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HomeMy WebLinkAbout0028 HALLETT ROAD TOWN OF RARNSTABLE BUILDING PERMIT APPLICATION 311 Map- plicati 1 # �Health Division Date Issued J��27-4. Or— Conservation Division (, Application Fee BUILDING DEPT Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board MAY 17 2016 Historic - OKH _ Preservation /THyanhisr RAP.r rQ,,a Project Street Address a� Village— 1 y�/ N f5 (Z Address -S6 )/AR 0 Telephone,'. F��S 0"s 0 tPermit-Request- �061 V1OI Ell C-11 V QALC> iv R a id (3v/,6/KA A-t Square feet: 1st floor: existing qyU proposed 2nd floor: existing proposed Total new Zoning District Flood Plain �C Groundwater Overlay_ Project V_aluation_' (-16, 0 Construction Type V � Lot Size 3®, 76 SW Tr Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ` 'Yes ❑ No If yens, site plan review# Current Use Va`E� t I�' Proposed Use OV APPLICANT INFORMATION (BUILDER OR HOMEOWNER) C.Oir j�►� vae --- - © Name1._ �y elephohe'Number__ i�eb �R(�� S c - Cc All&_ M Address-- uTV j� License # �. �n G � ro � f['� ® � Home Improvement Contractor# �) Email,)C,.D\A��Cq � a�� f�7te` L '' 1 Worker's Compensation # � t �"( A, ALL CONSTR CTI DE RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE.. DATE c FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED I MAP/PARCEL NO. .ADDRESS VILLAGE OWNER DATE OF INSPECTION: - FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . ate�t� �ajf�r�ssr�e�tr�� • $r tarp, i 02 wnnu.ru gov{i ' r rs'.0 pe of Ins�an � avit$ceders/ &-ad rs/EfectricianslPlumbers pIicmt Infarmadua ea f/� Pl �s�&Fr d LepiW- N=j,(I asine5al irrfinitlFnr�xrit3nat�:C d1J �0 URGCJ` �'1�'�` E`i�// i dress . U fi f at 1 p: � Gur• -/ �a3 Pfi�ns A, Are ywu an employer?Checktlie i-pgropriatp.ba'-- Tn)e of t(rN-uiMd)_ 1_[I I am a employer wift . 4- arts a al contmc x=d I erzcpla {hill dfarFar�time}* boot hu i the ire. CL Near c6M 2:❑ I am a sole prcp:ddar orpar€ner listen on the attached sheer 7_ R=node mg sbig and have.no employeEs sob--cantacfass have $_ Demolitibu forme inplay'ees an$have workers' or}ig Q_ Q Ruildmg addition �o Rrorkes'coIItp_i�tetrranre C6atP_mcnneru�-� _ We am a cotparzdcnand its I4:.E]$lecEtical reparrg or additions I❑ I Ana himn5awner doing an wat;i officers have mmmised i�eit I1�Plumbing regai>s.or additions Myself o work=,, right.of tioa per IrfQ I El � I.p c 15Z§I(�,aad-we have.do oaf �o l3_0 Otter comp_instnnn65 require ��ay sap ffiatcherksbar.I rmstalso:Eao seciioabclosc chi*�R ihrs �T�onme arr;=PURL �Ffo-mecswners ern.�L-�it bus�u3aYu i�csti�.g 3�y:�doing`II t:i-�•�tbm*�+�*z a�coutractnrs Est sobco�a aeu siudscst ma,r�sa�li t[branrar-sr.rc tW rhxk this h�l m.&t sdadiad sa IrirTifiapaT ch a xud stHtP Ahaffie,dcIIIITthaSE ED fes:hzv-- mmplu3 . Lfthe sob-cautmC=h-m mal -%they pmvidE fleir wants'camp.paiiry umnber- 1 am as �mPIOPeF ihrrtis�rrfr► g trarkrrs'catttntian iztsztrrzzccg for zrzj ettFDy�cs. ReiotF rs fhegrr&cp artd job sits. fr�forvrt�€ir�rt.. IfL�¢rBncB Name: h(�c► F oficg*#ar SeFf-ius_Lim y . y ►. ! 6 a F�gisation Dais: i 1 ' G .Job§rt-Addtesx. �l� u(aG�-G� J Citvlstate(Tg_ Attach a copy of thg Vmrke-re WuLpensaf um polity dedzration page"(showing the policT number ana e3jisation date): F'aum to sectac coti erage as regairedvnder Stc:fiorL SA of MGL,cc-I52 can lead to the imposition of criminal Penalties of a Rut up to$UOD_GD andJar.a yearimpriso .as well as ciz'a peTmties in the form of a STOP WORK OR=and a fine of up to$250.00 a day again the violater_ Re advised f at a copy of this statuneat maybe warded to fi}e Office of Fare us gatiom of ffie DIA for in=a„c5 caFeIMge V=E&2 ion lr eD fler e-Dj'crrtfp z thg-pg inn andpsnai6ss c fperjxgy rhatthe inforramm6an prm;iLW abase cs true azut correct 4`1pnRfixR 13. Phone ik _. aL ALM Cully. D'V not tvrfh;in flue.area,ta.be cautpieted by C3`or fayrd rF,f cinL C d or Tou l�,ritff,;cetue# fs�rtgAv EiariLy{circle aney; . L ward gf$ealth:2.RmIding Ilegartrsemt I Cit�fFuwn{irk .4'EItcf6 lFmslxector S.Phmc6img faspector CO>a ct per a Pine#: h assachimeffs feral Lames chapter 152 requires all employers to provide wgrkers'caprpensaiian far their Ioyees J Pms mat-to this stare,an mnp£oyae is defined.as¢__every person in the service of another index any eonfr-act ofhire; 4,, express or implied,-oral or wdtr An enrpTriyer is defined as`m individual,partaers ,association, corporation or,other legal eitity,or any two or more of the foregoing engaged is a Joint enterprise;and including the Iegal representatives of a deceased employer,-or the receiver or trastee of an individual,part =hip,asso6 on or other legal entity,employing employee;. However the owner of a dwelling house having not mare than three apartments and vtho resides therein or the occupant of tine dwelling house of another who miploys persons to do maintenance,construction:or repair work on such dv etiing house or on,the grounds or building appurtenant thereto shall not because of such employment be deemed to be-an employ er. MM chapter 152, §25C(6 also states that every State or local frcensmg agency shall WithhoId the issuance or renewal of a,license or permit to operate a.`basiness or to construct buildings in the commonwealth for auy. applicantwho has not produced acceptable evidence of compliance with the bsurance..covemge required." Additionally,MGL chaptea 152, §25C(7)states`Wr_ither the commonwealth nor airy of its political subdivisions shall enter into:any contract for the pmfunnance of public work until acceptable evidence of compliance with the in su:ran ce regmlre Mt of this chaptex haverbeen presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by chea-kmg the boxes that apply to your Sit iation and,if necessary;supply sub=contractDr(s)name(s), addresses)and phone number(s)along with their ceri:ficaie(S) of insurance. Limited Liability Companies(LLC)or Linuted Liability Partnerships(LI.P)withno employees other horn the members or partners,are not required to carry workers' compe=afion in�ce_ If an LLC or LLP does have employees;a policy is rem,imd_ Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for conformation ofinsur nce Coverage. Also be sure to sign and date the affidavit. The affidavit should be retnm.ed 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 questons rcg rding the law or if you am required to obtain a workers' compemsatroa policy,please call the Department at the number Iisted below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be.sure that the.affidavit is complete andpriated legibly. The Depadment has.provided a space at the bottom of the affidavit for you to fill out is the event the Office oflnvestigations has to contact you regarding the applicant Please be sure to fill in the penaitllicease number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications is any given.year,need only submit.one affid- imdiC'-afing current policy iafomaaliou(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).-A copy of the a ffidavit that has been of cially stamped or marked by the city or town maybe prrovdded to the applicant as proof that a valid affidavit is an file for f±ure permits or licenses. A new affidavit must be filled out each . year.Where a home owner or citizen is obtaining a license or permit not related to any business.or commercial venture (i_e, a dog license or permit.ID bum leaves etx.)said person is NOT required to complete this affidavit The Office of Investigations would.at tar thank you in advance for your cooperation and should you have any questions, please do mat hesitate tp give us a caII ress,telephone and faxnumber The Departments adt 4 "Ihe t^ rrfmrar, eaT$t ofM&MaZILU-Mb D aztnat c&Ind al la QP_idfMt Bastall,Iva G2I I I TeL A 617 727-49CO wt 466 ar.L-9'7hEkSS 4 . . lZeY sed 4 z4-07. F # 617-727- 4 - g�a��c3za � • MassIchusetts Department of Environmental Protection ' Bureau of Waste Prevention•Air Quality BWP AQ 06 Notification Prior to Construction or Demolition F This is a revision to an existing form. Project ID for existing form to be revised: r. This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: C. This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: 1✓ None of the above conditions apply,generate a new form. Revised: 11/13/2013 Page 1 of 1 i Massalchusetts Department of Environmental Protection ' Bureau of Waste Prevention• Air Quality B ^ O6 100212246 WP A/�Cl s 1 Notification Prior to Construction or Demolition Asbestos Project Number 4 A. Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP), Bureau of Waste Prevention,Air Quality Division, under Regulations 310 CMR 7.09.Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09.Is this a fee exempt notification(city, town,district,municipal housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? F Yes R No Type of Notification: r" Revision of an Existing Form (°°`" Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: Approval I D# 1.All sections of this 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: form must be completed in order to Approval ID# comply with the Department of B. General Project Description Environmental 1.Facility Information: Protection notification PREMIER AUDI OF CAPE COD 25 FALMOUTH ROAD requirements of 310 CMR 7.09. Name of facility Street Address HYANNIS MA 026010000 5088155002 2.Submit Original CityfTown State Zip Code Telephone Form To: Commonwealth of JOE LAHAM JOE LAHAM Massachusetts Facility Contact Person Contact Person Title Asbestos Program P.O.Box 120087 JOE@DRNEPREMIERCOM Boston,MA Facility Contact Person Telephone Facility Contact Person Email 02112-0087 Facility Size: 29,000 3 Square Feet Number of Floors Was the facility built prior to 1980? Yes r No Describe the current or prior use of the facility: EXISTING BLDGS DEMOLISHED FOR NEW DEALERERSHIP Is the facility a residential facility? I_Yes r No If yes,how many units? 2.Facility Owner: JOE LAHAM 270 NORTH STREET Facility Owner Name Address HYANNIS MA 026010000 5088155002 City/Town State Zip Code Telephone JOE LAHAM 270 NORTH STREET On-Site Manager/Owner Representative Address Hyannis MA 02601 5088155002 City/Town State Zip Code Telephone Revised:03/17/2014 Page 1 of 3 Massachusetts Department of Environmental Protection w -_.. Bureau of Waste Prevention• Air Quality 1100212246 BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: CONSTRUCTION SOURCE MANAGEMENT 35 UNITED DRIVE,SUITE 101 Name Address WEST BRIDGEWATER MA 023790000 5084845100 City/Town State Zip Code Telephone JOHN KELLY 6175491946 General Contractor's On-site Manager/Foreman Telephone C. General Construction or Demolition Description General 1.Construction or demolition contractor: Statement:If asbestos is found CONSTRUCTION SOURCE MANAGEMENT 35 UNITED DRIVE,SUITE 101 during a Construction Contractor Name Address or Demolition operation,all WEST BRIDGEWATER MA 023790000 5084845100 responsible parties City/Town State Zip Code Telephone must comply with 310 JOSEPH LAMBALOT 5089674403 CMR 7.00,7.09,7.15, and Chapter 21 E of Construction and Demolition On-site Manager Telephone the General Laws of the Commonwealth. 2.Licensed Contractor Supervisor: This would include, but would not bw JOSEPH LAMBALOT CS-048722 limited to,filing an asbestos removal Supervisor Name License Number notification with the Department and/ora 3.Is the entire facility to be demolished? r Yes ry No notice of release/threat of 4.Describe the area(s)to be demolished: release of a hazardous DEMOLITION OF EXISTING 19,OOOSF&4,000SF BLDGS '! substance to the Department,if :r'; applicable. 5.If this a construction project,describe the building(s)or addition(s)to be constructed: MassDEP Use Only NEW 29,000 SF AUTOMOBILE DEALERSHIP Date Received " 6.If this is a demolition or renovation project,were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? ( i Yes No 7. Was asbestos containing material(ACM)found? F Yes r-No If a survey was conducted,who conducted the survey? AXIOM PARTNERS,INC. 050217 Name Department of Labor Standards Certification Number Revised:03/17/2014 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Waste Prevention •Air Quality ....... .......................... BWP AQ 06 100212241i Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this address is: This project ryT Construction (" Demolition is: 1/1/2015 12/31/2015 Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY) 8.For demolition and construction projects,indicate dust suppression techniques to be used Seeding (®v Wetting 1✓ Covering r- Paving r- Shrouding r 7 Other-Specify: 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? Name of MassDEP Official Title Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number D. Certification "I certify that I have personally JOHN KELLY examined the foregoing and am Print Name familiar with the information JOHN KELLY contained in this document and Authorized Signature all attachments and that,based PARTNER on my inquiry of those individuals immediately Position/1'itle responsible for obtaining the CONSTRUCTION SOURCE MANAGEMENT information, I believe that the Representing information is true,accurate,and 12/5/2014 complete.I am aware that there Date(MM/DD/YYYY) are significant penalties for submitting false information, including possible fines and P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 f ++Rrk One NSTAR Way,Westwood,Massachusetts 02090-9230 ...E:!W�W April 22,2'016 Jay Lambalot Field Superintendent Construction Source Management" RE : 28 Hallet Rd Hyannis Deiit-M.ri Lambol6t:. At Eversource,we're cominittedao delivering great service;. This:letter serves as.confirmation that,as;of April 22,.2016 the:electric service to the:above:address:.2as been removed:. Based on this inforination,there is:no electric power at this address and you may proceed with:the demolition. If you have any questions,please contact me at(7:$1)441 338:1; Stnceiely: �, Paul..A.Bowe Customer Service:Engineer: nat on IT'D 1 March 20, 2015 Attn: Tim Holmes/Construction Source RE: 28 Hallet. Hyannis, MA This letter is to notify you that two gas services located at 28 Hallet , Hyannis, MA, were cut and capped on the property on March 20, 2014. If you have any questions, please feel free to contact me @ 508 760-7463. Thank You, SGLYai v$raia*w Sarah Brillant Gas Customer Fulfillment National Grid 127 Whites Path S. Yarmouth, MA 02664 Tel #:508 760-7463 Fax#:508 394-5019 TME Department of Public Works Water Supply Division � o•�26 ^ BA MASS. LE, + Fiyannf A. yQ MASS. q `,0 2s -oe 39• ♦� rFOM Hyannis Water System OperationsTaxsos rye' ;3 February 25, 2015 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 Re. 28 Hallett Road—Hyannis,MA 02601 Acct#: 605804—Final Read: 0150 Dear Sir: Please be advised.that the above water service was shut off on 2/16/2015 and meter# 921928 removed. The owner has informed us that they are demolishing the building., 59 was If you have any questions,please call the office at(508) 775-0063. Sincerely,, yne Starck Hyannis Water System 1 { i i • i 1 i i t Hyannis Water System Invoice No. HWS-6478-499E. P.O. Box 326 Hyannis, Massachusetts 02601-0326 (508) 775-0063 fax(508) 790-1313 INVOICE -- Customer Name Premiere BMW Date 2/25/2015 Address 25 Falmouth Road Acct. No. 605804 City Hyannis State MA ZIP 02601 Service No. 6478 Phone FOB' Y Description Unit Price ( TOTAL 28"HALLETTAOAD 1 Demolition Permit Approval-Paperwork&Meter Removal $78.14 $78.14 j z Non-Taxable Total SubTotal $74.42 Non-Taxable Total $0.00 Taxes MA TOTAL $7.4.42 { 3 0:(SOS)4US100 (� M CONSTRUCTION SOURCE €: (5OS)4s4-51507S i MANAGEMENT 35 United Drive,Suite 101 West Bridgewater,AAA 02379 Monday,January 12,2015 Tom Perry Town of Barnstable 368 Main Street Hyannis,MA 02601 Re: Audi of Cape Cod 28 Hallett Road Hyannis,MA 02601 Dear Tom Perry: Please accept this letter of notification that Joseph Lambalot,an employee of Construction Source Management(CSM),has been appointed to be our full time Superintendent for the project listed above. If you have any question,please feel free to contact me at(508)484-5105. Sincerely Construction Source Managment Joh C. Kelly Ma aging Partner _ ICON STRUCTION SOURCE `MANAGEMENT V4WW.ConsqUC%lonsourc-e.Com nnassacnuseus Lieparimeni or ruonC sarety IFBoard of Building Regulations and Standards License: CS-048722 Construction Supervisor JOSEPH E LAMBALOT 2725 ACUSHNET'AYENUE� NEW BEDFORD MA 02745 ^^� Expiration: Commissioner 05701/2018 i►+E r� aAn.vsreat�. MASS.; Town of Barnstable pQ'ED►IAA►10� 'D Regulatory Services Wchard V.Scali,Director Building Division Thomas Perry,CSO Building Commissioner 2001Aain Street, Hyannis,-"vL4 02601 www.to wn.ba rnsta b I e,m a.u s Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1 I,_ J �%- nll C:.A619i ,as Omer of the subject propel herebyauthoiize ConStruclion Source Management (CSMI to act on my behalf, in all natters relative to pork authorzed by skis bu:ldiag peznit apphcaion for: I 28 Hallett Rd, Hyannis MA (kddress of Job) Sign.atureof Owner Date Print Name If property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAW1PFrL; ORMS\building pttmitformslL-XPRF-SS.doc Revised 06131.3 r Griffin From: Griffin<gbeaudoin@atlanticcompanies.com> Sent: Thursday,January 15,2015.9:22 AM To: 'Griffin' Subject: FW:Audi From:Jeffrey M.Ford,Esq,fmailto:jford.21 ct verizon.netj Sent:Tuesday,July 15,201410:16 PM To:'Joe Laham' Cc:mdfesciI@verizon.net;]ford.2lCEDverizon.net Subject:FW:Pool latch Joe., Below is a copy of Tom Perry's response as requested. Let me know it you have any questions,. Jeff LAW OFFICE OF MICt-JAEI,FORD JEFFREY M. FORt),ESQ. _ 72 KMN s'TRF- T.P.O.BOX 485 NV.1 51'I7ARWICH,MA 02671 TEL.(508}430-I900,.I AX(508)43Q-99?9 1rNLAIL:i&Irci2ltir Verizon.rret From:Perry,Torn f mailta:Tom.Perry town.barnstab_le.ma usl Sent:Tuesday,July 15,201411:36 AM To:Jeffrey M.Ford -� Subject:Pool latch. Jeff, Audi is ok to proceed with out ZBA.They are improving the set-backs so it is getting more betterer.As to use it's going fro m multiple t ple dealers to one franchise,the service area lifts are reducing and the only business expansion is for the office area and that type of use is allowed In the HB.by right.. Thanks;TP i f Massachusetts Department of Environmental Protection eDEP Transaction Copy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: SOURCE2014 Transaction ID: 706036 Document: AQ 06-Construction/Demolition Notification Size of File: 219.79K Status of Transaction: in Process Date and Time Created: 12/5/2014:11:40:13 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. If you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. AC O ® DATE(MMDDIYWY) lv�A� CERTIFICATE OF LIABILITY INSURANCE D3/1�2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debora Kobelenz,CIC,AAI Fred C.Church,Inc. NAME: 41 Wellman Street PHONE 978 3227287 FAX (978)454-1865 Lowell,MA 01851 AIC No Ext: AIC No): (800)225-1865 E-MAIL dkobelenz@fredcchurch.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Phoenix Insurance Company. 25623 INSURED INSURERB: Travelers Indemnity Company 25658 Construction Source Management,LLC INSURER C: Travelers Property Casualty Co.of America 25674 35 United Drive,Suite 101 National Surety Corporation 21881 West Bridgewater,MA 02379 INSURER D: INSURER E: Travelers Casualty and Surety Company 19038 INSURER F COVERAGES CERTIFICATE NUMBER:56585 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DD�YY MMIDDY/YYYY LIMITS LTRAM GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000 PREMISES Eaoccurrence $ CLAIMS-MADE M OCCUR MED EXP Arty oneperson) $ EXCLUDED A CO3F794136 112016 1/12017 PERSONAL&ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED BA3F77233A 1/12016 1/12017 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIREDAUTOS X AUTOS ED Per derl) GE $ X Blanket WOS as $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LAB CLAIMS-MADE CUP4F373468 1/12016 1/12017 AGGREGATE $ 10,000,000 DED I X I RETENTION$10,000 $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY YIN X TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 E OFFICER/MEMBER EXCLUDED? ❑ N/A U84F746929 1/12016 1I12017 (Mandatory rn NH) E.L.DISEASE-EA EMPLOYEO$ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ $5,000,000 Excess of$10,000,000 D Umbrella SHX00057974149 1/12016 1/12017 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) PROJECT-Audi of Cape Cod CERTIFICATE HOLDER CANCELLATION Town of Barnstable 367 Main St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hyannis,MA 02601 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE y� Client# Mst# 56585 Cert Holder# ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Mass. Corporations, external master page Page 1 of 2 +4 Ft4' ri Corporations Division Business Entity Summary ID Number: 001156875 [Request certificate New search Summary for: 25 FALMOUTH ROAD, LLC The exact name of the Domestic Limited Liability Company (LLC): 25 FALMOUTH ROAD, LLC Entity type: Domestic Limited Liability Company(LLC) Identification Number: 001156875 Old ID Number: Date of Organization in Massachusetts: 01-08-2015 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 500 YARMOUTH ROAD City or town, State, Zip code, HYANNIS, MA 02601 USA Country: The name and address of the Resident Agent: Name: JEFFREY M. FORD, ESQ. Address: 72 MAIN STREET PO BOX 485 City or town, State, Zip code, WEST HARWICH, MA 02671 USA Country: The name and business address of each Manager: Title individual name Address MANAGER LAHAM MANAGEMENT AND 500 YARMOUTH ROAD HYANNIS, MA 02601 LEASING, INC. USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY JOSEPH LAHAM 500 YARMOUTH ROAD HYANNIS, MA 02601 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable-instrument purporting to affect an interest in real property: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001156875&... 1/21/2015 Mass. Corporations, external master page Page 2 of 2 Title Individual name Address REAL PROPERTY JOSEPH LAHAM 500 YARMOUTH ROAD HYANNIS, MA 02601 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion v` Certificate of Amendment LView filings Comments or notes associated with this business entity: New search htt ://co .sec.state.ma.us/Co Web/Co Search/ r umm x FEIN p rp rp rp Co pS ary.asp 001156875&... 1/21/2015 Town of Barnstable OFTHE ram, Regulatory Services 0 Richard V. Scali,Director BARN TABLE � * &0.xSnBlF.CEttF0.Wl1E.CDMf•M vMIS swxxsrl�sce'. Building Division `"�1639 � '� - -2014 1639 M 37g �prfnMp�s Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 ti www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 August 7, 2014 Laham Management and Leasing, Inc. c/o Attorney Jeffrey Ford Law Office of Michael Ford 72 Main Street, P. O. Box 485 West Harwich, MA 02671 RE: Site P1an'Review#018-14 Audi of Cape Cod 25 Falmouth Road (Falmouth Rd.),L2�8 Hallett Road,—and (49 Bearse Road for additional off-site parking if required) Hyannis Map 311, Parcel 041, 05.2 & 040 Proposal: Raze and replace two existing buildings housing two automobile dealerships (BMW and Volvo) and construct one new building with associated parking to house one new.automobile dealership (Audi)with retail sales and service at 25 Falmouth Road and 28 Hallett Road, Hyannis, MA. Dear Attorney Ford: Please be advised that subsequent to the formal site plan review meeting held June 19, 2014, revised plans for the above proposal have been found to be administratively approvable, subject to the following: • Approval is based upon, and must be substantially constructed in accordance with plan entitled"Proposed Site Plans for Audi of Cape Cod at 25 Falmouth Road, Hyannis,MA" consisting of nine sheets, scale 1"=20' prepared for Laham Management and Leasing,Inc. by Atlantic Design Engineers, Inc., Sandwich, MA dated June 12, 2014 and revised July 16, 2014 per Town comments. • Submission of a revised/additional landscape plan, depicting the addition of shrubs, evergreens, landscape grasses and flowering plants within select areas of the outer perimeter grass area. Plan to be approved by the Growth Management Department and installed prior to occupancy permit. Contact: Art Traczyk, Design Review Planner 508- 862-4682. • Installation of fire sprinkler and alarm system is required. The final location of the FDC and hydrants are to be determined by the Hyannis Fire Department at the building permit stage. Contact: Deputy Chief Dean Melanson, Hyannis Fire Department 508-775-1300. • Consultation and approval of the Hyannis Water Department for design and adequacy of water service is required. Contact: Hans Keijser, Supervisor 508-778-9617 Ext. 3502. • Removal of any unused underground tanks and equipment is required. Permits for tank removal are available in the Health Department. • A final grading plan for the site must be submitted for review and approval at the building permit stage. Contact: Steve Seymour, Engineering DPW 508-690-6400 ext. 4933. • Application and approval of the Licensing Authority for required automobile dealership licenses and/or amendments. Contact: Maggie Flynn, Administrative Assistant 508-862- 4774. • For all work to be performed in the Route 28 right of way, permission must be obtained from the Commonwealth of Massachusetts. If the installation of granite curbing and landscaping is allowed by the Commonwealth, the Town has also requested that permission for installation of a 5 foot wide sidewalk with HP access ramps along the Route 28 frontage be requested. If the Commonwealth grants permission,.the same sidewalk along on Bearse Road frontage will also be installed within the public right of way if approved by Town Department of Public Works. • A Road Opening permit will need to be obtained from the DPW for all work performed within a Town road layout: • Applicant must obtain all other applicable permits, licenses and approvals required. Upon completion of all work, a registered engineer or land surveyor shall submit a letter of certification, made upon knowledge and belief in accordance with professional standards that all work has been done in substantial compliance with the approved site plan(Zoning Section 240-105 (G). This document shall be submitted prior to the issuance of the final certificate of occupancy. I' A copy of the approved site plan will be retained on file. Sincerely, Ge Ellen M. Swiniarski Site Plan/RegulatoryReview Coordinator cc: Tom Perry, Building Commissioner Dep. Chief. Dean Melanson—Hyannis FD Art Traczyk—Growth Management Dept. Hans Keijser- Hyannis Water Dept. Steve Seymour—Engineering DPW Licensing Authority Health Department kssessd s map and lot number .!... .'................................ Sewage Permit number :.... '.y::. ............................... y�FTMETO�y TOWN OF BARNSTABLE i $,$$STABLE, i 039. �•� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ :........ . .....:L. .............v..":`:..... . r...................................... TYPEOF CONSTRUCTION ............ .......... .......................................................:....................... .........��r ... .............19. / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thee following information: Location .................. ... :?............................... ... ... .....:.1"e" , ...........................:.................................. ..._ ..... Proposed Use .... ...! ... .... ... .:.... .... ....... .... t.(/�( G?r�!d`.......... ZoningDistrict .................... ...................................................Fire District ............. ........ ..................................................... , d o r o Name of Owner ,C � 7'l....... f..`-��� ??........................Address .......S........................................................................ Name of Builder ......to...................... . ...........................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...............................................................:.............. Exterior .........................................................................:..........Roofing .................................................:.................................. Floors ......................................................................................Interior .................................................................................... Heating ...............................................................Plumbing ............. .....^...................................... ................Approximate Cost ...t .�-�� .Fireplace .......................... .......... ....... .......................... ....................................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area Diagram of Lot and Building with Dimensions Fee ...:........ ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH.. I hereby agree to conform to all the Rules and Regulations of the Town of B stable regarding the above .construction. Name/r-:........................................................................... Adomonis, John 'Aldona 17578 remodel garage No ................. Permit for .................................... � 1 ............................................................................... Location ...........$...oute...28 ...... . ......................................... Hyannis ................................................ ` John Aldona Adomonis Owner .................................................................. Type of Construction .........pasnry . ................................................................................ Plot ............................ Lot ...................... 75 .......... Permit Granted February 5. 19 t Date of Inspection ............... ....................19 .j Date Completed ....... . ....5 ...........19 ' PERMIT REFUSED ................................................................ 19 ............................................................................... qY i ................................................................................ , tL •C ............................................................................... 1 All •'t S . ' Approved ................................................ 19 �F Assessors map and lot number �..r' � ..fir ...................................... r ' Sewage Permit number ........... yoF7HETo�y TOWN OF BAR.NSTABLE Z B8HB9TADLE, i "6 O. BUILDING INSPECTOR �E APPLICATION FOR PERMIT TO .............. ....' ... TYPE OF CONSTRUCTION ................................................ D .:............................ ................................................ .TO .THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................. .......:... 'P'.................................�.'G'���' '! .................................................................. Proposed Use ! a r r��,.!A!J .... '. .... ;..,......l.. -r•:�drC^. (? ... .., '✓ Xil Zoning District � :� " /) ................ '.............................................Fire District ........................,..................................................... !::f!?��-�,! �, f � Is V-ylName of Owner . 1c ?iC,4.. Address�...... ....................................................................... Name of Builder ........!... t ...........................Address Nameof Architect ..................................................................Address .....................:.............................................................. Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ..............*.!................................................................. Fireplace .........................Approximate Cost .°: r............................... ........l.........c................................... Definitive Plan Approved by Planning Board ________________________________19________. Area t...r... ............................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i✓ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Adomonis, John Aldona Jr�2- 17578 remodel ara e No ................. Permit for &. ...................... ...... ... ............................................................................... Location ......:... ..�.........$..... Gl�.� � ......................HXannis......................................... Owner ..........John Aldona Adomonis ........................................................ Type of Construction masonry................ ............................................................................... Plot ............................ Lot Permit Granted bruary 5 Date of Inspectio ...................... .. . Date plet e . ............................ ..... 9 MIT REFUSC ....... . .............. 19 ................................................................................ _ ....................... ...:.................................... Approved ................................................ 19 ...............................................................................