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HomeMy WebLinkAbout0020 INDEPENDENCE DRIVE (4) rwsc- ' I =h�o 4 -'9,Y-Sri.+'& C"h Town of Barnstable ofz Building Department do Brian Florence, CBO • Building Commissioner BARNSTABLE M"� 8' 200 Main Street, Hyannis, MA 02601 °'""��" 'I M L;3f5 ast•OStG'JM.IL•.eST ltitt;Y6[ 039. �0 1639-2014 ���ww.town.barnstable.ma.us �I ••— C�� �� rr Office: 508-862-4038 h 508-790-6230 r Sign Permit Application Zoning District D7 (HB) Permit # Historic District ❑ Location by 20' Independence Dr. Unit B, Hyannis Street address and village Great Awakening Coffee House 294062 Applicant Map & Parcel Telephone Number (774) 208-6789 Email Info @ GA.Coffee Sign #1 Sign #2 Wall p Wall 0 Freestanding 0 - Freestanding En Electrified* 0 Electrified* p Dimensions Sign #1 14 sq ft Dimensions Sign #2 6 sq ft Square feet Square feet Reface Existing Sign O New/Replace Sign 0 Width of Building Face 24 ft. x l o = 240 X ..1 o- 24 *Lighting Type Internal) Lit Light Box/Cabinet) A wiring permit is required if sign is electrified. a j T) Digitally signed by Andrew J Taylor , `Date: 2021.09.08 13:53:51 -04'00' Signature of Owner/Authorized Agent Mailing address 1 O South St. Unit 1 -6 Dennisport, MA 02639 �. �..�_:......m.s�.a • ..+wee u. 1 i Leo GREAT AWAKENING COFFEE HOUSE Q., w a i r ' INTERNALLY LIT WALL SIGN 21 11 X 96" (14 SQ. FT.) STORE WIDTH: 24' e&lylar& Wednesday, September 08, 2021 FILE NAME �p m[ r:Ti)l CLIENT h - 103 ENTERPRISE RD., HYANNIS, MA 02601 '� � :e [i,�®� ••elf,• ;� e[p( ^;� � e � e � � e ��e [� e � � eQ�• 508-280-6511 L�mulm @Wglm amum @02M 62am m simm am)MaW0290M OREM Sign #3 Wall Freestanding E Electrified* F Dimensions Sign #2 4 Sq ft Square feet New/Replace Sign LZJ Reface Existing Sign Property abuts 2 streets (independence & 132). Corner sign (on intersection of indop. & 132) is pre-existing with 3 signs of the 3 tenant businesses. Proposed corner signage would directly replace (still) existing Sprint signage (with similar coloration). Signage has been sized so that total square footage, including corner signage, is under 24 sq ft. The (internally lit) street sign on Independence Drive (plaza entrance) is refacing the existing lexan panel. The (corner) street sign on 132 is a 1/2" thick panel. The wall sign (facade) will be a 6" thick box, fastened to the wall. i ".0m RRC, ROG�E,R�,,.S- r. -"41- ri i I i s. 1 r F R E-'j,E M A T nWA, K Ej. Ef ,r t .vr� „"'t t9+V�, t` `ei.,�"•s ►t x e j � 4 r.�sen. �4��j``,�►y � a73:rye 999 „. ;�a �� � ,,,� i• � �'� <.w Via.- dv �,��,'ri•-1-^�,,, �'_' .,=eta r; . - SIGNS THE ABOVE IESIGN IS THE PROPERTY QF CAPS AND ISLANDS SIGNS AND MAY NOT BE D'UPCRTED OR USED WITHOUT EXPRESS 11TTEN CONSENT. i i / • GHARGE FOR DESIGNS USED WI,T,.OU,T PERMISSION. $50000 r- r 1 _ C 4 ilk k G R,E A�T A,Ww,,K E.Ni llNG COFFEE; H1O USE. +� Ra • 0 . ft.) (�► e �lzrtaa/ Thursday, June 03, 2021 File Name: Client: +'0 a• - - ..0. ,• a i + + 103 ENTERPRISE RD., HYANNIS, MA 02601 06 r o 0 508-280-6511 Q Qmmxme OEM Town of BarnstableBuilding �nxe ea» . Post This Card So That�t is,Visible From the Street Approved Plans Must, 1111"tamed on Job and ahis4Card Must be Kept -� iPosted llntiFinallnspection Has Beei%Made N .' • Where a Certificate of Occupancy;;s Required,such Building shall Not be Occupied until a Final Inspectionhas been made JIL �. . ,. .:. _ . ,�.� .x Permit-No. B-19-2626 Applicant Name: Plymouth Sign Approvals Date Issued: 08/14/2019 Current Use: Structure Permit Type: Building-Sign Expiration Date: 02/14/2020 Foundation: Location: 20 INDEPENDENCE DRIVE, HYANNIS Map/Lot. 294-062 Zoning District: SPLIT Sheathing: Owner on Record:` HYANNIS PARK PLACE LLC Contractor Name: Plymouth Sign Framing: 1 Address: 434 RTE 134 Contractor License: Exempt 122 2 SOUTH DENNIS, MA 02660 � 1 Chimney: Est. Project Cost: $0.00 Description: 1 FREE STANDING 34.47 SQ FT SIGN FOR ROGERS&GRAY Y Permit Fee: $50.00 Insulation: Project Review Req: ° Fee Paid $50.00 Date: ' 8/14/2019 Final: Plumbing/Gas Rough Plumbing: Zoning Enforcement Officer Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte.r;issuance. All work authorized by this permit shall conform to the approved applicatiomprid the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials,are provided on this.permit. Minimum of five Call Inspections Required for All Construction Work:;=" Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 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: a 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i ill � G Town of Barnstable I E T � wilding Department o� Brian Florence;CBO Building Commissioner B STABLE. A�NSTABLE 9 ass. 200 Main Street; Hyannis MA 02601 3 n f = y 16gq. �0 b»-iota �FDMA�° www.town.barnstable.ma.us . Office: 508-862-4038 Fax: 508-790-6230 Sign Permit Application Zoning District Perm it# Historic District ❑ Location by "'D tZ k QAA lS . Street address and village Applicant Map & Parcel Telephone Number Email Sign #1. Sign #2 Wall ❑ Wall ❑ Freestanding Freestanding ❑ Electrified* ❑ l Electrified* ❑ Dimensions Sign #1 08k�3 Dimensions Sign42 Square feet L( ( '7 Square feet � ( l Reface Existing Sign New/Replace Sign Width of Building Face ft. X 10 X .1-0= *Lighting Type =ti,4rAJ)q( 1, A wiring permit is required i lectrified. Signature of uthorized Agent Mailing address t-3&x k3L( - S o N(&.2 C)aL�9CmE( ,�MGQ- \S l�C,COMc�S��0 1!5�f Y ♦Y rf � IY P" - R G -AY Fl ............ ggqsGr;Iy.;o k , a 7 c 1 ` rint TN G r EXISTING NEW CUSTOMER PERMIT No. DRAWN BY krw DATE: MATERIALS APPROVED BY LOCATION: R&G_HYANNIS_PYLON_SKT P.Q/ REVISIONS: SCALE This is an orginal unpublished drawing, created by Plymouth Sign Company, Inc.It is submitted for your personal use in connection with the project being planned for by Plymouth Sign Company, Inc. It is not to be shown to anyone outside your organization, nor is it to be used, reproduced, copied or exhibited in any fashon whatsoever.All or any parts of this design (excePfin registered trademarks)remain property of Plymouth Sign Company, Inc. Charge for design without permission of Plymouth Sign Company, Inc.is$500. 0. Town of Barnstable Buildin Post This Card So That it is,Visible=From the Street Approved:Plans'Must beRetained onFJob and this Card;Must be Kept Q 9 R e nXAMsteU w eaa:rt�fiacalt'nop tosenMd Permiti63 fiCatLWoe Occupancys Required,such Butld�ngshall Notbe Occupied untdaFna pect�onhasbeen made Permit No. B-17-4011 Applicant Name: VIKTAR V TULEIKA Approvals Date Issued: 11/16/2017 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/16/2018 Foundation: Location: 20 INDEPENDENCE DRIVE, HYANNIS Map/Lot 294-062 Zoning District: SPLIT Sheathing: Owner on Record: 'HYANNIS PARK PLACE LLC Contractor`Narne VIKTAR V TULEIKA framing: 1 Address: 434 RTE 134 Contractor License CS 091854 2 SOUTH DENNIS, MA 02660 f �� Est Protect Cost: $90,000.00 Chimney: Description: Remove existing stucco brick venee,'install 1/2"cox plywoodover i PerrnitFee: : $ 160.00 p existing insuation. Remove and Replace Trim oufexterior: Instal f5" # Insulation: Fee,Pai d $160.00 exposure. Left Front Rght only YFinal: Date F 11/16/2017 Project Review Req: - - ' ... Plumbing/Gas Rough Plumbing - £ Building Official h final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas' All work authorized by this permit shall conform to the approved application and the approved construction documents forwh ch this permit has been granted. " Final Gas: All construction,alterations and changes of use of any building and structures>shall be in compliance with the local zorong by laws and codes. This permit shall be displayed in a location clean visible from access street or-road.and shall be maintained open for ublic ins ection for the entire duration of the I sPY P P P work until the completion of the same. Electrical q Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided onthls permit. t Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health 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. Final; "Persons contracting with unregistered contractors do not.have access to the guaranty fund"(asset 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 I �TNE t0�� Application Number............................................................. * BARN6TABLE, '*' Permit Fee........................�...........Other Fee........................ MASS. i639. � CFO MA'S A TotalFee Paid..................:........................................... . TOWN OF BARNSTABLE Permit Approval by..R �� .......... lle 7 BUII,DING PERMIT APPLICATION Map....:...�.�Y.................Parcel........o6�..................... Section 1 — Owners Information and Project Location Project Address 20 - /vWe,o�►o-ems Village Owners Name //Vcr 1141`S /Le P16t 62 LAC �/� 4qees Owners Legal Address G'� '/ �"�e �� �. �r � s' ✓�'� 692660 Ci State Zip 0266 o Owners Cell# E-mail Section 2—Structural Use ❑ Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm,. Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ,r ❑ Insulation / 11 iv Q` Other—Specify e-@ lqcz F k1Z,1C(2 (DJ+ ?S1V5 J f q Section 4—Detail Cost of Proposed Construction Square Footage of Project Age of Structure YC Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updated: i in/2017 Section 5 - Work Description 9 Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom y Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District [] Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: Sd-J e—rn I am using a crane ❑ Yes �rNo Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information �� Zoning District Proposed Use .P,Ga Ir Lot Area Sq. Ft. Gr Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed t Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/7/2017 • • suuvsr�as.s, MASS. i634- Fob' TOWN OF BARNSTABLE PERMIT CHECKLIST ❑ A complete permit application includes filling all sections 1-13 Sign off hours for Health and Conservation are .9: 0 a.=R and 3: Q-4: Q pq t NEW STRUCTURES/REMODELING /RENOVATION/ADDITIONS ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial - One complete set of full sized plans one reduced 11"x17'' (plans may require a stamp by an architect or engineer). ❑ Residential - 4 Sets of floor plans no larger than 11"x 17 alerting devices marked. Show cross section, framing detail._ ❑ Worker's Comp. Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC) ❑ Letter of financial Interest for new houses only (not required for rebuild after teardown) ❑ Performance bond made out for $4.00/foot of road frontage (new construction only) DEMOLTION OF A BUILDING (NOT PARITIAL)/REBUILD ❑ Everything above plus shut off letters from following utility companies: ❑ Gas 11 Electrical ❑ Water El Sewer (if required) El Demolition only,the shut off letters above plus copies of licenses, property owner's letter of permission or-homeowner's license exemption. DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location (if exterior work) ❑ Construction plans showing framing detail (if new framing), ❑ Pools —Barrier details, pool specs. ❑ Workman's Comp Affidavit and policy (if required) SEE QM) Massachusetts Department of Public safety Board of Building Regulations and StandardsIU t a � License, CS-091854 r�� ��* L. � �. Co n. ns l t VIKTAR V TULEIKAK � 44 EATON CT COTUIT MA 0263 y � - - Expiration:: Commissioner 0212012019 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to-provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,'construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any . applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until.acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking,the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. .The affidavit should' be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly.. The Department has provided a space at the bottom of the affidavit'for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all location's in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you.have any questions,- please-do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth.of Massachusetts . Department of Industrial.Accidents Office of Investigations 600 Washington.Street Boston, MA 0211.1 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia 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): /C,) /e,,'�* L<C �A Address: Md- City/State/Zip: C / i�'� - Phone Are you an employer?Check the appropriate box: Type of project(required): Lpeam a employer with� 4. ❑ I am a general contractor and I 6. ❑New construction mployees(full and/or part-time).* have hired the sub-contractors _ listed on the attached sheet. 7. Remodeling 2.❑ I am a sole proprietor or partner ❑ g ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' insurance.# 9. ❑Building addition [No workers comp.comp. insurance required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. . I am an employer that is providing workers'compensationniiinsurance for my employees. Below is the policy and job site information. /J� I./Insurance Company Name: ff ./L// g y� �j �` Policy#or Self-ins.Lic.#: S Z 62�lJ2_3 7 81 Expiration Date: Job Site Address: � '/ 'P� _�K City/State/Zip: WI7,A; Attach a copy of the workers' compensation policy declaration page(showing the policy nu er 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' risonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against t e vi or. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for sur a coverage verification. I do hereby cert�and nd penalties of perjury that the information provided abov is tr and correct. Signature: / i Date: Phone#: :5-8�7— 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#: Hyannis Park Place u �,oriai%i/ii.�aimiir�ioiiv_._. ,.„.Ga/aii/" amnia :iav�v. a `•. miim` aiiiaa aaro 7 November 14, 2017 Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 To Whom It May Concern, We authorize Tuleika Building Company(Viktar Tuleika) to replace all of the veneer siding at 20 Independence Drive,Hyannis with a new Hardi-Board siding. In addition,please add Matthew Philbrick(facilities manager)with Distinctive Property Services as an authorized representative for Hyannis Park Place LLC.Henan be reached at (508) 548-6566. • Please feel free to contact me or Matthew Philbrick with any additional questions. Sincerely, Michael C. Robinson Chairman ' Hyannis Park Place LLC, r 434 Rt 134•South Dennis,Ma 02660■Phone:508.760.4632 •mrobinson@rogersgray.com � r rf Massachusetts Departmer"t`of af et, y.. Board of Building 'Ri6gulati©r s arr''d Standards license: CS-091854 - F w y , VIKTA V TULEIKA' :. x 44 EATON,CT COTUIT MA 02636 ,"- Expura tom., om issioner 02/20 OI Office of Consumer Affairs&Business Regulation-Mass.Gov 8/21/17,9:08 PM The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Rights and Resources -Home Improvement Contracting HIC Registration Complaints jai Registration 188661 # Home Improvement Contractor Registration Home Page Registrant Tuleika Building Company Inc Name Viktar Tuleika Address 44 Eaton ct City, State Cotuit, MA 02635 Zip Expiration 08/17/2019 Date Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search 0 2012 Commonwealth of Massachusetts. Mass.Gov@ is a registered service mark of the Commonwealth of Massachusetts. Section 9—Construction Supervisor / n Name yf'21eleg Telephone Number 6/9�'���� Address OAy 0/ City %p� State 44 Zip OZ6� License Number Llf `e? 4� ,icense Type &Z0 Expiration Date / f Contractors Email 1/1 re i fie? ad 40400, aD Cell# �Dg 695 d� I understand my responsibilities der the es and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State ilding ode. I understand the construction inspection procedures,specific inspections and documentation required by 78 the Town of Barnstable.Attach a copy of your license. Signature Date / I I Section 10—Home Improvement Contractor 7I� ' Name CJ /h/� � 4� Telephone Number r Address �*ggv o,-/- City ��� State /�144 zip gM Registration Number d Expiration Date I understand my responsibilities undeVrule d regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State'Buil ' derstand theconstruction inspection procedures,specific inspections and documentation required by 780 Cn of Barnstable.Attach a copy of your H.I.C... Signature Date 12 x Section 11 —Horne Owners License Exemption i Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date Ar CANT SIGNATURE Signature Date llkll Print Name rP(C✓1�✓Z 1/ /U l tGr¢ Telephone Numbers E-mail permit to: COS Last updated: 11/7/2017 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board (if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ ��' Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 —Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name i Last updated: 11/7/2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' e' a - pp Ma lication p Parcel {�F "pP�ST�, �E A .#A Health Division �J 17 rat12: 5 5 Date Issued � ��7�1 G Conservation Division Application ] p PlanningDept. "` Permit Fee "-' p , e Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Z0 t d z h�P d h f Q d Village �I Ct«i S Owner I't 4 4 t h l ti f < <IT Address Telephones Permit Request I I`S tt 1 1 Y 1 1r p f+'I, I S C'f k v 4 �l R, h t 0 6 U C4 6 lisle ccii ivs- U Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation '7-7i Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout : ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ _Commercial ❑Yes ❑.No If yes,-site-plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Pei er ck k f f r P Telephone Number I s 6 Address t License # c 1?-fi o `1 S Home Improvement Contractor# Email �e�4er, Cti"ff �' a C'kct f f e P F-vu f.hY C0k"Worker's Compensation # 6 ? 3 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Cq Pp K� qKk ISl4kbS �iii�oS� t � '-�7 S �f-P i-ok A� skgYchor-t �eul�/ PvtA SIGNATURE \P �` DATE `? FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED 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. TfiS CoZt moTIfEffdA ffMay5CFdutsmfS - �IC4 6f, I3 dSfi3.-a66 S ' 600 Wm*hgtaa reef $ostarr;,MA 0- ` rvfc�w.rr��ga�dr� • Workere fompensatiuxxlasaaaace davit RuaMersfC-antmctorsrMectnciansTlu-mbers AppHcmt Information Please pr�mf L ibTy Namry( 4 Ch ff e -P tidvS7H; g1 R00f;Hq dress l 9 A n%4 F ti 1 Sf F?P-/ GW/Sfatx- : -e4 Si FWY APhCf ®� ,• Phonz#r �40 i 66, Are an emplayer:�Check ffie appropriate bay: T of a ect s k[] I am a Io with. b 4. ❑I ama 1 caniracfar and Z . eanployees qbn and/or gartAime.* havehared flit su r acfors ❑ I am a sole prop>�tor orgartner- Iisfe3 on ttze attached sheet 7_ Remodeling ' ship and have no employees These sab-confracfars have g_ Demolition. wo&7Y7g forme in,arty capacity employee's and have woficers' h$ g �Bnildmg addifio;z [Nourorl=s' Comb:inwrance comp_insm-ncF MT3irels-J 5-0 We are a coLporation:and ifs 10-0 Electrical repairs cc addifions 3-❑ I am a hc;;r iser doing all wo&-. ofbcers have exercised their 11-0 Plumbiag repairs or additions h�tf; [No we S±='comp: r�ht ofeizmpfion per ly GL I� ofrelxaizs y,�„�nc.e u iI f c 15I §I(�)„and ure have no �l� [Nam' 1 -C7€I - �-m� ;I j"�Y ffiF� tfiirt ebedssbox::I-nmstslso Mourthe SectrnnheIaeQshg ffirava&esse Wamenszdna gniicg 1�IDPDWnHS'CC�D Sg ]SBIPIfITr [�lL�eiL'i�QR�I'C�'�C 8II�1IlEIl}tIIEP7LI�CO�hBCI�S IIID5Y 5�b43FQ8�T.'.F. d3YFI rorT!r AnmkRctais ifis i, rTixY this bar,xn=sttarh whederuc=ttEmru exxfii»c F73Yx �ia5 ems Iftbe m*-c utmctmsh-m empIoyees,t$ey Est giuvide ter ass'comg.pricy a�bez I am art empL*w that is pm4dlog warkers'conTensaf&Ln iz=r=ce for kitty a ycees. �elarr is fate panic}and job zzta . ir{fnrmmlza� Instaaace Comgaay l�Fame: .�Q k C�H R V f v h i 1 h 9 y PC4� Pow#or Set€io s Iie` ` Fxp mfian Daate: — 7 JobMe Addres 2U t Q P[h a r1 Y i CrfylSt WZ.ip- k h s, (`� A n 26 01 Affach a copy of the warkers'compenation paRcy derlZration gage(showing the Iwficy number=d ezgrr ou dsfe). . Faame to secom coverage as reT ireduncler Section 25 A o€MUL c 152 can lead to the imposition ofcriminal p=alties of a ' fine up tin SL501?©a and/or one-yearimpd as iveIl as cirri gem1f;es in the fomr of a STOP WORK ORDEP-and a Ew_ ofup to$250_00 a.day against dire violatur_ Be advised that a copy of tihis st do ea maybe fix arded to the Office of luueoE ptions a€t#he DIES for ius=mce coverage v o3- I da hereby carlify under the pains andpenaZ8ks afptd rp thei-Aa info rmatcaragra vi&ff abave fs hzra anif ccrrsct. \'2-e+` Q®i --u3 k No 0 t3ffzcrid ace-au4. -a not trrebr in this areas#a ba campieW by c4 or town offic&L . City or Pacnxiff ire f lssamg A ufbar4{arcie oue}: L Bo3rd of$e.ML ?.BuiOng Degartmeut alyfrawa ae£F 4 Elecfa ical B=pecfo_r S.Plamhfng hasp7.ctor, .6.Other Camtact Persna: YItmhie#: ' 6 An A 11 J r E.� INDUSTRIAL ROOFING Revised: May 16,2016 INVESTMENT SUMMARY—EMM ROOF SYSTEM Conduct safety briefing/install necessary safety equipment. ROGERS AND GRAY INSURANCE 20 Independence Drive others. Solar Panels are to be uninstalled and removed by o .This is not included in our price. E` r•: Remove and replace deteriorated steel deck,as necessary,at$6.75 per s ft. pending approval. =Hyannis,MA 02601 P Y, P 4 P g PP Remove.and properly dispose of flashings,terminations,and perinieter edge metal. =I 'wer Roof Area `= Furnish and install new custom EPS Flute Fill insulation. This will be used to fill in the gaps between 4;608 Square Feet. the steel decking. " r, ' Furnish and install new flatstock 1"CARLISLE of isoc anurate insulation R"value=5.6 This will 1gher Roof Area P Y� Y (" )� 4 736"Square Feet be used to create a flat,rigid surface for the new roof system. ':.. Furnish and install new CARLISLE MECHANICALLY ATTACHED 60MIL" REINFORCED EPDM ROOF •. Attn: SYSTEM.to 20 year specifications. IVIatYPhilbrick Furnish and install new wood nailer to match height of new insulation. Subject• Furnish and install new custom .040 aluminum metal edge with a white or bronze kynar finish and Roof Proposal approximately 4"face.New 6"gutter will be installed in existing locations with same finish. y. Flash all walls,units,curbs,penetrations,etc.with CARLISLE approved detailing. Solar Panels are to be reinstalled by others.This is not included in our price. Clean up and remove all job related debris. ; Standard Chaffee Industrial Roofing Terms and Conditions apply. g- TOTAL INVESTMENT: ` $77,291:00 MHP �1 x. WARRANTY 20 Year Total System Warranty PRICE FIRM UNTIL: 30 days from the date of this proposal =; TERMS: . One-half(12) of contract price is due upon delivery of materials to the job,site,:balance_due upon job"completion, unless otherwise agreed to in writing. Please read the enclosed tennis and conditions as the additional terms and conditions thereon are part of this contract. Peter H."Chaffee- Project Manager ' peter.chaffee@chaffeeroofing.com (401)578 0261 Cell Acceptance of Proposal: The undersigned hereby.accepts this. proposal,and, intending to be. legally bound,, hereby agrees that this writing shall be a binding contract and-shall constitute the entire contract. Own er%Customer Name: Matthew P:hllbrlCk Title: Managing Agent By:. Date: 9/14/2016. ;�® NAT1ONA1 193 Amaral Street East Providence,RI 02913 ROOFING � l ®ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 9/15/2016 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 endorsements. PRODUCER CONTACT NAME: Monique Normand Arthur J. Gallagher Risk Management Services, Inc. PHONE g60-251-6310 FAX 860-616-2776 10 Columbus Boulevard - �) — Hartford CT 06106 E-MAIL .sheila connolly ajg.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Scottsdale Insurance Company 41297 INSURED INSURER B:Harle svllle Insurance Company 23582 Steven H. Chaffee Co. dba Chaffee Industrial Roof INSURERC:Beacon Mutual Insurance Company 193 Amaral Street Riverside, RI 02915 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:811046784 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 ADDL SUBRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN WVD POLICY NUMBER MM/DD/YYYY) (MMIDDr(YYYI LIMITS A X COMMERCIAL GENERAL LIABILITY NCS0000852 5/1/2016 5/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100.000 X $5,000 Dedudibl MED EXP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 JE° LOC PRODUCTS-COMP/OP AGG $2.000,000 POLICY a OTHER: $ BINED SINGLE LIMIT B AUTOMOBILE LIABILITY BA00000094174 5/1/2016 5/1/2017 Ea accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per acc dent $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A UMBRELLA LIAB X OCCUR NXS0002571 5/1/2016 5/1/2017 EACH OCCURRENCE $5.000.000 X EXCESS LIAB CLAIMS-MADE AGGREGATE 55,000.000 DED RETENTION$ $ C WORKERS COMPENSATION 67333 5/1/2016 5/1/2017 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION Chaffee IndUStfl81 Roofing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 193 Amaral St ACCORDANCE WITH THE POLICY PROVISIONS. East Providence RI 02915-2221 USA AUTHORIZED REPRESENTATIVE -27! ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Mass. Corporations, external master page Page 1 of 2 :J Corporations Division Business Entity Summary ID Number: 050396844 Request certificate New search Summary for: STEVEN H. CHAFFEE COMPANY The exact name of the Foreign Corporation: STEVEN H. CHAFFEE COMPANY Entity type: Foreign Corporation Identification Number: 050396844 Date of Registration in Massachusetts: 07-25-1983 Last date certain: Organized under the laws of: State: RI Country: USA on:.01-26-1982 Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 00/00 The location of the Principal Office: Address: 193 AMARAL ST. City or town, State, Zip code, E. PROVIDENCE, RI 02915 USA Country: The location of the Massachusetts office, if any: Address: City or town, State, Zip code, Country: The name and address of the Registered Agent: Name: TIMOTHY C. MAGUIRE, ESQ. Address: PIERCE ATWOOD LLP 100 SUMMER STREET, STE 2250 .City or town, State, Zip code, BOSTON, MA 02110 USA Country: The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT STEVEN H. CHAFFEE 193 AMARAL ST. E. PROVIDENCE, RI ' 02915 USA TREASURER STEVEN H. CHAFFEE 193 AMARAL ST. E. PROVIDENCE, RI 02915 USA SECRETARY STEVEN H. CHAFFEE 193 AMARAL ST. E. PROVIDENCE, RI 02915 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=050396844&... 9/22/2016 Mass. Corporations, external master page ,Page 2 of 2 DIRECTOR STEVEN H. CHAFFEE 193 AMARAL ST. E. PROVIDENCE, RI 02915 USA Business entity stock is publicly traded: ❑ The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Total Authorized Total issued and Class of Stock Par value per share outstanding No. of shares Total par No. of shares value ❑ ❑Confidential El Merger ❑ Consent Data Allowed Manufacturing Note: Additional information that is not available on this system is located in the Card File. View filings for this business entity: ALL FILINGS Amended Foreign Corporations Certificate !� Annual Report Annual Report - Professional Application for Reinstatement View filings Comments or notes associated with this business entity: } r New search ' e http://corp.sec.state.ma.us/CorpWeb/CorpSea'rch/CorpSummary.aspx?FEIN=050396844&... 9/22/2016 r _ - ---Departmentafety �Massach6setts DRe ards. in 9Board of duiId 9Constructionujlicense: CS-1PETER CI AFFE54SCOTT DRM �ersideRl029f5Expiration0412V2019Commissio F 6 P G�FFE�' za YEARS. CHAFFE WOOFING INDUSTRIAL ROOFING Proposal Prepared for: ROGERS AND GRAY INSURANCE 20 Independence Drive Hyannis, MA 02601 Attention: Matt Philbrick :.► ,*s r r j as _ (r Submitted by: LHAFFEE Peter H.Chaffee - Project Manager NATIONAL peter.chaffee@chaffeeroofing.com ROOFING Cell(401)578-0261 CONTRACTORS O Q ASSOCIATION MEMBER O 193 Amaral Street . East Providence,RI 02915 800-ROOF-1908 - 401-438-1160oOFING www.chaffeerbofing.COM i .oa: o 3 4aO .o k'r.'-.-.HAFFE .INDUSTRIAL ROOFING Revised: May 16,2016 SATTELITE IMAGE—ROOF IDENTIFICATION ROGERS AND GRAY INSURANCE 20 Independence Drive Hyannis,MA 02601 RKM Lower Roof Area 4,608 Square Feet Higher Roof Area 4,736 Square Feet Areeaer Roof 1tl: Attn: ° Matt Philbrick s Subject: Roof Proposal Higher Roof t Area i r _ , or 3 F � NnnaNaL �. ff' NAnON6 193 Amaral Street East Providence,R102915 ROOFIS ` CONTRACTORS 800-ROOF-1908♦401-438-1160♦Fax 401-431-0628 3., 6. MEMBER www.chaffeeroofing.com H A F F INDUSTRIAL ROOFING . Revised: May 16,2016 INVESTMENT SUMMARY—EMM ROOF SYSTEM Conduct safety briefing/install necessary safety equipment. ROGERS AND GRAY INSURANCE Solar Panels are to be uninstalled and removed by others.This is not included in our price. 20 Independence Drive Hyannis,MA 02601 i Remove and replace deteriorated steel deck,as necessary,at$6.75 per sq.ft. pending approval. I Remove and properly dispose of flashings,terminations,and perimeter edge metal: Lower Roof Area 4,608 Square Feet Furnish and install new custom EPS Flute Fill insulation.This will be used to fill in the gaps between the steel decking. Higher Roof Area Furnish and install new flatstock 1"CARLISLE polyisocyanurate insulation("R"value=5.6).This will 4,736 Square Feet be used to create a flat,rigid surface for the new roof system. 1 Furnish and install new CARLISLE MECHANICALLY ATTACHED 60MIL REINFORCED EPDM ROOF Attn: SYSTEM to 20 year specifications. Matt Philbrick Furnish and install new wood nailer to match height of new insulation. Subject: Furnish and install new custom.040 aluminum metal edge with a white or bronze kynar finish and Roof Proposal i approximately 4"face:New 6"gutter will be installed in existing locations with same finish. Flash all walls,units,curbs,penetrations,etc.with CARLISLE approved detailing. Solar Panels are to be reinstalled by others.This is not included in our price. Clean up and remove all job related debris. 3 Standard Chaffee Industrial Roofing Terms and Conditions apply. TOTAL INVESTMENT: $77,291.00 WARRANTY 20 Year Total System Warranty y PRICE FIRM UNTIL: j 30 days from the date of this proposal TERMS: One-half(/2) of contract price is due upon delivery of materials to the job site, balance due upon job completion, unless otherwise agreed to in writing. Please read the enclosed terms and conditions as the additional terms and conditions thereon are part of this contract. Peter H.Chaffee- Project Manager i peter.chaffee@chaffeeroofing.com . (401)578 0261 - Cell Acceptance of Proposal: The undersigned hereby accepts this proposal and, intending to be legally bound, hereby agrees that this writing shall be a bindi g contract and shall constitute the entire contract. Owner/Customer Name: Title: Chairman By: Michael C. Robinson Date: 9/28/2016 ROOR.' 193 Amaral Street♦East Providence,RI 02915 ROFlNG GGNTRACrORs 800-ROOF-1908♦401-438-1160♦Fax 401-431-0628• - ASSOCIAnoR _ .. 8 . 4 Mores —� www.chaffeeroofing.com r Hyannis Park Place September 28,2016 Town of Barnstable Building Division 200 Main Street Hyannis,MA 02601 To Whom It May Concern, We authorize Chaffee Industrial Roofing to replace the entire roof at 20 Independence Drive,Hyannis with a new EPDM roofing system. Contract value is$77,291.00 In addition,please add Matthew Philbrick(facilities manager)with Distinctive Property Services as an authorized representative for Hyannis Park Place LLC. He can be reached at (508) 548-6566. Please feel free to contact me or Matthew Philbrick with any additional questions. Sincerely," Michael C.Robinson Chairman Hyannis Park Place LLC. 434 Rt 134-South Dennis,Ma 02660•Phone:508.760.4632 ■mrobinson@rogersgray.com CHAFFEE. INDUSTRIAL ROOFING September 27, 2016 To Whom It May Concern: RE: Construction Supervisor License # CS-108505 I, Steven H. Chaffee, hereby grant my permission to our project manager, Peter Chaffee, to be able to pull permits on my behalf on roofing jobs that we do in the Commonwealth of Massachusetts. If you have any questions, please do not hesitate to call me at (401) 480-4140. Sincerely, CHAFFEE INDUSTRIAL ROOFING Steven H. Chaffee President SHC: LDp0 i ii Notary Public Kelley Muldoon-Keith ®•`�,y•o�M�SSION••.a,���i� ZZ . My Commission Expires s`'',,ti� �°•}'.OF.MPSS � 'q�iioPe�����` 193 Amaral Street, East Providence, Rhode Island 02915-2221 Tel. 401-438-1160 • Fax: 401-431-0628 • www.chaffeeroofing.com Mass. Corporations, external master page -' Page 1 of 2 _. ffj EMS SY,t Corporations Division Business Entity Summary ID Number: 000951482 Request certificate New search Summary for: HYANNIS PARK PLACE, LLC The exact name of the Domestic Limited Liability Company (LLC): HYANNIS PARK PLACE, LLC The name was changed from: ATTUCKS WAY, LLC on 01-14-2008 - Entity type: Domestic Limited Liability Company (LLC) , Identification Number: 000951482 Date of Organization in Massachusetts: 05-14-2007 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 434 ROUTE 134 City or town, State, Zip code, SOUTH DENNIS, MA- 02660 USA Country: The name and address of the Resident Agent: Name: CHARLES N. ROBINSON Address: 481 MAIN STREET City or town, State, Zip code, BREWSTER, MA 02631 USA Country: The name and business address of each Manager: Title Individual name Address 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 DAVID7 ROBINSON 434 ROUTE 134 SOUTH DENNIS, MA 02660 USA SOC SIGNATORY MICHAEL C ROBINSON 434 ROUTE 134 SOUTH DENNIS, MA 02660 ;. USA SOC SIGNATORY ROBERT BIZAK http://corp.sec.state.md.us/CorpWeb/CorpSearch/CorpSummary.aspx9FEIN=000951'482&... 9/22/2016 Mass. Corporations, external master page Page 2 of 2 434 ROUTE 134 SOUTH DENNIS, MA 02660 USA SOC SIGNATORY CHARLES N. ROBINSON 481 MAIN STREET BREWSTER, MA 02631 USA The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address . REAL PROPERTY DAVID C ROBINSON 434 ROUTE 134 SOUTH DENNIS, MA 02660 . USA REAL PROPERTY MICHAEL C ROBINSON 434 ROUTE 134 SOUTH DENNIS, MA 02660 USA REAL PROPERTY ROBERT BIZAK 434 ROUTE 134 SOUTH DENNIS, MA 02660- USA REAL PROPERTY CHARLES N. ROBINSON 481 MAIN STREET BREWSTER, MA 02631 USA ❑ ❑Confidential ❑Merger El Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS > Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment ' is View filings Comments or notes associated with this business entity: E New search) . I http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSunun aspx?FEIN=000951482&... 9/22/2016 166.78' i \ "FRESH HOLES ROAD" N/F ANTHONY GIOVANNONE TRST. (UNCONSTRUCTED PRIVATE WAY) PACKAGING INDUSTRIES GRP.INC. rn L- 00 -- 3i•3't 64' �0- \ 00 N/F LOUIS A. DAVIS \ \� pj STEPHEN J. DAVIS N KEVIN A. DAVIS ['j ' TRUSTEES L.K.S. REAL ESTATE TRUST \ bD Uj Q \. 68.0'f chi I/v U 0o rrC,` NFSS �Otie 10/F � O O 31.3 t \ 64.00,., ry LOT os�s$R a At 2.44 acres qy S SS tiF ?O/vF N/F JONN F. CABANA TR. POND i) 1� Z C TRUST DRAINAGE l �4 EASEMENT 469, 3,266 S.F. >. R,1 c3 32. 22 4'S2 70, CERTIFIED PLOT PLAN . JOB # 98—320 LOCATION : 20 •INDEPENDENCE DRIVE, (HYANNIS) BARNSTABLE, MA SCALE :. 1" = 80' DATE : 12-28-98 PREPARED FOR: DEED REF. DB 11565 PG 319 LOHR CONSTRUCTION ASSESSORS MAP 294 PARCEL 62 COMPANY INC. PLAN PB 398 PG 77 1 HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. �K Of qf,, ,off 508-362-4541 ty fox 508 362-9980 �p�� ARNE ry�yG down cape engineering, inc. H' CIVIL ENGINEERS o e LAND SURVEYORS ��� i 939 main st. yarmouth, ma DATE REG. - �fDafrn� VEYn�. r« �r r HE . The Town of Barnstable 9�A `. �0� Department of Health Safety and Environmental Services 'Eo Mo't' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 20,2000 Park Place Realty LLC 101 Derby Street Hingham,MA 02043 c/o Keller/Davis Co.LLC Re: 20 Independence Drive,Hyannis Dear Sir: On inspection of the above referenced property,I noticed you have the following violation(s)of the Town of Barnstable's General Ordinances,Article XLM PARIUNNG FOR HANDICAPPED PERSONS, Section 2 Sign Requirements for and Location of Handicapped Parking: X The handicapped parking signs do not meet the requirements of the Town of Barnstable's General Ordinances Faded/missing pavement striping and handicapped logo in your parking lot Please see that these violations are brought into compliance by July 12,2000. Can for a reinspection when this has been done. If this is not brought into compliance.by the above date, a fine of$200.00 per day will result. Enclosed,please fmd a copy of the"Handicapped Parking Signs Key"as well as a copy of the appropriate section of the Ordinances to use as a guide and for your file. Sincerely, VIOLATION There are no handicapped parking signs � ,, p Q — at the designated handicapped parking 1'r"'0 spaces.44 Ralph L.Jones _ Building Inspector RLJ/lb , Enclosure d ' e -FORMS Q990615a TOWN OF BARNSTABLE t SIGN PERMIT PARCEL' ID 294 062 GEOBASE ID 20827 ADDRESS 20 INDEPENDENCE DRIVE PHONE . HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT FAY PERMIT 38500 DESCRIPTION SUNCOM/19 SQ FT & 6 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $50.00 INE BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * HE►MsTABLE. MA8i3. ♦� �FG � 39. B LDIlN ��D IV/J�SIO � DATE ISSUED 05/17/1999 EXPIRATION DATE SHE 1, The Town of Barnstable 9 � Department of Health, Safety and Environmental Services �pT 1639. Aim Building Division ED MA'S 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector Treasurer Application for Sign Permit Applicant: Assessors No. -G Doing Business As: Telephone No.�S���' 7 Sign Location Street/Road: Zoning District: Old Kings Highway? Yes/ Hyannis Historic District? Yes/c Property Owner Name: A-240 Telephone: Address: A3, - Village: C Sign Contractor Name: Telephone �Gpa.?"3 e�'71 Address: '�W 0 �yJ ��ePYZ4Village: � Description Please draw a diagnun of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. Tlus should be drawn on the reverse side of this application. Is die sign to be electrified? 1�o (Note.If'yes, a wini7gpermitisrequired) I licreby 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 l provisions of Section 4-3 of the Town of Barnsta a Zonin rdijaance. Signature of Owner/Authorized Agent: Date: Size: IiW AA G - Permit Fee: Sign Permit was approved: — Disapproved: Signature of Building Oflici All - ��Ply Date: o 6 /Z Signl.doc rev.8/31/98 �� . . ,.� 4. r .. �` � ��. ,�. <<,`„ . MAY-12-99 WED 10 :39 AM AMIDQN. AND. CO. INC 509 833 0786 P. 01 Y tiai N s TOWN OF BARNSTABLE °�: '•: SIGN ,•PARCRL ID 294 062 GEOBASE ID 20827 ADP��HSE 20 " INI)EPENDENCE' DRIVE PHONE HYANNIS SIP - •: LOT SIZE BLOCK .....__. rpBA: DEVELOPMENT DISTRICTHY .PERMIT 33632 DESCRIPTION PARK PLACE (74 SQ_FT. ) -.t?E1tA'IIT! TYPE BSIGN TITLE SIGN PERMIT �otTItAC'r'oxs: " Department of]Health, ,Safety '� TH�c'rs= and Environmental. Services T4xAL �1 ;FS: $50.00 INE 'I30tIp :. $.00 , ;'C,ONSTRUC:T I ON COSTS $.00 , , K,r, `..,... •.''J}a ,._ .. ,J'. ' jtfd'a• '"- �, ' ;MISC. :NOT''CODED ELSEWHERE f SAMSTABi.E, 1639 BU DINDIVIS . :D�1'�$�-ISSUER 08/23/I.998 EXPIRATION DATE ' ''��':w� ' .• Eo r•s. 6a r r Eq IL 5tut�C�om rtCotngrkiCok _ Su - w I R E L 1 5 s — f W I Q E L E 5 5 t: v �— [` Ir cartduq mrou4A will l i ED '; 1Ma1 Surlaoo ; I m Olswn" t"Itch on oad►banM@rmer N - - - H dwnnel Wnabuc0on m .011)Alwhiurn ratarna ttnlehod white �•- -_- - Ia Side elevation Front elevation Scale 3/16"=1'-0" SO-4W rage white Oyfb I .. WIif1 w4way of ramayl J I i&nm neon b1W 9 26.25 Sq.!Ft. - 104 - Haan tube supparta 1 4'drain hales as per UL requlramerW Mm'c�hardware U requlmd Oroj 1'-6 i SQ-400TJ29wliitoacryllc a2, - .. -"W white grid rraon .050AuufWfUN aacka finished whit � � � � V• Irlmcgp 0 _ L %040Aluminum returns flnW ed WWS a Q 1" 1` Inslde&out. 1/4`draln holes at per UL roqulrrmonty Ix 120 Vail Primary poor behlnd slpnage by o.C_ - -- --- Final hookup by a4n contraetor ManufaCture and In All IntamWvifrFng conduit fl u Staf I I nctlon baaosa to white to match eapowd wall Ilnlsh b e a� ul wo (2} sets oad f plea ce channel letters and marls y �'COftrl"lOr "Mark" white acrylic#7328'Aith avertay vinyl TJM PMS process blue 3M bTUe#3630-57 first surface,pa rled mad bronze#�3 3 N.T.3. mores; "Sun" casacryl black-d white Plex with painted med bronze #313 trimcap&returns "Corn"white acrylic#7328 with overlay vinyl TIfiA PA11S process blue 3M blue#3630-57 first surface- ftl3lRCap&returns •Aiirettera m bo mwwkclured eld�1ed to Meet UL&NEC ' I' •All l boar Ut.approved label. apedficefiana. "Wireless"white acrylic#7328 with painted mod bronze #313 trimcap &returns � plainied rned bronze #313 trimcep return •All'+m3 by full elca lhft latlpnpstt m only Raceway � _ _ �"stratrana to be verMted y paint TjM Cerfergy classic finish sandstone#3103 OFMlerer.,.q 19�a TMhati W °i4}'s�nvx edaawln�.uem�+aetneorrw�cfcnn+dt.prote+y�sus nR CUSTOMER APPROVAL w oa . XYwr. R'a rMbbvoW&d.repr&4W a:hit�1lW or�twvneorvyronennal� DATE; /��� FRQJEiCT""E sit �.(ll'R PR0.1 Ecr1Y0 1�rapanUerfonvuh..: WRW pemnbso M n Federal So, _a WMEril . Ri BALEaPFP. S. NBWL'1 — 1 1/27 All channel letters nAre u25,sa FXE Fla SHEET-7 OF FEDERAL —�-- • - sraN a1 IZI s• IV- .r, 6' WIRELESS I I .}�.J�Ur;,`T;-,,� R �{Y_r�..j� ���_ _ — wt4�illu�'1.),+a.. r r yr '• '°<r •� >�• ., _i •,• F ��S ,,v v F� S F p q q 3 �. �_�"Fiq��,..,'-'3°:ivr iP' `q>,3'••9 '° �,e°✓pA,e�• °,°v a °� s;.q�>,`<,: 6•,arA 3q• �• et: °':ea''ye '> '•s'` :aJ TJj wF p >v { kk I �PF $��62 r q S F f 3'v�,6` ;• �•.y •. � 6S � r�P� � A°S S`F• `° r•,• , a, Ism s av ,� � > ;� •rA v� 6°vAFf•. ate' .!°':Su•" n rs�r° of '4 _ _ g ��� r •• A r f 1, 3 `�� r °f•``er'r'` :�•`FA'`e�:�v'v er ` f•° ' ids �S'GF+Sa>°r,'P.>° C 43`° .f�r•,6'•��r�,` ,. •rre �'`�.e•'q L t 1 ` . (800) 585-3400 FAX: (508)832-7538 end Graphics Cornpan Y STEVE FISHER Production Supervisor 200 Southbridge Street i Auburn, MA 01501 TO ALL NEW BUSINESS OWNERS DATE: Fill In please: d/b/a The Naked Oyster APPLICANTS YOURNAME: Florence . G. Lowell BUSINESS YOUR HOME ADDRESS: 78 Meadow ane i West MEN Rarn� ahle, MA 02 8-413-2389 TELEPHONE Telephone Number Home NAME OF NEW BUSINESS Unveiled Seafood, Inc. TYPE OF BUSINESS res aurae `. IS THIS A HOME OCCUPATION? YES N Have you been given approval from the building division? YE NO Q ADDRESS OF BUSINESS /BARGEE NUMBER 294-62 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. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office(Ist floor-Town Hall)or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St.—(corner of Yarm Rd.8 Main Street)and you will find the following offices: 1. BUILDING COMMISSIONER S O FILE . This individual n informed f ny permit requirements that pertain to this type of business. Autlibrized 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: -Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town(which you must do by M.G.L.-it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. TOWN OF BARNSTABLE n ' SIGN PERMIT ( PARCEL ID 294 062 GEOBASE ID 20827 r ADDRESS 20 INDEPENDENCE DRIVE PHONE HYANNIS ZIP — LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT . 52584 DESCRIPTION AT&T WIRELESS/2 SIGNS, 15 SQ & 6 SQ PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services ITOTAL BOND - FEES: $5$.00 00 IME , ICONSTRUCTION COSTS $.00 T� 753 MISC. NOT CODED ELSEWHERE * BARNSTABLE, ; MASS. �► � i6g9. ADO Ep MA`l BUILDI ,O DIVI IONS BY DATE ISSUED 04/04/2001 EXPIRATION DATE ' 7 � The Town of Barnstable Department of Health, Safety and Environmental Services BA&-WABM Building Division • ' 039• ��� 367 Main Street,Hyannis MA 02601 J ED MA'S Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector61 Treasurer J �U.nQrn:r. b W I 0 CO f Application for Sign Permit Apphcant: ,� Fil%����J Assessors No. Q �a✓ f Doing Business As: Telephone No. Sign Location Street/Road: . nt� "o U� lL,/O..ri, . r Zoning District: Old Kings Highway. Yes/No Hyannis Historic District? Yes/No Property Ownei'. Name: /V 6'-r-.2 Telephone: Address- Village: N Sign Contractor JORDAN SIGN CO. Name: 103 ENTERPRISE ROAD Telephone: Address: Village: Description Please draw a diagram of lot.showing location of buildings and existing signs with dimensions,location and size of the-new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the.authority of the owner to make this application,that the information is correot and that the use and construction shall conform, to the provisions of Section 4-3-of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Ag nt: Date: / IG t Size: l �� av Permit Fee: 4✓G. 00 �� Sl Sign Permit was approv : Disapproved: Signature of Building 0 - Date: signl.doc rtv.8131/98 i AT&T Wireless 20 Independence Drive Hyannis, MA Front exterior elevation: A 1) Remove existing Sun Com remote wired letters & Wireles wall sign. Patch holes. touch-up,paint to match best as possible. A2) Install ne (30" logo 15", AT&T Wireless remote wired letters - Hine. -------------- -Tenant pylon cabinet: B 1) Remove (2) existing Sun Com tenant pylon faces. B2) Install (2) nevAQ'13" x 6'-0'-AT&T Wireless replacement pan formed faces. White lexan w/ vinyl copy. (field verify faces & cut sizes) Door vinyl C 1) Remove existing Sun Com door vinyl. C2) Install new std. 9" logo 3" AT&T Wireless - stacked white door vinyl. Interior letters@ D) Install new std. 16" logo 8" AT&T Wireless - inline sintra plate letters. E:--(DAnbT 3 CV Q CD T T Q Y s O ao ° lffuhpa w D Remove existing SUN COM _ a letters and WIRELESS wall sign. T N C Patch and paint holes. Install o CD a new remote wired AT&T letterset N (see below for spec's). U N o cvM.-: N Q N 25' vl C M Plywood Backing F 13'-11 11/16" CO (when required) Remote wired a , r A. trans.housing s o Qo B. transformerU wen, To H C. conduit min. J cal � listeddisco swltc In primary within sight of sign: v E. primary electrical source C? Logo Letters Returns Trim Cap 0 F. 5"Alum.return 1/8"thick white plex 1/8"thick aluminum to match black G. trim Ca L J with 3M#3630-337 white plex painted black of returns H. plex face ap Process Blue vinyl o I. electrical boot I- J. neon Illumination: 6500 white neon � N � E K. glass tube support. L o V .0 W ca a o0 101/2" 0 w � � o = o rn 20 - C Cw ? � � ^. E Cn 0 to o w CD C = CD CD � N � 0 N CDW 3 v � -». c n = w cD CO CD CD m CD N rn a m = r-. Cn CD Cr o !n w CD CD �o o p rm- CD CD �� Cn o CD n o W y 3 � � � n x 51/4,, N y C o W Cr CO n cfl rn o CD CD = = N W o Q Cr O `D �V n0 l�V VU n r D `° cn D 0 D o r c7 N C0 TI r �1,-1„_� T D m c7 �a rn Priority Sign LMdladAp"4: Cmstr,ctlo"AMrM: Artwork- Al16ATT21wl INC. NIA Bale. DATE 02-21-01 Andrew Uttmann, Prlorlty Sign 3/15/2001 707 PM C13478.dwg owc.# C1347812 Location - Hyannis, MA 20 Independence Drive ®�T 3 CV • Q PARK PLACE � a CD Cd Tenant pylon #2 - Route 132 AR B E L LA © Remove (2) SUN COM WIRELESS faces from existing tenant pylon. Replace with (2) new ATT WIRELESS faces. Faces to be a 112" MDO board painted white with 3M vinyl graphics. Logo Q stripes to be 3M #3630-337 Process Blue vinyl, Wireless to be N -Si #3630-22 Black vinyl. o CD N c a N � •C O C L CO a >, c = c t v C 31.611 J 1-F -3'-3 3/1611 A CZ CV oQ � � 0 Ira 0�0 T COc� T zn 1 L o U 0 C%j ■� W � M a e c� ao a II II II �, N a ® Cr a -o a _ � Z . 0 CD o N CO 07 Y Route 132 Priority Sign Lo°la°^PVOM: coenmalonAvroW: INC. Date: Date DATE: 02-21-01 Andrew Uttnnnn, Priority Sign 3/15/2001 7107 PM C13478.dwg Dwc.# C1348PP Location - Hyannis, MA 20 Independence Drive Vill 4 \3\ SunCom � �• ` _o - �� s�.,-ate"-i�r`�� �'.:;'� .:.....- ••'' lb i t M i x .t i i Priority Sign, Inc. Location: 20 Independence Dr., Hyannis, MA PHOTO#5 i W I R E L E S S '�•Y4 � �. L 1 �1� 1 i IPHOTO#d, n n DOE InsEllf aoo NEW a � - — � ;�, cif'. �•,�. e T R 9" qq as _ r• 71 air f Elk I raw�n�awr�orrrtwrawM'eaa�smxct J[_JI.L.�' oea..rr.r. . cawene�r +. r�.�,.._.�� __. ----_ a�sRo���essfo ® ► neasa��ae�earc�r�+ ¢►e� n� oeti CE10 aeo cwwsse WA c w r wwwamrrar�w c v C=Cmw=avaoa®ee air wwiae rwteoe = 1[ 6 � F�7lCt7��. C IG,ieio��Cs7 CC7 010ICJ®M®wwe IO��Cw:7'..,.71L:.7 !C ,"",,.+ IRMI�Lf1' t CE1 1G 71eeYl7�CMiO0�7�7 G�E�T7■ BCala�mC��dM'^J°dC7' awwa�c st s tw r +ac wt +css rs+�aon�11o+w=w C=+eaw. n�+�saa srr e c ss C�'a�ma ac cs aGsr.�oeewa+�Ga�s��s Caoa sirAa + I 7sac-�c �c�e G���riaioe�rroess�+w�res�das e �roaau C3O�J � a JAM ...,,,,_.�,..,...,,,.. .._._-._,w..,�,.a......._,-,.�.....�,.,..-......_.�.._ ,. ae . 4 p R Priority sign Hyannis, MA 20 Independence Drive 28 194 28 . 24 PANEL PROFILE ......NGINEERING,.PROPERTJES OF STEEL SARStLbrPA�t1=L <'';;:`;: :v< `'; :k OUTSIDE IN INSIDE IN STEEL COATED WEIGHT COMPRESSION COMPRESSION GAUGE THK, THK. FY (IN.) (IN.) (KSI) (p/FT'I) Ix ix Sx (ksi) (IN.4/FT.) (IN.3/FT.) (IN.4/FT.) (IN.3/FT.) 24 q24 .0259 �a0 1294 >1(962i 12430 149 _.'` 08556 30 ; 22 03O .0319 50 1.594 .367$0 :» 14290 h1842Q: a 11355 now ` 1. Section properties have been calculated in accordance with the 1986 AISI Cold-Formed Steel Specifications with 1989 Addendum. 2, Steel thickness was used in determining section properties. Coated thickness includes galvanized or zinc-aluminum 4 coating. Y AL1,01A/ABI,E. .0A1);':PSF) Z~OR 1YQMtNAi PURI;IN SPAN LOAD PURLIN SPACING GAUGE CONDITION CONDITION 2'-6 4'-0 5'-0 6'-0 GRAVITY (42) (89) 6831 47.44 2 SPAN UPLIFT-Fastener 42 , (33j 8) _ Tab ,« r ( 2 : j�6g (58; ,:..� 50 ..,.:,::Y 42 _ S 1 S fr < ��t N ............................ GRAVITY152j (101) {$ : :: 59.30' 24 3 SPAN : UPLIFT-Fastener 6 - Tab 8 ( 6 (49)59 O GRAVITY (97) (Ta). 55.37. 4 SPAN UPLIFT-Fastener ) (46) 3 (31) jj Tab 7S (63) 5 (47) GRAVITY f UPLIFT.-Fastener f(67j (42) (28) x -Tab �) (�) 5Qj F (42) GRAVITY (101) ($1 .:...:..:.: (67.5) 22 S BAN = K & 4 38 32 UPLIFT Fastener ° < -Tab 1!$�.v > ; I r' 5 y. f 49� F -.:... _ GRAVITY956) (97) 478 (65) 4SPAN UPLIFT Fastener` (73) (46) (37� (31) Tabs . . . (63) (5 .; . (47) 1. Values given in the above table which-.are not in parentheses are based on section properties. 2. For gravity loading: d The values shown are based on stress except values in parenthesis are controlled by panel clip crippling. ' The allowable gravity loads shown will result in less than U240 panel rib deflection. 3. for uplift loading: The top values are based on standard panel dip fastener pullout in.OW thick purlin.and includes U3 increase for wind.Thus value can be increased with thicker purtiins and/or additional fasteners but cannot exceed the tab E - capacity. The bottom values are based on Tab pullout of seam and include a 1/3 Increase for wind. The allowable uplift bads shown will result in less than U180 panel nb deflection PACE NO. TAR B�S UILDI NG -E SYST MS STARSHIELD 6A 2- Z ROOF PANEL PROPERTIES CURRENT rssoE DATE 2 -1.95 TOWN.OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel -- —"LICANTMUSTOBTAIN�ArS(EWER Permit# CONNECTION PERMIT FROM THE Health Division - ENGINEERING DIVISION PRIOR TO Date Issued_ CONSTRUCT ION. Conservation Division Fee Tax Collector Treasurer Planning Dept. { Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ' Project Street Address �20 Z ��D .��' ye `�- Village �.ye Owner c ,� . a/ S : Address GLel Telephone Permit Request ' �O�ls�l�lZG/�4 - i 'eU U7--- �'CO/��D Square feet: 1st floor: existing J&eo proposed 2nd floor: existing proposed Total new Estimated Project Cost 1 o2b y0 z Zoning District Flood Plain Groundwater Overlay Construction Type ?C-ni l I- Lot Size A Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structured Historic House: ❑Yes .0 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 Nut mber of Bedrooms: -existing new T&I Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas 1 641 ❑Electric, ❑Other- Central Air: CTYes .❑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 es ❑;No If yes, site plan review# Current Use / f•,Ve Proposed Use , c� /;IE_Z �r ljy�5 BUILDER INFORMATION Name : L~,1�1 )67 Wa-I A4 Telephone Number Address; "' �"� License# 197 G�6 wao p Home Improvement Contractor# IC� f�S�✓t� Q/ b�� Worker's Compensation ALL CONSTRUCTIOP DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T� SIGNATURE DATE _ 3 f FOR OFFICIAL USE.ONLY >i PERMIT NO: ,t ° _ _ v � r, ,''r �. -.{, �• ` ° t; r . i=. erg. DATE ISSUED t 1 MAP/PARCEL,NO. ADDRESS "' # VILL'AGE OWNER r ° DATE OF�INSPECTION: FOUNDATION FRAME r7 r /.-� n� - _ ► _ ' INSULATION; FIREPLACE~ �" • •�: ;�; �, - 4 . ' . - , _ � , , � � , ELECTRICAL:` ROUGH a FINAL PLUMBING: ROUGH FINAL r, GAS: ROUGH FINAL- FINAL BUILDING 6 ? t _ r DATE CLOSED OUT r= ASSOCIATION PLAN NO. 4 , Die CommonweaWi of m assacrlusetts L =F Department of Industrial Accidents =� : Office aflnaestigations - ti 600 Washington Street Boston,Mass. 02111 Workers' Comyensation Insurance davit WE ON name: uEV / `(td Eft I a- - location: /a 1-�%� ' city phone#f<0 3 -09 7•-23e Cl I am a homeown r performing all work myself. ❑ I am a sole roprietor and have no one workin in any capacity ❑ I am an employer providing tivorkers' compensation for my 2p/lo;res<working on this job. comnnnv name: address: city phone#• e insurance CO. ginfliev# I am a sole propriet , general contractor, r homeowner(circle one)and have hired the contractors listed below who have the following i orkers' compensation polices: comynnv name: Ll address: % .. < .<': .. ...:...<:{.::fi((.v,•+.:,fir„ city phone#- � .'_r'� ;..:: .. :.. ...... insvrnnce cn. ` • ` company name- address city: phone#' ..:;.:...: iruvran cc co. .. ...:-•• . . .... . .. oiicv# ......:,.. :. ...:.: :.,..,,<>.�:;;r::;;<:::::..;.. :•>:<.::....:. Failure to secure coverage as required under Section ISA of MGL 152 can lead to the imposition of criminal penalties of a ate up to 51.500.00 and/or one years'imprisonment,as well as civil penalties in the form of a STOP♦VORK ORDER and a ate of 5100.00 a day against ra I mtderstartd that a copy of this statement may be forwarded to the Onlce of Investigations of the DIA for coverage verification. 11 I do hereby certify under trh�e pars and penalties of perjuq that the information provided above is true and correct Signature / Date _ Print name G%� T GL� r�lr f �/�-1��- Phone#J o 9�-9'91-fR official use only do not write in this area to be completed by city or town official city or town: permit/license# QBuilding Deparmtent i]Licenzing Board ❑check if immediate mponse is required ❑Selectmen's Office ❑Health Department (contact person: phone#,, ❑Other (tenses 9, 5 P1A1 Information a�tructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the---` employees. As quoted from the "law", an employee is defined as every person in the service of another under any cat�- 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 c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rec.ve: 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 c. building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewa. 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,neitherthe . 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 coutracring 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 returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would lice to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lmlesuganons 600 Washington Street Boston;Ma 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext 406, 409 or 375 D am WV HOOK o $ F = _ r s r N a� $ 14 _ 1. � _ =R Z P �,y 1 1 m m m m m m rri ,aaxaanoan I m m(T-1-+WN" fq 4NNNN 00 0mOO '7`fL� SSS (n(n- mm � AcG n -D-D0 �(im cmzOOOmma 0 Mm� t��na M:z zMM 4i�(nOmmcm0m DD(M„ Mon,i"�ZmM- ZZ�o mrrr z�m=(R s � . �n� CArn 0Z XAAz zD � c� (- En m �z mm z Oo �� m�C:) Z m m U)A �r-, rZ��yz m m S a Z a m(n r c m N • FIX 08 j ig _AX �rR RA o a s a z�m m � e gam g � n RNg EN gig ��� ��� �� � " x NOW �� ��^ � z PA a5 R \Ej ZZ-ate $ iv4T V HSI � �� �g�t mpg x -a- yR =a ;2 § s zs z ¢ §01R, H= vAg� Ress m ��a at g Rs � s � u � � R2e, Pis " $ Egg- x* r - Z ag -� All � a �L2 AIRR FED " T � o�W A' � ® ' te a P. =es€ y € g ? il !e 6 F � g RT M I a � uff UNA D lips, , y AG A a E ap r t 5 / Ul 1 W O N a t ` 9 F{/may®®log®® ®oo z � � � oVe qz s s b B E. w ia. a��c 'Fyn - � � � x s g FAA Rg �a "Ir RlMatmn ^� ROM Td MEMO AM ADA SUMMER FOR CC CF IMAJIM ONLY. $Rom-. - _ LISTED ITEMS ITEMS NC RAACE M MM R!EI SAT:W LIM CM �I�FR O ATaICWIi ALL EXTERIOR WOWS SHALL HAVE 187 OR HOa70NIAt OPEN SURFACE • AREA AT THE STRIKE SME/PULLSIDC OF DOORS. ALL INTERIOR DOORS SHALL AI A W 18 0.R,H02O ITAL OPEN SURFACE AREA AT THE STPoNE 4D[/P,ULI SIDE OF DOORS,PROVIDE 12.O.R,H0112L%NTAL OPEN y'VRI'ACE NSA ON THE 4 . - A I A 51TE%E SDI/PUSHI SIDE GE OURS WITH CLOSERS AND LATCHES `--'-®ID IISMI(iR 2,ALL EMERCENCT FEDERAL.STATE SAND MU WIPA.D1WS FOR ASLSS91[11COMPLY WITH - - CENTRAL CONTRACTOR SRAIL ALLOW FOR APPLIED RASA DMMSIONS R AMIN PI V I _ 27P = 10 SFANDAR CONSTWCiIUN i ERVICCs AV ACIRMN AL ACCESSIBILITY E401 SEEQ�Ewa aF�t•R. CLEARANCES PEFt CWAMxGS AND OR%A 0UIDEu4ES I AS IA=. LyIANLTS IN LEVEL ALONE)AIY ACCEME ROUTE,MALL NOT U�7 . - I FT51om Em1/Y.vnaF ttaY aVNtlLs oa aCpRL inn,7U4 BE BEVELLED W/A SLORE Ha OFEhTR TRAM 1:20.E%CEP7 LEVEL CHANCES POT E%CCEDNO 1 4 VERTICAL K�ILL RIOT- a O M� NOTE: REFER TO '� NOTE: REFER itl / ' FOR DOOR ELEVATIONS®FOR DOOR DETAILSI S VAX.EfFM 10 OPERAIE WAS SH LK HALL NOT E%CEED&..7 LIDS 1A� MixFOR Ei%NE ROR DOORS AN PM31/PULL EFFORT µk SURED IT INTERIOR RIIGHT ANCIES MO THE DOORS... 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AS REQUIRED; C NEW Cttr"R/WIE E-0K SA.M V iK f•16 em am 1 a LOCK CYLINDER BLACK RUBBER) ® mYOR/mm sdKR ARAM E AR•CA.•O1S Q. - tE aLOFfAGR➢r YM1 TALE) W0.6tl91QA - 1 RIXk^aTOP/Well S10P LjlAp Tn YAt SAOD0"SIRES CTU=) LINER p rK Ai enm ry TK m n AA%®Fa FW ff ft�/m4W0 ea (Ma wE vo s[R[s-us4�) • RY®0!1 FITTE A 1� 4 ®1 eLim RVII)O• , ��A 1 4p5FRR9 IEtAR ICCI�T p(piJ YALI 5AW IN On rnWtaCAI LE1SR T ALL TYPE s WALL TYPE (MDNRa[MC stREs,u320). wr I S TITS - - NAB P Lm CYllmi YA[10 MATCH - - 1-1/2 PAR DUB HINGES - 1 - LEVER LOCNSET E2(STORE ROOM). 9tlf lMOS MLMWNFY(/-1%P%4-114") - - 15RCI101 1 LOCK CYLINDER " i ILWR STOP/WALL STOP all.sm COMPATIBLE WITH LEVER HMOWARE 1 SILENCERS - - P 1 L L- M A H A R A M MW RR ' .� 1 - -CLOSER gq� - IVES RUBBER:BLACK r _ lAll®I NM6 )-O COOT mIDO tA. Y . I=G lEl7�l QR. 74 P�I@� KtNtHXIA.CNu 9'maA• ' BVDW SNWER1000m RECdC16`9l�0 INTERMEDIATE TRANSOM f-N TRANSOM HEAD )b a wl•a Au N75 NL HT5 - PAINRD SOLD CORE WOOD - PBI NahNRNAn A1A'}AY•GE►.The / „.. 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PaemMa-Ptfai rPa - , - ® laae ianm/ tam wr WtiW7 ram"-taint aim >D IYmtuna 07w *No*� DMAUff FAN GMMUlE HVACp�W MLS AM mar -,P,m IDyaae ay /M 4P. fwim GaillmL MPPete SCHEDULE ,+ p• mq ie6 aW1M teal N lLLfa • a '. tF-f Pl11ael rape ww am e®aw v - - m[ar - tM - 1.a ne t W afmaae m-nee Ad 1171m /Ie PERMIT SET ONLY M^`L.0 � L V M P • • M • O f Y M r FIT I fill I IVAN Nil 111 � s � � � � � $ g � � G� R il 111 F = 5 ate � � 6 5 9 $11 = 666 � �1. pup P P = P P P �, P ,P F P P P r r r r �€ a€ ilia " R - � gg gag Rip Ig-9 ° _ 01 � � � ° " � _ e _ a I pip � s# eP Is 48.11 a F1 Isla P1 a r I s �� a° s fill, ill • � Ago 1 I� f DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number Expires: ---- Restrrcted':To- :8B KENT 8-';WEINHEIMER. � 105 WOOD ST JEFFERSON7 'NA TI'522 CSR LW: DATE(MM/DD/YY) ACORD :::�EtATEFlL " ' IU : ...: :.:.;;:.;::..::.::.;:.;:.::.;:.;:.::..:.::.;:.:.;:.;:;:.;:;.;. A..RA>le�••.1...:...::..:; 03/31/9 8 .. ... .........;:., PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rodman Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 75 Wells Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Newton MA 02159 COMPANIES AFFORDING COVERAGE COMPANY Phone No. 617-527-3000 Fax No. 617-965-2947 ' A Renaissance Insurance Agency INSURED COMPANY B American Economy COMPANY S M Abrams Construction Co C Arbella Mutual 17 Orchard Street COMPANY Randolph MA 02368 D American States Insurance COVERAGES . . .::. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE 4 2000006 B X COMMERCIAL GENERAL.UABILITY 02CC3531597 03/25/98 03/25/99 PRODUCTS-COMP/OPAGG $2000000 CLAIMS MADE a OCCUR PERSONAL&ADV INJURY 8 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 8 1000000 FIRE DAMAGE(Any one fire) 8 100000 MED EXP(Any one person) a 5000 AUTOMOBILE LIABILITY C ANY AUTO Q3NO2075801 06/06/97 06/06/98 COMBINED SINGLE LIMIT 8 1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS. BODILY INJURY 8 (Per person) X HIRED AUTOS BODILY INJURY' 8 X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 8 .-..._ ...................._.._ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT 0 AGGREGATE 8 EXCESS LIABILITY EACH OCCURRENCE a 3,000,000 D X UMBRELLA FORM O1SII19725620 03/25/97 03/25/98 AGGREGATE 8 3,000,000 OTHER THAN UMBRELLA FORM 8 WORKERS COMPENSATION AND '"" - `�„ TORS L TU_ ER EMPLOYERS'LIABILITY EL EACH ACCIDENT 8 1,000,000 THE PROPRIETOR/ A wEl WC000109701 _ 01/01/98 01/01/99 EL DISEASE-POLICY LIMIT e1,000,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL.` -•,„�„ _ y +t EL DISEASE-EA EMPLOYEE 8 1,0 0 0,0 0 0 OTHER .,... B ( Property 02CC3531597 03/25/98 03/25/99 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Dry Wall or Wallboard Install TLACORD :H;OLDER CANGELL...."i _ . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MIT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn• Jack Mannion OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. 77 Massachusetts Ave. AUTHORI2EDREPRE NTATIVE Cambridge MA ` t1/95) MCORD:CORPORATION.19,88,` : 66 4c, 7 ——-------- -----77 7 77­7� % 4 7: 24,-0 27' 25'-0 , ' Ole IBLD G P "C' 7 -ERENCE LINE BUILDING REF 82 23'-7 2 22' BUILDING, REFERENCE CN LINE, 'A BLD'G BLDG 441— tIIvy 10 Opp c1q 1q. oK 'Pity, J, IN 04 0 Ole "H 24'_0 0 25'-0 24'-0 24'-0 25'-0 24­0 -0 75' 73'-0 dD dD DAN ANCHOR BOL T SETTING PLAN DE IL No.40350 /STE�l NAL HIS ORA WNG, FINISH FLOOR AT ELEV 0'-0 ANY LA TER VAILING BY STAR volDS T A TION 10 JOB NO. DRAWN DA 7E P,O. BOX 94910 NO TES. ' SYSTEMS 98-4369 STAR BUILDING, OKLAHOMA CIT Y, OK 73143 1. 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