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Home My WebLink About0115 ENTERPRISE ROAD 7�;� �' y„ �� . ` Towns of Barnstable Building �'H � <�rrs y.i ;�,, .�.4.,. �'�v^1 ,�l azs�'�.,, PostrTh�s,Card So That s Uis�ble,From th:e,Street„A roved;P,lansMust beRetamedon iob and::th�s Card„Must'be Ke t + �AR1MAS&S3.6;. x .. ;, r..�, a r. '"" PosteUnti1 Finallnspection Has.BeenM,ade y _ Permit �a • 16311• � � t' � i �. ::'. ". �,.'ice �:x , x ak,tu� i s a ��x 'f �r� � ° Where a Certificateof Occu anc his Re ured�suchBuitdin sl"all Notbe Occu ied`u'ntil a.F�nal.lns ectaonFhas been=,mad Permit No. B-16-2939 Applicant Name: James Breault Approvals Date Issued: 10/27/2016 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/27/2017 Foundation: Location: .115 ENTERPRISE ROAD, HYANNIS Map/Lot 294-055 Zoning District: B Sheathing: s� �, Owner on Record: 115 ENTERPRISE ROAD LLC Contractor Name: DAMES A BREAULT Framing: 1 Address: 115 ENTERPRISE ROAD Contractor L�cen�se CS-034761 2 HYANNIS MA 02601 Protect Cost: $74,000.00 Chimney: r - Description: Install new single ply PVC roof system on complete build g. Permit Fee: $ 160.00 Insulation: Project Review Re Install new single I PVC roofs stem on com fete buildin ��Fee Paid r $ 160.00 J q g ply Y R g < D to 10/27/2016 Final: i as �� x rf4z. Plumbing/Gas b'ng/G x� s Rough Plumbing: ' y uildin:B . g Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months affer issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl cation and the.approved construction documents for whictthis permit has been granted. q:% All construction,alterations and changes of use of any building and structures shallfbe in compliance with the local zoningsby laws.and codes. Final Gas This permit shall be displayed in a location clear) visible from access stree r-' n shall Py t o road,a d s a be maintained open for.public,'tnspection for the entire duration of the• work until the completion of the same. P f Electrical The Certificate of occupancy will not be issued until all applicable si naturesb tithe Bbildin -and Fire Officials ate 7'vie P Y Pp g Y g., p o,- detl on,this ermit. P Service. Minimum of Five Call Inspections Required for All Construction Work ` 1.Foundation or Footing x Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT . _. Dnrc�r/E Crw�L-S�i✓7- Sign . TOWN OF BARNSTABLE Permit 1^ BARNSTABLE. • MASS. i0?16 9. A� Permit Number. Application Ref: 201404352 20071004 Issue Date: 07/03/14 Applicant: MCCARTHY, DAVID L Proposed Use: GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 115 ENTERPRISE ROAD Map Parcel 294055 Town HYANNIS Zoning District g Contractor PROPERTY OWNER Remarks REFACE EXIST SIGN TO ADD 4.5 SQ ON SAME TEXTBOARD NANTUCKET NEW MEDIA Owner: MCCARTHY, DAVID L Address: 142 WINSLOW GRAY ROAD WEST YARMOUTH, MA 02673 Issued By: pC._ �J . : POST THIS CARD St) THAT IS VYSIBLE FRO1V1 Tl�E STREET ��TMET ti Town of Barnstabl%WN OF BARNSTABLE Regulatory Services BAR� ' 'E' Richard V. Scah,.Director 2014 ja -3 AM, 9�. l Eo 9.�"tee Building Division , . 0 Tom Perry, Building Commissioner A200 Main Street, Hyannis,MA 026 IQ Vi www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building Official approving /f Application for Sign Permit Applicant 1�J�)O�L91 QA—J- &k� /^10—_1(ek Assessors No. Doing Business As: an c, Telephone No.—Sb Sign Location (� Street/Road:_ �� Q so Q'0 0a Zoning District:_Old Kings Highway? Ye /No Hyannis Historic District? Ye(So:) Property Owner n / Name: l Eve P/7 Je " \ C-LC Telephone: 02 �l1 f 16C5 Address: ctDes ej S'P o`c/` t Village: Sign Contractor ! kt--QS Name: e i 43 Telephone:_S6 4t P/C 3cf3 I t. Mailing Address: IL Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes (Note.Ifyes, a win4pem t is required) Width of building face D ft x 10- XC�10_x.10=�— Check one Reface existing sign or New Total Sq. Ft. of proposed sign (s) �- Ifyou ha ve addi[ional signs please aaach a sheet lisdng each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: /!.i J z Date -7 3 1- A 1 , SIGNS/SIGNREQU revised110413 Town of Barnstable Regulatory Services BMMSfABLE, r Mnss. $ Richard V. Scali,Director i639• �� '0rE0,�plA Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS l. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale F'= 1'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revised110413 I a S N ' 11 ERLANIE) �4, �� RINTIN� FULL SERVICE OFFSET & DIGITAL PRINTING SPYNantucket New Media,.,.. Y 911 x 66" (4. 13 sqa J Face: 80' Buildin . Vot 1 9'Z 5 rl L.P- EVR J r� (Z o•n T A DATE: Tuesday, January 07, 2014 CLIENT: CONTACT: PHONE: WC( -===e) FILENAME: sunl APPROVED BY: 103 ENTERPRISE RD., HYANNIS, MA 02601 1 M :o ®9'� ••ems]• abm am am 99 Memo m 508-815-3431 m MEW @mmm mmffm@E9m ammmommam mumvAMom •' •' 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.) Business Certificates are available at the Town Clerk's Office, 1"°FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: I �� , Z-0 I Fil in please: tit�u,af'h1Yw�ru'�?i�F �i" APPLICANT'S YOUR NAME/S: Ifj i7ar Lall ia'ls N'T �h' .-' r,rE' BUSINESS YOUR HOME ADDR SS: 1 zoo 1 TELEPHONE # Home Telephone Number Sb a 6 4 3 NAME OF CORPORATION: /ilea Cr �5 a/'-�//q ZI 1 NAME OF NEW BUSINESS ; s S, Qe TYPE OF BUSINESS IS THIS A HOME OCCUPATIO ? E O ` ADDRESS OF BUSINESS 4-1)(l MAP/PARCEL NUMBER T (Assessing) Z6a When starting a new business there are)several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING C011/MSSI0 ER'S OFFICE This individ al he e iQform of an p mit requirements that pertain to this type of business. WC Auth rized Signature COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. _ Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: } Town of Barnstable Building Department - 200 Main Street ASTABLE. ' MA 02601 MAC. �, Hyannis, 9q, 1639. . 15081862-4038 �FD�A - Certificate of Occupancy Application Number: 201305104 CO Number: 20140011 Parcel ID: 294055 CO Issue Date: 02/14/14 Location: 115 ENTERPRISE ROAD Zoning Classification: BUSINESS DISTRICT Proposed Use: GENERAL OFFICE BUILDING Village: HYANNIS Gen Contractor: GALLAGHER J. DANIEL Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: SUNDERLAND PRINTING Building Department Signature Date Signed tNE TOWN OF BARNSTABLE R'�'^': ■ ' � Tpw� �, 201305104 * BAxNSrAsLE. Issue Date: 08/05/13 PerM i t y MASS. �A i639• �� Applicant: GALLAGHER J.DANIEL ''`'- rFC MAC A *1� r ,Permit Number: B 20131850 Proposed Use: GENERAL OFFICE BUILDING 'Expiration Date: 02/02/14 Location 115 ENTERPRISE ROAD Zoning District B Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 294055 Permit Fee$ ,. 455.00 Contractor GALLAGHER-J.DANIEL Village HYANNIS APP Fee$ 100.00 License Num 53638� 3� Est Construction Cost$ 50,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TENANT FIT OUT FOR DBA SUNDERLAND PRINTING WIDEN 6'DC ORTHIS CARD MUST BE KEPT POSTED UNTIL FINAL_ WAYS TO 6'REMOVE SIDING AND SOME PARTITIONS INSPECTION-HAS BEEN MADE. WHERE A CERTIFICATE OF: ,R OCCUPAN.CY ISEQUIRED,SUCH Owner on Record: MCCARTHY,DAVID L BUILDING-SHALL,'NOT�B�E OCCUPIED.UNTIL A FINAL Address: 142 WINSLOW GRAY ROAD f #)' I SPEC'FION HAS.BEEN;iVIADE: WEST YARMOUTH,MA 02673 Application Entered by: PF Building Permit Issued By: � , THIS PERMIT CONVEYS NO RIGHT TO QCCUPY-ATY STREET ALLEY.OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PE RMANENTLY F BNCROACHMENTS 0 UBLIC PROPERTY NO; SPECIFICALLY PERMITTED UNDER THE BUILDING CODE'MUST BE APPROVED BY THE JURISDICTION STREET OR ALLEY`GRADES ASyELL AS DEPTH AND`LOGATION OF P LIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONSm MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE.FIRSTFLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECT40N. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). " 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). s i y BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 i 2 2 ;jym� `ro1� G>yn 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept / I / 2 Board of Health I _ _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map CNJ Parcel Application P?0/3c) l© Health Division Date Issued Conservation Division f Application Fee lo ' Planning Dept.t. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ,Village Owner — C&C_ S_All� Address C elephone Sow�C,�}'�l o 0 � O L VJ.� A� Q GA S A4� deal Permit Re_M� hc-►�C ��` ` �� '�c C Q sS 4� t► lay i1� 6 'QDurtJ b oVer_e�c�cxlr' C2v,_0 y-0- S ov x-e- QQ41i-i®-%.4S> Square feet: 1 st floor: existinglIO'Dproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay sr� , Project Valuation � Construction Type Lot Size GrandfatHered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (g.ft) Number of Baths: Full: existing new Half: existing 51 new �. C.0 CZ Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor MR om Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wool/coal stove: 'es ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use - _ __ -- - -- = Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name D k . Telephone Number n� rAddress iocm, License# C S 5-3 6 3 z7- Home Improvement Contractor# r' b �(tr,&Aklb�LAA 6�b6 Worker's Compensation # WCC 5-00 1 ql '-O Szo 13 i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE T DATE j" FOR OFFICIAL USE.ONLY �z a APPLICATION# — r 'v DATE ISSUED " i MAP/PARCEL NO. r ti ADDRESS ` �' VILLAGE OWNER it k DATE OF INSPECTION: , _-FOUNDATION,_• SF 1 `A FRAME 't INSULATION ;r ° FIREPLACE ,t it ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. 4 • ; The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): -&)O(-K$1n W ®Lc,�,. )E� •�j Address: 90, $1)�- Z"1 T City/State/Zip: U. ur e MA 0266T Phone#: 56F-7 q Ll - 3362 Are you an employer?Check the appropriate bog: 1.L1Q 1 ,-�am a employer with 4. � am a general eneral contractor and I +Type of project(required): 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 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp.insurance: 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs . insurance required:]t C. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (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: . Policy#or Self-ins.Lic.#:wcc,6 6 o 6Lt i 4Yb 6zO 13 Expiration Date: Job Site Address: ,\J� �'�' ()f��aC 1 City/State/Zip: 4-AWn t�% AA 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 e certi un r t pains d penalti of perjury that the information provided above is true and correct. Si \al. \ Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r- ACORD• CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ,M 07/30/2013 PRODUCER ;,,08.997.6061 FAX 508.990.2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 439 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 North Dartmouth, MA OZ747 INSURERS AFFORDING COVERAGE NAIC# INSURED Northern Colony Building Co LLC INSURERA: Arbella Protection Insurance_ i41360 _ P.O.Box 278 INSURERB: Merchants Insurance Group W. Barnstable, MA 02668 wsuRERc: AEIC INSl1RER D: INSURER L------ — ----- i COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MMIDD(YYYY DATE MM/DOlYYYY LIMITS GENERAL LIABILITY 85000463778 07/08/2013 07/08/2014 EACI I OCCURRENCE $ 1,000,000 DLMAZ`i RL��O -NTH X COMMERCIAL GENERAL LIAHILITY PREMISES(Ea oecurrence $ 300,000 CLAIMS MADE IKI OCCUR MED EXP(Any one person) $ S,000 A PERSONAL&AOV INJURY $ 1,000,000 GENERAL AGGREGATE � $ 2,000,000 I GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP(OP AGG $ 2,000,000 I OLICY PRO- LOC JECT AUTOMOBILE LIABILITY MCA7013965 01/05/2013 01/05/2014 ('OME3INL=D SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ B X SCFIEDULED AUl'OS HIRED AUTOS BODILY INJURY $ JI NON-OWNED AIffOS (Per accident) PROPERIYDAMAGE $ (Per accident) GARAGE LIABILITY AU1 0 ONLY-EA ACCIDENT $ t ANY AU 0 OTI HER THAN AUTO ACC $ - - AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ I—� OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE I $ HE rEN1]ON WORKERS COMPENSATION WCCS00641480520131 07/08/2013 07/08/2014 X TORY IMITS X OER _ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEISJ E,L.I_ACI-i ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? — — -- -- - (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 1,000,000 It yes,describe under r—""�---- ---`----'— SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn: Building Dept. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis, MA OZ601 AUTHORIZED REPRESENTATIVE Karen Bernier ACORD 25(2009/01) FAX• 508.790.6230 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r Nlum:utchumetts=bcliartownt of Public Sato Board 4 Building Rchuiuti011,%;tnel 5titntlnrds ' a, Construction Supervisor License. ,license: CS 53638 DANIki GAL.lAt3H9ft PO BOX 471 W SAkNSTAOLE,i,MA 02668 Expiration: 10127=13 r t'ummi;a8mrr TO; 5259 1MES. Tp� * BARNSPABLS. *' 9� ,�� Town of Barnstable �rfD Mf+'�A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,— �� L�t✓L� , as Owner of the subject property hereby authorize Oct�i� �\fit' C �cr to act on my behalf, in all matters relative to work authorized by this building permit application for: (AddreA of Job) Signa (e of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\MicrosoR\Windows\Temporary Intemet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 Office of Consumer Affairs & Business Regulation - Mass.Gov Page 1 of 1 j' The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Home Improvement Contracting HIC Registration Complaints z Registration# 167739 Home Improvement Contractor Registrant NORTHERN COLONY BUILDERS LLC. Registration Home Page Name DANIEL GALLAGHER Address 1694 FALMOUTH RD#135 City, State Zip CENTERVILLE, MA 02632 Expiration Date 10/25/2014 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fun_ d history: Back To Search http://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=6... 7/31/2013 FedEx Ship Manager,-Print Your Label(s) 7/31/13 1:12 PM From: (508)790-1100 Origin ID:HYAA Ship Date:31JUL13 Marc Sunderland ActWgt:1.0 LB Express CAD:103367828/INET3370 41 Rosary Lane Delivery Address Bar Code Hyannis,MA 02601 Jf3111302120326 I IIII II I II II IIII II I I I III II I I IIIIII II II I II I II I II I I I SHIP TO: (508)790-1100 BILL SENDER Ref# Asbestos Notification Invoice# Mass DEP PO# One Winter Street Dept# 8th Floor BOSTON, MA 02108 THU -01 AUG 3:OOP 0 0 7963 5984 8252 STANDARD OVERNIGHT 02108 r 01 LWMA . BOS 518GIfAA04/93AB —_ ............. .......... .. ...s __ _ a.,,,..._. _ ........ _. After printing this label: 1.Use the'Print,button,or:this;)age is print your€chef to your iaser irlicjet printer. 2.Fold the printed pag aiong the€,orizonta€iine. 3.Place iabel in shipping pooch and affix it to your shipment so that the barmode;o tior:of the label can be read and scarneci ri in :i ha l :rr g: anif;h: t nr y ar st iapiny. ni f a i)nC>,r c tit,c.itl5labo`:fo:s€;e;t:r!t epos<:s s fmodo:e;lt and couiC ff Tsui`:i:.adcii:i n,,= F25-n.g OaTOes,alo::g wish the ca.rreiiation of yo,,:r Fee Ex ac:-ourt Use he this system Constitutes ynssr agrcernent to ti s:rvi;;e curldit€oris in ih9 c:lfl em;:-edl-.x Servl R+:iU1tJB.avaiEable Pr;Y8C2X.Cpr'.l.r 8dtx W!:not be responsible for any cairn in excess of 3100 per package,whether the result of loss,da:naca,a i„loy,noE-deiive^;,ntisdelivery,o- misinforniatien.:!r:less v) dec€are a higher value,pay an additional charge,document your actual loss and file a timely cal:n.LimitatiCris found in the-a;r:ent Fedc.x F.ory ce Guide cooly.•'eur!ighi to recover m fro Fed x for any l<);i$.I'1CItif11r1(j E!'Itfi'lsic wj4ie of trig Qackapc,; loss cf safes;income irwest,profil,attorney's fees,casts,ail:d other forms c•f damage whether d rart.incideraal,c ei equont€ai.or special is!united if);be of of 100 or the a)fiioEized dec aced value.Rerovery cannot exceed actual documented loss.M.a.ximu:n or:terns of extraordinary•,@:UzD is$`:i,060,e.g.jewelry.,piecous meta':s,n eaotiablea in stru nien and other items In our Sa!'V:ceGUioe,Pln.' t;en ^a:nos r'usi be filed ylthn str!c:time ssee current Fad>x Service Guide. https://www.fedex.com/shipping/shipmentConfirmationAction.handle?method=doContinue Page 1 of 1 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality Please Enter Decal# ----------------------------------- ;F. BWP AQ 06 Notification Prior to Construction or Demolition Affix Notification Decal Here ------------------------------------- A. Applicability Important: When filling out A Construction or Demolition operation of an industrial, commercial, or institutional building, or forms on the residential building with 20 or more units is regulated by the Department of Environmental Protection computer, use (DEP), Bureau of Waste Prevention -Air Quality Division, under Regulations 310 CMR 7.09. only the tab key to move your Notification of Construction or Demolition operations is required under 310 CMR 7.09 (2) ten (10) cursor-do not days prior to any work being performed. The following information is required pursuant to 310 CMR use the return 7.09. key. QB. General Project Description 1. Facility Information: Instant Offset Press, Inc. Name 115 Enterprise Road Address Instructions Hyannis MA 02601 City/Town State Zip Code 1.All sections of 508-790-1100 marc@sunderlandprinting.com . this form must be Telephone Number E-mail Address(optional) completed in order to comply with the Size: Department of Environmental 11,500 1 Protection Square Feet notification q Number of Floors requirements of 310 CMR 7.09 Was the facility built prior to 1980? X Yes ❑ No 2.Submit Original Describe the current or prior use of the facility: Form To: Commonwealth of Massachusetts Business Offices Asbestos Program P.O.Box 120087 Is the facility a residential facility? ❑ Yes X No Boston,MA 02112-0087 If yes, how many units? 2. Facility Owner: Marc Sunderland Name 41 Rosary Lane Address Hyannis MA 02601 City/Town State Zip Code 508-790-1100 marc@sunderlandprinting.com Telephone Number(include area code and extension) E-mail Address(optional) Daniel Gallagher On-site Manager ag06app-1.doc•6/04 BWP AQ 06•Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality Please Enter Decal# BWP AQ 06 Notification Prior to Construction or Demolition B. General Project Description (cont.) 3. General Contractor: Northern Colony Builders Name P.O. Box 278 Address West Barnstable MA 02668 CityiTown State Zip Code 508-774-3362 Telephone Number(include area code and extension) E-mail Address(optional) Daniel Gallagher On-site Manager C. General Construction or Demolition Description General Statement: If 1. Construction or demolition contractor: asbestos is found during a Same as above Construction or Name Demolition operation,all Address responsible parties must comply with 310 Telephone Number(include area code and extension) E-mail Address(optional) CMR 7.00,7.09, 7.15,and Chapter 21 E of the On-site Manager General Laws of the 2. On-Site Supervisor: Commonwealth. This would Daniel Gallagher include,but would Name not be limited to, filing an asbestos 3. Is the entire facility to be demolished? ❑ Yes X No removal notification with the Department 4. Describe the area(s)to be demolished: and/or a notice of release/threat of (6) Doorways to be Widened to 6' release of a hazardous Interior Particians Removed /Vinyl Siding Removed to Access Overhead Door substance to the Department, if applicable. 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: ag06app-1.doc•6/04 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection \ .: Bureau of Waste Prevention • Air Quality Please Enter Decal# BWP AQ 06 Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. If this is a demolition project, were the structure(s) surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑ No If yes, who conducted the survey? Name Division of Occupational Safety Certification Number 7. Construction or Demolition Start Date End Date 8. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving ❑ wetting ❑ shrouding If other, please specify: ❑ covering ❑ other 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? Name of DEP official Title Date of Authorization DEP Waiver# D. Certification I certify that I have examined the Marc Sunderland above and that to the best of my Print Name knowledge it is true and complete. 4 The signature below subjects the Autho ized Signa ure R. signer to the general statutes Owner regarding a false and misleading Position/Title statement(s). Representing 07/31/2013 Date P.E.# ag06app-1.doc•6/04 BWP AO 06•Page 3 of 3 PURCHASE AND SALE AGRELME..NT From: Philip\•Michael Boudreau, f:sq. toudreau and Boudreau. LLP 396 North Street IKannis. MA 02601 Trl.: (SUS)775-1085 i'av(508)771-0722 Agreement made this 013,2 I. PARTIES AND 110AILING ADDRESSES Alexander J.Gribko and Claire Boland."Trustees or the acorn Rcalty Trust; under declaration of trust dated November 14, 197i.and filed with the Barnstable Registry District of the Land Court as Document No.202,552,c/o Philip Michael Boudreau,Esq.. 396 North Street, Hyannis, Massachusetts 02601.liereinalter collectively called the 51.-JJ,ER,agrees to SELL and Marc A. Sunderland.or nominee, of hereinafter called the BUYER or PURCHASER,agrees to BUY,upon the tennis hereinafter set forth,the following described premises DESCRIPTION Land and structure(s)thereon located at 115 Enterprise Road, I lyannis. Massachusetts 02601 and being shown as Lot.10,cut Land Court Plan No.29719-B, title to mhich is evidenced by Certificate of Titic No. 78643 3. BUILDINGS,STRUCTURES, I MPROVEMFNITS, FIXTURES included in the ale as part ofthe premises arc the buildings,structures,and improvements now thereon.and the Fixtures belon-in—, to the SELLER and used in connection therewith including, if any,all wall-to-wail carpeting, drapery rods,ve:aetian blinds;window shades,screens_screen doors;storm windows and doors,awnings,shutters, Furmices,heaters;heating equipment,oil and gas burners and fixtures appurtenant thereto, hot water heaters, plumbing and bathroom fi\tureS.electric and other lighting tixtures. ,''enccs,gates, trees.shrubs, plants,all- conditioning equipment. A. l'rrLE DEED Said premises are to be conveyed by a Brood and sufficient quitclaim deed running to the BUYER;or to the nominee designated by the BUYER by written notice to the SELLER at least seven(1)days before the cleed is to be delivered as herein provided,and said deed shall convey a wood and clear record and marketable title thereto. lice from encumbrances,except: a. Provisions of existing building and zoning laws. b. Such taxes for the then current year as arc not due imd payable on [he date of delivery of such deed. C. Any liens for municipal betterments assessed alter the date of this agreement. d. Easements, rights;reservations and restrictions ofrecord insolzr as the same do not unreasonably interfere with the use of the premises for a commercial printing business. 5. PLANS if said deed refers to it plan necessary to be recorded thermith the SELLER shall deliver such plan with the deed in form adequate for recordin<a or registration. t C. REGISTERED TITLE In addition to the foregoing, if the title to the said premises is registered,said deed shall be in form sufficielit to entitle the BUYER to a('ertilicate of Title to said premises,and the SEL[.GR shall deliver witti said deed all instruments, if any. necessary to enable BUYER to obtilin such Certificate of"I itle. 7. PURCHASE PRICE Tire a�-recd purchase price fur said premises is Seven 1-11.1ndred Seventy-five Thousand and 1101100 Dollars `a 1,000.00 .vas paid with the Otter to Purchase S 34,000.00 are to he paid upon the execution of this agreement S 740.000.00 are to be paid at the time of delivery of the deed by federal funds wire,by certified,cashier's,treasuret•'s,or bank cheek(s)or Massachusetts attorneys iOLTA thee!:. S 775,000.00 Total S. TIME FOR PERFORMANCE: DELIVERY OF DEED Said deed is to be delivered at 2:00 P.Ni. on 30th day of august,20i 3,at the Barnstable Registry of Deeds,or the office of the Buyer's lender's attorney in Barnstable County, unless otherwise agreed upon in writing. It is agreed that time is of the essence of this agreement. 9. POSSESSION AND CONDITION OF PREMISES Full possession ofsaid premises free of all tenants and occupants is to be delivered at the time of the deliverer of the deed,said Premises to be then(a) in the same condition as they are now.reasonable use and wear thereof excepted, and(b)not in violation of said building and zoning laws. and(c)in compliance with provisions Dfany instrument referred to in clause 4 hereof. The BUYER shall be entitled to personally inspect the premises prior to tine delivers of the deed in order to determine whether the condition of the premises complies with the terms of this clause. 10. EXTENSION TO PERFECT TITLE,OR MAKE PREMISES CONFORM I1'the SELLER shall be unable to give title or to make conveyance,or to deliver possession of the premises,all as herein stlplllated,or if ai the tittle of delivery of the deed the premises do not conform with the provisions hereof, then the SELLER shall use reasonable efforts to remove any defects in title,or to deliver possession as provided herein•or to make the said premises conform to the provisions hereof,as the case may be, in which event the SELLER shall give written notice thereof to the BUYER at or before the time for performance hereunder,and thereupon the time for performance hereof shall be extended for a period of tip to thirty days oi'one business days prior to the expiration of tlic BUYER's mortgage rate lock or commitment: provided,however,that the SELLER shall not be obligated to spend more than S3.000 in this regard. 1 I. FAILURE TO PERFECT TITLE OR MAKE PRFMISES CONFORM If al the expiration of the extended time the SELLER shall have failed so to remove any defects in title,deliver possession;or make the premises conforn.,as the case inily be,all as herein agreed.or if at any tithe during the Period of ibis agreement or any extension thereof,the holder of a mortgage on the premises shall refuse to pennit ally insurance proceeds to be used for such purposes,tl)eu any payments made under this a_reement shall be 1`01111with refunded and all other obligations of the parties hereto shall cease and this agreement shall be void Wnhoul recourse to the parties hereto. L V /,. t: I?. BUYER'S ELECTION TO ACCEPT TITLE The BUYLR slialll have the election,at either the original or any extended time: for perfernumce,to aeccpt such title as the SELLER can deliver to the said premises in their then condition and to pay therefore the purchase price Without deduction, in which case the SELLER shall convey such title,except that in the event of such conveyance in accord with the provisions if this clause, if the said premises shall have been dama-ed by fire or casualty insured against then the SELLER shall,on delivery of tlae deed, unless the SELLER has previously restored the premises to their tormer condition,pay over or assign to the BUYER all amounts recovered or recoverable on account of such insurance,and give the BUYER a credit against the purchase price equal to any amounts othcr«Vise so reccverablc which are retained by the holder ot'a morteage on the premises, less any amounts reasonably expended by the SELLER for any partial restoration, 13. ACCEPTANCE OF DEED The acceptance and recording of a deed by the BUYER or his nontine,:as the case may be,shall be deemed to be a fill] performance and discharge of every agreement and obligation herein contained or expressed,except such as are. by the terms hcreoi; to be performed after delivery of said deed. 14. USE OF iMONEY 'TO CLEAR TITLE To enable the SELLER to make conveyance as herein provided, the SELLER may,at the time ofdelivery of the deed.use the purchase money or any portion thereof to clear the title of any or all encumbrances or interests, provided that all instruments so procured are recorded simultaneously\with floe delivery of said deed,except that releases of hens held by institutional lenders may be delivered within a rcasonably time after closings in accordance with local conveyancing practice. I{. INSURANCE Until delivery of deed,the SELLER shall maintain insurance on said premises as follows: Tv_pe Of Insurance Amount of'Coveraze. (a)('ire S as j"reseratly insured (b)L-:xtended covera,e S (c) S [risk of loss shall remain with SELLER until dchcery,acccptant:e and recording of the Deed. 16. ADJUSTMENTS Water and sewer use charges and taxes for the then current fiscal year shall be apportioned and fuel value shall be adjusted as of the day of perlormartce of this a—urcelttent and the net amount thereof shall be added to or deducted li-ona,as the case maY be,the purchase price payable by the 13UYER at the time of delivery of the deed. 17. ADJUSTMENT OF UNASSESSED AND UNABATED TAXIS if the amount of said taxes is not knot;n at the time of delivery of the deed, they shall be apportioned on the basis of the taxes assessed for the preceding fiscal year, with a reapportionment as soon as the new tax rate and valuation can be ascertained,and, if the taxes which are to be apportioned shall thereaRer be reduced by abatement,the amount of such abatement, less the reasonable cost of obtaining the san;c,shall be apportioned between the parties, provided that neither party shall be obligated to institute or prosecute proceedings for an.abatement unless herein otherwise aarced. 19. BROKER'S FEE A Broker's fee for professional services of six(6%)percent of the purchase price is due from the SELLER to Carev J . � r Y / Conmrcrcial,but unly if,as.and when the SELLER receives the full purchase price pursuant to this agreement and the BUYER accents and records the SELLER'S deed, but not otherwise. Upon payment of said broker's fee,Caren Commercial shall pay fifty(50%)percent thereof to Commercial Realtv Advisors, Inc. 19, BROKER'S WARRANTY The Brokers manned herein .warrant that the Brokers are duly licensed as such by the Commonwealth of iaSsachusetts. 20. DEPOSIT All deposits made hereunder shall be held in escrow by Carey Commercial's�escrow agent man interest bearing account subject to the terms of this agreement and shall be duty accounted for at tfte time for perlormance of this agreement,at which time said interest shall be credited a>the party then entitled to the deposit. In the event of anv disaareement between the parties,escrow agent shall retain all deposits made under this agreement pending mstrUCtions inutual1v given in writing by the SELLER and the BUYER,or by court order by a Court having competent jurisdiction. 21. BUYER'S DEFAULT; DAMAGES if the Buver shall fail to fulfill the BUYER'S 101-eelnethls herein,the deposits made hereunder by file BUYER,puts the interest earned thereon.shall be retained by the SELLER as liquidated,stipulated and agreed upon damages Which shall be the SELLER'S sole and exclusive remedy at law and ill equity For a breach of this agreement, it being understood that the SELLER'S damages for the BUYER'S default would be difficult to measure other vise. 22. BROKER AS PARTY The Brokers named herein join in this a`r•cenhent and become parties hereto, insofar as any provisions of this agreement expressly apply to the Brokers,and to any amendments or modiricatlons of shell provisions t0�wlhicI the Brokers agree in writing. 23. LIABiLiTY or TRUSTEES,SHAREHOLDERS OR BENEFICIARIES if tine SELLER or BUYER executes this agreenhent in a representative or fiduciary capacity; only the principal or the estate represented shall be botnld,and neither the SELLER or BUYER,so executing, nor any shareholder or beneficiary of any trust,shall be personally liable for any obligation.express or impticd, hereunder. 24. WARRANTIES AND REPRESENTATIONS The BUYER acktlowledm;that the BUYER iias not been influenced to enter into this transaction nor has lie relied upon anv warranties or representations not set forth or incorporated in this agreement or previously made in writing; except for the following additional wananties and represe actions, iPally' rude by either the 51=1.L1:R or the Broker(s): \\one 25. FINANCING CONTINGENCY The BUYER's obligations hereunder are contingent upon the BUYER securing SBA 50413 Fc7A financing for the within purchase and the renovation ofthe premises in the total aniount of5765,000.00,from a recognized lending institution or institutions at lhrevailin�cotrtmercial rates,terms and a>nditions. if despite the BUYER'S diligent efforts.comnlitments ror such laan(s)cannot be obtained on or before August 29. 2013.the BUYER may elect to terminate this Agreement by-written notice Thereof delivered to the SELLER on or before 5:00 PAPA.on said date, whereupon any payments made under this Agreement shall be forthwith refunded and all other obligations of the parties Hereto shall cease and this Agreement shall be void and \S;ithout rccoursc to flit parties hereto, if the f3t1YER fails to timely give such notice of election to terminate;this continnencv shall be deemed to have been satisfied. 26. USE CONTINGENCY The BUYER's obligations hereunder are contingent upon the BUYER securing all necessary permits and approvals from the Town of Barnstable and any other relevant municipal of-state agency,and, if needed,a waiver of any requirement that rile building have sprinklers Installed.to operate a corilnlercial printing business. if despite the BUYER's diligent efforts,all of such permits and the waiver cannot be obtained on or before August 29,2013.the BUYER may elect to terminate this Agreement by written notice thereof delivered to the SELLER oil or before�:00 P'NI.on said elate,whereupon any pavnlents made under this Agreement shall be forthwith refunded and all other obligations of the parties hereto shall cease and this Agreement shall be void and without recourse to the parties hereto. If the BUYER fails to timely give such notice of election to terminate.this contingency shall he deemed to have been satisfied. 27. INSPECTION CONTINGENCY The BUYER shall have the right to conduct mechanical,engineering,septic!sewer and environmental inspections of the premises through and including August 1;2013-.provided the BUYER shall repair any damage to the premises caused thereby. The BUYER's obligations hereunder are contingent upon the 13UYI:'Ws satisfaction with the results ofsaid inspections. if the BUYER is not satisfied lvith said inspections,the BUYER may elect to terminate this Agreement by w-rinen notice delivered to the SELLER on or before 5:00 P.M.on August 1,2013.whereupon any payments made under this Agreement shall be Forthwith refunded and all other obligations of the parties hereto shall cease and this Agreement shall be void and without recourse to the patties hereto. If the BUYER mails to timely give such notice of election to terminate,I.his contingency shall be deemed to have been satisfied. 28. CONSTRUCTION OF AGREEMENT This instrument, executed in multiple counterparts, is to be construed as it Massachusetts contract. is to take ellect as a sealed instrument,sets forth the entire contract between the parties; is bindin`upon and enures to the benefit ol'the parties hereto and their respective heirs,devisees.executors. administrators,successors and assigns,and may be canceled.modified or amended only by a written instrument executed by both the SELLER and the BUYER or their respective counsel. The Parties may rely upon facsimile copies o•such wHien instruments. .Iftwo or more persons are named herein as BUYER their obligations hereunder shall be joint and several. The captions and marginal notes are used only as a matter of convenience and are not to be considered a part of this agreement o-to be used in determining the intent of the parties to it. 29. BUYIEWS ACCESS The BUYER and his employees and agents shall have the right and permission during tine financing and inspection contineency periods set forth hereinabove to enter upon the premises or any part thereof at all reasonable tines and front tinge to time for tine purpose,at the BUYER's sole expense, of inspecting the same and making all surveys, tests of,studies required in connection with BUYER's inspections; provided that all such entries shall be coordinated throu,,h the SELLER or the SELLER'S agent with reasonable advance notice and shall be accomplished in a manner least intrusive to any occupants of the premises. The BUYER agrees to indemnify and hold harmless the SELLER From and against any damages the SELLER may sustain as a result of any such entries. 30. TITLF STANDARDS Ally matter relating to perforlllance of this Agreement which is the subject of a title; practice or ethical standard of the Massachusetts Real Estate Bar!Association shall be governed by such standard to the extent applicable. 31. NOTICES All notices required or permitted to be given hereunder shall be in writing and delivered in hand.or sent by fax of- email. Federal Express or other recognized overnight delivery service,or mailed postage prepaid, by registered or certified mail.addressed as set forth below or to such other address as shall be designated by written notice given to the other party. Any such notice shall be deemed given when so delivered in hand, or if sent by Federal Express or J � U other recognized overnight delivery service.on the next business day alter deposit with said delivery service.or, if so mailed, five(5)business days after deposit with the t1.S. Postal Service. Notice by fax or email will be deemed given on the(late transmitted if supported by confirmed receipt of the transtnittal to the noticed individual or entity. In the event that any date for performance under this Agreement shall 11111 on a Saturday, ;Sunday or holiday,the said notification date shall be deemed to fall on the next business day thereafter: tf to SELLER: If to BUYER: Philip Michael Boudreau, Esquire Elizabeth A. McNichols,Esquire Boudreau and Boudreau,L.LP Dunning,Kirrane,McNichols&Garner; LLP 396 North Street 133 Falmouth Road I-lyannis,MA 02601 P.O.Box 560 Mashpee, NIA 02649 Tcl: 508-775-1085 Tel:(508)477-6500 Fax: 508-771-0722 Fax:(508)d77-7633 Email: phi►rtiboudreaulaw•nrt Email: etncnichols a'.durnzingkirrane.com i?. 13ROKER NVARRANTY Seller and Bayer represent each to the other that then have not engaged any broker,entered into a listing agreement or other contract or otherwise retained a broker in connection with the transaction contemplated by this Purchase and Sale Agreement other than with Carey Commerciarand Commercial Realty Advisors, Inc. Each shall incicninify and hold the other tannless from and against ally loss,cost or damage suftered or incurred by the other as a result of a breach of the foregoing representation. See Addendum A attached hereto and made a part hereof: SELLER BUYER .Acorn Really Trust By: Alexan t'J :Gt•ibko," ist e Ivtarc, . Sunderland 4_ C aire Boland.'frustee 13ROKER AND ESCROW AGEN1 7 BROKER Carey Commercial Commercial Realt,: dyisors, Inc. B�.. 6 ADDENDUM A TO PURCHASE AND SALES AGREEMENT S F,L L F.R: Alexaiider.f. Gribkoallcl Claire.13oland. Trustees BL"YE'R.- Nfarc A. Sundedand, or nominee PROPERTY: 115 Enterprise Road,Hyannis., MA 1. CON.D.1 T]Q.N OF P.R EN41 S ES ATDSLIVERY OF DE ED a. Seller agrees that the entire premises shall be delivered III broom clean condition, free of all personal property not Included In the sale, and free of all debris, paint, ehemicals, lerlilizers end other hazardous 5 ub5tntic es. b. Seller shall deliver to Buyer all keys, instruction mailLials.alarmsysten) codes and Operatill-111,1111.1,119 for the property, if any, in Seller's possession. 2. SELL_1L represents Ind warrants as follows, to the best of ER R J�E PR E ENTATIONS Seller Seller's i_-tuil knowledae: I. Seller has never(yellerated,stored., used,or disposed of any hazardous waste Or material on or about the premises and that the Seller is not aware of the StOraf!C. use, or disposal of such waste, on of,about the premises by anyone else,and that there Is no UFF1 or asbestos in the premises and no underground storage talll<s on the premises. b. any addition Or Other cliallo-C Or modil'ication to the premises during the Seller's L t, Ownership of,the premises which required the Issuance of a Building Permit was performed only after issuance of said Building its Permit and in accordance w - I I its terms, and all open bUildill"permits have been closed and Certificates of zn Occupancy have been issued. C. no notice or communication has been received by Seller from any public authority that there exists with respect to the promises any violation of any IIILllliCil)al,State or federal law, 1'111C, re-1.11,1ti011,Ordinance of the like which has 1101 been heretofore rectified. d. there 1--, flo litigation O.t Proceeding,pending or threatened, against or rehiring to the premises or the Seller. e. f. there arc no ]eased fixture(s)or equipment on the premises and Illat Seller owns all of the appliances and mechanical systems and components in the premises. 3 L IAT Agt_NCES AND SYSTEMS Seller Shall furnish Buyer at closing with all warranties and other documents in Seller's possession, If any, relating to all appliances and systems at the premises. which arc included as part of this sale. There arc no service contracts 11,fecting the 1)[eirilses which would bind the Buyer alter the closillol. 4. FA [kllf-l-,'I:-,]-,I:---C'FlZONICSIGNATUP%F-,S: 1'he parties hereto a��ree that documents started and sellt electronically or by facsimile shall legally bind the parties in the same manner as would the original dOCLInlent bearing in origin Si-IMI.L11-e. 5. al—AIUS OF TrrU. It is understood and agreed by the parties that the Premises shall not lie in C0111`6 "'it)" With title provisions of this Agreewcnt unless: N i (i) improvements, il'any. including but not limited to any drivekvay. araoe and all means of access to the Pt"eI1115Cs. sh?lll be located completely xviihin the boundary lines ofs:aid Premises and shall trot encroach upon or under the property of am,other person or entities. and (11) No bil(lding, 5trUCtUre,of Improvement of any kincl belonging to any other person or entity shall encroach upon or uncler said premises; (iii) title to the Premises is also insurable at ordinary rates for tic benefit.of Buyer in a fee owner's ALTA-form policy. and for the benefit of Buyer's lender. if anv, in an ALTA-form loan policy. subject to the standard printed exceptions provided that such exceptions do not render title to the Premises mimarkemble. G. AUTI IORM 'I'0 I_XECUTE. Any act or acts that eoulcl Kaye been taken by a party to this Agreement with respect to the execution of this Agreement, and any modification or extension thereof, may be underiaken on their behalf by their respective Counsel identified in the Purchase and Sale Agreement, and any document or writing so signed shall have the same force and effect, and shall equally bind them,as if signed by the orijinal early. SELLER: Acorn cal Tr BUYER: I - By: Al -anger Ai Gri o,T. cc. 14'It c'YA. Sun9de:rl'I By Claire Boland,Trustee Sign } Permit TOWN OF BARNSTABLE 9L MASS. Y"'0r16 3 a Permit Number. Application Ref: 201400130 20070951 Issue Date: 01/09/14 Applicant: MCCARTHY, DAVID L Proposed Use: GENERAL OFFICE BUILDING Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 115 ENTERPRISE ROAD Map Parcel 294055 Town HYANNIS Zoning District g Contractor PROPERTY OWNER Remarks FREESTND SIGN 24 SQ SUNDERLAND PRINTING Owner: MCCARTHY, DAVID L Address: 142 WINSLOW GRAY ROAD WEST YARMOUTH, MA 02673 Issued By: p P T T! A OSIIS C, RD SQ THAT IS VISIBLE FROM THE ST ET PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/09/14 ' TIME: 15:07 -----------------TOTALS------------------ PERMIT $ PAID 50.00 z.�. AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 1436 ING Town of Barnstable Regulatory-Service s INUUMAJIMMAM ' Thomas F.Geiler,Director 039. 3 v A , Building Division Tom Perry, Building Commissioner ra 200 Main Street, Hyannis,MA 02601 , www.town.barnstable.ma.us ' 03 ' dy$.3 Office: 508-862-4038 Fax: 508 790-6230 Permit# � Building Official approving....._... -- _. Application for Sign Permit Applicant: Pig V�- �`��''v'�,� ,�%�;til - Assessors No. !� Doing Business As: �t 4"1'Ui��L�l tg;� j�i''� ;N`/�VG�Telephone No._�:G�n -7%C�' �/UG� Sign Location Street/Road: Zoning District: Old Kings Highway? YesAQ Hyannis Historic District? Yes/ Property Owner Name: i /.� 'i Telephone:— Address: /�5 Y Y�".Y'd�>�e- Village: Sign Contractor Name: S'i�PV_5 Telephone: ;�Gr 7 / ' 3 4_13!' Mailing Address: IE- Ot2 At Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes/10 (Note:Ifyes,a`wiringpermitis required) Width of building face ;F0 &x 10= 7_47c, x.10= 6) Check one Reface existing sign or New_kL Total Sq.FIL of proposed sign(s) g' ffyou have additional signs please attach a sheet lisalugeach one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent �� / ''. Date o V�Y' " SIGNS/SIGNREQU revisedl2110 3 �4 1rvo C L LAC P W r4ml�h fig "�� `"^'�..�.,.,_,,,,�,,.�,�-.�.•,�.-��'�'.�,'.` .�,�e•-.s`"",- ''ate_ � '�` _ ._ _ - r 0; w yy Jf . 1 d i • _ A 14 ,;,r ..,w { :.a t yl:. '� v T� ��,nv ei Y 4 a R• M' �' 1.J '� �``.- �y yam, y •. "� [}}f � �r _ 4L ONC ' +wi a'". y t�^`•'k as � �.¢ . ' - r�� t BL1r '�: 7 +f-`,�r. a - � .w ,��'��,� j�f �t� «��. A"" �' ��•`.,,+.+�' ._.ter '� _ r 'gyp"='.. >µ p S k N E 'RLAND FULL SERVICE 7t OFFSET & DIGITAL PRINTING 4811 x 72" s . ft) .(24 q Building Face: 80' �e�?�� DATE: Tuesday, .Janus 07, 2014 CLIENT CONTACT PHONE: - I FILENAME: sunl APPROVED BY 103 ENTERPRISE RD., HYANNIS, MA 02601 9'� :o ® �� •-o�' ef'"� �i[}o [� 508-815-3431 � C�ow�� •• '• J Its- 1 Loc.�aT.� IJ r II, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Health Division Date Issued Conservation Division Fee > Tax Collector SEPTIC SYS , '3 ® I INSTALLEO Treasure�;, WITH T 5 ENVIRONMENTAL CODE AN Planning Dept. 'TO`J!!N REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis` ,� j�'3//� Project Street Address Village !•—t`/stvr�1S ,Owner Address Telephone Permit Request Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing - new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILD R INFORMATION 4 /C �D '� a � 7400 Nam 0XW_ ele hone Number 5 Te s—o Address License# a / d Home'ImprovementContractor# �— P161- Cad Mk,C ,. Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL B �T�AAKEN TO J) rl f tf l SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. • i y - s 1 J - - w r1' i DATE ISSUED. MAP/PARCEL NO., ADDRESS VILLAGE ', °.• ? .1 1 OWNER DATE OF INSPECTION: ° FOUNDATION r_ FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH. ~ ` FINAL PLUMBING: ROUGH - FINAL GAS: ROUGH _ FINAL ' FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. j a R ..: r,� .. , „ . Material Safety Data Sheet 5aph�ra n Clea o�ut�Gum Chernfree�0� � ,� b � E�lSUBID 00000f0�OZ30 Version 1 Print Date 04-26-2012 Revision Date 04 19-2012 SECTION 1. PRODUCT AND COMPANY IDENTIFICATION Identification of the substance/preparation Product name Saphira Clean-out Gum Chemfree 101 MSDS Number 000001010230J / Use of the _Offset plate finisher solution Substance/Preparation Product code OE788, OA66A Business group GS Company/Undertaking Identification Heidelberg USA Inc 1000 Gutenberg Drive Kennesaw, GA 30144 CALL CHEMTREC: 800-424-9300 , INTERNATIONAL:703-527-3887 HEALTH EMERGENCY PHONE..: (303)623-5716 HEIDELBERG INFORMATION PHONE..:(888)472-9655 SECTION 2. COMPOSITION/INFORMATION ON INGREDIENTS Aqueous offset plate finisher solution, mainly.consisting of: CAS-No. Concentration [%] _ Monopotassium 7778-77-0 >_ 1.0 - <=5.0 phosphate Water 7732-18-5 >= 80.0 - <= 100.0 Dextrin, yellow 9004-53-9 >= 10.0 - <=20.0 SECTION 3. HAZARDS IDENTIFICATION This product is non hazardous under the criteria of the Federal OSHA Hazard Communication Standard 29 CFR 1910.1200. J Emergency Overview Form Liquid. Colour Orange to brown Odour Nearly odourless_ Product poses little or no hazard if spilled. - Potential Health Effects Primary Routes of Entry Eye contact. Skin contact. Inhalation of vapours or mists.Accidental ingestion. Aggravated Medical Condition Persons with preexisting eye, skin or respiratory tract disorders may be more susceptible to the effects of this product. Acute health effects RE,G, NO AM _. ._,.. ,,, ,� Inhalation Monopotassium May cause respiratory tract irritation with symptoms of coughing, phosphate sore throat and runny nose. Skin contact Monopotassium : .,May be irritating to the skin with'symptoms of reddening and itching. phosphate Eye contact Monopotassium May be irritating to the eyes with symptoms of reddening,tearing phosphate and stinging. Ingestion o Monopotassium May be harmful if swallowed: phosphate Carcinogenicity The components of this product are not listed by NTP, IARC or regulated as a.carcinogen by OSHA. SECTION 4. FIRST AID MEASURES Eye contact Rinse thoroughly with plenty of water for at least 15 minutes and ' consult a physician. Skin contact Wash immediately with plenty of water'and soap. If symptoms persist,seek medical advice. Ingestion Rinse mouth with plenty of water. Seek medical advice. Inhalation Not relevant. SECTION 5. FIRE-FIGHTING MEASURES Suitable extinguishing media All extinguishing media are suitable. Special protective equipment Firefighters should'be equipped with self-contained breathing for fire-fighters apparatus to protect against potentially toxic and irritating fumes. Additional advice Product is not combustible. SECTION 6.ACCIDENTAL RELEASE MEASURES Personal precautions See section : Exposure controls/personel protection. Environmental precautions For waste disposal see section 13. Methods for cleaning up Dike the spill if necessary. Soak up with absorbent material. Collect large spills into a properly labelled and sealable container. Prevent release into the drain,soil or surface water. Additional advice Wash away residues with plenty of water. SECTION 7. HANDLING AND STORAGE Storage Requirements for storage . Keep container tightly closed. Protect from direct sunlight. areas and containers SECTION 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Exposure controls Hygiene measures Employees should wash their hands and face before eating, drinking, or using tobacco products. Educate and train employees in the safe use and handling of this product. Emergency showers and eye wash I stations should be available. Respiratory protection Under normal conditions of use, respirator protections not required. If respirators are used,institute a program in accordance with OSHA standard 29CFR1910.134 or Canada CSA Standard Z94.4-02. Hand protection Use chemical resistant gloves. In case of prolonged immersion or frequently repeated contact use gloves made of the materials: butyl rubber(thickness>=0.36 mm, breakthrough time>480 min), nitrile rubber(thickness>=0.38 mm, breakthrough time>480 min)or neoprene(thickness>=0.65 mm, breakthrough time>240 min). For intermittent splash protection corresponding gloves with breakthrough times>60 min can be used.Avoid gloves made of: natural latex. Eye protection Safety glasses. SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES Form Liquid. Colour Orange to brown . Odour Nearly odourless Relative density 1.041 at 20°C(68°F) pH (25°C, 77°F) 7.0 Melting point/range <0°C (<32 °Fj, \ Boiling point/range > 100 °C(>212 °F) Flash point >93.33'C (> 199.99°F) l Not combustible. VOC content 0.0% 0:0 g/I VOC content excluding water SECTION 10.STABILITY AND REACTIVITY . Stability The product is stable under normal conditions of storage and use. Hazardous decomposition Hazardous decomposition products l products None SECTION 11.TOXICOLOGICAL INFORMATION Acute oral toxicity Monopotassium. LD50 rat >4,640 mg/kg phosphate Acute dermal toxicity Monopotassium LD50 rabbit >4,640 mg/kg phosphate Other information No toxicological effects known. SECTION 12. ECOLOGICAL INFORMATION Ecotoxicity effects Toxicity to fish •Monopotassium phosphate Species: Leuciscus idus(golden orfe) LC50: >900 mg/I/96 h This substance is not classified as hazardous to the environment according to European Directives and corresponding national legislation. i SECTION 13. DISPOSAL CONSIDERATIONS Waste disposal-methods Waste disposal should be in accordance with existing federal, state and local environmental control laws. Discharge to sewer may require approval of permitting authority and may require pretreatment. Empty containers. Recondition or dispose of empty container in accordance with governmental regulations. US. RCRA Hazardous Waste Classification (40 CFR 261) , If discarded in its purchased form,this product would not be a hazardous waste either by listing or by - characteristic. However, under RCRA, it is the responsibility of the product user to determine at the time of disposal,whether a material containing the product or derived from the product should be classified as a hazardous waste. r- SECTION 14.TRANSPORT INFORMATION Not classified as dangerous in the meaning of transport regulations. SECTION 15. REGULATORY INFORMATION US.Toxic Substances Control Act(TSCA) All of the components of this product are listed on the TSCA Inventory. US. OSHA Classification This product is non hazardous under the criteria of the Federal OSHA Hazard Communication Standard 29 CFR 1910.1200. US. SARA 311/312 Hazard Categories No SARA Hazards US. California Prop.65 This product does not contain any chemicals known to State of California to cause cancer, birth defects, or any other harm. State Right-to-Know Information The following chemicals are specifically listed by individual states. Other product specific health and safety data in other sections of the MSDS may also be applicable for state requirements. For details on your regulatory requirements you should contact the appropriate agency in your state. US. Massachusetts,New Jersey, Pennsylvania or Rhode Island Right to Know Substance Lists See Section 2. Canadian WHMIS Classification Not regulated. Canadian Environmental Protection Act(CEPA) All components of this product are on the Canadian"DSL list. SECTION'16.OTHER INFORMATION US. HMIS Rating Health 1 Flammability1 ` Reactivity 0 (0 Minimal, 1 =Slight,2= Moderate, 3=Serious,4 =Severe) 76 REG NOA x � M 4 US. NFPA 704M Rating Health 1 Flammability1 Reactivity 0 (0= Insignificant, 1 =Slight,2 = Moderate, 3= High,4= Extreme) Agfa Corporation's method of hazard communication is comprised of Product Labels and Material Safety Data Sheets. HMIS and NFPA ratings are provided by Agfa Corporation as a customer service. This MSDS is replacing Agfa MSDS number 1116C.004 Section(s)changed compared to the previous issue: 1 This information is furnished without warranty,expressed or implied,and is believed to be accurate to the best knowledge of Agfa Corporation.The data on this MSDS relates only to the' specific material designated herein.Agfa Corporation assumes no legal responsibility for use or reliance upon these data.This product is not manufactured by Agfa.The information disclosed in this Safety Data Sheet has been provided by the manufacturer. t � f r MATERIAL DATA SAFETY S D SHEET COLOR WASH STEP-1 Page: 1 Revised: February 02, 1999 PRODUCT CODE: B010031 HMIS CODES: H F R P 1 2 0 X SECTION 1 - MANUFACTURER IDENTIFICATION . MANUFACTURER'S NAME: VARN PRODUCTS ADDRESS 905 S. WESTWOOD AVENUE ADDISON, ILLINOIS 60101 EMERGENCY PHONE: 800-424-9300 DATE PRINTED: 2/9/01 INFORMATION PHONE: 800-336-8276 NAME OF PREPARER: Varn Products Co. REASON REVISED: Update; Supersedes All Previous Revisions. SECTION'2. HAZARDOUS INGREDIENTS/SARA III INFORMATION VAPOR PRESSURE WEIGHT REPORTABLE COMPONENTS CAS NUMBER MM HG @ TEMP PERCENT -------------------------------------------------------------------------------------------------------- Petroleum Naphtha 64742-47-8 0.5 680F 59 OSHA PEL: N/E, ACGIH TLV: N/E, Mfg: 300ppm Petroleum Naphtha 64742-94-5 0.9 68°F 10 OSHA PEL: N/E, ACGIH TLV: N/E, Mfg: 100ppm *** No toxic chemical(s)subject to the reporting requirements of SECTION 313 of SARA Title III and of 40 CFR 372 are present. ***All.ingredients are listed on the EPA TSCA Inventory. " SECTION 3 " PHYSICAL/CHEMICAL CHARACTERISTICS BOILING RANGE/POINT: 380OF-3860F SPECIFIC GRAVITY(H20=1): .85 VAPOR DENSITY: Heavier than air. EVAPORATION RATE: Slower than n-Butyl Acetate. V.O.C. (EPA METHOD 24): 4.96 Ib/gl VAPOR PRESSURE(MM HG @ 200C): 0.20 SOLUBILITY IN WATER: Emulsible APPEARANCE AND ODOR: Yellow Liquid - Petroleum Odor SECTION 4;;-xFIRE AND;EXPLOSION:HAZARD DATA FLASH POINT: 200OF METHOD USED: TAG CC FLAMMABLE LIMITS IN AIR BY VOLUME- LOWER: 1.0% UPPER: 11.7% EXTINGUISHING MEDIA: Foam, Alcohol Foam, CO2, Dry Chemical,Water Fog. SPECIAL FIREFIGHTING PROCEDURES: As in any fire,wear self-contained breathing apparatus(MSHA/NIOSH approved)and full protective gear. Water may not be effective to extinguish fire. Use water spray to cool fire-exposed containers and to protect personnel. UNUSUAL FIRE AND EXPLOSION HAZARDS: Treat as Petroleum Fire. I MATERIAL SAFETY DATA SHEET COLOR WASH STEP-1 Page: 2 Revised: February 02, 1999 SECTIONS - REACTIVITY DATA STABILITY: Stable CONDITIONS TO AVOID: Avoid heat, sparks,flame and other sources of ignition. INCOMPATIBILITY(MATERIALS TO AVOID): Avoid mixing with strong oxidizing agents. HAZARDOUS DECOMPOSITION OR BYPRODUCTS: Burning will produce oxides of carbon and dense smoke. HAZARDOUS POLYMERIZATION: Will Not Occur. a SECTION 6 W g-44ALTH'HAZARD:DATA INHALATION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Breathing high concentrations of vapors will cause irritation of the nose and throat. Signs of central nervous system depression such as headache, drowsiness,dizziness and nausea may be experienced with overexposure. SKIN AND EYE CONTACT HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Skin and eye contact may cause moderate to severe irritation. SKIN ABSORPTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Single prolonged exposure is not likely to result in the product being absorbed through the skin in harmful amounts. INGESTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Ingestion of this product will cause nausea,gastro-intestinal irritation, diarrhea and possible damage to vital organs. Follow first aid procedures. HEALTH HAZARDS(ACUTE AND CHRONIC): Repeated or abusive breathing of concentrated vapors may effect pulmonary, cardiovascular,and central nervous systems. Repeated.skin contact will dry out and crack skin.Aspiration hazard if swallowed; aspiration of product into the lungs can cause chemical pneumonitis. CARCINOGENICITY: NTP CARCINOGEN: No IARC MONOGRAPHS: No OSHA REGULATED: No This product contains no known carcinogens. MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Skin contact may aggravate pre-existing dermatitis. Inhalation of vapors may aggravate pre-existing asthma like conditions. . EMERGENCY AND FIRST AID PROCEDURES: INHALATION: Remove victim to fresh air. Give oxygen if breathing is labored.Apply artificial respiration if not breathing. Seek medical help. SKIN: Remove all contaminated clothing and shoes. Wash with soap and water. Do not reuse clothing and shoes until cleaned. EYES: Flush eyes with plenty of water while removing any contact lenses. Hold eyelids open and continue flushing for at least 15 minutes. INGESTION: DO NOT INDUCE vomiting. If vomiting occurs spontaneously, keep head below hips to prevent aspiration of liquid into the lungs. Seek medical attention immediately. k MATERIAL SAFETY DATA SHEET COLOR WASH STEP-1 Page: 3 Revised: February 02, 1999 SECTION,7 PRECAUTIONS FOR SAFE HANDLING.AND USE STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Eliminate all ignition sources. Spills should be diked and must be kept from entering the sewer. Soak up with absorbent or transfer liquid into a closed container for later disposal. Use spark-proof tools and explosion proof equipment. WASTE DISPOSAL METHOD: If this product as supplied, becomes a waste it is regulated by RCRA as Ignitable Waste, EPA I.D. #D001. Suitable methods of disposal include reclamation and fuel blending. Contact a Licensed Hazardous Waste Hauler for more information. PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Containers should be grounded and bonded before transferring product. Store in the original closed container away from sunlight,excess heat,sparks,flames and other sources of ignition.Avoid skin or eye contact. Avoid breathing vapors. When transferring or using this product, wear proper personal protective equipment. Store and handle as a Combustible Liquid. OTHER PRECAUTIONS/DOT INFORMATION: DOT Proper Shipping.Name: Combustible Liquid n.o.s. (Naphtha), Hazard Class: Combustible Liquid, UN Number: NA1993, Packing Group: III. Non-bulk Limited Quantity. Not regulated as per 40CFR 173.150(f)(2). Product is classified as an OSHA Class.II Combustible Liquid. ' SECTION,8 ,CONTROL MEASURES, `z RESPIRATORY PROTECTION: The use of respiratory protection is advised when concentrations exceed the established exposure limits in SECTION 2. Depending on the airborne concentration, use a respirator with appropriate organic vapor cartridge(NIOSH approved). VENTILATION: If current ventilation practices are not adequate to maintain airborne concentrations below the established exposure limits in SECTION 2, additional general ventilation or local exhaust systems may be required. PROTECTIVE GLOVES: Wear solvent resistant gloves made of nitrite or butyl rubber. EYE PROTECTION: Wear safety glasses with side shields. OTHER PROTECTIVE CLOTHING OR EQUIPMENT: A personal protective rating of X means you must see your supervisor for guidance. OSHA regulations(29CFR Part 1910, Subpart I) require employers to evaluate Personal Protective Equipment requirements in the workplace. WORK/HYGIENIC PRACTICES: Wash with soap and water after product contact with skin. SECTION 9 DISCLAIMER:" The information on this MSDS is believed to be accurate as of the date shown in SECTION 1. Since the use of this product is not under the control of Varn, it is the user's responsibility to determine what constitutes safe usage for a particular product.This form may be reproduced in quantities necessary to meet your requirements. �r r Assessor's map and lot number ....:....: ". �;(� ��'®�i?jj .. '76 Sewage Permit number (rt y0F7NET0�� -TOWN OF BARNSTABLE i BABBSTOBLE, i _ i Ya.•�� BVIPIHG INSPECTOR APPLICATION. FOR:PERMIT TO .......:.... ?.....! ..............,........................................................................................ TYPEOF CONSTRUCTION ........5`T. ..._1`.............. ............................"^c' .............................................................. ......... i u...... r..........19.7� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Af Loca4ion ............................ .............. ........ .................................................................................... Proposed Use i c J d n,_# ,,sr' ZoningDistrict ........................................................................Fire District ................................_............................................... yo ,qL. (4:,GKo Name of Owner .�.�. . .... �'2��v I N...:S�.......................Address .3�?'7....!'?., Mn1rry ST Aa7. �/ / ,MasS Name of Builder Q.!"^.A.A!... :��'......................Address .. a!� Vj I Y,�tz,�.i0vi ........... ....................................... Nameof Architect ..................................................................Address ................................................................... Number of Rooms ........ ......................................................Foundation ................................................. Exterior ........./f'I�`7`�sL...........................................................Roofing ......../VT,4L......................................._.............._.... Floors .. .�,,, r�TP — � r �s/ iW1 .......................:...........................................Interior ........................._............................................. Heatinga .. ...Plumbing ....................... . ................................................... . l.d..... ....................... Fireplace �(/b61 .......................................................Approximate Cost .................................................... Definitive Plan Approved by Planning Board ---------------_---------------19--------. Area ........................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......................:........ ....... ................ No —.lQ554.. pernnhfo/ `.repair ..fire ___ ` . ---'�^------------ , ^,°~'damage - ---------' ' / 7 � Locohon'--��S�XKKX��_..115_Doterprlma Road | ' a --------...�!yao�u------------. Owner ...............Acoro..R�el��_Troot.___. ' o�eel Type of [ono�uchon --------/nnyre000ae . ' _____,_____________________ . . Plot ............................ Lot ----------' . . . . - . Aounat 2 76 ' ' Permit Granted ----�------.- Dota'ofl pecho ' �r]A Dote Completed ...............................� l� � . . ' - ` ` � . . . . lV ' � .. . ^, .�—.-------- ' [` ' - �� —.- ..-- .................................... ' ..................................... � ` ° . .............................. . . . ^ ` � Approved ---------------, lA ' ' ^ . ` . ' .......................................................... . � ----------. ..� -------'`��8y�—'' Q— MATERIAL SAFETY DATA SHEET COLOR WASH STEP-2 Page: 1 Revised: February 14, 2001 PRODUCT CODE: B010032 HMIS CODES: H F R P 1 2 0 X SECTION 1."!.-'MANUFACTURER IDENTIFICATION MANUFACTURER'S NAME: VARN PRODUCTS ADDRESS 905 S. WESTWOOD AVENUE ADDISON, ILLINOIS 60101 EMERGENCY PHONE: 800-424-9300 DATE PRINTED: 3/26/01 INFORMATION PHONE: 800-336-8276 NAME OF PREPARER: Varn Products Co. REASON REVISED: Update; Supersedes All Previous Revisions. SECTION 2 : HAZARDOUS.INGREDIENTS/SARA III INFORMATION VAPOR PRESSURE WEIGHT REPORTABLE COMPONENTS CAS NUMBER MM HG @ TEMP PERCENT -------------------------------------------------------------------------------------------------------- Petroleum Naphtha 8052-41-3 2.0 680F 58 OSHA PEL: 500ppm, ACGIH TLV: 100ppm, Mfg: TWA 100ppm Petroleum Naphtha 64742-95-6 2.7 68°F 18 OSHA PEL: N/E, ACGIH TLV: N/E, Mfg: 50ppm Diacetone Alcohol 123-42-2 1.0 68OF 11 OSHA PEL: 50ppm, ACGIH TLV: 50ppm * 1,2,4-Trimethyl Benzene 95-63-6 9 1,8(9)-P-Menthadiene 5989-27-5 2.0 680F 2 OSHA PEL: N/E, ACGIH TLV: N/E, Mfg: 125ppm *Indicates toxic chemical(s)subject to the reporting requirements of Section 313 of SARA Title III and of 40 CFR 372. All ingredients are listed on the EPA TSCA Inventory. -SECTION 3 -'rPHYSICAL/CHEMICALCHARACTERISTICS BOILING RANGE/POINT: 300*F — 315*F SPECIFIC GRAVITY (H2O=1) : .82 VAPOR DENSITY: Heavier than air. EVAPORATION RATE: Slower than n—Butyl Acetate. V.O.C: (EPA METHOD 24) : 6.85 lb/gl VAPOR PRESSURE (MM HG @ 2011C) : 2.9 SOLUBILITY IN WATER: Emulsible APPEARANCE AND ODOR: Clear Liquid — Petroleum Odor SECTION 4 - FIRE AND'EXPLOSION HAZARD DATA FLASH POINTc 1070F METHOD USED: TAG CC FLAMMABLE LIMITS IN AIR BY VOLUME— LOWER: 1.0% UPPER: 14.4% EXTINGUISHING MEDIA: Foam,Alcohol Foam,CO2, Dry Chemical, Water Fog. SPECIAL FIREFIGHTING PROCEDURES: As in any fire,wear self-contained breathing apparatus(MSHA/NIOSH approved)and full protective gear. Water may not be effective to extinguish fire.Use water spray to cool fire-exposed containers and to protect personnel. UNUSUAL FIRE AND EXPLOSION HAZARDS: Treat as Petroleum Fire. z 1: MATERIAL SAFETY DATA SHEET COLOR WASH STEP-2 Page: 2 Revised: February 14, 2001 SECTION 5 - REACTIVITY DATA STABILITY: Stable CONDITIONS TO AVOID: Avoid heat, sparks,flame and other sources of ignition. INCOMPATIBILITY(MATERIALS TO AVOID): Avoid mixing with strong oxidizing agents. HAZARDOUS DECOMPOSITION OR BYPRODUCTS: Burning will produce oxides of carbon and dense smoke. HAZARDOUS POLYMERIZATION: Will Not Occur. SECTION 6v- HEALTH HAZARD DATA INHALATION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Breathing high concentrations of vapors will cause irritation of the nose and throat. Signs of central nervous system depression such as headache,drowsiness, dizziness and nausea may be experienced with overexposure. SKIN AND EYE CONTACT HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Skin and eye contact may cause moderate to severe irritation. SKIN ABSORPTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Single prolonged exposure is not likely to result in the product being absorbed through the skin in harmful amounts. INGESTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Ingestion of this product will cause nausea, gastro-intestinal irritation, diarrhea and possible damage to vital organs. Follow first aid procedures. HEALTH HAZARDS(ACUTE AND CHRONIC): Repeated or abusive breathing of concentrated vapors may effect pulmonary, cardiovascular,and central nervous systems. Repeated skin contact will dry out and crack skin. Aspiration hazard if swallowed; aspiration of product into the lungs can cause chemical pneumonitis. CARCINOGENICITY: NTP CARCINOGEN: No IARC MONOGRAPHS: No OSHA REGULATED: No This product contains no known carcinogens. MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Skin contact may aggravate pre-existing dermatitis. Inhalation of vapors may aggravate pre-existing asthma like conditions. EMERGENCY AND FIRST AID PROCEDURES: INHALATION; Remove victim to fresh air. Give oxygen if breathing is labored. Apply artificial respiration if not breathing. Seek medical help. SKIN: Remove all contaminated clothing and shoes. Wash with soap and water. Do not reuse clothing and shoes until cleaned. EYES: Flush eyes with plenty of water while removing any contact lenses. Hold eyelids open and continue flushing for at least 15 minutes. INGESTION: DO NOT INDUCE vomiting. If vomiting occurs spontaneously, keep head;below hips to prevent aspiration of liquid into the lungs. Seek medical attention immediately. MATERIAL SAFETY DATA SHEET COLOR WASH STEP-2 Page: 3 Revised: February 14, 2001 SECTION`? - PRECAUTIONS,FOR SAFE HA.NDLINGAND-USE STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Eliminate all ignition sources. Spills should be diked and must be kept from entering the sewer. Soak up with absorbent or transfer liquid into a closed container for later disposal. Use spark-proof tools and explosion proof equipment. WASTE DISPOSAL METHOD: If this product as supplied, becomes a waste it is regulated by RCRA as Ignitable Waste, EPA I.D. #D001. Suitable methods of disposal include reclamation and fuel blending. Contact a Licensed Hazardous Waste Hauler for more information. PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Containers should be grounded and bonded before transferring product. Store in the original closed container away from sunlight,excess heat,sparks,flames and other sources of ignition.Avoid skin or eye contact. Avoid breathing vapors. When transferring or using this product,wear proper personal protective equipment. Store and handle as a Combustible Liquid. OTHER PRECAUTIONS/DOT INFORMATION: DOT Proper Shipping Name: Combustible Liquid n.o.s. (Naphtha), Hazard Class: Combustible Liquid, UN Number: NA1993, Packing Group: III. Non-bulk Limited Quantity. Not regulated as per 49CFR 173.150(f)(2). Product is classified as an OSHA Class II Combustible Liquid. SECTIOW& - CONTROL MEASURES RESPIRATORY PROTECTION: The use of respiratory protection is advised when concentrations exceed the established exposure limits in SECTION 2. Depending on the airborne concentration, use a respirator with appropriate organic vapor cartridge(NIOSH approved). VENTILATION: If current ventilation practices are not adequate to maintain airborne concentrations below the established exposure limits in SECTION 2,additional general ventilation or local exhaust systems may be required. PROTECTIVE GLOVES: Wear solvent resistant gloves made of nitrite or butyl rubber. EYE PROTECTION: Wear safety glasses with side shields. OTHER PROTECTIVE CLOTHING OR EQUIPMENT: A personal protective rating of X means you must see your supervisor for guidance. OSHA regulations(29CFR Part 1910, Subpart I) require employers to evaluate Personal Protective Equipment requirements in the workplace. WORK/HYGIENIC PRACTICES: Wash with soap and water after product contact with skin. W "SECTION 9 - DISCLAIMER The information on this MSDS is believed to be accurate as of the date shown in SECTION 1. Since the use of this product is not under the control of Varn, it is the user's responsibility to determine what constitutes safe usage for a particular product. This form may be reproduced in quantities necessary to meet your requirements. _ _ I 5 MATERIAL SAFETY DATA SHEET CALIFORNIA WASH Page: 1 Revised: February 14, 2001 PRODUCT CODE: B010002 HMIS CODES: H F R P 1 2 0 X SECTION 1 MANUFACTURER IDENTIFICATION MANUFACTURER'S NAME: VARN PRODUCTS ADDRESS 905 S. WESTWOOD AVENUE ADDISON, ILLINOIS 60101 EMERGENCY PHONE: 800-424-9300 DATE PRINTED: 4/11/01 INFORMATION PHONE: 800-336-8276 NAME OF PREPARER: Varn Products Co. REASON REVISED: Update; Supersedes All Previous Revisions. SECTION 2.- HAZARDOUS INGREDIENTS/SARA III INFORMATION VAPOR PRESSURE WEIGHT REPORTABLE COMPONENTS CAS NUMBER MM HG @ TEMP PERCENT -------------------------------------------------------------------------------------------------------- Petroleum Naphtha 64742-47-8 2.8 68OF 75 OSHA PEL: 500ppm TWA, ACGIH TLV: N/E Dipropylene Glycol Methyl Ether 34590-94-8 0.17 68OF 12 OSHA PEL: 100ppm, ACGIH TLV: 100ppm, STEL: 150ppm Petroleum Naphtha 64742-95-6 2.7 68OF 6 OSHA.PEL: N/E, ACGIH TLV: N/E, Mfg: 50ppm 1�8(9)-P-Menthadiene 5989-27-5 2.0 68°F 3 OSHA PEL: N/E, ACGIH TLV: N/E, Mfg:. 125ppm * 1,2,4-Trimethyl Benzene 95-63-6 2 * Indicates toxic chemical(s)subject to the reporting requirements of Section 313 of SARA Title III and of 40 CFR 372. All ingredients are listed on the EPA TSCA Inventory. SECTION 3 = PHYSICAL/CHEMICAL CHARACTERISTICS BOILING RANGE/POINT: 310*F - 356*F SPECIFIC GRAVITY (H2O=1) : .8 VAPOR DENSITY: Heavier than air. EVAPORATION RATE: Slower than n-Butyl Acetate. V.O.C. (EPA METHOD 24) : 6.55 lb/gl VAPOR PRESSURE (MM HG @ 20°C) : 2.5 SOLUBILITY IN WATER: Emulsible APPEARANCE AND ODOR.: Yellow Liquid - Petroleum Odor ,. SECTION 4 FIRE AND EXPLOSION HAZARD DATA FLASH POINT: 106*F METHOD USED: TAG CC FLAMMABLE"LIMITS IN AIR BY VOLUME— LOWER: 1.0% UPPER: 6.5% EXTINGUISHING MEDIA: Foam;"Alcohol Foam,CO2, Dry Chemical,Water Fog. SPECIAL FIREFIGHTING PROCEDURES: As in any fire,wear self-contained breathing apparatus(MSHA/NIOSH approved)and full protective gear. Water may not be effective to extinguish fire. Use water spray to cool fire-exposed containers and to protect personnel. UNUSUAL FIRE AND EXPLOSION HAZARDS: Treat as Petroleum Fire. I MATERIAL SAFETY DATA SHEET CALIFORNIA WASH Page: 2 Revised: February 14, 2001 SECTIdN 9,, REACTIVITY"DATA ".. STABILITY: Stable CONDITIONS TO AVOID: Avoid heat, sparks,flame and other sources of ignition. INCOMPATIBILITY(MATERIALS TO AVOID): Avoid mixing with strong oxidizing agents. HAZARDOUS DECOMPOSITION OR BYPRODUCTS: Burning will produce oxides of carbon and dense smoke. HAZARDOUS POLYMERIZATION: Will Not Occur. SECTION'6 HEALTH HAZARD DATA INHALATION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Breathing high concentrations of vapors will cause irritation of the nose and throat. Signs of central nervous system depression such as headache,drowsiness, dizziness and nausea may be experienced with overexposure. SKIN AND EYE CONTACT HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Skin and eye contact may cause moderate to severe irritation. SKIN ABSORPTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Single prolonged exposure is not likely to result in the product being absorbed through the skin in harmful amounts. INGESTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Ingestion of this product will cause nausea,gastro-intestinal irritation, diarrhea and possible damage to vital organs. Follow first aid procedures. HEALTH HAZARDS(ACUTE AND CHRONIC): Repeated or abusive breathing of concentrated vapors may effect pulmonary, cardiovascular, and central nervous systems. Repeated skin,contact will dry out and crack skin. Aspiration hazard if swallowed; aspiration of product into the lungs can cause chemical pneumonitis. CARCINOGENICITY: NTP CARCINOGEN: No IARC MONOGRAPHS: No OSHA REGULATED: No This product contains no known carcinogens. MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Skin contact may aggravate pre-existing dermatitis. Inhalation of vapors may aggravate pre-existing asthma like conditions. EMERGENCY AND FIRST AID PROCEDURES: INHALATION: Remove victim to fresh air. Give oxygen if breathing is labored.Apply artificial respiration if not breathing. Seek medical help. SKIN: Remove all contaminated clothing and shoes. Wash with soap and water. Do not reuse clothing.and shoes until cleaned. EYES: Flush eyes with plenty of water while removing any contact lenses. Hold eyelids open and continue flushing for at least 15 minutes. INGESTION: DO NOT INDUCE vomiting. If vomiting occurs spontaneously, keep head below hips to prevent aspiration of liquid into the lungs. Seek medical attention immediately. � c MATERIAL SAFETY DATA SHEET CALIFORNIA WASH Page: 3 Revised: February 14, 2001 SECTION 7 - PRECAUTIONS.FOR SAFE HANDLING AND USE STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Eliminate all ignition sources. Spills should be diked and must be kept from entering the sewer. Soak up with absorbent or transfer liquid into a closed container for later disposal. Use spark-proof tools and explosion proof equipment. WASTE DISPOSAL METHOD: If this product as supplied, becomes a waste it is regulated by RCRA as Ignitable Waste, EPA I.D. #D001. Suitable methods of disposal include reclamation and fuel blending. Contact a Licensed Hazardous Waste Hauler for more information. PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Containers should be grounded and bonded before transferring product. Store in the original closed container away from sunlight,excess heat,sparks,flames and other sources of ignition. Avoid skin or eye contact. Avoid breathing vapors. When transferring or using this product, wear proper personal protective equipment. Store and handle as a Combustible Liquid. OTHER PRECAUTIONS/DOT INFORMATION: DOT Proper Shipping Name: Combustible Liquid n.o.s. (Naphtha), Hazard Class: Combustible Liquid, UN Number: NA1993, Packing Group: III. Non-bulk Limited Quantity. Not regulated as per 49CFR 173.150(0(2). Product is classified as an OSHA Class.II Combustible Liquid. SECTION 8,-:.CONTROL.MEASURES` RESPIRATORY PROTECTION: The use of respiratory protection is advised when concentrations exceed the established exposure limits in SECTION 2. Depending on the airborne concentration, use a respirator with appropriate organic vapor cartridge(NIOSH approved). VENTILATION: If current ventilation practices are not adequate to maintain airborne concentrations below the established exposure limits in SECTION 2, additional general ventilation or local exhaust systems may be required. PROTECTIVE GLOVES: Wear solvent resistant gloves made of nitrile or butyl rubber. EYE PROTECTION: Wear safety glasses with side shields. OTHER PROTECTIVE CLOTHING OR EQUIPMENT: A personal protective rating of X means you must see your supervisor for guidance. OSHA regulations(29CFR Part 1910, Subpart I) require employers to evaluate Personal Protective Equipment requirements in the workplace. WORK/HYGIENIC PRACTICES: Wash with soap and water after product contact with skin. „ .. SECTION 9 - ,DISCLAIMER The information on this MSDS is believed to be accurate as of the date shown in SECTION 1. Since the use of this product is not under the control of Varn, it is the user's responsibility to determine what constitutes safe usage for a particular product. This form may be reproduced in quantities necessary to meet your requirements. z MATERIAL SAFETY DATA SHEET METERING ROLLER CLEANER Page: 1 Revised: March 26 2002 PRODUCT CODE: B015019 HMIS CODES: H F R P 1 3 0 X SECTION 1:- MANUFACTURER IDENTIFICATION MANUFACTURER'S NAME: VARN PRODUCTS ADDRESS 905 S. WESTWOOD AVENUE ADDISON, ILLINOIS 60101 EMERGENCY PHONE: 800-424-9300 DATE PRINTED: 3/26/02 INFORMATION PHONE: 800-336-8276 NAME OF PREPARER: Varn Products Co. REASON REVISED: Update; Supersedes All Previous Revisions. SECTION 2 HAZARDOUS'INGREDIENTS/BABA III INFORMATION " VAPOR PRESSURE WEIGHT REPORTABLE COMPONENTS CAS NUMBER MM HG @ TEMP PERCENT -------------------------------------------------------------------------------------------------------- Petroleum Naphtha 8032-32-4 10 680F 94 OSHA PEL: N/E, ACGIH TLV: 300ppm Dipropylene Glycol Methyl Ether 34590-94-8 0.17 680F 6 OSHA PEL: 100ppm, ACGIH TLV: 100ppm, STEL: 150ppm *** No toxic chemical(s)subject to the reporting requirements of SECTION 313 of SARA Title III and of 40 CFR 372 are present. ***All ingredients are listed on the EPA TSCA Inventory. SECTION 3 r PHYSICAL%CHEMICAL CHARACTERISTIC5 BOILING RANGE/POINT: 2470F - 3560F SPECIFIC GRAVITY (H2O=1) : .76 VAPOR DENSITY: Heavier than air. EVAPORATION RATE: Faster than n-Butyl Acetate. V.O.C. (EPA METHOD 24) : 6.36 lb/gl VAPOR PRESSURE (MM HG @ 20°C) : 9.65 SOLUBILITY IN WATER:: Negligible APPEARANCE AND ODOR: Clear Liquid - Petroleum Odor SECTION 4 FIRE AND EXPLOSION HAZARD DATA'. FLASH POINT: 640F METHOD USED: TAG CC FLAMMABLE LIMITS IN AIR BY VOLUME- LOWER: 0.9% UPPER: 6.0% EXTINGUISHING MEDIA: Foam,CO2, Dry Chemical,Water Fog. SPECIAL.FIREFIGHTING PROCEDURES: As in,any fire,wear self-contained breathing apparatus(MSHA/NIOSH approved)and full protective gear. Water may not be effective to extinguish fire. Use water spray to cool fire-exposed containers and to protect personnel. UNUSUAL FIRE.AND EXPLOSION HAZARDS: Treat as a petroleum fire. Vapors can travel to source of ignition and flash back. I Jam` MATERIAL SAFETY DATA SHEET METERING ROLLER CLEANER Page: 2 Revised: March 26, 2002 SECTION 5 - REACTIVITY,DATA= STABILITY: Stable CONDITIONS TO AVOID: Avoid heat,sparks,flame and other sources of ignition. INCOMPATIBILITY(MATERIALS TO AVOID): Avoid mixing with strong oxidizing agents. HAZARDOUS DECOMPOSITION OR BYPRODUCTS: Burning will produce oxides of carbon and dense smoke. HAZARDOUS POLYMERIZATION: Will Not Occur. SECTION 6 - HEALTH HAZARD DATA INHALATION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Excess vapor concentrations are attainable. Overexposure will cause irritation of the nose and throat and cause signs of nervous system depression such as headache,drowsiness,dizziness and unconsciousness. SKIN AND EYE CONTACT HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Skin and eye contact may cause moderate to severe irritation. SKIN ABSORPTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Single prolonged exposure is not likely to result in the product being absorbed through the skin in harmful amounts. INGESTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE: Ingestion of this product will cause nausea, gastro-intestinal irritation, diarrhea and possible damage to vital organs. Follow first aid procedures. HEALTH HAZARDS(ACUTE AND CHRONIC): Repeated or abusive breathing of concentrated vapors may effect pulmonary, cardiovascular,and central nervous systems. Repeated skin contact will dry out and crack skin. Aspiration hazard if swallowed; aspiration of product into the lungs can cause chemical pneumonitis. CARCINOGENICITY: NTP CARCINOGEN: No IARC MONOGRAPHS: No OSHA REGULATED: No This product contains no known carcinogens. MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: Skin contact may aggravate pre-existing dermatitis. Inhalation of vapors may aggravate pre-existing asthma like conditions. EMERGENCY AND FIRST AID PROCEDURES: INHALATION: Remove victim to fresh air. Give oxygen if breathing is labored.Apply artificial respiration if not breathing. Seek medical help. SKIN: Remove all contaminated clothing and shoes. Wash with soap and water. Do not reuse clothing and shoes until cleaned. EYES: Flush eyes with plenty of water while removing any contact lenses. Hold eyelids open and continue flushing for at least 15 minutes. INGESTION: DO NOT INDUCE vomiting. If vomiting occurs spontaneously, keep head.below hips to prevent aspiration of liquid into the lungs. Seek medical attention immediately. I MATERIAL SAFETY DATA SHEET METERING ROLLER CLEANER Page: 3 Revised: March 26, 2002 'SECTION 7, PRECAUTIONS`FOR SAFE HANDLING:AND.USE STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Eliminate all ignition sources. Spills should be diked and must be kept from entering the sewer. Soak up with absorbent or transfer liquid into a closed container for later disposal. Use spark-proof tools and explosion proof equipment. WASTE DISPOSAL METHOD: If this product as supplied, becomes a waste it is regulated by RCRA as Ignitable Waste, EPA I.D. #D001. Suitable methods of disposal include reclamation and fuel blending. Contact a Licensed Hazardous Waste Hauler for more information. PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Containers should be grounded and bonded before transferring product. Store in the original closed container away from sunlight,excess heat, sparks,flames and other sources of ignition.Avoid skin or eye contact.Avoid breathing vapors. When transferring or using this product,wear proper personal protective equipment. Store and handle as a Flammable Liquid. OTHER PRECAUTIONS/DOT INFORMATION: DOT Proper:Shipping Name: Compounds,Cleaning Liquid (Naphtha), Hazard Class: 3, UN Number: NA1993, Packing Group: II. Product is classified as an OSHA Class IB Flammable Liquid. Ex ; r v SECTION 8' CONTROL MEASURES=. RESPIRATORY PROTECTION: The use of respiratory protection is advised when concentrations exceed the established exposure limits in SECTION 2. Depending on the airborne concentration, use a respirator with appropriate organic vapor cartridge(NIOSH approved). VENTILATION: If current ventilation is inadequate to maintain concentrations below the established exposure limits in SECTION 2, additional ventilation or local exhaust system is required. Explosion proof electrical systems must be used. PROTECTIVE GLOVES: Wear solvent resistant gloves made of nitrite or butyl rubber. EYE PROTECTION: Wear safety glasses with side shields. OTHER PROTECTIVE CLOTHING OR EQUIPMENT: A personal protective rating of X means you must see your supervisor for guidance. OSHA regulations(29CFR Part 1910, Subpart I)-require employers to evaluate Personal Protective Equipment requirements in the workplace. WORK/HYGIENIC PRACTICES: Wash with soap and water after product contact with skin. SECTION 9 -`'DISCLAIMER'. The information on this MSDS is believed to be accurate as of the date shown in SECTION 1. Since the use of this product is not under the control of Varn, it is the user's responsibility to determine what constitutes safe usage for a particular product.This form may be reproduced in quantities necessary to meet your requirements. d l - ;e � Pag %4 Material Safety Data Sheet t15D -Z acc.to tsib D 11014 Printing date:06128f2007` Reviewed,on•06128/20a7 1 ldenfifrca#forr:of substance. •Produc#details Trade.name:2459 FOUN.CONC Artrcle:number•C1.1:2 AppGcafron of tie substance I the:preparation Wetting age»t Manufacfurer/Supplier: Printers'Service' 0B1anchard Street. Newark W 07105 lMI77.0tion.de(aartment:l-973-58g-7800'.(MSDS revised 612812407) Emergency iriformatiori CHEMTr2EC,(24 hr) 9-800-424-9300, 2 Composftianit)afa on:comportents •Chemicatcharacfarizatlon> Description:MI4ture of:the substances listed below with nonhazardous additions.: Dangerous components: 111J&2 2-butoxyethanol 10-20..% X»:Xi;R`2012IM-36/37/38` 107>2i-Z ethyfene glycol 5- 0% Xn R..22 90377-60-3 magnesium nitrate 5-1'o. Xi;R 3 8:: 872-50 4 N-riethyl 2=pyrrofidone Xn;:,Xr R 1t3=20121122-36138; Additional information:`For the wording,of the listed risk phrases refer to section 16 :3 Hazards Identification Nazad descriptiaR: -lrritarif Information pertainirtg:ta particular dangers farman''and en+rronmenf:; . The pro. uct.has to tie tabWled duo to the calculation procedure of the-"General Classification gurdelirre for preparetrons of the EU"in the latest valid version: lrr#ating to eyes and"skin. Harmful by inhalation,in;contact:with skin:and if swallowed. Classlficatlonsystem The cla..sstficatrarr was triads according to the latesteditibiis.of,.irrtematroriat substances lWs ,.and expanded upon from company an literature data.: NFPA MUngs(scale 0-4) Health` Fire=Q' Reactiv�#y 0; HMIs-ratings:($cafe 0=4) Health,.= Fire=0 Reactivity=.p First aid measures After:inhalatlbn Supply fresh a.and to be.sure call fora doctor. 10 case-of unconsciousness place:patientstably inside position for.transportation. After skin contact:tmmediatelywash with water and soap and rinse thorougfTly: After,eye..contact: Tsa peneed 6ye.for several minutes under .rynning water.if symptoms persist,consult a doctor.:: After stivaflowfrrg-tf symptoms:persist consult;dactor:, USA ((':Onto on page,2) :Page'v4 Material Safety Data Sheet aec.':fo IS07DlS 910l4: Printing date 0612&2007 Reviewed on 061M2007 "Trade name•2451 FOUN CONC (Contd.of page f) 5 Fire fighting_measures Suitable extinguishing agents;; COZ Ofnguishing pow..der or.water spray Fight.larger fries with:water spray-or.atcohoi resistant foam: Protective'equipment.''No special measures"required_ 8 Accidental release measures. Person-relater/safety precautions:Not.required..: Measures for environmental protection:Do'riot allow td enter sewers!sbrfke or ground water.. Measures forcloaning/coliecting Absorb with liquid-binding material(sand;diatomite,acid binders;;universal binders sawdust): 7 Handling and_storage. Handling: •Information for safe'handling:Store in coot,dry place in tightly closed..receptacles.. inforation about protectionagainst explosions and fires:No special ineasures.requrred: Storage;:; Requirements°to be•mef by storerooms and receptacles;No speciai.:requirements:. I»formation about storage in one;common storage,facri# Not required: i`urther.,infom anon about storage conditions:Keep receptacle tightly sealed. 8 Exposure controls and personal protection :4ddiffonal information abggi.d(esign oftechnleaFsystOM$t No,further.data;see item 7. Gor»ponents'with limit values that require monitoring of the workplace;: 119 76-2 2-butoxyeihanoi PEL 240 mglm';;50 ppm Skin REL 24•mgW, 5PPm Skin TLV O.mglms 2Q ppm. NIC-A3 107:21-�ethyle»e glycol TLV Shorf-teirri value:G"100 mghio, (H) Atlditiona!information:The Itsts that were v iid during the,creation;were used as basis: Persona!profecflve•equ"ipment Genera/protective ar+d hygienic measures: Keep'away+fCorri foodstuffs,beverages a'nd feed; immediately remove all soil d and contaminated clothing. Wash hands:tietore breaks•acid at the:end.of work: Avoid contact With the eyes and skin: 8reafhing equipment:Not required: Protection of hands. Protective gloves; , - The glove material•has to be Impermeabia and resiistant to the product!the substance/the p�eparatio is Due to'mrssmg tests no:+ecommentlatioh to the glove matenaJ.can be given for the product/the preparafiorr!the, chemical`mixture: Selection of the glove material on considerahon•of the penetration times,rates of diffusion ancf the.degtadation Materlalsofgtoves' The selecfron of the sultable,gloves does not ably;depend.on•ihe material,,but also on further marks of quality,.and vanes'from manufacturer to rrianufacfurer.As the product s;a preparation of several substances,the'resistance of the glove meterial can not be.calculated in advanceand has:therefore to be checked prior to the application: Penetratron'fime of glove material The:exact break trough time has to•ba-found'out bythe.'manufacturer of`the protecbve_gloves:and has;fo tie :observed, _ Eye protection:;Tightly:sealed.goggles., A (Coned.on page 3) Page Y4 Material Safety D#6.Shaet acc,!toWd/DIS 110�4 Printing.date:06128/2007 R6106 led on 06/28/200.7: Trede"namer2451 FOUN CONC (contd of page 2) 4 Physical andchernfcal properties; General lnfoimatfoii Form:: t lyiii` Gotor Rest. Odor;.- Characteristic Change rn:condition Melting pointlAAeiting'range` undetennined. 41611r"ng Ot1BoXn4 range; 1t?0°G:'(212°F): Flash:point NaYapplicab/e: Ignition temperature:; 240.W.0(464°F) Aufalgnrfrn9 Producers not.selfrgmting:. Dangeruf explosion:' Product does riot.presenfan explosion hamMi Vapor pressure at 20T(68°F),9 T8 hPa(13 min.lig). Densityat 20'C(68°Fj 1.9(J:g/cm Solubility in/Miscibility:with Water.:: Soluble: •VOG. 20g.9:g/ll.t.751b/gl (EP11 Methad 24) 10 Stability and reacfivity Thermal decomposition l conditions:to be avoided:No:decomposrtron.€:used actor-d' to specifW fiohs Dangerous reactions o,dangerous reactions known. Dangerous'produafs of decor rpositlon: caibon monoxide and carbon:dfoxide NitroBgen oxides' �!1 7'axlcologrcalinformation Acute aaxrcity: Primary trntant,effecf: on the skill lrfftanf to skin and mucous membranest on the eye lrrrfafing effect: 5ensiGzahon=Sensitization passlbie through skjaxontact.. Additional toxicological rnforrtiation. The pnxiucf shaws.the tollawir?g.dangers according to internally approved;calculation;mefhods for preparations. irritan( 12 Ecotogrcal friformadon Genera/notes: • Wafer hazard'ciass.I(Self-assessment) siightty'hazardous for water. Do ndt:aliaw undiluted product:oriarge quantities`of rf to reach gri7und water,wafer course orsewage;system: 13 Disposal considerafions Product: Pecomt endotion: Must not be disposed of together with household`garbage;'Do hot allow product to reach sewage system_ 6 nand packagings: Reco ninondatton.Dlsposat>naust•be made according too cial regulations... ' 14 Transport intormatlan Hazard,ctass,tYot a;DOT regulated material usa. .:; (Cantd on page 4): Page 4l4 Matedi Safet Data Sheet aco;tatSO/DrS tr0t4 g Reviewed on 06f28/200.7 Pnntn ;date 06/28720A7 Trade name:2451 FOUN CONC (Contd of page 3): 13 Regulations: ':Sara Section 365(extremely hazardous substances)..•,; Noneof"the ingredient is listed: Section 313:;(Specc.#oxio chemical listing$): 111-76-2 2-butoxyethanof 107-21 1 ethylene glycol 872-50-4,N-methyl 2-pyrro7idorre . TSCA(Toxic:Subs#antes Contrdl Act): All ingredients,are listed., Proposition 65 •Chemicals knoiwn to cause caiicec< None..of the ingiedients is listed:: Che.mcals known to cause reproductive;toxrcity'fgr females; Nonezof the Ingredients.is)is#ed Chemicals known to,cause repr ductive'toxicity for males: None of the ingredient$isYisted. Chemicals known,to cause deyeiopmental toxicity; 872$04 N-methyF-2 pyrrotidorta Canceiagenitycategories EPA'(Environmental Protection Agency) None.;of the Trigredie'fitsis listed, IAl?G(lnternafionai Agency for Research.on Cancer) None=of the ingredients is&steal:, 1UTP(National:Toxicology Program) .None.of the ingredients is listed., TLV(Threshold Limit Value established by ACG1H) 107414,ethylene glycol.A4 MAk(German Ma)ir um;Worltplace Concentiation) None of the ingredients s.listed. NIOSN-Ca(National:hisiitute for Occupational Safety arid.Health) Nons of the ingredients is tis#era; - OSHA.Ca(Occu066091.Safety$Health:Administration) None;oftheJ%MdWits slisted Product related hazard inforniatlons: The product tads been classified and mir'din accordance with directives on hazardous materials: NabonaJ regulations:;; Water hazard classy Water hazard class:f'(Self-assessment)•sllgtitly hazardous for u+ater. ` 1ti Otherinfarmation This vifarmatroit rs based on our present`knowledge.However this shall not constitute a guarantee'far any slecific, product features and shall notestab/ish a legally;yatid contractual relationship:. Department issuing MSDSr Contact•CHE4MEC(24hr) 1-800424-9300,Printeis Service 1=973-589,-7800 Data compared to the'prevraus yersroia aliered. _ _ USA.' MATERIAL SAFETY DATA SHEET This MSDS complies with OSHA'S Hazard Communication Standard(29 CFR 1910.1200)and the American National Standards Institute Standard for_MSDSs(ANSI Z400.1) SECTION 1 —CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Identity(trade name as used.on label): Manufactured For: Heidelberg USA, Inc. Address: 1000 Gutenberg Drive SAPHIRA AQUEOUS'COATING GLOSS W3950 Kennesaw,GA 30144 Date Prepared:01-4--10 revision 1 Prepared By: Kurt Wiggins Information Calls: '888-472-9655 prompt 3 DOT Emergency Response: Chemtrec USA and Canada 800 424-9300 , SECTION 2—HAZARDS IDENTIFICATION Emergency Overview: A milky tan liquid,with a slight ammonia odor. Non flammable.Absorb spills to keep material and run-off from entering sewers,drains or waterways.Waste is non-hazardous and should be disposed of accordingly. Potential Health Effects: Skin—Prolonged or repeated contact with liquid can cause irritation. Eyes-Contact with the eyes may cause irritation. Inhalation—No long term effects known Ingestion—Causes irritation to the gastrointestinal tract Conditions Aggravated by Exposure: None known SECTION 3—COMPOSITION/INFORMATION ON INGREDIENTS COMPONENTS-CHEMICAL NAMES AND COMMON CAS Number WT. OSHA ACGIH Carcinogen, NAMES % PEL TLV(ppm) Ref.Source'* (Hazardous Components 1%or greater;Carcinogens 0.1%. (ppm) rgreater) AMONIUM HYDROXIDE—AQUEOUS 25% 1336-21-6 <1% N/A LD50:350 m /k N/A ISOPROPANOL 000067-63-0 <1% 'N/A LD50:>2000 N/A m /k The above chemicals are subject to the reporting requirements,of section 313 of the Emergency Planning and Community Right to Know Act f 1986(40 CFR372) See SECTION 15—REGULATORY INFORMATION. *Chemical Listed as Carcinogen or Potential Carcinogen:a=NTP b=]ARC Mono rah c=OSHA d=Not Listed e=Animal Data Only SECTION 4—FIRST AID MEASURES Eye Contact: Immediately flush with water for at least Ingestion: If swallowed,seek immediate medical attention. Do NOT 15 minutes;seek medical attention if irritation persists.induce vomiting unless directed to do so by medical personnel. Skin Contact: Remove contaminated clothing; Inhalation: Immediately remove to fresh air. launder before re-use. Wash skin with soap and ater; if irritated,seek medical attention. SECTION 5-FIRE FIGHTING MEASURES Flash Point: Greater than 200*F JAuto Ignition Explosion Limits: N/A emperature: N/A Extinguisher Media;This water based product is not expected to burn and should be self extinguishing, The dried residues and container may burn and can be controlled with water,foam,dry chemical or carbon dioxide. Unusual Fire&Explosion Hazards: None SECTION 6—ACCIDENTAL RELEASE MEASURES For small incidental spills and leaks,wear protective gloves and eye protection. Stop source of leak or spill. Isolate area of pill by diking,and/or add dry absorbent to prevent it from entering sewers,drains or waterways. Cleanup and place in an appropriate container for disposal. Wash all contaminated clothing before reuse. For larger spill requiring emergency response,follow_OSHA emergency response regulations and NIOSH recommendations. If possible,stop source of spill or release. Isolate the area of spill or release by diking to prevent it from entering sewers, rains or waterways. Clean up and place in an appropriate container for disposal.Material is non-hazardous. SECTION 7—HANDLING/STORAGE Avoid contact with eyes,skin or clothing. Avoid breathing mist or vapour. Wash thoroughly after handling. Do not eat,drink r smoke in work areas. Keep container closed when not in use. Use only with adequate ventilation. Store above 45*F as product will freeze. FAPH:IR7A AQUEOUS COATING W3950 GLOSS page 2 SECTION 8—EXPOSURE CONTROL AND PERSONAL PROTECTION entilation: Local mechanical exhaust preferable. Personal Protection: Use neoprene or rubber protective gloves. Uses lash proof goggles. SECTION 9—PHYSICAL AND CHEMICAL PROPERTIES ppearance and Odor: milky tan and mild ammonia Boiling Point/Range: 212*F dor. Odor Threshold: N/A Vapor Density: approx. 1.0 Specific Gravity Water=1.00 : 1.0—1.1 Vapour Pressure: nd Viscosity: nd Solubility in Water: Complete H: nd 1VOC Content: <1%u Freezing Point: 32*F lCoefficient of Water/Oil Distribution: nd SECTION 10—STABILITY AND REACTIVITY Hazardous Polymerization: Will NOT occur; product is stable. Hazardous Decomposition Products: Oxides of nitrogen and carbon Conditions to Avoid: Contact with strong oxidizers SECTION 11 —TOXICOLOGICAL INFORMATION LD50 oral,rat): No data available. Acute Overexposure: May cause skin,eye irritation. Chronic Overexposure: None known. SECTION 12—ECOLOGICAL INFORMATION Ecotoxicit Data: No data available. Chemical Fate Data: No data available. SECTION 13—DISPOSAL CONSIDERATIONS Hazardous Waste Characterization: None Recommendation: Dispose of materials associated with cleaning up spills and/or leaks according to federal,state and local regulations for non hazardous waste. SECTION 14—TRANSPORT INFORMATION Ground Shipping(US DOT 49 CFR): Not Regulated. Air ICAO/IATA Shipping: Not Regulated. International Maritime Organization IMDG)Shipping: Not Regulated. SECTION 15—REGULATORY INFORMATION - ARA Title III,Section 313 Toxic Release Invento Yes Clean Air Act 1990 Hazardous Air Contaminants;Clean Air Act HON Rule Hazardous Air Pollutant-HAP —None. ARA Title III,Section 302 Hazardous Substance List —Yes SCA Inventory: All of thisproduct's components are listed. SECTION 16—OTHER INFORMATION FOR INDUSTRIAL USE ONLY USE ONLY AS DIRECTED DO NOT TAKE INTERNALLY HAZARD RATING: Health—1 Flammability 1 Reactivity—0 Personal Protection—Goggles,Gloves Health: 0=Minimal Flammability: 0=Will Not Burn - Reactivity: 0=None 1 =Slight 1 =Flash Point>200'F 1=Slight 2=Moderate 2=Flash Point>100'F 2=Moderate 3=Serious and 5 200°.F 3=Serious 4=Severe 3=Flash Point<100'F 4=Extreme and Boiling Point>100'F 4=Flash Point and Boiling Point<100'F The information contained herein is based on the data available to us and is-believed to be accurate. However,no warranty is expressed or implied regarding the accuracy of this data or the results to be obtained from the use thereof.We assume no responsibility for the injuries from the use of the product described herein. 4 The Commonwealth of Massachusetts _: , Department of Industrial Accidents Aflce oflnYestiFOOffs 3-� 600 Washington Street _ �? Boston,Mass. 02111 Workers' Comj/)nsation Insurance Affidavit name: location city phone it ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workin in any capacity I am an employer providing workers compensation for my employees working on this job. company name• address: 1� ... 19�d�i LA i> city: itrt�'/� /. I VL4L nhone#: �` insurance co. AU . e ,� licy# AI am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: company name: - - address: Z. cftr phone#� insurance cn. olicv# :::>:> .......... company name: address: city- phone#: insurance co. go CV# ... Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of S 100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi y under t pains and pe all' of p rjury that the information provided above is true and correct Signatur Date Print name Phone# ��,� 40 official use oniv do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department QLicensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (muea 9M P1Al h Information and Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any co=-- , of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive,c: trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. - MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be rationed io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of IWesuga"Ons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 i Commonwealth Electric Company WarCranberry Highway eham, Massachusetts 02571CUMV Eadda Telephone (508).291-0950 484 Willow Street Hyannis, :Ma 02601 November 25, 1998 Town of Barnstable Building Inspectors Office South Street Hyannis, Ma 02601 To whom it may concern: This letter is to confirm that the electric services and meters have : been removed from the following properties, for the purpose of demolition at the request of Beaver Builders. Cord Inc. at 114 Enterprise Road in Hyannis Cape Cod Mall at 937 Iyanouth Road in Hyannis - Superior Hotel Mgt. Corp at 921 Rte-132 in .Hyannis WJR Enterprise Inc at 937 Rte-132 in..Hyannis If I can be of any further assistance to- you please feel free to -- contact me at 508-790-1721 X:5781. `Very truly yours, - Judith A. Webb Customer Service Rep Hyannis District DEC-01-1998 15:41 COLONIAL GAS COMPANY 15063942564 P.02f02 U 127 Whiw.a Pufh COLONIAL 1n. }'iu'nNlflt,!vl:1(72(;ji-1v. 1-,`10Q 4R S000 6 A 5 G 0 M i A x v i December 1, 1998. Town of Barnstable Building r P . duig Inspector, . Re: Cape Cod Mall construction project Dear Sir, - This letter is to confirm that the gas service to the following properties in the area` of the Cape Cod Mall consm,wtion project has been terminated. 1. Sands Motel,Rte 132 2, Green Briar.Motel,Rte 132 , 3. Atlantic Carpet,Rte 132 ' 4. The C O R D Building Independence Dr Should you have any questions Re:this matter please call me at 509-760.7502, ` sincerely, Barry Fernandes Distribution Coordinator Colonial Gas Co. TOTAL P.-02 } NOV 30 '98 13:51 FR TO 7713569 P.02/02 BELL ATLANTIC 44 Old Townhouse Road South Yarrimouth,NIA- 02664 _ November 20,1998 The locations listed below have been field checked and the appropriate department has been notified to remove telephone plant. The work is scheduled to be completed no later than November 26,1998. Sands Hotel Greenbriar Hotel Atlantic Carpet'. CORD, 1.14 Enterprise Rd. Questions concerning these locations should be referred to the undersigned. John S. Shea;Jr. Engineer i�r �G is A's o/� �0 /1/0 O/LK g r I * TOTAL 'PAGE.02 ** Barnstable ATE R 47 Old Yarmouth Road P.O. Box 326 C O M PAN Y Hyannis, Massachusetts 02601-0326 508/775-0063 November 25 , 1998 Town of Barnstable Building Inspector Town Hall Hyannis MA 02601 Re : Service #1452 Account 294 018 Service #1453 Account 294 077 Service #.1453A Account 294 088 Sands Motor Lodae Route -132 , Hyannis Dear Sir: The above three services were shut off at the main on October 14, 1998 at the request of the owner as the buildings areet6-be -demolished. Sincerely, v! Clerk Barnstable Water Co. I Barnstable AT� 47 Old Yarmouth Road j R P.O. Box 326 C O M P A N Y Hyannis, Massachusetts 02601-0326 508/775-0063 November 25 , 1998 Town of Barnstable Building Inspector Town Hall Hyannis MA 02601 Re : Service #817 Account 294 019 Greenbrier Motor Lodge 931 Iyanough Rd, Rte 132 Dear Sir: The above water service .was shut off at the main on August 19,1998 at the request of the owner as the building is to be demolished. Sincerely, Clerk Barnstable -Water Co. r COMMONWEgLTH OF r 1010 DEPARTMENT l, I OF PMASSIC U BUC S � r$�irzr�ac=a MM nTS ONWEA 41 BOSTON, LTHAVE MA 02215RATION DATE ;t- -— L I C E N$/1.995 E F , atPle Ji��s ems. r.r�rcaatrce IC R V i g p Ry ;" IY E 7 — '' CAUTION r, EFFECTIVE DATE LIC-NO.c£ 05/.31/1��3 �bR PROTECTION AGAINST r. . t3 4 F 0 4 4 THEFT �p - DALE PUT RIGHT THUMB ' Q1°2—Sr2— j g R NIKULA tf-'PRINTINAPPROPRIATE H E I L q 4d N 1 BOX ON LICENSE. _ Hrtidl�H aA�' I 7F. F '' l nZ 4.5 LASTING OPERATO (1 1 B •UQ :;MUST INCLUD RS NOT VALID UNTIL-SIGNED BY LICENSEE E PHOTO, 1HEIGHT: =' 'f STAMPED- MI a.Y ( I DOB: OR-SIGNATURE OF THE OpMD OFFICV1lyy SSIONERTHIS BEDOOUMENT MUST CARRIED ON THE PERSON OF ��-�'THE HOLDER WHEN EN 1' OCCUP GAGED THIS SIGNATURE OF LICENSEE' ' ATION. SI IN F ULLABOVE' .. _ i 0�7• i' f _ SIGNATURE LINE ,OOMMISSIONEf= s ` Lit COMMONWEALTH OF MASSACHUSETTS c DEFARTMEIN'T OF LNDUSTRIAIsACCIDENTS 600 WASHINGTON STREET ,lames.: CamDDel, BOSTON, MASSACHUSEM 02111 Coe m ss�oner WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensee/permittee) wich a principal place of business/residence at: ?7 s r (City/statdzip) do hereby certify, under the pains and penalties of perjury,that: [J 1 am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number (/am a sole proprietor and have no one working for me. [] 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE-Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dweliine of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto arc not generally considered to be employers under the Workers' Compeasation Act(CL C 152,sea. 10)),application by a homeowner for a license or permit may evidence the Icga1 status of an employer under the'Workers' Compensation Act 1 unde-stand that a copy of this statement will be forwarded to the Departmr iE of Industrial Accidents' Office of Insurance for coverage ver.fic:lon and that taiiure to secure eovera.ge as reauirec under Sec:on 25 'of MGL 15' can lead to the imposition of criminal penaltiu consisthe of a fine of up to S1500.00 and/or imprisonment of up to one year and Civil penalties in, the form of a Stop Work Order and a fine of S 100.00 a day against me. Signcd this - s7ti dad•of �iy�' , 19 f � iIcc^S',:PC.-M17Ct L:C11.^.s0vPcrm1 or t : Assessor's office(1st Floor): Assessor's map and lot numbero4 THE ro Conservation(4th Floor): Board of Health(3rd floor): T. • Sewage Permit number i t ssa»rnnt yo rua Engineering Department(3rd floor):.' + House number p Y1r►• Definitive Plan Approved by Planning.Board 19 ' APPLICATIONS PROCESSED 8:30-9:30'A.M:.and 1:00-2:00 P.M.only } TOWN OF BARNSTABLE 1 . BUILDING INSPECTOR APPLICATION FOR PERMIT TO ,4f,,V1 C410 f0 kl dA,g G TYPE OF CONSTRUCTION _ Pi2�Ssv/t1� �jZls p;�rJ. S yp: ` O it 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /i V IT"w re2P2!5,A 10K. Proposed Use Comm46t .CIAI Zoning District Fire District 'Y"yOAJ N S Name of Owner no Vj,0 /41Cts4A-rNy Address Name of Builder Z)41e ,y//cvtl9 Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost 4- Area Are- 4*40c c Diagram of Lot and Building with Dimensions Fee 62 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 1 Construction Supervisor's License a3P,BQy/y 4 MCCARTHY, DAVID F . • No 3 h h 7 7 Permit For BUILD HANDICAP ACCESS RAMP` Location 114 Enterprise Road Hyannis z Owner__David McCarthy Type of Construction t r Plot Lot Permit Granted May 5 19 94 Date of Inspection: 1 1 Frame 19 Insulation 19 Fireplace 19 i - Date Completed 19 • 1 i 1 1 t7 1 L