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Home My WebLink About0154 BARNSTABLE ROAD h r� ��7�� ,� r . �� , 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 tl' necessary signatures on this form at 200 Main St_, Hyannis Take the completed form to the Town Clerk's Office, 1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that i required by law. . DATE: Fill in please: - APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS:_ . s00 2to�l �I$0; b N-uo n n i f IfnA ZfoU 1 E TELEPHONE # Home Telephone Number NAME OF CORPORATION: Ca Re_ I Rea I 1:::.!S `j NAME OF NEW.BUSINESS TYPE OF BUSINESS q io o� 15 THIS A HOME OCCUPATION? YES NO i)2[oo 1 ADDRESS OF BUSINESS P. Q I 2 H-wa in in IS 6 MAP/PARCEL NUMBER 15 t3arns a uct 4on.)« AI o2 U 1 (Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. 6 Main Street) .t❑ make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S O- FICE This individual has n .r(ned of termit requirements that pertain to this type of business. A orize ignature COMMENTS: 2. BOARD OF HEALTH This individual h en inform d of he p r it re rements that pertain to this type of business, ' Authorized Si ature** MU$TCOWYyM� COMMENTS: HAZ,1R ONS � • 3. CONSUMER AFFAIRS L10EN ING AUTHORITY] This individual h r of,the licensing requirements that pertain to this type of business, Ruth rid nat r COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel : Application # 1 Health Division Date issued Conservation Division „' Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address l S �� S a.� R u.,a Gil M a Village Owner 0()rA.AAJ M Cd-WVX,ro. %j XX,e C1 "11%1r Address Telephone 0D 'Y �1? 7 l y 3 Permit Request �T� ce �� ' �I + h ctnj Q G Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Q50 060 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 CD Basement Finished Area(sq.ft.) _ Basement Unfinished Area (sq.ft) - Iw•}Yj Number of Baths: Full: existing- new Half: existing (z) new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count t ty Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other ;r 00 t� 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 Z'�es ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ b e4 n i s C ro Telephone Number X d tj R d Address 3 T t�_ dlh C d License # sad 1 n�L�� 19 Y 101 Home Improvement Contractor# it 7 �1 Z Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY t, 4 4APPLICATION# DATE ISSUED , } MAP/PARCEL NO. i V f ADDRESS VILLAGE a' OWNER 4 DATE OF INSPECTION: Pf FOUNDATION = — I FRAME k } INSULATION; .: :t FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL — :GAS:- ROUGH FINAL s ,1'.FINAL BUILDING, �;- DATE CLOSED.OUT ASSOCIATION PLAN NO. r I The Commonwealth of Massachusetts Department of IndustHalAccidents Office of Investigations 600 Washington Street Boston, AM 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciam/Plumbers Applicant Information Please Priest Legibly Name (Business/organiza.tion/individnal)' C 9 C. Address: City/State/Zip: fowl Phone#: C,09 a,q y .1d1 Are you an employer? Check the appropriate box: f pe project(required): o pro . 1.D}Tam a employer with t 4. ❑ I am a general contractor and I Ty employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.hBurance comp.insuranCe.$ 9• ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Eleciricalrepairs 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 I2 oof insurance required]t c. 152, §1(4),and we have no 2r repairs 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 arc doing all work and then hire outside contractor 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 isproviding workers'compensation insurance for my employees. Below is the poficy and job site information, n Insurance Company Name: a r ` PJ r Policy#or Self-ins,Lic.#:_ O CJ,8 —-tcl 6 —s' tl Expiration Date: tl/Ltl Job Site Address: S`1 'Lr to City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). fFailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the.DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: S a \h _Phone E only. Do not write in this area, to be con leted b c'p or town o c' y �' iaL .tYn: PermitUcense# hority(circle one): Health 2.wilding Department 1. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: V05-23-'12 13:46 FROM-Legacy Insurance Grp 5082956730 T-700 P0001/0001 F-416 DAYS(MtMIDOYYYYY) CERTIFICATE OF LIABILITY INSURANCEIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 endor5ement(s), ONTACT PRODUCER NAME- Legacy Insurance Agency Croup, PHONE 5081 295-1315 H'x N (508) 295-6730 213 Main Street nos�REss: maria.almeida@leQacvinsuranceQrou .com Wareham, MA 02571 INSURE S AFFORDING COVERAGE NAIC10 INsuRER A:Nautilus Insurance Co INSURED —_ -- —� - --- INSURERS Hartford Ins Dennis D Crowley INSURERc: — Construction, Inc. INsu RD: 388 Main St INSURE Wareham, MA 02571 INsuRERF: COVERAGES . - CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANONG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — ILTR ADD SUBR POUG�E�` POU�y�(p LIMTS TYPEOFINSURANCl= N POUCYNUMBER MMIDOfY MMIDdYYYV iD/27/ii A GENERALLIABILITY X NN189835 !0/27/12 DA GE TO RENTED $ 1 O DO $ 1 00,000 ){ CONWIERCIALGENERALLIABILITY CLAIMS-MADE DOCCUR MEDEXP onsPer-M $ S PERSONAL&ADVINJURY $ 1 0 OOO GENERAL AGGREGATE $ OOO 00 GEN'LAGGREGATELMITAPPLIESPER PRODUCTS-CO MPlOPAGG S DO O POLICY PRO- HOC $ OMB IN LELM1 AUTOMOBILE LIABILITY S acnidan BODILY INJURY(Per Pardon) $ ANVAUTO ALLOWNED SCHEDULED 80DILY INJURY(Pmr¢raidant) S. AUTOS AUTOS PR PERTY DAMAGE g NON-OWNED (Par ocigenil HIRED AUTOS _ AUTOS $ UMBRELLALIAB OCCUR EACHOCCURRENCE $ EXCESS LIAR CLAIMS-MIADE AGGREGATE $. $ DEO RETENTION WCSTATU- 0rH- B NURKERS COMPENSATION 4912P66-5-11 11/4/11 11/A/12 ]{ ANDEMPLOY5FWLIABILITY E.L. HACGOE S 10O 000 ANY PROPRIEEOR/PARTNERIEXECUTN> YIN N I A OFFICE RMIEMBER EXCLUDED? E.L.DI3 E.EA EMP L E S 100,000 (Mandnioy In NH) It yes dssaibeundar E.L.OISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS Defow DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional RennriM Schedule,if more spaea it;requ rEd) CERTIFICATE'HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Sarnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept ACCORDANCE WITH THE POLICY PROVISIONS. ]Barnstable", MA =REPRESENTAT(YF. ®1988-2010 AGORD CORPORATION. All rights reserved_ ACORD 25(201.0/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: (508) 790-6230 E-Mail: -N -n of Barnstable ow ry Services Regulato ThOMRS F.Gefler, Mreetnr 'Building Dhvigivn `ram Parry.Bugdhig CuvgWssioner Properw Owne.- Mus, Complete and Sign Tbii Secda-ra If IjSM' g A B pilder F. r4A46-,W , OCC j9#OJk-MTj, ,O,,, J!E�4 UArz,45,A411 L-C A AD It,4aN,.S A4A .3al fcncei^s w14 Vdarms are the _rt-spon3ibOuftv of the apphicant, Poobi ar eof to he Oed before fence is instaled a 6-ndpoc, are mr-I -to be -atilized until :LIJ fi-yaat inspecaomq perfornned.and accepted. C -7 be n-Ai, D---0--P4Aq Ra- at /2— ............... ....... ....... .......... t t►tmcnt of pill) IC $,►Ict� ' tictts- pct' tanda►"ds Ivlass.►chu. putful.ttions titi Buildin"T g- License BO M'd r Construction SupeN►$O 44801 License: pENNIS IDCROW LEY 38a MAIN ST.UNIT B WAREMpM,MA02571 �, 1011012013 Expiration T r#: 6963 J The Commonwealth of Massachusetts William Francis Galvin' -... Page 1 of 3 The Commonwealth of g Massachusetts William Francis Galvin j . Secretary of the Commonwealth Corporations ' Division ti One Ashburton Place.-17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 QANTUM COMMUNICATIONS CORPORATION Summary Screen Help with this form `Request,a Gertificate The exact name of the Foreign Corporation: QANTUM COMMUNICATIONS CORPORATION Entity Type: Foreign Corporation Identification Number: .320022550 Old Federal Employer Identification Number (Old FEIN): 000844187 Date of Registration in Massachusetts:. 06/16/2003 The is organized under the laws of: State: DE - Country: USA . on: 06/17/2002 Current Fiscal Month / Day: 12 / 31 The location of its principal office: No. and Street: 1266 EASYMAIN STREET 6TH FLOOR City or Town: STAMFORD State: CT Zip: 06902 Country: USA- The location of its Massachusetts office, if any: No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: Name: CORPORATION SERVICE COMPANY No. and Street: 84 STATE STREET City or Town: BOSTON State: MA Zip: 02109 Country: USA The officers and all of the directors of the corporation: http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.... 5/22/2012 The Commonwealth of Massachusetts William Francis Galvin.-... Page 2 of 3 Title Individual Name Address (no PO Box) Expiration First, Middle, Last, Address, City or Town, State,zip of Term Suffix Code PRESIDENT FRANK OSBORN 64 HEMLOCK RD NEW CANAAN, CT 06840 USA SECRETARY MICHAEL MANGAN 21 GALLOPING HILL RD FAIRFIELD, CT 06824 USA CEO FRANK OSBORN 64 HEMLOCK RD NEW CANAAN, CT 06840 USA CFO MICHAEL MANGAN 21 GALLOPING HILL RD FAIRFIELD, CT 06824 USA VICE PRESIDENT MICHAEL MANGAN 21 GALLOPING HILL RD FAIRFIELD, CT 06824 USA DIRECTOR FRANK OSBORN 64 HEMLOCK RD NEW CANAAN, CT 06840 USA DIRECTOR RICHARD WALLACE 675 PARADISE AVENUE MIDDLETOWN, RI 02842 USA DIRECTOR MICHAEL MANGAN 21 GALLOPING HILL RD FAIRFIELD, CT 06824 USA DIRECTOR FRANK. 1969 CENACLE LANE WASHINGTON CARMICHAEL, CA 95608 USA DIRECTOR STEVEN 271 FOX MEADOW ROAD GREENBERG SCARSDALE, NY 10583 USA business entity stock is publicly traded: _ http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.... 5/22/2012 f The Commonwealth of Massachusetts William Francis Galvin -.:, Page 3 of 3 business entity is authorized to issue: Par Value Per Total Authorized by Articles Total Issued Class of Stock Share of Organization or and Outstanding Enter 0 if no Par Amendments Num of Shares Num of Shares Total Par Value CWP $0.00010 9,666 $0.97 9,666 CWP $0.00010 9,666 $0.97 9,666 CWP $0.00010 782,000 $78.20 782,000 CWP $0.00010 38,570 $3.86 38,570 CWP $0.00010 9,666 $0.97 9,666 CWP $0.00010 9,666 $0.97 9,666 CWP $0.00010 9,666 $0.97 9,666 CWP $0.00010 100 $0.01 100 CWP $0.00010 145,000 $14.50 132,266 Consent Manufacturer Confidential _ Does Not Require Data Annual Report _ X Resident Partnership Agent For Profit Merger Allowed — — Select a type of filing from below to view this business entity filings: ALL FILINGS Amended Foreign Corporations Certificate Annual Report Annual Report Professional Application for Reinstatement M V 6 FiU gs!7- � G,, New Seairch , Comments . ©2001 - 2012 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.... 5/22/2012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MaQA 'Parcel 03�O 1 4 _ .,'Permit# Health Division ��P �� - J. Date Issued li- -off Conservation Division ry Sa 11Z3 ® 10 s �G Fee 615 y Tax Collector 8' Oc� -8' Application Fee . Treasurer Planning Dept. �� bked in By O Date Definitive Plan Approved by Planning Board 4 Approved By Historic-OKH Preservation/Hyannis Project Street Address 1&-q 6ar175 y"�e Village I-Jyam o /ylA 02.&D Owner Qan4u m d� (�Nu Address L '{e. Telephone :5 � 8 Permit Request / rcu e- ei o d li5 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes /'2k-No On Old King's Highway: ❑Yes XNo' Basement Type: Full Cl Crawl :_;0 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: 0 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 O Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /� '� FOR OFFICIAL USE ONLY PERMIT NO. DATE�ISSUED MARY PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION ��f 7, FIREPLACE: ELECTRICALF ROUGH FINAL; PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 ASSOCIATION PLAN NO. J ..�..w..vauv..0 Department of Industrial Accidents Office.of Investigations' 600 Washington Street Boston,MA 02m y' www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly s Nam usiness/ ationan&vidmi 4 ' e � "Cremona Address: City/State/Zip: M/ O?,&o Phone#: Are you an employer? Check the-appropriate box:. Type of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6 ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1"1-❑ Plumbing repairs or additions myself.-[No workers' comp, c. 152, §1(4),and we have no • 12. Roof r❑ airs insurance required-]t employees. (No workers, comp-insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: �n t Homeowners.who submit this affidavit indicating they ate 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 their workers'comp,policy infozznation. 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.Lie.#: 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..OQ 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 mayte forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify. unde , e pal and penalties of perjury that the information provided above is true and correct i ature.- Date: ov� j Phone#: J' —�7,f—1-8 888) . Official use only. Do not write in this area,to be completed by city,or town official City or Town: PermitfUcense# 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 theft eriiploye& 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" divi¢ua1,.:Partperstup,association,Forporation 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. Howover.ttie 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 woiYbn 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 iequirements 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. ecess supply sub-contractors)nazne(s),address(es)and phone number(s)along with their certificate(s)of i �'' pp. employees other than the . C or Limited Liability Partnerships(LLP)with no emp .y • Limited Liability Companies(LL ) ty . insurance. L 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 provideda 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 winch 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.fixture 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 off Investigations . 600 Washingfon.Street- . Boston,MA 02111.. f Tel.#617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/dia of r Town of Barnstable Regulatory Services BARM!1&3, LX ' Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Ommer Must Complete and Sign This Section If Using A Builder I, @f l ne-,e Cr-emon ,as Owner of the subject property hereby authorize... mv 5 el�__ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signs a of er Date Print Name Q:FORMS:OWNERPERMISSION 40 x 2 ✓ 40z 0 ' I4. `8 40.00 c .... i� 3950 a1 3 �O G -_ Ixs �L. RECH ARGE �� WATER DRAIN, 39x10 \ SYSTEM �� 38.00 to rERim Mosso( E 39.00/ catch t 3 9.00 LP 40.00 < fi Dic,rn x 6 a �O 39.50 Leaching Pit 3 } ... �, stone all oroi 8 2 �` 22'x22' Rnc x 3 9x86 7 39 x"af...-26' 6 9o-i- S, F, ". 39.97 L 6 3 Sill 7I h I L - Drive-in ,; U yr 0.72 c Z ISpike Set 5 j _, ..z_ R• indoor .36 w ' 4 4 36 x 4 0x 0 r �f 40 x04 ::�O Q, I: o Q I N G )istinq r D 1 J:I i \ a�{ �,LY ,� 6-• Light* _ I O Pole Gas i w met'. a ;.' I` cos �� •3 i 5 j o f '� E�r.'`' • q, ' J v = A ® 9 ,- 3 cn I �' c, , t � ; ♦ �.8 r 10 10� Q Q down :�� 5i, a e '' r a c 3905 40. 2 2 $ , p' 0 39z91 s �� F Q Q C cn J : d G .. :UUJ _ O E -o Gor Nom Sty m33`r� 36'—__ — <. E 20' 39,3 38x74 4 GAS VALVE ®3 37x69, o6z3 - 39x25T $ - - 20 �_ T_. - - - _ T = _ _ _ m -SIDEWALK s - 78.10 37x19 ----- 36x2 38x CONCRETE CURB G -- 20 Proposed _ POLE I� 6A ` ` c%1Jt D &I&FOO 10 F,0 VK 4C ®®=. 1®z 5WX KTle, rnacaoa'a E'ES Mask Vince Cremona Senior Vice President Qantum Cape Cod 154 Barnstable Road,Hyannis,MA 02601 Ph 508-778-2888•Fax 508-778-7212 e-mail vcremona@gantumcapecod.com October 31,.2005 #106750-1 Town of Barnstable Building Commissioner's Office 200 Main Street Hyannis, MA 02601 ATTN: Tom Perry, Building Commissioner Re: Qantum Communications Dear Mr. Perry: This correspondence will serve to confirm our discussions regarding the placement of a satellite dish adjacent to the existing building located on the property at 154 Barnstable Road, Hyannis, Massachusetts. In order to expedite construction of the satellite due to exigent circumstances associated with the applicant's current facility in Yarmouth, the applicant and the Town of Barnstable have agreed to allow for the issuance of a temporary building permit for placement of the satellite dish as shown on the attached sketch plan. This is in conformance with the application for site plan review previously filed. The parties have agreed that the applicant may proceed with construction and installation of the satellite dish, subject to execution of an agreement outlining appropriate screening and conformance with the terms for review of the screening in nine (9) months. The parties further agree that should the agreement, or similar form thereof to be agreed upon by and between the parties, not be executed and delivered by both parties within ten days, that the satellite dish will be removed at the applicant's sole cost and expense. Kindly acknowledge your receipt of this correspondence and agreement on behalf of the Town of Barnstable to the terms and provisions hereof by signing and returning to our counsel, Patrick M.,Butler, Esq., a copy of this correspondence. i Town of Barnstable October 31, 2005 Page 2 Thank you for your assistance on this matter. Very truly yours, " Qantum of,Cape Cod, LLC, , By: Its: ager /' PMB:cam g Acknowledged and agreed: g om Perry, Building Commiss' ner Town of Barnstable 1475881.1 f . r PgOV4 1.2©05iM1#1V:49AM�� BHRNSTABL_E t,L'iM/Ei O.DEVELOPMENT IIV' NO.373 P.2i3 i4�tY a t ®ctalaot #106150-1 'town of Barnstable Growch MaA&geznent DepartmetaC 361 M14U Street Hyattais, MA 02601 t i AM Patty Daley, Director of Cary PIIe ensive Pls� r"g P,p; atatutn�d satanieat os Dear Ms. 'Daley; the lUmunt of a coffee orndence will save to confirm our disruss� o�y at 154-parcasta'ble' L=d, This P building located on the p P satellite dish 42cent to the existing ,�ya�'a4a, Massachusetts, - ' ent cucurnsta AasraatableQ In order WS to Medito aoW ctiott o the h, the dtte to trig r1" Town of with the applicar►t's current facility in Yacrntlt, tho applicant sit doe plan®meat of the have agreed to allow far tho issuances kat P1�r nis tstin ls canfo +nce with the sgplicatIou satellite dash as shown on the attache P for Bite plan irevww previously i"ed, reed that the applioant n ay pr®teed with co�tnaatiota�c,d Tho Pgctfes have subject to e�tecution of the attached agreement ind installatien of the satellite dash, rovisians thereof. - conf'ormance With the tet� &Dd p 'T7te'part ur ies and b agree that stwuld the attached aSreenWutw or s11�i1 bnthmarties b of to artios, saot be executed amd deli'Vered by arise, e agreed upon by and between the p 11oan"s sole.cast and e7Gp wither ton days, that the satellite dash will moved at file aFP a raement on behalf of the I�itadly acknowledge your receipt of bus correapota ni d recut�irag Co our counsel, �o�wn of Bartntakale to the terms P prev esp nd nca hereof�y sag Patrick M.Butler, Esq,, a copy _ 1 W�•v�,l .C uuz> 4Hill ' I IV.J I J 1 I PeVV^ y Ar, lut .•J'.� ToWn Of�at2l�O�ls Cctobet 3 'gage 2 Thuk you for your on this mercer. 1� ;cY tauly yovxs► QanLuen of Ca` pe Cod, LLC► v ply; • lta, Ma�a�or PNfB;cam AdawWledSed ate a eod; 'Towri of Batutable e L�75�b,1 { x NOV. 1.2005 10:49API BARNSTABLE COM/ECO.DEVELOPMENT N0.373 P. 1i3 9 10-31-05 RE; Qarltum Cape C6d Radio A ztenna(Satellite Dish) Dear Tom, Attached please find a letter drafted by Pat Butler regarding the issuance of a temporary building permit for the Qantum radio antenna at 154 Barnstable Road. Ruth and 1 have retizewed the letter and are fine with it. We are going to ask Mr. Butler �6 b� to include your name for signature on behalf of the Town, (The agreement referenced in the letter will be negotiated over the next ten days. We'll keep you in the loop.) << If you are in agreement with the terms of the attached letter,please sign on behalf of the Town and issue a temporary permit to install and use the radio antenna at the requested location(front, right cornea'of the building). za:�- -� �,t'V.Q- K lc-- a,. CM R.Q.. Please do not hesitate to call me if you have any questions. My extension is 4768. 111 be in a growth ngt meeting from 9,10 tomorrow, l believe that Qanturn will be looking for a temp building permit sometime tomorrow. Thank you, Patty Daley , k 1 • P1. f`J, im!v ' pro,71 ..fir If ! �t t r r i I ii I , ,j q 14,41 �} l4r ►J s i ,nc 10 TTs , - A - 1 •�"r TOWN OF BARNSTABLE Permit No. -_-2-f-8 ----------f--- sm>r Building Inspector , cash -------------- —-� • b)0 � a OCCUPANCY PERMIT Bond --_x-----__ ( / /JvC Issued to Jack,"Conway '"--Address i 154 :Barnstable Road, Hyannis Wiring Inspector. /f�/ �-i. - Inspection date' Plumbing Inspector , Inspection date f / /_-�- Gas Inspector ( Inspection date Engineering Department Inspection date r Board-of-Health , +5 �, . � w Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . , .. ....................................... ............. Building Inf etor, ......... TOWN OF BARNSTABLE BUILDING DEPARTMENT _ 11°TA = TOWN OFFICE BUILDING rMe i639. � HYANNIS, MASS. 02601 �fp�Y M• J MEMO TO: Town Clerk FROM: Building Department DATE: f An Occupancy Permit has been issued for the building authorized by' BuildingPermit # ..°......... ..... .... .......... ........... ...... . .................................._..............»...........................».......».._. issuedto ................................................__. Please release the performance bond. ' - Assessor's map and lot number 'TIC GYWW V' X INOTALLED IN COMPLIAWCS ,/ WITH ARTICLE If STATE Sewage Permit number �h,. .�c 1.P!`.... .... ., .6�.. ,....+4 ov1r, lTi 7 lV. QyofTHE.T°�. TOWTV N OF BAR LE� • • t Z 86HB4TODL&, i 039. BUILDING INSPECTOR � O'EO NPY�`' • Ya ............... ............................................................................................. APPLICATION FOR PERMIT TO .. TYPEOF CONSTRUCTION ...:...... ...... .. ...... .. ..... .................................................... ............................... ` .°...........J ......:1'9. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit, according to the following information: . Location .....,.,501........ . . . .. .............. .............................................................................................................. ProposedUse ............ ... ..... ............... .................................................................................... ............................................. Zoning District .........:.... .....................................................Fire District ........� ... . . Name of Owner ..... .. ...Address �!. `........... ... � Y,v ..........Address 6 �''4.e. Name of Builder ..... . ..... .... .... .. .............. . . .. ......... ............. . ..6&AZ!fl...':... Nameof Architect ...................................... .........Address ................................................... ............................... Number of Rooms ......................./........................................Foundation ....D..AYT&.....d.4t ... ....... Exterior .. . ...4. A.k.... . ...................................Roofing . . . ... ...... ......f- v'`.. Floors .. . ................... ......... .............................Interior .. .. .... ..................................................... .... ... ..............................Plumbing .................. . . . . .......................... Heating �°�V...l�cam,.... .. ..................... Fireplace ...................... :................................I............Approximate Cost ....... Definitive Plan Approved by Planning Board ________________________________19________, Area .1. ..... ..6 *............ Diagram of Lot and Building with Dimensions Fee .... k+..°.. ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ��.v-'' I hereby agree to conform to all the Rules and. Regulations of;thieT wn of Barnstable regarding the above construction. Name . . ........ ........... ................................... Harnois, Beatrice & Rudolph No 17531 permit for .......dd to commercial .................. t x 'building ` Location .15 ..... 4 Barnstable Road ............................................... ...................... yanni s................I......................... Owner ...........Beatrice & Rudolph 1.1Vrnois frame Type of Construction .......................................... ................................................................................ f Plot ......................... .. Lot ................................ r Permit Granted December 31 19 74 { Date of Inspection ...... ....... .....................19 Date Completed .. ...... ... ....................19 t PERMIT REFUSED ............................................................. 19 t ............................................................................... ................................................................................ 1 t ............................................................................... i } ................................................................ ........... w i r Approved ................................................ 19 ` ............................................................................... ............................................................................ r Assessor's map and lot number Sewage Permit number L ' .... -.....� s... a F7NEt��o 'SOWN OF BARNSTAB-LE .z Z BARNSTABLE, i O 9r BUILDING IHSPECrTOR �pi63q �e� a - 9W ` APPLICATION FOR PERMIT TO - TYPE OF CONSTRUCTION k I t..(. R.. e1A.'.l.,tv r:........: .........................................19.ti. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: !,I r. Location ..... ,�!�.. ..A'3��.1�,t,:l..�..:!'!.......::Q::.............�............................................ :......:.............:.:....... .....,.........:..r.:..... •� � u ProposedUse ...... .......fit.( .... '........ ...........................................................................:......................... ........ t I I ..t,....� Zoning District ..............'�.........................................................Fire- District ........ ! . Name of Owner :°c'!t A;1a,� � ' t�1 ' Address 'I..................................... , ' .... Name of Builder .......Address ......... Name of Architect .................Address ...................................................................................... Number of Rooms .......................1 Foundation ..................................... !#. .. ... ...... Exie for ... A Fc'4t rfif �+ c Q............... �N/(i.t/Ia !� ? .'....... Roofing ......... ... .. .. ..... Floors !.. f/V kP S �� .. ...................................Interior �......... .... .......................... Heating � .. t # 1 X .......!+? �f?l t g. • R +t r �° ......... .....•....... ....... ......................Plumbin ................... T.. � . Fireplace .......................F.IIF?1� #...........................................Approximate Cost .......... ... ......... ......................... ........................ Definitive Plan Approved by Planning Board __________________________19_____ = .. Area !. .. +.:. Diagram of Lot and Building with Dimensions Fee ..�1a ' -7< SUBJECT TO APPROVAL OF BOARD OF HEALTH - - "'"`""' "'`►�n �„ �� ' F�,. ��. M� ,Lem �+ �,� � � �� - ((ttJff3y _ •. �1° _ 1 .. S f r r' -�f• 1 � ,° E: � _ �. 1 •. `. L .. ` r - �t,+. ... a .` .'q far "�' .{ - "f • l.� „ hereby agree to conform to all the Rul Ss'land Regulations of the Town of Barnstable•regarding the abov6l ! construction. Name r Harnois, Beatrice & Rudolph No .,, 17531 permit for .,,,add to commercial ......................... building ............................................................................... Location .......,154 Barnstable. . . . ... .............. Road ' . ...... . . ...... ........ .......................Hyanni s ................................................... Owner ...........Beatrice & Rudolph Harnois ....................................................... Type of Construction ....frame ........................... ................................................................................ Plot ............................ Lot ................................ \�Permit Granted ...D,ecemb,ex..31.............19 74 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number .... .. . 7. - Sewage Permit numberl..2/...` %rt�; /'G(/ I - House number Y.-r..i�.�................"t�.•.... '� ioo M 9 c. . ... r ' � aTOWN OF BARNSTABLE BUILDING INSPECTOR ` APPLICATION FOR PERMIT TO .........�� X......... .. .�... %� �r� � � ........�.....�. . ........... ..................................�w., TYPE OF CONSTRUCTION .. . .. 6T ... ...... ......................... ``...... fF .. . ..........................19... � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accoNing/to� the following information: 11 Location ... . �..��......� ... ..... .......... .. '��'( ................................ Proposed Use .... v . .... ... . ..-.................... Zoning District ............ ...rl.2.. . ........................................Fire District ...................... .-...................................................... Name of Owner . ... . . ..... ......... Address ` ( �<, /`��,• f�.' ? Nome of Builder ... Address /.0. ... ................ .......... ?� -j �1 i ..... . ............. . ....... Name`.of Architec .. . .......................................Address ... .. . .... Number of Rooms .......AA................................................Foundation .......%��Z�.... . .... ... m v Exierior Roofing ... .. ...*( �: , Vj floors ....�!1�. ......1A.Interior .... ............................................................ f v . Heating ...........�p�r... .........- L..C,I.. ... .... . .. ........Plumbing .............. ��° s...��C�� .. . .... 1-Fireplace ...... .l[. 1./ ................................. ..........................Approximate Cost � D�.: QQ.... .... ...........r.� . Definitive Plan Approved by Planning Board ________"__"____________________19________. Ar r .............. .............�4, Diagram of Lot and Building with Dimensions R Fee `.:� SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. No rrt�/l1k�.f -L"P ..... o / 7415 (P Construction Supervisor's License .................................... GO-NWAY, JACK T .... Permit for .....Build Office ............................... Building/ ........ f Location /1544--?, Barnstable Road ........................ .................... C ... ............................... ....... Owner .....................ack C.o.nwav ........................................ Type of, ConstrUction ....Frame. . ........................... . ...................�:...........................6................................ Plot ...................j...... Lot ................................ Permit,Gra rited .....No.v.embp-r..18............19 85 A Date of Inspection ................................ ...19 Date C, ornlptecl .....19 . n � . ' `ter�• , � Y-.... ` .. _ - �• r '. Assessor's map and lot number � . .. ••••��..,,��,,..,,,� 1 Q�OF THE t��♦ Sewage Permit .number1- 2./... v� �(/ /��/� row o� � 1 Z B6BHSTODLE, i House number ..�s.Y.................. �.... /y 9�C,o�MAS ®�0 TOWN OF BARNSTABLE BUILDING INSPECTOR _ AP PLICATION FOR PERMIT TO ........�>~LL� .�C......... .. .�... .�t ... TYPEOF CONSTRUCTION .. .. .... c ........................................................................... F/�.�.......................19-05- r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit acco ding to the following information: Location ... .. .... ........................ ....... /� 1� `/ ( ................................ Proposed Use .. ......� .. .. _. - .�% f..caG .. ...................... ZoningDistrict ............ . ........................................Fire District .............. ....................................................... Name of OwneC�� .. hN- ......... ..........................Address ,�9.. ,G!� .. ��?`� /�" xX. �.. Address Name of Builder ... Name of Archite Y ... .!....'.........................................Address �... � � A14 ��/ Number of Rooms ..........� �:.................................................Foundation .....G� 'hr!E::P.,�.� ... �...,............... Exterior ... .. .. . ...........................................................Roofing .. FloorsC.' .I.Interior ... ...................................................................... ....... .,�J � •••. C . CHeating ................................1. .............. . .........Plumbing ......... Fireplace ....... ,r� .............................................................Approximate. Cost ....'-' ..�� .....�.......,................... Definitive Plan Approved by Planning Board ______________________----------19________ . Area '� fag©sue t�Agui i . � , u �agram of Lot and Building with Dimensions Fee ' ��......................... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Aj> n\ J � 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. ` # eNank r�- .......... ff o 7 .5r c� Construction Supervisor's License .................................... CONWAY, JACK A=327-36 I No ....28.6.H.. Permit for ....BUILD OFFICE .................... BU.ILDING. . ..... . . ...... .............................................. Location „154 Barnstable Road .................................................. r ' ...................Hyannis................. Owner .......Jack Conway ................ ..................................... Type of Construction ,.Frame Plot ............................ Lot ................................ Permit Granted ......Nauembex...18 ! 19 85 Date of Inspection ....................................19 Date Completed ......................................19 14, i r - - ` f Assessor's map and lot number1...,... .......: .:..... �" 04 TN E tp�4 Sewage Permit number .........................................:............... Z EAR33TADLE, i House number � ................................................. yO Maes G i639 9� �'Q YPY fr` TOWN OF BAR.NSTABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO dd �. ........... ....................... ............................................................ TYPEOF CONSTRUCTION ................................................... .................. ........................................... .................. ..........9.Q.`'. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby a plies for a permit according to the following information: Location '. I`. �!'�?Y..�M'r ..IT'S .................................... Proposed Use ................. ..... ............ ..... . . .........'!! �f.!t!rc'4 �.............................................. ZoningDistrict .......................................:..Fire District .......... ....... ........................................................... Name of Ownerka"64—X710.�. .........Address ....................- �!1�.. .' .. ................................................................ Name of Builder ..... ............................................................Address ................................. .Name of Architect ...................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ...Roofing Floors � ...b.................................................Interior .................................................................................... Heating ..................................................................................Plumbing ...................-............................................................ Fireplace ....Approximate Cost..... ..... Definitive Plan Approved by Planning Board -----------_------ --------------19_______. Area 7..7'... .................... Diagram of Lot and Building with Dimensions' f Fee ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH K I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta- a regarding the above construction. Name .............. .. .......................................................... I LANSMAN, LENNY No -221-0-&... Permit for Addition.............. .........PQ.qX...f.Q r...T r,e...C.r.e.am...Kiad.Qw... Location ...#.1.4.8...B.ar.n.st.abl.e...Road........... .... .. .... ....... .. .. ....... Hyannis ............................................................................ Lenny Lansman Owner .................................................................. Frame Type of Construction .......................................... ................................................................................ ,-Plot ............................ Lot ................................ Permit Granted ......AP.ri 1-1.0............19 80 Date of Inspection ... ...........19 Date Completed ..... .............19 19 PERMIT REFUSED ................................................................ -19 ................................................................................ ............................................................................... ............................................................................... . ................................................................................ __tj Approved ................................................ 19 r ............................................................................... .................... .......................................................... Assessor's map and,lot number t639- a Mix T, ABLE ' BUILDING � NN @ � �� 0 �� INSPECTOR �� ' ' ��0NNN-0NN �� 0 ��=��0� 0 �� - � -�_ - -- -' - -- _ - -- .- - -` -- r APPLICATION FOR PERMIT TO ...............1��---.,~~-��.�..�-----------.-----.--'-' � � TYPE OF CONSTRUCTION ------------------......[��.��,~~=---_-------___ --.-... ......... � V �v TO THE INSPECTOR OF BUILDINGS: � The undersigned 6eva6y applies for o permit according to the following information: ' - ` Locohnn -----.=��±�---..��)��Y�.�"��..-..r*��------.\ `- ................................................Proposed . Use ................... ` :+.. ......-4-0~e-.. ......... --------------- ! Zoning District .'-----..-\-� -------------..RvaDbh�t --. ---------.-----_'___. \ � � NameofOwner ......... ---�A6Jres ------------.-----..--------.- ` j � Nameof Builder ....................................................................Address ---------------.--.---------.. � ' . .Name of Architect ----------------------A66res -------.--------------------. � Number of Rooms -----^----------------�Foun6ot�n ---------------.--------__ . ' � - � ~ . , u k � Floors -------- \/ [- ---------------..|nterior ---.---- ------------_________.. � `--- ' Heating ---------------------------.F1um6ing ---------------____________. ` _~ � Fireplace '--------------------------.Approximote [oo ............. ........................................... Definitive Plan Approved by Planning Board l9--------, Area J~------' , i Diagram of Lot and Building with [xmenuio»s , ( Fee -l. �� ----' � ` � SUBJECT TO APPROVAL OF BOARD OF HEALTH ' ' ' - � �^ . � ` � ' ^ � � . ` � / 1 . ^ � ` ' ' � � | hereby agree to conform to all the Rules and Renw|oUono of the Town of Barnstable regarding the above ' construction. ' , ^ ' No ......................................... � | � � l J LANSMAN, LENNY 327-36 No .2.2-1.0H... Permit for .Addition.............. .......IXQAC ...;f.A2Z...ZCe..Cr.eam..Window...... , Lacatikf1,44..Barns.tabl.e...R aid........... Hyannis... ... .....................!................. 1 Owner ..Lenny....L.ansman........P:.................... t Type of Construction ..Eraane•. ....•...•••.......... Plot .................. .........Lot ....€f....................'..... v Permit Granted ......Ap.-ra..7..�3.17.,.............19 80 F Date of Inspection ...............'f.. r19 . I� � Date Complete;d ................f�.................k".19 PERMIT REFUSED . ............ 19 x .................. .............. . ............ ..... ...... ................. . ................ I.. .................. ...................................... ........................................ 3 Approved ................................................ 19 U ............................................................................... °q i LAW OFFICES REED, ADAMI & KAISER A PROFESSIONAL CORPORATION 1325 BELMONT STREET BROCKTON,MASSACHUSETTS 02401-4401 TEL(508)587-1800 FAX(508)586-8174 June 20, 1996 Mr. Alfred E. Martin Building Inspector Town of Barnstable Town Office Building 367 Main Street Hyannis, MA 02601 RE: PERMIT #B28686 ISSUED NOVEMBER, 1985 COMPLETED JANUARY, 1987 Dear Mr. Martin: I represent Philip Asack who runs Asack's Footwear on Barnstable Road in Hyannis. He has been sued by his abutter over a deeded easement that runs across the abutter's property in favor of Mr. Asack. We need to submit a certified copy of the building permit by the abutter for the period in which he built his building across the middle of the easement. I had the pleasure of being assisted by your staff last Friday and they revealed to me that the appropriate permit was #B28686. We were able to locate the copy of the permit, but we were unable to locate the certificate of compliance or certificate of occupancy, which the computer lists as having been issued in January, 1987. Would you be so kind as to send me certified copies of the building permit listed above and the certificate of compliance or occupancy permit for that construction issued in January, 1987. If there is any cost for processing this request, please call me and I will see that payment is made. Otherwise, I appreciate your help in this matter and if you have any questions, please do not hesitate to contact me. a rs truly, Donald J. Ka e cc: Mr. Philip Asack DJK/skb i A °pWE . "�. The Town of Barnstable � Department of Health Safety and Environmental Services _ ArED ,�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Enclosed is information you requested from this office. If we may be of any further assistance,please give us a call. Sincerely, Kathleen Maloney Office Assistant qinfo ,+%RY\Y� r� �Ii.41' i ` 1�'•T a , r1 /t1 f: t. ,j 1: �.�. t' '( J r r • ♦ jl � ',a` , ! ,�t,�1< tt:•�� .. +� � i+ •+' ^t�G 1.'y;.•k1a�i�,ir,'ir.Nt i�. fr '?' �at�i�.�\.�": 5 i' 'TOWN TABLE' 6 , I r. fa s � t / ,+. If / f `-5` Sys ;`z`iyam• - ' -'tlm ^,) CCUP 7- t d .. •�. -j � iVi 4 �1.; .a y.,ti-• � i yam. ,,,� ?� Issued to s JaWl Conway J ' / "� a• 'ti•`-2.4 -' -"''l,E ,J 'r+ u'�1�5 �i_. xiF t�"Ni - .:.. �.-9F" F4 7. ,� goring inspectors ;;� dJatie � r ti rig Y� Plumbing mapec '` _ date j � er qr Gas'In3peCtOr +Y $' 41�p �:.Enginee Department fQp��-�9k�11��1' rl}yrf!°yra-' �t3*�•- $, ", '/ rt '' mil{ __•. i�LlYaii _ AYiY� ,�.,,•uemrl �� f �CUPI D VNM . WILL NOT BE V . -jr_•V6a GNED:BY;TSE BunmING N$PECTOS Q AQ10 I �YI1'�I 1tp REQIIIBFib�NTB AND IN ACCORDANCE BUILDING CODE • :ra .ac,.-.••fir =r s�� f'� - • , s �.. ,r-�y'�' _ 1. .'1� - w. � t+}. tR :-'��tr' '+' `3 a L' b. r � t , ♦ {: i\t... 7 7., d + ( f, �r'I,,ti}l ♦✓1+l,' � l7. -lSt." ' S • f .1' .l' Sr '�>r>:-. �aUi(\ t,,� ;� �{,(/.X is � i'. � ♦ kF \ •�'�' 'j.Y��yi.. t'tYjf;�Y�.f°! t -I 1 t 1. t JlLot tt I ° L',�.}� t1`S' t]'1�{t. if ?Y ! > > aSttti iry �l J:.v' Ott r• �.� - f ;f;.,�,� -, .'r.l c �r Sr 1 t'.t.Y \ i i.t .;_6,1..',ti 1� ti`�'Y rh(`"'{-f(e•111•,,,7'C}t♦.'!,+ �L�Jj�t � ; ♦..Lllt 7 ,ifs ! r .1 }„ i' fr,. 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'a ...f f,a:r:�;,..1 .yam'A if ..�' ; ,+ f .y � +� �.s. e /''Fry +c.1,i`fi (,�V0�1 ",.�, e11S/i,If'� i Ar�;r ..i #,:'� r. tn_ .f� '-'�• 1i' J' i ✓ Tel :-4. ..')1♦ ; �i ./� r a r'+ r1H�.f�.•l•1 � Y'�r, ��dd�) ,�✓ Si t � v�>'I 74�t y':•'1/7 k� 1}. /. Jk• # ( ' f lil.'} r< � r)nif_,:.};t�•er'.f+ +' ?• Y t a r t J r- - .. ♦ ..,r' ! / �tr h L r 47t { i r, + i`{ _.its t i^ t }.. t, 5. , r '. .. ) 1,` f .+ {I,. .t r\ tl f + I j Ui1 r.+ r•. a 1 ':l I_.} - , t' f sifA- - +l'Ar! } �� 7 .,Jla �777. Za'. PINK-OEFf.RLE CC" WHITE-RELO CO" YELLOW-APPLICANT'COPY D O< SUILDING J, -TOWN OF..BARNSTABLE, MASSACHUSE7TS PERMIT :.Y,�LIDATION A=327-36 0 85 GL%86 U November- 18 w2a. DATE 19 PERMIT NO. IL Gull Properties/Conway ConstX&K n ia Rd. , Hanover, MA 017452 APPLICANT. (NO.) (STREET). (CONTR'S LICENSE) NUMBER OF 0 PERMIT TO Build office buiLd�ng STORY— Frame DWELLING UNIT (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 154 Barnstable Road, Hyannis DISTRICT- B ("0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) w LOT SUBDIVISION LOT BLOCK SI ZE �,BUILOING IS TO FT. W IDE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIC TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) Town sewer #1921 REMARKS: BOND AREA OR n2nn 300.00 PERMIT VOLUME 3000 sg. ft. ESTIMATED COST FEE, 360.00 JCUBIC/SOUARE FEET) OWNER Jack Conway BUILDING DEPT 7 -ADQRESS 1.83 Columbia Rd.,, Hanover, MA A TRUE COPY ATTEST: 6_ 12 Kat leen Maloney, Office A�sistant .r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel � � ` 7i ' �` T L Application �'�3 p T_ l Health Division _,, �, Date Issued /" Conservation Division Application Fee / 06 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 1 4Ifo/A/ale, t?a Village / y it Ntdi 3 Owner C 14 sr4 d/ ell 4 "i/N9 Address a 00 • e,4 3Je- RP f4Aav7ar✓,s Telephone 3 k / t 3 ®' 411'"Y CIA/CA 9_,41<7" /161vI;f e X4,1 7dkW Permit Request �a-/%,�� ,�id�_�/-�A d;��i7" : '® TZ Y� -Square feet: 1 st floor: existing proposed G 2nd floor: existing 0 proposed 0 Total new A11A Zoning District 14 9' Flood Plain y//} Groundwater Overlay Al 14 Project Valuation 00 Construction Type Wp0y rlula Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suppo ocument tion. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ��'lt2 �Ef< i Age of Existing Struc ure �/�� Historic House: ❑Yes ❑ No On Old King' es ❑ No Basement Type: Full ❑Crawl 0 Walkout ❑Other Basement Finished Area (sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Q new l Half: existing new Number of Bedrooms: 0 existing ® new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: q�as ❑Oil ❑ Electric ❑ Other Central Air: Les ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garafge: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached ga age: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑ No If yes, site plan review# A)i'4 Current Use 601i/-e, 6011 iAli -(ol e/�:r6IProposed Use 6� le, �'/1/�e/Ya APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� / �l�� J�'J��i Telephone Number AddrV's 10 r- w il License# 66 Cd-AU/f% Of 016 Home Improvement Contractor# 414 Email Worker's Compensation # "AL CONSTRUCTION DEBRIS RESULTING FROM THIS.PROJECT WILL BE TAKEN TO u�tl 6n' lJA¢f�96,� s�J d/6 k SIGNATURE DATE d / c2X/ /S-' 'Y FOR OFFICIAL USE ONLY e B ' APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS _ VILLAGE OWNER DATE OF INSPECTION: ; FOUNDATION — FRAME INSULATION FIREPLACE Sy - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH . FINAL GAS: ROUGH FINAL FINAL BUILDING a DATE-,CLOSED OUT A',$OCIATION PLAN NO. Massachusetts Department of Environmental Protection �. L7�� Bureau of Waste Prevention•Air Quality 100223450 BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# A.Applicability A Construction or Demolition operation of an industrial, commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP), Bureau of Waste Prevention,Air Quality Division, under Regulations 310 CM 7.09. Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09.Is this a fee exempt notification(city, town,district, municipal housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? F Yes r No Type of Notification: (j Revision of an Existing Form r Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: Approval ID# 1.All sections of this 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: form must be completed in order to Approval ID# comply with the B. General Project Description Department of l P Environmental 1.Facility Information: Protection notification IHEART RADIO BUILDING 154 BARNSTABLE ROAD requirements of 310 CMR 7.09. Name of facility Street Address HYANNIS MA 026010000 5087782888 2.Submit Original CityfTown State Zip Code Telephone Form To: TRACY BOUSQUET BUSINESS MANAGER Commonwealth of Massachusetts Facility Contact Person Contact Person Title P.O.Box 4062 5083678307 ALLISONDAMS@IHE4RTMEDACOM Boston,MA 02211 Facility Contact Person Telephone Facility Contact Person Email Facility Size: 3186 2 Square Feet Number of Floors Was the facility built prior to 1980? ❑Yes r No Describe the current or prior use of the facility: OFFICES FOR IHEART RADIO BROADCASTING Is the facility a residential facility? Ml yes PJ_No If yes,how many units? 2.Facility Owner: CAPSTAR RADIO OPERATING 200 EAST BASSE ROAD Facility Owner Name Address SAN ANTONIO TX 782090000 5087782888 City/Town State Zip Code Telephone ALLISON DAVIS-MAKKAY 154 BARNSTABLE ROAD On-Site Manager/Owner Representative Address HYANNIS MA 02601 5087788888 City/Town State Zip Code Telephone Revised:03/17/2014 Page I of 3 1 ' Massachusetts Department of Environmental Protection Bureau of Waste Prevention• Air Quality 100223450 BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: CAPIM HOME IMPROVEMENT 1645 NEWTOWN ROAD Nam Address COTUIT MA 026350000 5084289518 City/Town State Zip Code Telephone GARY GUSTAFSON 5084289518 General Contractor's On-site Manager/Foreman Telephone General C. General Construction or Demolition Description Statement:If asbestos is found 1.Construction or demolition contractor: during a Construction or Demolition CAPIZZI HOME IMPROVEMENT,INC 1645 NEWTOWN ROAD operation,all Contractor Name Address responsible parties must comply with 310 COTUff MA 026350000 5086480269 CMR 7.00,7.09,7.15, City/Town State Zip Code Telephone and Chapter 21 E of GARY GUSTAFSON 5084289518 the General Laws of the Commonwealth. Construction and Demolition On-site Manager Telephone This would include, but would not bw 2.Licensed Contractor Supervisor: limited to,filing an asbestos removal GARY GUSTAFSON CS074640 notification with the Department and/or a Supervisor Name License Number notice of release/threat of 3.Is the entire facility to be demolished? r_J Yes r No release of a hazardous 4.Describe the area(s)to be demolished: substance to the Department,if ONE SMALL WALL IN OFFICE TO CLOSE IN WALL applicable. MassDEP Use Only 5.If this a construction project,describe the building(s)or addition(s)to be constructed: Date Received CONVERSION OF SMALL OFFICE TO A BATHROOM rn''I 6.If this is a demolition or renovation project,were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? ❑Yes F No 7.Was asbestos containing material(ACM)found? Yes r No If a survey was conducted,who conducted the survey? Name Department of Labor Standards Certification Number Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention•Air Quality 100223450 BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this address is: This project ry—j Construction r Demolition is: 7/8/2015 7/28/2015 Project Start Date(MM/DDNYYY) Project End Date(MM/DDNYYY) 8.For demolition and construction projects,indicate dust suppression techniques to be used j Seeding r—j Wetting r�—oj Covering r—j Paving Fj Shrouding j Other-Specify: 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? Name of MassDEP Official Title Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number A Certification "I certify that I have personally JEAN BOWDEN examined the foregoing and am Print Name familiar with the information contained in this document and Authorized Signature all attachments and that,based ASSISTANT TO GARY GUSTAFSON on my inquiry of those itle individuals immediately CAPIZ I HOME responsible for obtaining the CAPIZZI HOME IMPROVEMENT,INC information, I believe that the Representing information is true,accurate,and complete. I am aware that there Date(MM/DD/YYYY) are significant penalties for submitting false information, including possible fines and P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 Massachusetts Department of Environmental Protection eDEP Transaction Copy ILI I Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: CAP1645 Transaction ID: 753260 Document: AQ 06-Construction/Demolition Notification Size of File: ss.00K Status of Transaction: in Process Date and Time Created: 6/26/2015:5:34:20 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of Environmental Protection Bureau of Waste Prevention•Air Quality BWP AQ 06 Notification Prior to Construction or Demolition r This is a revision to an existing form. Project ID for existing form to be revised: f r This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: r This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: _ J r None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 `�05/11722015 23,:12 508778-9551 GANTUVi PAGE 02/08 Page 7 of 7 Cap=- i Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BVILDING PFRNHT I M,4�5 l d ' 6 14°/��P� OWN THE PROPERTY LOCATED AT 154 Barnstable Rd_ IN Hyannis,M ASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT T:ACT AS MY A:CrENT TO APPLYFOR A BUILDING PERMIT IN ACCORDAN�:E WITH 780 CMASSACHUSETTS.STATEBUILDI1vC ODIC. C /4P sill4? ® 1.7,"4%ft STD V ,v orvE MY PERMISSION To LESSEE TO APPLY FOR A 13MLDING PERMIT IN ACCORDANCE WITH 780 CMR,THE MA,SS.ACHUSETTS ,STATE BUIL,DI�TCr CODE SIGNATURE OF OWNER: t. OWNER'S ADDRESS. OWNER'S TELEPHONE: LESSEE'S SIGNATURE, LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICA;NT'S SIGNATURE: APPLICANT'S ADDRESS: 1.645 Newtown Rd.,Cotuxt,MA 02635 APPLICANT'S TELEPHONE, 508--428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: JI,IZ xv:q Ib:41:b0 Guard Insurance Guard Insurance Group III DATE(MMIODIYYYYI acoRNa® CERTIFICATE OF LIABILITY INSURANCE 12 30 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 $FLOW: THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,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 endorsements). PRODUCER CONTACT NAME: ROGERS&GRAY INSURANCE AGENCY,INC. PHONE rAX AIC No Ext: AIC No): 434 Route 134 E-MAIL ADDRESS: INSURER(Sl AFFORDING COVERAGE NAIL iJ South Dennis MA 02660 INSURER A: AmGUARD Insurance Cam an INSURED INSURER B CAPIZZI HOME IMPROVEMENT INC INSURER C: 1645 NEWTOWN ROAD INSURERD: INSURERE: _ COTUIT MA 02635 INSURER F r ` COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S 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. L R TYPE OF INSURANCE L S POLICY EFF POLICY EXP LIMBS INSR WVO POLICY NUMBER MMIDDM'W MMIDD GENERAL LIABILITY EACH OCCURRENCE S OAN.4G O RENTEO 71111 MERCIAL GENERAL IJABILITY PREMISES Ea oaurrenca S CLAIMS-MADE OCCUR MED EXP(Anyone persan) $ _ PERSONAL&,.ADVINJURY 6 GENERAL AGGREGATE 3 GEN'L AGCREGATE LIMIT APPLIES PER, PRODUCTS-COMPIOP AGO $ POLICY jEC7 F1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE UN 1 Ea accident S ANYAUTO BODILY INJURY tPerperson) s ALL 01d1NED SCHEDULED BODILY INJURY(Per acadenl) $ AUTOS .AUTOS NON-OWNED PROPERTY DAMAGE 5 HIRED AUTOS AUTOS eraultim l UMBPJELLAUAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLALNS•MADE AGGREGATE $ DED RETENTION$WORKERS 3 COMPENSATION TLA OERA AND EMPLOYERS'LIASIY YIN R2WC527200 12/25/2014 12/25/2315 M7 ANY PROPRIETOR(PARTNERIEXECUTIVE NIA F-L EACH ACCIDENT S 1,000,000 OFFICERA ENDER EXCLUDE[ (Mandatary in NH) E.L.DISEASE-EA EUPLOYEE S 1,000,000 If yes,describe Under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LUAIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD iet.Additional Remarks Schedule,if more space Is required) Thomas Capizzi Jr is covered by the workers compensation policy.. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable 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 t ©1988-2010 ACORD CORPORATION, All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD s L _ I .. .. .... . ... .. . ,<. The Commonwealth of Massachusetts Department of IndustrialAccidents y Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 wwla.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LegiblyName(Business/Organization/Individual): CAPIZZ I HOME I M PROVEN ENT,I N C. Address:1645 NEWTOWN ROAD City/State/Zip:�COTUIT, MA Phone#:508-428-9518 Are you an employer?Check the appropriate bog: Type of project(required): 1.0 I am a employer with 40+ 4. ❑ I am a general contractor and I 6 construction 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 ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp.insurance 3 required.] 5. F1 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.E]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 41 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:AmGuard Insurance Company _ Policy#or Self-ins.Lic.#:R2WC527200 �r Expiration Date:12/30/2015 Job Site Address:l Y 15 4)yy �,4 n le R0 City/State/Zip: �y maj �`� �� 6' 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 thepains and es ofperjury that the information provided above is true and correct. d f / D i� Si ature: Date: Phone#: 508-428-95116 Official use only. Do not write in this area,to be completed by city or town official. J 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#: 6eeoo�vrrtooacaeall�o� aaoac�ccaelt - I6ce of Consumer Affairs&Business)[regulation ]License Or registration valid for indh idul use only ME IMPROVEMENT CONTRACTOR before tine expiration date. If found return to: egistration:;.-100740.• Office Of Consumer Affairs and Bush ess Regulation: Expiration:;t-fi%23[20j'6 . Type' 10 Park]plaza-Suite 5170 Supplement Card Boston,MA 02116 CAPIZZI HOME IMP,ROVEMENT 'INC. GARY GUSTAFSON , 1645 Newton Rd, . � Cotuit, MA 02635 w Undersecretary 'r 1�Tot va e'd-wit➢nout signature CD CD .! CD ca v � O. �V5y77 �pyL v�i �^ 4}0 p Cj CD o ro e� .. o � �. h ca C In any' N 1D ry ( ® � s C M CD l y ~ N d vi = �. r D l G��sc� /��e e/' �� TOWN OF BARNSTABLE BUILDING PELT APPLICATION Map Parcel U 3 G Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 4fiMYi"A13/e, Rd Village IJY.1-'ty1'5 Owner C 14 k sr4V /e di'0 tllpe/f'ifiN + Address a 00 9.4 5J-6 Rd f hi��-rac✓a Telephone 3 � ./ t3 c7 ��`d�,� 7/A/CA 1 fJEA� f' ADio /�E.Dirf 7� , Permit Request e " c ✓f,�/e ©�/y - �d� e /��z��•z�� yDo�u�t y �j�l o1I e, /d /4 it W Square feet: 1 st floor: existing 116proposed G 2nd floor: existing D proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation eQ Construction Type U)1109 iW-4A. Lot Size Grandfathered: U Yes U No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family U Multi-Family(# units) dr"Flee Age of Existing Structure Historic House: U Yes ' U No On Old King's Highway: ®Yes U No Basement Type: U Full U Crawl U Walkout U Other Basement Finished Area(sq.ft.) U Basement Unfinished Area(sq.ft) 3 164 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: Q existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: UAas U Oil U Electric ® Other Central Air: W'es U No Fireplaces: Existing New Existing wood/coal stove: U Yes Detached ga afge: U existing ® new size_Pool: U existing U new size _ Barn: U existing U new size_ Attached garage: U existing U new size _Shed: U existing U new size _ Other: Zoning Board of Appeals Authorization U Appeal # Recorded U Commercial ®'Yes U No If yes, site plan review# A)14 Current Use 6 01) !-e, 6011 AIJ •(oh1wi�"I Proposed Use 16 All/11/'/ ' APPLICANT INFORMATION__ (BUILDER OIL HOMEOWNER) T -- - - Name 4/ r'-'jeii Telephone Number ( A+ Z7 /�c�pie .�dr�/" ��Nf �, Ye ��;, �r�� Addr/ss l� �.' Le i he a)� jZ� License# CP--f0itj -Y4 0 2 Home Improvement Contractor# IdA Email G - � C (4-f e- (yP•/je r Worker's Compensation # /? I? UIC 34 00 ",4LL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ®ATE e /02 Z/ S-1 -11� :,F� FM 130puff. iW r F! T'I TOWN, OF BARNSTABLE, MAS ' - Do& 31 itsi 74 , THIS IS TO CERTIFY THAT' A' PERII�IT IS HEREBY GRANTEM TO, 6% I dolph Harnois Bamstable ............................................................. .......... I (PROPERTY OWNER) !APPRESSI Y" J Lr 11 4dd camere La L �,Z5 'TO ........... ............... ............. .........I................ (BUIL (ALTER) (REPAIR) g, �'O AU 514 acj� f to 3. .......................... jr. (Typ OF 86 D114 (APPS 0 i54 M Zbl-d v0 -,tf LOCATIOK�� . ........ (STREE AN NUMBER) (viLLAaal -,NAMZ'OF,BUl D R-,OR CONTRAC R Omer :J- APPROXIMATE 'C St -.k.41 Cpr THE RULES ;AND REGULATIONS OF T B AGRE NF RM TO ALL. I HERE HE T,6W L OF BARN6TABLE, R AR N�6*`, E- ABOVE CONSTR'U'CTION. ........... IOWMER) (CONTRACTOR) 4� :PUILDING: I NSPECTOR Su 10-0 b. 'to Aopro4al'of'lloard of Healk �v-t�..�- �: 1. -�.' -, � r'- - .., ; , 0 ILI i /1/ ,17 we Lor- s L _ _ P�6FTHE TOyy TOWN 0F,, BARNSTABLE Baaa9TsaL$ r ASSESSORS' OFFICE �p i63q. p MAY h� 367 MAIN STREET, HYANNIS, MASS. 02601 775-1 120 BOARD OF ASSESSORS DIRECTOR OF ASSESSING ROBERT D.WHITTY d� �(`� 1 ----Z. I 9 VA' sessor's Office(l.U�or Map , Sd 7+ Parcel . Permit# Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Date Issued 1,9- 'G ' Board of Health(31d floor)18:15 -9:30/1:00-4:45) Fee engineering'Dept. (3rd floor) House# / �" SINE Planning Dept.Qst floor/School Admin. Bldg.) - • SARNSTA1316. DefiniJ1anApprd by Planning Board 19 _ 6�TOWN OF BARNSTABLE Building Permit ApplicationProjec Village ' g Owner Address Telephone `Permit Request o"/ First Floor square feet Second Floor square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type/ Commercial ✓ Residential a Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ,/ DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) _ FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. « ADDRESS + VILLAGE OWNER - DATE OF INSPECTION: FOUNDATION f y • FRAME INSULATION FIREPLACE .. s ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH { FINAL — + GAS: ; ROUGH , FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i I Robert Mitchell Professional Building & Remodeling a 778,5919 Ctrttfwate of fflanx Rem�tame UMT1120 on= by APPUGTION a Academy Tent & Canvas SRN a'` 2910 S. Alameda Street me�OihN`� F-337 - Los Angeles. CA 90058 5-31-94 ( 3) 234-4060 - Thls 4 to cedify that the materials described on the reverse side hereof have been Aame- retardant treated(or are inherently nonAommabJeJr - FOR._�ty Cdpe CQi �epit 660 1Lacartlsut Blvd. Pocasset I#!A 02 55 9— ^ �• GN = CedlAcation 4 hereby made thalr (Cheek "ad/ ar"b") - (a) The articles described on the reverse stile of this Certificate have been treated with a flame-retardant chemical a -_pproved and registered by the Stale Firs Marshal and that the application of said r chemical was done in conformance with the law$ of the State of California and the Rules and Regulation of the State Fke Mar". Name of chemical .»Chem. Rep. Nor......._........»»»»... Method of application. X (b) The articles described on the reverse side hereof are made from a flame-resistant fabric or material =s registered and approved by the Stale Fin Marshal for such use. Trade name of fl0n0-resistant fabric or material used.» X214 Vin I »...»..»».........x.......Rev. No..»F:337» , The Flame Retardant Process Used ....Will Not Be Removed by Washing David Bradley Tom Shapiro- By p President � Name of Applicator or Pmducpon Superin0endent Title ***PLEASE NOTE, YOU MAY NEED THIS CERTIFICATE TO BE ISSUED A PERMIT FOR YOUR TENT. PLEASE CHECK WITH THE BUILDING INSPECTOR AT YOUR TOWN � � 1 S Mrs The Cununrunwealth of Massachusetts Department of Industrial Accidents +` iiw _ - Offleaoffov8092lfoos 600 11 ashin,ton Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ARnlica�n nformation:� - MiRePIURrie t�ly s _";;_"_ ._7— I 1 a homeowner performing all wort:myself. am a sole proprietor and have no one working in any capacity 0 lam an employer providing workers' compensation for my employees working on this job. company name: address: city: phone#• . insurance co. _Rniisy# 1 sole ro rietor eneral contractor,or homeowner(circle one)and have hired the contractors listed below who have the following worke ' compensation polices: .n ,/LTG/ city: in�u-ranee co.�g4 s -(4.k/S �'tyy.# U) f e oeg2 o l �rneJr.--- �?'Y7'.�!�R•Kr„S ..' »:, _ _ _ _'T�CE :r�3!!M�:L RS iF!^ ?!`�y'9R4329!isY:.!''7i ctimnanv name: address• ci v: phone it: ip�urance co. uglia# :Attach additional'sheet if tiecasery .,; •w �c;�t; .tr r±r ;.;�^ =•�h� `� "' ; Failure to secure coverage as required under Section 25A of 51GL 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 line of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of investigations of the D1A for coverage verification. I do herehr certlfj•under p its a d penalties of pedmiy that the infornmdon provided above is true and conecL Signature �� ate ITS / -"-nt name � n/s /Jx�'`✓✓ Phone# r 0 lCial use only do not write in this area to be completed by city or town oflleial city or town: permit/llcense p nBuilding Department Licensing Board ` D check if immediate response is required (3Selectmen's OMce (311ealth Department contact person: phone#;, riOther Imned 1,'95 P1A) 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 ennp/oree is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emplityer is defined as an individual, partnership,association. corporation or other ;cgal entity, or any two or more of the fore=oin 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 tite 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 1'S2 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 in 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.77, - 'L .r Applicants Please full in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers 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. —..�,�.,1rs�wR�err�.�,.,m,.R.,i:w.....a'+•ew! ?ar!4 ;! �''..1J .....:y .Lb 1 `.t s, ::s + . +r.•. .rN�,ac•,`.,�IQ Cite 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 full in the permit/license number which will be used as a reference number. The affidavits may be returned 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. _ 7 VY:•M. . 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 fax#: (617)727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 q gg;�g$t�19 v�1t A�y 11�+ . ICi K'!$ 1[� @.Jl~'l. Y 1 k7llO tS a �Le T.FP }.� :. ISSUE DATE (MM/DD/YY) ......:.......:... . .................................................................................................................................. 10 27 95 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS • NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, RYDEN & SULLIVAN INS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 8 FALMOUTH ROAD COMPANIES AFFORDING COVERAGE YANNIS MA 02601 COMPANY A TRAVELERS INSURANCE CO LETTER COMPANY R EASTERN CASUALTY INS CO INSURED LETTER ROFESSIONAL BUILDING COMPANY C REMODELING LETTER OBERT MITCHELL COMPANY D 3 SUNSET LANE LETTER STERVILLE, MA 02655 COMPANY E 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 POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS TR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY 6 8 0 3 6 4 K6 0 41 TR I 0 5/2 0/9 5 0 5/2 0/9 6 GENERAL AGGREGATE $ 2 O O O O O COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 2 O O O O O CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY $ 110001 O O HOWNER'S At CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 O O O O O FIRE DAMAGE(Any one fire) $ 50, 000 MED.EXP.(Any one person) $ 5 00 AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ GARAGE LIABILITY RPROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ ........................................................................................ ........................................................................................ :lTHER ....................................................................................... THAN UMBRELLA FORM WORKER'S COMPENSATION WCP 0 0 0 2 511 0 9/21/9 5 O 9/21/9 6 STATUTORY LIMITS ANDEACH ACCIDENT $ 100, 000 E`4PLOYEP.S'LIABILITY _ DISEASE-POLICY LIMIT Is 500, 000 DISEASE-EACH EMPLOYEE Is 100 , 00 GTH• PROPERTY 680364K6041TRI 05/20/95 05/20/96 DESCRIPTION OF OPERATIONS/LOCATIONS/VEIHCLES/SPECIAL ITEMS ORKERS COMPENSATION POLICY — STATE OF MASSACHUSETTS ONLY CERTIFICATEiO.LDER CANCELLA`I IfIV ... ... .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO CHARLE S BROWN M14@_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 565 MAIN STREET LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR HYANN I S MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHOR ED REP ENT IVE INSURNET�5-S(T�90)... T INC 90 " COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY J , f OF • ONE ASHBORTON PLACE r i ' ,,.•1_I. �I o:'g.'sGt MASSACHUSETTS BOSTON,MA 02108 I+ r - � I ��ir is r+• !..R C EN S ; •. ;"CAUTION tit EXPIRATION DATE '"";C` C � ,5 1 ft. SUPERVISOR FOR PROTECTION AGAINST r.' O 3/0 8/1 9 96 RESTRICTIONS' EFFECTIVE DATE LIC-NO. j THEFT; PUT RIGHT THUMB �CEJ51 u2/23/1 ��4 � PRINT IN APPROPRIATE . NONE . j �i C o t .,�OXB CENSE. f {MI Z T C 14 E L�. � �oa+cam+auivyya.,.., . r 3 S fig;;ET LANE Z I)'' BLASTING OPERATORS ' OSTERVILLE MA 02655 ', ft4UST°tNtLUDEP.HOTO,,, ! i ..PHOTOJBLASTINGOPR,ONLY) FEE' `•� I� FEB 16 1994 r P ( y r � C)�•`�� I t. NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I � JJY r,�.. HEIGHT: - - lS STAMPED-OR-SIGNATURE OF THE COMMISSIONER THIS DOCUMENT MUST BE �` V I - CARRIEDONTHEPERSONOF.1 SIGNATURE OF LICENSEE y THE HOLDER WHEN OTHERS-RIGHT THUMB PRINT GAGED IN THISOCCUPATIOIO N I •�JER fi '� }„y x' �,�; fn �'�;✓i6e ............ a` w {z uae�lA" jl - - : HOME, IMQR.OVE�I NT�COKRA�tOR r d ' frRegistrratio ft,,0069 r m`� a trypewK 'iINDIVQUAL rz. , Expiratgn ` DnF t ;Tx Ati,: r 'w.,.33-SUN ✓1[IA�G •``rF�i¢ rtA� ` � ..•. - C^' tiMQ o:� $dERVILI E MA'I�02655 fi ADMINISTRATOR ri- z w j o ou� v V E � � N to ,N tll 54' Z lQ _� r3 V 12" 42- N �2 V I N_ KNEEGLEARANGE <� M U Knee T-t—ce must be a minimum 30 p.-(36 to use es pert of the T turn)and mt l I all clear space under the cabinet. counter or sink for a depth of W.The red 9'of depth may slope om to doe height of 9',dth a clear space of et least 1 T'o—dirg ), beneath the elemeM.(AN51506,3) TOE CLEARANCE Toe dea oo space aneere-1,1-torappllmke is botree,the TOILET GRAB BAR5 flmr eM 4'above the floor.Where toe oo s1,e k re t, as Toilet:Grab bars should be provided on the rear wall and on the Q 6. part of a clear floor space,the toe rtoa dece shoals a#ertl 1T' ` mmum benwm the demure(ANSI At11.1 306.2) sidewall closest to the toilet.The sidewall grab bar should be at W least 42"long and located between 12"and 54"from the rear O 11• wall.The rear grab bar should be at least 24"long,centered on 1T" (FOR VANITY STYLE SINK) the toilet.Where space permits,the bar should be at least 36" rOv long,with the additional length provided on the transfer side of O iL the toilet.(AN51604.5)(d1 and d2) 5' [L ED - :. _ TOILETAPPROAGH When both a parallel and a forward approach to the toilet are provided,the clearance should be at least 56"measured perpendicular from the rear wall,and `f Ib0"measured perpendicular from the sldewall.No �— other fixture or obstruction should be within the 1 ? clearance area.(AN51604.3.1,1002.11.5.2.3) /I 1t v In I 5-0"VIA TURNING RADIUS Q L — —� 6 b � ADD PENT,LOCATION TBD BATH M i „ REMOVE FIXED VINYL FLRG GLA55 UNITS s EX.(DROPPED)GLG HT 95" Y N lQ N (REPLACE 32") X a WITH 36"WIDE DOOR, L EX15TING DOOR HT TO REMAIN A5 15 0 3066 S REMOVE FIXED GLA55 UNIT Date: 6-23-15 PLAN OF PROPOSED BATHROOM scale: 1/4"=1'-0" ` Revisions: Final: BUILDER TO CONFIRM ALL CONDITIONS AND DIMEN51ON5 ON 51TE it P VOC BARNSTABLE ROAD 1926 WIDENING l� LOT 3 �`��'�- -•` 5. u HOtYlxllat' 'i a ,_ — f 7 al�ni'Y, s 1 ro .4 ` C.Bd w/d.h. /. Set •j �— LOCUS MAP GERASIMOS YANNATOS SCALE: i " =2000 ' c — o / � asp ea 0 CO �� a CHARLES LOCKHART A�, Mr o be /s /19 / Q o� 40.13 i �j . ix S'T tij0 39.63 _ Biturriinc � s �� lScc _ /SA, 40 L 40x O o n `C 14 40.00 C CO 79 3950 ; n 1; \Q N_ A, 13 <JO p a (0 o =r 2 �, 8x9 37x62 41x5 11 R E C N A RG E SURFACE x8s WATER DRAINAGE `g / 39xio \ SYSTEM 10 standard 18/5 26 CB' With d Found Setls MasSC; osnframe&gro $ ppwnEI,3900/1 catch b te N 40-00 9 lP �• /6'Diom. x fi deep Precast H-2 0 39. 39.50 4\ I ' Leaching Pit with to Z washed 39. p stone all around creating o 22'x22' Recharge Area . x a, 0: 3 9x86 7 L 0 T A 38x 25 C ROMWELL COURT CO . w 6 39x4i 28,690E S. F 39.9; m I U 3 9.4:n In W Z - W :-- ._—., Drive-in C `` S 5 indow Spike Set a 0.72 ` 36 _T J / Q 40x0 " � 69 1 3E x . 4 41 x P 5 Q 39x94 ,4 4.33 .0, o 11 _ 4 CV 0 x04 v=) Go og (n PHILIP ASACK C:)Gas 4� I ! ` e� ee ao �\ Pole ✓ �1w Me19r a I�' 1 I `� o �`¢ roc 3 > 1; ( ; I �� ti J e 2 o cn I w 39Q i 0 8- -10 10. p LL Q ; down Q° (EXISTING BUILDING 4ox ti 39x75 (DI J _ _° F I! EXISTING SEWER MANHOLE r ro.7z� _ _ —10' 8'--a I a �` w RIM Elev. = 37.4 8 LEGEND TO BE REMOVED. '' ��39t91 2 � a INV. Elev.= 31. 93 r I Y. �5 s � - Q Q NEW CONNECTION TO BE MADE �( I�OPff&6 " ;��aflmm 0 o z ta Y AFTER VERIFICATION OF LATERAL nw = �f a, " _ v-� -LOCATION... -- -- --- 40,00 PROPOSED ELEVATION. Q I -0 1_7 Y Cr G Q I 1 I ,/ (� To be Landscaped to G 40.0 TOP OF CURB U m w a/ ° r f X V ( PROPOSED) . L39.50 BOTTOM OF CURB I 1UJ Xx, 0D 36x75 C! 00x00 EXISTING SPOT ELEVATION OJERHEAD POWER LINES 1, 4 TO BE REMOVED ---� ' �1�a I E 39x45 1 E 41 ° STOCKADE FENCE ' m_33'}- m 3 � _ 6" METAL. :t"CIE r4 ACE WATER MUST —o—o— 4' HIGH CHAIN LINK FENCE' ENCROACHMENT _ _ 6 I --- SIGN POLE SELF CWZTAINED BENCH MARK ' E 20 ; 39x34 38x74 PHONE — G— G— EXISTING GAS LINE SPIKE SET IN BASE OF �40x3 �,e, BOOTH �j — —II�-- E-flh- OVERHEAD ELECTRIC LINE POLE EL=40_OO(ASSIGNED) VALVE `e m —`%r / 37x69 GUY WIR��__. 3 56 - — T--- OVERHEAD TELEPHONE LINE = i_39x25T-®38x - _ _- - - --- --- __ _ '•6x3s�5 �► A 35x22 IDEWA�K= - - 20. z z a T= - s T = _ - -SIDEWALK TER T= - ==-UNDERGROUND TELEPHONE DUCT �_-� .1 - " 37x19 -- ---- —36xz GATE -- - - -T- - - UNDERGROUND TELEPHONE LINE oNC.11, CURB G 3ax CONCRETE / CURB 107 88' �20'Proposed� POLE 167 /15 -' POLE 16 7/ 16 A curb-cut a NOTES � G \\ 0 SEWER �, MANHOLE p,o° I. LOCUS IS IN ZONING DISTRICT B. B A R NSTA B L E RIM= 38.61 �� R 0 A D 2. LOCUS IS IN FLOOD HAZARD ZONE C F ( WIDTH VARIES ) INV=26.7Z��.: 3. ASSESSORS NUMBER 327 - 036 4 UNDERGROUND UTILITIES ARE SHOWN IN THEIR APPROXIMATE LOCATION. LOCATIONS SHALL BE C� POLE 167/ 16 VERIFIED BY THE RESPECTIVE UTILITY COMPANIES, 5. ELEVATIONS ARE FROM AN ACTUAL ON THE GROUND SITE PLAN 0 F LAND INSTRUMENT SURVEY. ELEVATIONS ARE BASED ON CHARLES PREPARED FOR AN ASSIGNED DATUM . ST CONWAY REAL ESTATE 6. PARKING DESIGN BY OTHERS . 7. AREAS DESIGNATED TO BE LANDSCAPED WILL BE FULLY PLANTED I N WITH LAWN AREAS, SHRUBBERY BEDS, FLOWER BEDS DECIDUOUS HYANNIS BARNSTABLE , MASS . TREES 8 to 10 ft. TALL AND EVERGREEN TREES 6 to 8 tt. TALL. THE PLANTING WILL BE DONE WHEN THE BUILDING IS COMPLETED SCALE: i " - 20 x DATE: AUG. 13, 1985 r` pf IN ORDER TOACHIVE THE MOST ADVANTAGEOUS LOCATIONS 0, RELATIVE TO THE BUILDING SITE AND ABUTTING PROPERTY. ho lmes and mcgrath, inc . surveyors � 1• civil engineers and 1 t��. OlD�ii�Mf�9rdFa ;rr 200 main street falmouth, ma . 02540s',;sl"f�C`� ` DRAWN: MJB , R.S.J. CHECKED: 6' -A trno Kin. caF;00F, n w s NOS 36—q-4 R _