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0955 IYANNOUGH ROAD/RTE132 (2)
7,'n 1 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ZI Parcel TO 1414 OF BARNS!ABLE Application #26I, 6U�g3 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board -,. N Historic - OKH _ Preservation / Hyannis Project Street Address Village )! Owner�Alel,e5L &AVI Address 9S -1y4&qy1 !q h 12-) Telephone Permit Request JI-s"IRIP 411! S ,_ ,e ®6 4z7o 6 s A-Kf a S � ? ®h G u e"d ,9 Qs�VA-,c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (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 _ o�-� �C Telephone Number '1-1 "-1 ir3 Co Address 10 6 A-I e License # k-1 a 9'L/ i �AO,n�wtipuk MA_ Oa5te 3 Home Improvement Contractor# I Email ✓W A4 L(.G cQLUALIDO'(0 m Worker's Compensation # idCG-5-CQ-So13*)3►2 0 1 ALL CONSTRUCTI N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��✓�� DATE I Z ` 1 .- i t FOR OFFICIAL USE ONLY `APPLICATION# DATE ISSUED MAP/PARCEL NO. r, Ix 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. �tR3fZ72EQ3Z1E�Q��QSStFf,�tlfS a��S .> 60 Washi€tgpya greet p Bosfana MA 02 + t -Pmw jrrasY-gvnfrlua 'markers-' CampensathmInsurzace Affidavit BinldersfCanfra:ctersfFlectncianMumbers A:pplicant Information Please Print L ibI Name(BusinessIOrpnizxiim(kOivi�_ 51-0 Ad&ess— Ce 4CYf A LA L Are you an employer?Check tfm mpprGpriat� bozz ,ram of protect(required): LSO I am a employer WfaL_T 4. ❑ I amta gemral contractor and I 6_ ❑New�,*,�,V�,h employees(full andforpart-#ime}* have the Milrc tors , Rrmodelia a `. 2_El am a sole progdetor or parer- listed on the ttached sheep 7_ ❑ � shsg and have no employees These sale-Matractors have g- ❑Demolition working far me in any capacity eurPlayees and have WOEkCrZ' _ ❑gailc�mg addition [go urorke:rs' Comp:is xranre comp_ins uran e regaired_I 5-❑ We are a corporafionand its IG-0 Electrical rega rs c,r additions 3.❑ I am a homeou ner doing all mo& offt=h"-e exercised their I L 0 Plambmg rep917Y or additions myself LN6 worb='romp- right ofeivmptian per MGL" 124N Roaf i nrrxa,rc-e I l e.152,§1(4} and we have,no �g . cam-msu anm required-I y ryauglia i5atchecksboa tamstalsofaIlaaitb~se£tioabeIo�chrte�nffieirvD&msa'coamensEfi=poru-Ti t . 1Hamevwnesvchosubmitthisaffidxvif they atedamgsIItr�and dim like vatu&conft rs,,.cmastsobantateeafddrdt"diirni`7mr-Ir . =Cxrtmct me d]st rheckc this box must studied as aaditirm sheet dzwhs the mmne of die ai-= txtots and staff whether Fxnnt times have caaphwees IfttTzee st>It caaha�ms bare®gIa�ee�dte mast giuvide tea wnrl�'tamp.paTicg avmbzr lam an emp&Ter thatispmidikg warkexs'congwnsnhbm inrrrrance for my engiLayear: �eIosF is fheprz8c}andlab Insurance CompanyName: iM M✓ /�' l ` Pow:ff or selfim,rim : to cc-sy a IV O 731 Z 01 LI t bn Date. CL7 11 L-0 Job Site - .A✓ II600k` ciiyl txwzlp= Ef4ach a copy of the vmrkws'compensation policy declaration page(showing the poficy number and eqiwatio-n dste}. Failure to smixe caveiage as ieT iseci uurier Sec ions 25 k o€MGL c. 152 can lead to the imposition o€'czi minal penalties of a fine up to$1,5DD Oa andlor one-yearm3prisonment as well as civil penalties in the fo=of a STOP WORK ORDER- a fim ofug to$250-00 a day against the violator_ Be advised that a cnpp of this statement maybe fare arded ta-the aTme.of inrle*ntions of the DIA for fi=-ance covzrage verEEcati Fria hereby cerlify under tka pains aadpenaIfies ofPqwy fhetfhe inform diau pnni&&ahaVe cs h7w Wid correct SMattn: w Date- .r 2134 -?-7 z�: 63,fYEci,:d use and.'Da nat trnbr in this ureRt ft he rampieW by city ar tMa qfflC&MT- City . or Town- Permit Ucense# issuing An th ar4{arde one)- w L Board of Hc;,Itl r I BmWng Departmeut t tyl£owa Clerk 4.Electrical L=pector S.Plumbing Luspector .6.Other coact Per=n: Phone#. ` 6 ]Information and bnstfnctions Massachusetts General Laws chapter 152 requires all.employers to provide workers'compensation for their employees. Puisuantto this statute,an wTloyee is defined as"_..every person in the service of mother 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 Iegal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employers. However the owner of a dwelli g 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 Iocal 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,MOL chapter 152, §25C()states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of pub lic 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-contractors)name(s),address(es)and phone number(s)along with their cer icak(s)of insurance. Limited.Liability Companies(I..LC) or Limited Liability Partnerships(L LP)with no employees other than the members or partners, are not required to carry workers' compensation incirrance. 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 he sure to sign and date the affidavit_ The a$davit sbould be mtiun.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 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 oa the appropriate at. City or Town O�cciaLs 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/licease 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 affidavit indicating current policy information(if necessary)and under"lob Site Address'the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses A new affidavit must be filled out each year_Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, e to a us a please do not hesitate call_ p �' The Department's address,telephone and fax number: n1a.Comma IVFwth of M=aehu -ctts Department Qf hidustial Accidents Offim Of kvesfigatiGm boo wasbinon Sim $awn,IAA 02111 TeL 4 617 727-4 ext 406 or I 4TVMAS.SAFE Devised 4-2447 Fax# 617-727-7-149 www-ma.ss.gov/dia BASNbTAffi.E, : . , MASS. Town of Barnstable '�Ev ram" Regulatory Services . Richard V.ScaIi,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 "Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject ptopetty ' 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 . If Property Owner is applying for permit,-please complete the Homeowners License Exemption Form on the reverse"side. Q:IV,TF=\FORMS\building permit forms0TRESS.doc r r Revised 061313 I CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) _��•-�� 12/3/1.5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIN 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 t0 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 CONTANAME: JIM HINDMAN -- Schlegel & Schlegel Ins Broker PHONE FAX :34 Main Street E-MAIL , (508) 771-8381 AI No: (508) 771-0663 ADDRESS: schlegelinsurance@qmail.com _ West Yarmouth, MA 02673 INSURERS)AFFORDING COVERAGE NAIC0 INSURERA:NGM INSURANCE COMPANY 14788 INSURED INSURERB:NGM INSURANCE COMPANY 14788_____ SCOTT RYAN CONSTRUCTION INC INSURER C:AIM MUTUAL 10 DALE TERRACE --INSURER D: SANDWICH, MA 02563 INSURER E: INSURER F: _ COVERAGES CERTIFICATE NUMBER: 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 ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRI - - - — .._- ADDLSUBR. _ ._. _. _. - r POLICYEFF-- POUCYUP LTRI TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/Y MM/DD/YYYY LIMITS _ A GENERAL LIABILITY MPT5528P 8/7/15 8/7/16 EACHOCCURRENCE $ 1,000 QQO DA'AGE TO RENTED X I COMMERCIAL GENERAL LIABILITY PREMI ES Ea occurrence $ 500L000 CLAIMS-NADE x OCCUR MED EXP(Anyone person)son) $ 10 000 PERSONAL&ADV INJURY $ 1,000,QQO.-- GENERALAGGREGATE $ 2 OOOL000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-COMP/OPAGG $ 2,000,000 - POLICY ,E LOC $ U AUTOMOBILE LIABILITY M1T5526P 8/7/15 8/7/16 EOaB iderd)SINGLELIMIT $ 100 oQ0 1 Ii ANYAUTO BODILY INJURY(Per person) $ 300.000 ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS 100,000 NON-OWNED PeOaccd Y DAMAGE $ _ HIREDAUTOS _ AUTOS '^ HUMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _ DIED RETENTION$ $ c WORKERS COMPENSATION WCC-500-50137312014 8/7/15 8/7/16 WC STATU- OTH- _ AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACG DE NT $ 1OO,OC!i OFFICERIMEMBER EXCLUDED? N N/A -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,OC30 If yes,describe under '-- DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $ 500,000_ ; I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CORPORATE OFFICERS HAVE ELECTED TO BE COVERED UNDER THEIR CURRENT WORKERS COMPENSATIONJ POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NELLYS SUITS YOU SWIMWEAR' ACCORDANCE WITH THE POLICY PROVISIONS. 955 IYANNOUGH ROAD HYANNIS MA 02601 AUTHORIZED REPRESENTA E I IN HAND, i ©1988 01 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks oWORD Phone: Fax: E-Mail: V he�pomvnzoazcuecalG�o�CIUGa�aaalucaeCla i Office of Consumer Affairs&Business Reguatbn License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: C179545 Ty Office of Consumer Affairs and Business Regulation xpiration 8/12/2016 LLC 10 Park Plaza-Suite 5170 I#a ton,MA 02116 RYAN C'ONSTRUCTIO�I _: = it :SCOTT RYAN _ i 10 DALE TERR gz—_ SANDWICH,MA 02563:. - Not valid without signature i Undersecreliir':, y f Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-081294 Construction Supervisor SCOTT RYAN - r ' 10 DALE TER SANDWICH MA 925G3 CA- Expiration: Commissioner 07/03/2017 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS i Ryan Construction LLC a Proposal P.O. Box 409 a Sandwich, MA 02563 508-888-8300 Name/Address . Neelys Suits you swimwear 955 lyannough Rd Hyannis Ma Date Proposal No.` Project 10/28/15 193 r Description Quantity Cost M Amount. _ . Strip and replace shed roof area where skylights are. 3,500.00 3,500.00 Install certainteed shingles to match newer roof. Install grace ice and water to entire are. 0.00 Replace siding on gable end and cheek that is over skylight 2,550.00 2,550.00 area. - - Replace with Boral exterior bevel siding. Painting not included. 0.00 Replace trim with composite trim to area that separates the 2 750.00 750.00 shallow roofs. 0.00 Replace to skylights with velux manual venting add $2088.00 to total price. 0.00 Replace to skylights with velux solar power venting add $3134.00 to total price. f I As t Total $6,800.00 MIRACLESUIT BY SWIM SHAPER •1 6 0 IIHLER ROAD »: :ACC ;:.:::;:.,,: :::;::;:;::>:::::i:::>::i::::::;:>::: ......................... EA STON PA 180407001 0/26/15 10101288 SUITS YOU SWIMWEAR INC IT Y I AR SUITS YOU SW MWE IN C. �s�iil t�iyt !1�i�YriL 117 i+� t+�y� SIIITS YOU SWIMWEAR _ SIIITS YOU SWIMWEAI2 _ t�:.N',5'7•�4�i4::i:#✓Aak'IS# `iEiAGE`NA+:'?c+lA4 :i:?t:z 955 IYANNOIIGH ROAD 955 IYANNOIIGH ROAD HYANNIS, MA 02601 US HYANNIS, MA 02601 US 11/02/15 12/16/15 ..........................................................................................................................................................................:......................::.............................................:..:............................................:............................................................................................... 0003 SSMIR915 SIII0002 125767 252267 UPS GROUND WFT1 STYLE COLOR LABEL DM/PK A PP 0 2 4 6 8 10 12 14 16 TOTAL CUSTOMER SKII NUMBER 18 20 22 24 F PP 12W 14W 16W 18w 20W 22W 24W 26W 28W 30W 32W 34W 36W ;>:>:.:::>:::s�::>$:::> > < <z> > ::<: ,13<: E KO KO, s:< loll' > :<3:>:�:>:< ':f'. > > >::: > .........:::::»...... 4................................... ........... ................... S. .................................. ................................. :>:>:i>'»»:>:::::::::>::>::;::::: <:>:>:<:>::>:>:::<..........:::<:>[:::>:>:z:>::::><<:z>::>;:: z:<<>::>`?::> > >::;>:::> ............................................................................................................................................................................................................................................................................................................................................... 362447 BLII A 1 2 2 OFF SCALES LV KNOT TNK TP / BLUE 5 :::5':....... <;:`} y:f::f::$;:;;`:; :::: ::<:;:;:;:;:;:r:::i:;:>:: ::::::::::::::y:.::;:;:::::::::::;. ;';`:f::: : :3::::::: Suomi .:: r ::::::;� `::'•r:::::::::::"':3::;:::::::: :::::::y:::::::?:::::::::::::::::: ;:;:;:;;:;:;:: :::::53:i::: :::t:::::: BTi�f.....::..........................................................A..................................................................-....:............................-....:.. ............. ............L............. ..........:.............:......:...................................................:...:.:.:...... ;:.:: :: ::....:: :::::::::: ::::: :::::::•`:?::: :::: :: :: ::::::s� :::::Y:: :: :Y:��:Y:: ::: :::::::Y:::::`.::: ::±::::::%; ::::::: 2::Y <::::::::::::::::::::::::: ::::?:::: :::<:::: :: ::::::::::::::.:�3X+ ............ `�.................. .......................................................................................................................................................................................................................................................................................................................................................................................... 362963 IND A 1 1 2 2 INDIGO GO SANIBEL TNK 1PC / INDIGO BLII 1 7 .................................................................:.........................................:..:................ 363747 BLK A 1 1 2 2 1 UP COMING16 LOVEKNOT TOP / BLACK 7 :�: 366388w BLW F 2 1 1 PIN POINTI6 WM OCEANUS 1P / BLK/WHITE 4 i *** DUPLICATE *** 11/04/15 01:08:05 PM ? + tit ] 45 Page: 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J Map 9`t Parc a :Application # Health Division w,�� Date Issued Conservation Division ;Application Fee Planning Dept. .,'Permit Fee ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis " v Project Street Address yS Z�P4h n o �d4!d I� Village /1 h f S, Owner ` /y VIV S`tQLAall Address-3-5- �'SL�rJ PAY-A , Telephone S-0 ". `7` 4 -- '7� p � Permit Request /��"1Y1.19 dd IT Y J C2 &dnon-j Square feet: 1 st floor: existing proposed. 2nd floor: existing proposed ISO Total new Zoning District H6 Flood Plain /1r1� Groundwater Over �o Project Valuation 000 Construction Type Lot Size #ere.S Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family°,;❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 040 Historic House: ❑Yes XNo 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 J new Half: existing new Number of Bedrooms: J existing new Total Room Count (not including baths): existing 3 new .3 First Floor Room Count Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: ❑Yes A 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:,—.a —; Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ =a Commercial ❑Yes ❑ No If yes, site plan review# x Current Use Proposed Use a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name / Z,Chow � J V A Telephone Number 5-05157 Address f License # 05 3 O)X od PU o , M 6 oa� 53 Home Improvement Contractor# l d o `'rt -7,3- Worker's Compensation # S 06 Li 000 /-,1�it ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO da Sc_ ptsyoosa SIGNATURE _ DATE II ' I �� /D �r ' FOR OFFICIAL USE ONLY APPLICATION# " DATE ISSUED _ T- f 'MAP/PARCEL NO.. 4 , ADDRESS VILLAGE t OWNER f f DATE OF INSPECTION: � . FOUNDATION°: '� � • ` Ilk FRAME INSULATION } FIREPLACE F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL S GAS.: ROUGH " x FINAL ` '�': �� f _ i ' �=FINAL BUILDING ",. � .DATE CLOSED OUT f ; ASSOCIATION PLAN NO. - + - � L I I , The Commonwealth of Massachusetts Department of IndustriahAccidents ! Office of Investigations 600 Washington Street r l Boston, MA 02111 Y y� www:jnass.gov/die Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nalne (Business/Organization/Individual): w G SMA 6a al n g4 Q w Xf 6 p Address: reo° 130X r�-7qg. . City/State/Zip: A'i j 0° 5 one M _ irol < ' 1,5'73 L13.Fll an employer? Check the appr priate box: Type of project(required): a employer with _ 4. I am a general con tractor and I 6. ❑ New construction loyees(full and/of part-time).* have hired the sub-contractors ' a sole proprietor or partner- listed on the attached sheet. 7. [Remodeling These sub-contractors have and have no employees � 8. ❑Demolition em to ees and have workers' P Y ing forme m anycapacity. 9. ❑ Building addition com . insurance.t orkers' comp:insurance" p red.] 5. Q We are a corporation and its 10.❑Electrical repairs or additions e in all work officers have exercised their 11:0 Plumbing repairs or additions a homeown r do g P glf. [No workers' comp. right of exemption per MGL 12.❑Roof repairs nce required.) t' c. 152, §1(4), and we have no employees. [No workers'. 13.E 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 haveemployces,they must provide their workers'comp.'policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company'Name; ss cl��ed Policy#or Self-ins Lic.'#::: 50064000 Q 1 ® Expiration Date: Job Site Address: % U /7 0 �(� o City/State/Zip: Attach a copy of the workers'co pensation.poticy 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 imprisonment, as well as civil penalties in the forin of a STOP WORK ORDER and a fine of up to;250.00 a day against the violator. Be advised that.a copy of this statement may be forwarded to the Office of Investigations of the DIA for'insurance coverage verification. I do hereby certify under thepaiv and pe aloes o p rjury that the information provided above is true and correct. Signature: Date: Phone Ely only. Do.not write in this area,to be completed by city or town official n: Permit/License# hority(circle one): Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#: Information and Instructions- Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation.for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling.house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the 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 oniy,submit one affidavit indicating current policy information (if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021 I 1 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia I pp THE rpk 0 •�,ART STABLE, y -nstable1679• v > Re ulator Services g �' Thomas F. Ceiler, 'Director Building Division, Thomas Perry, CBO , Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable,ma.us Office: 50 8-862-403 8 h Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section ff Using A Builder • . ........... as Owner of the subject property hereby authorize. / —h to act on my behalf, in all matters relative-to work authorized by this building permit application£or: (Add ess of Job) Sign Lure o wrier Date Na/ Print Name Cf property Owner is applying for permit, please complete the Homeowners License Exemption Forrtm on the reverse side. Q VIPFILESIFORMSIbuilding permit formslEXPRESS.doe Revised 072110 �. �« .� , .. ._.•- .,, ..,.a a tarok Town of Barnstable � F -�� RegnIatory Services � M gwgsrnsie'lass. Thomas F. Geiler, Director � � rb ,, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta bie.ma.its 0ffice: 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: _ number street village 1l-IOMEOWNCR" name home phone tl work phone N CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners" was ex`ended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures.and requirements. Signature of Homeown.cr Approval of Building OFficial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 1.27.0 Construction Control. HOMEOWNER IS EXEMPTION The Code states that: "Any homeownerperforming work for which a building permit is required shall be exempt from the provisions ofthis section(Section 109.1.1 -Licensing ofconstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as s upervisoc" Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form certification for use in your community. Q<kµ'PFILESIFORMSIbuilding permit formslEXPRESS.doc Revised 072 1 10 Client#: 59551 MIKESMI ACORD. CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 11/22/2010 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 Margaret"Young _ Rogers&Gray Ins. -So. Dennis PHONE 508 398-7980 FAX Ext: c,No 434 Route 134 E-MAIL ADDRESS: P.O. Box 1601 South Dennis, MA 02660-1601 CUSTOMER ID N:- INSURER(S)AFFORDING COVERAGE, NAIC# INSURED INSURER A:National Grange Insurance Co. Mike Smith Building 8 Remodeling Inc INSURERB:Associated Employers Insurance P.O. Box 2792 INSURER c: Orleans, MA 02653 INSURER D INSURER E: - INSURERF: - COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE INSIR NVD POLICY NUMBER POUCMM/DD EFF MM DD EXP LIMITS A GENERAL LIABILITY MPK8709N 08/12/2010 08/12/2011 EACH OCCURRENCE $2 000 000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED PREMISES Ea occurrence s500,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIY APPLIES PER: PRODUCTS-COMPIOP AGG $4,000,000 POLICY lEn I PRO`^ LOC $ A AUTOMOBILEtLIABILITY7 :a M9K8709N 08/12/2010 08/12/2011 COMBINED SINGLE LIMIT ANY AU (Ea accident) $1,000,000 W 4 - BODILY INJURY(Per person) $ ALL OWNED AUTO BODILY INJURY(Per accident) $ X SCHEDULED A U T q.Sj K � PROPERTY DAMAGE X HIREDAl1TOS q t - (Per accident) $ N . X NON-OPINED AUTQS; v $ '» $ A, UMBRE4u►Lw61� X OCCUR?i..�'r CUK8709N 08/12/2010 08/12/2011 EACH OCCURRENCE $1 000000 EXCESS LIAB CLAIMS-MADE , AGGREGATE $1,000,000 DEDUCTIBLE $ X RETENTION 10000 $ B WORKERS COMPENSATION WCC50064001201 O O8/12/2010 08/12/2011 X Tw0c STAID- 0TH- AND EMPLOYERS'LIABILITY. - 0 Y MITS E Y/N ANY PROPRIETOR/PARTNER/EXECUTNE - E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 - If yes,describe under - - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) * Workers Comp Information`* Excluded Officers or Proprietors-Mike Smith (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE.DELNERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. �. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE + 01988-2009 ACORD CORPORATION.All rights reserved. / ACORD 25.(2009/09) 1 of 2 The ACORD f name and logo are registered marks of ACORD #S60430/M60429 MEY iviassachusetts--Departrnent of:puhlic Safety Board of Building Re Sul ttions and St tnda's'(Is f Construction Supervisor License License: CS 3012 Restricted to:, 00 MICHAEL C.SMITH PO BOX 2792 ORLEANS, MA 02653 Expiration: 4/9/2012 ('un,niissioner - Tr#: 21549 # �T p - ✓lie -[Jo�niircau�rev� a�./�.caaaa�u�aetls � } Office of Consumer Affairs&Business Regulation } HOME IMPROVEMENT CONTRACTOR-- Registration ffi 120473:::, Expiratioti 1[_4120a2Y Tr#_292392 ,f Type_�lndmdual ' MICHAEL C.SMIT1-BUILD'it 6modeler f MICHAEL SMITH .[ 86A Rte 6A ORLEAN5,MQ 02653 Undersecretary 't►3 Town of Barnstable Building Department artment - 200 Main Street ASTABLE, * Hyannis, MA 02601 9� MAC. (508) 16. 862-4038 . 9 prFO MA't A Certificate of Occupancy . Application ation Number: 201006289 CO Number: 20110114 c Parcel ID: 294025 CO Issue Date: 08/12/11 Location: 955 IYANNOUGH ROADIRTE132 Zoning Classification: HIGHWAY BUSINESS DISTRICT Proposed Use: MIXED USE RETAIL & RES Village: HYANNIS Gen Contractor: SMITH, MICHAEL C Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE Building 'fNE �.. 201006289 .XM: BARNSTABLE, * Issue Dater Permit 01/04/11 y MASS, �ArFO �A� Applicant: SMITH,MICHAEL C Permit Number: B .20110014 Proposed Use: MIXED USE RETAIL&RES Expiration Date: 07/04/11 Location 955 IYANNOUGH ROAD/RTE132Loning District HB Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 294025 Permit Fee$ 91.00 Contractor SMITH,MICHAEL C Village HYANNIS App Fee$ 100.00 License Num 3012 — Est Construction Cost$ 10,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMODEL APT(2ND FLR)FROM 3 BEDROOMS TO 2 BEDROOMS AND THIS CARD MUST BE KEPT POSTED UNTIL FINAL ADDING KITCHEN, 3 BATHS TO 2 BATHS-INTERIOR ONLY! I INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LUZIETTI,TIMOTHY R l BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 119 POND VIEW DR INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: PR Building Permit Issued By: THIS:PERMTKCONVEYSNO RIGHT,TO OCCUPY ANY STREET,ALLEY OR SIDEWALKOR ANY-PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY ENCROACHMENTS ONTUBLIC PROPERTY,NO SPECIFICALLY PEP MITTED UNDER THE BUILDING'CODE,MUST BE APP �T ROVED'BYHE JURISDICTION:.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCAT16N OF PUBLIC SEWERS:MAYBE OBTAINED FROM THE-DEPARTMENT OF PUBLIC'WORKS THE ISSUANCE'OF TITS PERMIT DOES NOT RELEASE THE APPLICANT FROM;THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2. ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS_(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). TE WM ' Y BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 rtf 1 Heating Inspection Approvals Engineering Dept 16— Fire Dept 2 B 1 ea t/+ ` s l zC/o Doc. No. 1,141,704 Ctf. No. 191631 TRANSFER CERTIFICATE OF TITLE From Certificate No. 94936, Originally Registered December 30, 1983 in the Registry District of Barnstable County. THIS IS TO CERTIFY that 955 IYANNOUGH RD LLC, a Massachusetts limited liability company, of 35 Bursley Path, West Barnstable, Massachusetts 02668, the owner(s) in fee simple, of that land situated in BARNSTABLE in the county of Barnstable and the Commonwealth of Massachusetts, described-as follows: LOT 9 PLAN 13216-H And it is further certified that said land is under the operation and provisions of Chapter 185 of the General Laws, and that the title of said owners) to said land is registered under said Chapter, subject, however, to any of the encumbrances mentioned in Section forty-six of said Chapter, , which may be,subs'isting WITNESS. KARYN F. SCHEIER, Chief Justice of the Land Court at Barnstable, in said County of Barnstable; the ninth day of June in the year two thousand and ten at 9 o'clock and 19 minutes Attest, with the: Seal of said Court, - JOHN F. MEADE, Assistant Recorder. ,Land Court.Case No. 13216 _MEMORANDA OF FNCl1MRRAN(FS QN THE IAND nFSCRTRFR TN THIS CFRTTFTCATF Ctf: 191631 1 , 141 ,704 DATE OF INSTRUMENT DOCUMENT DATE AND TIME NUMBER KIND RUNNING IN FAVOR OF TERMS OF REGISTRATION DISCHARGE SIGNATURE 192,248 N BARNSTABLE WATER CO RTS ES 11-21-1974 1 12-13-1974 11 :32 .. 630 ,869 BT TOWN OF BARNSTABLE VARI ROADS 12-2171994 39 12-27-1994 111 :38 - 867 , 199 AS CITIZENS BANK OF PERMITS & LICENSES 03-28-2002 1 MASSACHUSETTS O4-04-2002 2:54 � 944,224 M CAPE COD BANK &TRUST 9 13216-14 10-10-2003 1 COMPANY N-A.. $455. 000 .00 10-10-2003 3:08 . .u.,. 944,225 AS CAPE COD BANK & TRUST RENTS 10-10-2003 1 COMPANY N .A. 10-10-2003 3:08 1 ,141 ,705 M TD BANK NA 9 13216-H ' 06-08-2010' $200,000 . 00 06-09-2010 9: 19 1 , 143,445 PD TIMOTHY R LUZIETTI 9 13216-H BT 630 ,869 06.-22-2010 1 07-02-2010 10 : 02 t' ti f Barnstable Co my Registry of deeds A True Copy, Pttett John F. Meade, Reg ster a date of registratiof, prior to Encumbrances listed on this certificate.after that date have not been fully verified and are not`covere under Doc= I s 1417 704 06-09=20101 9: 19 Gtf;= 191631 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED I, Timothy R. Luzietti,of 119 Pond View Drive, Barnstable (Centerville), ,Barnstable County, Massachusetts 02632, for consideration of Four Hundred Sixty-Thousand and 00/100($460,000.00) Dollars paid,grant to ' imitedlbiliycotwrinpl 955IYANNOUGH RD LLC,a Massachusetts a , i office located at 35 Bursley Path,West.Barnstable,Massachusetts. 02668, r with Quitclaim Covenants, n ' the land, together with the building thereon, situated in Barnstable(Hyannis); Barnstable t `{ County, Massachusetts,more particularly bounded„and described as follows: __ Being shown as Lot 9 on Land`Court Plan No. l 3216-H. ra WA £: A Subject to and together with the benefit of all easements, rights,reservations and restrictions of record, insofar as the same are in force and applicable $` i Property address: 955 Iyannough Road,Hyannis,Massachusetts 02601 t ' For title, see Certificate of Title No. 94930. '�F" Witness my hand and seal this l day of u"` 02010 tr�a. t . { �� ryTi othy RL iet T .ii S ^�� COMMONWEALTH OF MASSACHUSETTS y Barnstable; ss: {; h On this day of 5 ,2010, before me,,the undersigned notary . public,personally appeared Timothy R;Luzietti,personally,known to me to the person t ARM un C4 . a whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily and for its stated purpose. Philip Michael Boudreau fr— Phili Mic Boudreau,Notary Public Notary Public ,y My Commission Exphs,January 28,2ot1 My Commission Expires:January 28,2011 Comrr►onwsatth of Massachusetts r MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 06-09-2010 a 09:19am Ctll: 183 Docf: 1141704 Fee: tiPS73.20 Cons: L460rO00.00 Y BAE N5TABLE,COUHTY EXCISE JAX;_- a' t?ARHSTRE'LEf t AND`y,GOURT'REGISTRY Oa re r16419 2010 r 09:1y?r C:tiY 183 Doc:t 1141704 Fe4 $i12i? )j Cons: $4611FQi10,fi(i J J A FA LE COUNTY ` OF DEEDS ' PY;ATTEST DE,REGISTER 2 a k - BARNSTABLE REGISTRY OF DEEPS .� - S SITE PY",--oF LAND PROPOSED PARKING LAYOUT @ 955 ROUTE 13.2 HYANNIS , 14AA PREPARED FOR KABLOOM DATE DECEIVER 13 , 2000 2 0' / DEXIST y L SIGN , PROPOSED RETAINING WALL / (By .OTHERS) PAh'Kj Ty Ic'T7_ALtI S MH I EXISTING GRAVEL / PARKING AREA / WELLER & ASSOCIATES 1645 FALMOUTH RD. SUITE 4C . / P. O. BOX 417 CENTERVIT` , IriA. 02 632 - ; TEL : (508) 775-0735 FAX: (50.8-)_?75-0754 r 5 u�l ►1'CL I F�uv Z ,�sTS j . � � ; Etc��T- •'i �� K IZL Ct 4, k � I SST P 5EtoM-D F-2.am ►MC-c �x 5T.iNC•,• j ' Ex 1.5T w(2m, Goy+ T>1noN S PR o)20SED 2 �c�I-wr'l 3 QURrv► —_� .3 0 DOLE OWE 'F3 AA t R t�1 ( LktST o 0 00 s ' J; Gy N vL4?_T Ctict ST CkIsT 13'E1J iZ,ov 3 ETD CZ oo idh • 4 YN c7 - — B EP rkoaM a.� I NEW I HAu I je .t k {V E�l''� S 1-1� E N✓�►� YI ' 1 7-og APPROVED BY: L SCALE: DRAWN BY DATE: f c�I )o REVISED �S S IZ-r b3 2 DRAWING NUMBER