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0765 ATTUCKS LANE
7Cr,S ` IlU�xS L,4JuL7 i i 1 I I I li 1 1 I I� I �' �I i 1 i .I I Lf �` 4 Daniel Meehan q Prop6rty Manager I �C, Independence Park Inc. L4_ 255 Breeds Hill Road Hyannis,MA 02601 ®r dan@independencepark.cc 774-487-8181 i Application number. .... ...1:............................... Fee ' t Building Inspectors Initials........... ......................... Date Issued.:.Ih.R!.7........................ G 2 Map/Parcel.. ...`. ........So)........... TOWN OF BARNSTABLE. EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: C!Z C' NUMBER STREET VILLAGE Owner's Name: ;3 A_n i Ne c-. N i✓ Phone Number_ 1 Ye,-7 e104 Email Address: �� ✓l '2 Cell Phone Number -600 a-3 7 qS c/,`�- Project cost // Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the abo perry I hereby a rize c R6 i�6 El A s to make application fo b ' ' g perms ordan a with 780 CMR Owner Signature: ate: 5 . TYPE,OF RK ❑ Siding ❑ Windows(no header change)# © Insulation/Weatherization ❑ Door's(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name l� Home Improvement Contractors Registration(if applicable)# . 7 (attach copy) Construction Supervisor's License# _.(attach copy) Email of Contractor G CLd1l-e ZOV4 ` Phone number SOe �_ ✓ ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN A 1J1C7ADIf'n1CTD1rT VAII AAl ICT niZTAIAI UICTnRIr ADDRI'1VAI RFVnftF A DFRM/T/'AN RF ICCIIFn APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide'a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. {Natural Gas Yes No ,if yes,a gas permit is required. r If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES _Manufacturer# Model/I.D. Fuel Type r _ ,f Testing Lab Offsets from combustibles: front back left side right side ' 4 HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit appl ons are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information q Please Print Legibly, Name(Business/Organization/Individual): 40 f P- Pu Address: G t j �.�Cl S � City/State/Zip: Nvl. ' Phone#: &'Z l Z"I Are you an employer?Check th appropriate box: Type of project(required):', 1.❑ I am a employer with 4.'❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2,aI am a sole proprietor or partner- listed on the attached sheet. .. 7. ❑Remodeling ; ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• _ 9. ❑Building addition„ [No workers'comp.insurance comp..insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions . 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other ' , employees. [No workers' comp.insurance required.], *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below.is the policy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: .' 'C.< �� .[�� 1 -` ��/� Expiration Date: G /gG� Job Site Address: �� ,!9' y i s �-�✓ City/State/Zip: ,-1 e+l,.q oJ6� 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 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 un er the pains and penalties of peduty,that the information provided abov is true and correct. Signature: Date:• Phone#: S 9 Official use only. Do not write in this area,to be.completed by city or town official f 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 I 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 fo 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 Jocations iri (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.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia , ACo06/25/2019 Y) ® CERTIFICATE OF LIABILITY INSURANCE DAT /25/ 019 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _ NAME ACT Deborah Kelly Leonard Insurance Agency,Inc PHONE (508)428-6921 FAX (508)420-5406 A/C No Ext: (Al,No): 683 Main Street E-MAIL deborahk@leonardagency.com ADDRESS: Suite B INSURER(S)AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURERA: Atain Specialty Insurance INSURED INSURER B: The Commerce Ins.Co. 34754 Carlos Figueiroa,DBA:C&F Remodeling Inc. INSURER C: Associated Ind.Of MA-ARWC 26158 INSURER D: 20 Captain Noyes Road INSURER E: South Yarmouth MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER: Master2019-2020 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. rA TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDDY/YYYY MM/DDYM'YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 CIP383515 04/18/2019 04/18/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ 2,000,000 POLICY JEC 2,000,000 ECT LOC PRODUCTS $ OTHER: - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ 250,000 B OWNED SCHEDULED RVM277 01/18/2019 01/18/2020 BODILY INJURY(Pee accident) $ 500,000 AUTOS ONLY X AUTOS X HIRED X NON-OWNED - PROPERTY DAMAGE $ 250,000 AUTOS ONLY AUTOS ONLY Per accident Medical payments $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ - EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH 500,000 ACCIDENT $ C OFFICER/MEMBER EXCLUDED? � NIA WCC-500-5018589-2019A 04/30/2019 04/30/2020 (MandatoryinNH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L:DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD101,Additional Remarks Schedule,may be attached 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 Mark Newbert ACCORDANCE WITH THE POLICY PROVISIONS. 148 Paddock Circle AUTHORIZED REPRESENTATIVE Mashpee MA 02649 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD °YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis,�MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: oZ (_b Fill in please: "jam' T f Diana ranchitto President p APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: 27 Hill Street Foxboro MA 02035 az (401) 415-4200 ^ +h t TELEPHONE # Home Telephone Number (5 0 8 ) 6 9 8—2 2 6 9 r NAME OF CORPORATION. P • Ho eHealth Massachusetts Inc . NAME OF NEW BUSINESS Hope Dementia & Alzheimer_-s (PeFSOF BUSINESS Hospice O2 IS THIS A HOME OCCUPATION? YES - - NO X 6z r ADDRESS OF BUSINESS 765 Attucks Lane , Hyannis , MA 2 6 01 MAP/PARCEL NUMBER 2 9 5/013 (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 COM ISSIO ER'S OFF E This individu I ha e i d of n er r quirements that pertain to this type of business. h iz t edd Si rat COMMENTS: L el, L/ 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: I - YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the.Business Certificate that is required by law. DATE: Fill in please: sXrtF�je .__u APPLICANT'S YOUR NAME/S: Diana Franchitt.o , President BUSINESS YOUR HOME ADDRESS: 27 Hill Street, Foxboro , MA 02035 (401) 415-4200 TELEPHONE # 'Home Telephone Number (5 0 8 ) 6 9 8-2 2 6 9 h S NAME OF CORPORATION: HopeHealth Massachusetts , Inc . NAME OF NEW BUSINESS Hope Hospice TYPE OF BUSINESS Hospice IS THIS A HOME OCCUPATION? - YES -NO 0 2 6 0 2 9 5/013 ADDRESS OF BUSINESS I�/IAP/PARCEL 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 COWAISSIO ER'S Off,,ICE This individ al h s wfnfo d pe it re uire ents that pertain to this type of business. ri �Ij/yt, orized Si ratupd COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(Which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: _ _.2 Fill in please: k�' " APPLICANT'S YOUR NAME/S: Diana Franchitto President 27 Hill Street Foxboro MA 02035 BUSINESS YOUR HOME ADDRESS: (401) 415,.-4200 TELEPHONE # Home Telephone Number (5 0 8) 6 9 8-2 2 6 9 NAME OF CORPORATION: HopeHealth Massachusetts Inc. NAME OF NEW BUSINESS MassachusettssPain Initiative TYPE OF BUSINESS Hospice IS THIS A HOME OCCUPATION? YES NO X 0 2 6 2 9 5/013 ADDRESS OF BUSINESS tt s Lane , H is NEAP PARCEL NUMBER (Assessing)765 A uck Hyannis . MA / [ g] 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 COIMISSIOR'S OFF E This individ infor e o a er it requirem nts tha pertain to this type of business. )6 ze Si na * s COMMENTS 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years)., A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: -;z i-_ Fill in please: x APPLICANT'S YOUR NAME/S: Diana Franchitto, President a�.,ems r „ ? r• BUSINESS YOUR HOME ADDRESS: 27 Hill Street, Foxboro, MA 0203`5 (401) 415-4200 r y ; , �``ry a TELEPHONE # Home Tele hone Number (5-0 8) 6 9 8-2 2 6 9 g !.; P _ NAME OF CORPORATION: HopeHealth Massachusetts , Inc. NAME OF NEW BUSINESS Hope Academy TYPE OF BUSINESS Hospice IS THIS A HOME OCCUPATION? YES NO X 02601 ADDRESS OF BUSINESS 765 Attucks Lane, Hyannis MA MAP/PARCEL NUMBER 2 q S/n 1 (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 COMThorized ER'S OF CE This individu f an pe mit requirements th t pertain to this type of business. SignaCOMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: U.S. Department New England Region 12 New England Executive Park of Transportation BiulVon.Massacnusetts01803 Federal Aviation Administration RECtIVED DEC 2 3 1995 ®EC2 91986 Stephen A. Wilson, P.E. MClCCSG BSC Cape Cod Survey Consultants 3261 main Street/Route 6A Barnstable Village,`,Massachusetts 02630 D Dear Mr. Wilson. O In response to your telephone inquiries and memoranda of December 17, 1986 and December 19, 1986, this office has reviewed the relation between the proposed Runway 15 extension at Barnstable Municipal Airport and the Software 2000 two-story addition planned at Attucks Way, Hyannis, Massachusetts. We have determined the proposal is not an obstruction under any standard of FAR, Part 77, Subpart C, and would not be a hazard to air navigation. Obstruction marking and lighting are not necessary, however, it is anticipated the proposal will be affected by aircraft noise. Therefore, we recommend your building design include comprehensive consideration of the methodologies presently utilized for noise attenuation. Happy Holidays! Weedon Parris, Jr Community Planner cc: Joseph DaLuz, Building Inspector, Hyannis, Massachusetts a io lase 50 Y"rg of Air Traffic Cont,./Excellence Asslssops offioc.(lst floor): 9S v l3 -SEPTIC SYSTEM MUST ® of >o THE setsor's ma and lot number ....``�� �� .. ..'.✓' r-�,� , p s�z STALLED IN COMPLIAN O� Board of Health (3rd floor): Sewage Permit. number .....86...... WITH TITLE 5 t Basa9TeDLE, l.. ..................... m a _ Engineering Department (3rd floor): � �IRONMENTAL CODE AR:'.*po t6}9. 0� House number .......................... ... ........................�...... SOWN PEGULAT6®N9 APPLICATIONS PROCESSED 8:30-9:30 A.M. "aYfi3" Nb-2:00 P.M. only p P R ° V 'OWN OF BARNSTABLE gasle Co servation CommissBI �D I H G � I N P S ECTO�Rned a Build addition to o._fice buildin i f ' APPLICATIONFOR Y1�RMIT TO ..:......................................................................................g.................................. TYPE OF. CONSTRUCTION ......Wood frame .............................................................................................................. ................................................19.......: TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a' permit according to the following information: Location ..One Park Center, Independence Park, Hvannis ................................................................................................ Proposed Use ..Off ice Zoning District Industrial Fire District Hyannis Name of Owner Software 2000 Address ....One Park Center, Independence .Park ................................................................... ........................................................... . Builder John B. Lebel Const. Co. I d Oak St. * Centerville Name 'of ............................................... ..........RFdtess .................................................................................... Name of Architect Don M. Hisaka & Ass6e. ...Address 1000 Plass Ave. , Cambridge 02139 ................................................. ............. Number of Rooms ......20 Foundation .Po. ured concrete .. ...... Exterior ..Wood clapboard Roofing ,Asphalt _shingles ................................................. .............................................. Floors .....Wood.......................................................................Interior .....Dr. wa.l.l................................................................ .. .... ....... .. . Heating Gas-mired forced hot air. plumbing DVC ...........r...................................... Fireplace None ..........Approximate Cost $7 0 0 , 0 0 0+ Definitive Plan Approved by Planning Board --------------------------------19________ . Area 11,465 SF........ Diagram of Lot and Building with Dimensions . Fee © SUBJECT TO APPROVAL OF BOARD OF HEALTH �1� u t it i 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 woa.5.................... WAR'E 200 0 I No e3.17 2 7 Permit for`,;.... A�.� z.Q1�I.......... Commerc iAi...Ba..dg,: 4 Ltscation ......75 _Attu.CxS XIP................. d .....................HY.... .. .:...:.. ......................... Owner ....•Software: 2?000 ..... .. .... - Type ofConstruction ....Frame =, ....................................................... Plot ............................ Lot ................................ c Permit Granted ......March 2 7 ;.... .19 88 Date of Inspection ..........., .....................19 Date Completed ............i!/ .:.........:19 T } �F TN6 TO r 16'. . The Town of Barnsfable _ 3 7At1/TAILL u.a Inspection Department � . 0 Y►t ' 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner December 20, 1993 Sullivan & Worcester One Post Office Square Telecopier No: 617 338 2880 Boston, MA 02109 617 338 2883 Attention: Elizabeth E. Hofineister RE: A=295 013 Attucks Lane, Hyannis �t Dear Ms. Hofineister: . Please be advised that the above referenced parcel of property is located in the Industrial Zoning District, as per Arthur Trazcyk of the Planning Department. Attached please find copies of the applicable information from the Town of Barnstable Zoning Ordinance. If I may be of any further assistance please contact the office. Very truly yours, . a 4ca e� arse Building Inspector RRB/gr Enc. t ENT.Y,:SL1LIVAN&WORCESTER ;12-14-93 5:22PM ; COPY ROOM-# 5087753344;# 1 ULUVAN &WORCESTER ONE POST OFFICE SQUARE User: 2969 H STON, MASSACH USETTS 02109 code: PTF. 11 IN"SHINGTON,O.C. (1517) 338-2000 IN NEW PORK CIY7 1025 CONNECTICUT AVENUE.N.W TELtC4PlER NO. SI7-738-2850 757 THIRD AVENUC WASNINGTON'D.C.20098 NEW TOFIN NEW YORK 10017 (202)775-8190 TWX; 710-321-1976 (212),46e-a200 TELECOPIER NO.1*91011 TELECOPIER NO.tI*-7aB-21SI TELECOPY COVER PAGE Addressee' s Date : December 14, 1993 Telecopier No. : 508-775-3344 Message from: Elizabeth E. Hofineieter Total No. of Pages (i eluding this cover page) :] Message To: Richard Searse This transmission contains confidential information intended for use only by the above-named recipient. Reading, discussion, distribution or copying of this message is strictly prohibited by anyone other than the n rned recipient,, or his or her employees or agents. If you have received this fax in error, please immediately notify us by telephone, and return the original message to us at the above address via the U.S. Postal Service. We are sending front a Xerox 485 Telecopier. If you have any difficulty receiving this message, please call: (617) 338-2460 . Our Telecopier No. is: , (617) 338-2880 or. (617) 338-2883 . r S Kvvtvr=� auarraaat ,r+ ULLIViAN &WORCESTER ONE POST OFFICE SQUARE B STON, MASSACMUSETTB 02100 IN (617) 338-2BOO 1N NEW YORII C,TY 1093 CONNECTICUT AVENUE,N.W. 7E1.CCOAIER NO, 617-338-9860 767 THIRD AVENYC WASHINOTON.O,C,20036 NEW PORK,NEW YORN 10017 (ao2)"a-alto TWx, 710•221-1075 (212)080-6200 T«EGOPiEA NO.202-293-2274 TEIECOPIER NO.M-756•215I December 13 , 1993 Via Facsimile Mr. Dick Bearse Building Inspector's ffice Hyannis, Massachusett Re: 77 At tucks-Way, anni Massachusetts Dear Dick: Pursuant to our conversation this afternoon, I am requesting a letter from the Bui ding Inspectors Office which identifies the zoning district in which the above referenced property is located, along with a list of the permitted uses in such district. I have attached hereto a letter which should be copied onto your letterhead. Please copy the attachment onto your letterhead, complete and execute the lettez and fax the letter, along with the list of permitted uses in such, district, back to me at (617) 338-2880 . In addition, please send the original executed letter to me by mail at the above address. Many thanks for your assistance. If you have any questions, please do not hesitate to contact me at (617) 338-2969. VerVy truly yours, fe liza a E. Hofinei cc: Theodore F. Parker SENT BY:SULLIVAN&WORCESTER ;12-14-93 5:23PM COPY ROOM-s 5087753344;# 3 December 1993 Elizabeth E. Hofineist r, Esq. Sullivan & Worcester One Post Office Square Boston, Massachusetts 02109 Re: 77 Attu ks Way, Hyannis, Mas�achu etts Dear Ms. Hofineister: The real pr perty described above is presently zoned in the zoning distract krown as and the uses set forth on the attachment are permitted as of right in the aforementioned za ing district, Dick Bearse Title : �' - ��� TOWN OF BARNSTABLE BUILDING PERMIT 4PPLI ATIO Map 25'�'- Parcel &IJ q Permit# Health Division �0�7 / Date Issued D l8 Conservation Division Z&C17 - Fee ` Tax Collector Treasurer A"parc"N,ArtrST mBr Od'�11T �T AIN A SEWED Planning Dept. r1 Pd PLR�IIT Z'R0.�2 TI:T2 C,�JIVS^;�UL'3I01V M.SION PRIOR TO Date Definitive P14o A proved by Planning Board A Historic-OKH Preservation/Hyannis Project Street Address 7j Village Owner OIL L0 U 5 Address Telephone Permit Request c� �' � Lr I a �v j n��t��/ rORt ��.�#— ��.� ,UN;� C_M16�A co y Square feet: 1st floor: existing proposed .2nd floor: existing proposed Total new Estimated Project Co�`t ����- Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. u 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 O Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No �u 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 k BUILDER INFORMATION Name °M Au'Dt l Z5 '6)- y Telephone Number 50 �� Address j �- F l�� License# :0 A44 �� AA Home Improvement Contractor# /� 0 73 Worker's Compensation# W C-V 3 010 116S ALL CONSTR ION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO , SIGNATURE DATE FOR OFFICIAL USE ONLY ' RMIT NO: • _ DATE ISSUED 'MAP/PARCEL NO. _ t , t ADDRESS VILLAGE r.. OWNER _ DATE OF INSPECTION: '° ''• FOUNDATION _ FRAME x • . 4 �< � - INSULATION , FIREPLACE. i o ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH .FINAL GAS: ROUGH FINAL FINAL BUILDING r. _. P.. . • 'z Y DATE CLOSED OUT ASSOCIATION PLAN NO. , �i - The Comrrionwea t1i o tY1r< , ass: .. ..'s Department of Industrial,,,i',► Of 111YOW92ZONS 600 Washington Street Boston,Mass. 02111 Workers' Compensation,Insurance Affidavit name: SNA d i , locatio rV 4aoa- city hone# a ❑ I am aliomeowner perfo ' g work myself. ❑ I am a sole rovrietor and have no one tivorid in aav ca achy I am an employer providin workers' cot ensgtion for my emplovees working on this job. comnnnv name• Y% address: to nAl IWCk 000 U.. 2-ly .. -T city._ hone#: ,oJswl��y f insurance cn. 1 Ke ,'✓ Ss1` a oiicv# e ❑ I am a sole proprietor, g7 eral contractor, or homeowner(circle one) and have hired the contractors listed below who have the folloning waTkers' compcnsauon polices: comanv name• address• dtv ohone#• imarnnce cn. •�`'" •' camnanv name: address- ... phone#- citN- ::::;....::;..... . :::.. •::. :. insurance co. ;. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of criminal penalties of a One up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the O111ce of Investigations of the DIA for coverage veratcation. 1 do here y c rrijy u the pen es of perils h�ar the information provided above tru•and correct c -�J�- `) Date Si�tature - Print names Phone otllcial use only do not write in this area to be completed by city or oiticial city or town: permit/license# ❑Building Department []Licensing Board Q check if immediate response is required ❑Selectmen's Mee ❑Health Department contact person: phone q; ❑Other�� ;tsysed r,95 PJAI Massachusetts General Laws chapter 1.5 section 25 requirm all employers to provide workers' compensa on lk.r th=.r employees. As quoted from the "law", an employee is defined as every person in the service of another under any cz=-= 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 o: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec.—IVZ 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 cn s'a&'dwelIing house or on the grounds c. building,appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local Iicensing agency shall withhold the issuance or renew- of a Irene or permit to operate a business or to construct bu0dings 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 corut =for the performance of public work acceptable evidence of compliance with the insurance:requirements of this chapter have been presented to the contrscti= authority. y , ���� � - ���� ��i/� Applicants ' Please fill in the workers' compensation affidavit completely, by checidng 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. ------------------ MN City or Towns Please be sure that the affidavit is complete and printed legibly. The Departrment 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 pe mit Hemse number which will be used as a reference number. The affidavits may be retiuned io the Department by mail or FAX unless other arrangements have bees 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 omce of lmlesdoanons 600 Washington street Boston; Ma. 02111 fax#s (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 c i rt}..C' i j N m o arF ►,.� x xr ' } b CO 4 ♦O Z � ` t Rll � aPY t A P`�tNET �o� The Town of Barnstable BARPE. Department of Health Safety and Environmental Services �prFD MPS a�0� Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspectionr2 . Location f Cl Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting:. r/D �� t2S Lv�2 a-v Gr �S e �L cu a✓ 2 0� -ell ,--- (2 `r — boo"(-, Please call: 508-862-4038 for re-inspection. Inspected by Date 'La " �OpTMETp��O� The Town of Barnstable - BARE. Department of Health Safety] and Environmental Services MASS. $ �T t639' �e "TEo �• Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspections rt. Location _",-- r C kC 0J Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 3 1> 4 1 )(2P cO -A-1 2. Cam-. P �P/1, 2� Please call: 508-862-4038 for re-inspection. Inspected by Date 5� /'L.--)-J"l-000 .. f T � ran V " r� 17' ' o� ..Loam ��u si O -P3 WZ L ` 5�17fv-�..� )�•,_„ � 1�04b�\✓ .i� N'9l5 .117t'3 -�11�17c� � fp 5X volo �w '����a vuCl weaZt �iv�ddtiHS ti m A , 0� ,�l1Q�tt ®li` o C . h bf11 0 t 1 ' , m s�3a:Yr w.vWk _ wc %-� °x is \ i m c Rl am"" ,� „i�� soeett -- - 00 -.,, . // -4 . S1 ----- --- _. -- . Jill. 'n (A R6+xa!A6b i A }; MUG uwasmse�.<twarvi®mrnle 1 AouPuZ var��.rrpia�.sasgaaM.as� E1,8Ei<L8•t)OK•F _ � 1 '- loft tsi aonY;eaoZy 0088 F6E csosr . tomon I �9980 w�axnoco�rx acn�s �3r� � as k. s>oaxez�xzras?�iat w4Dwu odoo eju sl'W8 14 t • v N t E TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 'Parcel LO-T P` Permit# G-� oo- ya��-dam x��g� ►msssax �ev Health Division aa"R y fa d�a 1,011,ate Issued Conservation Division l- Z �ee 'S d.UC) Tax Collector Treasurer ; Qrlmu all Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ' Project Street Address TT Village ,JtJIS Owner QJVS fez �<r_,JL Address Telephone Permit Request a � Square feet: 1 st floor: existing 000 proposed 2nd floor: existing ® v proposed Total new 1g0'JD l-7"2" Estimated Project Cost �� Zoning District Flood Plain Groundwater Overlay Construction Type WoaO tg&t`� LofSize Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)) Age of Existing Structure 0 yA Ze-5 Historic House: ❑Yes U<O On Old King's Highway: ❑Yes iNo Basement Type: ®'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) U00 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: ud Gaas ❑Oil ❑Electric ❑Other Central Air: ❑Yes t'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 0 new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name o��� �� Q.l L�� Telephone Number 5P 4&-G Address ft-0 License# 04 q 6 2, s b b Home Improvement Contractor# fir' 0-7 Worker's Compensation# ALL CONST U ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE 6 G FOR OFFICIAL USE ONLY TM 4 PERMIT NO. , DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t _ OWNER x DATE OF INSPECTION: FOUNDATION FRAME ) INSULAT FIREPLA a ELECTRI;C.�t.,�, ROUGH FINAL ' PLUMBING:: I ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . r - GLC vv 6 la) afa au EGEND. HYANNIS LIGHT POLE CATCH BASIN Qw� A�UCKs OCUS MANHOLE SEWER MANHOLE FRESH HOLE WATER VALVE POND. GAS VAL TEE' og� g� FIRE HYDRANT PINE TREE '° � OAK TREE MONITORING WELL LOCUS' MAP ENTRANCE . ROOF DRAIN -Z , PLAN REF.• 30716 &. 499173 l'I/5 DEED REF• 59571305. ' t ZONING "IND" 0 VERLA Y DISTRICT: GP ASSESSORS MAP 295 PARCEL 13 FLOOD ZONE: "C' TO WN SEWAGE MAX LOT COVERAGE BY BUILDING MIN LOT REQUIREMENTS: j AREA FRONTAGE I WIDTH 90;000 S.F 20' 200' , SETBACKS: s FRONT I SIDES 1 . REAR 60 1 30 1, 30 "BUILDING AREA=5,842.t S.F. PER FLOOR X 3 FLOORS=17,526.f- S.F. BOAR BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS O49072 Birthdate: 11/02/1943 Expires: 11/02/2001 Tr.no: 7768 Y_ Restricted To: 00 RONALD R MONTAQU ILA. _ 192 SANDY VALLEY RD< MARSTONS MILLS, MA 02648 Administrator I THE VS 0 6 fv ( The Town of Barnstable aumirAim 9�ArMAM 1639. .` Department of Health Safety and Environmental Services Ec Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 29, 2000 Ronald Montaquila . RM Properties Inc. 192 Sandy Valley Road 'Marstons Mills, MA 02648 Re: SPR 112-99, RM Properties Inc., Hyannis, R295-013 Dear Mr. Montaquila; Please note that the site plan application submitted in regards to the above mentioned project was approved on February 24, 2000, with the following condition: Roof liters shall be tied into leeching pits & subject to confirmation during final inspection. Sincerely, _ Ralph Crossen, Building Commissioner q/bldg/wpfiles/siteplan/site00/rmprop �G' v�� � G � � � � a �( � -�� � � � � � � � �� w � � � � Y. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` Map 2 1 Parcel o/67� ' f.Permit# 7.r_�Q-D Health Division ,f�l �'3 �°� �" Date Issued Conservation Division Fee Tax Collector Treasurer ICANT MUST OBTAIN A SEWER Planning Dept. x V .+��. r., NECTION PLRMIT FROM THE E QaINI,,EFINQ DIVISION PRIOR TO NSINIUCT ION. Date Definitive Pla ADDroved by Planning Board /K Historic44 Preservation/Hyannis Project Street Address 7v�a, ` 7 ble�Ir_'r •qsi� j Village 4 �alcs Owner I` O L �,t 0 S Address Telephone -7 6 7 7 Permit Request CU PE+J yi;n_ „ �- C� ,✓ L 1e4 N. R Square feet: 1 st floor: 'sting proposed 2nd floor.existing proposed Total new 15 Estimated Project Co ZoningDistrict Flood Plain - Groundwater Overlay Y Construction Type W-w-O Lot Size -Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 0 Two Family, ❑ Multi-Family(#units) Age of Existing Structure Historic House:•• l]Yes ❑No . On Old King's.Highway: ❑Yes ❑ No Basement Type:' ❑Full ❑Crawl ` 0 Walkout O 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 t 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:0 existing ❑new size Pool:❑existing O new size Barn:0 existing 0 new size Attached garage:O existing ❑new size Shed:O existing ❑new' size Other: Zoning Board of Appeals Authorization ❑ 'Appeal# Recorded 0 Commercial ❑Yes , ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name IL 6�Q&O 0ed1� Telephone Number Address _ License# Q `7 07 A4=b 4v, 's d4d S j ly A- Home Improvement Contractor# l 6 Worker's Compensation# W C. 3 OD A0-5 ALL CONSTR ION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �o , iA- I SIGNATURE A DATE _/0-- FOR OFFICIAL USE ONLY PERMITNO. DATE ISSUED ., `fit �.. 4 i '•�,"'.t ..f - i r+ �` _ .. 1 r , MAP/PARCEL NO. t t, » i •t � � i 1 � ,`}.•L ' .r .1. . y r ' _ *. `ram , _ _ ADDRESS AkVILLAGE y OWNER � . . � t r t- � tip �_ J .. , _ t •_{ ' r 4 f DATE OF INSPECTION FOUNDATION FRAME t. INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ - - - • . ter. PLUMBING: ROUGH FINAL GAS: ROUGH e' FINAL FINAL BUILDING »• .N . _ - _ ;y { ...,..� ..,. DATE CLOSED OUT r ► ' ASSOCIATION PLAN NO. --•_ _ The Commonwea II1 of Massacliuserts — —Z Department of Industrial Accidents . ��i �-�� Offca nflnyestigauoos o 600 Washington Street Boston,Mass. OZIII nce Affidavit ,,�,��•�"••,,",,,,,,�•••:,••••• • / /�!r�j�%%%/�///rs'%% ratio `'Y�%///////////%%///%%/�/��...... location: • S ON hone# 4❑ I am a liomeowner performing all work myself: ' ❑ I am a sole aronrietor and have no one world in am►capacity an emplof}ner providing tvorkers' compensation for my employees working on this job. comnnnv name• YC It 1 12 0��312� 1\'r��• address: JO b city! mis rhone V.n0 .. insurance CO. t- l h nnlicv0 WC -b6b )0� ///i// //- ///////D%//////////////////l///////////////////////////////////�li ❑ I am a sole proprietor, gene ral>contractor, I homeowner(circle one) and have hired the contractors listed below who have the foIloi%ing Nvorkers' compensation polices: comnnnv name: address: ohone ti tv Wiornnce co. camnstty name! address- phone insurance co. PIN Faaure to.secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one vean'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of 5100.00 a day against me. I understand that a copy of this spP-ntnbe rorwarded to the OMce of Investigations of the DU for coverage verification I do hereby th ftpandpenaUies of perjuq that the information provided above is tru-and correct ignature Date b - Print name l�'1 �- Phone# - o official use only do not write in this area to be completed by city or town oft[cial city or town: permitillcense ii Mudding Department ❑Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other�� ;tn'ssea Y.95 PJAJ Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thm.: employees. As quoted from the 'law", an employee is defined as every person in the service of another under anv cc..�.- . 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 recce i•�: 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, consirnc=or repair work on such dwelling house or on the grounds c. 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 renew- of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither.the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work un:E acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contaac--;= authority. , i /. /7 . 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 inmumce 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 permitllicease number which will be used as a reference number. The affidavits may be rcwriL6d f o the Department by mad or FAX unless other arrangements have been made. The Office of Investigations would lice 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 Invesugadons 600 Washington Street Boston'Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 Iatakzrr P P.O ex 1 ns, 255 Breeds annis,(508 sachusetts Hill Road )775-1776 601 7 6� w.TMOWSON 7 Industrr ial&Commercial Land Development M DEC-29-1999 18:16 NATIONAL LUMBER 5082616420 P.01i01 BOISE CASCADE -BC CALCI'm 99 DESIGN REPORT Wednesday,December 29,199916:46 TRIPLE - 1 3/4" X 16" V-L SP 2900 ame: Job Name - 9912117 Customer - R.M. PROPERTIES ib1 Address - Specifier - MARK COLLETTE Designer - HENRY VIVEIROS City,$tate,Zip- MASHPEE,MA Company: - National lumber Code Reports - ICSO 6612,BOC,A 98.62,S6CCI Sim Misa - BEAM SIZE Member Diagram i - standard Laid (Psr) - 300 20 Tributary OS-08-00 5159# LL AL 12470 DL 5159f LL 1247I DL '"I'l Horizontal Length - 18-02-08 General Data Load Summary Base Unit Feet/inches ID Description toad Type Ref, Start End Live Dead Trib. Dur. Member Type: - Floor Beam S Standard UnfArea Load Left 0040-00 18-02-08 100 20 05.08-00 100 Number of Spans - 1 Controls Summary Left Cantilever - No Control T ° Type Value ib Allowable Duration Loadcase Span Location Right Cantilever - No Moment 29160 ft-lbs 55.6% @ 100% 2 1 -Internal End Shear 5468 lbs 33.7% @ 100% 2 1 -Left Slope(inlft) - 0.00 Total Defl. U 449(0.486in) 53.39/9 2 1 Tributary(ft) - 05-0Uo Live Deft_ U 558(0.391 in) 64.4% 2 1 Repetitive - n/a Construction Type - n/a Live Load(pso - 100 NOTES: Dead Load(psf) - 20 Design meets Code minimum(LI240)Total load deflection criteria, Partition Load(psf) - 0 Design meets Code minimum(U360)Live load deflection criteria, Duration M - 100 Minimum End bearing length is 1.6 in. Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please cal! (800)232-0788 before beginning product installation, BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp. TOTAL P.01 i S BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O49072 Birthdate: 11/02/1943 FS' Expires: 11/02/2001 Tr.no:, 7768 Restricted To: 00 RONALD R MONTAQUILA _ 192 SANDY VALLEY RD MARSTONS MILLS, MA 02648 Administrator F . ' c ITo: Kathy i,ialoney 'zon: Lt. Donald Chase Fri 15 Oct lag' 09:26:12 - Page: 1 HYAN IS FIRE DEPARTMENT k4`/NIV 95 HIGH SCHOOL RD. EXT. HYANNIS, MA. 02601 C HEM ICAI �11 t HAROLD S. BRUNELLE, CHIEF S*E ) ➢EpAa1MEN� ���4 STUDEW AWARENESS OF FIRE EDUCATIOR 1896 FIRE 8 Y E r TION BUREAU AV BUSINESS PHONE: (508)775-1300 FACSIMILE PHONE: (508)778-6448 LT.DONALD I-L CITE,JR.,CFI LT.ERIC F.IIUBLER, CFI FIDE PREVENTION OFFICER FIRE PREVENTHON OFFICER TO: Ralph Crossen FR: Lt. Don Chase SJ: Building Permit Property: 75 Attucks Way/ Ln. -(did Software 2000 Dear Ralph, We have reviewed the plans for the above named property, per the building code, and recommend that the building permit be issued. They have been told to supply annual tests for both the fire alarm and sprinkler systems. Message left on Angela's answering machine Wed. afternoon at around 4:45 PM. Thanks, Lt. Donald Chase, Jr., CFI Fire Prevention ' I I f 3 -u - G] O o D - C �11-i7 1t`I I I'\�'1 ' Gfvi�2 7�M hLIiY2;lmil? BN,T 3 1 J V E d ����1 r;'.�, o z UP, Z' L--:. A r - 3srco 1:Ni_six-3 G O (,q COD D n, --== —T -- _ —------- -- — --- — C3 X ILL high i wf duW_L 'c;7cJF1 .J J -- l i �� •-- iIIIi Z I EXIS-IIvG Hr iS.- CE fl- A i U i - O in L a r:. wes.aucTus, a.r. I �Ly „ w n II � � o L T10 � i I 111 ' lD 3 CJ TOWN OF BARNSTABLE SIGN PERMIT PARAL ID 295 013 GEOBASE ID 20853 ADDRESS 75 ATTUCKS LANE PHONE HYANNIS ZIP — LOT PARCEL BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 42587 DESCRIPTION TAQUA SYSTEMS — 14.3 SQ. FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 INE BOND •` $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P 'STABLE, MASS. 039. FD MIC Bid` LDI G DIVT IO BAY/ i,,��� •-���.-�'-�-- DATE ISSUED 11/22/1999 EXPIRATION DATE `� �� _ ___� T+ S . � � �� ' 1 +f+ - I J i J} V 1 k �. ` � ` 1 AIL, AL Xy ♦I i1► %O Y ""JL Jut►.#+ BABIMASUL ' Department of Health, Safety and Environmental Services 039. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner V-77 Tax Collector- TreasurerC4�c�u �✓ W 11/I Application for Sign Permit Applicant: /AI� C!5Y6Z� S Assessors No. 15 G 0, � Doing Business}As: Telephone No. 5 , - yPQ`a Sign Location StreeV/.Road• �� G / Zoning District: Old Kings Highways' Yes49 Hyannis,Historic DistrictP YesA8 Property Owner Name: Telephone: 77 - 17�6 Address: �hwyz�DF'x_ 212A:< DQ V"lam Village: VA S Sign Contractor Dv�=,AAA.t D-)v.) Name: a,f ilk) /'per_ f Telephone: -0-S-73 j Address: P� BOKI �`�i (30 Village: `; G✓/ . Description 0 ZS� Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of die new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note.Ifyes, a FwihWPcnn&is required) I hereby certify that I am the owner or that.I have the authority of the owner to make this application, that die information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town B stable Zo g Ordinance.% Signature of Owner/Authorized Age Date: -) f! t it Size: Z •,X 70 6�,3 -lei Permit Fee: 2 Sign �Jr• °� Si Permit was approved: / Disapproved: Signature of Building Oflici Gt ter/ Date: //-/I,/ —L Signl.doc rev.8/31/98 'a 4. F7- V AML. _ MPANY l z � -� I N C O R P 0 R A T E D WOODCARVERS • SIGNMAKERS 376 Rte. 130,P.O. Box 681,Sandwich,MA 02563 (508)888-0565 FAX 1-508-833-0786 S ', dw 44 h t �2 i" •f - - x�t }a .:eyt = J£ .s J a� `A` .iz" �3 ,iy '£ � g >tk ;3T �•a }3Een Bea °„akr €, xs 'xa Off $ _ s= Tad a a xt �• �33d @a. x�,' E �: $���e���x�1� iag��J �..3t ���� Jed@@ ��� kk9a� ,r� � �3 ,� � •c d �i - �.+j ��.€�r4"'+f+�' �•€t. _�.;�, ® ,��3;9jp s..a� 3; $` §3 s T.�-�. i��' 7 d-- _ E t� rd. s 04. 3igW �" Bill mF P }9 a 1. - _ _ _ -. �q�`f�sy. y_ � �Ji 14���'�a9�j�jGjPw1�2�� �@.��'yy_yj!��'8=ta5 . _ Ey ,:F yF�f* � - :�+�. -a--= "�a► f - _r .i il�•! '� 2tjtr�a <X. ••F 7; J - - �' F9'��$�g RNs�gX��� oil 2 .. Ri F. � .,r � .Q�. _ e+ t\.� � f �3 /r E a-{ y w r �4:t •` - _ '�'' - - ,; et ta� �bEi� ! r .: ''�{ i �� >_ i� �, ' � � , , � . � t � �� 4 q,. '. �'� sty i +' �: �"7 i �� ap � - . � � s� � ♦ _ p �'�it��• ��lR VY f �� Y d o<��'�i�i('�„�,a •i�aa• � �'��yoy����rAi" '�Jr�fs k Yj`+'Y//''*�`; µ ��"Yz�'��,�i�i�('��hyy��tl'� •,. , r � � � �1< 1 � � ®ter � �.^?.�.x�r-�"r���.gi�`�z'�:. �. � ' ,.- �� {'�j���}fix.,�+1� $'.r°�` .�1��} t'+y�'S,,r�acy'� r r Y��� i�x —a.�+wrr ►s��. .., �,, �'r" ,� I ��, � i �. poi ,l, 1 4� r' C 40 �y Ice— c • Y 11 U X %J err LA %Y-t AJP"Y ,uuO Department of Health, Safety and Environmental Services 16 � Building Division '+ 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector , 1 �ti�C 2- f Treasurer Application for Sign Permit Applicznt: Assessors No. ®1 D(a Doing Business As: 4 t7 Telephone No. -)).H- pi9d Sign Location o Street/Road: Zoning District: Old Kings Highway? Yes Hyannis Historic District? Yes4 00 Property Owner Name: ME ' /�A 029�2 Telephone: Address: A41ee— 262eOI Village: i- y&jas Sign Contractor w?, ' w D00 Name: au DcTtJ Telephone: i9�� Address: L101 � f 31'� 12 J,30 Village: 7 MA Description Please draw a diagram oflot showing location of buildings and existing signs with dimensions, location and size of die new sign. Thus should be drawn on the reverse side of this application. Is the sign to he electrified? Yes/No (X6te:If Yes, a wiri4PCM2itis 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 B staZZog Ordinance. Signature of Owner/Authorized Agen • Date: - J Permit Fee: 5 17 Size:— 1 8 ?� ( IJ -��� Sign Permit was approved: _ Disapproved: Signature of Building Oflici : -rl-� Date: f�-'/� g Signl.doc rev.8/31/98 r�k — � A4 �Da ' AMI PANY j I N C O R P O R A T E. D WOODCARVERS • SIGNMAKERS 376 Rte. 130,P.O. Box 681,Sandwich,MA 02563 (508)888=0565 FAX 1-508-833-0786 i c k K t Tye` Irj t 4 d e o-� t p f r 9 r rctAri�} aP�i c" r` r ot �,e c�'. ,cl'"'T �. t J• r.t .t f I����F��'I ^ �6-z' 6 S "'' 4 �µ+• 7'� - > in ` '"�• `1�. 5;i . .Lc•--.at._ . _tj xrt'; � �` ,�p , s�e�i c attL�..34 $�xi.-i -� r 4. �. - t?r ` 7 ._..�•- zslka TKhx ra.. x1i54e i€ -� 1'11 a���g1°°a�-3'• ffidiij g'�. � p°`��a�t:N`r«- � - 1: ;St,�l --1� ����3��g�� g��� �9�����( �. �"�1�+.,•d� tJ� as �I y �r - �a .�® � s: Si "k ' # S'3� a; 'F.' "'s� k4 ° aaan a.s�z z r� , : ',�g�"'{. ; 1 a� ego- 1 �_'; .f-,lei tO bt��. g� a ,.t° f r I '( gd d32 { rlx! ems+ MW -MI '"XaSlj m l4 .. f !' vie .X3�' N � ' ;Air Af .c r all r R�-6 4r j►r y o� t_ y � o• Assessor's offioe (1st floor)- Assessor's map and lot number ...............................�.. ....... ��� �♦ Board of Health (3rd floor): rO�Q o Sewage Permit number 8 . .... 1297�..........�� ..................... Z BAWSTABLE. i Engineering Department (3rd floor): r"°a House number 4,s�+639• �0 h)C1:0 IQ APPLICATIONS PROCESSED 8:30-9:30 A.M. a d 1:00-2:00 P.M. only TOWN OF BARNSTABLE / BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....Build. ...addition. . . . ...to. ...office. . . . ...building. .................................. ....... ..... .......... .. . .. .. .. .. .. .... .. . .. ..... ............... TYPE OF CONSTRUCTION ......Wood frame ................................................................................................................... ....................... ...... ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . Qne_.Park Center, Independence .Park.,.. Hyannis................................................................... ..................................................................... Proposed Use ..Off.ic. ................ e .......................................................................................................................................... .. . Zoning District .........Industrial ..,Fire District ...,.,Hyannis.H.ya.n,..n..i...s...................................................... Name of Owner Software 2000 ..Address ....One Park Center, Independence Park ....................................PY..................... Name of Builder John B. Lebel Con.st......C...o.........I..nFd eress 4....O...a..k...St , C...e..nt...e...r..vi...l..l...e............................. Name of Architect Don M. Hisaka & Assoc............Address 1000 Pa....ss...Ave. ........Ca. .m. br.idge. . ...02138. .. . . .... ..... . ..... .. . . .. .. ...... .... .. .. .. . . .. . Number of Rooms ......20. Poured concrete ......................................................Foundation .............................................................................. Exierior „Wood clapboard Roofing ,Asphalt shingles . .............................................. Floors Wood - Dr wall ......................................................................................Interior ` g r^as--fired, forced hot air g PVC rieatin .................................................................................Plumbin .................................................................................. Fireplace ......None ...Approximate Cost $700 , 000+ ............................................................. Definitive Plan Approved by Planning Board ______________________________19________ . Area 11 I' ...... .......465....S....................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 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 ..�............................. ............. i' Construction Supervisor's License .......�a S "� ` SOFTWARE 2000 A 6/ 3 NoADDITION Permit for .... ....C.o=.e.rq.i.qA...Bld.q��........................... .. ....... .. .... .. .. Location ....7.5...A t;.t.0 9 X 5..LPn.Q..................... . ..................... ........................................ Owner .......5 Q.f-t W.ar.e...2.0.Q.0.......................... Type of.Construction ........Flame..................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....M.ac .r .h...2.1.?.............19 88 .. .. .... .. Date of Inspection ....................................19 Date Completed ......................................19 -C4 . _ .__._a._. .... _.r._.-..... W..__......_._.._ ,.___ .... ... ._._...._......_ ..._........... ... a.._._ ......._... ,. ._... wbc t �,v vAr I fib"• - - .. . 4ya• V` . o s � t 6 j 1 ,( } 1 I �A- AA t OF o FRANK WHITING, o NO. 29869IST �a TOWN OF B'RNSTABLE ZONING ri gip-s7 . .�� BY•-L.AWS DATED 73 1986 I SETBACKS 0 TO THE 3 .ST OF MY KadOWLl::DGE nt 0 BELIEF TH IE PROPERTY FH04IT EO' i a"!OVIN urREOli .).S IN E'I.00D rl.,Li;RO 7-O dF. C SID'r" - 30' t i AS SuDrr,v ON FLOOD .t.;d.SUclA'NC` i`A.-P ,•f0. 250001 0005 C 30/� ' ' i0 JnT _D AUG 19 1985 PROP` LitiES Si{04v1i Nc! 'r:C?�! WERE COMPIL.ED FROM PLANS OF RECORD AND DO RE=PRESEi'•I'I" PROUE:CT NO. 3-3030 itt'a 'C l,UAL SURVi`S ii! ' PI`-OT PLAN. I " THE STRUCTURE DEPICTcO O"d THIS PLAN WAS LOCATED ON THE GROUND BY SURVEY ON ;\M`1 18 1987 in AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. SARNSTABLE MASS . i THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY A)ICJ i SCALE: 1"-60 NOV 19 1987 ! SHOULD NOT BE USED FOR ANY OTHER PURPOSE. ._,_.....,......_,_,.,__.,...., BSC GROUT' / BARNSTABLE l_"/Y_-97 ....__...._.. ... ..._ � .. 3236 MAIN SPREE? . ' PROr=ES :TONAL LAZ SURVE R - j SAR.�NISTABL E VILLAGEE, MA. 02630 (617) 362-8133 J