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0032 WIANNO AVENUE
3a (� lannLl fgVe()LAe. 4 � �.�. -.�.�_`Yqr�_._� +'Rr+-�� __.�+•.v..�'!C''.�:i-•��.--•--�' �^`_„+►'Y`��-'.�_...�a__-�.�.r��...:.�is�• In !^r_ti.��+w Taw rR/'r'�1N -.�kA - h - j F,e 3 y O S �' F(1, 1&7L797- Z, 0"L S ing with this office the-election. c poles TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ?., 1 �U29 Map Parcel A ' a on # Health Division Date Issued 1 Conservation Division Application Fee l.W Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 32 W i a n n v A-L) Village Q S-1'eXu111 Owner Ayn n a Address Telephone J�0 �/�{ - 93 7 Fr Permit Requestrt � ��.. G 2 7:5� 6„ 4`�►©dQ.c�1-� S W►��syyd-e nil yn nc.,G (`Cur1cme, on d0 ,,S4-M A non(Z . Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type !R5(g.0 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 q.ft) � � o Number of Baths: Full: existing new Half: existing 1= net___ C-D.-a Number of Bedrooms: existing —new n Total Room Count (not including baths): existing new First Flo Room C�ount5a � _1Z Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ao Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/co&toJW,O Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review-# Current Use Proposed Use _ I APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name gaff phone Number 5068 Address sb t 4I � 1.5 h (�� License # e0GR/(v �-o4 408 62i7 ff-- Home Improvement Contractor# 17 7- !? Z Worker's Compensation # y_tJ !FV0:266 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Se(F ('vn*t»gW SIGNATURE DATE j 2d - y FOR OFFICIAL USE ONLY t �APPLICATION# DATE ISSUED_ MAP/PARCEL NO. ADDRESS VILLAGE OWNER a DATE OF INSPECTION: wF.O.UNDATION.ucL;k atif_:r-uvj4w kktmia-., FRAME -dNSULATION-i�j,s:: FIREPLACE ELECTRICAL. ROUGH FINAL PLUMBING: ROUGH FINAL ? GAS: ROUGH FINAL �? ;"� ��� FINAL BUILDING - DATE CLOSED OUT.. ASSOCIATION.PLAN NO. ,t Office of Investigations ` 600 Washington Street Boston,MA 02I1.1 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/FIectricians/PlIImbers Applicant Informafion PIease Pant Legibly . Name (Business/OrganimfiDndndividual): c�5�- Address: L City/State/Zip: ( tLY, s Phone # Awi-am o employer? Check the appropriate box:: 1. a employer with 4.. ❑ I am a general contractor and I �e of project(required):: employees(full and/or art-time)•* have hired the sub-contractors 6• ❑ New construction 2• I am a sole proprietor or parhier- listed on'the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g Demolition working for me in any capacity emloyees'and have workers' [No workers.'comp: insurance comp. insurance:$ 9• ❑Building addition . required] 5. [] We are a corporation and its 1D.❑Electrical repairs or additions 3•❑ I am a homeowner doing all work officers have exercised their 1 I.[]Plumbing repairs or additions myself [No workers'comp, right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12.0 Roof repairs ers employees. [No work ' 13.E Other s 4,,r comp. insurance required.] #AJ3Y applicant that cbccks box#1 must alsb fill out the section below showing their workers'compensation policy information, . t Homeowners who submit this affidavit indicating they are doing aR work and tbea hire outride contractors must submit a new affidavit indicating such, $Contractors that cbeck this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-cootractors have employees,they must provide their workers'comp.policy number. I am an employer that is providirzg workers'compensation insurance for my employees. Below is the policy and job site .' information.. Insurance Company Name:_ r-1.)PCCh. A%.- Policy#or Self-ins•Lic.#: 14( WC Expiration Date:_ Job Site Address:_321 _ k t r,•,•,:•n r-1 AE v� City/State/Zip; 0 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$1,5D0.00 and/or one-year'impiisonment, 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:erby certify u pains•an alties o e fP r/Wy that the informatwn provided above is true and correct Si • Phone#: �d c) / D 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 CIerk. 4.Electrical Inspector S.Plumbing Inspector 6. Other Coact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to Provide workers' compensation for their-employees, a Pursuant to this statute, an anplayee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnershsP,association,corporatidn or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persous.to do maintenance, construction or repair work on such dwelling house to shall-not because of such employment be deemed to be an employer. or on the grounds or budding appurtenant there " MGL chapter 152, §.25C(6) also states that"every state or IDCal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with`the insurance requirements of this chapter have been presented to the contracting authority.`° Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(m) and phone numbers) along with their certi5cate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is.,mquired. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation.ofinsurance coverage: Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self.insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to coatactyou regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town.may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year. herea hoe owner or citizen is obtaininga li cense or permit not related to any business or commercial vent W mure (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would ne to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address, telephone and fax number. The Commonwealth of Massachusetts. Department of Indus trial.Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-49100 ext 406 or 1-877-MASSAFE' Fax#617-727-7749 Revised 4-24-07 v,,ww.maSs.goy/dia CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 11/24/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER NAME: Arthur J.Gallagher Risk Management Services, Inc. PHONE FAX A/C No):312-803-7443 300 South Riverside Plaza E-MAIL Suite 1900 ADDRESS: Chicago IL 60606 INSURERS AFFORDING COVERAGE NAIC p INSURERA:ZURICH AMER INS CO 16535 INSURED INSURER B:ArCh Ins Cc 11150 Rexel Holdings USA Corp INSURER C:AMeriCan Guarantee&Liability Ins 26247 14951 Dallas Pkwy. INSURER D Dallas TX 75254-6533 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:631385600 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUEIR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYW A GENERAL LIABILITY GL0337400010 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 X AGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES SES Ea occurrence) $300,000 CLAIMS-MADE 171 OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 IX POLICY PRO- LOC $ B AUTOMOBILE LIABILITY /1/2014 /1/2015 COMB B 41CAB4940606(ADS) /1/2014 /1/2015 Ea accident $1,000,000 X ANY AUTO 41 CAB4940606 MA) BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per aaidenl $ C UMBRELLA LIAB N OCCUR UMB337400110 /1/2014 /1/2015 EACH OCCURRENCE $9,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $9,000,000 11 DIED X I RETENTION$10 000 $ B WORKERS COMPENSATION 1WC14940206 /1/2014 /1/2015 X WC LIMIT O R AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Town of Osterville 100 Main St AUTHORIZED REPRESENTATIVE Hyannis MA 02601 P"�" ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Named insureds include: Rexel, Inc. Rexel of America, LLC General Supply & Services, Inc. (dba Gexpro) SKRLA, LLC SPT Holdings, Inc. Beacon Electric Supply Rexel, Inc. DBA: Platt Electric Supply, Inc. Rexel, Inc. DBA Rexel Energy Solutions Rexel, Inc. DBA Capitol Light Services Mass. Corporations, external master page Page 1 of 1 William Francis Galvin «. Secretary of the Commonwealth of Massachusetts , Corporations Division Business Entity Summary ID Number:203462284 Request certificate I New search Summary for: 32 WIANNO LLC The exact name of the Domestic Limited Liability Company(LLC): 32 WIANNO LLC Entity type: Domestic Limited Liability Company(LLC) Identification Number:203462284 Date of Organization in Massachusetts: 09-08-2005 Last date certain: I The location or address where the records are maintained(A PO box Is not a valid location or address): Address: City or town,State,Zip code,Country: The name and address of the Resident Agent: Name: BRUCE MYERS Address: C/O 32 WIANNO LLC 32 WIANNO AVE. City or town,State,Zip code,Country: OSTERVILLE, MA 02655 USA The name and business address of each Manager: i Title Individual name Address MANAGER ROBERT MADONNA 32 WIANNO AVE.OSTERVILLE,MA 02655 USA MANAGER CHRISTOPHER STAVROS 32 WIANNO AVE.OSTERVILLE,MA 02655 USA MANAGER BRUCE MYERS 32 WIANNO AVE.OSTERVILLE,MA 02655 USA In addition to the manager(s),the name and business address of the person(s)authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY ROBERT MADONNA 32 WIANNO AVE.OSTERVILLE,MA 02655 USA SOC SIGNATORY CHRISTOPHER STAVROS 32 WIANNO AVE.OSTERVILLE,MA 02655 USA SOC SIGNATORY, BRUCE MYERS 32 WIANNO AVE.OSTERVILLE,MA 02655 USA The name and business address of the person(s)authorized to execute,acknowledge,deliver,and record any recordable Instrument purporting to affect an Interest in real property: Title Individual name Address REAL PROPERTY ROBERT MADONNA 32 WIANNO AVE.OSTERVILLE,MA 02655 USA REAL PROPERTY CHRISTOPHER STAVROS 32 WIANNO AVE.OSTERVILLE,MA 02655 USA REAL PROPERTY BRUCE MYERS 32 WIANNO AVE.OSTERVILLE,MA 02655 USA r Consent r Confidential Data U Merger Allowed r Manufacturing View filings for this business entity: �Mlllllllllllll -- Annual Report Annual Report-Professional + Articles of Entity Conversion Certificate of Amendment J View filings Comments or notes associated with this business entity: New search http://corp.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.aspx?FEIN=203462284... 11/25/2014 Regulatory Services $ Thomas F. Gerler,Director Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.to'Wn.b wmstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 .Prcopdrty Owner Muse Complete and Sign This•Section _If Using A Builder �Oyl►'C as Owner of the ro. e subject 1 P P rty hereby authorize 1Z to act on my behalf, in all matters relative to work authorized by this building permit application for. (Add=ss.of Job) Signature of Owner ' Date Print Name If Property Owner is'applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:owNERPERMISSIOII Town of Barnstable �o Regulatory Services . -- t Thomas F.Geiler,Director 9 Building DiviszOn Tam Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 arnstable.ma.us yrwyv,town.b Fax; 508-790-6230 Office; 508-862-4038 HOrymOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: street village number "HOMEOWNER": home phone# work phone# .name CURRENT NkAMNO ADDRESS: cityltown state zip code The current exemption for"homeowners"was extended to include owner-o cup endsdwellings p�ded that the owner acts to allow homeowners to engage an individual for hire who does not posse , superyis.Or. DEFYMTTON OR HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. •A person who constructs more than one home in a two, period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she_shall be responsible for all such work performed under the building permit (Section 10.9.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department ments and that he/she will comply with said procedures and minimum inspection procedures and require ' requirements. Signature of Homeowner Approval of Building Official ining 35,000 cubic feet or larger will be required to comply with the. Note: Three-family dwellings conta State Building Code.Section 127.0 construction Control. FIOMEOFaM,S.EXEMPTION sions The Code states that: "Any homeowner performing work for•which a building permit is required sh a be Pfor krire to dot from the, such of this section(Section 109.1.1-Licensiag-of construction Supervisors);Provided that if the homeowner engag parson(s) work,that such Homeowner shall act as supervisor." the onsibilities•of a supervisor see A cndix Q, Many homeowners-who Use this exemption are unaware that they are lackassuming a rasp P p ( Pparticularl _ Rules&Regulations for Licensing Construction Supervisors,Section 2,1� This lack of awareness often results in serious problems,with p Y when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application that the homeowner cwtify that hdshe understands the responsibilities of a Supervisor, On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFE ESIFORMSIhomeexempLDOC i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel , A licatio p n pp - '-� Health Division �fl SSt `C �Date Issued 7 l l lol L Conservation Division � Application F �v s Planning Dept. ss �-- Permit Fee 6 see- Date Definitive Plan Approved by Planning Board l— Historic - OKH _ Preservation/Hyannis Project Street Address !it//k.i'I/7 i9 ,!&,1e_ 1U2 Village (2 ST -/Q 1/'i G/e S..Owner S.2 _ L C Address I-M, 7 M4 1, Telephone Permit-Request ? ,Ci- 49,q Ea. Ti'�i�2ti c "Square feet: 1 st floor: existing�5proposed 2nd floor: existing f1 a? proposed Total new y Zoning District Flood Plain Groundwater Overlay Project Valuation .d aO Construction Type :�B 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: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) i Number of Baths: Full: existing new Half: existing y new Number of Bedrooms: existing _new c7 - , Total Room Count (not including baths): existing _new.t / First Floor Rooz ount - Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other a Central Air: )R Yes ❑ No Fireplaces: Existing New Existing wood/c al stover Yet Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e sting ❑.Ktew�ize= Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r" NO Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes ❑ No If yes, site plan review# Current Use Proposed Use- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 419l r LA ` z&l �/t Telephone Number (�!_Ol2 SXX c'C7 irl--, � 2ZOc. Address 4 License # C S _ 0,5 y y J Home Improvement Contractor# Worker's Compensation # t U/C (Z0 f y4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 11V` 41�E '2 SIGNATURE/ / DATE f pN FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED xr MAP/:PARCEL-NO. .ADDRESS VILLAGE a OWNER DATE OF INSPECTION: t ___ FOUNDATION: FRAME _ INSULATION 'FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f, GAS: ROUGH FINAL rr .� FINAL BUILDING 4 DATE CLOSED OUT ASSOCIATION PLAN NO. 5 - , i fi 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): � /fn��/I S'�.QU��/�6�/ �, , �?C, Address: S ze w2 ,k-e City/State/Zip: e/t� r 044fS Phone#: j 7� 3 �Y' r3 4� Are you an employer?Check the appropriate box: Type of project(required): 1. I am a em to er with 4. I am a general contractor and I employees ))(full and/or part-time).*.* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P ty• t 9. ❑Building addition [No workers'comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑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#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: In //1 311 C d Policy#or Self-ins.Lic.#: Expiration Date: ZCQ ' Z%—2Z- /3 Z' 6 y6 7 6-v 1, � Job Site Address: 3;!— J zle'lD ,&Ze City/State/Zip: 05/-Wd/L4 P-7/f 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 cerdfy under thheepains andpenaldes of perjury that the information provided above is t t trrue and correct. Si mature: /��s�/�1� Date: �11/D',Z ,2 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#: AWE� Town of Barnstable °4F Regulatory Services n ASS Thomas F.Geiler,Director 6;�.r►�` Building Division Tom.Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50&790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, , as Owner of the subject property hereby authorize 1 k� to act on my behalf, in all matters relative to work authorized by this building permit W t C-i'Mrs,0 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Own Signature of Applicant Print Name Print Name 3 a 1 Date QTORM&OWNERPERMISSIONPOOLS 62012 The Comm9nwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 1 of 2 The Commonwealth of Massachusetts William Francis Galvin ASecretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 Telephone: (617)727-9640 32 WIANNO LLC Summary Screen Help with this form i �x,.Request;a Certificate I, ;l The exact name of the Domestic Limited Liability Company(LLC): 32 WIANNO LLC Entity Type: Domestic Limited Liability Company(LLCI Identification Number: 203462284 Date of Organization in Massachusetts: 09/08/2005 The location of its principal office: No. and Street: 32 WIANNO AVE. City or Town: OSTERVILLE State: MA Zip: 02655 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: BRUCE MYERS No. and Street: C/O 32 WIANNO LLC 32 WIANNO AVE. City or Town: OSTERVILLE State: MA Zip: 02655 Country: USA The name and business address of each manager: Title Individual Name Address (no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code MANAGER ROBERT MADONNA 32 WIANNO AVE. OSTERVILLE,MA 02655 USA MANAGER BRUCE MYERS 32 WIANNO AVE. OSTERVILLE,MA 02655 USA MANAGER CHRISTOPHER STAVROS 32 WIANNO AVE. OSTERVILLE,MA 02655 USA MANAGER KATHY COYLE 32 WIANNO AVE. OSTERVILLE,MA 02655 USA The name and business address of the person in addition to the manager,who is authorized to execute documents to be filed with the Corporations Division. Title Individual Name Address (no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code SOC SIGNATORY ROBERT MADONNA 32 WIANNO AVE. OSTERVILLE,MA 02655 USA SOC SIGNATORY BRUCE MYERS http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True&... 4/3/2013 The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 2 of 2 32 WIANNO AVE. OSTERVILLE,MA 02655 USA SOC SIGNATORY CHRISTOPHER STAVROS 32 WIANNO AVE. OSTERVILLE,MA 02655 USA SOC SIGNATORY KATHY COYLE 32 WIANNO AVE. OSTERVILLE,MA 02655 USA The name and business address of the person(s)authorized to execute,acknowledge,deliver and record any recordable instrument purporting to affect an interest in real property Title Individual Name Address (no PO Box) First,Middle,Last,Suffix Address,City or Town,State,Zip Code REAL PROPERTY ROBERT MADONNA 32 WIANNO AVE. OSTERVILLE,MA 02655 USA REAL PROPERTY BRUCE MYERS 32 WIANNO AVE. OSTERVILLE,MA 02655 USA REAL PROPERTY CHRISTOPHER STAVROS 32 WIANNO AVE. OSTERVILLE,MA 02655 USA REAL PROPERTY KATHY COYLE 32 WIANNO AVE. OSTERVILLE,MA 02655 USA Consent _ Manufacturer _ Confidential Data _ Does Not Require Annual Report Partnership _ Resident Agent _ For Profit _ Merger Allowed Select a type of filing from below_to view this business entity filings: ALL FILINGS Annual Report I� Annual Report-Professional ti Articles of Entity Conversion Certificate of Amendment }; iew Filing`s; fi ;,': Comments O 2001-2013 Commonwealth of Massachusetts 0 All Rights Reserved Heln http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True&... 4/3/2013 3/27 /2013 10 : 55 : 24 AM 8740 0 02/02 A v� CERTIFICATE OF LIABILITY INSURANCE DA 031271DDIYYYY) - 03/27/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY.OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.' THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endors'ement(s). PRODUCER 01007-001 NAME:'CT Susan Dragon Albert G Brock Company Inc rM.Ext: (606)228-0104 A/c.No-:'(608)228-6166 PO Box 1600 - S� ss: Nantucket,MA 02664 A.I.M.Mutual Insurance Company 33768 INSURED -INSURER Molta Construction Co Inc INSURERC- 9 Swayze Drive INSURER D Nantucket,MA 02564 [INSURER E 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLLLAIyMSS�..� VTR TYPE OF INSURANCE 1f3R W B 'POLICY NUMBER PO&S EFF MMIDS/YYYY LIMITS . GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGETORIENTEU PREMISES Ea o=rrence $ CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ LICY EC0- OC ' AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident). $. HIRED AUTOS NON-OWNED AUTOS Per aedden �I TE UMBRELLA LIAB OCCUR EACH OCCL CE EXCESS LIAB CLAIMS MADE AGGREGAT:D O yypRKDEIERDS Q�pRgETTEENNITIIONN $ C S'� AND EMPLo°YERs'LIABILITY X rH. oRY L M( 's 911 A ECUTIVE E.L.EACH AC ENT Z 100,000 A ONF I �IM t !P ��� N N/A VWC6014676012012 10/19/2012 10/19/2013 I(''Myyaeens5ddattoory In NH) �� - E.L.DISEASE- EMPLOYE 100,000 DI SCIW crib OF OPERATIONS below E.L.DISEASE JPOLIEY LIMIT ;$ t= 500,000 1'f1 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable Attention:Building Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. t AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1300 DATE(MM/DDNYW) AcREY' CERTIFICATE OF LIABILITY INSURANCE 03/27/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endors'ement(s). PRODUCER 01007-001 MY CT Susan Dragon Albert G Brock Company Inc r2la.Ext: (608)228-0104 .Nn. (608)228-6166 PO Box 1600 K&LESS: Nantucket,MA 02664 INSURER A A.I.M.Mutual Insurance Company 33768 INSURED INSURER Molts Construction Co Inc INSURER C, 9 Swayze Drive INSURER D Nantucket,MA 02664 INSURER E 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 CONTRACT OR OTHER DOCUMENT WTH 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. L TYPE OF INSURANCE IDSR POLICY NUMBER ��p 6P9DUDDl1,Y4 LIMITS GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RMTrEff'— COMMERCIAL GENERAL UABILrrY PREMISES occurrence) y CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ LICY RO- OC COMBINED SINGLE LIMIT— AUTOMOBILE LIABILr Y Ea accident S ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident). $ AUTOS AUTOS HIRED AUTOS NON-OWNED c ., AUTOS (Per acciden C � UMBRELLA LUIB OCCUR EACH OCC CE Z EXCESS LIAB CLAIMS MADE AGGREGAIC) 0 DED RETENTION S WPWR�pN{�EW7��RMWLE l X r'0 LIMI 's °ER A OFFICER/IAEMBER�DCCLUDE07 ECLMvE�N N I A VWC6014676012012 10/19/2012 10/19/2013 E.L.EACH ACC ENT Z 100,000 lVanndat��oryy�In NH) � ��i "��i E.L.DISEASE- EMPLOYE �1 100,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE ICY LIMB S tw 500,000 Cf7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable Attention:Building Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE G3ReJG?&V-a ©1988-2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD 1300 ^.:#S ac ett/De ittm of dS p — ;_ 9 Oa :#ml n 4#\¥ ,£on6 pn, r ) Uces » -0 fst } N01:11MEL A_M Nantucket, .0tS4 \ ° ƒ � & Comm s!&#ef ` , , #$2044 . . � . • l _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map - Parcel 43 Application # 6gg� Health`Division Date Issued Conservation.Di ision -` Application Fee 160 Planning Dept. Permit Fee �SP Date Definitive Plan Approved by Planning Board (� Historic'- OKH Preservation / Hyannis Project Street Address 641/G. N41U X ye Village O STeR 1Zi L4e Owner 3.2 L✓/A.^-7 L Z e Address ©,,-rr ,1dk iste Telephone IIXO- 5-9 y0 Permit Request Xe_A V 1AT%DN X22T 6 T; se ce o". Fl"*M CAA-10 ga-se,,.1P,�� yi�h,;g [���� 94WL&Lo-;;-A a4 aTe�GeT �Qe o r� I1 d ve a So AcAP' _ Y/f S. 1, A.OD /LP L.' £AZIA if A 4 P Square feet: 1 st floor: existing o q g 3 gaaproposed 2nd floor: existing /07 proposed�Total new Zoning District Flood Plain Groundwater Overlay Project Valuation G ozb Construction Type s a S2 Lot Size Grandfathered: ❑Yes ❑ No -If yes, attach s c�orting documentation. ca � Dwelling Type: Single Family` ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House:. ❑Yes N No On Old King's Hi hway: ❑Yes W No Basement Type: X Full ❑ Crawl \ ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing S new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: k Gas ❑ Oil ❑ Electric ❑Other Central Air: 4 Yes ❑ No Fireplaces: Existing New V Q Existing wood/coal stove: O Yes 0(No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use-- Proposed Use _eQSJ-rJF_.SS APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 01-704 GONS7R✓cTioiv ra_ ,1nc. Telephone Number SDf- .3/Y 93 /8 Address T—��6� License# Q S iJW3 / Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /O/oL DZd M . 17 FOR OFFICIAL USE ONLY APPLICATION# ` DATE ISSUED MAP/PARCEL N0.. ADDRESS ' - VILLAGE OWNER ; -_DATE OF INSPECTION: 'FOUNDATION FRAME 211 a u 9 f INSULATION 1.40R FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS: t_ ROUGH FINALif ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. DWI6/.20,08/T.UE 14: 36 0.0111A FIRE DEPARTkIENT FAX No. 5087902385 P• 002 FYI DEPARTMENTS OF THE TOWN OF BAIZNSTABLE Fire Fteventioxll Office - Hineldey Building 200 Mainz Street, Hyannis,-MA 02601 (508) 862-4097 BUILDING GO.DE COMPLIANCE FORM Plans dated. b' for the property loca ted at al$o kr�`�wn-as have been reviewed by of the. Q 2arn5table = C.OMM C] Cotuit -Q Hyannis L7 West:Barnstable Fire Department. THE CHART BELOW INDICATES THE STATUS OF THE REVIEW: TYPE OF-CONSTRUCTION DOCUMENT N/A RECEIVED REVIEWED COMPLIES A. Ne'rrative-Report 2. Firefighting.& Rescue Access 3. Hydrant Location &Water Supply. 4. Sprinkler Systems 5. Sprinkler Control Equipment 6. Standpipe Systems 7. Standpipe Valve Locations 8. Fire Department Connection 9. Fire Protective Signaling System 10. F.P.S.S.A Annunciator Location 11, Smoke Control/Exhaust 12. Smoke Control Equipment Location 13. Life Safety System Features 14. Fire Extinguishing Systems 15. F.E-S• Control Equipment Location 16. Fire Protection Rooms .17• Fire Protection Equipment Signage 18. Alarm Transmission Method CD 19. Sequence of Operation Report 20. Acceptance Testing Criteria M We believe this document to be obmplete and compliant for the issuance of a building..per it. � y; .. Q We have completed the acceptance testing far the occupancy permit and believe that within the pe ,of the building permit, the above Issues are in compliafte. A:CORD CERTIFICATE OF LIABILITY INSURANCE ioi20/2008 PRODUCER (413).56a-3659 FAX: (413) 56874284 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE Berkshire Insurance Group, Inc. -HOLDER. THIS CERTIFICATE DOES 'NOT_ AMEND, EXTEND OR -13-6 Elm St. ALTER THE.COVERAGE AFFORDED BY THE POLICIES BELOW. Westfield MA 01085 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Associated Industries of Molta Construction Company, Inc. INSURERB:MA. Mutual' Ins. Co. 9 Swayze Dr. INSURER C: INSURER D: Nantucket MA 02554 INSURERE: . COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,T ERly)OR CONDITION OF.ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT. T.O,WHICH THIS CERTIFICATE MAY BE ISSUIED 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. INSR ADD'L - POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR IN SR TYPE OF INSURANCE POLICY NUMBER --.DATE MMIDDIYY DATE MMIDD/YY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence CLAIMS MADE OCCUR MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JE� LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NOA:-OWNED AUTOS (Per accident), i PROPERTY DAMAGE �- (Per accident) $ h. GARAGE LIABILITY AUTOf A ACCIDENT $C7 r• ANY AUTO OTHE {: EA ACC $ AUTO I �' AGG $N V, ' EXCESSIUMBRELLA LIABILITY / `` $ - ' OCCUR CLAIMS MADE AGGREGATE I $ DEDUCTIBLE $ CJ' RETENTION $ $ A WORKERS COMPENSATION AND - WC S ATU OTR EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 0FFICER/MEMBEREXCLUDED? V4C6009407012008 9/13/2008 9/13/2009. E.L.DISEASE-EA EMPLOYEE 100,000 It yes,describe under - 500 000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSiLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Workers Compensation coverage is provided for Michael Molta, President. CERTIFICATE HOLDER CANCELLATION (5 0 8)T9'0-6 2 3 0 SHOULD ANY OF 4HEr ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Barnstable EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20.0 Main Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Hyannis, MA 02601 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE -INSURER,ITS AGENTS OR REPRESENTATIVES. A THORIZE1D�REEPR,E,S,ENITAT VV �-• - ' ACORD 25(2001/08) @AC&DCORPIDRATION1988 INS025 rninRina. Pagel o1`2 ivtassacnusctts- ucpartmcnt of Yut)liC JaliMs Board of Buildin- Re-ulations and Standards Construction Supervisor License License: CS 54431 Restricted-to: 00 MICHAEL.A.MOLTA 9 SWAYZE.DR "` NANTUCKET, MA 02554 ' Expiration: 8/15/20.10 V :'unnnissiuncr Tr#: 1033 TFiE T�ti s r Town of Barnstable BARNMBLS• " MAM Regulatory Services �'ATfn►+��A Thomas F. Geiler,Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us -Office: 508-862-4038 Fax: 508-790-6230 ProperhT Owner Must Complete.and Sign This Section If Usiing A Builder I,�\,rw `�- �►is� 3,2W l�ck�w ; as Owner of the subject property hereby authorize l C,� _ /G� �. ct on my behalf, in all matters relative to work authorized by this building pemut application.for: (Address of Job) Sign o Owner Date ?rint Name ):\WPFILES\FORMS\building permit formsEXPRESS.doc :evise020108 F'tHE t, Town of Barnstable , T Regulatory Services • srnsi:E. Thomas F.Geiler,Director • swnx 1639. n,�� Building Division TEo � Tom Perry,Building.Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Pleaie Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING'ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm strictures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to thc'Building Official,that he/she shall be responsible for all such work performed under the building pemnit. (Section 109.1.1) 1, t The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, rules and regulations. The undersigned"homeowner"certifies that lie/she>.uiuersta1rds the-'own of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-farnily dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fon-✓certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston, AAA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name (Business/Organization/Individual): �L cam(/!y /k�Ci9�� GOB. �iyG Address: QXA e City/State/Zip: /C/��[/T"�Gk�/yJyJ/y� ?2,15Y Phone.#: b�Q� ,31y- 9318 Are you an employer? Check the appropriate box: Type of project(required): 4. I am a general contractor and I 1.[� I am a employer with 6. ❑ New constrticlion employees(full and/or part-.time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. Remodeling sbip 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.t required] 5. We are a corporation and its 1.0.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workcrs'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and thcn•hirc outside contractors must subrnit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whetlicr or not those entities have employees. If thc sub-contractors have employces,they must providt their workers'comp.policy number. I am an employer that is providing workers' compensation insurance fur my employees. Below is the policy and job site information. Insurance Company Name: onTs. /1'f(��T�JGe.L 2i(/�'y�QCe�r✓C Policy#or Self-ins. Lic. #: VW DO�o ?0>z ��� Expiration Date: — 13' / Job Site Address: o� [, //Ge lluo &ve-. City/State./Zip: (Q /Q lJJ 1/P )M 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 unprisonment, 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 f6m arded to the Office of Investigations of the DIA for insurance coverage yerif cation. I do hereby certify under the pains•a penalties of p rjury that the information provided above is true and correct Si ature: 4 p Date: 0 Phone# Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: _Permit/License# __ a Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Topry Clerk 4.EIectrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instr'uCtiolis Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as''an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees.'However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance witb the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shallm enter into any contract for,the perforance of public work until acceptable evidence of compliance with the in esuranc requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary, supply sub-contractor(s)name(s), address(es) and phone numbers) along with their certificates) of insurance. Limited Liability Companies•(LLC) or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are.not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should n be returned to the city or tow that the application for the pen-nit or license is-being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to.obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permitflicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future perruits or licenses. Anew affidavit must be filled out each year..Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Comulonvuealth of Massachusetts Depaittrnent of Industrial Accidents QfAce of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 revised 11-22-06 www.mass..govldia . Massachusetts Department of Environmental Protection Bureau of Waste Prevention .Air Quality 1100069293 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition I Lll� mportant: A. Applicability 'When filling out PP ty forms on the computer,'use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not (DEP), Bureau of Waste Prevention-Air Quality Control Regulations 310 CMR 7.09. Notification of use the return key. Construction or Demolition operations is required under 310 CMR 7.09(2)ten (10) days prior to any, work being performed. The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1. a. is this facility fee exempt-city, town, district;municipal housing authority, owner-occupied Instructions residence of four units or_less ❑Y� es�❑rNo 1.All sections of b. Provide-blanket decal number if applicable:this form must be Blanket Decal Number completed in order to'comply with the 2. Facility Information: Department of 32 Wianno LLC Environmental Protection a.Name notification 132 Wianno Rd. requirements of b.Address 310 CMR 7.09 Osterville MA 1. 02655 c.City[Town d.State e.Zip Code (508) 314-8318 f.Telephone Number area code and extension .E-mail Address(optional) 3,947 2 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: Office space I. Is the facility a residential facility? ❑ Yes ❑✓ No �0 m. If yes, how many units? Number of Units �0 3. Facility Owner: �N 32 Wianno LLC �o a.Name �0 886 Main Street b.Address Osterville MA I OF2655 CityrrQwn d.State a Zip C de 10 (508)420-5940 f.Tele hone Number area code and extension) .E-mail Address o tional �a Chris Stavros �Q - h.Qnsite Manager Name ag06.doc•10/02 BWP AQ 06•Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality 1100069293 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition General Statemenf:lf B. General Project Description (cont. asbestos is found during a 4. General Contractor: Construction or Demolition Molta Construction Co,. Inc. operation,all responsible parties a.Name must comply with 19 Swayze Drive 310 CMR 7.00, b.Address and Chapter Nantucket FMA 02554 Chapterer 21 E of the General Laws of c.City/Town d.State e.Zip Code the Commonwealth. (508) 314-8318 This would include, f.Telephone Number area code and extension .E-mail Address(optional) but would not be. limited to,filing an Michael Molta asbestos removal h.On-site Manager Name notification with the Department and/or a notice of releaselthreatof release of a C. General Construction or Demolition Description hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. Imolta Construction Co. Inc. a.Name 9 Swayze Drive b.Address Nantucket Ma 02554 c.Ci /Town d.State e.Zip Code (508)314-8318 f.Telephone Number area code and extension g.E-mail Address o tional Michael Molta h.On-site Manager Name 2. On-Site Supervisor: Michael Molta On-Site Supervisor Name 3. Is the entire facility to be demolished? ® Yes ✓1 No �N —° 4. Describe the area(s)to be demolished: =C—o Remove drywall from walls on first and second �N �O ft...........W.—iO 5. If this is a construction project, describe the building(s) or addition(s)to be constructed: �T o Remodel int., replace windows of existing bldg. . � �o d �Q ag06.doc•10/02 ,• BWP AQ 06-Page 2 of 3 Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention • Air Quality 100 669293 BWP AQ 06 Decal Number Notification Prior to Construction or'Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structures) surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ •No If yes, who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 04/01/2008 08/30/2008 a.Start Date(min/dd/yyyy) b.End Date(mm/dd/`,yM) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. , pleases eci ❑ wetting ❑ shrouding If other, specify: ✓❑ covering ❑ other .�_---tee=-.�. 9;�.For EmergencyDemolition.Operations,whoiszthe DEP officiaLwho=evaluated the:emergenc�y? a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d=DEPaWaiver Number D. Certification I certify that I have examined the IMichael Molta 00 above and that to the best of my a.Print Name �O knowledge it is true and complete. The signature below subjects the b.Authorized Signature _N signer to the general statutes Owner =o regarding a false and misleading c.Positionrritle =o statement(s). Molta Construction Co., Inc. d.Representing �( e.Date(mm/dd/yyyy) �.�o �Q ag06.doc•10/02 BWP AQ 06•Page 3 of 3■ NON 5�W,4P 'PfPIVT 5fb� ,+...�.::,,�..!—..z!'_� .. ,. 1• Q ' GOt25GIl�jFIF�• '�I .. . I T �� War 4L3,6{' c To \ l 9 , !-f-�: ;''+ : 0. � Jam\ i ���\ '. • rp tte-r~ Ir �: ..�:�. . i__ Ala•� �� ,. :..2� , ; • - . JT -�M- " •J�'_1_'.`' 4 ., s �6+gyp t ' f! T i DOUGLAS SANFORD ASSOCIATES, INC. ARCHITECTS 22 CLAY HILL DRIVE PLYMOUTH,MA 02360 508-747-4300 In accordance with Section 116.2.2 of the Massachusetts State Building Code,780 CMR, Sixth Edition,l,Douglas K.Sanford,being a Registered Architect,and having been retained to perform construction phase services for the portion of the work for which I am directly responsible as follows: Proposed tenant fit-up at 32 Wianno Avenue,Osterville,MA,as depicted on Drawings Al,A29 A39 A4,A5,A6,A7 and A8 dated October 10,2008,as prepared by this office. I certify that the following tasks shall be performed: 1. Review for conformance to the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents; 2. Review and approval of quality control; procedures for all code required controlled materials; 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. I shall periodically submit a progress report together with pertinent comments to the Building Commissioner and shall,upon completion of the construction,file a final report indicating that the work has been performed in accordance with the approved plans and 780 CMR. NAAA�.. P�RED ARp'y� g No 4504,6 Plymouth .. /Q v T'7/e,- OFMP`' e Douglas K. Sanford 1 a � i + t 40 14, M f Y r R. I / PROJECT NAME: WM 4&El Al, / IV ADDRESS: 3 Z (Jl AkW D Aye R�1+�vac. �Sr�-� 2-AA It- r QSTL�/IL..L &SeMe#+ d+ W I�J►hdow, Aolcl. 64tcw . rt o f{01-Qwl , Mat 6w �11 PERMIT# Z009OW 3 PERMIT DATE:j z l f O$ M/P: 1 7 OCI 3 LARGE ROLLED PLANS ARE IN: ]Sox gz SLOT Data entered in MAPS on: 12-30 —oe . program BY: � I q/wpfiles/archive i �4 oFIKE To Town of Barnstable Regulatory Services • BARNSTABLE, " 9Q MASS. g. Thomas F. Geiler, Director OA i639. �0 . lsn39. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office:. 508-862-4038 Fax: 508-790-6230 July 28, 2008 Michael Molta 9--Swayze Dr. Nantucket, Ma. 02554 RE: 32 Wianno Ave., Osterville Map: 117 Parcel: 093 Dear Mr. Molta: This letter is to follow-up on an application submitted to do work at the above referenced address. Unfortunately, the application can not be approved at this time because of incomplete construction documents. If you decide you would like to proceed with the project, you must first reapply for a building permit. If this office can be of any further assistance please do not hesitate to.call. I may be reached-at (508) 862-4034. Sincerely, 04 0" -- J e L. Lauzon Local Inspector Q:zonin.-5 i ARCHITECT'S CONSTRUCTION CONTROL FINAL REPORT FOR NEW CONSTRUCTION AND RENOVATIONS DOUGLAS SANFORD ASSOCIATES,INC. ARCHITECTS 22 CLAY HILL DRIVE PLYMOUTH,MA 02360 508-747-4300 In accordance with Section 116.2.2 of the Massachusetts State Building Code,780 CMR, Sixth Edition,I,Douglas K.Sanford,being a Registered Architect,and having been retained to perform construction phase services for the portion of the work for which I am directly responsible as follows: Proposed tenant fit-up at 32 Wianno Avenue,OstervdIe,MA,as depicted on Drawings Al,A2,A3,A4,A5,A6,A7 and A8 dated October 10,2008,as prepared by this office. This is to certify that the above-referenced project has been completed in compliance with the architect/engineer inspection responsibility,section 116.2.2, 116.2.3,and 116.2.4 of the Massachusetts State Building Code. Further,I submit this report as to'the satisfactory completion and the readiness of the project for occupancy (excepting any items not endangering such occupancy and listing pertinent deviations from the approved .building permit documents as noted below). &®A® , �IWED A;? �J s K awV O. $ No 4604 0 F OU A / tryOFMay� - Douglas K. Sanford. Date: May 4,2009 fir rqy, Sign TOWN OF BARNSTABLE Permit * BARIvsrASLE. - MASS 9� 039- �FG Permit Number: Application Ref: 200803975 20070197 Issue Date: 07/25/08 Applicant: THE 32 WIANNO LLC Proposed Use: GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 32 WIANNO AVENUE Map Parcel 117093 Town OSTERVILLE Zoning District BA Contractor PROPERTY OWNER Remarks 6 SQ AVIX HANGING & 3 SQ SLATS i Owner: THE 32 WIANNO LLC Address: 32 WIANNO AVE OSTERVILLE, MA 02655 Issued By: PC X. R. THE TREET:> > > :::....::::::.:. ... :::.: ..... ... POS.:T THIS C..ARD.SO:.THAT IS:.vISIBLE.F . OM.. . S . Town of Barnstable Regulatory,Services Thomas F. Geiler,'Director 9a"' B'�' MASS. Building Division i639 ♦0 i°rfo " Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# i 1 Application for Sign Permit Applicant: V X Map &Parcel# V Doing Business As: �A\'�x Telephone No. Sign Location a Street/Road: '2o'z k q�V\yykx "k Zoning District: Old Kings Highway? Yes&)Hyannis Historic District? Y s/No Property Owner o Name:. t a'1�Y�C��RuS^T L_L,L Telephone: 5� < Address: 8co C o"V-'57- Village: Sign Contract HOLM S( C C), Name: �+" Telephone: Mailing Address: quo —� RN — 50 '* kX�:,3`0\s " Xk*— Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:Ifyes, o wiring permit is required) 0 Width of building face ft.x 10= x.10=� Sq.Ft. of proposed sign t� 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: - ate: Permit Fee: �' D Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. Q:I WPFILESI SIGNSI SIGNAPP.DOC Rev.9112106 Town of Barnstable Building Department - 200 Main Street tARNSTABLE, f Hyannis, MA 02601 MAS& (508 0:sq- ) 862-4038 .� Arf0��A Certificate of Occupancy Application Number: 200805883 CO Number: 20080317 Parcel ID: 117093 CO Issue Date: 05104/09 Location: 32 WIANNO AVENUE Zoning Classification: BUSINESS A DISTRICT Proposed Use: GENERAL OFFICE BUILDING Village: OSTERVILLE Gen Contractor: MOLTA,MICHAEL Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: Building De art e t ignature Date Signed ti F BARNSTABLEINE TOWN O Bui� ng Application Ref: ,.200805883 • ' • Permit * BARNSTABLE, ` Issue Date: - 12/18/08 ' 9 MASS 1639• Applicant: .; MOLTA,MICHAEL Permit Number: B 20082780 ArED MA't a Proposed Use: GENERAL OFFICE BUILDING Expiration Date: 06/17/09 [Location 32 WIANNO AVENUE Zoning District BA Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 117093 Permit Fee$ 2,275.00 Contractor MOLTA,MICHAEL Village OSTERVILLE App Fee.$ 100.00 License Num 054431 Est Construction Cost$ 250,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND RENOVATION FIRST, SECOND FLOOR AND BASEMENT,CHANGE W INIJOHIS CARD MUST BE KEPT POSTED UNTIL FINAL `- ADD HANDICAP TOILET ROOM,MOVE BASE STAIRS,ADD NEW EN'i TRINSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner.on Record: THE 32 WIANNO LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL ,,Address: 32 WIANNO AVE INSPECTION HAS BEEN MADE. - OSTERVILLE, MA 02655 1 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR AN ART THER F HE TEMPORA LY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR GRADES AS,WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). w ..1 T b> rg' ,^ .a�T xS. a -ma-, w '. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 :+�;=�� (wk L'1�/G�-;� 1 6 I/L' J� 1/� ;/� imc,u f e..!• ^ y c ti 8;�,i 5 '^ l.Sr FI-i.�A t i.s d' v t, Aell 3 V 1 Heating Inspection Approvals Engineering Dept s3 L,3 r h� a Fire Dept 2 "�;r�. �q Board of Health i ,"����+ EL jj \� ! •a .y .tifti #FT • h y. rack r � �•-r ����•'LL7 r 4 't 't 1 � tt t't , �� •�1 •Yw + K - 1• REIN r - Bank of America 5 8 1?6 f ACH R!T 011000138 �. "PLYMOUTH SIGN CO, INC. 53-13(110 MA, P.O. BOX 134 ' 88431 (:2• ' 63.OLD•MAIN ST. 508-398-2721 � �' I ,. (.CD j SOUTH;YARMOUTH, MA 02664 R O THE ODE ORDER OF r C�Yr•Ylc�/�� � '�— DOLLARS' !! \G3fd0 dL`yStor`-, ` ! `! ♦ !` ` ' \ ri+fa y.l�.J r aAr,�!`���--� .\ 1r•;� ;:1 ! ti/.`, + ' t\' ' ,' \ �`1`,• \`;\ a♦ ��� / MEMO GunHoi,arMsnFFi r TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map Parcel-. : , Application #,r,2 Health Division ' Date Issued -� J es Conservation-Division Application Fee 6.. Planning Dept. Permit Fee X7 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Village astir V I I`e/ Owner ,3ol W0 anno LLV Address Telephone 509)"s3 14 —e6i �J Permit Request 4C.%1?D Ae�w i/C Square feet: 1 st floor: existin"Proposed 2nd floor: existing) I® I proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio �o 0 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 to On Old King's Highway: 0 Yes No Basement Type: XFull ❑ Crawl ❑Walkout ❑ Other , I Basement Finished Area(sq.ft.) i. 100 Basement Unfinished Area(sq ) �� Number of Baths: Full: existing new Half: existing anew, Number of Bedrooms: NIA 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.9 New Existing wood/coal stove: ❑Yes )(No i 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 -F���i �� / Proposed Use cfl'! I C.Pj ULU APPLICANT INFORMATION (BUILDER - OR HOMEOWNER) ,1 Name 0, Cffisjru.&�Ofl CO. ,1 Z. Telephone Number Address _Q &)"2e, License # 0,5!ft31 A 02,554- Home Improvement Contractor# Worker's Compensation # (-LZLZx ALL CONSTRUCTION DEBRIS11&m SULTING FROM THIS PROJECT WILL BE TAKEN TO ddin'.c. _ c SIGNATURE DATE Z. 0g FOR OFFICIAL USE ONLY 1 -,APPLICATION# 1 NTE ISSUED , N r MAP/PARCELNO. S ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 4 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH i FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING tol ? y DATE CLOSED OUT 4 ASSOCIATION PLAN NO. L a - The Commonwealth of Massachusetts UTDepartment 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 LPlease Print Legibly Name(Business/Organization/Individual): .i� 'fC�n&_�CUf,41'on Address:_ City/State/Zip: I V 025 one 4: 69tL3'[314-—t0i' @ ' Are on an employer?Check the appropriate bog: Type of project(required): 1I am a employer with 4. I am a general contractor and I employees(full and/or part-time).shave hired the sub-contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g,'( Demolition working for me in an capacity. employees and have workers' r" Y P tY 9. ❑Building addition [No workers'comp.-insurance comp.msurance.t 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 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 employees. [No workers' 13.[_1 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. tContractors 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 subcontractor;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.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of cH irial 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 may be forwarded to the Office of Investications of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Date: Siznature Phone#• '50 0 Official use only. Do not write in this area,to be completed by city or town of iciaL 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 provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." I An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither tare commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation.and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies"(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in _(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass..gov/dia oF�rW�ti , Town of Barnstable r r WXNS"LL ' � Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,' Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 940 I, rev �e�Sa >a:J q'4 -e r ) LOCI , as Owner of the subject property hereby authorize I L t j4e,� 6't- to act on my behalf, in all matters relative to work authorized by this building permit application for: V f �l (Address of Job) '3 Sr of Owner Date r1\1 er 6C., V r-c-_6 Print Name QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 i Town of Barnstable Regulatory Services BAMST.,BU& : Thomas F.Geiler,Director 94, _ Building Division RFD IV1P't� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures,accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a,homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and req,urernents,and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILF-S\FORMS\homeexempt.DOC CERTIFICATE,,OFINSURANCE ISSUE DATE 0310612008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Wilcox Insurance Agency,Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE O Box 459 DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Westfield,MA 01086 COMPANIES AFFORDING COVERAGE INSURED olta Construction Inc. 9 Swayze Drive COMPANY A A.I.M.Mutual Insurance Co Nantucket,MA 02554 LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND'CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MMIDDIM GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. COMMERCIAL GENERAL LIABILITY PERSONAL&ADV.INJURY QQ CLAIMS MADE=OCCUR EACH OCCURRENCE OWNER'S&CONTRACTOR'S PROT. FIRE DAMAGE(Anyone tire) „ S - _ 0- .. ..• . : MED.EXPENSE(Anyone person) S • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ ... ANY AUTO'._. JI'�.--_._2.'----1•`_.`�• _.._.._ -- ALL OWNED AUTOS BODILY INJURY _- -- SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY GARAGGEE LIABILITY BILITY NON AUTOS (Per accident) PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM s�' - r. 4� WORKERS COMPENSATION AND STATUTORY LIMITS OTHER EMPLOYERS LIABILITY X HE PROPRIETOR/ EL EACH ACCIDENT 100,000 A ARNERs\ExecurivE FFICIERS ARE: 6009407012007 09/13/2007 09/13/2008 EL DISEASE--POLICY LIMIT 500,000 INCL EXCL EL DISEASE--EACH 100,000 EMPLOYEE COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS: ERT ._ . .e r v �� tSHOULD ANY OF THE ABOVE DESCRIBEDTOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE OWN OF BARNSTABLE THEREOF,THE ISSUING COMPANY WILL-ENDEAVOR TO MAIL 15 WRITTEN NOTICE TO-THE CERTIFICATE OLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL.SUCH NOTICE SHALL IMPOSE NO OBLIGATION_ R LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. 00 MAIN ST ARNSTABLE,MA 02601 UTHORIZED REPRESENTATIVE TOWN OF BARNSTABLE - SIGN PERMIT PARCEL ID 117 093 GEOBASE ID 5841 ADDRESS ' 32 WIANNO AVENUE PHONE OSTERVILLE ZIP - LOT A & B BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 63052 DESCRIPTION NORTHERN HERITAGE BUILDERS INC. PERMIT TYPE BSIGN TITLE SIGN PERMIT r CONTRACTORS- ARCHITECTS:ARCHITECTS: of Regulatory. Services .� TOTAL FEES: $25.00 BOND CONSTRUCTION COSTS $:00 tME I 753 ; MISC. NOT CODED ELSEWHERE ; • BARNSTABLE, MASS. 039. B DI G DIVISI N B DATE ISSUED 08/14/2002 EXPIRATION DATE i Town of Barnstable �Op THE Tp� Regulatory Services Thomas F. Geiler,Director BARNSTABLE, + ' '"ASS.1639. b Building Division ArEo MAy p' Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax.Collector_ � Treasurer Application for Sign Permit Applicant: Assessors No. _�� 091 Doing Business As:f (�6Lt, �Telephone No. O K 1 T� 03 �3 Sign Location 1 Street/Road: 3a U)IQ►Xrk0 Zoning District: V `�� Old Kings Highway? Yes o Hyannis Historic 2. � Y District. Yes Property ner Name: Ql �w 1 q Telephone: , \ Address: 32 WtQvw,O its Village: Sign Contr or . Name: C Q�l �q Telephone: �� 3� ay Address: ✓id, (l� RRQ �q ,,,.�Q • Village: Y l ase' c���' , "oflulildfi!-C r"an !xistfii-Afin`g�sj Pleasedraw a diagram of lot showing loca s the new sign. This should be drawn on the reverse'side of this applicatio with dons, location an size of Is the sign to be electrified? Yes/ o (Note:If yes, a wiring permit,is required) I hereby certify that.I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of.the Town'of Barnstable Zoning Ordinance. ' Signature of Owner/Authorized Agent: Date: I tA 0 Size: 11 K � rs�i Pern it.Fee: Sign Permit was approved: !/ Disapproved: Signature of Building Offici Date: -/ --O Proposed Sign 32 Wianno Ave. Dimensions: 24"x72" Colors: As noted T f FM I NORTHERLY HERITAGE BUILDERS,►nc P NORTHERN HERITAGE r` , V 2002© Steve Purcell BUILDERSInc -I Design by Purcell Woodcarving All rights reserved J i Proposed Sign 32 Wianno Ave. Dimensions: 24N72" Colors: As noted - - — - - - - J. ISAM son NORTHERN HERITAGE Kn BUILDERS,inc ,ta.� NORTHERN .y` l HERITAGE BUILDERS, 2002© Steve Purcell inc- Design by Purcell Woodcarving All rights reserved P TOWN OF BARNSTABLE SIGN PERMIT PARCEL ID 117 093 � GEOBASE ID 5841 ADDRESS 32 WIANNO,AVENUE, PHONE OSTERVILLE ZIP — LOT A & B BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 62870 DESCRIPTION FRANK SULLIVAN REAL ESTATE/8 1/2 SQ PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: Regulatory Services `x TOTAL FEES: $25.00 BOND $:00 �TME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE s6;- A� i FD MA B DING DIVI IO v of B DATE ISSUED 08/08/2002 EXPIRATION DATE Town of Barnstable Regulatory Services P Thomas F.Geiler,Director BAMSrABM ..MASS. � Building Division ��ED MAy Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax; 508-790-6230 Tax Collector Treasurer Application for Sign Permit Applicant: Assessors No. G Doing Business As: FPA l WA � }l ,o` Telephone No. 7i Sign Location Street/Road: Zoning District: Old Kings Highway? Yes/�Hy�annis Historic District? Ye 0o � Property Owner �� ./� Name: n // l V1�✓1 Telephone: U Address: Village: Sign Contractor I Name:_ c„ �;�} J . Telephone: Address: Village: Description Please draw a diagram of lot showing location of buildings.and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? YeO (Note:If yes, a wiring permit is required) I hereby certify that.I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construct all conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agen . Date: 9,' 7 Size: Permit-Fee: c2 ,S Sign Permit was approved: Disapproved: Signature of Building Offic 1: ' Date: —O' Siknldoc F ` A N1 K SLW R E A L E S T A T E oA F& R K L 1 P, sfiA -rF os-'£F,-v , -P-- — ' Z �z YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permissiori to operate.) You must first obtain the necessary signatures on this format 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.Ist FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. p Z DATE: b f J Fill in please: APPLICANT'S YOUR NAME/S: BUSINE ` YOUR HOME ADDRESS: i 4'&N- fELEPFYONE # Home Telephone Number 17i NAME OF CORPORATION c NAME OF NE1N BUSINESS , TYPE OF BUSINESS: K _ G�C41 IS THIS A HOMEOCCUP�1 ONE YE ADDRESSDF BUSINESS . MAP/PAR-7,77177 CEL NUMBER .:, Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable..This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO R'S OFF This individ I inform d f y pe mi r quiremepts that pertain to this type of business. ut orize nature* el `�� COMMENTS: i 2. BOARD OF HEALTH This individual ha n inform . t er i equi is that pertain to this type of business. Authorized Sig ature* COMMENTS: 3. CONSUMER AFFAIRS LLICENPINEj AUTHORITY) This individual ha en i f of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: i -, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel d Application # 17 Health Division Date Issued 4 Conservation Division Application Al Planning Dept. Permit Fee 1,0 go Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ,3�,g W��G_A-y Ave , Village 0,9 v 1, te M Owner 3a w1'4A_-A-b Address Telephone Permit Request N �� �e 7`r�Li ' r.� 2S'S'/6,e Square feet: 1 st floor: existing, proposed 2nd floor: existing proposed —Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. . Dwelling Type: Single Family ❑ Two Family ❑ \, Multi-Family (# units) � Age of Existing Structure Historic House: 0 Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: U existing o❑ newi size._ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other"" w o m -D O Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ :z N Commercial ❑Yes ❑ No If yes, site plan review# . Current Use Proposed Use p q APPLICANT INFORMATION (BUILDER OR HOMEOWNER) CName tfl� sn'1� Ss(x- ��' - Telephone Number C`Address 2- ��1% (� �, _- License # - 4 aqw,LO A4 Home Improvement Contractor# Worker's Compensation # CQN � ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Mh /� 11Qp ,._.SIGNATUR DATE .�10 FOR OFFICIAL USE ONLY AFPLICATION# a . DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE s OWNER r DATE OF INSPECTION: ���F©.UNDATI.ON�: ;'��ta.=:,:•�t.jf-t:i���au;a,�,�> , ' — FRAME INSULATION c 64 > Y 4 FIREPLACE f ELECTRICAL: • ROUGH FINAL " ;a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING F DATE CLOSED OUT . r 4 ASSOCIATION PLAN NO. f., v� i L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 w mass.wwgov/diia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly -Name(Business/Organization/Individual): ® -Address: City/State/Zip: k, Phone#: Are you an employer?Check th 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 part-time). - - 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• t 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the'policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her y c ;jy under th ains and penalties of perjury that the information provided above is true and correct -Si a e:A Date: 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 provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-49.00 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia -�: Town of Barnstable Regulatory Services RAJWSTAMIX 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 Property Owner Must Complete and Sign This Section If Using A Builder 1(9 I, i3 tAL,o" Aw e , as Owner of the subject property hereby authorize d /' ? 1(94--YAI tA& 2 LtM,onact on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner S- ture of Applic t 14 Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 62012 Town of Barnstable Regulatory Services ra�tvsrwar.; $ iaAM Thomas F.Geiler,Director � 1639. 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town •state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned`,`homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption.are unaware that they are assuming theiesponsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decolldc\AppData cal\MicrosoR\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPPMS.doc Revised 053012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map >d�3 Parcel TO'� NI V RARNSTABL Application # �� 0 Health Division Date Issued I JAI' 11 42 Conservation Division Application Fe' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board D 11 VIS, 01t, Historic - OKH Preservation / Hyannis Project Street Address �c� 1`S lA � JA Edo Village: d �+ r'y • ��"� Owner Address Telephone Permit Request _ .0— vtc -acpw S I � CO✓►n 1^1,e roc: i cry Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay .v` roject Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No. Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing' ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name AU l l� �//U�1`�� Telephone Number 73 7 Address _ �. I� �� License # S " D5� C�g i. ✓✓I/t Home Improvement Contractor# Email ZT 6- "C-04✓ Gel rker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO R SIGNATURE DATE tl / i FOR OFFICIAL USELONLY 40PLICATION# DATE ISSUED; t I . MAP PARCEL NO. : ADDRESS VILLAGE OWNER . DATE OF INSPECTION: { FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING DATEZXOSED OUT AS_SO �Ii9►FION PLAN NO. i The.Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/tndividual): � /`C'� Address: D a D x' City/State/Zip: WO Phone#: Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* ❑Remodeling have hired the sub-contractors 6. []New construction i 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an aci employees and have workers' Y capacity. tY� comp.inctrrance,x 9. ❑Building addition [No workers Comp. insurance p• 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 / y (,(Jt L-10 " 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 hue outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam 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.#: Expiration Date: Job Site Address: City/State/Zip: ' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify under the pains arenalties ofperjury that the information provide above is true and correct Signature: Date lZ 3 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 provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having.not more than three apartments and who resides therein,or the occupant of the dwelling house of another who'employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line.' City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the perrdt/license number which will be used as a reference number. In addition,an applicant that must submif multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should unite"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions.- please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Iaveatigations 600 Washington Street. Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-W-MASSAFB Revised 4-24-07 Fax#f 17-727-7749. www.mm.gov/dia I �'ME r, Town of Barnstable Regulatory Services • )ANNST"LB, s MAss, $ 'Richard V.Scali,Interim Director s63q. ♦0 o � 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 Property Owner Must Complete. and Sign This Section If Using A Builder I, ,as Ov!1 er of the subject property hereby authorize D&Vc— ttn.e c to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job). **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or.utilized before fence is installed and all final inspections are performed and accepted. Signature of ver A'{aw/ Signature of Applicant Print Name Print Name �l( 1 Date ® Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-097708 � !7 DAVED E FINERV P.O. BOX#203 FORESTDALE MA 026441 Jy '� nk Expiration Commissioner 05/06/2015 r ,Mass. Corporations, external master page Page 1 of 2 William Francis Galvin Secretary of the Commonwealth of Massachusetts A i J a CD Corporations Division Business Entity Summary ID Number: 203462284 Request certificate I ( New search Summary for: 32 WIANNO LLC The exact name of the Domestic Limited Liability Company (LLC): 32 WIANNO LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 203462284 Date of Organization in Massachusetts: 09-08-2005 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: City or town, State, Zip code, Country: The name and address of the Resident Agent: Name: BRUCE MYERS Address: C/O 32 WIANNO LLC 32 WIANNO AVE. City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER ROBERT MADONNA 32 WIANNO AVE. OSTERVILLE, MA 02655 USA MANAGER BRUCE MYERS 32 WIANNO AVE. OSTERVILLE, MA 02655 USA MANAGER CHRISTOPHER STAVROS 32 WIANNO AVE. OSTERVILLE, MA 02655 USA MANAGER KATHY COYLE 32 WIANNO AVE. OSTERVILLE, MA 02655 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY ROBERT MADONNA 32 WIANNO AVE. OSTERVILLE, MA 02655 USA SOC SIGNATORY BRUCE MYERS 32 WIANNO AVE. OSTERVILLE, MA 02655 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 6/11/2014 f "Mass. Corporations, external master page Page 2 of 2 SOC SIGNATORY KATHY COYLE 32 WIANNO AVE. OSTERVILLE, MA 02655 USA SOC SIGNATORY CHRISTOPHER STAVROS 32 WIANNO AVE. OSTERVILLE, MA 02655 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY ROBERT MADONNA 32 WIANNO AVE. OSTERVILLE, MA 02655 USA REAL PROPERTY CHRISTOPHER STAVROS 32 WIANNO AVE. OSTERVILLE, MA 02655 USA REAL PROPERTY KATHY COYLE 32 WIANNO AVE. OSTERVILLE, MA 02655 USA REAL PROPERTY BRUCE MYERS 32 WIANNO AVE. OSTERVILLE, MA 02655 USA 0- r Confidential r Merger 0— Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS F Annual Report I Annual Report - Professional iti k Articles of Entity Conversion ' Certificate of Amendment View filings Comments or notes associated with this business entity: I;�, xx: New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.... 6/11/2014 eDEP: Print Receipt Page 1 of 1 Submittal Summary & Receipt Your submission is complete. Thank you for using DEP's online reporting system.You can select"My Homepage"to review your status. DEP Transaction ID: 171394 \ Date and Time Submitted: 3/19/2008 9:35:01 AM Other Email : - Form Name: BWP -Demolition Form for AQ-06 Payment Information' DEP code: 30008 Date: 3/19/2008 9:34:53 AM Amount($): 85 Payment Detail: Michael Molta—Card — 3006 Contractor Contractor Number Name Address, , Supervisor Project Monitor Lab https://edep.dep.mass.gov/Restricted/webpages/printreceipt.mpx 3/19/2008 ��i4e-�onvnaonu�e�,��,✓�ttrr.�ac✓iuv�lt' ' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR } -Nurnber CS i4,054431 - Bklt date 68/15/1965 ; Expires WMW2008" .` -Tr.no:"3502.0 I Restricted: 00 'r MICHAEL A MOLTA 9 SWAYZE DR NANTUCKET, MA 02554?% Commissioner i I i � r Town of Barnstable WE rqy� 200 Main Street,Hyannis,Massachusetts 02601 •ARN—BLF- ' Growth Management Department Patricia Daley, Interim Director ' `0� 367 Main Street' Hyannis, Massachusetts 02601 .etFD MP'�s Phone(508)8624785 Fax(508)862-4725 www.town.barnstable.ma.us April 9, 2008 Eliza Cox, Esq. <. Nutter McClennen& Fish LLP P. O. Box 1630 ' Hyannis, MA 02601-1630 ► r . —p fr Reference: Site Plan Review 013-08 - 32 Wianno LLC (Avix) � 32 Wianno Avenue, Osterville, MA ; C-) Map 117, Parce1093 CO CO Proposal: Applicant proposes to change use of approximately 2,126 s.f. within e isting building on subject property from professional office to specialty retail. No changes are proposed to site layout or footprint of existing structures. Dear Attorney Cox: Please be advised that at the staff Site Plan Review meeting of April 8, 2008, the above proposal received administrative approval subject to the following conditions: • Approval is based upon submitted plans entitled: "Existing Conditions Plan, 32 Wianno Avenue, Osterville, MA", prepared for 886 Ventures, LLC, by Baxter Nye Engineering & . Surveying, Osterville, MA, dated October 7, 2005; floor plans depicting proposed uses; Parking: 9.onsite spaces; municipal parking within 300 ft. at 9 Wianno Avenue; and 770 Main Street, Osterville under same entity's control. • Street parking cannot be included in offsite parking computation, nevertheless it is determined unnecessary to meet required parking amounts. • The dumpster will need to be screened. • Applicant must obtain all other applicable permits, licenses and approvals required, including, but not limited to, signage. Sincerel l ��Ellen M. Swiniarski, SPR Coor inator CC: SPR File Tom Perry�Building Comm�ss`ioner :_ " l DR 1L1 Massbchusetts,bepartmept oflEnvironmentAvProtection ■Ll Bureau of Waste Pt6vention,-Xr.,Qualjty '10417,006 Decal Number B'WP :AQ 06 Notification Prior to Construction or,4emolition Important: When out A.Applicability forms on the computer,use only the tab key A Construction or Demolition operation of an]ndustrial;commercial oOnstitutional building;or to move your residential building with 20 or,more.units Is r4VIated by'the:Deparime-t: Environmental,Protection cursor- et not (DEP), Bureau of Waste Prevention=Alr.Quallty Control,Regulatlonsl310.CMR 7.09.Notification of Use the return key. Construction or.Demolition operations is requlred under-310 CMRten`(10)..days prloc'to any work being performed.The following information Is.requ red.pursuant c 31,0 T CMR M B. General Pedj®ctDescrlption 1. a Is this facllltyfee.exempt N.town,tlistrict;municipalhousing,authorry;:owner-occupied Instructions residence.of four-'units&`iess? Yes',✓ ,No 1.All sections of b.Provide blanket°decal number if appticable: k B1aAet.oecal,Nt;mber this form must be - - completed In order to comply with the ty 2 Facility-Information: Department of SAVANT Environmental Protection a.Name notification 32 WIANNO AVE OSTERVILLE requirements of b.Address 310 CMR 7.09 BARNSTABLE MA 02655 c.Cltv/rown d.State e:.Zlo Code 50BON2451 f.Teleohone Number(area code and extension) o.E-mail Address(opt[onal) 3000 2 h.Size of Facility in Square Feet 1.TJumber,of_Floors j.Was the facility built prior to=19807 ✓' Yes. No. " k. Describe the current or orioruso.of:the falcility: OFFICE I. is the facility,.a residential facility?' Yes ✓ .No _0 m. if yes,'how many units? . _ - NumberofUnits —� 3. Facility Owner: a 32 WIANNO LLC o a.Name �0 32 WIANNO AVE �— b.Address OSTERVILLE MA 02655. �W c.Citv/1-own d.State e_,Zlo Code 0 5086832451 f.Teleohone Number(area code and extension) a.Email Address'(ootonal) BRUCE MYERS �Q h.Onsite Manager Name ■ ag06.doc•10102 BWP AQ 06•Pagel of 3■ Massachusetts.,�Departmentiof'Environmental•Protection ■ Bureau of Was'W'Preventibq,-•AIr 0 ai'i.ty, 100175006 Decal Number BWP AQ 06• Notification Priorto Constructtowor,Demolition General •B. General Pro ect De p /scril tlon (cont.) Statement If asbestos is found during a 4. General Contractor. Construction or Demolition MOLTA CONSTRUCTION CO.:INC: operation,all responsible parties a.Name must comply with 9 SWAYZE DRIVE 310 CMR 7.00. b.Address Chas;7.15,and NANTUCKET MA' 02554 Chapter 21 E ofahe• - General Laws of c.Cftylrown d,State e:Zip Code the Commonwealth. 50831483.18 This would include; ., - but would not be f.7elephocie Number-(arei3 code and extensliinj p.E-mall'Address`(oRtironatl. limited to,filing an MIKE MOLTA, asbestos removal h;On-site Manager.Name notification with the Department and/or a notice of release/threat of release of a C. General ConstrUctlon'or Demolition Description hazardous substance to the 1. CoflstrUction or demolition co itractor: Department.if applicable. MOLTA CONSTRUCTION CO.INC. a.Name 9 SWAYZE DRIVE b.Address NANTUCKET MA 02554. c.Cityrrown d.Slate: e.Zp.Code 5083148318 f.Telephone Number(area code and extension), g E-mair'Address(oPtonai) MIKE MOLTA h.On-site Manager Name 2. On-Site,Supelniisar MIKE MOLTA On-Site SupervisorName 3. Is the entire facility to be.dem61(sh607 1 Yes / No. N 0 4. Describe the;area(s)to be:demolishtid',�-- ® REMOVE 2 DOORS ADD`PARTITIONS N ® 5, If this is a construction project,describe the building(fii)or addition(e)tabe'constructed: 2 STORY WOOD FRAME`WITH DRYWALL ab00,doc 10102 BWPAQ 00-Pop 2 of 3 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construct;vn Supervisor License: CS-054431 &UCHAEL A MOI,�'1rA. 9 SWAYZE DR Nantucket MA 0$54'3 Expiration commissione 08l15/2014 V t1.4 J ito 'Th e C6 Ifinw n 0 i 5`% Migs a Eh U'S .4 D'gpari'tme'nt","O'fIiid'ustiialAc6idents T Office of iiii'adkidibAs 600 Washington Street qostbn;,MA 02111. • www.ii d ,ik6v1dhi' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 6k-V Lo pt_,Ar/ 9—/Z-71- Address: S City/State/Zip: Al- Wu C—tfl Phone Are you an employer?Check the appropriate box: Type of project(required): 1.El I am a employer with 4. E] I am a general contractor and 1 1 6. E]New construction nployees(full and/or part-time).* have hired the sub-contractors 2.EV I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. E] Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers'comp. insurance comp. insurance. required.] 5. F-1 We are a corporation and its 10.F1 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their 11.0 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' 13.0 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:— :3 2-- t/& City/State/Zip: C-) 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 p a penalties of perjury that the information provided abovetrue and correct. Signature: Date: 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#: • Ott µµ,, r y t ' j ll „( r. IL Y.'M' f lk ' Information, and, Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, i express or-implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,4 617-727-4900 ext 406 or 1-877-NIASWE Revised 4-24-07 Fax#� 617-727-7749 www.mas§.gov/dia i Enphase®Microinverters Enphase@M250 y The Enphase® M250 Microinverter delivers increased energy harvest and reduces design and installation complexity with its all-AC approach. With the M250, the DC circuit is isolated and insulated from ground, so no Ground Electrode Conductor(GEC) is required for the microinverter.This further simplifies installation, enhances safety, and saves on labor and materials costs. The Enphase M250 integrates seamlessly with the Engage®Cable, the Envoy®Communications Gateway", and Enlighten®, Enphase's monitoring and analysis software. PRODUCTIVE SIMPLE RELIABLE -Optimized for higher-power - No GEC needed for microinverter -4th-generation product modules No DC design or string calculation - More than 1 million hours of testing - Maximizes energy production required and 3 million units shipped - Minimizes impact of shading, - Easy installation with Engage - Industry-leading warranty, up to 25 dust, and debris Cable years [e] enphase° sA® E N E R G Y c us Enphase®M250 Microinverter//DATA INPUT DATA(DC) M250-60-2LL-S22/S23/S24 L Recommended input power(STC) 210-300 W Maximum input DC voltage _ 48 V Peak power tracking voltage 27 V-39 V Operating range _ 16 V-48 V Min/Max start voltage _ 22 V/48 V Max DC short circuit current 15 A Max input current 9.8 A. OUTPUT DATA(AC) 0208 VAC @240 VAC Peak output power_ 250 W 250 W Rated(continuous)output power 240 W 240 W Nominal output current 1.15 A(A rms at nominal duration) 1.0 A(A rms at nominal duration) Nominal voltage/range 208 V/183-229 V 240 V/211-264 V Nominal frequency/range. 60.0/57-61 Hz 60.0/57-61 Hz Extended frequency range" 57-62.5 Hz 57-62.5 Hz Power factor >0.95 >0.95 Maximum units per 20 A branch circuit 24(three phase) 16(single phase) Maximum output fault current 850 mA rms for 6 cycles 850 mA rms for 6 cycles EFFICIENCY CEC weighted efficiency,240 VAC 96.5% r CEC weighted efficiency,208 VAC 96.0% Peak inverter efficiency 96.5% Static MPPT efficiency(weighted,reference EN50530) 99.4% Night time power consumption 65 mW max MECHANICAL DATA _ LAmbient temperature range -400C to+65°C Operating temperature range(internal) -40°C to+85°C Dimensions(WxHxD) 171 mm x 173 mm x 30 mm(without mounting bracket) Weight. 2.0 kg Cooling Natural convection- No fans -T Enclosure environmental rating Outdoor-NEMA 6 FEATURES Compatibility Compatible with 60-cell PV modules. Communication Power line Integrated ground The DC circuit meets the requirements for ungrounded PV arrays in NEC 690.35.Equipment ground is provided in the Engage Cable.No additional GEC or ground is required. Monitoring Free lifetime monitoring via Enlighten software ~ Compliance UL1741/IEEE1547, FCC Part 15 Class B,CAN/CSA-C22.2 NO.0-M91, 0.4-04,and 107.1-01 'Frequency ranges can be extended beyond nominal if required by the utility To learn more about Enphase Microinverter technology, [e] enphase® visit enphase.com E N E R G Y _ , ©2013 Enphase Energy.All rights reserved.All trademarks or brands In this document are registered by their respective owner. VIA Life's Good Do D�m U' TM Mono -_ ._� LG275S1 C-133 � f 4 I 60 cell MonoX'm series are LG Electronics'high-quality monocrystalline module brands.The quality is the result of our strong commitment in developing a module to improve benefits for customers. c Features of MonoXTM series include higher efficiency and durability than LG previous models,convenient installation,and aesthetic exterior. D E � C � APPR�DE PRODUCT V t ' C ` US NCS �y I KM 564673 e6ENEN 61215 i Ph towltak Modules 1 ' 16.8kg LIGHT AND ROBUST O O CONVENIENT INSTALLATION c With a weight of just 16.8 kg(36.96 lb),LG LG modules are carefully designed to benefit installers Light Weight modules are proven to demonstrate outstanding by allowing quick and easy installations throughout the durability against external pressure up to 5400 Pa. convenient carrying,grounding,and connecting stages of modules. Installation 100%EL TEST COMPLETED THE EXTRA 2%POWER All LG modules pass Electroluminescence inspection. To minimize losses due to mismatch,LG produces 3 groups la This EL inspection detects cracks and other of solar modules which are sorted by its current class. imperfections unseen by the naked eye. current Sating This enables MonoXTM to maximize the system's output by around 2%based over the theoretical calculation. RELIABLE WARRANTIES POSITIVE POWER TOLERANCE �] LG stands by its products with the strength of a Linear W.—My LG provides rigorous quality testing to solar modules global corporation and sterling warranty policies. to to assure customers of the stated power outputs of all LG offers a 10 year product limited warranty and P-iti- cea' modules,with a positive nominal tolerance starting at 0%. a 25 year limited linear output warranty. About LG Electronic LG Electronics is a multinational corporation committed to expanding its capacity with solar energy business as its future growth engine.Our solar energy source research program was launched in 1985,backed by LG Group's rich experience in semi-conductors,LCD,chemistry and electronic materials industry.We successfully released the first MonoXTM series to the market in 2010 which was sold in 32 countries in 2 years.In 2013,MonoXTM NeON won "Intersolar Award',which proved its leading innovation in the industry. M o n oX****-"* TIVI LG275S1 C-B3 MECHANICAL PROPERTIES ELECTRICAL PROPERTIES(STC*) Cells 600 10 LG275S1 C-B3 Cell vendor LG Maximum power at STC(Pmpp) 275 Cell type Monocrystalline MPP voltage(Vmpp) 31.7 Cell dimensions 156.5 x 156.5 mm/6 x 6 in MPP current(Impp) 8.68 of busbar 3 Open circuit voltage(Voc) 38.7 Dimensions(L x W x H) 1640 x 1000 x 35 mm 64.57 x 39.37 x 1.38 in Short circuit current(Isc) 9.26 Static snow load 5400 Pa/113 psf Module efficiency(%) 16.8 Static wind load 2400 Pa/50 psf Operating temperature(°C) -40-+90 Weight 16.8 t 0.5 kq/36.96 t 1.1 lb Maximum system voltage(V) 1000(IEC),600(LIQ Connector type MC4 connector IP 67 Maximum series fuse rating(A) 15 Junction box IP 67 with 3 bypass diodes Power tolerance(Y.) 0-+3 Length of cables 1000 mm/39.37 in STC(Standard Test Condition):Irradiance 100o W/m',module temperature 25'C,AM 1.5 Glass High transmission tempered glass The nameplate power output is measured and determined by LG Electronics at its sole and absolute di-lion. Frame Anodized aluminum ELECTRICAL PROPERTIES(NOCT*) CERTIFICATIONS AND WARRANTY LG275S1C-B3 Certifications IEC 61215,IEC 61730-1/-2, Maximum power at STC(Pmpp) 202 Salt Mist Corrosion Test(IEC61701), MPP voltage(Vmpp) 29.1 DLG-Fokus Test"Ammonia Resistance", MPP current(Impp) 6.92 UL 1703,ISO 9001 Open circuit voltage(Voc) 35.9 Product warranty 10 years Short circuit current(Isc) 7.46 Output warranty of Pmax Efficiency reduction o (measurement Tolerance t3%) Limited Linear Warranty' (from 1000 W/m'to Zoo Win') <4.5/0 •1)1 st year 97%,2)After 2nd year.0.7%p annual degradation,3)80,2%for 25 years •NOCT(Nominal Operating Cell Temperature):Irradiance 800 Win',ambient temperature 20 Y,wind speed 1 m/s TEMPERATURE COEFFICIENTS DIMENSIONS(MMAN) NOCT 45.0 t 2°C 5.5'4.0 1000/39.37 once b.b.(NH (51..a1 A-.11.) PmpP -0.43%/°C 4.0.7.5 0- %0/37.80 0n1.h.r.IN.) John,-b--.1r9 mi..) 18/0.71 Voc -0.31%/°C F 48/1.89 ISC 0.04%/°C 2.04.3 Jun i.n bea CHARACTERISTIC CURVES a-ma.o Mounting hol..(a..) g 10 1000 W 9 1000/39.37 V a 800 W C.bl.1. 11, - 7 § 5 600 W 4 400W Ek 8 3 E E a z 200 W 1 - 0 5 10 15 20 25 30 35 40 Voltage 9N137.17 K 140 1 >° ISC o � = c Voc ` 80 .............................................................. ..... ........... 35n.38 10/0.40 1010.40 Pmax 60 ..................................................................................... 1.010.16 S.S/0.22 0a/031 m � n m m \/ 40 C n n m 20 .................. ................................................................. //�� a1.5/0.06 '- o.nn x oa.ur o.nn z zemo zz/o.et 0 .40 -25 0 25 50 75 90 Temperature(•C) Long side fame Shortskleframe .The distance between the center of the mounting/grounding holes. LG North America Solar Business Team Product specifications are subject to change without notice. a T"" LG Electronics U.S.A.Inc "LG Life's Good-is a registrated trademark of LG Corp. VZ 1000 Sylvan Ave, All other trademarks are the property of their respective owners. y . Englewood Cliffs,N107632 DS-A3-60-C-US-F-EN-30829 With LG,It's all possible Life's Good Contact ig.solar@ige.com Copyright©2014 LG Electronics.All rights reserved. www.lgsolarusa.com 05/01/2013 System Details N system Size:7.1 kW Panel Manufacturer. LG. Panel Model: 275W Panel Count:26 Module Information 23t INVERTER= r2l SMA6000TL-22 RACKING= UNIRAC ip i Q a ,awry. and Z _ - LLLOOOAFESREe_y,nv.Jpp " 7 Z 25, TAUNTON,MA (508)889-3876 - Bob Madonna ad nna R32 Wianno Ave Osterville MA 02655 -. cnuc Oman �-JD1 �.,.g Commonwealth of Massachusetts Massachusetts -Department of Public Safety Department of Public Safety Board of Building Regulations and Standards Hoisting Engineer Construction Super,,-isor y License: HE460444 License: CS-068156 Lyndon Campos�� '� Lyndon Campos 454 Main Street= = 454 Main Street = s i Somerset MA 62726 Somerset MA 02726 Expiration: �,.(,.,� Expiration Commissioner 06/2412016 Commissioner 06/24f2016 • r; u Y 36;t359Z65\ �(�%j This cardlecknowiddges;W46thei `lent{has+suoceasfuliy completed a ,oi,ou►o %wi '° T> lgtc`ou' ' Office of Consumer affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, sachusetts 02116 K 3�Za�2o o Home..Improve - ontractor Registration (Trainer•name;=;prtatioirtype); (Course endadatte) Registration: 177976 b Type: Supplement C Expiration: 2/26/2016 REXEL INC. -- LYNDON CAMPOS d 115 N 7TH STREET w ISEI1030-695143' FALLRIVER; MA-02720 . -*UC.Saran .tTEAI'IATIOl1Al apuu► rKmsutr. �����. Rio �. Update Address and return card.Mark This;card=certifies that scKt a 20M, 1 Address 0 Renewal [] Employ► has compieted a 3a-``��IIe�'rOS �andjR'esognition Training � ad° for'Qhe` en uc:ionlI ust�y. ffiee of Consumer Affairs&Business Regulation License or registration.valid for individu!use only \S`�_` %O �•9,v r,� before the ezp'iration date. If found.return to: 07 O2/201: ME IMPROV�NT CONTRACTOR 1 0 ��\ Office of Consumer Affairs and Business Regulation i Director.Scott MecKar Trainer:TaylorSIkes Grad.Date: Reglstrati TYPe 10 Park Plaza-Suite 5170 Supplement Card ,Boston,MA 02116 REXEL INC. REXEL ENERGY LYNDON'•CAMPOS P.O.BOX 468 � � --- FALLRIVER,MA 02722' Undersecretary 'otvalid without 8 afore ]RAY A88001AWZ8v Go PO BOX 359 21 HIGHLAND AVENUE CANTON, MA 02021 NEEDHAM, MA 02494 TEL: (781) 449-8200 FAX: (781) 449-8205 November 19, 2014 Building Division, 200 Main Street, Hyannis, MA 02601 Attn: Thomas Perry, Building Commissioner. RE: 32 Wianno Ave, Osterville, Massachusetts Dear Mr. Perry: Please be advised that I, Richard A. Volkin, a Registered Professional Engineer, Commonwealth of Massachusetts, evaluated the structural capacity of the main wooden structural framed truss roof, located at 32 Wianno Ave, Osterville, Massachusetts, for the purpose of mounting solar panels on the roof. It is of my professional opinion, based on field measurements and a structural analysis of the existing structure, taking into account, existing dead loads, snow loads and the proposed dead load caused by the installation of the solar panels which add an additional maximum dead load of 3.5 lbs per square foot, that the roof will adequately support the proposed modules in its existing condition. Based on the calculation, I hereby certify that the structure located at, 32 Wianno Ave, Osterville, Massachusetts, meets and exceeds the design conditions of the CMR 780 Massachusetts State Building Code 8th edition (IEBC) and CMR 780 Massachusetts State Building Code 6ch edition under the code requirements at the time the roof was constructed. . Of Respectfully submitte o GN RAV ASSOCIA S, IN RICHARDA. .VOLKIN vs 82�° ichard A. Volkin, PE A �F . pO C'ISTEP ASS/ONAL LNG Cc: Lenny Campos, Project Elaine Maher, project Coordinator f ` I DEPARTMENT OF PUBLIC SAFETY_ � 5 19ptO y !1010 COMMONWEALTH AVE. 8Ar N ll8a�oa ' - COMMONWEALTH BOSTON,MA 02215 r I `uor ysoau l srPPJPd 91 �°l��lsw,wab ®� MASSACHUSETTS 1 n� Ploy, I_. [r=ENSE _ _ t o ISUO J S =;i {f'F'��; - i1. J yso�uloW ,� ' (_:i�N-STR- - i FOR F Oo1�(0 DaN ab pCPIRpT:I1O.iN DATE r q ' r- -L;I C-N(r_'O y. THB F TIVE DATE etd3 EFFEC PRINOII y u0la/ O31U -AIdd CTIONSZ6120j d1 doijv81NOJ o!lpj3srB ` MN3N3A `WI3OH TH MA 1. PRADir tt i i 1. rli_IF:bJELL hi::. 1 PHOTO(BLASTING OPR ONLY) FEE: i 1_ _ e (� NOT VALID UNTIL SIGNED BY LICENSEE AND. — • - STAMPED-OR-SIGNATURE OF THE CO'• '>-'-''-- HEIGHT: / DOB: N SIGN NAME SIGNA il'=•- r _ THIS DOCUMENT MUST BE CARRIED ON THE PERSON NF THE HOLDER WHE 1 GAGEDIN THISOCCUPATION. OTHERS-RIGHT THUMB PRINT i l ? . Assessor's office(1st Floor): Assessor's map and'lot number N"og 1 SEPTIC SYSTEM YoU Conservation ' Board of Health(3rd floor): 7 `F.�/- INSTALLED IN COMP ` w Sewage Permit number v5*1 h w ferry WMi TITLE 5 � NAIL E ENVIRONMENTAL Coo 4 70.. Engineering Department(3rd floor): - House,.number � � TOWN REGULAT'I�ONS Definitive Plan I Approved by Planning Board 1g APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2-00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR , ,APPLICATION FOR PERMIT TO p�� / �x o?r j<n;/v y0 d n, / /3 f5 J'^v o TYPE OF CONSTRUCTION _ (�0 a C/ A"t 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 3 l� �' < h k u %✓c �,e (��C� �i Proposed Use Zoning District t1 Fire District Name of Owner 0ti �� C Address 3 .2 /1) f Q A h C,I-, Name of Builder ..o lit � T14 �,,s 4 Address /16rw e l� Name of Architect Address Number of Rooms ��F,,ou ic Foundation r✓n R fJ (y w / S c Exterior �4 c%V S�:h r �c s �"-� �G� C ice ``Ro//ofing 14S "Ut S�" A 41 Floors ��r���° Interior G,rl�W,4L��j�Gp S e r Heating ��r c el f GJ4 tt r Plumbing Fireplace /y a A Approximate Cost /D o u d Area Diagram of Lot and Building with Dimensions Fee t r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �. Construction Supervisor's License _- O - 4/U i CURTIS, GERALD 35415 BUILD ADDITION No Permit For Single family Dwellin' Y Location 32 Wianno Circle , Osterville Owner Gerald Curtis Type of Construction Frame Plot Lot Permit Granted September 3 0 , 19 92 Date of Inspection A 19 Date Completed / �� 19 , vu > 110 fa � W! t �7111 Assessor's offioe (1st floor): 7_ D�3 -$EP"C SYSTEM MUST We THE �Asfessor'�map and lot number �.I................ Q c� To` " . 'IK TALLED IN COMPLIANCE ��`'„ Board of Health (3rd floor): s WITH TITLE 5 'Sewage Permit number .....7.7.-.......ozC>.......................... t BABII9YSBLL, i `Engineering Department (3rd floor): ENViAONMENTAL CODE AND 'off 039. House number ........................... ?..3. ..............................TOWN REGULATIONS '�o�aYa� APPLICATIONS PROCESSED 8:30-9:30 'A.M, and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR � J� 7-�$ �v�S � � vs ����.�APPLICATION FOR PERMIT TO ... ......................... .. ......................................................................... TYPEOF CONSTRUCTION .........:.....................................................................................nn.............. ...................... ..................... (p.........193.0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: "VR Location ............................... :J...! ......................................I......//Cf.................................................................. Proposed Use "J e �r .................................................................................................. ........................................................................... Zoning District ,, ...Fire District —� "/.............. . ........................................ Name of Owner l.v !^ .....5........ eqv.//.................Address .................................................................................... Name of Builder ..�V<.��.../.fNe}�..Cvx. .!........Address .. .SDC! ...... .1... �7Z� Name of Architect ,��'/`�1Q ... ,SSOG..............Address ...5` P... .... dS ..i/yJ,y�C�2��/ Numberof Rooms ..................................................................Foundation ............................. ............................................... .......................A. .. .... ......................................... Exlerior ...................... .. ..... ....................................................Roofing Floors .................... .......... .... Interior ............................ ............... ... Heating ..................... ..................................................PlumbinC9JGN�•.... ....VLt.� Fireplace ..................................................................................Approximate Cost6.. ........... ......................... Definitive Plan Approved by Planning Board ________________________________19-------- . Area /..�tl...r ...... . ..r.......... Diagram of Lot and Building with Dimensions Fee ..... ./. d.............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding...the above construction. Nam --- ......................... Cons ction ervisor's icense ..s .1-¢.I.. V.......... LEBEL, JOHN S. 31633 ................. Permit for .................................... Retail ....................................... nue Location ...3...8.....W...i.a..n....n...o.....A..v...e............................. Osterville .................................7............................................. John S. Leb6l Owner .................................................................. Type of Construction ......Frame . ......... ....................... .................... ........ ............................................ Plot ............................. Lot ................................ February 25, 88 Permit Granted ..........................................19 19 rispection ,e of, I . ..................................19 [a Completed .................19 All - 0 0 w p 1� i y 4 <:au eLiz Typ. ` � we CAL U3 LL e qw. HAW)RAt L ELr✓VATIot-A ' o , Ott t3WGIG , NATJDRAIep PA2A55 < t , a t PNT 4+. MU9ALO e e � li x Uil`-NIE STL - c4 -y o MLH 14 X 110 TS. i 14AWDPAiL MQISNTIQG -. -- 6 AIL I fix t-- &xj h�GU p o LOW S � -rY N � d i; FIGAI_ HANI MIL 'SE6TIO0 N O�,N 5�,WA- 'f�15fCU�A(� '�"fF=M r•..... . i SN iv y o `a . _ yi:.... :. Ste ^ y\ I \ J { t <. -:.� •rye, -. L3 y171I/DNS �ZS� � �II J!'�. ps s ,• : ; L. • ANAL067 'sue t i fop ru. i 4,'i tK TAN . �.'. N � \A r.. i ' ? v UL 1' 4 t W �N,�� I�U•� . � I l i I I 1 _�. t ' • , 1 Ow s1 33p►� , � N n k i35�� `. N Z • tin o —� R, DL SR . • 'n1� _"N z vR VA... N �p -1 �� RG•(,GAG• --�- �� � � y � x tU �1� �� � s�s�os�PiT . � � � . •� x �� �t N� ,Az�, ► TJ .� �j _ �6i n v �14 wz ° g Pat _ 3 N -� tA BERGMEYER ASSOCIATES, INC. EL[EMEQ OF TRUSOMUUML 134 Beach Street BOSTON, MASSACHUSETTS 02111- s DATE 10) e)fJD JOB NO. 616) 1 Z (617) 542-1025 ATTENTION W {��' RE: TO `fa4jo `(AjZj} 1S GILDIf,4& �� 5 �o(A �FF1GC &j I tJ:;Il P& Nvi, MA '?;&4T tI Al 5 S+i WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION SE ' BA 0 our-t"A S THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval % For your use ❑ Approved as noted ❑ Submit copies-for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints �Q For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS DAJ A 3 7r- ysyiewinx V1&A:g9' eA Ta�u�TC Is a ns vuS fe 12yoca4k, wffh ►ruV Ye(,OYY�yY1�.Ylc�GUlud�S COPY TO SIGNED: PRODUCT240-3 Ees IX.&dA MM olan. It enclosures are not as noted, kindly notify us at once. =� o _ r br m 7° ran 'P -`b; r - r � JAFG L -' P 7r) , 'i J_ —;.e...f •� .ti fir,, ; �(�x r CL -- - -- - - - - - - - - - ;' - --,- C N Tj 0 �a BERGMEYER ASSOCIATES, INC. STREET BQS,T0N'j..-; IASSACHUSETTS 02111 FROM TOWN OF BARNSTABLE Bergmeyer Associates, Inc.• BUILDING DEPARTMENT 134 Beach Street 367 MAIN STREET HYANNIS, MA 02601 Boston, MA 02111 Phone:775-1120 L SUBJECT: RE: Talbots Wianno Avenue, Osterville FOLD HERE DATE MESSAGE i RAMP/Top rail should be 34" - not 32" i i SIGNED Joseph D. DaLuz, Building Commissioner - DATE .. REPLY SIGNED N87-RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Assessor's map and lot number ....... .. ....P..: ..3... ©� THE t0'1 Sewage Permit number ..........1%�!�4H.. .. 3ALLlp . House number .................. Q,,?r1i'!x.U...... V. -....... WMN ENVI TOWN OF BARNSTAQ"TA` CO AND ULAT10NS BUILDING INSPECTOR APPLICATION FOR PERMIT TO '.. . ...:.....l'�!C.4L,�r .c.................................................... TYPE OF CONSTRUCTION ... ............ ../...!�:.zt,; !Y..!�.... ... ....... .. .................................................... .... . ..............19. TO THEE INSPECTOR OF'BUILDINGS: The undersigned hereb applies for a permit according to Ilo f g information: Location ........ 3.. n...... . ...L... .. .....�Lf `2......... ... ........���..J .�....................................................... ProposedUse a"a....4,oz,.......Ck/V a. ........... .. ............ ............ .. ........ ......................... C ,� ZoningDistrict ..... .... . .......... .......... .... .........Fire District Name of Owne .. ...... ... .. ......�. .. ......... .. .......Address � �.............. Nameof Build r . .... ........... ....... .. ....................Address ... .... . .... .. V4r .................................................... Nameof Architect ....... ................................................Address .. ... ..... ......!........ ... .............................................. Number of Rooms .............Foundation Exierior ... .. .. .. ..... ..................................................Roofing ... .. ... .. . . .. ......................................... Floors ...... .Interior .. .......................................... ' Heating .......................Plumbin 'Z �� ood Fireplace ..... ... ::lAt .....................................................Approximate Cost .. ... .....�...................C........................ .. ....... � r— Definitive Plan Approved by Planning Board -----------_______-----------19 . Area ............/.........5. . �5. ©a Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH o sjo I hereby agree to conform to all the Rules and Regulations of th Town of Barnst le re ardin the above construction. No ........... . .......... ................ Lebel & Son Trust 117 - 093 Sewage using existing system No ...2.9.740... Permit for Add-!&-.to--CoRuR-!-1•••- ...............................................B1dg„..................... Location .32...Wiaano••A.V.e................................. .........................Ostervi.116................................ ✓ Owner ............Lebel..&...Son..Trust................ Type of Construction ............Masonry.............. .................. ........ ............................................ Plot ............................ Lot ................................ Permit 'Granted Oct........1b.................19 79 Date of Inspection 19 Date Completed ................ ��.......19 PERMIT REFUSED . ................................................................ 19 .... .. .................................... ......... ................................................... •......• . ............................................... ........• • .................................................. \ Itn Approv ..@Q.C>. .�............................. 19 ........... ... . .. ., . :e:.......................................... 4 .— t ; - OLC) N E W j POST OFFICE \ POST OFFICE + ; ECOUNTY BANK 1 1, � '� ,-� •ywr• of �\`\ •. :Sn43 ;f r A/. 26 06'/0••IN 71L, w 1 s�+�"'7�v1fMv.,+`(/ � �Y 't.r Ihlnfl✓"r`.'.T.•.aW'J)1ryw.Y•wyiv�'�M1�I�t,t.� 1. `�/F'k'..p`��1'T"�:� • I 3� f. r �rsessory map and lot number ..... . : ....1.q ..... - '►�,j�� ' sYs dT. N `COI P'L`I;gIVC ` ' t �t�Y'ICL� it STATE 1! Sewage Permit number ................................_....... ........... r��i(�jf ` � �pE : •;,,U_. rj� � °`l"E'°�° TOWN OF 'BARNSTABLE Z BARNSTAELE, i r 9 . - . ' WILUNG INSPECTOR 0 YPY a' o .r� , APPLICATION FOR PERMIT TO ....... ... .. ..................... ........ .............................. .............. " TYPE OF CONSTRUCTION ............... , ...................... Z..................19..1.7. TO THE INSPECTOR OF BUILDINGS: The undersigned he ebb applies for a permit according �a= n: /�� Location .... .. .. ....................... ............ `................. ......................................................... Proposed Use .... ..... . -....... ......... .................:..:....... ............. ................�........ ..... .. ' ....... Zoning District .... .. ............Fire District ... . .... .. ............. Name of Owner .. ...... .. . ...!. .... . . .... ..........Address .. ... . .�..... ........ ............................ ... i Nameof Builde .. ... .. ..... ..... .. ... ...... ......... ....... .... ....Address ... ..... . ....................... .......................... Nameof Architect .... .... ..................... ...... ... ....................Address .... ..... .. ...................... .. Number of o ms ....... ....0................ . ............................. ..Foundation .. Exterior ..... . ��: .. ........ ..�...... .......... ....f���..Roofing .:.. . . ...... ..... .... ... .<.....................:.................. Floors J .................................... ....... ..... . .... ....................... . ..... .. . ...... . .......Interior .... ... .. . ... ........:��. n Heating .................................................................................J .Plumbing ..................°.I� /... . .. .... ................................... Fireplace ........- - -............................................................Approximate Cost ....... . .© ............. ............ Definitive Plan Approved by Planning Board ________________________________19_______ . Area 5 !�f........9sU . .................... Diagram of Lot and Building with Dimensions Fee 9`3` ?�....l ......... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH/ � C 41,re do °G O I� F d I hereby agree to conform to all the Rules and Regulations of th Town of Bar-nstabl regar 'ng the above construction. Nam ...... .......... _......... .... ............................ Lebel Sons gust x ' 1 :ate 19540 add to commercial No ................. Permit for .................................... building . ............... . ..... .............. .................................. 32 Wianno Avenue `a Location �4 Osterville ................................. :t Lebel & Sons Trust . Owner .................................................................. frame Type of Construction ......................................... { ................................................................. Plot ....................:....... Lot ................................ v�5 _ g Permit Granted ...... nst 4 19 77 Date of Inspection . . 7� v ...19 'F Date Completed .............19 PERMIT REFUSED ................................................................ 19 rY ............................................................................... ti •.. ......................................... ................................... k` ............. .................. ........................................ �? .......................................................... ................. - i Approved ..................... . ...... 1 .................. . .......................................................... Asses s map and lot number ., Sewage Permit number .......................................................... T"Er°�♦� TOWN OF BARNSTABLE 9AUST"LE, i "6 BUILDING INSPECTOR �0 MAY a• APPLICATION FOR PERMIT TO ..... :A..I. ..:� ........r ..................�................� �'� �.................o.... ..... !.:.. TYPE OF CONSTRUCTION ........... ..�......... .....'........... t...'t.`....?... . ... ............... ............... .................................:.'...........19.. 7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to ,tfie following information: 'Location .... } � C �, j�,/ d. .'.{.'.....'........................................................� . ProposedUse ...... - �.... .. ........................... ........................................................................ ., � � Zoning District ...........................................�1 /. / Ir ...........Fire District ..........I.• r ........:'................................................. Name of Owner ..,.r.... , t ' '.....::. .........Address ..:... 1, .......'..... ........................................ ....... .... ..... I � t Nameof Builder. ..................... ......... ......... ...;......:.:...:...Address ..........................:..:....................................................... Name of Architect, -...Address I ' 1 Number of Rooms , t .............::. ...............:...............................:.Foundation i Exterior ..r.. .. �...... . .....`.... .. ........ ....`.,.:�'.........Roofing ................................. ................................................... Floors ± Interior ........ . ' 1 ...................... 1............................ Heating g... ......... ........:............� Plumbing e,..:.:...' ........j • r Fireplace • ................................Approximate Cost }Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......r...!nt............ Diagram of Lot and Building with Dimensions :' Fee -� ^♦ SUBJECT TO APPROVAL OF BOARD OF HEALTH,, 0, r' f ' � .,N� .� - r'' P ryrlrrf -e r 1 j R s 'r I hereby agree to conform to all the Rules and Regulations of the"Town of Barnstable regarding the above construction. Name...........................:.........................................:.Wn......... Lebel & Sons Trust A-117-93 19540 add to commercial �No ................. Permit for .................................... building ........................ .................... Location .........3....2..Wianno......................Ave.......nue:................... 7QJ ° Osterville ............................................................................... Lebel 6 Sons Trust 7 t Owner .................................................................. `1 frame 1 C Type of Construction .......................................... ................................................................................ ti Zl , Plot ............................ Lot ................................ August g r A� Permit Granted ........ .. ..24 77...........19 �L Date of Inspection ....................................19 y Date Completed �1 1 PERMIT REFUSED Z3 ................................................................ 19 ...................................... 4S . Yt S �- ............................................................................... Z J Approved ................................................ 19 ! X i Z ti ..................... ......................................................... j The Town of Barnstable ,,,WR, LL : Department of Health Safety and Environmental Services i6 �' Building Division 3 9. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner April 27, 1998 Frank Sullivan 120 Eel River Road Osterville, MA 02655 Re: INFORMAL Talbots, 32 Wianno Avenue, Osterville (117/093) Proposal: Dividing the existing Talbots Store into 3 units: one retail, two office. Dear Mr. Sullivan, The above referenced informal proposal was reviewed at the Site Plan Review Meeting of April 16, 1998 and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance with the following condition: • Conformance to sign regulations or seek zoning relief from ZBA. The staff clarified the square footage within entire building, and it was determined that this is a less intensive use and additional parking would not be required. Use is allowed in the BA Zoning District and would not require ZBA action. Two free standing signs are in violation of the Zoning Ordinance and would require ZBA action unless one sign is removed. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Should you have any questions, please feel free to call. Respectfully, x A- 6� Ralph Crossen Building Commissioner -_f TOWN OF BARNSTABLE . SIGN PERMIT PARCEL ID 117 093 GEOBASE ID 5841 ADDRESS 32 WIANNO AVENUE PHONE OST9RVILLE ZIP - e LOT -A & 8 BLOCK LOT SIZE i DBA. DEVELOPMENT DISTRICT CO I PERMIT 29833 DESCRIPTION FRANK A. SULLIVAN REAL ESTATE (38"X38" ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i 1TOTAL..F.EES,-- - ._ .- .- - -_--__- -OktNE1 BOND $.00 '1•� I CONSTRUCTION COSTS $.00 753 MISC. . NOT CODED ELSEWHERE BpgpAg MASS. 039�- Eo� UILD G DIVIS ON/ . 3 DATE ISSUED 04/02/1998 EXPIRATION DATE The Town of Barnstable Department De of Health, Safe and Environmental Services . � . P Safety � Building Division '°fso 59. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Vi Application for Sign Permit a.9 33 Applicant: A ✓�-� /I V Assessors No. //7 Doing Business As:E"^K A. JJ I,u 4., Reg LDS/, Telephone No. ! d Sign Location y. / Street/Road: W n o Ave . Zoning District: 64-5)1-7 ASS Old Kings Highway? Yeso Property Owner /I Name: �e-A,4Lcl,VI a- A ��G��✓4 Telephone: Y7-8 "36 S� Address: /)-47 �v� )Q)ue_(L AW Village:' Sign Contractor J) y��— ?D'lf S Name: 6 )e_� =A /?� Telephone: Address: �g1 - j4�yr►e�v � /�' Village: s7 L.,) Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yeso (Note:ffyes, a wih4pemaitis required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature ature of Owner/Authorized Agen< --J`Yc � Date: — /a9 Size: 3 3 8 Permit Fee: 5- Sign Permit was approved: Disapproved: Signature of Building Offici / i� GQ� Date: �f,,un►.�o,s GLoR � P+ �R.enAs s. .i j'-Pso40.0 0 LA Uv i 2 IL The Town of Barnstable „BM Department of Health, Safety and Environmental Services MAS& Building Division 0 9. Aft 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Application for Sign Permit Applicant: ✓�' R f o Assessors No. ` t� 9 Doing Business As: PUSC0 '-Wel'99 S Telephone No. Sign Location Street/Road: !)`` . eat,.,) Zoning District: &rz n 19 Old Kings Highway? Yes/(No ) Property Owner �� Name 5e / 1 y,4, Telephone: 3 6 S o7 Address: 120 91 v 2(Z' Village> /c?2Li )),cam Sign Contractor Name: tJ 1�, 1 ��' /'�l� Telephone: 4�7�T� D Address: .� / < / ,Q' �,✓111d helms, K) Village: A V0 Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Y�(Note:ffyes, a wirmffpermitis required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Bann a Zoning Or Signature of Owner/Authorized Agent. -� Date: " 1 Size: 3 k -3 Pernut Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: P � 3 � ;l e-we LL J i 1 fly - i,.♦ �oL y L � L L 66621 4N =2 N ,, i ' ' R. w� ,.. •. _ ... ,. ` � � .. . y�"�17� ' •� .. ,� .�._ _ __ r _ C it � � ..� .. .. ��' VE The Town of Barnstable k BAMSTABM : Department of Health Safety and Environmental Services "`"S& Building Division s639 tea 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner April 27, 1998 Frank Sullivan 120 Eel River Road Osterville, MA 02655 Re: INFORMAL Talbots, 32 Wianno Avenue, Osterville (117/093) Proposal: Dividing the existing Talbots Store into 3 units: one retail, two office. Dear Mr. Sullivan, The above referenced informal proposal was reviewed at the Site Plan Review Meeting of April 16, 1998 and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance with the following condition: • Conformance to sign regulations or seek zoning relief from ZBA. The staff clarified the square footage within entire building, and it was determined that this is a less intensive use and additional parking would not be required. Use is allowed in the BA Zoning District and would not require ZBA action. Two free standing signs are in violation of the Zoning Ordinance and would require ZBA action unless one sign is removed. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division.* Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner {_-- The Commonwealth of Massachusetts Department of Industrial Accidents Ohre 011.0yestigati0ns 600 Washington Street Boston, Mass.• 02111 Workers' Compensation Insurance Affidavit -, name- i I � �ocation• � Z l�1 �.. n ��_�y'� MA d:2,e.,-5'5 shone# ❑ I am a homeowner performing all work myself. �I am a sole ro rietor and have no one working in anv ca acity ❑ I am an employer providing workers' compensation for my employees working on this job iX company name. address::.. city...• .. ....... phone#. :;`' .. insurance co.. no #.. : . ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comuany name: . :, . - - address phone#. X. o ..: . .tsurancec _ ....... . .... ... . company name �! .address::.. ,:<.. .. _ ,. etty- _ .... >: phone#: ansnrance co..... Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under Jte pains and pen ies of perjury that the information provided above is Irmo and correct Signature c Date _ Print name Phone# ------------ :::....; 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 (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. ' MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the,"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi number which will be used as a reference'number. The affidavits may be retuaied'to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a.call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlesdoadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 � TOWN OF BARNSTABLE SIGN PERMIT =PARCEL.ID 1.17 093 �,, GEOBASE ID 5841 ADDRESS, 32 WIANNO AVENUE PHONE OSTERVILLE ZIP LOT A & B BLOCK LOT SIZE IDBA DEVELOPMENT DISTRICT CO PERMIT 32795 DESCRIPTION DE PRISCO JEWELERS (8-75 SQ.FT- ) PERMIT TYPE BSIGN TITLFj , SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 I BOND $.00 Ok 1NE ,� I CONSTRUCTION COSTS $.00 753 MISC. JNOT CODED ELSEWHERE : EARNSTABLE. 039. �FG A i UILDI G Dig IO �I DATE ISSUED 08%1.9/1998 EXPIRATION DATE ` TheW® n OfBarnstable : ent of Health , Safety and Environmental Services . . : De�artm Building Division 367 Main Stree`,Hyannis MA 02601 ' Ralph Cmssen ce: 508-790.6227 Building Commission:: ax: 308-7 90-6230 3, A1?P Iicadon for Sign Permit Applicant: S ��N_ /� � � 5C O Assessors No. Doinz Business As: Telephone -No.— Sign Lo. r-on �. �E Street/Road: �� ' Zoning DutncL . Old Flings Idighl aY? Property O�� l�t .Name: `�-������ � Telephone:_ Address: l vC)3 \-,U ' `R��-( (2 G/�C) ' Village: tiign arrne onuact � YYI� �\ A(0 ' Telephone: 2J �' a . Address: Co�j pL 1/1h to ( UW ST Village: SO` Y,4Q?0-t0 Descrtpdon Please drazv a diagarn of lot shoeing iocalion of buildings and e:dsang signs :rith dimensions, loc:.zion and size of the new sign. Miis should be dran on the reverse side of this appliczdan. Is the signto be eie: ied' 1' ' : o more: i��. a ssiringpesmitzs rrquYedl I hereby c=TTy that I am the owner or that I have :he aurhority of the owner to make this application, that the information is correct and char±e use and construction shall conform to the provisions of Sermon 4-3 of the Town of Bar= 'le .rorung Oraznance. Signature of Owner/Authored Ageznt�_ Dare: �v �v � Size. ' CD- 7 s ` Permit Fee: S• 4`d Sign Pm=* vas approved: Disapproved: Date: Sism=e of Building Offzaal: -P--eFhsco -i-ewe-lers SINCE 1, 948 312 NNO AVENv�. . ... .._ PL YMoUTH S1GN Co P.O. BOX 134 SOUTH YARMOUTH Phone(508)398-2 2�2664 FAX(508) 760-3130 1 TOWN OF BARNSTABLE SIGN PERMIT °a PARCEL. ID- 117-093 — — __ _- ._._. —GEOBASE—I.D—`_5841'-----_—.__ ADDRESS 32 WIANNO AVENUE PHONE OSTERVILLE ZIP — LOT A & B BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO i PERMIT 34320 DESCRIPTION MUSCULAR THERAPIST (2.4 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT I CONTRACTORS: Department of Health, Safety ARCHITECTS:. and Environmental Services TOTAL FEES:, $10.00 THE BOND $.00 , CONSTRUCTION COSTS $.00 753 MISC_ NOT CODED ELSEWHERE + BARNSPABM • MASS. i639• BUILDING DI VI IO!;�� BY DATE ISSUED 10/26/1998 EXPIRATION DATE f1 The Town of Barnstable BAMSTABU& : Department of Health, Safety and Environmental Services MASS, Building Division rFD 39. A 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collecto °�'6 r qci Treasurer 4 t7 i a 4 Application for Sign Permit Applicant: Assessors No. t,7 Doing Business As: Q SGtJ l at Telephone No.Q:)& Sign Location 43a Street/Road: A 0 C a (-.ec.vt�� l�'6 (J�� � l)h , D 2- 66 Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name:,�>��4i'V�� 6�tJ 1 V�►�►-�- Telephone: Address: .3 t ►'1 wD �U a Village: QS I22u 11 Sign Contractor _ Name: �'��� (!� �CU 7 S (0A S Telephone: Address:-f[5) /�J 1 () Village: -N ��6ejU l C-Q 7 6 Description S' Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? )"� (Note:ff yes, a w_�_►zng perm;r s required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date: Size: Y Permit Fee: Sign Permit was approved: Disapproved: LSignature of Building Offici Date: /0 Signl.doc rev.8/31/98 w FhT�' w# I ACIrR w Ith Tf- i2S L.M.T. 5LAcK Foecsr G2 o?U�� Muscular Therapist }{uN iTz�,e G 2 M v5 CpLvi2S: f�1�Ptcl� �O12 sr 1 Co t. I+�ut 2� WA-b TE 5 I CPS i w e o) p�6A-lv� 5'i6n/ w/ M 4 ft6,A ',/ ✓U 115aD I N VNTA* k Green 40 *Black Forest Green 46 � ' A a ca. 2,3 K. GdLD ANTIQUE YELLOW,_AU57A►2n i . .� TOWN OF BARNST.ABLE ' SIGN PERMIT ------ ...... PARCEYID 11? 093 �--- -- -- . _:_ -._GEOBASE ID 5$41y✓ _ . L' 4 ADDRESS 32 WIANNO AVENUE PI4ONE OSTERVILLE ZIP LOT A & B BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 34344 DESCRIPTION DOWNING & COMPANY (4"X22" ) , PERMIT TYPE BSIGN TITLE SIGN PERMIT i CONTRACTORS: Department.of Health, Safety . ARCHITECTS: and Environmental Services TOTAL FEES: $10.00 BOND $ 00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * BnRMABI,E. ; I . ass. �► .i 039. t FD MA'S t BU DING/DIVIS SON B - -DATE ISSUED ' 10/27/1998 EXPIRATION DATE � +- w •;,- � t y !an •N ? +<re� ,I 5. �,� . :. ,• � ��ti - ��' f. K 4�� • t �• ' ���� �. i' -_— ' —_ � l I �^ � V � o OTIN� "E'�° ° The Town of Barnstable , ,,ST" Department of Health, Safety and Environmental Services M'S $ Building Division • �as9 �0 AtFp 59 367 Main Street,Hyannis MA 02601 ` Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector • ++`` 3 Treasurer 2 1 Application for Sign Permit (� ,� Applicant: ��aA- Assessors No. 0 Doing Business As: Telephone No. 0 _� . _ Sign Location 1' \ f Street/Road: 3a W�� mt_ Zoning District: Old Kings Highway? YesG Hyannis Historic District? Ye� Property Owner Name: ���-nJIC S'U G ,( ✓,q�nl Telephone: Address: .a Wt Oi� 01) Village: Sign Contractor Name: C,Lfft -P'F� k �y Telephone: /Sy Address: �{ t/ lAAV Village: CW Z]�j�C t Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be.drawn on the reverse side of this application. Is the sign to be electrified? V14ft/No (Note:If yes, a wiringpermit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town o ble Zoning Ordinance. Signature of Owner/Authorized Agent: Date:11 _�� 2 • Size: Z Z Permit Fee: /411 Sign Permit was approved: Disapproved: Signature of Building Offic al: -(� lP�- Date: /O/' 9� Signl.doc rev.8/31/98 N�. ' *S r ail Clash 77 - i 4 • r F � (O' \ 1�1 0 add S rn. NJ i N z �AKi l� 4 `fit t _ v �� .....-��. 1 ' A� t. � � � f � � w�w11*' J� �v� �� p � �� �� �� '� J� ;A ,o �� � ��. v A ��� �� �� � OS'TERVILLE VILLAGE t O — -- I SPECIFICATIONS E t Foundation •Concrete Filled aonotubes t Support Columns -6 x 6 Southern Yellow Pine General Construction •Pine'&Exterior Plywood Paint Coatings White Urethane: Display Surface •36"Square Corkboard Face Panel Protection •1/4"t Tempered Plate Glass Rear Access Panel •1-1/2"t Lam wo.Plyod Hinged Door ---— k- Applied Lettering •Kaised.Aluminum-Black Applied Scallop Shell Carved Wood-Painted White Panel Hardware •Stainless,Steel Hasp w/Padlock w co Stainless Steel Continuous Hinge u cis vi 01#nP . g BULLETIN BOARD tk 05 >;-4 o OSTERVILLE VILLAGE ASSOCIATION EL -aLLy •'• �i — LOCATION sY. 'FRANK A.SULLIVAN-REAL ESTATE +N 4'8-1/8" 1 32 WLANNU AVVF*-E. . 0 OSTERVILLE • MA m a) SOUTHWEST ELEVATION Scale: 3/4"=V-0" ®®® O ®F® L 031599 Q c i �\ of 1 1>Q fix:.}}:.}}:. `1~471WUILIJI SERVICES .t..tt.t � }} . . ... :.2'.:::tt•.tt•:.ttt::.t:::ii:•::•:i:::: :::t iiy?+ . �4`fi .••.•..`,i� .4$' `1..`;`.2224,t`v;2`.;. :::"#M1'c:' ' ...:::,:::ttttt. .rt•:.t.,• ..S.}.' Lvov..,, : >. }.}t'.}::..t}:..}t»..}t..t}}}}t}t}}t}'.}}.} } •...'t .k. .tt:ttttt•:::.:,:.:.::.:.tt »„•.»»»: .tt•:.,:::•.:::::•:.t:ttttrtt:,:•. .:::.:.:tit;;.at.::::.: t. ttttt :,,,,,t....:,..t...t::,.::.::.}..........}:• umb .....:;.v 2}..2ii{iti :vi:.t .; .... ..i::i:t• v.»ty:•.... ..........: t..}::}»}:}:.,..}.:.t..:x;ln}+::::v} .t»:tt».....:.:}.:xtt.tt}t.t}}}}}•::..}t}}t}t»}y::.�:.v tt.tt . .::.:.... .....:...:... .....:.. ...:.. ti...i .v :•.ttvv. 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SIGN E ` c.� << .:.; ;tt t222 .....: :::..:,:::..ttt•::.:•.t•::::.::.::::::..�.::•.ttttt,•:.,::::.t..t..::::•.ttttt.,t,,,:::.:::::tttttt•:.:•:::::::::.:: t.:.::::: rt.,.. ;i•:ittt:..,::::ttt•::.t•:.,.t,..:.::,t»•.tt:tt•.ttt,.:.,,.,:t..t..t::::ttttt,»»:,,:::::.tt:t„•.�.t•:.,.,::.::•:.: tttt::.::.: .,'.,,: ..,,t.ttt:t:::ttttt,,,tttt„tt::.::ttttt,•.tttt,»,,:::,::ttt•.t::::ttttt,,,..:::,}}::ttt;t}};;}t}}.;:.,::,:} :::.:•:::::.::•:.t•.:: «:•:::.�::::.t•:::::::.::..:•:.�:.:t:t.:::•:.,•:::.::.:::::•. t....:,:: :::: t:t tt t ::::::t:tttt ttt....ttt,t•::.,::.: V Engineering Dept. (3rd floor) Map //, Parcel d 50 Permit# 0 C House# �� Date Issued Board of Health(3rd floor)(8:15 -'9:30/1:00-� - Fee SEPTIC$ INSIALLED Io C oor - 1i11 COftt P Li6QNCE WITH rP r� 9 - rd 19 BARNSTABLE. EO 19* -V TOWN OF BARNSTABLE Building Permit Application Project Street Address 3 4 ytr-�- , Village 7 i-- R A.1111-4— p D Owner 6cRA / , " , ��_ i,�9,7 Address / Z-0 re.L /\ 1✓�Q /�-1 /�s'� Telephone 57 Permit Request k1-)v First Floor 3 11 UD square feet Second Floor /t 0 U square feet Construction Type woo p -TPLAm-c 4- c(P-e,kw)/ Estimated Project Cost $ tiow Zoning District A Flood Plain /Y®U Water Protection 14 P Lot Size Grandfathered Yes ❑No Dwelling e: Single Family ❑ Two Family ❑ Multi-Family(#units) Age-of Existing ture Historic House ❑Yes ❑No On Old King's Highw Yes ❑No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinishe ea(sq.ft) Number of Baths: Full: Existing New 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 ❑E ric ❑Other Central Air ❑Yes ❑No Fire ces: Existing New xisting wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑ 1(size) ❑Attache ize) ❑Barn(si ❑ ne ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan revie 70 Current Use Propo d Use Builder I00pnation Name ()n� 15 ZA s e-P Telephone Number Address License# 0 / 5 '7 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 n -> La SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �Z :g."".A- p:w 3t ids : •S ? , Sc FOR OFFICIAL USE ONLY , PERMIT NO. ' is - w DATE ISSUED Z i MAP/PARCEL NO. ADDRESS VILLAGE OWNER r f DATE OF:INSPECTION:, r YI FOUNDATION' FRAME INSULATION FIREPLACE . ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL' _ GAS: ';� ROUGH FINAL FINAL BUILDING 7 DATE CLOSED OUT , h • ASSOCIATION PLAN NO. ' j%ineering Dept. (3rd floor) Map / Parcel ' Permit# 7 7 House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin.Bldg.) Definitive Plan Approved by Planning Board 19 ; MA163 RS p TOWN OYBARNSTABLE Building Permit Application Project Street Address ,�a W ► W n qu-g— Village n i 6 SA-en 0 Ike M Owner ��1�, ,y(. i JM 3nn Address Telephone Permit Request .First Floor y 0 � square feet Second Floor square feet T 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) A\ Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New . Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name FRA TRUCTION Telephone Number Address 71 TARAGON CIR. License# CO IT MA 02635 Home Improvement Contractor# /oRcS�c3� (5UB) 428-2292 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 y�1'j'L4Zl( SIGNATURE JDATES�c7 BUILDING PERMIT DENIED FOR THE LLOW REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED '� A MAP/PARCEL NO. ADDRESS ' VILLAGE, OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION V FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING u DATE CLOSED OUT ASSOCIATION PLAN NO. dim O The Tyown of Barnstable MWM ��$ Department of Health Safety and Environmental Services Building Division 367 Main Stress,Hyannis MA 02601 RalphC Offices Build308-790-0= • � ""issi Buiag Fax: 509-790-WO For ofil=use only Permit Date AFFIDAVIT SOME nUROVEMENT'CONTRACI'OR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alteradons, renovation. repair, modernirstion. eonve:sion, 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 strnctures which are adjacent to such residence or building be done by registered contractors, with certain ezeeptions,along with other requirements. Type of Wont: Est.Cast Address of Worst: Nv ' S I Ile AW Owner's Name /a., `SCE-� Gc�/► Date of Permit Appikatiou: I a aS X I hereby certify that: Registration is not tequired for the following reason(s): Work excluded by taw _Job under S1.00L __Building not owner-occupied _ —Owner pulling own Permit Notice OWNERS .PULLING TTHEIRis hereby Ewen that: OWN OW PERMIT OR DEALING WffH UMMGSS rE= CONTRACTORS FOR 1 ? _ N LE HOME _ION PROGRAM OR GUAARAWrY FUND UNDER MGL 142A ROVEME"T WORK Do NOT � ACt�'SS TO TSE•� SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as the agent of the owner: Dan Contractor Name Begisnaxfon No. OR Owners Nome Date The Commonwealal o • •••� ' Department oj In j Massachusetts -_J' P dustrihi Accidents 600 Washington Sheet 3 Boston,Mass 02111 Workers' Corn iensation Insurance Affidavit name: A ER CONSTRUCTION f� � r2���� •- location: 4011JIT AAA city (508) 428-2292 phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole ro etor and have no one worldNZEMMEMEME n in atrn ca achy ❑ lam an emplover providing workers'compensation for my employees working on this job. FRASER:::CONSTRUCTION coin anv name: address: ' MA city: (508)' 428-2292 phone ... insurance co. d1 bXAJ1A ❑ I am a sole proprietor, penal contractor, or homeowner(circle one)and have hired the contractors listed below who///��� have the following workers' compensation polices: win anv name, address: ::... Aone#• :.::::::"v;::;.::> ;:: In�nrnnce co ".. cam anv name: address: city:.... Phone# .>... insurance co. :.., .. .'....:::::.. . Failure to secure coverage as MANN / ` • ;:::;:•;;;���/ t; ell as civil under Section 25A of 1iCL 152 can lead to the imposition of criminal penalties of a tine up to SI�00.00 and/or one years'ltnptement-mt as e o w rde penalties in the form of STOP WORK ORDER and a fine cf SI00.00 a day against me. I understand that a copy of this statementmay be forwarded to We Ofilce of Investigations of the DIA for coverage verification. I do hereby ce un the aucr an enaldes of perjury that the information provided above is true and correct Signature Date Print name b4"i Phone# Cdtko'-n-_ e only do not write in this area to be completed by city or town otIIdal city permit/license d (]Building Department if immediate response is required OLicensing Board ❑Selectmen's Office erson: phone M. (]Health Department []Other�� (tevaed 9195 P1A) ;.. • e 9 ° HOME IMPROVEMENT •CONTRACTORS REGISTRATION Board of Buiidin'; -Regulations .and Standar One Ashburt n Place ds . - Room . 1301 Boston , ..M +ssachusetts 02108 HOME. .IMPROVEMENT CONTRACTOR I ' RYPestrDBAon_: 112536 Expiration 4/06/99 ERASER CONSTRUCTI.O.E�a ! a! HOME INpROVEHENT-CONTRACTOR DEAN C'.. . FRASER a I Registration 112536 71 TARRAGON C TR.: p Type -:.OBA . COTU .k Expiration 04/06199 T I MA 02635' FRASER CONSTRUCTION (� v C..FRASER ' i ,�1 TARRAGON CIR COTUIT MA 0205 s� Assessor's map and lot number ........U!j. THE T P ` y6 � f �./.'A+4�;. c,r' :O�,a�•t��;.}!,✓l,;f::7.qa: :(.�.`-:�.�a;��rr!' �,I.4�;y���,.€FLdi Sewage Permit number .................:..:'..�... BARN STABLE, number 3 tt •- ,, a -.. : ASaLE, J r 1639. f..! i�f.:r t��.+ GM03p. TOWN OF BARNSTABLE BUILDING INSPECTOR: APPLICATION FOR PERMIT TO .. .... ....,�. (.. . .................................................... TYPE OF CONSTRUCTION �........... . .. ....... ..../.Ls1�. .. ............................................... .......... .......... ....1�.............19..7 1 TO THE INSPECTOR OF BUILDINGS: � � • The undersigned hereby applies for a permit according to th Ilo"information:.Location ......... .... ............ .3.z . �. . ....... �.... ....... . . .. . . n • Proposed Use .45. .L'�... .......a�v. ..iz,,............ ........... ............ Zoning District .(1 ... ...... ........... ... Fire District u,- 1 .......................... 'Name of Owne . ... ... . .......Address Nameof Builde ... .. ... .. ............. ....... . ........... ........Address .... ........................................... t Nameof Architect . . . .. ... ...............................................Address ... .._ ......... . ............................................. Number of Rooms .. .... Foundation { .. . . .. ............................................. 'r Exterior ... . .. . . .......................................................Roofing ... . . .. . . . .. ........................................... Floors ...... ....t . ..................................................Interior . . . .. . . .. ...... ....... .. Heating ..... .. ........ .. .. ... .......................Plumbing . . ... ... .. .. ... ..................................................... Fireplace ...... ..., .....................................................Approximate Cost ..: Q. .Q...Q....................................... Definitive Plan Approved by Planning Board -----------____—-----_-----19________ . Area �..-„ Diagram of Lot and Building with Dimensions Fee ".. ... .............. ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �t� t9 xZe = 53Z I� zkX�z Z.10 I� t7 C. �� V 4k o - ice W t C. I~ *4, C- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg rb ding the above construction. ` Name'%.... .. ......... .....:.......................................... 1_ Lebel ' &;Son. Trust a-17_-093 Sewe g existing system No ..-3.7..40.... Permit for .Add!.n••to••Oommi•3•• ..................................... .....Bl.dg.................... Location .......32..IdiaOAue........:................... .........................O s t.er.v i•1•1 s................................. Owner ......Lebel...&..Son..Trust...................... Type of Construction ....Ma$onpy...................... ............................................................. �...... Ftot ............................ Lot .................. Permit Granted 0�.1�.._ . 36....... 1979 Date of Inspection ....................................19 Date Completed ....................... ..........19 PERMIT REFUSED ................................................. ........... 19 ..............j.. .A./710................... 4/A-p0 . ............ ../. .. ..................... =►� ..... 06 .... .�. .... Approved ............ ................................... 19 ............................................................................... ..................... ................................................... `f :Assessor Zo-ffioe;'(1st ,floor): �' Assessor's map and lot number .. ......................................... Board of Health•(3rd floor): Sewage Permit number ..... .7.-... Q........................... t 33AB39T1►DLL, t Engineering Department (3rd floor): 000�,"6 IL House nurjrt�ber ........................... ......................................... ' 't0IVAAl a /G APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00'P.M. only TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... evov� Ti-�f�d�s ;:,' c'S2 L71,f ....................... .. ......................................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... t: .................... .......... TO THE INSPECTOR OF BUILDINGS: 6' The undersigned hereby applies' for a permit according to the following information: Location ....! ✓'..!h�Nv.....�Q.........v:S . !..�J. i................................................................... ................ Proposed Use r ..........:........................X...................................................................... `............................................................. . Zoning District .........: .�..........................................Fire District ......... .....�r..7.:/../.� t•....................................... Nameof Owner .�/. ,.. S, . .................Address .................................................................................... Name of Builder ..(i1/ :../.SE' Ne ..wi... !�.t........Address sv� e ( .................... Name of Architect e l�'�''�PYP/� ..............Address ....a�.P��'...S PPL� l3dse.zl_ti ..- Numberof Rooms .........................:...................Foundation .............................................................................. Exlerior ...................... ........I...................................................Roofing ....................... (l!..... .... .... ......................................... � J Floors .... ...�............................................Interior ............................,...............• ..................................... HeatingPlumbina�XM ............................. ................ ................................. _.. ....,. ......... Fireplace .......................................................•...........................Approximate Cost /j../.. � ................. Definitive Plan Approved by Planning Board ---------------------_..........19-------- . Area 1. .(1...r�/lam . I......... x Diagram of Lot and Building with .Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS LI GS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Noe .......... P.. — ..�� ....................... / Con t-r ction -upervisor s icense . .�....� ... .q........... LEBEL, JOHN S. A=117-093 No 31633... Permit for ...Renovate.......:......................... Conunercial/ Retail .......................................................................... Location ....38..Wianno Avenue .... ...................................................... Osterville ............................................................................... Owner ....:John...S......L e.b.e.1................................ ..... Type of Construction ...Frame................................. . ... ..................... ......................................................... Plot ............................ Lot ................................ Permit Granted .....February... . . . . ..2.5......19 88 .. .. .... .. .... .. Date of Inspection ....................................19 Date Completed ........................... ........19 nMEW W 40 Capydght Douglas Sanford A tietas.Inc.2013 STATE BUILDING CODE EIGHTH EDITION T DOUGLAS SANFORD ASSOCIATES INC. 2009 IBEC 404.1 SCOPE LEVEL 2 ALTERATIONS INCLUDE THE RECONFIGURATION OF SPACE,THE ADDITION OR ELIMINATION OF ANY DOOR OR WINDOW,THE LIGHT FIXTURE SCHEDULE ARCHITECTS RECONFIGURATION OR EXTENSION OF ANY SYSTEM,OR THE INSTALLATION OF ANY ADDITIONAL EQUIPMENT. TYPE MANUFACTURER CATALOGi LAMP REMARKS 4 AREHAM,WITERBERRYLANE 20091BEC 6024 MATERIALS AND METHODS.ALL NEW WORK SHALL COMPLY WITH MATERIALS AND METHODS REOUIREMENTS IN THE INTERNATIONAL BUILDING CODE, WAR - 02571 INTERNATIONAL ENERGY CONSERVATION CODE,INTERNATIONAL MECHANICAL CODE,AND INTERNATIONAL PLUMBING CODE,AS APPLICABLE,THAT SPECIFY MATERIAL A LIGHTOLIER 1148/1100F7U 1 32W (508)8)7474300 STANDARDS,DETAIL OF INSTALLATION AND CONNECTION.JOINTS,PENETRATIONS,AND CONTINUITY OF ANY ELEMENT,COMPONENT,OR SYSTEM IN THE BUILDING. USE GROUPS,EXISTING SPACE IS BUSINESS B(2G09 IBC 304.1)AND NO CHANGE IN USE IS PLANNED. 20091BC TABLE 601.CONSTRUCTION TYPE 5B,COMBUSTIBLE CONSTRUCTION UNPROTECTED. 20091BC 1015.1 EXITS OR EXIT ACCESS DOORWAYS FROM SPACES.TWO EXITS OR EXIT ACCESS DOORWAYS FROM ANY SPACE SHALL BE PROVIDED WHERE ONE OF THE FOLLOWING CONDITIONS EXISTS: 1.THE OCCUPANT LOAD OF THE SPACE EXCEEDS ONE OF THE VALUES IN TABLE 1015.1. 20091BC TABLE 1015.1 SPACES WITH ONE EXIT OR EXIT ACCESS DOORWAY,BUSINESS OCCUPANCY MAXIMUM OCCUPANT LOAD 49.FIRST FLOOR BUSINESS OCCUPANT LOAD IS 29.ONLY ONE EGRESS IS REQUIRED.TWO EGRESS ARE PROVIDED. x 20091BC N TABLE 1014.1.1 MAXIMUM FLOOR AREA ALLOWANCES PER OCCUPANT,BUSINESS too GROSS.THE GROSS BUSINESS FIRST FLOOR AREA IS 2.925 S.F./100 S.F.=29 EXISTING FIRE ALARM PULL, PERSONS. HORN 8 STROBE,TYPICAL 20091BC 1005.1 MINIMUM REQUIRED EGRESS WIDTH DOORS 0.2 INCHES PER OCCUPANT. EXISTING EXIT SIGN OCCUPANT LOAD FOR FIRST FLOOR BUSINESS IS 29 PERSONS.EGRESS WIDTH=29 PERSONS X 0.2-=5.8'.ACTUAL DOOR WIDTH IS AT LEAST 36': y TO REMAIN,TYPICAL xs 20091BC 1011.2 ILLUMINATION.EXIT SIGNS SHALL BE INTERNALLY OR EXTERNALLY ILLUMINATED. A 20091BC 1014.3 COMMON PATH OF EGRESS TRAVEL IN OCCUPANCIES OTHER THAN GROUPS H.I.H-2 AND H-3,THE COMMON PATH OF EGRESS TRAVEL SHALL NOT EXCEED ' - RELOCATE(3)LIGHT 75 FEET(22 860 MM). FIXTURES AS SHOWN EXCEPTIONS: 2.WHERE A TENANT SPACE IN GROUP B.SAND U OCCUPANCIES HAS AN OCCUPANT LOAD OF NOT MORE THAN 30,THE LENGTH OF A COMMON PATH OF EGRESS TRAVEL SHALLNOT BE MORE THAN 100 FEET(30 480 MM).THE LENGTH OF A COMMON PATH OF EGRESS TRAVEL IS LESS THAN 100 FEET. 20091BC TABLE 1016.1 EXIT ACCESS TRAVEL DISTANCE FOR USE GROUP B,200 FEET WITHOUT SPRINKLER SYSTEM.ACTUAL DISTANCES LESS THAN THE MAXIMUM ALLOWED. _ ` \�:': __ _ N J _ EXISTING CEILING 8 LIGHT 1018.1 CORRIDOR CONSTRUCTION.CORRIDORS SHALL BE FIRE-RESISTANCE RATED IN ACCORDANCE WITH TABLE 1018.1.THE CORRIDOR WALLS REQUIRED TO BE A RELOCAT FIXTURES TO REMAIN,TYP. FIRE-RESISTANCE RATED SHALL COMPLY WITH SECTION 709 FOR FIRE PARTITIONS. NEW-COMM N:.�.' '-r HORN-NG Z NA71 WAY EXICTIN-CONFER N. E%CEPrIONS: F '• r y'+ HORN-STROBE RQOM TO gEMAIN �� ,-�'S,,W 4;lTCH_ AREA4.AFIRE-RESISTANCE RATING IS NOT REQUIRED FOR CORRIDORS IN AN OCCUPANCY IN GROUP 8 WHICH IS A SPACE REQUIRING LNCNANOc^ uj ONLY A SINGLE MEANS OF EGRESS COMPLYING WITH SECTION 1015.1.THIS SPACE COMPLIES WITH SECTION 1015.1. NEW LIGHT `- gELOCATE(2)LIGHT FIXTURES OSWITCH `� � '`C� 'F � !o TYP. REPAIR E%ISTING CEILING AS REQUIRED DUE TO NEW CONST.,( TYPICALFIXTURESPE A LIGHT H , , EXISTING , TOILLET ROOLELRQ12 M ' , ow a a ++`•/ / S. TJS�DRNG NEW EMERGENCY LIGHT---" TYPICAL FOR(2) ;ifTc NEW E7 IT SIGN I Z rrl EXISTING.REAL.ESTAIESf11ANI C TQ�MAIN IrNCHANCFn I NEW LIGHT SWrTCH a — w — J EXISTINGI PARTIAL FIRST FLOOR CEILING PLAN W HANDICAPfNTRANCE uj NEW TENANT A - cm ~ Zo M NEW 2X4 WOOD OR 35V 20 GA. METAL STUDS Q 18'O.C.WITH SOUND &SIB"DRALL EACH SIDE,TOPINSULATION YW OF WALL TO UNDER-SIDE OF ROOF ABOVE,TYPICAL FOR O�\ Sanford associates ALL NEW PARTITIONS J NOTES: •ALL NEW DOORS TO MATCH EXISTING DOORS, REVISIONS ALL HARDWARE TO HAVE SATIN CHROME OR SATIN S.S.FINISH,HARDWARE FOR NEW PROVIDE D DE THE FOLLOWING ACC- �TORE_UAIN_UNCHANQED M 112 Pair butts-Stanley FBBI 79412'x 4 Ire - (— REMOVE EXISTING DOORS 8 Z NFWILWAY REWORKASSHOWOR AND HAI i w4v OMODATE NEW ODOR AND 1 Lockset-Schla9e,Athens ND53PD O HALLWAY 1 Stop-Ives WS402CCV •^ D Aq�y 1 Closer-LCN 4030 Parallel Alm(Optional) ��RE EXISTING CONFERENCE ROOM MAY 1 COMMON-AREA 135' PASSAGE SET REPLACED WITH SCHLAGEETHE K. COMMON-AREA EXISTING ATHENSND63PDLOCKSET C� HANDICAP- ROOM O --- �, •NEW WALLS TO HAVE NEW WOOD BASE TO I d MATCH EXISTING,PATCH ALL EXISTING BASE Q No 'y `(( > § DISTURBED DURING THE RENOVATIONS. f,`�• EXISTING_JEWELrrYSFNANI f - •EXISTING CARPET TO REMAIN,SALAVGE 0 1, TO REMAIN UNCHANGEn EXISTING I - EXISTING CARPET WHERE POSSIBLE TO PATCH T, STAIR I `�� , WHERE REQUIRED. •PAINT NEW AND DISTURBED PARTITIONS TO `t.T� MATCH EXISTING FINISHES. FM NEW—TE_NAN-1-B NEW ELECTRICAL RECEPTACLE,TYP. O CHECKED DKS SCALE 1/4'=1'0' ,. O DATE MARCH 22.2013 TITLE ----- PLANSAND IF THE CONTRACTOR IDENTIFIES ANY CONFLICTS IN III NOTES THIS DRAWING OR ENCOUNTERS CONDITIONS IN THE FIELD THAT REQUIRE ADJUSTMENT TO THIS I L SHEET DRAWIIMMEDIAG,HETELY SHALL NOTIFY THE ARCHITECT IMMEDIATELY AND WAIT FOR DIRECTION BEFORE PROCEEDING WITH THE WORK. FIRST FLOOR PLAN Al ®envMeM oou6es swam - AJcodam;ux.z6oe DOUGLAS SANFORD ASSOCIATES INC. ARCHITECTS 22 CLAY HILL ORNE PLYMOUTH•MA 0960 (6M)T474II00 W II Z W Q / Za Z � / Qw ul 04 co / g s. M o / ;•�:_;;r Sanford assccta[es \ Iw REVISIONS r ORY_sAUA x: El.r O ❑ l OgE P �G or uv 0 O KVAC d ? 0o�o«s" on OS .,, -i�,h 'rv"'::w. •s'7: _.tlw�`.n M AY1.l:,`,ZJ�Y tiP.. '�7' .,N''v':...A.`7,. .j. tool UP DRAWN DK5 CHECKED OKS SCALE 114•e1'-V DATE MARCHJ.2006 TULE BASEMENT BASEMENT PLAN SHEET A2 /. � OCOPYOBIOOou0tn 6wbrd DOUGLAS SANFORD ( ASSOCIATES INC. ARCHITECTS II CLAY HILL ORWE PLYMOLTH.MA 02360 • (SOB)7474300 • • + B'-S' B'S " FUTURE WALL TO O WIDE --------------- Ir WT020F CES C-- I iQJEDCF-a omcE_a I I❑ - TO OBE i HR.AIR v W +, OtFIGE1 - 3 FIRE BE �CE1 I Lu r SECOND FLOOR O Hn MEBMWeTRw Z .: ■r/ a LL _ N M o �� ❑! ww�E . ,. ,� ;•` t, rd as nfcsociates .ice �• $REVI 10NS HANDICAP 0 •r. weiawnnM v�.� AYTYwON Ell Km AEELELANSlAia 04 ETOEEr fa7DeE rt � O QRO • .� -.' � p ONgSR �l' '- O •_ ��1 (NOS 40PC DRAWN ON5 CHECKED DNS ' SCALE 1W-l'-' DATE MARCH0.200B IME FIRST FLOOR FIRST&SECOND FLOOR PLANS SHEET Al K „>— �};Y Ito Val ynb �I 1 • � �� 3 �I I I S I :;i �! des 3T1z '•'�' i `` 1 �, ��� ?., ,fir * ;�'� • ' � 2• �5 � :ifs � } - •Y� � ` �! � .. vi � y �' D I C I Y'u '�� � yyY_:. C : q �PF__ •d F: � I _ tv_ss_u\ 1 '' .t p Ctf Ee F c!C SL_ ..yg ' � 1 \ i ob 4f �. : °TPY I �� I I � t ; ,, €v ' g ii 3zfL,�?' a[Nri1` [ 5'� 6.9� EeF ge: 4< ! .. 58 2 . 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[La G-C. 1•reap:Jbi•fot all-,A ladlcat.d lepllb on crt.•.ornsctuction doN.nn4 v.i•ss pravf n.%a- amitr.tt eaarrnta. __ . .prddlt•lo nnlsd"by other••aM/or ^P.[.C.•al•e, / A 1 cart acted.dented standard No. 1I01 a[ 1:1 ra.dditlon to►L•/net supc¢ntr•rcott the C.C. 1. fy D1ansMI-ts Dr, •u11•cs<1 vltn eerw holae lx^o.c. Sn fs• •/ yr' --.-_- _.r.l�Y =_'_ _._�'�._ 4 _ i t..00•lme for Saarin•ifnq and.<n.auilnq w.cork yy vota,t by oth.ra.nd/.r .L[.• l.nq[h.. runt l0•a.c... x. AdWn to.31 design.no coP.truatian drltatle f<ctfon cut ".1 Garry Super Lir„Sluff Dr.ck.ta Me. Ilan.rt[a D (� (Vll �,� IYM11 Sne1WW n Nw cvrteretiro daeuannta..d Mavy duty Dr.a.et lI• in 1•ngths with arol-d \ Qf fli%� i'rf. �O hlhfc+t C%l'tItPY�as 1 at! Draft fAe<t Xo \ / C,) e"ry Clip b."]I72 ua.•t Rant and r.ar of I. all dl.e "It of.aistinq o r'•rd all alrnalon,i -/ _I r.gultsd for r rR[het f•<,I a,- rlth rk in place .ball De rerlfY.a by.dual r +nt tarot.•nY f D»,Yo IFlanl �- �o �+< �l D.) e > P ,d Mfl call be provadee DI T•1D¢ta. ire I 1 rk 1.prr e.aW. +Ta tsan,uiblllty o[eorr lain¢ Neterlai keT II1<r.tlonl G 11 ut Ne rod to al•aer:t iota.id Instal 'JirX1GIG -1Lt7CT S dner.pe nef es touts•tt•t the cork In nrrorard a 1-1.contr.ct de^umentc.belongs to the D-C. rlth no.aaitfon.l •aDen.e G¢1rp s laaurrea by the t-t pr[.ail xu. c.) c•rcy In.sound n.il Aaaptev. -T.n nr rant. .u I $ •e ' xotl[y the Arclilt•ct lveadlata1 of any d1....I,d or ee r.I it,IJ]e.na cup•. Tro Dar cell. i ""F' �^ in th.construction docurnt.a.d do not 1.to Id o[ .....'..ill aid di•to ptoc.aa vita r-fn[Mar Cleyatton Pn. �w`,� / 1 { .+..s until s•ld tli.crepencisa ere reaot ved. .Met to. e.l Pa,fester belvisp eiull"be l/t•h19n density r`l Y'••'t"II r�-1 I /f+ A I ( 1„r awl I1 y� d. Men change.era regu Lrea, due[c•ny reason, notify pelf lcle ba.ra M •• , vide. ` ^ �'..(JVs�I .V•1 inn Architect I Talbote More r Cnenm.vrtich re ire p"rrr.rrf ng Cha work Dertl lion lypr N•1 Aisle chef ring tall bu J/a^h3 gh d.ncity ppart fell _ -d -'--' , +1 wIrit fenharge 1n tl•cant—prier (//�\/ board, npPrez <elY 2'.r• havfae s nna)vn.D [ 1 - `V unit. dust nev ota autner..a,ton. ProrlOe u -i [ou,d cell tam. n rou I —'-f �� �v/ R"ri stnn No. r 11 su,pl�rdnn�trait ncs r•qui tea tr p vide bc'n F )? �d �� ,'�� a. All ei•en.iene are to face.[ef lnl•t.unl.Sa notes of ce t. h,p;rq around per Sseter or otoc R,raon+ otn.rrl.e. Ail al•vet ien. r not e�t-¢.tin'an floor sever Surface fe ie Far sti nq rnnslruct ten In rcetir. to yy n - 7. St.naarda•e 1n fa elfdeal. The M1ed krlt[ing ronit rrc tlon to Yr r-,,d to flirq, trey iarrShel ve le" C�4-( � � I •.IAY par g openln9 J. Provide• I,in In at>' )"A.r,I. and a n•tnu• of the hey.!n rhi,b the etanaaras• napuced Sa <r et o c Grit;cal. Tne finlshad op.ilq^f I-handing MI'a �dl a et M•e vltle or•I ignty elder cl.to chose Nsr<nnstrur Lion ^ Z j aieenslong to tc.ted. rf Fla eonn'tien.c•usl nq Neturet flni;A.a le veil[wares F Refu.k ®���T, A_r,,a in any of the e[enaa[a or hay diaension.rant P '` T 1^1 GJ� ! A De brought to the ettent ion e[t chlte<t � ��� �y,1 OR 3suGie Sly. 0n.hour veil tanitrvilien 7A I. Provide the Architect and alter vit)in ona (1) reek of I - n . ..• - no,hour d^nisfn y g,vl to a l.rt,,. .... 9 rxll cPnstrurtira .Loll tr t fi lose fn[re Frr feet. Tne.... I1� -_`F11{[i/•" .l all be 9 d n the /allovinl forvar- -_-- �ity, state. 21P fade Arc.toss)Tarphona rawer r ._ —�❑ _ "'r - " . F'RO1ECT NORTH «nra<t Prr.nr � c. All rock stall h done ar moor.,an rith•DpL catle -.-._T �-T---• - I � . codes.na ec the highest a soda rdst t+e0.pr•ct ice), "��� def we on 1.tevlcy•vovkmensnip t to the Ovner. e 1 , ' 1`• 1' . lo. All rock.hvli be Ferfor.•a i141•.+�lv nu ldinq ; n use ctcrainet.a e n a 1 aK r•, __ ___ ,--_ •. _,.�, _,� „^ sift ornrra,�a landless •�..� � 'r r I1 Inter[of a..k.rrkr be[ctec rr.anr�at ct,ra-k GI a �•�, y . t.' r�J <j A l trace co MCS prom perov.¢ions�r Drat 7 r - Int rf[ rsa nq s .emu cn 1`�vnrs caused by • jFhe, `G� /�Gf1 /; �`-� ,rrglerc to<dn se.null Ce adt �o cn t to She li. All IIAnt/izture• shay] be euF[I-W to cne G.C. at ` G.0 's cost by: I r 1 Y N'o Par,reli Llgntine - \ .Lai-L.f!Ak:: •^+ham.'„/,, Z t�E.�_L. GIME.N v_�-W}Atts- *G Fars dAr., ni o;65I ; !:n,; �'.A 4 conca<c: "arty".•on - !. /rl TIEa.;jt 1L Obtain and n) for al P it a rt'T ace.: - uell as the certlf 11. The ,c shall Provi t.tel phone operet]rn r, - ` -` -_\ Z�J �i�• c . Yj1 'R throughout the cnrct rua:tion n•irA. 1.. patch end tepur exlalnq•urf-.....Vir.a p,I., ` yt t� \ - ! _\ �. [xl�Tif•('} Lo+ppl l•1n,nev Knishes. All cat t, pornue. fl•Rf rq T4� or otMrvf se ee nrt ire fin3Shes nnallnM .. '' �_•-�t .� C1°..DL•�"' re.o a unrepi'nce su�irana'i n.clocea rrn oca]t idtlr.0 - '•� ;•., .___.e not ter ra a m,tv i 1 in•e r lleatrd of er[a in.r¢ s p •r. uni•nea•.nac¢e•a[/ to natan,.:au ngc o�tfnuou. - E .� � s spy ` 1 .r _ t rerou t lemov valet n r pertoraentt o[cork as outK ned ul n ti - /; eonsczrct ion eocunenc.. ` c Av Plyv.otl cr rote ire-.ins och«r to r sierra ona glty' ,i. __ � .�4n jy tlnnee s^all Le prrxsr r.trcate 'tn fire } ,t '� Aeterdent. Pr ev;ee lua'nr ee[ti(:sates co New / la § 1'•w:a,E Sst'./..r- d I rcMtart end tM-ill inq Inae•ct or ns reaulr.a 1+PC A .G P- `yG -a ` . �_*.__ -_---<_B-_�.,k.. 12• ^ Y' • '6 Prov sae and Instal •dequat.n]ork inn rrt all t�{ urq ona rail auDn.ua tt:aa. .•. _ T ]9 Ail rail and floor nn•cr.tionc by el.ctricel vo„ y ry,� l_ %Ac.L (ttr KAr'A�KT n ll be trenei ona lefts ornea x., 4 0 All t r,q•ra channels. rod.aml or•¢rY. (�i \\ ` �.a/ - - '.•, -.x G -:r rec- .nail e,.curt,+n.a+„inert.l..a ea � �� �' ;,'%• M� -• - - � � < ...aacr frt prom.upDart re.au.n'dref.wc�. ",•, egnfPent and+hall a '.It.Me tc.eta. can .,,, I 1: ?� --� t,-rl ,a unmsry aM to Dt bar...I,,-, an•tf or con.[. + '. �l �� (- \ 'e \ IL 1ta xl. All taoer•y,anf plugaold anal: n Itr I� (..�t, li•',{Y,.. -' W[•1.L711�7GQ.:GVE [[LFL4=rfiVL I P[oviae color se.Dl. for aDDr¢va p,in, tc.r.n,.s + �'i `fIJ.04 y•,r' C1 ._.._ __- MYLAR AC14OP4 4^ tJ'x7[ CX ,- ._..- __ - -.. 41 + .. Provla.a ea pnnas Ilr.tn.ruling toe ne a C ,`-^t A "- equfpwnt In to: c`il leg wee in-luelnq.tor ! \�{ -�`•�Y�" >^ �J t� ' n�nfgto.t=nnl•df--ties eluen.x 11I w Tway .t. l AC rW1,L'I:hN. r�'. a ,�'•-i �ft\ST FLOOR Iroade ace,.r,n 1.ro and tl AAfr eabconf�ccorsc 1cn ln. 1.pl u.DinV 4 /11.. sit✓ , ` 6 i 11. Cb.,di-t.uaie.n.ian./step araeinr. for construction ,[-\ `J qr� % i " • F w and I-t.11.tlon of ail lvork. xe. oak.K faint.rn,..q.r.e. Seas tna Koorana/., \ 'tk.t.1'Y,ti 5E to oat deck Jt 25. In the sf xkzoamz rd Dt[ira prov)d.sat ncr-.auntaa ,�.l Y' MUJ�`A.�"L:� a • e v 11 a..........lld;catea. "Dune ten IncMs•lour X'a rinll to[loot no the cefllrq qn[ foot saal.un. / Pent to etoeRrooa cha lvinq,henA ir.q eta t YPlc.l •taMard � _ - • M n ,. + ♦ •.a note• '��r�est_�sd�¢s'r'!g�!@ass�rw+s,` I '. s. •la- PLovlde•e.ontn level floor s rta.e for<erret tMta71et1on Patch/shin all e[•e.net .dry a0 that fir. J*°d^' '-"�• rx' Iwo Mo. s} a •rctlPiln[ carpet.eels ell that floor eateria]S.Stan floe[ 1.12Jt r/ 'i Gain.null aviceeC far. \ (-1.NN �" • « AMiI•i0[1• n. Penn[all diff...... light firture trl.end Diner t R erpos.d r:eflanq nlen•nts to mtch calling. \ r\ I.. tT.e. c stall pt5v fan CM Whet vita ell equl peen[ / ~� ' _ F`�.+Yf'C r+•a'+aka .Ks:.a. f in•!la•<ept•race a and oDerat li,g Ina«Tact ions upor • -i• ,}-t.F.:/ATE :.Lhf�INfa1 rrt G i t[ - f fx o V W1N V]ae iNICr M� 02655 FLOOR E PLANS It •,flee, ,� , - - - ME N T ' Drown by �fiMEl r vote W JH Mo are" :Ia t - I mv, iMt} x IN #0 t z -�nyayr}4Z:1'r is ,3 ' awrawA. :iAt.w,G.:: Jl::. :;...r..,..:... .. ,,..._•....-.tea:...eiC.L. 1 i VF_"'IVT —7FAt7 13At cF4cs ST,ek A, OC F- I � L 1 l i ku r.�scAcA(T W --, sQ- 30 i 17 _.. - — i -- ---------- -- ----- -- �_ S{{�M _ ,A a,4 T 0`°� /FIT/_-�•pTF Zj !Ar4iN6 ' S�'yLrGHT ) srf"F'i7- UFr1T ,1 L ES �"x,sT�tiG- � jY✓G K V � �, ! i=r rya C� E,4 i� /,.J/�•ri-- �•�./J.f h' S.ti' ,�•/[ LE-� ,1 'I 11 r j I ,J 3 ih 4 IWA I/ 'C ,SJ� aOT� �.f-�':.►- CUAt' EC 7— le p 0A ,r NA Woo t �, �'-,l ifs=�.7 -�-• 4/ o ` f G 1.,,J/f,7,1 7.U-V K;r4 L 1- d I i l cove , j c (� , O A �•�:? '.,h !�iu JU S � , SCALE: APPROVED SV: DRAWN /V DATE: D/d k i 1 REVISED DRAWING NUYMER 17XSB PRINTED ON NO. IOOON-•CLIARPRINT ._ i �.E•�_......r.•.;..i.rilHM�l:.l..�uu:.�.::;�.Y.. ..�_t!:... .a;�l.�'.�. �11,.�',..•..._ --3j..�a. ....,.e..::.,ua .`...t_...<..:.�...t... ,�..- ..._.. .a... _., „_ ..........�.� .._,ter,._. . ...si w1..r.�.._.5..�,_. t....il _ .._. - _ , ©Copyright Douglas Sanford STATE BUILDING CODE: EIGHTH EDITION Associates, Inc. 2013 2009 IBEC 404.1 SCOPE. LEVEL 2 ALTERATIONS INCLUDE THE RECONFIGURATION OF SPACEJHE ADDITION OR ELIMINATION OF ANY DOOR OR WINDOW, THE DOUGLAS SANFORD RECONFIGURATION OR EXTENSION OF ANY SYSTEM, OR THE INSTALLATION OF ANY ADDITIONAL EQUIPMENT. ASSLIGHT FIXTURE SCHEDULEARCHITECTSIASINC.2009 IBEC 602.4 MATERIALS AND METHODS. ALL NEW WORK SHALL COMPLY WITH MATERIALS AND METHODS REQUIREMENTS IN THE INTERNATIONAL BUILDING CODE, TYPE MANUFACTURER CATALOG# LAMP REMARKS 4 WINTERBERRY LANE INTERNATIONAL ENERGY CONSERVATION CODE, INTERNATIONAL MECHANICAL CODE, AND INTERNATIONAL PLUMBING CODE, AS APPLICABLE, THAT SPECIFY MATERIAL A LIGHTOLIER 1146/110OFTU 1 32W WAREHAM, MA 02571 STANDARDS, DETAIL OF INSTALLATION AND CONNECTION, JOINTS, PENETRATIONS, AND CONTINUITY OF ANY ELEMENT, COMPONENT, OR SYSTEM IN THE BUILDING. (508) 747-4300 USE GROUPS, EXISTING SPACE IS BUSINESS B(2009 IBC 304.1) AND NO CHANGE IN USE IS PLANNED. 2009 IBC TABLE 601. CONSTRUCTION TYPE 5B, COMBUSTIBLE CONSTRUCTION UNPROTECTED. 2009 IBC 1015.1 EXITS OR EXIT ACCESS DOORWAYS FROM SPACES. TWO EXITS OR EXIT ACCESS DOORWAYS FROM ANY SPACE SHALL BE PROVIDED WHERE ONE OF THE FOLLOWING CONDITIONS EXISTS: 1. THE OCCUPANT LOAD OF THE SPACE EXCEEDS ONE OF THE VALUES IN TABLE 1015.1. 2009 IBC TABLE 1015.1 SPACES WITH ONE EXIT OR EXIT ACCESS DOORWAY, BUSINESS OCCUPANCY MAXIMUM OCCUPANT LOAD 49. FIRST FLOOR BUSINESS OCCUPANT LOAD ` IS 29. ONLY ONE EGRESS IS REQUIRED. TWO EGRESS ARE PROVIDED. 2009 IBC TABLE 1014.1.1 MAXIMUM FLOOR AREA ALLOWANCES PER OCCUPANT,BUSINESS 100 GROSS. THE GROSS BUSINESS FIRST FLOOR AREA IS 2,925 S.F. /100 S.F. =29 PERSONS. NEW TENANT A EXISTING FIRE ALARM PULL, 2009 IBC 1005.1 MINIMUM REQUIRED EGRESS WIDTH. DOORS 0.2 INCHES PER OCCUPANT. HORN &STROBE, TYPICAL OCCUPANT LOAD FOR FIRST FLOOR BUSINESS IS 29 PERSONS. EGRESS WIDTH=29 PERSONS X 0.2"=5.8". ACTUAL DOOR WIDTH IS AT LEAST 36". EXISTING EXIT SIGN /SI TO REMAIN, TYPICAL 2009 IBC 1011.2 ILLUMINATION. EXIT SIGNS SHALL BE INTERNALLY OR EXTERNALLY ILLUMINATED. Its 2009 IBC 1014.3 COMMON PATH OF EGRESS TRAVEL.IN OCCUPANCIES OTHER THAN GROUPS H-1,H-2 AND H-3, THE COMMON PATH OF EGRESS TRAVEL SHALL NOT EXCEED 75 FEET(22 860 MM). RELOCATE (3) LIGHT FIXTURES AS SHOWN _ EXCEPTIONS: 2. WHERE A TENANT SPACE IN GROUP B, S AND U OCCUPANCIES HAS AN OCCUPANT LOAD OF NOT MORE THAN 30, THE LENGTH OF A COMMON PATH OF EGRESS TRAVEL ---- SHALL NOT BE MORE THAN 100 FEET(30 480 MM). THE LENGTH OF A COMMON PATH OF EGRESS TRAVEL IS LESS THAN 100 FEET. ` 2009 IBC TABLE 1016.1 EXIT ACCESS TRAVEL DISTANCE FOR USE GROUP B, 200 FEET WITHOUT SPRINKLER SYSTEM. ACTUAL DISTANCES LESS THAN THE MAXIMUM ALLOWED. � .�. -,. - z-�`•. 1 I 1 1018.1 CORRIDOR CONSTRUCTION.CORRIDORS SHALL BE FIRE-RESISTANCE RATED IN ACCORDANCE WITH TABLE 1018.1.THE CORRIDOR WALLS REQUIRED TO BE �:: : :==- • - ' RELOCATE EXISTING CEILING & LIGHT FIRE-RESISTANCE RATED SHALL COMPLY WITH SECTION 709 FOR FIRE PARTITIONS. NEW COMMON ? - FIXTURES TO REMAIN, TYP. EXCEPTIONS: F HALLWAY .�- }_ HORN-STROBE 1 1 EXISTING CONFERENCE 4. A FIRE-RESISTANCE RATING IS NOT REQUIRED FOR CORRIDORS IN AN OCCUPANCY IN GROUP B WHICH IS A SPACE REQUIRING n`�T _ ` - 5,: COMMON AREA ROOM TO REMAIN ONLY A SINGLE MEANS OF EGRESS COMPLYING WITH SECTION 1015.1. THIS SPACE COMPLIES WITH SECTION 1015.1. NEW LIGHT ONLY SWITCH 1 I 1 RELOCATE(2) LIGHT FIXTURES NEW SWITCH REPAIR EXISTING CEILING AS WIRING, TYP. 1 REQUIRED DUE TO NEW CONST., (2) NEW TYPE A LIGHT 1 TYPICAL 1 ' ' I I 1 FIXTURES I I H7 EXISTING ; S HANDICAP TOILET ROOM ..I I� +` - • - . :, ! I• = NEW TENANT B ' ' Y EXISTING ' STAIR NEW EMERGENCY LIGHT ' - TYPICAL FOR - _ _ NEW EXIT SIGN EXISTING REAL ESTATE TENANT0 1 Q TO REMAIN UNCHANGED ' NEW LIGHT SWITCH 1 W � � J _J HANDICAP XIS PARTIAL FIRST FLOOR CEILING PLAN W NEW TENANT A CM 7 w QO� NEW 2X4 WOOD OR 3 5/8" 20 GA. ' Q METAL STUDS @ 16"O.C. WITH SOUND INSULATION &5/8" DRYWALL EACH SIDE, TOP OF WALL TO UNDER- OF ROOF ABOVE, TYPICAL FOR ALL NEW PARTITIONS O sainfUl cISS� IMCS ALL NOTES: • REVISIONS ALL NEW DOORS TO MATCH EXISTING DOORS, ' 1 1 ALL HARDWARE TO HAVE SATIN CHROME OR , 41011 SATIN S.S. FINISH, PROVIDE THE FOLLOWING 3�s8 ,'f— REMOVE EXISTING DOORS & EXISTING CONFERENCE ROOM HARDWARE FOR NEW DOORS: NEW COMMON •e„_ _ _ - REWORK AS SHOWN TO ACC- TO REMAIN UNCHANGED 1 1/2 Pair butts- Stanley FBB179 41/2"x 4 1/211 HALLWAY OMODATE NEW DOOR AND HALLWAY 1 Lockset-Schlage, Athens ND53PD O ` ' 1 Stop- Ives WS402CCV 1 Closer- LCN 4030 Parallel Arm (Optional) ' •EXISTING CONFERENCE ROOM MAY HAVE THE ' GAMMON AREA 1350 EXISTING O HANDICAP -, ,' PASSAGE SET REPLACED WITH SCHLAGE TOILET ROOM _ _ _ ATHENS ND53PD LOCKSET • NEW WALLS TO HAVE NEW WOOD BASE TO MATCH EXISTING, PATCH ALL EXISTING BASE �EDAp DISTURBED DURING THE RENOVATIONS. � K 0'✓,� EXISTING JEWELERYTENANT TO REMAIN UNCHANGED EXISTING • EXISTING CARPET TO REMAIN, SALAVGE _ EXISTING ARP 'I No 4604 Q STAIR �p C ET WHERE POSSIBLE TO PATCH I�lymaut +6+� WHERE REQUIRED. PAINT NEW AND DISTURBED PARTITIONS TO MATCH EXISTING FINISHES. b���t ` " a NEW ELECTRICAL NEW TENANT B RECEPTACLE,TYP. DRAWN DKS CHECKED DKS 0 SCALE 1/411=11-011 ODATE MARCH 22, 2013 TITLE _ IF THE CONTRACTOR IDENTIFIES ANY CONFLICTS IN ---- -- - - - - - - - PLAN.SAND THIS DRAWING OR ENCOUNTERS CONDITIONS IN THE NO 1 GS k FIELD THAT REQUIRE ADJUSTMENT TO THIS SHEET DRAWING, HE SHALL NOTIFY THE ARCHITECT IMMEDIATELY AND WAIT FOR DIRECTION BEFORE PROCEEDING WITH THE WORK. Q FIRST FLOOR PLAN