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HomeMy WebLinkAbout0640 IYANNOUGH ROAD/RTE132 (2) ��o � � � j P iy �� / . 7 CF ZNE t o Town of Barnstable .MNST"M 10 Building Department-200 Main Street ti Hyannis, MA 02601 i63.9 `0m ` y TEn M ° Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-2012-01945 CO Issue Date: 7/23/2020 Parcel ID: 311-013 Zoning Classification: SPLIT Location: 624 IYANNOUGH ROAD/RTE132, HYANNIS Proposed Use: M: Retail/wholesale, market, fuel disp. facilities Name of Tenant: Sprinklers Provided: Gen Contractor: S.R. DODGE, INC. Permit Type: Commercial Type of Construction: Design Occupant Load: 0 Comments: HARBOR FREIGHT TOOLS 2 Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition TOWN OF BARNSTABLE 7806 Ordinance or Regulation BAR -W -�--'O—r--WARNING NOTICE Name of.Offender/Manager Address of Offender MV/MB Reg. # Village/State/Zip . Business_Name am/.pin; on 1�20 t 1 t Business Address (0' Z 'o V Qn X- Qb �- Signaturelof Enforcing Officer Village/State/Zip i-�`•t r-1-)-M r Location of Offense 'D 7--fi� Enforcing Dept/Division Offense. �� - / t�f2 c, ,� c3 z''r'.�. S Cr r:�S -` N t� n.2 Facts. � �c � N a ry=Z Q ca ra 2A z 0�t$ US,f4l y r,.2 F-"a Uc \.-1 C �v D a �S -r �.v.i�L I. D'r-'Z� r'-0-r Q c'. f a-te r t-t Ark-1z 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 OFFER GOLD-ENFORCING DEPT. ,a PROJECT r NAME: � S ADDRESS: ar, 1, PERMIT# Z012.0 jg�fS�' ; PERMIT DATE: r1 Z�Le �Z riup: l l LARGE ROLLED PLANS E BOX' 7-0 Data enitered,Yni MAPS program or. BY: r. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel?�2tt Health Division Date Issued l_ Conservation Division Application Fee : Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address Village /_ 7 Owner_ /-'L��Su✓ ''/ Address :`- Telephone Permit Request D� o ,%�� — �✓� o ✓' �G - �1�,n �ci�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type- Lot Size Grandfathered: ❑Yes ❑ No If yes, attaR upporti?g do nentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) � o Age of Existing Structure Historic House: ❑Yes ❑ No On Old K 6s Highway: ❑des; ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other =' Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use f APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name `✓� 7s� ��� Telephone Number -76 Address tl D G tJ1_-)7.s ��� License # ``a` f& i �"-� aGG Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE % DATE f i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r r MAP/PARCEL NO. i t ADDRESS VILLAGE t. f OWNER I DATE OF INSPECTION: _FOUNDATION,,. _ d FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y �r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Indw4rialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �f ^p Please Print Legibly Naive(Business/Organization/Individual): `� 7 S7�`f Tril_� 4— Address: Z-/o C � ��4 City/State/Zip: �� ���n-r� / l'L,�d�(�CUI Phone#: S-0C - '7 6 0.. Y o a f Are you an employer?Check the appropriate box: Type of project(required): 1.[Oam a employer with 0 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 g. F1 Demolition working for me in any capacity. employees and have workers' 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 1.1.❑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 hue 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 provide their 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: GS� �'`ly/o Policy#or Self-ins.Lic.#: &/3 Expiration Date: Job Site Address: (0 9 City/State/Zip: k/— 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 certi der the pains and p o perjury that the information provided above is true and correct .7 Si mature: Date: ()G Phone#: Q 8, 2G 0 OJ-5— 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#: •w •4 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the " members or partners,are not required to cant'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 permittlicense 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 a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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 lnvestigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-977-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia ACORD,M CERTIFICATE OF LIABILITY INSURANCE 70ATE(MM10DNYYY) 71 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MCSHEA INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 Falmouth Rd Ste #2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville, MA 02632 508 420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Bayside Tent & Table, Inc. INSURER A: Penn-America Insurance Company 470C WHITES PATH INSURER B: Progressive Insurance South Yarmouth , MA 02664 INSURER c: Ace American Insurance Co 508-888-4956 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. WSR ADUL POLICY NUMBER POLICY EFFECTIVE POLICYEXPIRATION LTR NSRD TYPE F INSURANCE DATE MMIDDIYY DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurence $ 500000 CLAIMSMADE OCCUR MED EXP(Anyone person) $ 10000 A PAv0006132 5/17/2013 5/17/2014 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY PROECT LOC ' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) ALLOWNEDAUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ 100,000 B HIRED AUTOS O4453770 11/30/2012 11/30/22013 NON-OWNEDAUTOS (eraocdeODILY INJURY ' Peraccident $ 300 000 PROPERTY DAMAGE (Peraccident) $ 100,000 GAFRAGE LIABILITY AUTOONLY-EAACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CICLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND - EMPLOYERS'LIABILITY TORYLIMITS ER ANY PROPRIETORPARTNER/EXECUTIVE 6B24915 5/16/2013 5/16/2014 E.L.EACH•ACCIOENT $ 100,000 C OFFICERMEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEI $ 100,000 If es,desuibeunder SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 5.00 00 0 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 Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.REPRESEN jjggjj�I AUTHORIZED l`CnA .. ACORD 26(2001/08) ©ACORD CORPORATION 1988 •T p 4 V- ` 1 J Certif y Y N tatp of inai lkl AEiR.3C. rp7 ISSUED . G �G, J"_, v iN 11W 'R! r✓1hJ' � �S�J�Jv ".r 7!ti ! GPK .. ' E s is"dr tcz rt£( (S �i rhE /RpJ' ; MAY A 9 8- i. r 14d3 cat l err F, a,>cr;. esc,s6d r . this Is to certify that the Oroducts herein hav eer �auatuTd from material inherenv . aa rt a h V es�rra:tT, e byt teria supplier, ITY - . cet4lfIcation is hereb r a€#e tha 5 I' Ira affl�) S.��5 frae D t 11 S i Bf r_-Pr h y.E ^-c n ,ran j1aCi t � s r E tF fr3^r f@lad < i v4 Irfo E 4 S at�:Frra mr rsna)Co;ye i A r,�" U jc Q�vr terms , ,. G 4 4 I wt, the Pedelr f T4st 1k1e,hcyd Spemflcar r rc t r �� Ea .:Y ✓ 3 d :u fTu� 2 p 3; r r o ,-..,•.t-.,,� ,,.,.,. .t(G;<l.0 4 e P r1 to^J 3"'lam `Jpeo ftL�t V'•}$..�5 Artf7 t'� Enl,,,e^t ��-a--� — : ypo Ti�'®Enc311. ;ar 3"-�' n 'iY-- #C vrnpUon P zem certPPie F t 20x2O # vinyl Top - ..� FI Retardant: �� r . Is Effective: For The Life The Fabric Snyder ManufaCturing, Inc, I manufa co, ieS of ri r, x 7t.4 1 Y TME�,,� . Town of Barnstable Regulatory Services nuss, g, Thomas F.Geiler,Director s63¢ r�rt' 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 Builder } ` I, 00C)fie"(� l~-1 1 l ` , as Owner of the subject property hereby authorize— LDS�.dr to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. i Signature of Owner Signature of A plicant Z/ J Print Name Print Name Date Q:F0FMS:0WNERPEPMISSI0NP00LS 62012 Town of Barnstable Regulatory Services ' A Thomas F.Geiler,Director 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": mane home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work verforined under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection . procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 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 are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack 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. C:\Users\decolltic\AppData\LocaDMicrosoR\wmdows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\WRESS.doc Revised 053012 Map, Page 1 of 1 Town of Barnstable Geographic Information System New Search' Home- Help Parcel Viewer Custom Map Abutters Map size ® Zoom Out I I j 'j1n 'q9 CD. oc 7PG Map: 311 Parcel: 012 Full at rw Property 31203 Location: 640 IYANNOUGH ROAD/RTE132 Info #030 04 311102 r:� Owne MDM/HYANNIS PROPERTY,LLC p 311085 0600- 3790 rZ Location Information 311108 a580. Map&Parcel 311012 ` -- AIRCogTACc sS:MCMa Location 6401YANNOUGH ROAD/RTE332 3t10n��' Acreage 1.13 acres R 888 311093 Current Owner31 ` C.U�W Mailing Address MDM/HYANNIS PROPERTY,LLC 3 11012 ° 481 MAIN STREET q 840 311020 BREWSTER,MA 02631-1049 M15 �y 8814 711015 Appraised Value(FY 2013) 311014 NBDB - 311019 K /p-0 a814 9 7 Extra Features $0 k11009 �'o Out Buildings $180,400 . hqo Land $553,600 QaE 311018 Buildings $0 : �y2 %37 Total Appraised $734,000 R 055 3n0t8 Assessed Value(FY 2013) ;. . . A804 ..—..---___.._.____..__________�.__. Extra Features $0 169 Feet 311004. 311007 315917 Out Buildings $180,400 p821 p8D8 . Land $553,600 Buildings $0 • Total Assessed $734,000 ' Set Scale 1" = 169 __.,� Renal Photos MAP DISCLAIMER Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BafnstableMA V1.2.4748 [Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=31... 10/8/2013 �tHETp,,� Town of Barnstable Building Department - 200 Main Street &MMSTABIE. # Hyannis, MA 02601 MASS. �' (508)1639• 862-4038 �FCMA�A - Certificate of Occupancy. _ Application Number: 201201945 u CO Number: 20120098 Parcel ID: 311012 CO Issue Date: 07126112 Location: .6401YANNOUGH ROADIRTE132 Zoning Classification:' SPLIT ZONING Proposed Use: PARKING LOT Village: HYANNIS A Gen Contractor: WELLS BRUCE 'Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: HARBOR FREIGHT TOOLS Building Department Signature Date Signed f F �tNE Tpw - TOWN OF BARNSTABLE Building 201201945 BARNSTABLE, Issue Date: 06/07/12 Permit 9 MASS. �ArFG 3 11 9.�A�� Applicant: Permit Number: B 20121303 Proposed Use: PARKING LOT Expiration Date: 12/05/-12 Location 640 IYANNOUGH ROAD/RTE1327oning District SPLTPermit Type: COMMERCIAL ADDITION ALTERATION Map Parcel, 311012 Permit Fee$ 1,768.30 Contractor WELLS BRUCE ti Village HYANNIS App Fee$ 100.00 License Num 065191 Est Construction Cost$ 194,319 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND HARBOR FREIGHT TOOLS INTERIOR FIT UP OFR NEW TENANT IN THIS CARD MUST BE KEPT POSTED UNTIL FINAL EXISTING RETAIL PLAZA INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner, on Record: MDMIHYANNIS PROPERTY,LLC BUILDING SHALL NOT BE QCCUPIED UNTIL A FINAL Address:' 481 MAIN STREET - INSPECTION HAS BEEN'M".E. BREWSTER,MA 02631-1049 f / Application Entered by: SS BuildingPermit Issued B : Y .� THIS PERMIT'CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF EITHER TEMPORARILY OR PERMANENTLY BNCROACHMENTS ON - LIC PROPERTY;NO �SPECIFICALLY:PERMITTED UNDER THE BUILDING CODE,MUST BE.APPROVED$Y THE JURISDICTION?-STREEToR 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. t MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT'IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). f9 5 RIM V +h0 i ;,1,,,.•"-WLs,✓ ,^ }�. a f a.,rry sx �_, BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 6 2 2 3 r (r 1 1 Heating Inspection Approvals Engineering Dept ,,FireDept p 2 and of HeaIt l Sign AB, , , TOWN OF BARNSTABLE Permit BARNST 9 MASS. �iOrF� A� Permit Number. Application Ref: 201203979 20070773 Issue Date: 07/03/12 Applicant: MDM/HYANNIS PROPERTY, LLC Proposed Use: PARKING LOT Permit Type: SIGN PERMIT Permit Fee $ 200.00 Location 640 IYANNOUGH ROAD/RTE132 Map Parcel 311012 Town HYANNIS Zoning District SPLT Contractor - PROPERTY OWNER Remarks ; y NEW FREESND.40 SQ & 40 SQ WALL SIGN HARBOR FREIGHT TOOLS.. Owner: MDM/HYANNIS PROPERTY,,,LLC Address: 481 MAIN STREET BREWSTER, MA 02631-1049 Issued By: PC POST THIS CARD SO`THAT IS VISIBLE FROM THE STREET PERMIT PAYMENT RECEIPT 'TOWN OF BARNSTABLE (BUILDING DEPARTMENT „200 MAIN STREET pHYANNIS, MA 02601 1 ,DATE: 07/03/12 TIME: 10:58 ------------------TO $ PAID 200.00 AMT TENDERED: 200.00 �CHANGEPLIED: 200.00 APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 61996 fir..-�- - - -- - -- _____...,.�.--------------------- - ------.. ' Town of BarnstaiNk, c- B RU�)''�L��� i LE Regulatory Services `* RABNSCABIE " (pl it r Mwss $ Thomas F. Geiler,DirecIor 4 #7 1 j : 54 Building Division- Tom Perry, Building Commissioner 200 Main Street, Hyannis, M02631 www.town.barnstable.m`a us'. * � Office: 508-862-403 8 Fax: 508-790-623 0 Permit# :- . Application for Sign Permit Applicant: 1`--—h __Assessc,rs No . ------------- -1� Doing Business As: _Telephone No._________ Sign Location Street/Road:—� �Y - --- --- Zoning District:_—_ 016J..,ings Highway? Yes/No Hyannis Hic;toric District? Yes/No Property Owner Name:------ C-2- -i.t,17>L�L C�!5� ��_Telephl:,-.P: ------------ Address: -Village: Sign Sign Contractor N _ 7( /�Otl _�// l l� T ✓�/ J Q_-�7 ame: 0� ----------- eleph:>ne: . Mailing Address;_I- a 131 ------ -- Description Please draw a diagram of lot she king location of buildings and existing signs with dimensions,'location and size of the new sign. This shot] k be drawn on the reverse side of this ap,_:.i.ication. Is the sign to be electrified? 0-e0 (Note: If yes, a wiring permit a re -iired) .Width of building face ft.x 10= ® � x.10 = �7 hereby certify that I am the o`, ,Per:or that I have the authority of the owner to make this application,that the information is correct and }mt the use and construction shall orrn ;:c the provisions of§240-59 through§240-89 of the Town � i"-;rnstable Zoning Ordin Signature of Owner/Authori.: f gee nt: ate: — --...... -- ---Permit Fee; St gn Permit was approved:__:_ -___--- —_ Disapproved: SIGNS/SIGNREQU E , g •`•i� w�.,,,,� ,¢ ' �n T�_ .� '� .)- ��' fAi'xki/CrodetdoP§idy dlnag 959E 500 Nino at,2 gull')55 F{ maa.Pa. 10M $ -569^ti5HF3^Ei5Hd - - 'a nr � . .+,..+ °'""'�^..•. -C`.,�/ - (Flr IC)R4Q-AGi[!'if3c k _ `•...••s. '' � Fvw,h rsPRsrsFlFltaFln Tors± «. `.• �, HARBOR MOGHT rooLs EOGO 1Y. 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Cal°d!.'i3 tlltlew8ktsygtp pFaR� . - �Nard. -Un � a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 40 Name �� S Telephone Number Address (Q �j, S N �Y� License 12 d Home Improvement Contractor# J L L L Worker's Compensation # w G 001 00 9/p/ 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r TO'pfrN Map l Parcel = 1¥A15)lication # �' Health Division 2012 APR'-tj A,,j 9; R2te Issued � Z Conservation Division , - Application Fee J V Planning Dept: _ ;.µse P mit Fee I � 4 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis [ice Project Street Address b -• 6,410 (�(Al 1411-36U&4 fz_oh-p Village Owner F4 kY_V.,6 tZ FrLFA GM'r i c)O(.S Address t L K 1 ACT O 12-P. Telephone " tO - t�63 G14Llb. A, R Cie 2 Permit Request 1�,�bon_ lFa_ t6-tir too Us . I ISTIF-�61L �I�P�I� dC"1_ N "� �a�-sue i 1� oSTI Square feet: 1 st floor: existing 60614proposed 2nd floor: existing proposed Total new Zoning Distri t lood Plain Groundwater Overlay Project Valuation Construction Type�� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure � Y1ZS . Historic House: ❑Yes &No On Old King's Highway: ❑Yes Lq No Basement Type: ❑ Full ❑ Crawl ❑Walkout 5k0ther tow e-- Basement Finished Area (sq.ft.) lAt 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: tl Gas ❑ Oil ❑ Electric ❑ Other Central Air: 0.Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ® No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: E�o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 6 Yes ❑ No If yes, site plan review# Gurrent Use L --- I Jh P.roposed.Use C(t7_A�A4STIL:E-- TOOL- ' APPLICANT INFORMATION (BUI D R HOMEOWNER) Name Tel hone Number a�• m Address License LHome Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f y r FOR OFFICIAL USE ONLY " APPEICATION# . DATE ISSUED MAP/PARCEL NO. Q ADDRESS VILLAGE x OWNER DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION FIREPLACE ` e k, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL N , k. FINAL BUILDING DATE CLOSED'OUT ASSOCIATION PLAN NO. 'r Massachusetts- Department of Public Safet% imm,'.Board of Buildim, Re�aulations and Standards Construction Supervisor License License: CS 65191 BRUCE A WELLS 53 COLONIAL DR ARLINGTON, MA 02474 Expiration: 10/14/2013 ('ommissioner Tr#: 6228 y� ✓1e �ommwnuieali o�✓ aaoac�u�arlta _\ OLfiee at Consumer Affairs&Business Regulation HOME IMPROMSfgNNT CQNT".1 ZTGR Ri MIU, ion:-, ,2 ;822 Type- Exp rat►ew 012 Private Corpgratio DMS.'CONSTRtE _'%• r BRUGE WELLS 69 SWANTON ST WINCt-1ESTER, MA Undersecretary 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-Leeibly Name(Business/Organization/Individual): 1 Address: ca City/State/Zip: LI D' hone#: ZV f,}AZ Are you an employer?Check the appropriate box: Type of project(required): I. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or p -time). * _ have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. KRemodeling. ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers'.' comp.insurance.# 9• ❑Building addition [No workers.' comp.insurance p• required.] 5. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other ' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy,and job site information.. Insurance Company Name: Policy#or Self-ins.Lic.#:_ W e. ®n no Q 0 Expiration Date: Job Site Address: (/ 410. / /r0�1'� 1��'j Jt/1!j City/State/Zip: . j /►/� (ip 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 a 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 ti{ under the painManen alties of perjury that the information provided above is/true and correct. Sign ture: Date: lQ 1 Phone#: 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#c AC�® DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4 812012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Shannon S errazza NAME: P Risk Strategies Company PHONE (781)986-4406 A/C No:(781)963-4420 15 Pacella Park Drive E-MAIL ss errazza@risk-strate ies.com ADDRESS: P g Suite 240 INSURERS AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURER A:Evanston Insurance Company INSURED INSURERB:Safety Insurance Company 3618 DMB Construction Inc INSURERCNational Union Fire Ins Co 19445 69 Swanton INSURERD:The HArtford INSURER E: Winchester MA 01890 INSURERF: COVERAGES CERTIFICATE NUMBER:CL11112942645 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MM/DDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES Ea occu RENTED $ 50,000 A CLAIMS-MADE I—XI OCCUR 3C40593 1/30/2011 11/30/2012 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED X SCHEDULED 022881 11/30/2011 1/30/2012 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ Hired Combined Single Limit $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB X CLAIMS-MADE KONJ433311 AGGREGATE $ 5,000,000 DED RETENTION$ 1/30/2011 1/30/2012 $ C WORKERS COMPENSATION Bruce Wells is excluded WC STIMIT ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE NIA A from coverage E.L.EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? C003250079 7/20/2011 7/20/2012 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 1,000,000 Inland Marine OBMSZS0696 /26/2012 /26/2013 Tools or Equipment including 21,342 leased of rented equipment Ded: $500 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Issued as evidence of insurance. Job: Harbor Freight Tools 640 Iyannough Road Hyannis, MA 02801 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Hyannis ACCORDANCE WITH THE POLICY PROVISIONS. Building Division of the Regulatory Servi 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02801 Michael Christian/SMS ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r9mnn5t ni Tho A(`(ipn namo and Innn nro ronictororl marlrc of Arf)0r) HYANNIS,FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 HAROLD S.BRUNELLE,.CHIEF FIRE PREVENTION BUREAU LT. DONALD H. CHASE,JR. LT.JOHN COSMO Inspector Inspector May 15, 2012 Review notes for Harbor Freight A 0.0 Fire and Life Safety Code is 527CMR in its entirety-CMR 21 is for flammability of decorations and window treatments. D 1.0 Demolition note#5 —permit required for dumpsters> 6 yards per 527CMR 34.00 D 1.1 Shutting down of existing sprinkler or fire alarm equipment is by permit and notice to the FD. MGL Chap 148: 27A A 0.2 Note#74-FPE stamped plans for sprinkler system forwarded to the FD FPE stamped plans for the fire alarm system forwarded to the FD. A 2.0 RTU# 1-7 are to be labeled on each unit on the roof for alarm_ purposes. FP 1.0 (see A 0.2 above) E 1.3 Remote annunciator shall have the capability to reset the FACP following an incident. E 2.1 Locate the remote test switches for the RTU's in the FACP room. Test switches shall be marked to coordinate with unit numbers on the roof. E 2.3 Note 1 —Provide schematic and installation drawings for fire alarm system stamped by an FPE. Provide test paperwork and certification.of both the fire alarm system and sprinkler system per NFPA prior to or during the final inspection for occupancy. Lt Donald Chase, Jr, FPO Fire Prevention Officer Hyannis Fire Department Tel. 508-775-1300 Fax 508-778-6448 Emergencies 9-1-1 May 16,,2012 Town of Barnstable Building Department Attn: Mr.Tom Perry 200 Main Street Hyannis, MA 02601 RE: Bruce Wells D.M.B.Construction, Inc. 69 Swanton St. Winchester, MA 01890 Re: Construction for Harbor Freight Tools Dear Tom: I am the President of Keller Company, Inc.,the developer and buyer of the former Circuit City building located at 640 lyannough Road, Hyannis,MA. Please be advised, I hereby authorize DMB Construction,Inc.to pull necessary permits from the Town of Barnstable's Building Department for the purpose of the construction for Harbor Freight Tools interior buildout. Should you require any other information for the commencement of this buildout,please contact me at anytime. Yours truly, J eph P. Keller President HARBOR FREIGHT TOOLS REAL ESTATE DEPARTMENT 26541 Agoura Road,Calabasas,CA 91302 Town of Barnstable April 3,2012 Building Division Attn:Tom Perry 200 Main Street Hyannis,MA 02601 Hi Tom, j � There are 2 requirements needed for building submittal,that I will have to get you sometime in the next couple weeks. We will have the two requirements for you before the project is approved: 1)A requirement for submittal is to provide the Town with a contractor's license and workman's compensation number. The project is out to bid and we have not yet selected the contractor. We will PULL the permit with the contractor's information however,in order to get this project submitted and in plan check,we will use an architect's license number. Please note,the architect does not have Workman's comp. We will provide you with Contractors Workman's compensation information when we want to pull the permit. 2)You need the Property Owners Signature;however he is out of town. I will get this for you in the next couple weeks. Please allow us to submit and have.the project review begin. Feel free to contact me with any questions. Thank you, Christina Clochiatti Development Coordinator/Real Estate and Construction Harbor Freight Tools 126541 Agoura Rd I Calabasas,CA 91302 Ph: 818 836 5048 1 C: 818 307 7666 Message Page 1 of 1 Shea;Sally From: Schlegel, Frank Sent: Thursday, June 07, 2012 10:04 AM To: Shea, Sally Subject: RE: ADDRESS PROBLEM Hi Sally, Sorry for the delay in response, I was out for surgery...AGAIN.....ARRRRRGH!Anywho, I have had the address of 176 Indian Trail on that property; Map 318 Parcel 032 since 9/11/2001. Number 164 was assigned to Map 318 Parcel 033 which was vacant. The parcels must have been combined back in 2001 and that's why they ended up with#176. Map 318 Parcel 033 was combined with Map 318 Parcel 032 which is where GIS shows the building and the address for that parcel was always#176. So, Map 318 Parcel 033 was deleted at that time and the info was combined with,Map 318 Parcel 032 as#176 Indian Hill Road. Hope this helps. Let me know if you need more info on this. Thanx, - Frank -----Original Message----- From: Shea, Sally - Sent: Thursday, May 17, 2012 3:24 PM To: Schlegel, Frank Subject: ADDRESS PROBLEM Frank, We have a street folder for 164 Indian Hill Rd. Parcel lookup does not identify that address but has a 176'Indian Hill Rd. Did this address get changed??? 318 032 Matches everything in the 164 Indian Hill folder. Do they know their address?? Thanks Sally 6/7/2012 Message Page 1 of 1 Shea,'SaIly From: Perry, Tom Sent: Wednesday, June 06, 2012 4:30 PM To: 'dchase@hyannisfire.org' Cc: Shea, Sally Subject: RE: Harbor Freight Thanks -----Original Message----- From: Lt. Don Chase [mailto:dchase@hyannisfire.org] Sent: Wednesday, June 06, 2012 3:08 PM To: Perry,Tom Subject: RE: Harbor Freight Yes, sent our ok and reply on May 15th at 0955 am. Don From: Perry,Tom [mailto:Tom.Perry@town.barnstable.ma.us] Sent: Wednesday, June 06, 2012 2:29 PM To: dchase@hyannisfire.org Subject: Harbor Freight Don, Are you guys all set with this? 6/7/2012