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0375 IYANNOUGH ROAD/RTE 28
y - AJ ZeIUAG 1 �I I ' .� Town of Barnstable Building x r�.'.y 1E eqa '{�- t •,s ¢ +�.� ,N- TA' npr t{ - s PostwThistCard SotlTfiat it}isiVisible'From the Street Approved Plans IVlust be!Retaired'on�Job and this Card Must be Kept MaNSTABLE'. + tr i 1 ::Fx au°^' "'"� 'PostedrUntil Final Inspection Has Been Made ; k J a 1 r # i } r, „ti• A, �' ;; ►u�' Wherera Certificate;ofrOccupancyisRequIredisuch BuildmgshallNotzbeOccupied untiLa Final lnspect�onhas!been'made° y Permit .•s.n,,: .t ;i<I..t,n....,... ,+.a:.... ,.. ,.,e...+x ..a.. ...r v -.=: .i...,.n ...:. +.....,� r.x ... ., .. ..zlr.,., S ..r..o-.F::Li .I. YA., . ... Permit No. B-16-962 Applicant Name: Map/Lot: 328-071 Date Issued: 04/19/2016 Current Use: Zoning District: HG Permit Type: Sign Expiration Date: 10/19/2016 Contractor Name: TAGR Signs Location: 3751YANNOUGH ROAD/RTE 28, HYANNIS. Est Project Cost: $0.00 Contractor License: exempt 120 Owner on Record: MATHEWSON,WILFRED B& DOROTHYTRS Permit'F.ee $50.00 Address: 196 ACADEMY AVE Fee Paid $50.00 WEYMOUTH,MA 02188 Date 4/19/2016 Description: 4'X 6'temp wall sign.for special event. I. , Project Review Req k: Bu' ng Official This permit shall be deemed abandoned and invalid unless the work authoriied,by this permitis commenced within six:months after issuance. All work authorized by this permit shall conform to the approved application.and,the approved,construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with thelocal zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for putilicrospection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are prov;I e iontl'is permit. Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is:installed 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection.' 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy > Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be.available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i - I M �oF zr+e rqi, Town of Barnstable "�. Regulatory Services MARNST"r `E$ Richard V.Scali,Director t �p 1639. h rED MAC Building Division , Tom Perry, Building Commissioner l 'n� 200 Main Street, Hyannis,MA 02601 �'" " '` www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 7 Pe t# 1-,5- ��/V s> / Building Official approving Application for Sign Permit Applicant 40( , v I sessors No. ��� /_ Doing Business As: Z C �,/�P/.� s�/� Telephone No. Sign Location Street/Road: t�QrzHe2u ,14, dP RQ/ Zoning District Old Kings Highway? Y /No Hyannis Historic District? YR-�J �� Property Owner r Name:l���� � ���7.7, /`7rr4,,750— Telephone: 2 Address: 0517-w QI��'I 5r' Village: Y 'W7p61777, Sign Contractor Name: /� � yL.r //`? '-� Telephone: L2 Mailing Address:Z9 Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Y-C te:Ifyes, a wirmgpermitisrequired) Width of building face--2r�f x 10= x.10=_ C Check one Reface existing sign or New�tal Sq. Ft of proposed sign (s) ;P7 Ifyouhave ad& ona/si,nsplease attach a sheetlistingeach one with dimensions 5'����/ If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent a Date ��l SIG S/SIGNREQU ! revisedl10413 } �FTHE Town of Barnstable ' Regulatory Services BARNSrABr MASS.`E'$ ,, Richard V. Scali,Director i639• �� -'J Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 • 4 l SIGN PERAUT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. , a 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x 11". 3.' A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"=11'. Minimum sheet size, 8.5 x 11". 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revisedl 10413 �lfl 0 exterior B A N N E R ELEVATION __.___ , ._ . « rc M 47 1/211 PRIMARY . . LANDSCAPE 72"x4$" enterd Power y , wcxwr ?? I W I .. Y ,l EASTERN BANK Hyannis 375 lyannough Road,Hyannis,MA 02601 ADRENALINE �4 jo jjA Oel exterior B A N N E R ELEVATION , g. 47 ' fir► PRIMARY LANDSCAPE 2 "x48." Leant red 9t, Power 4. 4 F � , SN d A � J Y 1 �. i .b, ,� •a $' �s maxuy au' �, s . EASTERN BANK Hyannis 375 lyannough Road,Hyannis,MA 02601 ADRENALINE 1'4 Official Website of The Town of Barnstable- Property Lookup Page 2 of 3 ' 6 3 BAS 24 7 F'� 704_ ._ AsBuilt Card N/A Constructions Details- Map/Block/Lot: 328/ 071/ -Use Code: 3230 Building Details Land Building value $1,146,600 Bedrooms 00 USE CODE 3230 Replacement Cost $1,616,880 Bathrooms 0 Full-0 Half Lot Size(Acres) 1.12 Model Commercial Total Rooms Appraised Value $459,000 Style Store Heat Fuel Gas Assessed Value $459,000 Grade Average Heat Type Hot Air Year Built 1969 AC Type Central Effective depreciation 30 Interior Floors Carpet Stories 1 Interior Walls Drywall Living Area sq/ft 18.384 Exterior Walls Concr/Cinder Gross Area sq/ft 18,984 Roof Structure Flat Roof Cover Tar&Gravel Outbuildings&Extra Features- Map/Block/Lot: 328 / 071/ - Use Code: 3230 Code Description Units/SQft Appraised Value Assessed Value PKBR Parking Bumper-6' 34 $1,400 $1,400 SGN3 DBL SIDED W/INT 80 $11,200 $11,200 LIGHTS DUW3 W/PNEU TUBE 1 $19,600 $19,600 ATM] Automatic Teller- 1 $46,100 $46,100 Drive/Walk Up k PAVI PAVING-ASPHALT 30000 $48,100 $48,100 LTl LT POLE W/MH LT 6 $18,600 $18,600 Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 6.asp?ap=0&searchpar... 4/6/2016 0/00/2000 00:19 FAX R 001 Town of Barnstable µ D G Regulatory Services MAW ' Riebard V.Scali,Interhn Director Building Division Tom Perry, Building Cotumissioner 200 Main Street, Hyannis,MA 02601 www.town.barustable.ma.us Office: 508-8624038 Fax: 508-790-6230 Permit# h . Building Official approving "-���,� ��►� arm Application for Sign Permit Applicant• -Sa kn Bns _q_..Assessors No. Doiuig Business As: 1 i4bl cf►'1 �I _„ � Telephone No. Sign Location Street/Road: 15 (Ann yoh Zoning District: Old Kings H'igl myP Yes/No Hyannis Historic District? Ye$/�To ) ProPeityo Name: r-65 k-in�Gt✓1rw L 'Telephone: Z3lP�p Address: ? pl la woc e-t �/lyl�e'� .5 LL�"n%1--Village:_ �✓li� . /hA• Sign Contractor Name: Telephone: �(l 4 2- !rr u G Mailing Address: Ml,in S l I,o/aK�� e/t Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions amd location. Is the signs to be electiiiied? Ye 6 -(Note:Ifycs,a wlringpcm2k rsrcquircd) 4 wroth of building face fx,x 10- x.10- r Check one Reface existing sign or New Total Sq.ft of proposed sign(s) !� S Jfyou ha ve addidional slaw please attach a sheer listing each one with dimensioons if r6acing an cAstimg sign please provide a pictm of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and constriction shall conform to the provisions of §24059 through§240.89 of the Town of Barnstable Zoning Ordinance. SigriauI a of Ownac/Authodwd AgantAA, ( Date , --37 4ZT/_T%TC/4ZT(:T%TDT7ATT 9%-sr;vAi711AA 7 Z .•....w°,.��.�^ -, T' F .�i _"�1:..T+..... s�r4.�r... .1••-,.+�, -_�-..•...r-:'f^^!r -.�� ,-.-;.'a..'...,y, TOWN OF BARNSTABLE BAR-W f r Ordinance or Regulation WARNING NOTICE 1 f Name of Offender/Manager (. ` !�e �? `(�1 Address of Offender - 0-i n t1+"'x[ _4 {: MV/MB Reg.# Village/State/Zip 411rk nnJ Business Name , L , --- - - - am/°pm.' °.n20 /6 Business Address ar$�-C, � _,• - '� - Signature of Enforcing Officer Village/State/Zip Location of Offensek-n > L" t1c t C EnforcingtDept/Division t Offensei ,{ (. ' Facts i i,, This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-w Ordinance or Regulation WARNING NOTICE Name of Offender/Manager , ' �' t. L_ Address of Offender . III MV/MB Reg.# Village/State/Zip tt 0 I' Al ' i am/pm,' on 20 t 3 Business Name - ,;,...�_ � _ 4 r Business Address '•,_ ,� . ;'st,,s``�,,,_,„ s..t�-_ - t ..� e^ '`: ,.e "'- .-.-.- Signature of Enforcing Officer Village/State/Zip Location of Offense. ' € Enforcing, Dept/Division t >a Offense Facts : This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK=ENFORCING OFFICER GOLD-ENFORCING DEPT. DOW Town of Barnstable�����,1 �' A ,aSTA THE T °wti Regulatory ServiceiM? JIUL -7 N41 30 Thomas F. Geiler,Director ' B"RyS`"$LE' ' Building Division �prEoh►atA� Tom Perry,BuildingCommissionrr r 200 Main Street,Hyannis,MA 02601 wyti-w.town.barnstable.ma.us Office: 508-862-4038 '' �-�ax: 508-79 230 /� C Permit#(���V��� Application for Sign Permit Applicant: � ''� Map & Parcel C'ati7r�u ' o9li H tM LS ON Doing Business As:—(AA As:-(AAC qn A u) Telephone No. 0 S96 — d l'F 01 Sign Location Street/Road: T"A/VcxlCf-1- Zoning District: ` Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: Telephone: Address:/gG Village: �7fii. Sign Cont ctor Name: oYr>}� ��4,vS nYL, Telephone: Mailing Address: 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 tiviring permit is required) Width of building face ft.x 10= x A Sq.Ft. of proposed sign I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the - information is correct and that the use and construction shall conform to the provisions of§240--59 through §240-89 of the Town of Barnstable Zoning Ordinance. uthorized Signature of Owner A Wit: Date: --O/f F Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must.be completed. O:I YYPFILESISIGNSISIGNAPP.DOC NICHE r, _ _Sign TOWN OF BARNSTABLE Permit * BARNSTABLE. 9 MASS. Qp i639. RFD A Permit Number: Application Ref: 200903247 , 20070342 Issue Date: 07/14/09 Applicant: MATHEWSON, WILFRED B & DOROTHY TRS Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 100.00 Location 375 IYANNOUGH ROAD/RTE 28 Map Parcel 328071 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER a Remarks 2 TEMP SIGNS, ONE ON BUILDING @ 30 SQ FT EASTERN BANK AND ON DOUBLE FACED PYLON 19.5 TO BE REMOVED 7/13/09 Owner: MATHEWSON, WILFRED B 8t DOROTHY TRS Address: 196 ACADEMY AVE WEYMOUTH, MA 02188 Issued By: 55 POST THIS CARD SO TI3AT IS vYSIBLE FROM THE STREET SINE T = - Sign TOWN OF BARNSTABLE Permit * BARNSTABLE, MASS. g �Ar16 N39. p Permit Number: Application Ref: 200903250 20070343 Issue Date: 07/14/09 Applicant: MATHEWSON, WILFRED B & DOROTHY TRS Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ . 50.00 Location 375 IYANNOUGH ROAD/RTE 28 Map Parcel 328071 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER Remarks 2 PERMANENT DIRECTIONAL SIGNS FOR EASTER BANK DRIVE UP ATM 2 SQ FT EACH Owner: MATHEWSON, WILFRED B 8t DOROTHY TRS Address: 196 ACADEMY AVE WEYMOUTH, MA 02188 r Issued By: SS POST THIS CARD SO THAT IS VISIBLE FROM THE STREET Town of Barnstable Building Department - 200 Main Street t BARNSTABLE * Hyannis, MA 02601 MASS. $ (5081862-4038 16,3 �� ArFO MA'S A Certificate of Occupancy Application Number: 200902235 CO Number: 20080388 Parcel ID: 328071 CO Issue Date: 07/16109 Location: 375 IYANNOUGH ROADIRTE 28 Zoning Classification: HYANNIS'GATEWAY DISTRICT, Proposed Use: RETAIL & SERVICE STORE SMALL Village: HYANNIS Gen Contractor: PARRY, OONALD R Permit Type: CCOO CERTIFICATE OF OCCUPANCY COMM Comments: Building Department Signature Date Signed `+ .--. . PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT ,200 MAIN STREET 'HYANNIS, MA 02601 DATE': 07/16/09 TIME: 08:57 -----------------TOTALS------- ------ PERMIT $ PAID 75.00 AMT TENDERED: 75.00 AMT APPLIED: 75.00 CHANGE: .00 APPLICATION NUMBER: 200902235 PAYMENT METH: CHECK PAYMENT REF: 16966 ®7111Et � TOWN OF BARNSTABLE fftfflding Application Ref: 200902235 BARNSTABLE, Issue Date: 05/26/09 Permit 9 MASS: �p 1639• ��� Applicant: PARRY DONALD R r fp Mp.I a Permit Number: B 20090835 Proposed Use: RETAIL&SERVICE STORE SMALL Expiration Date:• 11/23/09 [I�ation , 375 IYANNOUGH ROAD/RTE 28 Zoning District HG Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 328071 Permit Fee$ . 364.00 Contractor PARRY,DONALD R Village HYANNIS App Fee$ 100.00 License Num. Est Construction Cost$ 40,000 .Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION/ALTERATIO OF DRIVE UP WINDOW THIS CARD MUST BE KEPT POSTED UNTIL FINAL' L __ INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MATHEWSON,WILFRED B TR 8i BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: IYANOUGH REALTY TRUST INSPECTION HAS BEEN MADE. 196 ACADEMY AVE WEYMOUTH, MA 02188 Application Entered by: PR Building Permit Issued By: . IZ21 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY.ANY:STREET;-ALLY, R SIDEWALK OR ANY PART THEREOF;EITHERTEMPORA.RILY OR PERMANENTLY. ENCROACH EMENTS ONTUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED-UNDER THE BUILDING CODE,MUST BE`APPROVED I3Y;THE JURISDICTiON. STREET ORALLY,GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT:OF PUBLIC WORKS. -THE ISSUANCE OF:THIS PERMIT.DOES NOT RELEA11 SE THE APPLICANT FROMsTHE,CONDITIONS OF ANY'APPLICABLE'SUBDIVIS10N RESTRICTIONS `,- MINIMUM OF.FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION 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). _ s r jigggg gS (� M� , BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health 0 Sign * TOWN OF BARNSTABLE Permit * BARNSTABLE, * MASS. g Permit Number: Application Ref: 200902716 20070314 Issue Date: 06/22/09 Applicant: Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 150.00 Location 375 IYANNOUGH ROAD/RTE 28 Map Parcel 328071 Town HYANNIS Zoning District HG Contractor POYANT SIGNS, INC. Remarks EASTERN BANK SIGNAGE 69.1 SQ. FT. Owner: MATHEWSON, WILFRED B 8z DOROTHY TRS Address: 196 ACADEMY AVE WEYMOUTH, MA 02188 Issued By: p . POST THIS CARD SO THAT IS YISTBLE FROM THE.STREET T Town of Barnstable Regulatory Services Thomas F. Geiler,Director . BARNMASS. Building Division o Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit#o? 2d 7& Application for Sign Permit Applicant: F13�"�t�1 �� � i Map&Parcel# �2S U t � ) 5-q 1p '�10� (!A,44,8 Doing Business As: ( S� ) Telephone No. P)Pa6 , Mr,2) Sign Location S 1 Street/Road: v k A ry c,v citl eA-,� Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name: - iv o v4 N Firfic l�( �Z IJS1— Telephone: Address: 19(,, A CASE`C Rvs- Village: �/`� ° t1� ; MA Sign Contractor l Name: 00 r A WF Si 4�S l�r C , Telephone: 1 9g r- l-q-77 Mailing Address: 12!57 MCI- t17A 027Y'�-- 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) Yll�;A Width of building face ft.x10= x.10= Sq.Ft.of proposed sign � ` 2A,f� I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of§240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. p Signature of Owner/Authorized Agent: Date: T 0 9 Permit Fee: Sign Permit was approved: Disapproved: p,,,� �w� 14U ---- Signature of Building Official: ----Date: In order to process application without delays all sections must be coplletgd. 9Z . `s4 dd Rev. 9/12/06 (moo()c cs 5 c c � a�Y Lo9Y✓�1-��i' 1 , t < < Eastern Bank - 375 Iyanough Road, Hyannis, MA c Design Development May 29, 2009 G, Eastern Bank NP re-Z p POYANT SIGNS Creative Visual Imagery Since 1939 1 I 10'-0" Specifications I p POYANT SIGNS V.I.F.Out Size Qty=2(One for Each Side) 80 Sq Ft New Face(s)for Existing Double Face Internally Illuminated w .poyantsigns.com Pylon Sign 508.995.1777 1 800.544.0961 VI.F.Existing 'Remove&Dispose of Existing Sign Faces Retainer Size 3/16"white lexan 2,8" -Translucent vinyl graphics Established 1946 Black Opaque Vinyl Faux Divider Bar; -'Divider Bars'to be Black Opaque Vinyl Eastern 3 1/4"C BROADLOOM REMNANTS ORIENTAL RUGS VLF.cut size&Retainer size ®Bank Colors&Materials 375 lyanough Road „y," astern Hyannis,MA - W.F. Vinyl 8-0" Cut Size 2-8" ti - Black Opaque Vinyl Bank Faux Divider Bar; Project:2320 Bank Black Opaque Vinyl Kent's Carpetland Eastern Bank - Black Arlon 403 Sales:Geoff Diehl Date:05.28.09 Tomato Red 3M 3630-43 Designer:ST Eastern Bank - - 2'-8" - - - -- - - Black Arlon if03 Note: This is an original unpublished Cobalt Blue drawing created byPoyant Signs. - Gerber 230-157 PMS541C Inc. is submitted for your ( ) personal use in connection with a project being planned for you - - n Si n Elevation-Front View - be shby own ant Si anyone outs Inc.It is notyour /1 Scale:t/ to 2"=1'-0" organization,nor is It to be reproduced,copied or exhibited in any fashion until transferred. Revisions: Efatl,NMlwb RNOAMOOM NANTSz OPIENTAI MUGS RREIAUE00M AEMNAWS OR"T,ERUGS $ Eastern , ®Bank LL .. .M �} $ ORECK - :, � • �� � ORFCK �_ . Approved By: x'':...,.-. .- VAC��MS s.�n •k _•- �..,,,e .--., VAGIJVNIrS Date: Pylon Reface +?.. Option A " uPhoto Comp-Existing C Photo Com -Pro osed Not to Scale Not to Scab 19'-7 7/8" p POYANT SIGNS aam imr i www.poyantsigns.com 508.995,1777 j 800.544.0961 „E" astern Bank Eaank stern A Scale 112 I_'Front View B 375 lyanough Road Hyannis,MA Specifications Project:2320 ®3/16"Hi-Impact Acrylic Faces 5 Ys" Oty=1 49.1 Sq Ft Eastern Bank with 1st Surface Translucent Vinyl - n �# New Single Face Internally Illuminated Building Sign Sales:Geoff Diehl F(a)White LED Illumination ., Date: 09 -5 Yz'deep face-lit LED illuminated self contained channel letters Designer:ner:ST QC Power Supply M -White hi-impact acrylic faces with 1 st surface applied Q Trim 10mm Econolite Letter Back translucent vinyl - caps&returns to be white - Note: Q While Trim Cap. - - - - -White LED illumination This is an original unpublished QF Aluminum Walls Painted White D -Flush mount to building fascia drawing created by Poyant Signs, Inc.It is submitted for your ©'h"Electrical Conduit Thru Wall personal use in connection with to Power Source; y Colors&Materials a project being planned for you Final Connection b Others. ¢`�<. by PoyantSigns,Inc.It is not to yq`,k be shown to anyone outside your (B)Method of Attachment TBD;Shown Paint - 9 _ or anlzatlon,nor is it to be Thru-bolted with 3/8"Threaded Rod 0 White reproduced,copied or exhibited as Required in any fashion until transferred. Vinyl B LED Illuminated Self Contained Channel Letter Detail Cobalt Blue Not to Scale - Gerber 230-157(PMS 541 C) Revislons: Center Over Middle Window , _. QdEaStern Bank r. Approved By: Date: Building Sign - Option A ,- r. Photo Comp-Existing Photo Com -Proposed U Not to Scale Not to Scale Sign Type 2320.2A 2A.1 4" p POYANT SIGNS m 1W w`w.poyantsigns.com 508,995.1777 1800.544.0961 ®Eastern Bank 3751yanough Road .,,......r,.. ..._.._. _.. ,,,�,,,..,..... ._. _. Hyannis,MA 1 1' Project:2320 Eastern Bank Sales:Geoff Diehl Specifications Date:06.28.09 - Qry_1 Designer:ST II -Regulatory Sign to Remain f Note: t � This is an original unpublished ' drawing created by Poyant Signs, Inc.It is submitted for your _ personal use in connection with a project being planned for you by Poyant to 1 l be shownSigns. t to anyone outside your tj organization,nor is It to be ' reproduced,copied or exhibited in any fashion until transferred. Revisions: ,xti Approved By: CPhoto Comp-&Irbn Not CoScale Date: Regulatory Sign Option A Sign Type 2320.3A 1'-514"Window 2'-2 16"Door Window 1'-51h"Window 1'-6 lb"Window 1'-11 Yz' POYANT SIGNS G<nl Ylsw a9ery Intt 193E ` www,poyantsigns.com ' 508.995.1777 j 800.544.0961 8" 3" OEastern Bank Eastern 7/8"= '; , Bank 375 lyanough Road Hyannis,MA From Grade to Bottom. Project:2320 of Stripe ,. '' Eastern Bank Sales:Geoff Diehl ,. Date:05.29.09 Designer:ST Note: A Si n Elevation-Front Mew Specifications - Colors&Materials - This is an original unpublished Scale:1 th" drawing created by Poyant Signs, - _ - — Oty=1 Inc.It is submitted for your 0 White Opaque Vinyl personal use in connection with New Vinyl Graphics for Door Window a project being planned for you -Opaque vinyl graphics applied 2nd surface Cobalt Blue by Poyant Signs.Inc.It is not to W.I.F.actual business hours' Gerber 230-157(PMS 541 C) be shown to anyone outside your organization,nor is It to be reproduced,copied or exhibited in any fashion until transferred. - Revisions: 375 __ _ 375 Approved By: Date: a Door Graphics Option A ('pZPhoto Comp-Existing Photo Com -Proposed �- Not to Scale - C Not to Scale - - S�gn Type • 4A.1 p POY= SIGNS i vmi mEam nce 199E Specifications 12" 1/8" Oty=1 1.5 Sq Ft p www.poyantsigns.com New Non Illuminated Single Face Regulatory Sign 508.995.1777 i 800.544.0961 Break Corners -1/8"aluminum panel painted blue 3" 1 3/8^ OEdst'�m Bank -Opaque vinyl graphics Colors&Materials Eastern ®Bank eD 0 Paint 18" 15" 10" _ Paint t0 Match: 375 lyanough Road Cobalt Blue Hyannis,MA Gerber 230-157(PMS 541 C) Vinyl 0 White Arlon 402 Project:2320 Eastern Bank 5'-0^ Tomato Red Arlon#14 Sales:Geoff Diehl 1e Date:05.29.09 Island — Black Arlon#03 Designer:ST A Si n Elevation-Fmnt View B Sin Elevation-Side View Scale:1 " Scale:1 Yz" Cobalt Blue — Gerber 230-157(PMS 541 C) Note: This is an original unpublished _ - — drawing created by Poyant Signs, _ - - Inc.It is submitted for your personal use in connection with a project being planned for you by Poyant Signs,Inc.It is not to _ - be shown to anyone outside your organization,.nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: � f i L s Approved By: Date: - - Drive Thru Canopy Signage BProposed Scale:3/16"=1'-0" Option A p POYANT SIGNS aemrre ovens rma www.poyantsigns.com Specifications 508.995.1777 j 800.544.0961 Oty=1 1.5 Sq Ft New Non Illuminated Single Face Clearance Sign -.090 aluminum panel painted blue stern -White opaque vinyl graphics Ea III 'V.I.F.Actual Clearance Height' Bank 6" 2 3/8"L A R A • ' 375 lyanough Road `= LL0010M&Materials Hyannis,MA Paint _ Paint to Match: Project:2320 Cobalt Blue Eastern Bank Break Corners Gerber 230-157(PMS 541 C) (A1 Sign Elevation-Front View Vinyl Sales:Geoff Diehl Scale 3"=1'-0" Date:05.29.09 0 White Arlon k02 Designer:ST Note: - - - _ This is an original unpublished _ drawing created by Poyant Signs, Inc.It is submitted for your personal use in connection with a project being planned for you by Poyant Signs.Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: Mit— :_vov-: - �- _ Approved By: Date: F Drive Thru Canopy Signage @ Pro osed Scale:3/16"=1'-0" Option A Sign Type 2320.6A 6A.1 vv �/' Cell __. p POYANTeSIGNS oav w199 www.poyantsigns.com 508.995.1777 1800.544.0961 A T M V i e w Specifications Eastern Oty=1 0.8 Scl Ft ®Bank BLANK OUT View New ATM Direct View LED Traffic Controller 3751yanough Road -7"H.x 18"W.x 2 1h"D. Hyannis,MA -4"Characters(Green) I 21n+� Project:2320 f Eastern Bank T Sales Geoff Diehl Date:05.29.09 Designer:ST 7" Note: - - - -- - - This is an unpublished i ! _ drawing created by Poyant Signs, Inc.It is submitted for your 18" Side V ew personal use in connection with a project being planned for you ASin Elevation-Front View - - by Poyant Signs,Inc.It is not to NOt to Scale be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: 1 t � � I Approved By: ' - Date: Drive Thru Canopy Signage Proposed Scale: Option A _ i in Ty 20.7A 7A.1 /�,C� - /Otte_ � J p PPOYANT�SIGN�S www.poyantsigns.com 503,995.1777 1800.544,0961 FnrN V� 34• I 17` -{2 1R'� l�q• I Specifications EEpastern ~`30 dia.knockout � 31/4' Oty=1 1.65 Sq Ft i ank typ'(4) T New Open/Closed Direct View LED Traffic Controller \`7B'dia knockout "!" 3751yanough Road for conduit a p„�r,k;., -7"H,x 34"W.x 2'A"D. Hyannis,MA - - eeckM side New -4"Characters(Open Green;Closed Red) Project:2320 Eastern Bank OPEN New Sales:Geoff Diehl Date:05.29.09 Designer:ST CLOSED New Notc: This is an original unpublished drawing created by Poyant Signs, Blank Out Inc.It is submitted for your personal use in connection with a project being planned for you ASi n Elevation-Front View by Poyant Signs,Inc.It is not to- No[to Scale _ be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: maw✓-.�. ^�c s 1 -f.`!.w�, i t r � t ty 'rt Approved By: Date: Drive Thru Canopy Signage B ro osed P Scale: Option A Sign Type 2320.8A 8A.1 C�K 24' 24" p PPOYA�NT SSIGNBS Specifications 8 2 7-EE'f 0Eastern Bank 8• 2Ire E CDEastern Bank Oty=1 3.3 Sq Ft Each www,poyantsigns.com New Non Illuminated V-Shaped Directional Sign 508.995.1777 1 800.544.0961 20" 20" -3"deep aluminum u-channel frame;Sides painted blue&white 2 /4'C p 2 D4 C p -.090 aluminum faces painted blue&white with applied 12• 12" vinyl graphics 00t ATM -.090 aluminum backs to be painted blue&white Eastern -Post to be 3"x 3"x.187 steel painted black L ®Bank BSi n Elevation-Front View Second Sin Face Scale:1 0" 3751yanough Road Hyannis,MA Colors&Materials Paint Project:2320 — Paint to Match: Eastern Bank Cobalt Blue Gerber 230-157(PMS 541 C) Sales:Geoff Diehl 3"U-Channel Date:05.29.09 3'-6" Black Designer:ST 0 White _ -- -. Face B - - Note: This is an original unpublished Vinyl drawing created by Poyant Signs, Cobalt Blue Inc.It is submitted for your — Gerber 230-157(PMS 541 C) personal use in connection with a project being planned for you .. Black Arlon#03 by Poyant Signs,Inc.It is not to be shown to anyone outside your 0 White Arlon#02 organization,nor is R to be 3"Sq.Pole Face A reproduced,copied or exhibited in any fashion until transferred. ASi n Elevation-Front View First Sign Face G. Si n Elevation-To /Section View- - Scale:t"=1'-0" Scale:1"=1'-0" Revisions: f 5. e: e GrE` B.utk fbJFnslvn Bank Approved By: Date: Pr Y - Drive Thru Directional Option A Photo C ExistingE PNhoot.ot Fle -Pro osed No oScm le - Sign Type 2320.OA9A.1 • �C3L/-I-PCort 0`P E6�4�9 C xl V?f�i ev1- Rarl p POYANT SIGNS www.poyantsigns.com 508.995.1777 1800.544.0961 Specifications Oty=2(One for Each Side) 19.5 Sq Ft 9 9 Temporary Banner for Existing Double Face Pylon Sign Eastern 9'D" B -White banner material -Opaque vinyl graphics -Tack banner to existing pylon sign retainers 375 lyanough Road 7 "C OE,ass-tezrn Hyannis,MA Bank Colors&Materials Banking. Investments. Insurance. Vinyl Project:2320 4 Tomato Red Arlon#14 Eastern Bank Si n Elevation-Front View Sales:Geoff Diehl A Scale:1/2"=1'-0" Black Arlon#03 Date:05.28.09 Designer:ST Cobalt Blue - Gerber 230-157(PMS 541C) Note: This is an original unpublished drawing created by Poyant Signs, Inc.It is submitted for your personal use in connection with a project being planned for you by Poyant Signs.Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: PEE NTAt RU65 t. •�ADr.QOM. REMNANT$ QRtEWAt RUGS , k C�Eastern Bank S,w eanklny Inv Ina r '� M. Approved BY: K i ...„�.:w'. ..�.....: .,.. VA�CUIJMS .�_......, ",.. �... ..,.. ,-. -» ,_• _;; VAGVt.1M.S *. Date: Temp Banner Option A • Photo Comp-Existing C Photo ComD-Proposed Not to ScaleA Sign Type Not to Scale • •• 10A.1 p POYANT SIGNS aea vwni mavarrsexe isa www.poyantsigns.com 508.995.1777 1800.544.0961 Eastern KUBank Specifications City=1 30 Sq Ft 3751yanough Road Temporary Banner for Building Fascia Hyannis,MA e[ 0 MOM -White banner material -Opaque vinyl graphics Project:2320 3'-0" N� BankEastern Bank Sales:Geoff Diehl Eastern COIOfS&Materials Date:05.28.09 41/4"E Banking. Investments. Insurance. Vinyl Designer:ST Tomato Red Arlon#14 - Si n Elevation-Front View Note: Scale; This i an original unpublished Black Aron#03 _ - - � drawing created by Poyant Signs, Inc.It is submitted for your Cobalt Blue personal use in connection with - Gerber 230-157(PMS 541 C) a project being planned for you by Poyant Signs,Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: 5 J Approved By: .. � PdEasfvsry Bank r/"� . Date: Temp Banner .. Option A pPhoto Comp-Existing C Photo Com -Proposed Not to Scale Not to Scale Sign 12320.11 A11A.t A4&4"4,:n J p POYANT SIGNS aw vww�vm smm i�a wvvw.poyantsigns.com 508.995.17771800.544.0961 4-5" C Eastern a krn Specifications o Oty=6 375 lyanough Road New Pleated Bunting Hyannis,MA 2,-3" 1 / r� -27"H.x 54"W.Nylon Pleated Fans(Bunting) -Mount under each window Project:2320 Eastern Bank Sales:Geoff Diehl Date:05,28.09 A Si n Elevation-Front View Designer:ST Scale:1/7=1'-D" Note: _ This is an original unpublished drawing created by Poyant Signs. - -Inc.It is submitted for your personal use in connection with a project being planned for you by Poyant Signs.Inc.It Is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions:. Y �.w..d ,�,� n......__.. .;......k,,,.... s W` ((/Eastern Bank Approved By: Date: Pleated Bunting Option A pPho t Corn t- o to Cont -Pro deed NottoScale GNotto Scale Sign Type 2320.12A 12A.1 �"r I a r t Geoff Diehl AccountExecuBve 125 Samuel Barnet Boulevard New Bedford,MA 02745 I PeDyant It0 . .0961 x144 5c 08.726726.3396 f 508.995.6114 lding Your Brand a gdiehlOpoyantsigns.com III r r ti r y � s ... � , t' t I', ... . L11 J:, P 6i 9 2 7 POYANT — S I G N S ��N: 12o A-N,�t--�s� iVis:oN INCORPORATED ��- a-.'6,N -n,Y&t,<t-r P6 r'o.,T). corporate office 125 Samuel Barnet Blvd. New Bedford,MA 02745 800.544.0961 NCL �Q/J �-/G� Qrtil S t1� LR Y e -7-� 508.995.1777 fax 508.995.6114 lJ A regional offices(.(CA-711 a^( Serving NH,ME,VT 89 Route 101-A Amherst,NH 03031 Vile— fax � ' 603.673.4233 ,v 603.673.4171 Serving Greater Boston / t-rAn�- Yu,., !a/r 220 Reservoir Street,Suite 7 �-f Needham,MA 02494 781.444.1500 � n��ln J�A.L (�Vt5�0�S ,( fax 781.444.1602 KU Serving RI ri CT �.l�e�.•,IJ�v 15 Maize Drive Charlestown,RI 02813 401.421.0239 Alco Sign Division Brockton,MA 800.544.0961 fax 508.998.5794 www.poyantsigns.com Creative Visual Imagery Since 1938 Town of Barnstable Regulatory Services Thomas F.Geiler,Director f f f Building Division sass �� o ram" Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# - Application for Sign Permit TApplicant: 5� cfJ K— Map&Parcel# Doing Business As: 64M Telephone No. q-�, (A'VP-PUT, MG1P Sign Location Street/Road: j,YA-N O U CC H Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner v -+$))3' �7- O� I ( (S!1(jKJ1ke&'JS'0A) Name: �'(A�N C V4�fi ��� Tf2 S� Telephone Address: l 1 - Ac.4-oEoi r A\rc- . Village: �J V(MOU T}t' , MA Sign Contractorpat'q'j—, S �g �l 4 iy�-,'��� �Name: �1C�N f N C . Telephone. 5 Mailing Address: 1Z7 SAMYEI, 'RA2n/6T- 1�3��. , /1(Ew -96blz(1.6 &1,4 b2� Wr 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) A.YT Are Width of building face "/ " ft.x 10= "! x.10= ( v Sq.Ft.of proposed sign �/ � ' S.1 I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of§240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: � Date:Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. Rev. 9/12/06 1 24' 24". Specifications Colors&Materials 4 Oty= 1 2 Sq Ft Each Paint POYANT SIGNS New Non Illuminated V-Shaped Directional Sign Paint to Match: Creative visual Imagery Since 1938 Cobalt Blue 2 1/4" 2 1/4" D C -3"deep aluminum u-channel frame; Sides painted blue Gerber 230-157(PMS 541 C) D 12° - .090 aluminum faces painted blue with applied www.poyantsigns.com 12" vinyl graphics Black 508.995.1777 800.544.0961 ATMI -.090 aluminum backs to be painted blue -Post to be 3"x 3"x.187 steel painted black Vinyl 0 White Arlon#02 B Si n Elevation Front View Second Sign Face Scale: 1"=1'-0" Eastern OBank r' t / 3 U-ChannclF 2' 0„ " a 1 el 11�t;. 375 lyanough Road Hyannis, A ' - ya 's M Face B :- Project:2320 3 � =�• Eastern Bank • - � - tea _ , m ' + ASicin Elevation-Front View First Si ri Face Sales:Geoff Diehl Scale: 1"=1'-0" Date:05.29.09 Designer:ST 3"Sq. Pole Face A Note: Sign Elevation-To /Section View This is an original unpublished Scale: 1"=1'-0" drawing created by Poyant Signs, Previous Rockland Trust Directional No Lon er Existing) Inc.It is submitted for your ~ NOt to Scale personal use in connection with QD� a project being planned for you by Poyant Signs,Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. r' r 'Revisions: 06.11.09 ST 07.02.09 ST a, ?' s View 1 View 2 New Directional Sign ,°�' F View 1 f, I View 4 y I ~ r :,. Approved By: Date: 60'-0" - IC - View 3 nI ru p Directional x rive T 1 ' Th View 2 - •:-_ � L L Option A Lyanough Road- - View 3 .. View 4 . e Plot Plan&Location Placement of New Directional Location Placement of New Directional Sign Type 0 9A.t Not to Scale F Not to Scale a-. POYANT SIGNS , Creafive Visual Imagery Since 1938 YS) www.poyantsigns.com LJ -. ^� /3 f /� �� 508.995.1777 800.544.0961 Specifications Qty=2(One for Each Side) 19.5 Sq Ft 9'-91, _ Eastern _ Temporary Banner for Existing Double Face Pylon Sign 9'-01, Bank 51h -White banner material -Opaque vinyl graphics -Tack banner to existing pylon sign retainers 375 lyanough Road 00 co L71/;�- � Eastern BankHyannis,MA 2'-0" 'CCV Colors&Materials O O 31/4"[ O Banking Investments Insurance Vinyl Project:2320 0 Tomato Red Arlon#14 Eastern Bank, A Sign Elevation- Front View Sales:Geoff Diehl Scale: 01 1 -0 Black Arlon.#03 Date:05,28.09 Designer:ST Cobalt Blue Gerber 230-157(PMS 541 C) Note: This is an original unpublished drawing created by Poyant Signs, Inc.It is submitted for your y personal use in connection with a project being planned for you ` by Poyant Signs,Inc.It is not to be shown to anyone outside your organization,nor is it to be _ reproduced,copied or exhibited in any fashion until transferred. Revisions: • t, • 06.15.09 ST Established 1946 Established 1946 BROADLOOM REMNANTS ORIENTALRUGS BROADLOOM REMNANTS ORIENTALRUGS i• Mastern Bank Banking Investments InsuranceMEMEMMMMORU v B y -a► Approved OREC K - VACVVMS ` ' ''"' •� ��'�. • �` Date: Temp Banner Option A p Photo Comp-Existing C 'Photo Comp- Proposed Not to Scale Not to Scale Sign Type 2320.1•A - 10A.1 F S' + L4_T 13-t lc) 0 7 � POYANT SIGNS Creative Visual Imagery Since 1938 � Iy_S 6 Y oil-if) � www.poyantsigns.com 508.995.1777 1 800.544.0961 �31/a� Eastern C J'Bank Specifications 1.0'-01, Qty= 1 30 Sq Ft 3751yanough Road Temporary Banner for Building Fascia Hyannis,MA • , -White banner material -Opaque vinyl graphics • Project:2320 3'-0„ - Eastern Bank N 10 Y2" Sales:Geoff DiehlasternBank Colors&Materials Date:05.28.09. r Designer:ST Banking Investments Insurance Vinyl ® Tomato Red Arlon#14. ASi n Elevation-Front View Note: Scale: 1/2"=V-0" Black Arlon#03 This is an original unpublished' drawing created by Poyant Signs, _ Inc.It is submitted for your Cobalt Blue personal use in connection with - Gerber 230-157(PMS 541 C) a project being planned for you by Poyant Signs,Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: 06.15.09 ST • ..� .. s (l�Eastern Bank Approved By: ns .R u, Date: i Temp Banner Option BPhoto Comp-Existing C Photo Comp-Proposed Not to Scale Not to Scale w Sign Type - 11A.1 i I 10'-01, Specifications POYANT SIGNS FED Creative Visual Imagery Since1938 V.I.F. Cut Size Qty=2 (One for Each Side) 80 Sq Ft New Face(s)for Existing Double Face Internally Illuminated www.poyantsigns.com Pylon Sign 508.995.1777 1 800.544.0961 V.I.F. Existing 'Remove&Dispose of Existing Sign Faces Retainer Size 3/16"white lexan 6" -Translucent vinyl graphics - 'Divider Bars'to be Black Opaque Vinyl Eastern 4'-0" OBankV.LF. Cut Size&Retainer Size Established 1946 Faux Divider Bar; Colors&Materials 375 lyanough Road 31/2"C BROADLOOM REMNANTS ORIENTAL RUGS Black Opaque Vinyl Vinyl Hyannis, MA V.I.F. 8'-0° Cut Size � Black Opaque Vinyl Project:2320 Kent's Carpetland Eastern Bank 2'-0" N Faux Divider Bar; T Eastern Bank /Black Opaque Vinyl Black Arlon#03 Sales:Geoff Diehl Date:05.28.09 0 Tomato Red 3M 3630-43 Designer:ST Eastern Bank - Black Arlon#03 Note: 2'-0" This is an original unpublished Cobalt Blue drawing created by Poyant Signs, Inc. It is submitted for your - Gerber 230-157 (PMS 541 C) personal use in connection with a project being planned for you Si n Elevation -Front View by Poyant Signs, Inc. It is not to A Scale: 1 v 'or 0" be shown to anyone outside your organization, nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: N 06.05.09 ST � Established 1946 C. -+ Established 1946 , a OROADLOOM REMNANTS ORIENTAL RUGS i BROADLOOM REMNANTS ORIENTAL RUGS } �. OEastern Bank :LLB Approved By: lit �= oREcM oREcM - Date: Pylon Reface Option A Photo Comp-Existing Photo Comp- Proposed B Not to Scale C N�Tt to Scale Sign Type • - 1 A.1 I 19-7 7/8 p POYANT SIGNS I Creative Visual Imagery Since 1938 ° www.poyantsigns.com j 508.995.1777 800.544.0961 2'-6" V-9 3/4" EaStern r „E„ .. `G Eastern Si n Elevation-Front View \D Bank A Scale: )/2"=1'-0" l - y < 375lyanough Road a Hyannis, MA , • Specifications ' . - ; Qty= 1; 49.1 Sq Ft Project:2320 �A 3/16 Hi-Impact Acrylic Faces 5 1/z" a Eastern Bank with 1 st Surface Translucent Vinyl New Single Face Internally Illuminated Building Sign Sales:Geoff Diehl © White LED Illumination _ A Date:05.28.09 -511/z"deep face-lit LED illuminated self contained channel letters - Designer:ST © Power Supply 13 White hi-impact acrylic faces with 1 st surface applied F" QD 10mm Econolite Letter Back j tran`slucent vinyl _ a - -Trim caps&returns to e Note: �w; be whit Q White Trim Cap -White LED illumination This is an original unpublished - mount to building drawing created b Poyant Signs, Flush mo 'ng fascia y O'Aluminum Walls Painted White D Inc.It is submitted for your 1/2" Electrical Conduit�Thru Wall r personal use in connection with to Power Source; z E project being planned for you Colors&Materials a pr .. �, Final Connection by Others. by Poyant Signs,Inc.It is not to . be shown to anyone outside your F ". H Paint QH Method of Attachment TBD; Shown fFr " F organization,nor is it to be White " "`` reproduced,copied or exhibited •Thru-bolted with 3/8"Threaded Rod � �,� 0 p p as Required in any fashion until transferred. w . LED Illuminated Self Contained Channel Letter Detail Vinyl Cobalt Blue . B Not to Scale ® Gerber 230-157(PMS 541 C) Revisions: .y • • .. ..—._ r- a ..- :.~ — ' 1. -. . - , • e ,f � '' — r • { _ Center Over Middle Window a i �..� ..-.�.-+�n�` .....-�-� .r-- —�.�r+r�..•u,. .ram++- . -.,L, ....+.+r�wrl -. ,��' ., r• 4 _ - Approved By: Eastern Bank Q I Date: ., .. I °` ._,.•-... �� ..,._.� �....�,' ......_... ��� Building Sign ., . r.. . .._ •.•,_ ,... �, , ..r. >., �._�� .�,.�„�, Option A w. Asu , Photo Comp-ExistingPhoto Com l-Proposed C Not to Scale Not to Scale` Sign Type 2A.1 H Eastern Bank - 375 Iyanough Road, Hyannis, MA Design Development June 153 2009 Eastern POYANT SIGNS l Creative Visual Imagery Since 1938 w Specifications t�c -n„N POYANT SIGNS �� Creative Visual Imagery Since 1938 Qty=2(One for Each Side) 40 Sq Ft 4�f1 N 2-O t New Tenant Face(s)for Existing Double Face In,ternally Illuminated www.poyantsigns.com Pylon Sign 1 X www.poyantsigns.com 1 800.544.0961 101-01, CZ 'V.I.F. Cut Size *Remove&Dispose of Existing Tenant Sign Faces VLF Existing Divider Bar Size -3/16"white lexan Translucent vinyl graphics `Divider Bar'to be Black Opaque Vinyl' Eastern J V.LF. Cut Size, Retainer Size&Divider Bar S iz e Bank 2'-0" T 101/8" OEasbtrn Faux Divider Bar; an Black Opaque Vinyl Colors&Materials375 lyanough Road Hyannis,MA 4'-0„ V.I.F. , Vinyl Cut Size Existing - Black Opaque Vinyl ,.. .,V.LF. - Retainer Size { 2'-0" Eastern 2Bank 320 Eastern Bank - Black Arlon#03 Sales:Geoff Diehl Date:05.28.09 Cobalt Blue Designer:ST A Si n Elevation Front View Gerber 230-157(PMS 541 C) Scale: 1 Fi'-0" Note: This is�P ed drawnaceatedIbnPobantlSi Signs, 9 Y Y 9 Inc.It is submitted for your personal use in connection with a project being planned for you by Poyant Signs, Inc.It is not to be shown to anyone outside your organization,nor is it to be reproduced,copied or exhibited in any fashion until transferred. Revisions: 06.05.09 ST - 06.15.09 ST 1 EuaWiSYSed19a6 ESSa6lshetl 1946 BROADLOOM REMNANTS ORiENTALRUGS BROADLOOM REMNANTS ORIENTAL RUGS O Eastern Bank .. t+* � Approved By: ORECK ,. � �. , ,. ORECK VAC<J V M S VAC%A 4LA - r Date. Pylon Tenant Panel Reface Option A Photo Comp- Existing Photo Com Proposed B Not to Scale �' Not to Scale • •- 1A.1 r 18' 10" r^ �. reatwe visual imagery POYANT SIGNS C ma ery Since 1938 • www.poyantsigns.com E 508.995.1777 1 800.544.0961 2'-4 3/4" V-8 3/4" „E„ . an ,. _ � A Wale. Elevation Front View CEastem Bank Scale: 1/2"=1' 0" >> 375 lyanough Road Hyannis,MA Specifications - = r •1 a Qty' .1 SO F 45' t• 'Project'2320 '.�A 3/16"Hi-Impact Acrylic Faces 5 t/z" E stern Bank ¢. with 1 st Surface Translucent Vinyl New Single Face Internally Illuminated Building Sign Sales:Geoff Diehl Whit LED Illumination Date:05.28.09 . y © e � 5a/"deep•face-lit LED illuminated self contained channel'letters Designer:ST C Power Supply White hi-impact acrylic faces with 1 st surface applied } 7 r • � � _ , : 010mm Econolite Letter Back " � :°+ �, translucent vinyl t . . Trim caps&returns to be white • ;Note: .White Trim Cap _ " -White LED illumination This is an original unpublished ' Flush mount to building fascia ,. -drawing created b Poyant Signs, F Aluminum Walls Painted White D Inc.I _It is submitted for our G 1/2"Electrical Conduit Thru Wall' ¢k _ M" « ,' personal use in connection with O G + « Power ounce E - z- -a project being planned for you toS 3 _ M Materials Colors& a e . , Inc. t is not to b Po ant Signs, c. r Final Connection by Others. t +. be shown to anyone outside your �H Method of Attachment TBD;'Shown - F H _ r Paint organization,nor is it to be 1 - - Whitereproduced,copied or exhibited Thru-bolted with 3/8"Threaded Rod in any fashion as Required, �. ; shlon until transferred. , • r. Vinyl B LED Illuminated Self Contained Channel Letter Detail Cobalt Blue S 541 C ® -Revisions: Not to Scale (P � _ _ Gerber 230 157 M 4* 06.15.09 ST , 9 n , ' Center Over Middle Window ED_ } QaEastern Bank Approved By: k Date: ) Eastern B k ' Building Sign ' o.: .$ :f 7., "•� ..k - x'ox,, � Option Photo Comp- Existing Photo Comp - Proposed ottoScNSle DN ale " . Sign Type 2A.1 L�/ L - --- - - - -- - - - - - ------ - - - - tNE� T Sign BARNSTABLE PermitBARNSTABLE, TOWN OF MASS. 16 j.�A Permit Number: Application Ref: 201204650 20070780 Issue Date: 08/01/12 Applicant: MATHEWSON, WILFRED B & DOROTHY TRS Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 375 IYANNOUGH RD/RTE 28 'Map Parcel-. 328071 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER Remarks IYANNOUGH REALTY TRUST SIGN ON BLDG 21.9 SQ FT Owner: MATHEWSON, WILFRED B 8z DOROTHY TRS Address: 196 ACADEMY AVE . WEYMOUTH, MA 02188 Issued By: pC �— POST THIS CARD: SO THAT J!S VISIBLE FROM THE STREET Tel(781)337-0011 Fax(781)812-1320 Email:lyanoughRealtyTrust@gmaii.com anou �i Aeaffy `Jrml y 9 1 Wilfred B.Mathewson Dorothy Mathewson 196 Academy Ave. Debra A.Mathewson Weymouth,MA 02188 r ye, Town of Barnstable } s ' Regulatory.Services Thomas F.Geller,Director . .e ,, 6 . ►�'� Building Diviji i j Jam' ;Tom Perry, Building Commissioner ( Y - 200 Main Street, Hyannis,MA 02601 A)u www.town.barnstable.ma.us. - Office: 508-862-4038 F 508-790-6230 Permit#(Y `I 111 0 Building Official approving Application for Sign Permit Applicant_Ll/!/�L'(�tr� � S'arl As No. KgL Doing Business As: —' 7�&—telephone No.-(2 P —CcG/ Sign Location Street/Road: ? He aq(Oo 7ee, << --2 /6 tcn �1o1-ate Zoning District: �� Old Sings Highway? YesoHyannis Historic District? Ye o Property Owner Name: L/��Gt=A?�rl r#-l�u, C, r Telephone: 6 1 — eeGP Address: /9'l: / !�vlF . Village: 1.LP%�lt L 6uS �L Sign Contractor Name: Telephone: /% 2 yG Mailing Address:_ a04 q0 6-Vni P Description Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes (Note:Ifyes,a winngpermitis`required) Width of building face ft x 10—2!':-P x.10 a Check one Reface exist' o mg sign or New t/ Total Sq:Ft of proposed sign.(s) Ifyou have addrvonal signs please attach a sheetli&g,each one with dimensions 1f refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59.through§240-89 of the Town o arnstable Zoning Ordinance. Signature of Owner/Authorized Agee Date 1lL SIGNS/SIGNREQU ievised12110 r " - +Ky _ -C3VYA-NOUG H RE LTY TRUSZ�� r MUE --- kVAI' 9. . f r. o > G'o•�,or2�'�T' ,�, s 1 F 3 q ?4 375 lyannough Road, Hyannis 9/15/09 Al tx j � r s it trAr s , y 3 -------- fill 375 lyannough Road, Hyannis 9/15/09 �S;14 f . i. 4e4;.. °+"+, k@N �� .��V•.z `.� fib,i ^��, '� ,�„.yg;-�' :Yyk: x 375 Iyannough Road, Hyannis 9/15/09 �� y �� s� C� Sup/'�,�� �=�cr ;; 1 ,�, � I T �� ,. i �t ram, Sign ; °� TOWN OF BARNSTABLE Permit * BARNSTABLE, MASS. i639- � iOrF�3.�A Permit Number. Application Ref: 200902594 20070317 Issue Date: 06/29/09 Applicant,: MATHEWSON, WILFRED B & DOROTHY TRS Proposed Use: RETAIL & SERVICE STORE SMALL Permit Type: SIGN PERMIT Permit Fee.$._ - 75.00 Location 375 IYANNOUGH ROAD/RTE 28 Map Parcel 328071 Town HYANNIS Zoning District HG Contractor PROPERTY OWNER Remarks 2 SIGNS ONE ON FACE OF BLDG 15"X21.7" -C .B SULLIVAN ONE SIGN FREE STANDING ON LADDER 23"X118" Owner: MATHEWSON, WILFRED B 8t DOROTHY TRS Address: 196 ACADEMY AVE WEYMOUTH, MA 02188 Issued By: p POST THIS CARD SO THAT IS VISIBLE FROM THE STREET Town of Barnstable DFTHE r =;, '„ ABLE ti Regulatory Services Thomas F. Geiler,Director BARNSTABLE. 9 JU �( 2; 28 • - MASS. $ Building Division ..i639 �6 �Tf ► A Tom Perry,Building.Commissioner 200 Main Street,Hyannis,MA 02601�—'-""'�D1-VISION www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Applicatio for Sign Permit Applicant: �• l Map &Parcel Doing Business As: Telephone No. Sign Location Street/Road: 3 72 Tu 12-vowlys Zoning District:' H& Old Kings Highway? Yes/No Hyannis istoric District? Yes/No Property Owner Name:Q,( r� it- , j!%t�t SSA,( Telephone(`?E 3-77—or/ Address: � c Village:_4�0yAv /�P /yG'aZc Sign Contractor Name: Telephoner Mailing Address: w ,. �z b T Description ��Q Please draw a diagram of.lot showing location of buildings and existing signs with dimensions, loc ticland size of the new sign. This should be drawn on the reverse side of this application. h � I Is the sign to be electrified? Yes/No (Note:Ifyes, a wiring permit is required Width of building face-* 7 ft.x 10= x.10= SgXt. of proposed sign I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the information is correct and that the use and construction shall conform to the provisions of§240-59 through §240-89 of the Town of Barnstable Zoning Oi ' anc . Signature of Owner/Authorized Ag kQV9;� Date: Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to,process application without delays all sections must be completed. 0_:I YYPFILESW GNnSIGAAPP.DOC Rev.9/12/06 13EAUTY SUPPLY 2�' 7 21 , E 2 �.3 R • IVT - E, 4` " • �r�I x Town of Barnstab le Building Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02601 9 MASS. $ (508) s639- 862-4038 k, �p �� rFD MA'S a - Certificate of Oftupancy Application Number: 200902119 ' CO Number: 20080376 Parcel ID: 328071 CO Issue Date: 06130109 Location: 375 IYANNOUGH RDIRTE 28 Zoning Classification: HYANNIS GATEWAY DISTRICT Proposed Use: RETAIL & SERVICE STORE SMALL Village: HYANNIS Gen Contractor: O'NEIL, CHRISTOPHER Permit Type: CCOO rt r CERTIFICATE-OF OCCUPANCY COMM Comments: C.B. SULLIVAN .. a Building Department Signature .Date Signed ' °FtNET TOWN OF BARNSTABLE Bule 'lding . Application Ref: 200902119 Permi BARNSTABLE, Issue Date: 05/29/09 t 9 MASS. g �pA 1639• Applicant: O'NEIL CHRISTOPHER A Permit Number: B 20090864 Proposed Use: RETAIL&SERVICE STORE SMALL Expiration Date: 11/26/0.9 Location 375 IYANNOUGH RD/RTE 28 Zoning District HG Permit Type: COMMERCIAL ADDITION ALTERATION. Map Parcel 328071 Permit Fee$ 182.00 Contractor O'NEIL,CHRISTOPHER Village HYANNIS App Fee$ 100.00 License Num 95107 Est Construction Cost$ 20,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND PARTITION(NON-LOAD BEARING)FOR OFFICE AND STORAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INTERIOR ONLY! INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: MATHEWSON,WILFRED B TR 8L BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: IYANOUGH REALTY TRUST INSPECTION HAS BEEN MADE. 196 ACADEMY AVE WEYMOUTH, MA 02188 Application Entered by: PR Building Permit Issued By: .THIS PERMIT CONVEYS'NO RIGHT TO OCCUPY AN,Y STREET,ALLYORSIDEWALK OR;ANY,PART,THEREOF,EITHERT RAR EMPOILY'ORPERMANENTLY. ENCROACHEMENTS ON PUBLICPROPERTY,NOT SPECIFICALLY PERMv ITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTITAND LOCATION OF PUBLICS EWERS'MAY BE OBTAINED FROM THE DEPARTMENT OF PUBL11 IC.,WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT:RELEASE THE.APPLICANT'FROM THE'CONDITIONS OF,ANY,APPLICABLE SUBDIVISION RESTRICTIONS: MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION 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.I42A). i d T BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 3 1 �-�L C C 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health ILIA TOWN OF BARNSTABLE BUILDING PERMIT•A TION_ Map ' Parcel oa plApplication # �' f C Health Division Date'Issued Conservation Division Application Fee Planning Dept. .Permit Fee Date Definitive Plan Approved by Planning Board U Historic OKH _ Preservation/ Hyannis Project Street Address Village Y Owner udr � ek sa Address ��6 ��✓- i erg , ` �- Telephone Ft(— ,33 Z-00 C t Permit Request L19W 7aA ,a,_ ao, 3**► � S� Square feet: 1 st floor: existing posed 2nd floor: existing proposed 9'---al nevv Zoning District Flood Plain Groundwater Overlay Project Valuation z0 Construction Type co cn __ Lof Size Grandfathered: ❑Yes ❑ No If yes, attach sorting documuentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) `' Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Hi hway:`'U 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 2 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 CW L Proposed Use �Q Iv J�'� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone.'t0 .Pc _ Telephone Number' Address 23 �, c sT License# Lehrry/A�A, ��C� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU r/J - DATE /'Yf/ �' r FOR OFFICIAL USE ONLY v APPLICATION# DATE ISSUED s MAP/PARCEL NO. y x ADDRESS VILLAGE OWNER Y DATE OF INSPECTION: FOUNDATION. FRAME :" INSULATION'.' FIREPLACE - . ELECTRICAL: ROUGH FINAL ;PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL I FINAL BUILDING R t t ? DATE CLOSED OUT E . ASSOCIATION PLAN NO. E r y � N y �. era u, sr { -cc LO — �_ ., ! >- a) ..• _ M . A Sla ;Al i.�,-v Y`s'•�.+ -..3-3c7_o9;. r�8;. Tc-' r Fi�(y �r°r ,� J �--- ,may' � y � 1 ♦ i H f � � � ! �' _ ` i � � � i t a .. 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 Le 'bl Name(Business/Organization/Individual): Address: P City/State/Zip: Mtn 0^ ��1 a2�f2� Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.WI am a employer with 'Z- 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction .2.❑ I am a sole proprietor or partner-' listed on the attached sheet. 7.. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' $ 9. ❑Building addition [No workers'.comp. insurance comp. insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ p 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. Icontractors 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. Iam an employer that is providing workers'compensation insurance for my employees Below is the policy andjob site information. Insurance Company Name: + 7 �9lC i Policy#or Self-ins.Lic.#:_C9 V Q d��� (� '�� Expiration Date: �—2 Job Site Address: aiT4 Rd r3 City/State/Zip: cu / Attach a copy of the workers compensation policy declaration page(showing the policy number land 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 tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ify under the pains and penalties of e "Wry-that the information provided above is true and correct. Si ature. Date: zi Phone 2E 3 7 2 —=-CGS k 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#: 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 tiustee 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." a ter 152 25C 7 states"Neither the commonwealth nor an of its political subdivisions shall . Additionally,MGL ch p , § ( ) Y 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-contractors)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. hi 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"I.he 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 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 Iavestigations- 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia i ............ DATE"(M WDDNY RD rr . - :<.:: :>:: ::::>::::. rN 4. / / PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ... OTIS BROWN INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ;HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER=-,THE .COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. BOX "369 COMPANIES AFFORDING COVERAGE rr LEXINGTON MA 0 2 4 2 0-b!316 8. Xoj,,l pr'j 1w S A TERN WORLD INSURANCE INSURED COMPANY CHRISTOPHER R ONEILL B COMMERCE INS CO 28 EATON RD C ZURICH AMERICAN LEXINGTON MA 02420 COMPANY D. C ... ...'G't.9':............................................................... . ........................................................................::.::...::::::.:::.:::::.:..::::::::::.::::::::::::..:::::::::::.:::.:::::::::::::::::::::::::::::::::::::::::::::::::::. 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 LIMITS LTR DATE(MWDDNY) DATE(MWDDNY) GENERAL LIABILITY NP P 118 5 2 9 4 12/0 2/0 8 12/0 2/0 9 GENERAL AGGREGATE $2, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1, 0 0 0 r 000 CLAIMS MADE FX OCCUR PERSONAL&ADV INJURY $1, 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one fire) $ 50 000 MED EXP(Any one person) $ 5 000 AUTOMOBILE LIABILITY BCGWZB 11/2 3/0 8 11/2 3/0 9 COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) 100, 000 HIRED AUTOS " BODILY INJURY NON-OWNED AUTOS (Per accident) $ 300, 000 F PROPERTY DAMAGE $ 100, 000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $. UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ ST WORKERS COMPENSATION AND 6 Z ZUB 0 3 0 9N4 OAO 9 1/2 3/0 9 1/2 3/10 X ORY IM TT ER En6FLOYERJ LIADiLITY 100, 000 EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 5 0 0 r 000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS WORKERS COMPENSATION COVERAGE IS IN EFFECT. ZURICH INSURANCE CO WILL FORWARD THEIR CERTIFICATE OF INSURANCE TO YOUR ATTENTION. .........: :::.... .::::::.::::::::::.::.::::::::::. # 11 ...HO.. t78.. ............................................................:..:.:::::::::::.:::::.:::::::.::............ ::::::::::::::::::::::.::::::::::::.::::::::::::.................::. ....:..... ::::::::::.::::::::::::.::....................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF HYANNIS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL BLDG DEPT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 200 MAIN ST , BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY HYANNI S MA 02601 OF ANY KIND UPON THE CO NY7n R REPRESENTATIVES. AUTHORIZED REPRESENT/�TIV iGrey:.:.Be a ? ,:::::::::::,.;:::::::;.; ,:.;<.>::A.;::::<:.;::;.;:.;:.;:.;:.;:.;:.;: .::.::.::::::::::::::::::::::::::::::::::::::::..............::::.::::::::::.:.:.::::::::::::::::::::::.:...:................:..:::::::::.::::::::::::::: .......:.................:. .. : . . ................................... d ACQRd::< tFtWtiF10 ::> i f 1 • g -y� .... a.� ✓/ZQ U6'I7?/IlL04ZClVEIL/GYL-O��i%/(,p�QpC/2LCpGGIo 1' r IV�`ts�3 Board of Building Regulations and Standards � • },� ,� Construction.Supervisor License License CS 95107 Cie It {IE pia#tio�n 11a127/2010 Tr#- 95107 ,Restriction ,41 CHRISTOPHER 0 NEIL s1:1 i 28 EATON ROAD % LEXINGTON,MA 02420 Commissioner . + r 1 , L , Massachusetts Department of Environmental Protection Bureau of Waste Prevention . Air Quality 100089117 BW P AQ 0 w Decal Number Notification Prior to Construction or Demolition Important: A. Applicability When filling out Ph y forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor do not return use the return (DEP), Bureau of Waste Prevention,-Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2)ten (10)days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1.. a. Is this facility fee exempt-city,town, district, municipal housing authority, owner-occupied Instructions residence of four units or less?®Yes E No 1.All sections of b. Provide blanket decal number.if applicable: Blanket Decal Number this form must be completed in order to comply with the 2. Facility Information: Department of C.B. SULLIVAN CO. INC. Environmental Protection a.Name notification 1379 IYANOUGH RD requirements of b.Address _ 310 CMR 7.09 H annis MA 02601 c.Cit /Town d.State e.Zip Code f.Tele hone Number area code and extension .E-mail Address(optional) 3500 1 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? 0 Yes El No k. Describe the current or prior use of the facility: CARPET STORE I. Is the facility a residential facility? Q Yes E No _0 m. If yes, how many units? Number of Units 3. Facility Owner: -N WILFRED B. MATEWSON �0 a.Name 0 196 ACADEMY AVE b.Address WEYMOUTH MA �� 02188 c.Ci /Town d.State e.Zip Code 0 17813370011 f.•Tele hone Number area co a and a tension E-mail Address(optional) 0 NONE �Q h.Onsite Manager Name ag06.doc• 10/02 BWP AQ 06•Page 1 of 3 L Massachusetts Department of Environmental Protection Bureau of Waste Prevention.• Air Quality 100089117 B W P A Q 06 Decal Number Notification Prior to Construction or Demolition General Statement:If l B. General Project Description ((cont. asbestos is found during a Construction or 4. General Contractor: Demolition C.R. O'NEILL CO. operation,all responsible parties a.Name must comply with P.O.BOX 581 310 CMR 7.00, b.Address 7.09,7.151,and LEXINGTON �MA 02420 Chapter 2 E of the General Laws of c.Ci /Town d.State e.Zip Code the Commonwealth. 17818636336 This would include, f.Telephone Number area code and extension .E-mail Address(optional) but would not be limited to,filing an CHRISTOPHER O'NEILL asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. 1C.R. O'NEILL CO. a.Name P.O. BOX 581 b.Address LEXINGTON IMA ^ 02420 e c.City/Town d.State e.Zip Code 7818636336 f.Telephone Number area code and extension .E-mail Address optional CHRIS O'NEILL h.On-site Manager Name 2. On-Site Supervisor: CHRIS O'NEILL On-Site Supervisor Name 3. Is the entire facility to be demolished? ® Yes ✓� No �N _0 4. Describe the area(s)to be demolished: o NONE N O 0 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: -0 NON LOAD BEARING PARTITION APPROX 35 LINEAL FEET. �o �d �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 Massachusetts Department of Environmental Protection _______■ Bureau of Waste Prevention • Air Quality 1100089117 Decal Number BWP AQ 06 Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project,were the structure(s)surveyed for the presence of asbestos containing material (ACM)? ❑ Yes QQ No If yes, who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 7. Construction or Demolition: 6/10/2009 7/1/2009 a.Start Date(mm/dd/yyyy) b.End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving b. If other, please specify: [� wetting ❑ shrouding covering other NA 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? NA a.Name of DEP Official NA b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification co I certify that I have examined the ICHRISTOPHER R. O'NEILL =o above and that to the best of my a.Print Name -o knowledge it is true and complete. ICHRIS O'NEILL The signature below subjects the b.Authorized Signature N signer to the general statutes JOWNER =o regarding a false and misleading c.Position/Title o statement(s). 1C.R. O'NEILL CO. d.Re resentin 05/28/2009 e.Date(mm/dd/yyyy) �O o �Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3 ■ I zT � Town of Barnstable Regulatory Services . s,�xrrMAM a Thomas F.Geiler,Director 9.r����' Building Division Tom Perry,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 B uilde r Y s I, tbil rtzr 'B�' 41, , as Owner of the subject property hereby authorize Cc, to act on my behalf, in all matters relative to work authorized by this building permit application for: t• `l- di1 /Z?li`�4S' V, ( dress of Job) Sig of er ate Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM1SS10N 4` i pFtHE Town of Barnstable � rq4� •� r % Regulatory Services uMB Thomas F.Geiler,Director RNM MASS. �p sbsq A�O� Building Division Tom Perry,Building Commissioner 200".Mairi.Sfreet,_Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 509-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: C e rw�rl7>JG ,�—� -- r JOB LOCATION: < .L t lY/7GU� /�D � .&, /,1,z. number street llage "HOMEOWNER": / l —GL name home phone# work phone# CURRENT MAILING ADDRESS: Ai ci /town state zip code The current exemption for"homeowners"was a nded to incl a owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for a who d s not possess a license,provided that the owner acts as supervisor. DEFINTTIO F HOMEOWNER Person(s)who owns a parcel of land on which he/she 'des or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detac d s' tares accessory to such use and/or farm structures. A person who constructs more than one home in a o-year p 'od shall not be considered a homeowner. Such "homeowner"shall submit to the Building Offs al on a form cceptable to the Building Official,that he/she shall be responsible for all such work performed and the building a 't. (Section 109.1.1) The undersigned"homeowner"assumes esponsrbility for compy ce with the State Building Code and other applicable codes,bylaws,rules and re lions. The undersigned"homeowner"ce es that.he/she understands the To of Barnstable Building Department um inspection rocedures d requirements and that he/she will co ly with said procedures and re a ts. Sigma of Ho eowner Approval of Building Offic' Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption arc unaware that they are assurmng the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness 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 a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homcexempt t� f. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O -Application# Health Division Conservation Division Permit# a Tax Collector Date Issued Treasurer Application Fee / Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address VA Telephone —� �'" �J �� � Permit Request t , d Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0,0, 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:0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Ap als Authorization ❑ Appeal# Recorded❑ Commercial es ❑No If yes,{site plan review#- Current Use Proposed Used/ BUILDER INFORMATION Name ��� L�.�����rl�c7� Telephone Number 7 Address /���,� i!�i�w� �5 License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �f� FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. 1 J � ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. 6 The Commonwealth of Massachusetts Page 10 of 10 Department of Industrial Accidents ! T; Office of Investigations i ui., 600 Washington Street o % Boston,MA 02111 ,t z� www.massgov/dia Affidavit: Builders/Contractors/Electricians/Plumbers Workers' Compensation Insurance Applicant Information _Please Print Legibly Name (Business/Organization/Individual): PA u t_ .S C2 Z e av�f e Sons I�o o-�ti G-�ivL Address:�Q�� a 1 Yl s City/State/Zip: Q S T 2 VI `� 'm prO210 G S Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.,� I am a employer with �2--. 4. ❑ I am a general contractor and 1 6. ❑New construction employees full and/or part-time).* have hired the sub-contractors ( p ) listed on the attached sheep ❑Remodeling 2.❑ I am a sole proprietor or partner- Demolition ship and have no employees `These sub-contractors have g- ❑ working for me in any capacity. workers' comp.insurance. 9. Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their required.] 11. Plumbing repairs or additions 3.❑ I am a homeowner doing.all work right of exemption per MGL ❑ g p c. 152, §1(4),and.we have no 12.0 Roof repairs myself.[No workers comp. ' insurance required.]t 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 anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. insurance Company Name: Policy#or Self-ins.Lic.#: L//� Q©����7��� Expiration Date: 7h� City/State/Zip: Job Site Address: 141 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u er the pains and pe allies of perjury that the information provided above is true and correct �Fi i ature: ` Date: d g' q 2 - t� officialuse only. Do not write in this area,to be completed by city or town official Town: PermitfLicense# Authority(circle one): d of health 2.Building Department 3.Cityrl ownClerk 4,lElectrical Inspector 5.Plumbing inspectorrt Person- Phone# Boar o' ul 1n e uldio ons an an ar s g g One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvemenf, ontractor Registration Registration: 103714 Type: Private Corporation * - Expiration: 7/9/2010 Tr# 269847 PAUL J. CAZEAULT & SONS, INC Paul Cazeault - - - --- =— 1031 MAIN ST -- — OSTERVILLE, MA 02658 Update Address and return card. Mark reason for change. S-CAl i� SOM-07/07-PC8490 Address Renewal Employment Lost Card " - i ,/�zC l.OG�72mp9Zl(lp,¢/�/y O�.///GpdJGLClutdC�b i Board or Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 103714 Board of Building Regulations and Standards E_xpirati.on :.T/9/2010 Tr# 269847 One Ashburton Place Rm 1301 qj _ .._Type: Private Corporation Boston, Ma.02108 PAUL J.CAZEAULT=&=SONB;;INC. Paul Cazeault Boar o ui dm e�ulat-ons an t g b an arils One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Construction Supervisor License License CS: 26325 r= — Restriction_ 00 _ Expiration: 10/20/2009 Tr# 5311 PAUL J CAZEAULT r 1031 MAIN ST OSTERVILLE, MA 02655 - '= = Update Address and return card.Mark reason for change. Address Renewal .Lost Card 0PS-CA1 G 5OM-07107-PC8490 L yr c'�'. ✓lLC VO4IZ m.0?i!lfCIZLUL ✓�(QdJQ,(.iu.C6C�b . Board of Building Regulation and Standards Construction Supervisor License. License: CS 26325 Ex i�atfon ram: , ,P 1'D/20G2009 Tr# 6311 y}s<"• _. Restriction 00 PAUL.J CAZEAUL3 Property owner Must Complete & Sign This Form if lasing a Roofer ! Builder. as Owner / Agent I (print) of the subject property hereby authorizes Paul J Cazeault & Sons Roofin_qnc.I to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job Signature of Owner Mailing Address of Owner Telephone# ®ate (Please return this form to Cazeault roofing along with your signed contr ct.1 is neede fax d for us to 0-4555in the building permit required.by your town, to complete your roofing project, t you) EIG Fax Server 8/11/2009 12 : 59: 08 PM PAGE 2/003 Fax Server ACORD CERTIFICATE OF LIABILITY INSURANCE oajiijzoos) PRODUCER (800)666-0200 FAX (781)261-1111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC - Commercial ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Unit B1 Norwell , MAC 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Paul I Cazeaul t & Sons Inc. INSURER A: National Union Fire Ins Co PA 1031 Main Street - INSURER B: - Ostervllle, MA 026SS INSURERC: INSURER D: INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR kDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTI POLICY EXPIRATION LIMITS LTR NSR 10 VE DATE M IDD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED $ CLAIMSMADE D OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PCLICY MPEa M LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY=EA ACCIDENT $ ANY AUTO - - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC009757764 08/10/2009. 08/10/2010 X WOC SLATRS OTH- ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT 10000 $ A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERRdEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYE $ 10000 If yes,describe under SPECIAL PROVISIONSbelow t E.L.DISEASE-POLICY LIMIT $ S0000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL OHO_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. For Your Information FRonal UTHORIZED REPRESENTATIVE d C1eaves/REF1 C "� ACORD 25(2001108) OACORD CORPORATION 1988