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3480 MAIN ST./RTE 6A(BARN.)
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"+�` ~, ,�: '` e'a>w.„ ✓> r Y �'it: x4 ,:r.A,IR'a,s„ .trd: J �", N,•�` sF''4w r'", � .;.� � �' � r � „ $.�- F «, ,. • W e :» Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate � j �l i Date 12�n — 1 6 Map d( ((` Parcel Applicant Information Applicants Name Ca T 14,5s 0 G 1 a 11 o^ Applicants Address (� sc--r-46�- r Email Address Telephone Number j— 367-2_90 Listed E!r Unlisted ❑ Business Information New Business? ----------------------------------------• Yes No Business is aregistered corporation? ---------------------- -. es No / If yes Name of Corporation G Co 5-oGt ATT 6A 1 NC, Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? --------- Yes If yes then a Home nOcccupation Registration is required—See ,Building Division Staff Name of Business I� L— �D J`CILT C15 � Business Address_ lS P-T— (PO Type of Business �(� ®) l� F' 1 z B 'lding Commissioner Office Use Only Conditions Building Commissioner G� �' r` Date l} 1 Clerk Office Use Only Town of Barnstable BAMnABM Regulatory Services BABSTABLE 1639. Richard V. Scali,Director 1639-2014 Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 �i April 29, 2015 Christian Congregation in the United States, Inc. Cape Cod Art Association c/o Mr. Dan Ojala Down Cape Engineering 939 Main Street Yarmouth Port, MA 02675 RE: Site Plan Review 009-15 Cape Cod Art Association e480 Route 6A,Barnstable Map 299, Parcel 071 Proposal: Construct a 2,200 s.f two-level addition to the rear of the existing building. Modification of front entrance and walkway; relocate dumpster; add grass lined swale and rain garden. Reworking of accessible routes; and additional building mounted lighting. Dear Mr. Ojala: Please be advised that the above proposal has received administrative site plan review approval subject to the[following: ❖ Approval is based upon, and must be substantially constructed in accordance with plans entitled "Site.Plan of#3480 Route 6A Barnstable" for Cape Cod Art Association b Down prepared P � Y Cape Engineering, Inc., Yarmouthport, MA dated April 15, 2015; and, elevations and floor plans,:4 Sheets, entitled" 3480 Route 6A, Barnstable, MA,prepared by Lineal Inc. Architects & Builders, Barnstable, dated March 2015. •S Conditions of Conservation Commission Certificate of Compliance. r ❖ Approval and conditions of Old King's Highway Historic Committee. ❖ Consultation and approval must be obtained from the Town Engineer,Roger Parsons, Contact 508-790-6302. ❖ Applicant must obtain all other applicable permits, licenses and approvals required. Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification,made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan (Zoning Section 240-105 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. A copy of the approved site plan will be retained on file. Sincerely, r Ellen M. Swiniarski Site Plan/Regulatory Review Coordinator CC: Tom Perry, Building Commissioner Roger Parsons, Engineering DPW Conservation Commission Old King's Highway Historic Committee TOWN OF BARNSTABLE BAR-W M 3233 Ordinance or Regulation WARNING NOTICE s Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name�Aw 1 5.���t ��' am/pni, on ��' 20 L Business Address -3 � ' J' (./1 -� Si.gft ture .of En°f:orcing Officer Village/State/zips_ �r�.. .�_.� , ( _ Location of Offense 018, 1 Enforcing Dept/Division Offenser"� " �.� + � t ( i'�`���"1 t f7 i r Fact`s�l f� o .• This ,j,i.11 serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinahces, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR_W Ne-,- 3233 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/ ip Business Nam DO1 e v amAEn on 2pff Business Address Sig a ure .o rcing Officer Village/State/Zipdwo4a�_ 6 6, 6 n Location of Offense sr Lol. "b 1 ✓ En orcing De /Division Offens FactsY(J ! ��{ This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. , 'i DEC 212015 TOWN OF BARNSTABLE BUILD t M I 6I ?N Map 2'f 1 Parcel Application ` Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 3 L-W AA a.i,ct Village :BAR I 4 1�2In Owner CA-iP® Cy io A ser A5S. Address ;�'q BQ RQg� C�4 Telephone -3(( Z Coq Z. q Permit Request 3:'1Z it? A,:x� 17-�—Aop t-- 3 �c S �a•J oE= cam, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio&(2 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 gNo On Old King's Highway: UrYes ❑ 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): existingnew 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 Ae-T Proposed Use 5,4,m_� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �d`/`�C rJ���S Telephone Number act 4 I Z& Address License# VAg,&J�x14, /1LL 0066G Home Improvement Contractor# 13fD 79f ` Email I (20�/ "a Ca"cA-s r w xL r Worker's Compensation # t.44& -SCY5-5Z;nq Ski 7 Zoi5fl ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# 'bATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i. � f * BARNSTABLE. • � "JLS& Town of Barnstable �rED MAC A Regulatory Services Richard V. Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I�CJ M I ,as Owner of the subject l property hereby authorize (,Q 1I5 to act on my behalf, in all matters relative to work authorized by this building permit application for: P-I- --j3 - — 0,-4 &A , (Address offob) t9r,ature of Owner Date 4,06 � rint Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side., Q:\WPFILES\FORMS\buildingpennitfomis\EXPRESS.doc Revised 061313 IC�11? e Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 105179 Type: DBA Expiration: 7/16/2016 Tr# 2BU84 WALLS CONSTRUCTION &REMODELING Troy Walls 87 CRANBERRY LANE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. ❑ Address ❑ Renewal ❑ Employment ❑ Lost Card SCA 1 0 26MOV11 t{aeeage or registration valid for individni use only Offiee of Gossamer Affairs&Business Regulation before the expiration date. lif found return tw ME IMPROVEMENT CONTRACTOR office of Consumer Affairs and Business Regulation egistration: 105179 Type: 10 Park Plaza-Suite 5170 xpiration: 7/1612016 DBA Boston,MA 02116 a.r WALLS CONSTRUCTIpN'&REMODELING Troy Walls ` 87CRANBERRY LANE SOUTH YARMOUTH,MA 02664 undersecretary 2otlid on ' lure Massachusetts Depattanent of Public Safety r Board of Building Regulations and Standards License:CSd144647 Construction Supervisor TROY AWALLS 87 CRANBERRY LANE- 'Itr r' SOUTH YARMOUTH MA� -- Expiration: eoinmissior�er 07/05/2017 axe Cojnmumma ih of UassachuseM Departmentafluda3ft rrlAccidents 600 W,6w ington greet Boston,.MA 02111, nmm?nnass�go-vldia Work.ots' Campensatian.Insurance Affidavit:Builders/Contractors/Electricians{Plumber-s Applicant Information. ` . / Please Priat I.egibtY 8II71✓{$i3�inPSza1[)aanp�/j�iyi (�- �!/�/_1.S City/Stat&Zip: j ` Phone 4 JCi 4 / to Are you an employer?Check.the appropriate box Type of Pct arrr a contractor and I TOie (required): 1.N6 am a employer with d-__ ❑ I 6_ ❑New you employees{full and/or part-#ime}* have hired the sub contractors. listed on the attached sheet y- ❑Rentodeliug Z._❑ I am a sole proprietor or partner- These sub-contractors have ship and have no employees S_ ❑Demalitioa w for me in an c ci r. employees and have workers' om�.ng y � � I 9_ n Building additions . Wes:workers's' Comp:insurance comp-1nsurant recl-ired-] _❑ We are a corporation and its 10_F]Electrical repairs or additions 3_❑ I am a h omtne%mer doing all work officers have exercised their I I-❑Plumbing repa=or additions Myself [No WCAM'Comp_ right.of exemption per MGL 12_�aRnofrepairs imuranre 1 c.1.52, §1(4} and we has a no. employees_[Na workers' 13-❑Other comp_in—required- *Any applicant that cheers box#1==also fl1 oia then section below showmgv fear woakere con�easatitm pniity irdhtrnaFi�t_ 1 Homeawners who submit this atEds mfftvb'tE they are ruing REtrz�t sa¢I rhea hue ostside contractors mnsi stabmit a nex s dux zt m r�u sack tc�mtascmm thst check this box mrast attaches€as additions/sheet rho h g the name of&a soil-oar oba and staff whether or not base i --fiaive employees. If the snb6<ontmctom home employees,they must pxuvide their workers'comp.policy number tarn an ernpld yer that is prmidhW workers'comWnsation ir=rance for my emr ployem Belau is the p &y and}ob site information_ Insurance Company Name- t AA A LaL,V&L policy#or self-ins-Iiti g-�tC/GL STAG—�taD�i 8 7 `Zlti s-/+ Expiration Date: 1 t Z Job site Address: 7> qgc> �ZY s t'c A Cityr'5tatejzip:-PSA-D-4fSaatit3L� Attach a copy of the-workers'compensation polity declaration page(showing the policy number and-,cpu-ation date). Failure to mcmre cm-erage as requine under Section 25A of MUM c. 152 can lead to the imposition of-criminal pmJ ies of a fine rip to$i_50U.aa and/or one-yearimpn ,as well as civil penalties in.the form of a STOP WORK ORDER and a fine of up to S250.DO a.tray against the violator_ Be advised that:a copy of this statement may be forwarded to the Office of imrrestigations of the DIA for inmirance:coverage-mriiication I dd hereby rt. tke pains and[penaWks o�f`p¢rjwy that the information prinidsd n •¢is and correct Sit�atnmme: Bate= / Phone i#: EJ Ed-al use only. Da not write in this area;to be campLeted by city or talrn offiszaL City or Town: PermitlLicense# Emuing Authority(circle oney: 1.Board of Health 2.Building Department CityfFawn Clerk 4.Electrical Inspector 5.P'lumbing IIIspector .6.Other Contact Person. Phone#_ 6 Infarmafion and Instrucfions Massachusetts General Laws chapter 152 requires all e loyers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...eve V person in the service of another under any contact of hire, express or implied oral or written." :t An employer is defined as"an individual,partnership,ass ciation,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and iuclu ' the legal representatives of a deceased employer,or the receiver or trustee o an individual,partnership,associatio or other legal entity,employing employees. However the owner of a dwelling h use having not more than three ap+ents and who resides therein,or the occupant of the - dwelling house of ano er who employs persons to do raa�ng�tenance,construction or repair work on such dwelling house or on the grounds or b ding appurtenant thereto shall not�ecause of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or cal licensing agency shall withhold the issuance or renewal of a license or p`° rmit to operate a business or to onstract buildings in the commonwealth for any applicant who has not P14 duced acceptable evidence of c mpliance with the insurance.coverage required Additionally, MGL chapte,152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for�e performance of public work tiI acceptable evidence of compliance,,vith the insurance requirements of this chapter have been presented to the con cting authority_" Applicants — Please fill out the workers' coin ensation ai�da)enuiabe:rIisthdbelow. l ely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor )name(s),add d phone numbers)along with u�iei cer 1ricaie(s) of insurance. Limited Liability Co antes(LLC) o Liability Partnerships(I LP)with- Do err; loyees other than the members or partners, are not r ed to carry wmpensation insurance.ce. If an LLC or LLP does have employees, a policy is required B advised that vit may be submitted to the Department of Industrial Accidents for confirmation of" ce coveragbe sure to sign and date the aufidav t 'lire a.idavit sbould be returned to the city or town that e applicatio permit or license is being requested,not the Department of Industrial Accidents. Should you huleff-partmcritat any questarding the law or if you are required to obt=il a workers' compensation policy,please call theuzimber listed below. Sell insured compam%es should enter their self-insurance license number oa the propri.afe City or Town Officials Please be sure that the affidavit is comp and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out m th ent the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permi ' ease umber which will be used as a reference number. In add don,an applicant that must submit multiple perm cease lications in any given year,need only submit one afl-idavit indicating current policy information(if necess )and under"Job Site Address"the applicant should v,rite"all locations ilz (city or town)."A copy of the afli t that has bee officially stamped or marked by the city or town may be provided to the applicant as proof that a 'd affidavit is on e for future permits or licenses. A new affidavit must be filled out each year.Where a home o er or citizen is ob g a license or permit not related to any busi_Tiess or co; ercial venture (i.e.a dog license or ermit to burn leaves etc said person is NOT required to complete this affidavit_ The Office of Inv st-gations would like to th you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departrnent's address,telephone and fax number: fie Gornn�nnwealtlt of Massachusetts Department of Industdal Aaci-de is Office of lavest gatiom 600 Washington Sf t,et 13c�ston,MA 02111 Tel,4 617 727-490U-W 406 or 1-877 MASSAFE Revised 4-24-07 Fax i 617-727-7-749 .masmgov/dia Mass. Corporations, external master page Page 1 of 2 Corporations Division Business Entity Summary ID Number: 046004847 Re uest certificate New search Summary for: CAPE COD ART ASSOCIATION, INC. The exact name of the Nonprofit Corporation: CAPE COD ART ASSOCIATION, INC. Entity type: Nonprofit Corporation Identification Number: 046004847 Old ID Number: 000007794 Date of Organization in Massachusetts: Date of Revival: 06-24-1988 05-13-1948 Date of Involuntary Revocation: 11-17- Last date certain: 1986 Current Fiscal Month/Day: / Previous Fiscal Month/Day: 00/00 The location of the Principal Office in Massachusetts: Address: P.O. BOX 85 3480 MAIN ST., ROUTE 6A City or town, State, Zip code, BARNSTABLE, MA 02630 USA Country: The name and address of the Resident Agent: Name: Address: City or town, State, Zip code, Country: The Officers and Directors of the Corporation: Title Individual Name Address Term expires PRESIDENT LOUISE FOSTER 204 CLAMSHELL COVE RD COTUIT, 2016 MA 02635 USA TREASURER LAURA LINCOLN 37 CAPTAIN RYDER RD SOUTH 2O16 YARMOUTH, MA 02664 USA SECRETARY ANN CANEDY 70 VAN DUZER RD CUMMAQUID, MA 2016 02637 USA ASSISTANT LAURA LINCOLN 37 CAPTAIN RYDER RD SOUTH 2O16 CLERK YARMOUTH, MA 02664 USA VICE SUSAN GUILL 3118 MAIN STREET BARNSTABLE, 2016 PRESIDENT MA 02630 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=046004847... 12/21/2015 Mass. Corporations, external master page Page 2 of 2 VICE JOHN TUNNEY 159 GREAT FIELDS RD BREWSTER, 2016 PRESIDENT MA 02631 USA VICE ANNETTE MACADAMS 1A POPE'S MEADOW SANDWICH, MA 2016 PRESIDENT 02563 USA DIRECTOR ROBERTA MILLER 214 CARRIAGE WAY BARNSTABLE, 2016 MA 02630 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing Note: Additional information that is not available on this system is located in the Card File. View filings for this business entity: ALL FILINGS Annual Report ^` Application For Revival Articles of Amendment Articles of Consolidation - Foreign and Domestic v View filings Comments or notes associated with this business entity: i i New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=046004847... 12/21/2015 Client#*40463 2WALLSCO F12/21/2015 16(MMIUU/YYYY) LTHISCC2ERTIFICATE RD. CERTIFICATE OF LIABILITY INSURANCE 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). PKODUCkm CONTACT NAME: Dowling&O'Neil Insurance Ag PHONE 508 775-1620 FAX 5087781218 iA/C,Nu,EAI): (Alc,Nu►: 973 lyannough Rd, PO Box 1990 t-MAIL ADDRESS: Hyannis, MA 02601 INSURERM)AFFORDING COVERAGE NAICB 508 775-1620 INSUMEN A:Associated Employers Insurance INsuKtO INSURER B Troy Walls dba Walls Construction INSUHtH C &Remodeling INSURER D: 87 Cranberry Lane INSUHtH h South Yarmouth, MA 02664-1007 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSN TYPE OF INSURANCE AUU ! k UMN POLICY FF POLICY XP LIK INSR WVD POLICY NUMBER (MMiuDlYYYY) (MMNU/YYYY) LIMITS GkNlHAL LIAtl1U I Y 1-ACH()CCI IKKFNC � GE ENTED T�R COMMERCIAL GENERAL LIABILITY PHFDAMAMI;,F;; Fa nrr.Ilnrnrr. $ (:I AIMS-MAIM n 00c"11K W-D FXP(Any nnn rrr..nn) $ PF KSONAI A At JV INJI IKY $ GENERALAGGREGATE $ GENII AlillkF- F I IM11 4PPl IH.i PFK: PH61111C I tR-COMPIOP AAG $ r'OLICY JFCT PHU LOC $ AU OMOHILh LIAHIL1IY COMHINI-1)S'IN61 t-1 IMI I (ES n UU5111) $ ANY AUTO BODILY.INJURY(r'w ye,auu) $ ALL OWNED SCHEDULED At I I(IS At I I Oti HOIIII Y IN.IIIHY(PrrnrrlArnl) $ N(JN-l)WW-D PHl)PFK 1 Y IJAMAGI- HIRED AUTOS Al l 10 I'e,—id-0 $ $ UMtlHtLLA LIAU OCCUR EACH OCCIIKHFNCF EXCESS LIAB CLAIMS MADE AGGREGATE $ LIED RETENTION $ A WORKERSAND COMPENSATION MIIs SATIOLIAkAILI Y WCC50050095872015A 11/05/2016 11/05/201 X W H I"M It, �H" ANY PROPHIF 10HMAKINI-WHXI•(:111 IVF YIN E.L.EACH ACCIDENT $500000 OFFICERIMEMBEn EXCLUDED? MIA -- (Mandalory In NH) F.I.I11,4-A'4--FA FMPI OYFF $500 000 If V"S,de=ibe Undal 10-SCRII+I ION OF OPFKA I IONS hr.Inw E.L.DISEASE-POLICY LIMIT $500,000 U6SCKIP I ION OF OP6HA I IONS I LOCA I IONS I VhHICLLE(AILICh ACOKU 101,AddItImal Ka arks Schadula,If mora Xpnea IS raqulrad) Workers Comp Information`R Voluntary Compensation Proprietors/Partners/Executive Officers/Members Excluded:Troy A.Wails,Sole Proprietor Insurance coverage is limited to the terms, conditions,exclusions,other limitations and endorsements. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AU I HOKILhU KlPKtStN I A I IVt ,B .L - Q 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S 162788/M 162787 C B D ''►'lc�w� tKE r Tomn ofBa.rnsta_ble Regulatory Services �B''M SS. Thomas F. Geiler, Director 2639. Building Division , Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom FROM: Lois DATE: 2/24/10 RE: Certificates of Inspection We have State Certificates of Inspection for the following but don't have our COIs. Ralph asked me to check with you on whether we need them for the following: Cape Cod Maritime Museum JFK Museum Cape Cod Art Association Rectrix Aerodrome Centers I checked with Chris, who said the Maritime Museum and Rectrix have 2-3 events a year and the JFK Museum has 1-2 events. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION w Map Parcel".—" ' Application # Health Division Date Issued 7:: Conservation Division Application Fee oe—) Planning Dept, Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address Aqofo &_�4 gat r r4 Village Owner (!QpPe Cod 4,A SaGiQL_46N Address 341e® le-A �grNs��l*' f�•1� Telephone // Permit Request J�r o E--(ES I" Sfof,IQQ 1,-e ,P Square feet: 1 st floor: existing - proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay oject Valuation 0-01006• 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/coalstove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ riow s81_ Attached garage: ❑ existing q new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ w . Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �v J Name _ `� �P� U��'`�S Telephone Number ���" �a dam`6 YS^ Address _� E 1&.L2 ��i License #_ 16dacv CO V '�trs�an's 1P't< <<S Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY `$ APPLICATION# DATE ISSUED MAP/PARCEL NO. - } ADDRESS VILLAGE y OWNER - •, r r DATE OF INSPECTION: - FOUNDATION . t FRAME + INSULATION FIREPLACE 0 • r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION•PLAN NO. The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information 5 Please Print Legibly Name (Business/Organization/Individual): �'6Q �,.c� C bps 4—t ae 4lO IJ Address:q1 �wlrra�r' �.ti City/State/Zip: 1Mu�5�o>tig 1� <<s Phone.#: S06 (lad--y` S Are you an employer? Checkthe appropriate box: .Type of project(required):, 1.[�I am a employer with 4• ❑ I am a general contractor and I * have hired the sub-contractors 6 ❑New construction . employees(full and/or art-time). 7, Remodeling 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. ❑ g ship and e P'r no employees These sub-contractors have g, ❑Demolition employees and have workers' working for me in any capacity. 9. []Building addition [No workers'comp.insurance comp.insurance.$ 5. [� We are 10.❑"Electrical repairs or additions required.] a corporation and its - ' 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 13 ❑ Other employees. [No workers'. comp,insurance regnired] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such, tContractors that check this box must attached an additional sheet sbowing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and jab site information. ] Insurance Company Nam 1e: (� ra ti t P � Policy#or Self-ins.Lic.#: LD©�—��' ®� Expiration Date: /C�q Job Site Address:-3��8 City/State/Zip: a5/r ��ba 1 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 tip 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 maybe forwarded to the Office of Investi ations of the IA for insurance coverage verification. I,do hereby certi under pa' s•an enalties ofperjury that the information provided a ove ' true and correct. • . Date: '� � .�� Si ature: — Phone#: Official use only. Do not write in this area, to be completed by.city or town,officiaG 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 Phone#: Contact Person: 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 hue, 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 or the occupant of the of ore than three apartments and who resides therein, p owner of a dwelling house having n �n p dwelling house of another who employs-,persons to do maintenance,construction or repair i ork on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employmen e deemed to be an employer." MGL chapter 152, §25C(6)also states that"every-state or local licensing agency all withhold the issuance or t or an commonwealth f uct buildings n the comet Y a license or permit to•o erate a busin� s or to constr g renewal of p P applicant who has not produced acceptable evidenc of compliance with th insurance coverage required." Additionally,MGL ehapter_152, §25C(7)states "Neither 'e commonwealth r any of its political.subdivisions shall public work til acceptable e dense of compliance with:tlie insurance o an contract for the.performance of u w p enter into y p P • requirements of this chapter have been presented'to the contr ting authori Applicants Please fill out the.workers' compensation affidavit completely,by cking the boxes that apply to your situation and,,if necessary,supply sub-contractors)name(s);addres`s(es)and phone ber(s) along with their certificate(s) of , insurance. Limited Liability Companies(LLC) or Limited Liabili a erships(LLP)with no'employees other than the members'or partners,are not required to car y workers' compensa on ^ ance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit ma be sub 'tted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sur to sign an date the affidavit. The affidavit should be retumed to the city or town that the application for the pe ' .or license is �eing requested,not the Department of Industrial Accidents. Should you have any questions regardin the law or if yo�are required to obtain a workers' compensation policy,please call the Department at the numb r listed below; Sel-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 egibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Offic of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number whi h will be used as a reference numb r. In addition,an applicant that must submit multiple permittlicense applications any given year,need only submit o e affidavit indicating current policy information(if necessary)and under"Job Sit Address" the applicant should write"a locations in (city or town)."A copy of the affidavit that has been officia y stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for ture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a •cease or'permit not related to.any business$r commercial venture (i.e. a dog license or permit to bum leaves etc.)sai person,is NOT required to complete this affidavit. The Office of Investigations would like to thank y u 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 nu er:, ti , e Co.. : QuwWth of Wsswhusetfis Dfpa mt of Indus iai.A:cci&mts fficc of luv-estigations. 600 Washingtoii Street TO. 617- '-4900 ext 406 or 1-977-M. ASSAFE Fax 4 f 17,72 7»7749 Revised l 1-22-06 www.mass.gov/dia Jul 07 09 09:OOa Anu;a Ic3eayi rr 5083623223 p.1 LJI��r gnw Town of Barnstable' Regtilatory Services hoartas F. Geller,Director Building Division Tom Perry,F3WIdInb Commissioner 200 Main Strut,Hyannis,MA,02601 w4vw.�ow•n.barns4e�i Ic.srta.us Off-ice.: 508-962-4038 Fax: 503-790-62.30 Property, Omae r Must , Complete ,and Sign This Section If Usj!�A�B i$(der , 1 ''--w k F% - ._- .I"(/� -z - , a Ow-nec•of 6-C subjecr pr°pc ty der..,by at:thorzeze a r s ��..��7�,� - �-�r'l�°S1'�.�.--�T8� r tc act oa rn� beha9f, jj,all rn=ers rylative to are auLtUori?ed CIV=�s 'Viilding pLr=' application for. ) of job ,ry r r sip.,.iamre of(>Amer Ck P.tint Name if Ci e �s appl s. c r e iplease complete tfi.Q Ilomeo ners License Exemption Form on the rev "'S-e SiCIC. 1 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR I Registration 162938 9' Exprpton '4/27/2011 Tr# 283438 Type DBA MEAGHER BROTHERS CONSTRUCTION MICHAEL MEAGHER JR.. 97 EMERALD LN MARSTONSMILL,MA 02648 Administrator i Vla„achusetts -Pcpartnicnt of Public Safm Board of Buildin!, Rc,;ulations and St:uuiards Construction Supervisor License License: cS 102260 Restricted to: 00 MICHAEL MEAGHER JR 97 EMERALD LANE MARSTONS MILLS, MA 02648 Jam- -� �� Expiration: 11/5/2012 (,numi.��iarcr• Tr#: 102260 ' y Restricted to: 00 � — [Referto: 0- Unrestricted G-1 2 Family Homes ailure to possess a current edition of the assachusetts State Building Code cause for revocation of this license. WWW.Mass Gov/DpS License or registration valid for individul use only i before the expiration da e. If found return to: Board of Building R ations an tandards One Ashburton P1 a Rm 130 Boston,Ma.0 r _ --- N -valid withou s ------- —— - 7 F. k fl. THIS CERTIFICATE IS ISSUED A MATTER OF IN NO RIGHTS UPON THE CERTIF CATE ON PRODUCER ONLY ANDEND Cod Insurance Agency Ino HOLDER. ECOVERAG AFFORDED BY HE POLICIES BE OW IS CERTIFICATE DOES NOT AMEND,EXT Old Cape ALTER THE 296 Winder Street Hyannis,MA02601 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Michael Meagher 97 Emerald Street Mamtons Mills,MA 02648-0000 IRIIIi ABO THIS IS TO CERTIFY THAT THE POITION LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ANY O NAMEDRACT �VHER R THE POLICY PERIOD INDICATED,NOT WIT CERTIFICATE IFICATE MAY REISSUED OR MAYMENT,TERM PERTAIN,THEINSURANCEUCH GESLMEDTHETS N DOCUMENT WITH RESPECT TO WHICH POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF 5 MAY HAVE BEEN REDUCED BY PAID CLAIMS. m TYFS of INSURANCE FOLKSY NUMBER FOuaY EF14CT1VS DATE FOLICY EXFQIATION DAIS LIMITS A AND EMPLOYERS LIABILITY ` I E PROPRIETORI PARTNERSIEXECUTIVE 1 110 9120 09 ATUTORYLIMRS OFFICERS ARE: 4520569 11/09/2008 5 100,00 NCL❑EXCL0 CH ACCIDENT THER � 600,00 CummQaAppllastoMAOparallmaOnly' ISEASEPOLICYLadIT $ 100,00 ISEASE�JICH EMPLO E DESCRIPTION OF OPERAT{ONSNEHICLESISPECIAL ITEMS DOES NOT PROVIDE COVERAGE FOR MICHAEL MEAGHE RE:THE WORKERS COMPENSATION POLICY R.CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OR O ETMF MAIL BLDG OF B EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 14 BL SOUTH ST DAYSWKITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 230 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNES. HYANNI MA 02601 AUTHORIZED REPRESENTATIVE 9 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map Parcel App lication Health Division Date Issued Conservation Division Application Fee . � 6� Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project-Street Address S��0011 �",". 6 A R °''► _ `Villa �{ccs �• S � l •'Ow_ner, CG p e Asloci 4 l °o a ���o R-�. 6 /9 U �C✓+�►S � �(' 'Telephone- .fig 8 L -A �O P� e mtTR quest-r eMov Re P itic� g W `., �otj S Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay -Project_w:Valuati f o 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 C unt Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/cam; tove: ❑�'es �❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exi ting ❑ w sib 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 ��Ce �l� Ra a n G Telephone Number 7f ~ 6 3 0 _ 013 a l Address Ta License# 0 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � r / . ƒ ` FOR OFFICIAL USE ONLY { APPLICATION# . \ DATE ISSUED . . \ MAP/P RCELNO / ADDRESS VILLAGE { OWNER . $ \ DATE OF INSPECTION: . { . i FOUNDATION 7 FRAME ( INSULATION . ƒ FIREPLACE \ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f . GAS: ROUGH FINAL / \ FINAL BUILDING % ( . . . . f I DATE CLOSED OUT ASSOCIATION PLAN NO. / 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): 1�e Pe it In C. Address: P.D. Poe L 7Z City/State/Zip: M@. 02fba Phone.#: So 8 ` S?.9 7Y Y Are you an employer?Check the appropriate box: Type of project(required): 1.q I am a employer with 3 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. ❑Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑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.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other Comp. insurance required.] . "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: W C I b a I Expiration Date: 11 f 7 1 6 Job Site Address: tl F 0 Rt L A. City/State/Zip: Qa4'n i 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 certify under the ainss an enalties of perjury that the information provided above is true and correct Si mature: ` Date: ! Z U Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provid workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the ervice of another under any contract of hire, express or implied,oral or written." An employers defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the forego ,g engaged in a joint enterprise,and including the leg fl representative's of a deceased employer,or the receiver or tee of an individual,partnership,association or othe legal entity,employing employees. However the owner of a dwe ing house having not more than three apartments nd who resides therein,or the occupant of the dwelling house o another who employs persons to do maintenan e,construction or repair work on such dwelling house or on the grounds oN ding appurtenant thereto shall not beca a of such employment be deemed to be an employer." MGL chapter 152, b)also states that"every state or loc 1 licensing agency shall withhold the issuance or renewal of a license or per, t to operate a business or to c nstruct buildings in the commonwealth for any applicant who has not proced acceptable evidence of co pliance with the insurance coverage required." Additionally,MGL chapter 152; §25C(7)states"Neither the ommonwealth nor,any of its political subdivisions shall enter into any contract for.the pe imance of public work u®tii acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the con acting authority." Applicants Please fill out the workers' compensation affidavit compl tely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),eaddress(es) d phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC or Limite Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry wo ers'c mpensarion insurance. If an LLC or LLP does have employees,a policy is required. Be advised that tlu affi vit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. o e sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for t permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions re ding the law or if you are required to obtain a workers' compensation policy,please call the Department at the u ber 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 print legibly. a Department has provided a space at the bottom of the affidavit for you to fill out in the event the Off e of Investi tions has to contact you regarding the applicant. Please be sure to fill in the permit/license number w h will be use as a reference number. In addition,an applicant that must submit multiple permit/license applications any given yea need only submit one affidavit indicating current policy information(if necessary)and under"Job Sileddress"fhe apph nt should write"all locations in (city or town)."A copy of the affidavit that has been officiall stamped or marked the city or town may be provided to the applicant as proof that a valid affidavit is on file for fiture permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to co lete this affidavit. The Office of Investigations would like to thank you in vance for your cooperation an should you have any questions, please do not hesitate to give us a call. v The Department's address,telephone and fax number: i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washin'�ton Street Boston, MA_ 02111 � Tel. ##617-72.7-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia �-�I v1f 4vv f muiv 1..�: 40 P',RA SUb 504 ,5,91 Bouchie Insurance 12001/001 i ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY) 12/03/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Robert E. Bouchie Jr. insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1352 Rt 28A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, PO Box 400 Cataumet, MA 02534-0400 INSURERS AFFORDING COVERAGE lj NAtC# INSURED Kettel Inc INSURERA: ESSEX INSURANCE CO P.O. Box 670 INSURER a: GRANITE STATE INS CO Sagamore Beach,MA 02562 INSURER C: -_ -------__--- INSURER 0: __- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. iNSDT Lr POLICY EXPIRATION POLICY EFFECTIVE POLICY NUMBER i LIMITS A i GENERAL LIABILITY 3CU9482 07/28/07 07/28/08 EACH OCCURRENCE j _X COMMERCIAL GENERAL LIABILITY D.AMfCc`,E TO RENT'EL? 3 --]CLAIMS MADE OCCUR - - I✓ED EXP(Any one person) $ 1 000 PERSONAL&AOV INJURY $ 1 MOM() GENERAL AGGREGATE _._ $ 2,000,OQa_ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S 2,000,000 POLICY! PROS El JEC LOC - - - � - AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS X SCHEDULED AUTOS 8 er INJURY S .__ (Peetr person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS - .(Per acddeni)- tt --•"' - I PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY-EA ACCiDENI $-- ANY AUTO ......... _. .- -.-.-..-.._ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ —. - OCCUR CLAIMS MADE - AGGREGATE S T $ DEDUCTIBLE �.- RETENTION 5 �' - B WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY WC•'1�2�84g 1 1/3/07 11/3/08 X Y IMjS.S _.-...-F _ ..I.ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ 0D 000 J.OFF'CERfMEMBER EXCLUDED?If yes,describe under - Cl,DISEASE-EA EMPLOYEEI$ 100,000 SPECIAL PROVISIONS below E.L.DISEASE•POLICY LIMIT $ FjQO OOO � - OTHER. - )ESCRIPT[ON OF OPERATIONS!LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER.VJILL ENDEAVOR TOMAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO OO SO SHALL IMPOSE_NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIV . _ AUTHORIZED PRE TATIV a ,+z .... ,CORD 25(2001108) ©ACOR `CORPORATION 998$ u. 19 AAA" . .�9 11�1� Contract ROOPHNG 89 SIDING WWW.KETTELLINC.COM December 13, 2007 Cape Cod Art Association revised Valerie May Douglas 3480 Rt. 6A, Barnstable, Ma 02630 508-362-2909-Phone 508-362-3223- Fax Windows • Remove 8 awning windows,the upper collection of 5 windows on the left hand back side will be replaced as well as the.collection on three on the right hand back side. • Replace with Anderson awning,non-opening, white,high performance,pre-finished interior, windows. • Trim exterior of windows with pre-primed pine. • Trim interior of windows with colonial casing. rj� Louver Vent • Remove louver vent, fill in,and cover with white cedar,clear, shingles. The interior shall be covered with wood AND �A����1) � N4T 1� Fxi ST'I l�� Door • Remove existing door leading to rubber roof,strip sidewall and re-flash rubber area, and install new Therma-tru Smooth Star door with Tru-defense adjustable composite sill. Trim exterior with lx5 pre-primed pine. Apply new white cedar,clear,shingles,where sidewall was stripped.Trim interior with colonial casing. 'per rK I rl PA N T Roof Leak • Remove wood ridge cap; add drip edge and new course of shingles to seal off against leaks. Special Instructions • Kettell Roofing shall remove all job related debris. Payment Terms and scheduling • The windows require a four-week factory lead-time. • The job will commence approximately four weeks after a down payment is received. The estimated time for completion is five working days. T e bal c f t e contra t shall be due upon completion. Cost-, c r.r 't� � t2 �12C /ALL J $7 325.00. Down Payment $2,500.00� Date of acceptance Z�2 Customer signature P.O. Box 670 ° SAGAMORE BEACH, MA 02562 • TEL: 5❑B-BBB-3744 LICENSED AND INSURED -� ' YHE Sign BARNSTABLEPermit TOWN OF * sARNSTABLE, • 9 MASS. �Opr16 9. .�a Permit Number: Application Ref•. 201204734 20070781 Issue Date: 08/06/12 Applicant: CAPE COD ART ASSOCIATION Proposed Use: CHARITABLE SERVICES Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 3480 MAIN ST./RTE 6A(BARN.) Map Parcel 299071 Town BARNSTABLE Zoning District RF-2 Contractor PROPERTY OWNER Remarks REPLACE EXIST FREESTND SIGN CC ART ASSOC LIGHTING TO BE DOWN LIT Owner: CAPE COD ART ASSOCIATION Address: PO BOX 85 BARNSTABLE, MA 02630 w Issued By: pc........... .., POST THIS CARD SO THAT IS VISIBLE FROM THE S ET. v � Town of Barnstable Regulatory Services B"R'' LE. " Thomas F.Geiler,Director ° ►` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving //Z� �� p III� Application for Sign Permit Applicant: (:ep e l�Ocf �A550 G t cyl Oh Assessors No.02 o7 Doing Business As:AIA't-PrdAt ayt Telephone No.508 31O d- —0.76 9 Sign Location `I f Street/Road: 3 �� 8a t w �TVec' 6a�KSTG� [e_ Vi I(Me_ Zoning District: Old Kings Highway? Ye No Hyannis Historic District? Yes Property Owner �n I i Name: l�C o�eA 1' t t(e r. �../1 rec�Yr Telephone:56 9` 36 `Z?'O Address: 3 AOL4 K Sh'ml Village-Tka ok6 'b Sign Contractor Name: D04 10.6 AM,do_ Telephone:J�08 f��$"O& Mailing Address: % ))0/, AA o)z G>.3 Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? (Yes o (Note.Ifyes,a mi ingpennitis required) Width of building face ft.x 10— x.10 a Nod' OA bul1d1'17 J p J Check one Reface existing sign or New Total Sq.Ft.of proposed sign(s) 0 Ifyou have additional signs please attach a sheeths&g each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the 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 §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: ( OZK+.Q. 1t .aa. Date SIGNS/SIGNREQU revised12110 sign 0"' Wide AssociaLion sign 1 38.4" Nigh G * f _5 Post 10" with 3' under grade ' above ground ' OccasSion al Sign Addendum. Occassional 6" High Sign Addendunn 30"' Aide I j I ; ` Post ""Art Gallery & Gifts," carved with white paint- All ll other .Il�ettering white vinyl,. Sign Border carved with gold inlay- k Narrative and Spec Sheet Page 1 Narrative New Signage for the Cape Cod Art Association This is an application for a new double sided sign replacing an existing one. The new sign will be identical in square footage and color, with a narrow border of gold leaf. It will be supported by two wooden posts; the use of two posts instead of one should prevent the leaning of the current sign that occurred with time. The new sign will be repositioned slightly closer to the driveway for easier access by our staff and will be professionally installed. In addition, there will be a small addendum sign which will be available to hang from the bottom of the permanent sign. This will be used only occasionally to announce special events, such as receptions or shows of special importance. No trees will be removed or changes made to the landscaping. Specifications The specifications for the new sign are: Dimensions and materials(shown on page 2 of attachments):: Sign: 38.4" H X 30 " W = 8 ft12 in Philippine mahogany Sign addendum: 9.6" H X 30" W in wood Support: (2) 4" x 4" X 10 ' white wooden posts installed 3' below grade Graphics (shown on page 2 of attachments): Sign will be double sided with graphics and color as shown in attachments. Addendum color will match the permanent sign. Lettering "ART Gallery and Gifts" to be hand carved and painted white. Logo and remaining lettering will be produced in white vinyl. A narrow plain border will be hand carved and gilded in gold. The sign will be manufactured and installed by Amidon Woodcarving (letter shown on page 3 of attachments) Location: (site plan shown.on page 4 of attachments) Generally, the same as existing sign. Details of small offset shown on attached plot plan. a ��-- - --- - i --top l i I i I i GC S �o -0 cou:es F Vend®r's Leger Describing Sign a rage 3 April 26, 2012 Cape Cod Art Association Route 6A Barnstable, MA Re: new sign Amidon Woodcarving does propose to fabricate a new sign of approximately 38.4" x 30" in Philippine mahogany. Double sided. Painted back ground and letters. Ground in five coats of chromatic alkyd enamel. Logo, as well as Cape Cod Art Association in white vinyl. ART Gallery & Gifts hand carved and painted in white. Workshops & Classes as well as Photography Center of Cape Cod also produced in white vinyl. n leaf- Cove area carved and painted in w4i4e. There will be two ten foot 4" x 4" p/t posts installed 3' below grade and painted white with the sign between. Price of $1,450.00 includes removal of current sign and installation of new. Should a decision be made to utilize our services we would require a deposit of approximately one half of the total costs. Tax exempt organizations should provide their number to eliminate the 6.25% Ma sales tax. Any questions please feel free to call. Thank you for contacting Amidon Woodcarving. Regard " Site Plan Shoving Location of Existing and Proposed . Signs Page 4 I \ /5 #2 I .._. AIL I 1� r N / \/ H 3�...� D' 0 EI A GRAVEL � - I SHED \ G �+! / \ PARKING �...� / PAVED PARKING I I\ I G\: HHAND C 1: i SIGN C I i W/O SUB 0.m 48.9' ( I I D6TING \ \ I • \ \ II - 1ST BUILDING FLOOR EL=57.9' , I I I \ TREWS 7.8• \ Co \ �A 3 \ \\ ------- \0 \ \ NO PARKING LINES \\ �j 18- 1 T Ppho i°� / \\ ELEC. / Y[!f<J✓ \ HANDICAP" PANEL ( ' SIGN o J / \\\ WIRE RpU�E ^' 1t �� y�� Fa fir• r �A � �; ,s �x +: , . , ,F r Anderson, Robin From: Louise Danelouise@comcast.net] Sent: Wednesday, July 25, 2012 2:20 PM To: Anderson, Robin Subject: Sign Application Hi Robin, The following information is related to an application for a sign permit for the Cape Cod Art Association at 3480 Main Street, Barnstable Village: I had not put the width of the building face on my application. There are two parallel faces in separate planes facing the road. If both planes are included, the width is 65 feet. If only the plane closest the road is counted, the width is 50 feet. Also, on the application I say the sign is to be electrified. We understand that we will have to get a separate permit for that. Please let me know if you need any other information and thank you for your help. Louise Foster t t 1 I,� �� [1�*Y'x1Mt'•w'S�y/ ! w� � mod`h<E• �y}.,i 1`l� �.�+�„on, rL.� r .-'V°�.� �` ���'��k, r i., Y��"„�"�".rt *{*� rt � - Y`r• � •��-t r� a., y t. s 4� XFINITY Connect Page 1 of 1 XFINITY Connect berta1@comcast.ne* +Font Size- sign From :John Tunney<john@jtunney.com> Fri,May 25, 2012 03:09 PM Subject:sign To:'Robeta Miller' <bertal@comcast.net>,'Louise' <janelouise@comcast.net>,'Don Fleet' <fleetwoodphotography@yahoo.com> Sorry,guys,I won't be able to make the meeting. Louise,I'll edit the site plan to include some scale for the new and old sign. The existing sign is about 10 feet from the drive. The post is about 6 feet from the sidewalk. The new sign will be about three from the driveway and the post closest to the street will be about 6 feet. There's a large rock near the corner of the driveway and the sidewalk. We can t be precise a ou o e new sign ecause we on't know ow far the rock extends underground. The idea is to have it back far enough so that a flag won't interfere with the sidewalk or block the view of drivers leaving CCAA. JohnAl V� httv:Hsz0013.we.mail.comcast.net/zimbra/h/i)rintmessaae?id=404875&tz=America/New York&xi... 6/8/2012 Don Fleet,6/28/12 9:18 AM -0700,Sign/Barnstable requirements 1 X-CAA-SPAM: F00000 DKIM-Signature: v=1; a=rsa-sha256; c=relaxed/relaxed; d=yahoo.com; s=s1024; t=1340900317; bh=lSfEg9ROCoICOuL54NreFOG9HJBPfT4ypEo9POzy6kA=; h=X-YMail-OSG:Received:X-Mailer:References:Message-ID:Date:From:Reply-To:Subject:To:MIME-Version:Conte nt-Type; b=BmriEMFWyFh66igbobULpS9O39xXCugLEjvsNQbKRXNAJPOuw3vRXK7ZIygIHFsyuXwy8N1DeYHAS/9kmavRuxPmaDfDURtry/5g keloUGXy/+28LUEOOA/K5m4a2uf/mhdbxswE9k6MU986WB/O8w+umbllcKIOSBI1gP3AsEs= X-YMail-OSG: gJ3ERjIVMlm wpZMD4NR4kouJigepdZtlawsSftJNVWIDn9 UdPbw3Ky6okte4eodjhX2fexpfAx2gkT9JRaRn4LBoum8_vclSleNuSl3DkZ iTgk LDUW4HImdCGjg3LrxldsuuOGWzfPAcEMXSjPa6ztjTKQyZsfBhjhbWg bQFk74H107a1MhhjW1Ad46CesrgKebTSmxQeHOkGHGaQjUlM6IUmuaEUXuO Mw.NfM5whh2gwJ5q_tMxNM*IKJFbQCD9wJnyOiWrjjVDz5QnGPPzcRY9QI3J iEWomE3oBFnve9Axm9z3ceizJegdjy2ajh6xuxi0EIekhKQGHYHmMiKCghCq 6ftsmYIjeXyapnrbhue2HZZNKfLVfFQ4FxiIjtBZICzh1IYIYRduQMesNgG7 RMT_RQ1YWu9YFi.ROPOPOlgch.WgHFbOozsXwGJtv5eridcRgz9i.xBtsNt Qb9IbNnCSb.DDBg0- Date: Thu, 28 Jun 2012 09:18:37 -0700 (PDT) From: Don Fleet <fleetwoodphotography@yahoo.com> Reply-To: Don Fleet <fleetwoodphotography@yahoo.com> Subject: Sign / Barnstable requirements To: Louise <janelouise@comcast.net> Attached are the sign requirements & the cross sectional drawing the Town of Barnstable is requiring The only additions were needed to is part 3 of 2 {cross senction 8.5 X11} attached Number 3 is not needed. There are no brackets required. The sign maker cuts a tenon down the length of the sign .. as well as dado slot down the side of the post .. slides into the post and 3 screws are placed in each side. Louise has info for requirements 1, 2, 4 & 5 Not really clear whether we have nailed down the shade of blue..In John's 1st email he showed a blue color .. maybe the thing to do is get a swatch from Doug .. he's not going to get to this for a couple weeks and I will probably run into all of you .. or maybe leave it CCA The other decision is what we want on the "special events" signs . Gallery Sale, Off The Wall. Reception Friday .. somewhere along the line someone suggested leaving a few blank and lettering them ourselves the electrician is on my radar don Printed for Louise<janelouise@comcast.net> 1 TOWN OFBARNSTABLE BUILDING PERMIT APPLICATION Map 2� J Parcel O Permit# �d 3 `� Health Division q Date Issued Conservation Division - Q Application Fee Tax-Collector v d _ Permit Fee !rq 0 Treasurer AA ECTED SEWER ACCOUNT Planning Dept. 1 2 Date Definitive Plan Approved by Planning Board 1 Historic-OKH Preservation/Hyannis Project Street Address 1 4�% O 'iZ� T Village�/a.f� n1� TA�i___� �. Owner( �,atD�?TAddress 3 �-� Telephone $ - 0 Permit Request N Eh! ►'Zpni T7 _`% '1G—tZ jM1�s DO JL AQr LZ A o G.__Z Square feet:1st floor:existing N r lam. proposed — a .Pnd floor:existing f-J/6, propcsed �_ Total new Zoning District Flood Plain Groundwater Overlay_ Project Valuation 7 t�-Gonstruction Type ,3 Lot Size N JL� Grandfathered: Q Yes Q No If yes,attach supporting documentation. • Dwelling Type: Single Family Q Two Family Q Multi-Family(#units) Age of Existing Structure t / Historic House: ❑Yes *No On Old King's Highway: Yes Q No Basement Type: ❑Full ❑Crawl Q Walkout Q Other ►� /�1T Basement Finished Area(sq.ft.) tJ I P, 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 Q Electric Q Other Central Air:--U Yes ❑No Fireplaces:Existing New Existing wood/coal stove: Q Yes Q No Detached garage:Q existing ❑new size Pool:Q existing Q new size Barn:❑existing Q new size Attached garage:❑existing Q new size Shed:❑existing Q new size Other: Zoning Board of Appeals Authorization ❑ Appeal# , ' Recorded Q Commercial Q Yes ❑No�/'If yes,site plan review#N ��►��9t'Zicm 7—� Rt—p4 t Z IE Current Use ' Proposed Use BUILDER INFORMATION Name 19 4 - e5 Telephone Number CaL Address q-2 r �i crJ T License# C S �1..b)nl t d 2 CQ� tk_Home Improvement Contrac:or# Worker's Compensation# �!'�C !oQD !91-10 Z00 QN ALL CONSTRUCTi N�BRIS RESULT FR THIS PROJEC WILL BE TAKEN TO �t 1DVf l��{ SIGNATURE DATE r✓ / COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 Alterations/Renovations $100.00 /O® . o O Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS--OF EXISTING SPACE square feet X$96/sq.foot= 4.00 X.0081= �� STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= X.0081 Commprojcoit Rev:063004 - - "' :'• " z'he tCvmFnan veaFth of Masdtichusetts Department of lndus•triar Accidents' 6a0'Was�iington,Sir - Boston Mass..0ZIZ �."' 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'L •.a ,,,,,' r •� j '.S a' ".(:;n „LL .:.t}aS'+" tF •;• a. ,::�.1.�,+:�;'�,fa ryit3�•J4Y'':{tt••.•l.• •,-•- ^..i trS ! �, ;�. `;. tOlnf� 17& -a•:. ..z - t. .T' t- i._ f4: '� r ' .•i .3•. eaCSTCS• ' t na a r •ri. t.a{.{ '+�[[.tt. :�� ! el Si'[raL i t •...':tiG. • ' i s' •.r . y •. t .r4.. '�lOIiE.tt:• .. t,••il•.0 ,•it .i,• '1�' . r,^, .t.• .•r• . '•l,• ' 'a• '• e. .�••.�,.. �i,��j.,.i'. ,.:Rif' a.• ..• a• f -_ :tt s• i °. '• f ..r3::ax'''•••""+.• :T •• . I. r� r ,�,..•r.. j:r• .�{'.. •' ,% �• •' •' `••' ;'a:. ,� i�• -n.i~}"•' •S-' ��•' � i' •, lt:M1��.f1f•.!ti:Lt• SAWAM .S'r •Cl' .� s• '• � :. .r:. r^,+ r.A` ••};&•i.jrt'`:;i .: �•f, r, ', z ,i..: z u•�rt,•t•, .�: •:. fir,^t,. •:r .•1 �'•• ` C:':tt •' ... / i �' 1C."''i:a.;i' •Y: :t•.•a*ir::��-' i to$1 00.00 an Or s �•• n �;':.-, •: �son of eriarnalpe �es of a tine�? rw. o A�iti,:a• .... insur' c-s�a ainst me. I understand that�. F�m a to sec t cov g reA'�T°d under Section Z5A of MGL 157,can load to the nd a fin,of�106,00 a day ag tYeII as ctvflpens ' the foim of a STOP WORK 01tD a verification. oue pears'impOic t ms< be forward to th a of 7nves Ig tions of the DTAfor caverag d COF ect, copy of this sta / er u that th �inf°ormatiox provided above is true a V dert ep s ndp n ti bfF j I do hereby c Signature phone# ' $lint name f (,• ' do not write in fah iL ea to be completed by ity or town of£icis� _ arirnent official use only [JBinldiag DB and permitMcense# Licensing or toww. Oselectmen?s Office city []HealthDepartment t [}�checlsif�,ediate response is regnir'cd phone#; contact person: ' SYnvisad Sept 20�1} ..�_... ie�€F - •�&'' - .. :. .-_... ACARA. CERTIFICATE OF LIABILITY INSURANCE oir0612004 PRnovcsn_..:` - 50$-771-$381 TH(S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SCNLEGEL&SCHLEGEI� INS-,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 98 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE W.YARMOUTH,MA.02073 . . ------ '--- INSUEEc _. ------ - —'- INSURER A: PHENIX MUTUAL --....-------- RANGY HUGHE QBA — INBURER s: M AIM UTL INSURANCE R.H.CONTRACTONG -------.._._ ___UA._ _ P.O.BOX 2387 INSURER D-___ TEATICKET,MA02536 __...--------.-------------...--..— — NdSURER E: COVERA0155 k THE POLICIES Of INSURANCE i$TED BELOW HAVE BEEN ISSUED 70711E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM ...CONO►TIoN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE IN" AFFORDED BY THE IOLICIES DESCROED HEREIN IS SUa JECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LId11T8 OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -----'-'-�-- --- voLICY LIMITS T-- TYPE os snu11A(:cE DSNBkIlL LIABFU7Y EACH OCCURRENCE s 1,000,000 .. .___..r..._. ._..._... ..._..._. CPP0707407 10/1812003 10/1812004 FIRE DAMAGE(Am/one rue) 1 6 T30WV A X I COMMERCIALGENERALLIA#ILITY I - ------- -`-'--I--------....--.-_. .- _I CLAIM6 MADE MED EXP(Any mlepwsDa) - �.-�A._...--- -- PERSONAL A ADV KMRY S 1,0W 000-,- . _..__.-.�.-1-- GEN'L AGGREGATE LWIT APPL PER: , PRODUCTS-COMPAv AGO t 2,000, . __�POL y ---- — COMBINED SINGLE LIMIT , 5 ANTOMONVAR l.U1B LnV (Es etwko8 `. ANY AUTO ALL BODILY TNAAY OWNED Autos �. s [i SCHEOMED'AUTOS HIRED AUTOS I -OOILasdtlot! y I f NON-0WNED AUTOS ITV DAMA(W _ 1 }NLY-EA ACCIDENT GARAGE,L1AB11RIY � S J___) HER THAN EA ACC S ANY AUTO AUTO ONLY: AGO EXCESS LUE.atR EACH pCCtEiRENCf _ 8 F� U q..AJ1l9�/MDE AGGREGATE $ OCCUR DEDUCTIBLE ...._...... --.......__..---._ ._.. - s RETENTION E 0O1"r°"aTm VWC6004827012o02 11/02/2003 11102/2004 000 — g .lMPLOYBRS LBISB.ITY E.L.EACH ACCIDENT F_._.._.._.._...1 0 - -- • DISEASE_EAEMPLOYEE E.L.DISEASE-POLA:Y LW7 500,000 l a7Mea , {DEJsGRlPTIOM OF OPBRATWMSA,OCA yVE1MCIJ3sfEXJCWS70MB ADDED BY EMDORSlMENTlBPECMLL PROVtsmus � i I ` l CERTIFICATE HOLDER ADWTIDMAL WWRIDa MSURER LETTER: X CANCELLATION SNOULD AIM OF THE ABOVE DEsGittliE0 POLICIES BE cAMCEL=so=TM UMPATIDM DATE T"EaeoF,THE ISIMI+B INSURER mr-L a OTAVOR TO MAI. 21 DAYS VAUTT" E.A.READY Si SONS INC. MOTE To 1IIE CMTMATE WXAM KAAMTO TM!LEFT.BUT FATLM TO 00 90 SMALL 4 22 MAIN ST ( W&O"Mo OOL"TM OR UAIMJTY AMT WHO "mium,IT$mcwvv oR HYANNIS,MA b2801 R aBMTAYNes. FAX SM-W2-0I 14 A(lTo�wzEO R scKSA is ORPORATIOtt 19" 4CORD 2"(TiM . k.. II c_� ¢ `r "t`�' ✓� 1�'(Y17L.+fbO'J2lGJsg7LC� Q�. ._��C1Lfdff.�.,f�C¢QP•Gle� � BOARD OF BUILDING REC,AULaTIONS�� PLicense CONSTRICTION SUPERISOA I i Number CS 072897 Ex Tres r10/03/2004 Tr no: 4919 y P s Restricted `00 RANDALLE HUGHES 77 HOMESTEAD LN f ��� TEATICKET, MA 02536--` "r •- ,�� !..� � Admirzistrulor I! f BOARD OF.BUILDING REGULATIONS - License: CONSTRUCTION SUPERVISOR d. Number: CS.- 074459 r Expires: 04/30/2005 Tr.no: 11411 - Restricted:" 00 EDWARD A"READY , s 22 MAIN ST ( ems HYANNIS, MA 02601` Administrator "... 94d7f7.91E0'�2CUP (� d ✓'(AXlJ6fX.11ulb� d .: . E Board of Building Rcgulations and Standards HOME IMPROVEMENT CONTRACTOR ; Registration: 140380 Expiration 10/28/2005 :{ Type: Private Corpora"tion E A READY&SONS-INC EDWARD READY 22 MAIN STREET HYANNIS, MA 02601 Administrator. 09.'c'lt©4 10%z4am P. 004 4p�SMETp�y gown of. _Barnstable Regulatory Services RARNMABM ' Thomas F.Geller,Director. v rsass. ,g `bAr�D79.,. Building D:VISion Tom Perry, Building Commissioner 20o Main SLreet, Hyannis,MA 02601 "-w.town.b arnstableana xs Office: 508-8624038 Fax: 508-790-6230 Property Owner Mus t. Complete and Sign. This Section If Using A Builder C+Ape w P'Wj !�S t'o ci Q ►e� subject as 0,mer of the subj X, jZ,l GEAR l7 ►"t.0�►r�� f---��,�r(I�� ) property hereby authorize ,Q�v _ cA T: a �.� �n c' to act on my behalf, in all mAtters relative to work authorized by this building perrlu.t application for: (Address of Job) yat ,—T ner rate Print Name TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'Map cl Parcel Permit# 'S( Cl I? L)po A-c-c-? ,AJ Date Issued �! vision I ato 'JS. >Conservation Division o /D Fee t 5 >Tax Collector �-` Treasurer Planning Dept. nn Date Definitive Plan Approved by Planning Board -11V l`00 13 &5 Historic-OKH : DH Preservation/Hyannis /, T Project Street Address Village f;l y/L� Owner Coenl 27- ',<-U C Address Telephone ?6 2 D- 9 0 Permit Request -its f ado/ � 2 � - &,o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation -Z 000 Zoning District Z- Flood Plain Groundwater Overlay Construction Type 4--'00 Lot Size /�f e rn. C J i %7, Grandfathered s Oo If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure ;_7 2 Historic House: ❑Yes W-Pier' On Old King's Highway: W es ❑No r Basement Type: ❑ Full ❑Crawl but ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) AZ 4C� Number of Baths: Full: existing new 4CAnNCr Half: existing Xf!!�+r—'C-new Number of Bedrooms: existing new r Total Room Count(not including baths): existing new tV First Floor Room Count�3 ` Heat Type and Fuel: ❑Gas ❑Oil �ctric ❑Other Central Air: ❑Yes U-N5Fireplaces: Existing /(lp New Existing wood/coal stove: ❑Yes Jiflr— Detached garage:❑existing O new size Al-0 Pool: ❑existing ❑new size /iv Barn: Cl existing ❑new size •�� Attached garage:❑existing ❑new size " Shed:❑existing ❑new size_ Other: 4 0e�-G Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number '�'G -7 3 7:3 Address . License# 14,,� G�-2 1-019- ef)34 3/ Home Improvement Contractor# 410—t- Worker's Compensation# Sd 1(; ?R_-Pat f x— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOiy�S�J9 /�� SIGNATURE N DATE 20 Z,-00 6 r - •'`�` i FOR OFFICIAL USE ONLY PERMIT NO. .. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE_• `- OWNER DATE OF INSPECTION: FOUNDATION r FRAME z INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL F , f GAS: ROUGH FINAL ` FINAL BUILDING ^ DATE CLOSED OUT f r ASSOCIATION PLAN NO. 1 r • ' _ "'Z"\ The Commonwealth of Massachusetts "i -- -= . Department of Industrial Accidents _= OIJICC 01INFBStMg890OS T 600 Washington Street - . Boston,Mass. 02111 — Workers' Co m ensation Insurance Affidavit name: a 1 , n 7 --y— locatio r a' A—a A- S 5 ! -z v✓ . city —2izzz✓,-✓/-e,,t ,,,-� "q- , e) Z 6 ;7 ) phone# 9 26 W-73 7 3 ❑ I a homeowner performing all work myself. . a sole r rietor and have no one workii in ca achy ❑ I am an employer providing workers' compensation for my employees working on this job. :: :::::::::::::::: ::::...::::.:.:...::::.. :. maaoyname. :....:.....::..:. ::;:: ::;:::: ::>:.;:::.:.....:::.::._:.::.::::.:::::•:::. address cites: phone ;:.::.:;.;;;:>::.:.:.: :.. assurance co. %// ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who I ave the following workers' compensation polices: ...... :s:::;;;>>; ;..:::.::;:;>:.:. comoanv name. :;:.:::::.: ::>:::.: ..:::.;;:.;:;:: :..:...:::: ...:::::::.::. . address-::.::.:;:.;- ,...,. :.:... .._:: . :.... ::::.................................................... ..:. cl ::-: o>;iin1. ::>;>:>; . » «>::.;;::;;;;.:::::::::::.;:.:;;.:.:;.;;:.;:.;;:.. <.. ................................... :.::::.:::::....::.::::::......:::::......... .....: .............................................::..:::::...............::::.�:::::::::::::::.. .................................................. .. ................................................................ .. ................................................................. ...::::::.. .. .. ....................................................................:.:.::::::::::::::::.:�:::: :...:::.:::::::. L::::.:::9::<:::::4:::•i`: ;:;::>:;iy,/v.;...,.;.,>';;.>::>::•::?;>:>: ttrmnce:co;:::. ..:..: >:: ollca#_ - _ . . 1/%% c sn n address. cfI. :::... b t1n ,...t,�."s� :»: .<:: ?:....:; ;iasnrsnce s6 1. :.oli Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of edminal penalties of a One up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of er- that the information provided above is true and correct Si Lure /-.,/Z..-- Date.• /0 _ 2,0 — Z----0 0 — `7 � 7 � Print name_ -�I V A N i—e / Phone# g official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department . ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; -- Other Ornsed 9/95 PJA) i Information and Instructions r f Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined 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, asso on, corporation or other legal entity, or any two or more of the foregoing engaged in a jonit enterprise, and including a legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or othe legal entity, employing employees. However the owner of a dwelling house having not more than three apartments d who resides therein, or the occupant of the dwelling house of another who employs persons to do\maintenance, co ction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such ployment be deemed to be an employer. licensing agency shall withhold the issuance or renewal MGL chapter 152 section 25 also states tklat every s to or localg g cy of a license or permit to operate a --me or to c nstruct buildings in the commonwealth for any applicant who has not produced acceptable evidence of comp iagnce 'th the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivusu ns enter into any contract for the performance of public work until acceptable evidence of compliance with the ' e requirements of this chapter have been presented to the contracting authority: r-`< APPlicants `. Please fill in the workers' compensation affida ' complete ,by checking the box that applies to your situation and supplyingco an names address and hone n bers along a certificate of insurance as all affidavits may be company P F *`' submitted to the Department of Industrial Accid for co lion of insurance coverage. Also be sure to sign and °F. date the affidavit. The affidavit should be ed to the city oN town that the application for the permit or license is < being requested,not the Department of Ind Accidents. Shod you have any questions regarding the"law"or if you • are required to obtain a workers' compensation p licy,please call the®Department at the number listed below. City or Towns Please be sure that the affidavit is complete and prf*nted legibly. The Dep has provided a space at the bottom of the affidavit for you to fill out in the event the Office 6f Investigations has to coma ou regarding the app>_cant. Please be sure to fill in the permitllicense number which F be used as a reference numb . The affidavits may be rebxril d to the Department by mail or FAX unless otherarrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and s uld you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number:i - �°. The Commonwealth Of Massachusetts � Department of Industrial Accidents 0111ce of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 41 ol Cod .441 � z r J �. 44.r 1. � � E T �- �� � „ J ' � � "�, `,; i.r 1 r 1 i r � � � I � K f ' � �� ; � r � r � ► � �.._. �..._..___._._._...___- ._. _ �.�.xc �_ l 1_ 1 � -- �_� i � ;.� � i �! � � ; � li _ I i __o .� I i � � j ( �4 � � � a ciffI ! ` 1 J � ! 1 �' i � ' � 1 � ! � . , , a t � � ! .._..._.. _ .......... �... .._..__.. �_�_ _. _.__...__._..��._..._�.___-___ _. .__ �._--��_J 1 } -r y; �` � � � � � 1 �� I � � � � � f � � ¢ � � � � �1�<0 � � f v � -�. _�_____^�-_-.______ � _ _._____ ___ -� _ _ __.----______, _ _-__ _ __tom __ ti; -t-- _ __. ______�_ ___.__ �� � . �� � J 's y � O ,s ' � sr) .,� q yp p� lEngineering Dept.(3rd floor) Map 2 ! Parcel 6 7 Permit# House# Date Issued �j - 1,4oard of Health(3rd floor)(8:15 -9:30/1:00-4r301- S-13 -�j a�Fee Conservation Office(4th floor)(8:30-'9:30/1:00-2:00) - k ss, 5PL Planning Dept. (1st floor/School Admin.Bldg.) s ANce Definitive Plan Approved by Planning Board 19 7' q TOWN OF,BARNSTABLE c/ Building Permit Application Project Street Address T�� /e Village' .�i� S r��3 <= Owner 60-'Plr aD Address Jelephone Permit Request IC"tic (If si:T- �o7'ff—�'(Es..3':su.Q�T i'�'C�•e�-9'� s2t.¢r-t�t��� , First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes &fio On Old King's Highway Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial W<es ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Sod' 4l2v 7ro� Address 3oK�v 2 e�'y'�2��`�� License# e`r a 3 S G?3 Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE '/,f y'� DATE �9�� BUILDING PERMIT DENIED FOR THE F LOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. �2) 96> DATE ISSUED F MAP/PARCEL NO. - s. ADDRESS VILLAGE - OWNER DATE OF INSPECTION: FOUNDATION ? FRAME , 'INSULATION - FIREPLACE w t .t b ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ' ROUGH FINAL FINAL BUILDING DATE CLOSED OUT : b ASSOCIATION PLAN NO. ' f �J �FtHE rpy,_ The Town of Barnstable Department of Health Safety and Environmental Services "TEC N,oa" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 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: iC.ay��� �� Est.Cost Z.-SGD Address of Work: 35qc) Owner's Name 60�Aac Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereb a ply for a permi as the ent of the owner: Date Contractor Name Registration No. OR Date Owner's Name v -4 T7 C. FE" Go D FZT ,� Ss c7c t o I I I i i _ __ lL ��Dei i h `e- • r '�n'�'-�rlC�Z�-d a � -_ --- ,. � !� � Y .. �, . .� � < � I r!'.A 2 -..A': t �-fir • �t. �Y7 f� ae"`:�'-�'^wi I�► d' "` 'C �:�',' fit Illy.. C C4�� '0+02z-r, A o Q;l ot v �74 ST;k j I I � -- ----._ -------- — (t r .__..... p-_ I 11 View or cAPF-Ott,D,Q'r A SSOCIAM 014.0� Ul S # 91 TOWN OF BARNSTABLE 339RN9TAILE, MAS& 1639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......COAdil-mAl..........4A..)(....o� TYPE OF CONSTRUCTION ...........W. ..........-Pzcme......................................................................... ..............2?............. .......19.7.4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........Alalk.....M........ Proposed Use ....a,*..s(....6;ry/e.#/- ..... &A.00.............................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner 4X440el .Address ..... -Xg III # fry.........V.. ........ Name of Builder h 4�.Address ......Ua.ite.... Name of Architect Apt..6749.1.4j.Aftl- .5y.A6.4cid ress ........09.41.4;.....J.Y... Number of Rooms ..........j47................................................Foundation ....... Exlerior ..... F 9.�..............4�.. .................Roofing ...a.$P. ................................................ Floors ....e4kjwlel...........................................................Interior .....lKa.4wax xde.... Jb.4 ............... Heating ....... elli . . ............. ..Plumbing ...... ..... Fireplace .......AOA002.40e....................................... .................Approximate Cost ............. 0................................ Definitive Plan Approved by Planning Board -------------------------------- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH Qr W'e-71/6,4e+)L; ��T, _ ?�7 ED 4 C 'U AXE OUP inav�"TOWN 1A A LI-CENSED fNISTALLER MUST OBT IN SEDWAG— PEM'01-r, AND INSTALL SYSTEM. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. row. Name .......... Cape CodArt Association No .............. 159... Permit for ....Art. Gallery. ....... I .... ........ ........... & School ............................................................................... Location-�... ..Main Street........................... Barnstable ................................:.............................................. Owner ............... ... Cape Cod..Art..Association. . . ......... ...... ....... .... ...... . . ....... Type of Construction frame .............. ......................... ................................................................................ Plot ......... Lot ................................. Permit Granted .......Januaxy; Q...........ig 73 Date of Inspection V- --o 3..... a-2017��� ..: Date Completed .......... ...... rcPl PERMIT REFUSED i I ................................................................ 19 ............................................................................... ................................................... ........................ , i ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... i I `s' r, f TOWN OF BARNSTABLE y�v O.q e g BARNSTABLE, o .� MASS. pj i639. � Office of the Building Inspector TED mix A July 26, 1971 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO ...........C: .t .Ca`.... ' ...`::.;oci :t;:.cr_.......(as per..: :p. c:...l°n.................................... go LOCATIONA........Rc...zt,e...�`:........ .�: :msc....ble . ................................................................................................. ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT �ding Inspe5#A''r THE TOWN TOWN OF BARNSTABLE ii i BAHa9TABL$ i M6 BUILDING INSPECTOR APPLICATION TO ERECT AND MAINTAIN SIGN TYPE OF CONSTRUCTION _�— FREE STANDING OR ATTACHED J U L -- �--- 9--z/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -----6A R----Ae.. $Z� J-27Aa -------------------------------- ProposedUse --------- - L_r `,v—7---------------------------------------------- --------------------— Zoning District ________ __ _ Fir ' )istrict Nameof Owner ---C-�TYk=---C�-------------- ----- --�-Aadr ss ------------------------------/-------------------------=------------------------ Nameof Builder --- - ------------------------------------------------- Cress ----------�'----------------------------------------------------------------- Diagram of Lot and Sign with Dimensions to be Places! Ae r MM -4 j a , R 4,+ TF. hereby agree to conform to all the Rules and Regulations of the Town of Barnsta6i _r garb ng�,thet,above c v construction. Name�___ ---------_— __. All permits subject to approval of the Inspector of Wires. No- -------- ----- Permit,for------ -- __ 'l ----- --------- -------- s: ---- - -----------------< -------.-------- Location -__, d------`, ° l_riL11f1----Is---- • -------------------------------------- Owner Type of Construction ------------------ --------- -------------------------------------------------------------- --------------- Plot -------------------------------- Lot -----=------------------------- R } Permit Granted ----------------------------------------10 t Date of Inspection Date Completed --------- ------ ----19 PERMIT REFUSE® ---------------------------------------------- 19 ; ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- Approved -----------------------------------=------ -- 1.9 I ------------------------------------------------------------------------------- ---------------------------------------------------=-------------------------- TOWN OF BARNSTABLE Board of Appeals CAPE C.011....ART AS8.0.01ATION.s U.C* Petitioner Appeal No. I........................................ ....................J.1 'la .......... 1971 FACTS and DECISION Petitioner 0ape Cod Art Association Inc filed petition on ... April .......... 19 71 ............................................................................................................ ........... ............................ requesting,,.a wwimi-e@-permit for premises at _.........I LO. Utia 6A..............................................-,FAreetr in the village Ujaitarian Churcbj,33ha H.Mary of H.Arast.-Ab-10................., adjoining premises of-Edsoa S*.& Ha y . .....d.4archaW &1)orathy L.Mar,aspin#'Chase Parke�r & Compaup.1- net .Hanuel L.Gaulart,�Kmilyv A. la's '.Us.p.R'14h"d....V.*.Ax & *20 th..A.,.Ar Francis Cobb.Micbael, A. Madeline X.GaleckieqJolm H. & Dorothea, L.911iottj forthe purpose.of 'Town 0.1 .............................I................................................................................................................. obtaining permalsoion to use a, barn as an art ygallexy' and .............................................................................................................................................................................................................................................. Locus is presently zoned in ..........a Ros_.A-d-aac-e 0.3 xrvaw.............................................................................................. ............................................................................................................................................................................................................................................................................................ Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Cape Cod Standard Times, a daily newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass., at *L 5................. P.M. .....................Julio 2*........................... ................. ig 71, upon said petition under zoning by-laws. Present at the hearing, were the following members: Robert E. O'Nell Jean- Bearse Brian Olander ................................................................................... ................................................................................. ............................................................................... Chairman .............................................................................. .................................................................................. ........................................................................... At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. On ..................................... ............................................................................................. 19 ............. the Board of Appeals found The Petitioner was represented by do R. Alger, Esq, The Attorney stated that the Petitioner was seeking, permission to nse an existing barn as an art gallery and -art school, Mr. Alger said that the Art Association is a charitable corporation and it might be considered an educational institution within the meaning of Paragraph E of the Zoning By—lau. The barn which the Association intends to use had been used in previous years as an art gallery by the people running Bacon Farm. It is the intention of the Association to keep the gallery open only during the summer and fall. The Attorney said that there would be no substantial changes made to the existing building. The Association would conduct art classes, hold art exhibits and handle sales of paintings, The Attorney stated that, in his opinioup the Board could grant a Special Permit under-.,tjis, provisions of Section D3 of the zoning by—law or a Variauce. Unde.r D5 District thistparticular type of operation is allowed as a home occupation, except that the owner must be living on the premises. The Attorney stated that, even though the Art Association was not the owner of the I premises, since:. it was in a sense a charitable educational in- stitution and the type of use was permitt-,d -n a D3 area, the Board could grant a Special Permit. It was the opinion of the Board that the use of these premiaes as an art gallery and studio was a continuation of a prior existing use. e. This type of enterprise is permitted in a Residence D3 area and there are several similar operations within the zoning district. The Board felt that since art studios were a permitted use in this zoning district, that-tbe Petitioner' s applicat-ion fell within the provisions of the Special Permit section., The Board urKI,aimously voted to grant a Special Permit to use an existing barn as an art gallery and art studio. Distribution Board of Appeals Town Clerk Town of Barnstable Applicant Persons interested Building Inspector 0 - ' ����:�Public Information By ......................... , --Board of Appeals Chairmai[,Robert E,- 0 FTHEt��yo� nt_ TOWN OF BARNSTABLE 22 • i 8ARISTADLE; i "6 9 �•� A y BUILDING INSPECTOR PY p" , APPLICATION FOR PERMIT TO ..........Ph.lf. ..<04..4...........Agp-&1#4./.4./ ...;,t... .......... TYPE OF CONSTRUCTION ............................................. .....:.........../........... ...........Q...II•..�.,.l l r........l 9 N TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........../V.k......CiClll.....&-n.1timile..................................................:..:........:.....:.................................... Proposed Use .......Q....:�.......(?'Q.... .. .. a�Ill jn. !.�is.� � ...................................... ZoningDistrict ........................................................................Fire District ..................................:........................................... Nameof Owner s!Fe...aj....a�`.�....4JI0.11........Address ..........................................................:......................... Name of Builder ..�02iP ...CO#d1 �t.OIWC4Q..Address .....!/. x ... Name of Architect ..J... a �,1����.T./.%/.. jK4ddress a11A et a P..A/.'41s04.4f,,... Number of Rooms ................r .................Foundation ...... ..........................Exterior ,i........................................................Roofing .................................................................................... Floors ...........................;.........................................................Interior .................................................................................... Heating ........................f........................................................Plumbing F Fireplace ......................AQ...................................................Approximate Cost . �QOQ J. p�J ................................... Definitive Plan Approved by Planning Board -----------__________________19 Diagram of Lot and Building with Dimensions NO #,EE SUBJECT TO APPROVAL OF BOARD OF HEALTH N Rye �' I / 0 jDC M X7 172— Li p < w Boa z -µ 1 C W Of Q O LLwa- C) 0 Ocn ¢ toy ` J 9 ._j m �' can wcr J ,Im CIO Q=a � il� _� � u) ~ LLj LCr >- I hereby agree to con arm to all the Rules and Regulations of the Tow of.Barnstable regarding the above construction. � /) Name ......wrOW. Cape Cod Art Association ' ` No ..... ����. Permit for ........��u��a����-- ................................ ............................................. � ` .� �\ �ocLocation --���������—yV�i|�����—^�3�,.......... Barnstable—.--.----�~~----.----------. / ~ . �J�J� ��' / p Cape Cod Art Owner ----..�-------.��.�����.���!— ^ ^ masonry Typa of Construction -----.� ---. ----.—.---.----------------.. Plot ......................... Lot ........... ' , . . . ° . . ' Permit Granted .......Qotober.�1.--_.l� 73 Date of Inspection --- . lg - -' Completed— — —''�'— `r-------'19 . , PERMIT REFUSED ----------------'�---. lA ' � . ^ ------------------.�-------.. ' ^ ~ ^ ` ^—_—.------------....^-------. � ----.--. — — . . ^ . ... —..—'--..—.-....—.----.. --------.—.--.--------.—.,'—.— � . � . Approved ................................................ lA � ' . \ . --------------~^^--~—~—^^--'' ` , , , ' --------------------~---.'... ' . . . . 1 P i ti1wf YP F R /' •\ /\ _ _ I�ql t:�'O .E:.�J E'-�Pnei51 .IcrWT I/4 T9-_Ot P•t )W'Ffc,:fe I- . J Cl',N'(PfA-Jo1NT LI.C7EIP..`J6U1 C J EP(1} oF:7tl,c.-TWq P�ITEZFI.S:�b -tnvec.0 Cur -' _. .. ._: . S'.11�'tFlEIf7:Gt1Ec K> 6 I (J ) i --I X s ceccz.T'Izrr ,,.I - L v' �/ 1110 eE.rha.JE E,�._'161rEfN = / 1-- \ I�; CYk l LEpGTL:FII-t,EQ.Tri FILL!.C.F�'SF11wC L%h �sl?nt'ae : L i c1b- II SI at. �' 0 1°''. ,, •�, �, .::103 s� � '<'rr,a'�z ;��` I I .� _.. �.. _...I_. _.. � i/ xIJ3f•SS� iot".-,3 ILtiklj�� f :: :.. 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P.:;•.S .G-�z-::ftl �F`�/��lt;:/ �� �� xIG3 o3 --_____.--1.�----'— __ EllsT7ut lZr�gcr rl(.kEta(N.E.GS:.PPYEMf.�I--"f InJdtr� 41,c ILI(AN4C:GFG alt t!T( 3feLL'7 [Ck• ( I t�� 11II-- i� rfll�-i , 1 oi�i 7 . a,. EAo:fcA6piNC."R N fC4q-ch e \ �' .. AWI•n-"9t�eEFua✓f CIV15vN(I + AT 519f.WAI.U$:PuN tfAD'uP far. - ._e. -,., ......... - :. _ 17 5�cfic�l 5 cTlol a.. _ .S In rqG 4°,Fr'CNEe-w/c4?c2 lelM: .. .�:w/. ....... .-_ , .. __.- -� - .. 1/4 �11!0114 �NFW SPCY C.2CGE- Cape Cod Art Association -��5 . \v �� � _ nTl �� ���,.__. �, S�.Ah�frr °.aD�D.. AKRO ASSOCIATES ARCHITECTS _ ---.. Accessible Walkway and Entrances 310 Barnstable Road, Hyannis, MA 0260, =' £ tel: 508-778-6060 fax 508-778-2558 i wuwixc eu eee Steven M.Shuman,RA Alice L',q,"rdorf AA f 1 a P Tj- TITT 11 it 1 1177, !TTq i <AQ IN qi '1% 'T ri `4 Y4 Co W C)a v u 7- C, o IF, I Ij 4-k IJ -In to tj 14 t T-_T 4w A co%�. • �qp • c I je, f\A x IZ 6 > uc� it \it r l-4 _4 114'1 LiN .11 -0 esisi� per X— ........... .0- ".3�Z700 �C;L 7 7 A* fl , I�m AN ri My --777-7 --- - ------ q 11f 1 44. e Iht . .. ................. Ltl-�4: L I L"A . MIA 41J list 1---Al LOW, z Aw A A 1 7- --- F F-T T rT9 J TWIT 11 Pkill " "111 . 11l'i 1i11 : !Q;q"w1j [AjH : q1 j i S -4, -q- ;11 1 iff i:j I iJ I. AJ 77� ?9W jqwv only co- vu -F-10 LA�4 -0 _x L f Vo Xro J! 7=77- IT Iy Y ............... 77 7 74N 05. J.: 41 CIO Jj 1 IF 1p p V-q UN VT- k W.1 W*.. - --------ZA Ic 0 LZ "RIP ja i j e � v o I I r o r t *i Y 4L z `� 4A S } K Clare c,'i n > r ,