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0425 IYANNOUGH ROAD/RTE 28 (3)
� S S�aP I e s i �cc 041 t I i s M r/a►®® KEEPING YOU ORGANIZED No. 10230 H163 T ou Mfg' a05i�'ANSIlMHd MCEINUM GET ORGANOM SMM-COM TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 328 070 GEOBASE ID 24448 ADDRESS 425 IYANNOUGH ROAD/RTE28 PHONE (617)54242487 HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 27854 DESCRIPTION STAPLES - 8,500 SQ. FT. ADDITION (P-MT #23210 PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND THE .00 Ox CONSTRUCTION_ COSTS - ---- - _ -00 - - ----- -- --- - - -- 753 MISC. NOT CODED ELSEWHERE BARNSTABLE, MASS. 039. ED Mlr►I BUILD YL�Y,O,�'DIV S"ION BY � � DATE ISSUED 12/17/1997 EXPIRATION DATE TOWN OF BARNSTABLE S yL CERTIFI:CATE OF OCCUPANCY PARCEL ID 328 070 GEOBASE ID 24448 '' . I ADDRESS 425 IYANNOUGH ROAD/RTE28 PHONE (617)542-24871 HYANNIS ZIP - I LOT BLOCK LOT SIZE j DBA x. DEVELOPMENT DISTRICT HY 1 PERMIT 27854 DESCRIPTION STAPLES - 15000 SQ. FT. ADDITION (PMT 0232101 PERMIT TYPE BCOO TITLE CERTIFICATE OF .00CUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services . TOTAL FEES: Im BOND $.00 O� CONSTRUCTION COSTS $.00 I I 753 MISC.- NOT CODED ELSEWHERE * iAIiN3TABLE, ` MA8i3. MIS 639. I BUILDI C41 ISIO BY I DATE ISSUED 12/17/1997 EXPIRATION DATE �s o `I #W t!av_ J L I ►IV'�'rt�,!:I +:� Department of Health, Safety ` ' ' `♦ ' and Environmental Services THE I Al. � * 'BARNSTABI:E, MAS i3. ;��► ' ;, BUILDING°DIVISION c BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY 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 RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED ' FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE; SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. i OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE'OCCUPANCY. I`il) ' ® • s BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �12= 2 VJ n i ae t 3 1 HEATING INSPECTION APPROVALS NGIN RING DE A ENT 2 BOARD 0 HiTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED. UNTIL PERMIT WILL'BECOME NULL.AND VOID:IF CON- ' INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE. STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE•'ARRANGED FOR BY VARIOUS STAGES AF CONSTF C MONTHS OF;DATE THE PERMIT ;C,ISSIJED_ AS E!T FPHONE OR WR:"^€N P!OTIFICA- ..0 w - NOTED ABOVE: TION.. { 1 MEF ' uMIT I .4 I I �i k^ , 5�. 4; i i k Town of Barnstable Buildin g .- - � , Po5t,Th�s Card So;That it is Visible From>theaStreet ,Approved Plans Must'be Retained on Job and this',Card Must be Kept • t "'"� Posted Until FinelJnspection P lbj9 et a.; S"a�� w_a r� ��/� �t Where a Certificate of Occu anc is'Re uired,suchaBuildm s _. g hall=Not tie Occupieduntll%a..Final°Inspection has,been made ; Permit No. B-18-2255 Applicant Name: Joseph a Papasodero Approvals Date Issued: 07/20/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Commercial Expiration Date: 01/20/2019 Foundation: Location: 425 IYANNOUGH ROAD/RTE 28,HYANNIS Map/Lot: 328-070 Zoning District: HG Sheathing: Owner on Record: VINIOS, LOUIS N TR � C retractor Name' Joseph a Papasodero Framing: 1 Address: 45 BRAINTREE HILL OFFICE PARK Coritractor License 395 2 BRAINTREE, MA 02184 Est Project Cost: $0.00 Chimney: Description: Installation of RTUs. Units supplied by tenant Wiring and Gas by Permit Fee: $160.00 others. -`" Insulation: .:Fee Paid $160.00 Project Review Req: ., Date f 7/20/2018 Final: (( Plumbing/Gas - - Rough Plumbing: Building Official r) .... A Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sixmonths 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. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laiws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the • work until the completion of the same. LF Electrical� �; ' � � - s�"�r`mr � �" � � �_� " Service: The Certificate of Occupancy will not be issued until all applicable signatu es�by the Building'and Fire officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work , i ; ,' ~'' Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Z1—� Final: Work shall not proceed until the Inspector has approved the various stages of construction. :�f/ "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .t Town of Barnstable $lailding]Department Services Brian Florence,CBO BuIlding Commissioner g 200 Man Street, Hyannis,MA 02601 www town.baraotable.ma.ns IL Office: 508-862-4038 Fax: 509-790-6230 RDNZOWMMLTCttM XXENMON piewpAd Man u t 9 2015 6 /P. JOB LOCAMIk aumbar T YZW .babe zip soda The cae3ent exemption far ^wen extended to iaclpde of six units at less and to&Hoow homeowners to engage an individual for hire who does not possess a licenser lg$WIe ownaa'ecls gvisar. aXFanrmx OFHONWWNSR Person(s)who owns a parcel of land on wbich he/she resides or intends to reside,on which there is,or is Wooded to be,a one or two- family dwelling,attached or detacbed strachm'sccessory to such use and/or farm ffftutmes. A person who conshucts more than one home in a two-year podad&hall not be=Wdered a homeowner. Such"homeowner"&hall submit to the BuOdtag Official an a form eocaptable to the Building Official,that hihihb 1 .l+ j ile`°cg_sll_e�c� ; ntl der the build f5ectian 109.1.1) • ' The undersigned"homeowner"ass=m responsibility for compliemce with the State Building Code and other applicable;coc es, •bylaws,rubs and regulations The mho caner"certifies that haste understands the Town of Bamst�able Building Department miaimma inspection ants sad that she will comp with said procadnros sad ants. 7 S Homeowner r' Apprp 9 ofBuilding Omdel ,Mote: muse-famfly dwellings conubbo&31000 cubic feet or lar�ga_r will be Cd to comply whit the State Building Code Section 127.0 Construction ContmL • HODSBOWNR[t'B;t�TtON The Code states that: °Any homeowner performing wont for which a building permit is required shall be exempt from the provisions of this section(Sfctlon 109.L1-Licensing otconstraction Supervisors);provided that if tho homeowner engages a person(s)for htm to do sacbi works that such Homeowner shall act as supervisor." Many homeowners who use fib exemption are unaware that they are assuming the responsibIIitin of a supervisor (see Appe6dix Q,Rules&Regulations for Licensing Construction Supervisors,Sectloa 215) This lack of awareness often 'results in serious problems,particularly when the homeowner hires unlit persons. In No 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 My 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 this issue is a form currently used by several fawns. You may can to amend and adopt such a form/aertl0cation for use in your community. �� pemott RE43.doo " 08/16f17 i 3 Town of Barnstable g Building ileparbnent Services SHan Florence,CBO i"9. Building Commissioner 200 Mam Strew Byatmis,MA 02601 www.town.bsrnstable ma to Office: 508462-4038 F= 508 990-6230 Property Owner Must Complete and Sign This Section If Using A Builder , �►�I Q.C'6n ,as Owner of the subject propemty hereby suthos CDN t-Oh O�YI�f,1 6 _to act on my beb4 in all mamess relative to work au&orized by this building permit application for ,,. _ .of Job) **Pod fences and alarms ate the responsibDity of the applicant Pools are not to be filled or utilized before fence is installed and all final Voare perfotned and accepted. Sigmture o Owner Vu'e"03,0 ; Print Name Print Name Date _ Staples 500 Staples DrWe , MAKEMOOKApPEW Framingham,MA01702 Tel:508-253-8789 Robert W.Hemnann Mobile:617-899-5222 Sr.Construction Project Manager . bob.henmann®staples,com Q•PORba'OwxMPERMMMMawIA Engineering 8 Constnictlon 1tev:08/16l17 Staples Commonwealth of Massachusetts j�. Sheet MOW Permit Maps Parcel o V Date: ti Permit# . Estimated Job Cost °$ "II f ! ' ` Permit Fee: $_ Plans Submitted: YES. N® _ Plans Reviewed: YES NO Business License* 3 n Applicant License Business Information: Property Owner/Job Location Information: Name: I Name: Street:3� N � lS�. �treet� , 32FO�10 C60I d',AtA ®a v, , City/Town IS � City/Town: - Telephone: '�_V 0 q6�'073 . Telephone:, Photo I.D.required/Copy of Photo I.D. attached:-:.YFS . ✓ NO � � w sramt��na� C) J-1/ >- e stricted license w o` � I J-2/,M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./ -stories a le s Residential: 172 family. Multi-family Condo/Townhouses er C) rn i 'Commercial: Office Retail Industrial Educational x Fire Dept.Approval Institutional- Other - Square Footage: under 10,000 sq. ft. over 10,000 sq:ft. Number of Stories: , • Sheet metal work to be completed: New Work: Renovation: - HVAC_z Metal Watershed.Roofing. F Kitchen Exhaust.System Metal Chimney/Vents Air Balancing _ J .Provide detailed descriptionof work to be done: �- aso r' t t i INSURANCE COVERAGE: ' I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No ❑ If you have checked Xa,indicate the type of coverage by checking the appropriate box below: A liability insurance;poficy; Other type of indemnity El ❑ OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. + i + Check One Only 1 owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box0,I hereby certify that all of the details and information I have submitted(or entered)regatding this appli6tion are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with ail pertinent provision of the Massachusetts Building Code and Chapter 112 of the General laws. fDuct inspection required prior to insulation installation:YES NO ` Firoggess has ecg lions f' ' i Date Comments , 1 I Filial Ins ep coon r Date .' Comments �....... R.., , .....f.. -•--•�._- =s- ^ ��.r:�_ ,,...,�-�.,......,�a T,_. -ram-� t. _ •- a,� - `--- -�- - - - ' I Type of License: -y 20.9raster title ❑Master-Restricted w _ yrrown OJoumeypersori A t Signature of Licensee permit# 71 », + ❑Joumeyperson-Restriced License Number: =ee$ ❑' 4, Check at www:mass.aov/dnl nspector Signature of Permit Approval 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 Ledtily Name (Bu'siness/Organtzatton/Indivtdual):` `r nC s a Address: /ACC,I 1) City/State/Zip: Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. 1 am a-sole proprietor or partner-_ listed on the attached sheet. 7. Remodeling ship and have no employees ' These sub=contractors have'¢ g •t d, I'—Io ion workingfor me in an capacity. employees and have workers' y p ty. . t 9. Building addition [No workers' comp. insurance comp. insurance. required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 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 13. Other �J�l, employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also.fill out the section below showing their workers'.compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providetheir workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - Insurance Company Name: JA,)e.S Cal SUA2110 ri : ��'1 QW Policy#or Self-ins.Lic.#: 1 A) C 3 0 Expiration Date: / I / q Job Site Address: rp � p��I�fl` City/State/Zip: Uk44 All IS �a6'hl 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 under the pains andpenaidW of erjury that the information provided above is true and correct: Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or'town offrcial ' City or Town:- Permit/License# . Issuing Authority(circle one): 1 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: w Phone#: rv,'. IVIIVIONWEALTFi OF_MASSACHl1'SETTS 3� :COMMONWEALTH OF MASSACFil1SETTS ��<;COMMONWEALTH OF NAASSACHIiSETTS.:..' CO • ® ® ® ® ® ® ® r ® ® e BOARD OF BOARD OF BOARD QF PLUMBERS>AND GASFITTERS w.. PLUMBERS AND GASFITTERS M SHEET METAL WORKERS :` #, „;ISSUES THE FOLLOWING LICENSE"AS A ' ' w. $' ISSUES THE FOLLOWING LICENSE", ., ISSUES THE FOLLOWINGtLICENSE x APPRENTICE?PLUMBER• w .* w Y :MASTER-UNRESTRI TE,D LICENSED AS A MASTER GASFITTER Y Q -MA1ram'.?.- ,Q ' W r.: r"Y- ,...�• iZ r hZ JOSEPH A PAPASODERO JOSEPH A PAPASODERO `'. �• '.f : . JOSEPH A F'APASORERO q , i .. x . �, t�;, 77 OPALAVE77:OPAL AVE :77 UPAL AVE:. 3� i £ r +,•s' - `'. a w . 2 46-3057 ; x 4 its .u, .. MIDDLEBORO;MA 02346 3057 MIDDL EBORO,MA 0 3 a MIDDLEBORO,MA 02346 3t)57 �, z � o`� . � : x .:.:. ,-. . . .. ,as .. ._ .;...:, 3 ;l -!... .., ,A. .. `•vim r: ✓.$.c e..,. 'V.,d v,:,.. e .. ...t.....:: .r ,.,:.}.... ,wM."'.t•:.". ..._ t< a?s., P. ' „-dS,�e+ f.'�w6 r'va .y };: d•• : 1 26236 0510112018 }27446 ! ,395, ` t;1012812019 379524 >; 3864 0510112018 27450 : F • ® A ..n.. rya:COMMONWEALTH OF MASSIItCHUSETTS. COMMONWEALTH OF MASSACHUSETT.S: FK` .• .. ... .._. . . �... ..._ Ji Commonwealth of Massachusetts BOAR O, Y Department of Public Safetyzi BOARD OF SHEET METAL WORKERS PLUMBERS AND GASFITTERS License:RT-013094 ISSUES THE FOLLOWING LICENSE w ISSUES THE FOLLOWING LICENSE AS A h Refrigeration Technician W ti: BUSINESS LICENSE_D JOURNEYMAN,GASFITTER M^' �� 4 t t i A r; _ } r r` a JOSEPH PAPASODERO JOSEPH A PAPASODERO N JOSEPH A;PAPASODERO p t sx `s a a ,y=# 77 OPAL AVEMAJIC AIR INC. t iN `• 77 OPAL AVE +�yj� MIDDLEBORO MA 02346= lW 547 77 OPAt",-AVENUE / 4 s MIDDLEBORO MA,�02346 w 5 Illw •, g MIDDLEBORO 'MA 02346 7z 1 kx>4i xl 0.510112018 27448 , (�..�n lJ�_ Expiration: N 2 4041i `s . . <; M. 05%121 9 64879 Commissioner 10/07/2018 tq A •' ..• D w ." .. ... .:,_ ,fir... a,4+..awv+-..!•..:vy.....ws ....w.r...a»-re...._,w...w:.,- r.........«+....v.r.w..._n.�.. v..:...«y:.,ar.:.ww: +. . w.,., .,_ ,..« .e w......,, .-....a..Nw.,a. ..Ar, v,.wW«...•,l.....,.Mw .:,.ww..,,.a.,v. �y:.,- _ MMONWEALTH OF.MASSdiCHl1SE'TTS say:;C®MMONWEALTH OF`MASSACHUSETTS. s: �- Commonwealth of Massachusetts r Department of Fire Services ; BOARp of BU-031979- HEET METAL 1NORKERS `a :. PLUM13ERS'AND GASFITTERS,t . ISSUES'THE FOLLOWING LICEN SE : r w ISSUES THE FOLCOWING:LtCENSE_ C2 Oil Burner 7echnicianGf sate INSTRUCTOR 15TERED AS A'Gi4$CORPORATION I¢ - `" '+ w q PAPASODEROf`' Y `a `� y � \ REG ;, '� 1� w JOSEPH . uw "! r a JOSEPH PAPASODERQ t 77 OPAL AVE JOSEPH A PAPASODERO" 'rw ^° I, 77 OPAL AVENUE�jE F' MAJIC AIR INC �� �` .; MIDDLEBORO MA.02346 MIDDLEBORO,;MA`'-02346 3057 r! , m d z 77 OPAL AVENUE• .: W R 4 , Expiration DateryIDDLEBOROUGH,MA 023 13617 167., 1 State Fire Marshal ( 10/07/2019 8 ,} QI28/201 <, 27445 ' ° 168 0510112018 i o ti y C iLF7SJETTg �z �� 1,DR`lVERS _ Ill'L'10ENSE t m tC,�w o�o 2a�a "0�S2076V:6d� sUP 4 c 5 YFSREB w 5�f o ,a R� 4 OSEPH•A�w S ,K 7r t 33 a 7TOPAL AVEZ4 MIDDLE BOROUGH,'MA 023464057� ' `� ,., t.e 5 000303At4 Pe S20�4 1 .ACORU® DA (MMIDD/YYY1) 164� CERTIFICATE OF LIABILITY INSURANCEF3/n9/2018 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()es)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 NAME: Yn BO ton Insurance Boynton Insurance Agency PHONE (781)449-6786 FAX o.(781)d49-d269 72 River Park Street E-MAIADDRESS-certificates@boyntonins.com INSURERS AFFORDING COVERAGE NAIC# Needham , MA 02494 INSURER A:Harle sville Preferred Ins Co 35696 INSURED INSURER B:Harle sville Worcester Ins CO. 26182 Majic Air Inc. INSURERC:Wesco Insurance Company 5011 36 North Main Street INSURERD: INSURER E: Carver MA 02330 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1452309218 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 RESPECTJO 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. IN SR TYPE OF INSURANCE ADOL R POLICY EFF POLICY EXP POLICY NUMBER D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEu- X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence $ 100,000 A I CLAIMS•MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PP00000080362M /11/2018 /11/2019 PRODUCTS-COMP/OP AGG $ 2,000,000 7X POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea COMBINED accident) LIMIT 1 00,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ NON-OAUTOS AUTOS X HIRED AUTOS X AUTOS 000000598868 /1/2018 /1/2019 PROPERTY TY DAMAGE $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION$ MOOO0000942S7Q /11/2018 /11/2019 $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TR LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1 000,000 C OFFICER/MEMBER EXCLUDED? ® N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,$ 1,0001000 B yes,describe under C3258481 /15/2018 /15/2019 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,B more space Is required) For evidence of insurance only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S Denneno CISR/JPM ACORD 26(2010/06) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201006).01 The ACORD name and logo are registered marks'of ACORD Docu 1gF`, m ope ID:A059.0301-4E994648-ACOC-735A132808E3 i COASTAL C0N5Tpu( ,16N COOP 22 Depot Street.P.O.Box 1644-Duxbury,Massachusetts 623M TEL 781 934 5767 FAX:(781)934-5856 JOB ORDER Job No. 18-1.0-5500 THIS AGREEMENT made this 18th day of June,2018 by and between the Subcontractor and the Contractor as identified below. WHEREAS,the Contractor has undertaken the construction of Staples RTU-Hyannis, MA,Hyannis, Massachusetts in accordance with the provisions of a general contract between the Contractor and the Owner as identified below. NOW,THEREFORE,in consideration of the agreements contained herein and in the Blanket,Subcontract(all terms and conditions of which are herein incorporated by reference),the parties mutually agree as follows: Contractor: Subcontractor- -Coastal Construction Corporation .Majic Air, Inc 22 Depot Street. P.O. Box 1644 36 North Main Street Duxbury,Massachusetts 02331 Carver,Massachusetts 23W Owner: Architect: 'Staples,Inc. .500 Staples Drive Framingham, Massachusetts 1702 Contract Amount: $9,6,76,00 ':Nine Thousand.Six Hundred Seventy-Six Dollars And Zero Cents Day of the month Subcontractor'Requisitions due:' '18th;projected through the 30th Authorized representative of Subcontractor: Index of attached Exhibits: Exhibit A: List of Drawings and Specifications Exhibit B:Scope of Work Exhibit C: Insurance Requirements Attachments: IN WITNESS WHEREOF,the parties hereto have executed this agreement on the date first above written. Majlc Air,Inc CO.A.STAL CONSTRUCTION CORPORATION Docus.lgned by: 'DoauSigned by:. By: ,� P�as�b�v'o � � By: Pam^ �abN�,s Docu ign nvelope,ID:A0590301-4E99-4648-ACOC-735A13280BE3 COASTAL C 0 N S I'Q,UCT16N.f"?C Q 22 Depot_Street.P.O.Box-16 Duxbury,Massachusetts 02331 TEL:781,934$7"467•FAX:;081)934-5856 JOB ORDER Job No. 18AO-6606 THIS AGREEMENT made this 18th day of June;2018 by and between the.Subcontractor and the.Contractor as identified below. WHEREAS,the Contractor has undertaken ther construction of Staples RTU-Hyannis,MA, Hyannis,Massachusetts in accordance with the provisions of a general contract.between'the Contractor and the Owner'as identified below. NOW,THEREFORE,inconsideration of the agreements contained herein and in the Blanket Subcontract(all terms and conditions of which are herein incorporated by reference),the.parties mutually agree as follows: Contractor: Subcontractor. Coastal Construction Corporation Majic Air,Inc .22 Depot Street.P.O.Box'1644 36 North Main Street Duxbury,Massachusetts 02331 Carver,Massachusetts 2336 Owner. Architect Staples,Inc. 500 Staples Drive Framingham,Massachusetts 1102 Contract Amount:. $9,676.00 Nine Thousand Six Hundred Seventy-Six Dollars;And Zero Cents Day of the month Subcontractor'Requisitions due: 18th,projected through the 30th Authorized representative of Subcontractor: Index of attached Exhibits: Exhibit A: List of-Drawings and Specifications Exhibit B:Scope of Work Exhibit C:Insurance Requirements Attachments: IN WITNESS WHEREOF,.the parties hereto have executetl<this.:agreement on the date first above written Majic Air,Inc COASTAL CONSTRUCTION CORPORATION Doe Sig od by:. By: By: Ptt I^ �OI<t�ttiS. Town.,of.Barnstable Bwiding Bepar tI, Seir�ces . `$rYan Florence;CBo Balding Commissioner 200 Maia Street,Hyan ,'MA'02601. www.town.bumtabICma.ns r Office: 508-862-4038 Fmc 508-790-6230 Property Owner Must Complete and Sign�.T'his,Se6iion If Using A Builder f Of the subject: o r, ,as Owne= J , ,p . petty hereby,authorize to act on my behalf; in a1T mattes relative to work auffi6dzedbp ffis bufldingp=nit application for:;, a an • a, :2 $0t70 (Addy of Job) **.Pool fences and alarms are the re onsibili 'of the applicant Pools . sP tX Pp are not to be filled or utilized before fence is installed and all final inspections are performed and accepted:. Signature of Owu:.r f Applicant 03 Pikt blame Print•Natne Date . Q•F0RIZ-.0WNMTERMISSI0M00LS Rar-08/16117 �0 -- 0, C) - r - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �- Permit# P 7 Health Division f a 41oy, 4" SP WW, :Date Issued' Conservation Division L IZ ILIJCw " Fee �o ..Tax Collector- � Application Fee Treasurer Planning Dept: _ . u Date Definitive Plan Approved by Planning Board A 3 Y Historic-OKH Preservation/Hyannis Project Street Address P64°� P/-IV4 Village 1Lg1/M 5 S S/ dtrl d c> i' l� Owner �c/ry/s /izvsT" Address �7UAr� Telephone 61-7 - S ?_ 2487 /30STOAJ rlI4 —Zq8(9 Permit Request L/ �®� �G bzY- — iVz—w C 44ZOC L/cy f mN P/KnA<=S; Square feet: 1st floor: existing proposed 0 2nd floor: existing C3 proposed o Total new Q Valuation_80,� Zoning District Flood Plain Groundwater Overlay Construction Type 1 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 lBasement Type: ❑ Full , ❑Crawl ❑Walkout Wither ' Z,4�8 ON 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: �i6as 0 Oil 0 Electric ❑Other Central Air: Imes ❑No Fireplaces: Existing New Existing wood/coal stov ❑Yes- 0 No garage: g ara e:Detached ❑existing ❑new size Pool: ❑existing ❑new size Bern:❑existingILJnewc'gze Attached garage:❑existing ❑new size Shed: ❑existing ❑ new size Other: CD1 rn A')Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _ E Commercial 9'Yes .x ❑No If yes,site plan review# Current UseGc_. Proposed Use `L •- BUILDER INFORMATION Name[ L ^'c ��c�c/ Telephone Number `�c� �-23z 677 — Address 2 Z &�_ i License# S X /641y Home Improvement Contractor# & u /-i Worker's Compensation# > W0,5z t5Y Z S-39 ALL CONSTRUCTION DEBRIS RESULTI G FROM THIS PROJECT WILL BETAKEN TO 'SIGNATU E DATE /� �� FOR OFFICIAL USE ONLY -r s PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t ti DATE OF INSPECTION: i s FOUNDATION FRAME INSULATION s' FIREPLACE s ' ELECTRICAL: ROUGH i FINAL PLUMBING: ROUGH FINAL, owl ` GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT . 3 ASSOCIATION PLAN NO , - _ _ _ - .. { -r ....w :xn !iu i11 - - - 11 . F- .: .. : 7�-�.k 1 ✓ p r �ie Coo�n nw�uveai a �fucaels- .._---":'�:E�s.r�-,.�m:O.':i-'-.':!s_:-�::�U.:V:�;...:�.Q..;".'.���.%....-,;'��S.'�...-.._O".�' ;'-.:H"'.-.�!�..,'�"'T'_-_,-.*_- N .. _ ,_r r .:...:. .. _. .._ :., ,.::> BOARD OF:B.UIED.1.6 RE6ATLONS�n'S;�'t�-sl OW;1' - ,- License: CONSTFtUGTlF7[V SiJPERFSOR 1. w • �" Number'.CS 016896 I. x- _ _ k �t +'. Bi r�dater.l t�k?l t942 E�cptrtes• 7/2007 Tr.no S 898&0 t a .-F�y, :+c. i„,•• '''- r. .5 •� P ''4+ .S -^lig w - t`2 y�;--�-..a^�tr y. ._� -ter"�,'a...-,& �accla'" i..lr �„� a' ,_..y,.� � 77 - -R.�.$`K' yogff j - r �' �. •'' -. � ss OTE J MAGt[OZ f'� -P � 7t}[iIYAF?LE ST MIDDLETON; MA u; . ti " Commissioner e z u r 1. 4 " 077 - .: : - iti 12ONAvicoo. ,,,..:,.,_�'� :��:�._* ... " � ..L. _�_:_.:' � '.� , " 1-1, , - . � '47 - . , . I. ...,.:�.'. .-.,:,.. _ : . 11110 GWWAAq -..K :i _ _ .: - ivot- - r :. - c •' otshot +ar ✓sas=i c'�"`""' p„ - g.s.. ti 'h' a 1A'� = . S�'.h.)b'4 '� -c �v » '.7 �,,, v�^>,SS �. yi-[ v '�� � " � "' �Si. `3 •`�a '. r^`an -"'P °t"'k-, ?:+`, V'`<a '1rY,v ,. s, i p 1 'yy'v.v"""E'.t A + `O crzy,� r v� d €:. 't t 7 I v'+iy"S,. iY Y F xKe. ( - t '`� .. ',rr" .'` .e'°�: "fir ea. -o- ,:,%.Y t S'.- .-- 3' �-� %7 r ' R d ~ •-s > .(s 5.L n s y 6. � "'..s''�.i ih �'' .a �-s z,,.� 7s 'S +1 r^;tz. tw,�' a i"i s, ti d� i.:. �,. - ''�,�,`.r 'a 19" u-. .1 »rewi.2..:...*.+.+r'�.. .wc ae s� .i=•pM' e' _ �yx.s>_ -�. r,s �• - „a+ - �' ,.,.. rI IF --{R"a, ... s,.r r '"' >.,,�.>,:.L"' r�... ` -"rA-� °_-a y'...�?,:,�:..y.,. N' t ,,� ,,, �.'' "sy±'' rxF-;! t i�'i_ ..sue .,� "s ;-a. r-c� *.�S'�,7*.� 's.�y, S 'fi'z „C�"'s.Y' ra s c, ��-�, .s{ j'4:+ .'f .frVim• .. r•. .<ro!� ^s�k ••., ,a ba"'r > _ f ice- ^s L..... f i _ ^?"' .L`.'a 19HPit IN t '. 4 �, Z - - a.. 77 r s..' _ ry. r x_.,• r ^-}x.�,, Zz y.r...-�•a' "a-C}_yam..-...,� r - r �,.e,Fw •c.. a'` t. s.".r �,.a... " -3,r. "rk d a r _ 7 s. r 4.y "Y.af .w. '��., "'.. _gL_ yq t.�� r,^ y;.'. ..3+r. "iYi '"� ,n,,, + � ky d.:rp� t�-a. x`+t.� _,' f `. :.,. - Y a .. .. .i�11..-��-R --f-ISKISO I Y - ' �i� ! � - ... : ... �. 11 S COASTAL CONSTRUCTION • s RATIO 22 DEPOT STREET 1 P 0.'BOX 1644 * OUXBURY, MA 02331 'VEL 78i 9345767 ' FA)L- 181 934-SSSS Record of Transmittal TO: Town of Barnstable DATE: 12/20/2005 Building Division 200 Main Street Hyannis MA 02601 We are Sending C For Approval ❑ We are Returning 1J For Record Files ❑ For Necessary Action ❑At Your Request ❑Approved as Noted REMARKS: STAPLES INTERIOR REMODEL AIRPORT PLAZA SHOPPING CENTER 364-BARNSTABLE-ROAD-- HYANNIS, MA 02601 Please find enclosed the plans for remodeling the subject store. The work includes new carpet, paint, lighting fixtures, paint and merchandising fixtures. Modifications to the sprinkler and fire alarm system is not anticipated. A set of plans have also been sent to the Department of Fire Prevention. Sincerely, Dan Snow Coastal Construction Corp. Ph: (781) 934-5767 By Fax:(781) 934-5856 Dan Snow c , \ a isc_a.viisnwis wcsu is vJ 1rAUaaUGf4"0C:&9a Department of Industrial Accidents Office.of Investigations A a 600 W.ashington Street Boston,MA 02111' www-mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluaubers Applicant Information Please Print Legibly Name (Business/Organizationdndividual)_�A�;�gZ. Address: /Co yLl City/State/Zip: /q,4 0 2-3 3 1 • Phone#: �78/• 9 3-q .S_7 6�-7 Are you an employer? Check the'appropriate box: Type of project(required): 1.9'_I am a*employer with . . 4- ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet g ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any•capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp.insurance 5• E.] We are a corporation and its '10.❑ Electrical repairs or.additions required.l officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL lY-❑ Plumbing repass or additions myself:[No workers' comp. C. 152, §1(4),and we have no 12-❑ Roof repairs insurance required.]t employees. [No workers comp.insurance required.] 13.❑ Other *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. tcontractws that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.-policy information. I am an employer that is providing workers compensation insurance for my employees.'Below is the policy and job site information. Insurance-Company Name: ti-i o C 4/,g / _/Ws Policy#or Self-ins.Lic.#: X VJ0S Z Sy 2;3a1 Expiration Date: 2 • 7�2Xo Job Site Address: .3�y.���V Sic.;` ��� City/State/Zip:4 4NnilS :�� O 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 Crum alpenalties 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c. er the pains and penalties of perjury that the information provided above is true and correct: Si_ ature: Date:* Phone#: �t1 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 M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Puisuant 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. association, 9giporationor other legal entity,or any two or more An employer is defined as-"au i�U&l 4-ual,.,partuersbip;: of the foregoing.engaged in a joint enterprise,and including the legal representatives to a deceased eemployer, 1 yer,6i'the the receiver or trustee of an individual,partnership, association or other legal entity, employing mP Y 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 appurtenant thereto shall not because of such employment be deemed to be an employer." or on the grounds or building. 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 coverage required." applicant who has not produced acceptable evidence Additionally,MGL chapter 152,§25C(7)states"Neither otfhcompliance ouwealth nor any dfance its-political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance umr ements of this chapter have been presented to the contracting authority. �eq . 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 numbers)along with their certificates)of Liability Companies anies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the insurance. Limited L 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 e to sign and date the affidavit. The affidavit should Accidents for confirmation of insurance coverage. Also be sur . be returned to the city or town that the application for the permit or license is being requested,not the Deparfineimt of Industrial Accidents. Shouid 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 eater their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"*the applicant should write"all 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-avalid affidavit is-on file for:future permits.or licenses..Anew 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 ike to thank you in advance for your cooperation and should you have any questions, The Office of Investigations would l please do not hesitate to give us a call. + The Department's address,telephone and,fax number: The Commonwealth of Massachusetts %•7,d / &c_, - Department of Industrial.Accidents . . .. .. ,, office of Investigations . r. 600-WashinSt on Sireet Boston,MA 0211 L. Tel.#617-727-4900 ext 406 or 1,877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/dia f ACORDM CERTIFICATE OF LIABILITY INSURANCE 12/20/20 5 PRODUCER (781)681-6656 FAX (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J Barry Driscoll Ins Agcy, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 600 Lo ater Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell, MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED Coastal Construction Corporation INSURERA: Ohio Casualty Insurance Co. 22 Depot Street INSURER B: P.O. Box 1644 INSURERC: Duxbnry, MA 02331 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MM/DDNYI LIMITS GENERAL LIABILITY BROS2542539 09/24/2005 09/24/2006 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE F_X]OCCUR MED EXP(Any one person) $ 5,090 A -- PERSONAL&ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( POLICY -X] PRO- JECT X LOC AUTOMOBILE LIABILITY BA052542539 09/24/2005 09/24/2006 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULEDAUTOS - (Per person) A X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE- $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY US052542539 09/24/2005 09/24/2006 EACH OCCURRENCE $ 10,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 10,000,000 A $ DEDUCTIBLE $ X RETENTION $ $ WORKERS COMPENSATION AND XWO52542539-09/24/2005 09/24/2006 X I WC STATU- I OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 10Q OO A ANY PROPRIETOR/PARTNER/EXECUTIVE , OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYE $ 100,00( If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,00( OTHER BRO52542539 09/24/2005 09/24/2006 Leased/Rented Equip: $100,000 eland Marine, $500 A ed., Actual Cash Misc. Tools & Equip: $5,000 aloe Installation Floater: $50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Staples remodel, Barnstable Road, Hyannis, MA. vidence of Insurance for work performed within the Insureds scope of normal business operations. otice of Cancellation provision is 30 days except 10 days applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of Barnstable 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Building Division BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 200 Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE B. Driscoll/PDB .. ACORD 25(2001/08) ©ACORD CORPORATION 1988 12/20/2005 10:38 FAX 6173507791 JPA Corp 2 002/002 12/20/2005 10:17 17819345856 COASTAL CONSTRUCTION PAGE 02 Town of Barnstable Regulatory Services Tatamiks F.Geger.Director Building Division Tom Perry, 8vi1ftg Commissioner Zoo Main Street, zlym a,MA,02601 gvww.tow�n.barastabie.ms.ns ' Office: 508-862'403 8 ,: Fax: 508-790-6230 Propel Owner Must Complete and Sign This Section If Using.A Buildex pakA IQ w� as Ownerof the sAbject propet-ty - lieSeby authorize P• to act oa my behsli . in 211= 18ts relative to work authorized by this building p=nit applic.Riou for, (Addttes of job) AZ- 2- -1 V 0-5- Sigg= a of Date Pit Name Q:Pa�s:owt��rsstox f ! sy.• �. Towne of r r o� A C B^�a"+s rAo4.a � G B r„ 0 a� N �fa %4 y ' v, ALL AN F. ✓o.vEs �` p c.a� I D .. ti P/e a'f`/64s i c ��q 4;'4 I �� S g9'37-zo"� > _ li 60 4- cl 3437 t} N � . s i 11 lz p p. N pARCE-L I D R /L A �.IOAcR&,5 t �z i w Cr o � I tt 1 I sg oo L q.40AC:iE5 I N V � N N � o z° y o `5 69Do.0o !D 1 O L o.co .-See P/d17 /9462115. �.a. .. J 9 561) NydNti,s /k"s DoRo thy. Car/soN.' certify thAt thfe plan w. s made in accordance v.•ith tree Lend Court inst uc"lcna Ot ccs /� .Sew �h /6¢6 a G u 4• :�.;<<Jr,<, Nev.9' f r �� i � D l v ° it 1 '' ;� 03/10/97 TOWN OF BARNSTABLE PAGE 1 PROPERTY/PERMIT CROSS REFERENCE SELECTION CRITERIA: property.parcel_id=1328 070' - - ALL CONTRACTORS ---- PERMIT ----- MASTER NUMBER TYPE PERMIT PARCEL ID ADDRESS LOT BLOCK __.•.DBA EXPIRID 1104 BPLUM 328 070 425 IYANNOUGH ROAD/RTE28 116 BROOF 328 070 425 IYANNOUGH ROAD/RTE28 11929 BGASA 328 070 425 IYANNOUGH ROAD/RTE28 '—11981 BREMODC 328 070 425 IYANNOUGH ROAD/RTE28 12000 BPLUM 328 070 425 IYANNOUGH ROAD/RTE28 12257 BGASA 328 070 425 IYANNOUGH ROAD/RTE28 12406 BELEC 328 070 425 IYANNOUGH ROAD/RTE28 13211 BCOO 328 070 425 IYANNOUGH ROAD/RTE28 13255 BSIGN 328 070 425 IYANNOUGH ROAD/RTE28 13478 BDEMO 328 070 425 IYANNOUGH ROAD/RTE28 14369 BROOF 328 070 425 IYANNOUGH ROAD/RTE28 18354 BELEC 328 070 425 IYANNOUGH ROAD/RTE28 18357 BELEC 328 070 425 IYANNOUGH ROAD/RTE28 3507 BREMOD 328 070 425 IYANNOUGH ROAD/RTE28 3840 BCOO 328 070 425 IYANNOUGH ROAD/RTE28 3841 BCOO 328 070 425 IYANNOUGH ROAD/RTE28 3842 BREMODC 328 070 425 IYANNOUGH ROAD/RTE28 3843 BREMODC 328 070 425 IYANNOUGH ROAD/RTE28 3844 BELEC 328 070 425 IYANNOUGH ROAD/RTE28 4728 BELEC 328 070 425 IYANNOUGH ROAD/RTE28 s RUN DATE 03/10/97 TIME 12:03:50 PENTAMATION - PERMITS MANAGER r � 1 PROJECT '"� NAME: ��d I E r rn i 4 S ti �fi -L-T/Q n 5 ADDRESS: v,7 PERMIT# PERMIT DATE: ���5 -- c(os "M/P: 3EKK 020 LARGE PLANS ARE FILED IN: BANKERS BOX FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSBOX Z:\Active Working\0154\R\0154_07J2-OVER LAY.dwg, 12-09-2005 3:58:45 PM REC.-DESK NSnO D QQ LENO JLVMjl - ^ SPRINN H / \�� ✓O \ 1 ------------------ 5�p .. .... .. $ U9IlF g � ' i I { _ ;,FEniURE AREA CIEFI:Y � " ' H I H I Ikl H H .._ ---"-- -- - _-- wr a QSK 46 s . N-21", ft- L mo-161 I ; - I H a ® ® M_ .w I® ® ,® ® 1 I DIRECTORY' .-.. ....-e ---------- scoD I I NPSCDIORCOLOR n WC001 F.. INS-BW I' HS-OW I wioo}I� I LL1111 u10 ss-Rw a m I ss ew Io ss-ew. I WC002 U-RW L<-C ,o a 2006 REMODEL I HYANNIS, MA FIXTURE LINEARI FOOTAGE AREA ANALYSIS 364 BARNSTABLE RD. zxm w OP—t OVERLAY PLAN [NTC: OMWN T. IACH: CEYING H6T: CDNHG i1'PE: I2-03—OS RT. CONRi.T9E: N1E TPC: SECURRY R.N10 FlIE 7-w s 1 0151 OIR-0.4UI PS I STAPPLES1e Office I 0154 Su rstore GROWTH AND DEKLOPNENT 500 STAPLES DRIVE DATE REVISION BY FRANINOTNM I 017G I A. 9'-2- 27'-0- 2V-4' < 21'-1' 17' DlND 0� 99 SPRINK y' I \\I i u'8'-0-i D'-0 '♦ HINGED .. 41._]. W - ACCENT. • - _. - - WET 2. . _ • - 45'-4. 41._8. 62'-0' d r Ln A LTJ z m H Z ♦ 8 z _ y • .. f 4'-II- '1' 1 ♦'-- - '-1' '-40 .. - PANEL SUPPORT ; C r 4, , i L . .. m. b 4 ] mZ -. ' x &47 26•_8" _ ♦'-11- 14'-D 11'-2- .. 4-6 ♦ -]51 t . El- .. .. '.".. _ 150'_6- II �� All bib 0 2006 REMODEL '` 12-09-OS MERCHANDISED BY AND FIXTURE CHANGES PER'B. KINTZ JP Rl - FIXTURE LINEAR FOOTAGE AREA ANALYSIS- HYANNIT J MA 11-28-OS REMOVED SOFTWARE 4-WAY RUN JMP $61 BARNSTAHLB RD. - - - PROTOTYPE LINEAR FOOTAGES SALES AREA - 19,692 am Na ' n-25-OS REVISED PER k APPROVED AT 11-21-05 SUBCOMMITTEE MEETING GBJ - - ACTUAL STANDARD SMALL SALES AREA OTHER 11-18-05 REVISED PER 2006 REMODEL AND PRE-REMODEL SURVEY GBJ OFFICE SUPPLIES - 91, 844 804 SUPPORT BACKROOM 1.370 _ FP-2 FLOOR PLAN 11-08-05 FIXTURE CHANGES PER N.CARSON GBJ TECHNOLOGY 674 678 512 SUPPORT FRONT END 535 DMO pDNN°^ A11014 maa IIDp OQNo 11PO 11-02-04 REVISED PER AS-BUILT CONDITIONS BY AVr EC 01-16-1996 MAD 12'-0' Aruus. FURNITURE - 68 83 60 SUPPORT OTHER LEVEL 10-14-04 CONVERTED TO GENERATION 4 FIXTURE BLOCKS BY AVT EC - - RECEIVING 1,871 I e--1'-0- E n s�TRi cEN7ER1 LO. 0 54JI. 04-23-Oa MERCHANDISE CHANGES PER C. MAREIRA UPDATED REGISTERSCC/METOTAL LINEAR FOOTAGE 1 658 1,605 1,376 MISC.AREA 1 DT�f STAP"V The 03-31-04 REVISED PER 2004 TVR CONCEPT MERCHANDISED PER C. MAR— E M MISC.AREA 2 ' Office 01-19-04 REVISED PER CCHG 01-15-04 MEETING COMMENTS JTM COPY CENTER PROD AREA S 65 412 TOTAL STAPLES AREA 23.468 015 Su erstore 01-14-04 REVISED PER COPY CENTER HYPERGROWTH AL MS `l COPY CENTER OVERALL AREA SF 1,372 1,060 GROWTH AND DEVELOPMENT PREVIOUS REVISION NOTES DELETED CHAIR SKU COUNT - 28 142 SURPLUS SUBLEASE AREA �qN",MA 0 7 DATE REVISION 61' DESK DISPLAY AREA SF 1,723 2.002 TOTAL CALCULATED AREA 23,468 WAProposed Remodels and Expsnsions\0154 07J2.DWG,12-09-2005 3:57:39 PM Zi b� g s'g0j, Ighi ¢lig 5 xis m n l 1.Igi eE w a �' N _ D ' ., R- K- D. . $YQ L_J VEND VEND - . Y31vB - - L_J a - . - SPRINK 4 I � I HINGED _ SIGNS ----- T MATS - - 127:Y AL FlIE wEiS I: : II I RN .yiEATMENT. 134, KC43F3 )I:BULLEL N Egos 'I H9 rJi111tir�H b 1 ]u 100 1 cros u 1 6 127 I •...: I: CON. y 1 - -_--. _•---- _ _ - _ 1 KIOSK 210 - 21) 60t 2]2 . w 710: I )9:iFAC SUP - G.LSSR _ . 760 evvy '-1 710 715 711 II - - -�-- -__JJ2 _--__ E ACCEN V N - CARPET T2 - ] BOMD T]I:906 SGNND 'r $�•. '.I - ))] -Iz(">I" I1O800 $KEfGI 701�PAPER PAPS )06'NOTE 711 b - - •' :' 4 f]FM EfmTAB SPECK ]1k RIE FdOFRS u OIBOB 304 - 309 742- 699 N• 256. 6 ))) 504,RD 500: SW PAPER RtlBi w50] 0510'AD3 PADS ' .. . - N 250 .. : ){9 wTm RID MTmwTS CAIRpt IDR.R1s lE K03Ym �QI����I� z23 220'—"2N 203 202 6.�. ck y 36'-3' b 6'-6' ♦-0 6'-6' , u 22k LBUW2 YIM IE2ACC NDSETS i _ _ 1 i A2271 �WMESS eR 541RID GPS 7]1 _ IBt 789 ] : ]I7.i f COWYN W MOOLA s1. rm .78:uESN wE y}SORT w,1tI7L e02: EFGSES •; EAI(PAP :z S:.iA% ]IS�� TEN DGES �` �,. ' T?,V19 2WEwt9s ] FA$ 16 l9wms I¢a1Ps 303. 31a _ 307NEW END T 238, 2J3 ".]IS 7-7 - y, I. ,b9Bla< w r. ' ' - HEw wRAP umVND B•sE(TYP) o "r KEICBLS 212 i - Ilz NA ]le _ - 213.x 2]2'FNt YIC11 23]:COPIERS - - . o z28 S 2 )O6 l39 )S6 1]S )]] E$ 3Q CASNRG CAW A6 RN6 LG TRY PERSH KCWN CUPBO ICI C 211 310 305 313 V4 312 5)PRi=;57:1/SE I )aa: PNUR uYITB )6): Bo%ES - �1�1 - cowm 31R.W5 SUR" 21.IbB B200B "5'ROUND C IN GONDOU b -® Y/SCRD PC Cpi NwJx 1wE1D5 MP34CC W]PLY 2 I y 299' 290 215. 2N 242 tw. 256: N1ERS KIET 22:SKRE - SC R= 713 )es )m Teo 2" - z{3 2{)ALL w E' NES 743:PACOW AP[ 16SGIES 10k IIWERS ]129NL 9w+NR8Lt YBNEIw 2 2a�CENT ® _ 1 �� I -a CMPET 1 '..� ' 702:EHYELOPE4GO 21U '• YRIDC 2 :LAPTOP - . 251 - ..213 b - . I ]OB: NERS'OC1lMC VA )2B KK JET RRCEO EXTEND TO 144' 282 283 28D - 290 •� - ]OB 31 p _] ®'c 5 _ o( T 0 S u9PRX M_FNPUf 160: ORBE 288:. . f_ .. 710 WRRING WSTRUYENTS RE A[ 19mB0i lOi:NST-R IN16 - 326 SVTWARE . •.W - Sz6.320' _ • '_ ,y' » i - a, SIGN FOCA ]ID - '- SOFIVARE fl .- ... ,..? ]09•DEBK T STA ERY :..:. -. '. � I B00:N STORE ROYO CEP110N NEWPRY e'13•-t' •. 21'-10' ._. 11'-a' S'-1' 3'-ly S'-1'- S'-1' 17._4. » 33._11. .. .. O 9._O. .. )so sma 730 ci 4 fa ® ® ® ® .. ® r 330 3 21e ..� w }- It 201 D PANEL SUPPORT 8 1 338 216 I RE" COYPPR -' a 1 4'-• 4 1 {'-0 ♦-1' a'- ♦ 1' 0 F I '(yjG� o 151a - .3 _ 'i 6109TD1B COPY 1ND PRIVY CBN1'BB p .. g$ ; COLOR COLOR' $ $R #I �1 .'Z m 115 RW N$Bw 14,y: VESTIBULE ' Y1 .. - ... (4)RELOCATED-.CHECKOUTS-..• .. M. WTTING A .. > . �.' • P u m mm V-tiW V-C ' Cd1NTEA FOR - - , FORMAT .t D E2 E 149'— Alt 2006 REMODEL, w HYANIVIS," � 11atl. 12-09-OS MERCHANDISED BY AND FI%TURF CHANGES PER 8, KINTZ 'JP RL FIXTURE LINEAR FOOTAGE _' AREA ANALYSIS '-• 11-28-05 REMOVED'SOFTWARE 4-WAY RUN JMP 36I DA&WAHL6 RD. - : PROTOTYPE LINEAR FOOTAGES<' SALES AREA` - 19.692 11-25-05 REVISED PER&APPROVED AT 11-21-05 SUBCOMMITTEE MEETING GBJ - - - ACTUAL STANDARD - SMALL - SALES AREA OTHER 11-18-05 REVISED PER 2006 REMODEL AND PRE-REMODEL SURVEY CBJ OFFICE SUPPLIES 916 844 804'. SUPPORT BACKROOM 1,370- FP—� FIXTURE PLAN - 11-08-05 FIXTURE CHANGES PER N.CARSON : GBJ TECHNOLOGY- 674 678 - 512 SUPPORT FRONT END). -5J5' RM6 OR"�' .' �� ' ��tT9C 11-02-04 REVISED PER AS-BUILT CONDITIONS BY AVF - EC FURNITURE 83 - 60 SUPPORT OTHER LEVEL ' 01-I6-1996 31AO 12'-0' ACOUSTCAL 10-14-04 CONVERTED TO GENERATION a FIXTURE BLOCKS BY AVF EC ]IYC t9m I1Ya @3lRd fu RLIo - RECEIVING 1 B'-1'-0' E STRIP CENTER Low 0151-07J2OW 04-23-04 MERCHANDISE CHANGES PER C. MAREIR UPDATED REGISTERS C ME TOTAL LINEAR FOOTAGE t�6.8 1,605 1,376 MISC.AREA 1 - STAPeEs The 03-31-04 REVISED PER 2004 TVR CONCEPT MERCHANDISED PER C. MAREIRA E MC - - MISC.AREA 2 Of floe 01-19-04 REVISED PER OCHG 01-15-04 MEETING COMMENTS JTM COPY CENTER PROD AREA SF 65 412 TOTAL STAPLES AREA 23,468 0>59 Superstore 01-1a-Oa REVISED PER COPY CENTER HYPERGROWTH AL HS COPY CENTER OVERALL AREA SF 1,372 1.060 ORDIM AND DEIEyppyprt PREVIOUS REVISION NOTES DELETED CHAIR SKU COUNT 28 28 1 42 SURPLUS SUBLEASE AREA I PMMIDUCHAM,MA 1017702 DALE REVISION BY DESK DISPLAY AREA S 1.723 2,002 TOTAL CALCULATED AREA`.• 23,a6B t. t CB/DH FND � LEQEUD ri�ti�.;•.�QNDITIt:}NS; V fs, x Al2l' EXISTING SPOT ELEVATION 1 Dnderyt}urW 0 rL -ti - The location of underground utilities shown on this I 3 Tes it'la.and lnsrjcr=,(kryjres - Contractor shall employ qualified , plan is approximate Prior to any excavation for this protect work, personnel or testing laboratories to complete all testing required to Z cp (70.2] PROPOSED SPOT ELEVATION CT Contractor shall make the required notification to ON-Sale, 1-800.322• demonstrate that cornpteted rnstallatrons comply with applicable design WATER SERVICE 4844 and the Barnstable Water Company, 775-0063 fur verification of Codes and Standards NN ,Q •►. — - a— GAS SERVICE locations SEWER CONNECTION 4. t uGi.Ql.yyyth All wot•h shall be conducted ill a sequence and manner > 5, 9 owe-- OvII WARES 2. Qt)LWs ng s"^ tj - Contractor shalt perfo,m all work in winpi+a,zce { which will assure minunal disruption of utilities services and access to with applicable requirements of codes and governing autnordws having i Uusinesses both on site and at abutting properties Contractor shall 0.' f 0 CONC. BOUND jurisdiction Contractor shall cooperate with utilities vetul ,5 and local pruvtde signs, barncadus arxt all warning devices, and conduct all '� 4 (/) government authorities to obtain required permits, assure: compliance 1 operations in a r•ianner that will assure the safety of pedesti tan arid, fill '1 o EXG. CATCH BASIN with applicable construction standards, arrange for required vehicular traffic in the vicinity of construction. At the close of each 4 d C Q MW MONITORING WELL vendor!govt. inspector construction supervision and approvals, and working day all excavations shalt be closed and/orrr baicaded and (U provide as-built drawings as required ; properly lighted, and all detxls or soil materials which will not be ill ELEC. HAND BOX i incorporated in to finished construction shall be removed from site v QT z LIGHT POLE Q. CO-) UTILITY POLE EI.ECIflI�.-; AYiD1~ �INC.1„-_� 1 l E (Cont) •� o C- GUY WIRE WQ MAiL BOX -r SINGLE POST SIGN 3 Remove debris and prepare area for installation of new poles Coordinate I hot 25Sb.. ccwr- Ind COMMONWEALTH ELECTRIC CO Vicki Maichant with COMELEC for installation of new service lute and connections. STEEL GUARD POST 484 Willow Street (508) 790-1721 ; 4 Fumish and install foundations fix exterior lighting posts and supports. L� TEL. PEDESTAL Hyannis MA, 02601 Ext. 5752 5 Provide as-built drawings showing location of all underground cable and sl Wit., equipment rr. tie ,v/av�ti- `t� GAS VALVE YFt1[245��.�PY�lE.1GAIlQN_ ' SUPPLEMENTAL SPEC 1f1CAI1QN5 AND CQNSTRUQTLQN QLT " +' TEL. MANHOLE Info(ination and Requirements for Electric Service, A Guide tot Customers, /40t on 2.Sbna cmc Ahd µ G GAS GATE Electricians, Architects, Engineers, Builders and Inspecturs. ComElec, 1 Existing Electric service is frorn pole 167/34 located on Barnstable Road. fl►r ' November 1984 i This service will toe removed and a new service line constructed to a _ 0 EXG SEWER MANHOLE relocated pole 1054 1/3 to be fed from east of the proposed addition. + + 1ty K INCLUDED (See Site Utilities plan details and DWGS E-1 and E-4) details) �r & WATER SERVICE VALIA. AT'it Y 14 s f767/36 , ( ' -- WHEEL STOP 1 Piov►de temporary service meeting existing load demand PrQv►de plALA48 Q' separale temporary service as required to operate construction ; NDCP. PVMT, MARKING equipment. 2 Fu J1.J� a,-f� dQ rnish abut utstaii underground conduit and appurtenances in accordance ? MOW+boxss WATER VALVE --- - -- - with CbMELEC specafiLations and applicable codes and regulations. /W!pastDd GAS VALVE t7.SS il'' , ctionc rihie✓ stela r'jJP� r ,�-••---�. ~ 40 T,' PROP. SEWER MANHOLE Of 1.2's¢ e%c. box 7W.0 AZAfM x rr tit Planter — \ �'"r , TEST PIT QAS_;IEBYICE. r .-i IN N ccYrc. side+raiGi �'� ___ CIVIL drvin / hnc a ___ I OJ 2 x'Y4 �! �}y. � MW AQRK INCLUDE E 59 e V& Of cav7c. sidewalk 1. 1 !` S. ` Colonial Gas Compariy Lester Wade 1 Gas service piping is provided by Colonial Gas under contract with its t Y. P O Box 1210 (508) 760.7487 installer Contractor shalt schedule operation in cooperation with Gas Hyannis, MA. 02601 Company installer trsi<rJuvicte terrtWaiy piping as required to maintain gas service during wristruction and permanent replacement of gas VENDOR'S S2 C►fICATIQN: service s + 2 Excavate existing gas piputg and remove from site \, s �,,/ FL. ELEV � 42.88 terlatvha�v booths ' " All yes piping including meter and metes protection will be installed and 3 provide as twill drawings showing location of all permanent underground tested by Cuiorital Gas Company gas piping Ln '�j►+ �' EXTEND SI EWALK SUpP_._ LEMENTAL SPECIFICATI AND CQNSTRUCTIQN NAILS --- _ P 1 Temporary an will be installed to maintain service to the site and P ,!l a/* 1 7/, S po ry gas piping q butrdrny to Other businesses at the: site (see Site Utilities Sheet a details) ex ouN,ibe 1 1 Q r • N .1.L E ML.HQbJE.�i,EFjV3la.Yr j o ( WOfiK iNCLUDED- t� r hn S/te4 r,?e►.N sr'plvs K t7os ,,,�/a, �ljpJ NYNEX +I�•iesrii■it�t t Provide temporary support for relocatrun of existing service and as EXG. TNRE OLD ELEV. 43.t2 r— 44 Old Townhouse Road (508) 388.5731 required for construction operations i- --� / South Yarmouth. MA 02664 2. Coordinate with NYNEX lui installation of new strvice connection. EXT. THRESHOLD ELEV. 42,93 r YEf�DQR'S�PECIFicdTiobi t S PP EMENTAL;Z�-►FL�AIIQ�`..AI�QC Q tO H�T RUGTN DFT61LS to steeel(�►asr_ e%te sei�vrc�s * —--c---- '. „- .. ;1 Teicpnone cable will be installed by NYNEX personnel 1 Existing telephone service is from pole 167/34 located on Barnstable O C0'"c ` �`" Road The service will be tempoianly relocated during construction and re- V) s s► PROP. GAS METER " st o►w (sw " tcnk� pis- -- connected from the same pale W I 9 f t gas miter past "vr. pity � s _ � � 1 � idyl of porer»nt .x YEtlQQB YgIK INCL i I)LD. 2 8" -- _ a"" � --•-�" w...�- S 857g'30- TOWN OF BARNSTABLE Robert Bergman, PE 1 Construe a• manhole and 6" sewer connecting to an existing sewer � „� ,� manhole Reconstiuct exists manhole Z, i c�►i E 367 Department St of PublicWorks Town(508) 790-831e0 g � 196.10, Q tY I U1 Q !a,• c._-- • f�6�i� - Xa~r~� v�� �6' storkr�de fence 1 2 Connect to new building sewer � O �, }•-: Hyanius MA. 0260 t1 i tit O / ! 3 S PL EMiFNTA�..5PEC1EIQA11Q �I Q..Sr.QI�y2I �rT.iQt�.�EF1 1. t� Q (t)I fI) C '`��---�� :'`'�• \ S �g fie -s YE11QQf3'�.AP.EFIEIQAT.L N R 1 See Site Utilities drawing Sheet 2 for manhole and trench detail RO _.-.--� Z � .: f �a Tuwn of Barnstable. Department of Public Works, Specilicatlun bur Sewer 0 PROP. REMOTE WATER i � �Op Connections, December 1994 0. 5 0Q METER READER LPROP. GAS MAIN J' FND YYAIF..B�iEgYI�E ( � Q crwth `� PROP. 1 1/4" DOMESTIC 'b 1.6bia ileac hid 'c LWATER SERVICE ,• SU2E!LE +►ENIe9L�E'F.I�IFICATI4NS AND cQN57KUCTION j�1 Its � � - r (Cant) i i� < { _ an Barnstable Water ComLPROP. 6" SPRINKLER MAIN) Company Norman Nautt, Supt. fr 2 47 Old Yarmouth Ro (508) 775-0063 3 Trench backfill above specified select gravel kt Uclin0 shall contain no O Hyannis. MA 02601 stones greater than 3" largest dimension, nor broken pavement or other PROPOSED MANHOLE AND 6" PVC debris Baekfrit snail be placed and compacted in 12 in max. lifts Q SEWER. CONNECT 4" BUILDING --5-T7n 'ALL /3 Hyannis Fire Department Lt. Donald Chase 4 6" piping snail be cement lined ductile iron Clasp 50 with`Tyton Joint"or � z SEWER AT MANHOLE. 1 E High School Road (508) 775-13W I approved equal. Hyannis. Ma 5 Atl re u►red fittings sand valves shad be cum dlrble with M q g P' Piping malsnals a `M'~' c _ r �G ►� �� as manufactured by Mueller, Hays, Ford. Romac, Red Head. Buffalo or 0 YENDQR'S SPECtF1DAI1S2N equal i J t � 6 Temporary blow offs shall be installed as required to jgerform testing CL • i� The Barnstable Water Company does not j.t rt 7#4 ,,5` /y1� provide a specification for service 7 Where the doinestic service crosses under sewer piping, it shall be # d �f _piping Pipe must be Ductile Iron or PVC and must be pressure tested encased in 3" dia schedule 40 pvc, extending (where possible), tenf TE PLAN for leakage and chiorinated for 72 hours feet either side of the crossing. The ends of the encasing pipe shall t'`1 "" a :� • • • �,� provided wilt, a water tight seal. �"" < tY +�/ a Piping shall be pressure tested at 150 psi to be maintained without O Y1(�RK lhl - TD D EXISTING CONDITIONS noticeable reduction in pressure for a period of at least 15 minutes < , 1 Provide and install 6"ductile tron pipe with appropriate fittings acid thrust 9 The contractor shall chloritidte the water main after pressure testing o to 30 ao 120 ( i �Qhj blocking Install 1 114" K copper tubing service connection. CRlorinated water shall i�main in the main for three days The main (( { 2 Remove existing AC pipe as required to construct new addition, shalt then be flushed al4lested two cdnsecutive days for the presenGa --- �2 �o� _ /o 3 Provide as-built drawings showing location of underground TV cable of baCt$ria Two cpnsecu�ive positive tests are required for acceptance ( IN FEET ) f �G �? � � of the cla(npbete d'work. ft. ' i inch 30 V TAL LR"IFICATIONS A,,ND CQNSTRUGTtON-,[i_j 10 The pro( ed wale pipit►o �haif be "five lapped" into the existing water main to inimtze down time required to cap and remove the portion of 1 Ail piping shall have a minimum cover of 5' ft. the exists mail) in the: wa of proposed construction The Contractor 2. Cast Iron fittings and valve boxes shall be installed as�econijnended by shall coo male with the Barnstable Water District and the Hyannis Fire their manufacturers. All fittings shall be Nicked up by a suitable thrust Department to assure rnimmum outage time and adequate fire block, and properly restrained. protection during the outage 96 — SHEET 1 01