Generators KVA g g g grnd. grnd. INo. of Eoergency Lighting No. of Receptacle Outlets No. of Oil Burners Batte Units No. of Switch Outlets — No. of Gas Burners FIRE ALA,�.'1S No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices Heat Total Total No. of Sounding Devices No. of Disposals No. of Pumos Tons KW No. of Self Contained No. of Dishwashers Space/Area Heating Detection/Sounding Devices Local El Municipal 00ther No. of Dryers Heating Devices KW Connection No, of No. os Low Voltage No. of Water Heaters KW Sins Ballasts W rine. No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO ❑ I have submitted valid proof of sane to this office. YES❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOW ❑ OTHER❑ (Please Specify) - Expiration ate Estimated Value of Electrical Work Work to Start Inspection Date Requested: Rough- - Final Signed under the penalties of perjury: - FIR.y MAIM BREWER ELECTRIC & UpTILITIE LIC. NO. s 1d(l9� Licensee JOHN BREWER S ur L C. NO. Ails. Tel. No. 771 7n4n , Address 100 OLD TOWN HOUSE ROADt, Tel. No. OWNER'S INSURANCE WAIVER: I ata aware that the Licensee does not have the insurance cov overage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my g p application waives this requirement. Owner Agent (please check one) Telephone No. _ PEIL41T FEE S U=Iture of Owne��r Agent