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HomeMy WebLinkAbout0615 MAIN STREET (HYANNIS) (7) /�� --- f 'I �t ;p 'I I _� 1} TOWN OF BARNSTABLE 60 DAY TEMPORARY CERTIFICATE OF OCCUPANCY .r" PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE t ' HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 85986 DESCRIPTION 60 DAY TEMP.C/O FOR COMMON AREA BLD PMT#783 PERMIT TYPE BTCOO TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: =- Department of ARCHITECTS:' i Regulatory Services TOTAL FEES: $75.00 BOND $.00 �tME 1 CONSTRUCTION COSTS $.00 "�►� 756 CERTIFICATE OF OCCUPANCY 1 PRIVATEpt' • BARNSTABLE, • MASS. 1659. fp�►l � y / r BUILDING D/SIGN BY - 1# DATE ISSUED 08/09/2005 EXPIRATION DATE -tO/0 /2005 i 11 0*7 ccc � 3 N/A OK NO V ternative and UA r not to , .. V erly d v . current]� y Y essional nd . (40 N/A OK NO 0 CMR LOOOO'- )l 7(2)) way.or O.CMR levation [4) and. inlet d must oe TOWN OFARNSTABLE CERTIFICATE OF OCCUPANCY--UNIT#12 i PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY i pg ����gg Eg ppgg pp CC pp d MIT TYPE gC003 j� EJIPTION 8ERTIFICA�EUO§N86CbT CY2 BLDG PMT#60819 i i CONTRACTORS ARCHITECTS: Department Of 1 TOTAL FEES: $75.oa Regulatory Services BOND $.00 , CONSTRUCTION COSTS $.00 , 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE BARMSTABLE, MAW ��ED MA'S A t BUILpII�� I�VISION BY I/O DATE ISSUED 08/09/2005 EXPIRATION DATE ��Q�. A TOWN OF BARNSTABLE - , CERTIFICATE OF OCCUPANCY FOR COMMON AREA #78399 PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - { LOT- BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 85986 DESCRIPTION CERTIFICATE OF OCCUPANCY FOR COMMON AREA PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY _ r CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $150.00 BOND $.00 pF CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE TVQE'-1111- BARNSTABLE, • _ �►ss. 1639. WELDING- ISION BY DATE ISSUED 04/20/2006 EXPIRATION DATE TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY — UNIT 4 PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP — LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY a PERMIT 87027 DESCRIPTION CERTIFICATE OF OCCUPANCY — UNIT 4' PERMIT TYPE BC00 TITLE CERTIFICATE OF. CONTRACTORS:- Department Of ARCHITECTS: Regulatory Services TOTAL FEES: $75.00 BOND $.00 pf ' CONSTRUCTIOW COSTS $.00 756 CERTIFICATE OF OCCUPANCY * B MSTABM Mass. i6g9. FD MA'S A BUILDING DIVISION BY -yr���tityf i DATE ISSUED 09/21/2005 EXPIRATION DATE U tvL.- TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY - UNIT 2 PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - Y LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 87026 DESCRIPTION CERTIFITCATE OF OCCUPANCY UNIT 2 #60819 _ PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS Department Of ARCHITECTS: Regulatory ator Services !i TOTAL FEES: $75.00 g y } BOND $.00 tNE CONSTRUCTION XOSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSTABLE, • MAss. Fp�►l a BUILDING IV. ION BY DATE ISSUED 09/21/2005 EXPIRATION DATE 0 [,., TOWN OF BARNSTABLE - CERTIFICATE OF OCCUPANCY - UNIT 1 PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS `615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY i PERMIT 87023 DESCRIPTION CERTIFICATE OF OCCCUPANCY UNIT 1 #60819 PERMIT TYPE, BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $75.00 BOND $.00 �tME CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY him& i639. �D MA'S A BUILDI 49 DIVISION DATE ISSUED .09 21 2005 EXPIRATION DATE F s TOWN OF BARNSTABLE ' CERTIFICATE OF OCCUPANCY UNIT #3 PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS -ZIP — LOT BLOCK LOT SIZE DBA DEVELOPMENT . DISTRICT HY I i PERMIt 86081 DESCRIPTION CERT OF OCC UNIT43 f82699) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: P Regulatory Services TOTAL FEES: $75.00 BOND $.00 CONSTRUCTION COSTS $.00 I 756 CERT'IFI9ATE OF OCCUPANCY 1 PRIVATE 'R0 * SARNMBLE, * l MASS. 1639. BUI� SIONr BY DATE ISSUED 08/15/2005 EXPIRATION DATE _ TOWN OF BARNSTABLE a � CERTIFICATE; OF OCCUPANCY UNIT #5 PARCEL ID. 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP I LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 86082 DESCRIPTION CERT OF OCC UNIT#5 82699) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCU AN Y CONTRACTORS: Department of ARCHITECTS: h Regulatory Services TOTAL-FEES: $75.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * BA MSTABLE, MASS. I, 039. Fp�a BUILDN . ISIO}, BY DATE ISSUED 08/15/2005 EXPIRATION DATE TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY UNIT 46` PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PENT TYPE B0004 �Y��§IPTION fERTIffCATE O�IOCCUPANCY99) CONTRACTORS: I ARCHITECTS: Department of TOTAL FEES: $75.00 Regulatory Services BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * BA STABLE, 163 ♦� RFD MP►'�A BUILDI -G I VISION BY� / DATE ISSUED 08/15/2005 EXPIRATION DATE ._- F A� 4 TOWN OF BARNSTABLE _ CERTIFICATE OF OCCUPANCY UNIT #7 PARCEL ID• 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS - PHONE HYANNIS t ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 86089 DESCRIPTION CERT OF OCC UNIT 07 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY I CONTRACTORS:ARCHITECTS: Department of Regulatory Services TOTAL FEES: $75.00 BOND $.00 ZNE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE '* 0 • BAMSTAsLE, MASS. 16yq. EDMP�A BUILDIN, ISIO BY 7 i DATE ISSUED 08/15/2.005 EXPIRATION DATE M TOWN OF BARNSTABLE 4. e ,P, CERTIFICATE OF OCCUPANCY UNIT #8 PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP. LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT MY PERMIT TYPE BC000 DESCRIPTION CERTIFICATE OFIOCCUP�NCY99) CONTRACTORS: Department of ARCHITECTS: P Regulatory Services TOTAL FEES: $75.00 BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * BARNSPABLE, MASS. 039. � f BUIL� IVISION BY DATE ISSUED 08/15/2005 ' EXPIRATION DATE `` S TOWN OF BARNSTABLE 3 ` 4 � JI A CERTIFICATE OF OCCUPANCY UNIT #9 + 1 PARCEL ID 308 120 QEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE _ HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 86091. DESCRIPTION CERT OF OCC UNIT 09 (82699) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: h TOTAL FEES: $75.00 Regulatory Services BOND $.00 CONSTRUCTION COSTS $.0.0 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE * BARN LE. • MASS. 039. 4 FO MA'S A BUILDINGt'DIVISION BY DATE ISSUED 08/15/2005 EXPIRATION DATE �^ TOWN OF BARNSTABLE I., CERTIFICATE OF OCCUPANCY UNIT #10 I� PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP LOT BLOCK LOT SIZE i M DBA DEVELOPMENT DISTRICT HY gg g g Egg�� ppgg TT I I ET TYPE BC�t?3 ����EIPTION P� �ERTIFIC��� zOC���A���699� CONTRACTORS: Department of ARCHITECTS: P TOTAL FEES: $75.00 Regulatory Services BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE JPk" Mass. 1639. BUILD - IVISIO DATE ISSUED 08/15/2005.' EXPIRATION DAIS " TOWN"OF BARNSTABLE tir- CERTIFICATE OF OCCUPANCY UNIT #11 PARCEL ID 308 120 GEOBASE ID 22088 ADDRESS 615 MAIN STREET (HYANNIS PHONE HYANNIS ZIP - i LOT BLOCK LOT SIZE i DBA DEVELOPMENT DISTRICT HY PERMIT 86094 DESCRIPTION CERT OF OCC UNIT #11 f82699) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: i ARCHITECTS: Department of Regulatory Services TOTAL FEES: $75.00 BOND $_00 CONSTRUCTION COSTS $.00 4► 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE ► * BAMSTABLE, • Mass. �► 039. FD MA'S A BUIL A1G IVISIO BY DATE ISSUED. 08/.15/2005 EXPIRATION DATE - 1 rr �; s,D A*] L.FI!N IiV } EA:! j ` 0 , s-RCP - 88 65 IN STREET tI NTIA Dl)= : :PHONE ZIP - IYAN[4IS {, -- a: 9 ` It�T BLOCIf. LOT SIZE 3A DEVELOPMENT DISTRICT HY" : ,. .,PDRcMI'T' 76399 DESCRIPTION SHRLL ONLY FOR FXISTI'.NC 1.2 UNIT MrOr.�TTi7A� F P .RMIT TYPE BR VI01 C TITLE C014M]ERCIAL .Ai.T/CO'',0V . ACON'_T' ,CTORS: Department of ARO�IIT-ECTS t _ =Regulatory-Services s :w *TOTAL F s S:: 00 .44.00 ,INSTRUCTION COSTS $557,40f� OC} `* r 1497 NONRES./NONHSEP 'ADD/CONV 1 PRIVATE J . lY�•QQ�. 1639. 0�1 BUI�MING DkVIS ON DATE .ISSUED 08/06/2004` �E�PIRATION DATE Y t.. THIS PERM?T CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER IEMP09ARILY OP. PERMANENTLY EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDIC 110N.STREET OR t ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE.ISSUANICL OF THIS PERMIT DCES 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 FOF.t 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- J (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. ' `,4.FINAL INSPECTION BEFORE OCCUPANCY. 11 • ® evil a®N.-relrim r w•. r.. a BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �-� 2 2 M. Olrlo .f �v� ♦ .fq`t. 3 ( i HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT ' aT x v 2BOARD OF HEALTH 14OTHER: Arrf SITE PLANREVIEW APPROVAL v +K= 14. WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS ,? a t, THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY ewe VARIOUS.STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. , TION.JA - j `S O r. "E I, r rt _ t � TOWN OF BARNSTABLE BUILDING PERMIT 76,D72-- :; I PARCEL ID 308 120 GEOBASE ID 22088 76107Ll ADDRESS 615 MAIN STREET {HYANNIS PHONE F . HYANNIS ZIP - DOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY i PERMIT 82699 DESCRIPTION TNT. FINISH KITCHEN/'DOORS ECT PERMIT TYPE BREMODC TITLE COMMERCIAL ALT/CONV CONTRACTORS: MOXLEY MICHAEL F. Department of ARCHITECTS: P Regulatory Services TOTAL FEES: $4,717.00 BOND $.00 CONSTRUCTION COSTS $570,000.00 I 437 NONRES./NONHSKP ADD/CONV 1 PRIVATEJPk ` 86a -a- 9J 560q 3 o MASS. 1639. U0 a V BUILDING DIVISION BY DATE ISSUED 03/14/2005 EXPIRATION DATE ILV - � G- i ` OWNxr,OF'"HARK STABLE: -�BUlLDING PERMIT:., 46 rCK-7-1 5 , PARCEL I D. 308 120 O-EAs 088 5s�63 4 -itb AbDRESS 615 "MAIN STREET (HYANNi .= PHONE HYANNIS _. '' ZIP P 1 LOT BLOCK ; ' LOT SIDE --DBA DEVELOPMENT DISTRICT HY PERMIT` 82699 DESCRIPTION INT. FINISH KITCHEN/DOORS ECT PERMIT TYPE BREMODC, TITLE COMMERCIALAI,T/CONY - CONTRACTORS: MOXLEY,MICHAEL F,` ARCHITECTS ., Department of Regulatory Services" TOTAL- FhES $4,717.00 BOND $.00 ' CONSTRUCTION COSTS 3 $570,000.00' i 437 - NONRES./NONHSKP ADD/CONY 1 :PRIVATEBMWSTA LE, $�p16 'u: d $ Epp E BUILDI G DIVISION DATE ISSUED 03I1.4/2005 EX ?IRATrON DATE i 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 M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE., 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING.INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2: 2 2 - I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON ..I.THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED,'FOR•BY '.1 VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. < 4 BUILDING PERMIT �'� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O C,a Application # Health Division Date Issued Conservation Division Application Fee D Planning Dept.t. Permit Fee ) / Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis ° --(�—/?� Project Street Address G — Village �? -4 Owne J—\,.. wJ+ Address c-J Telephone Permit Request (A:: S gE2�f) 6041.E *--J fa ,dam' Square feet: 1 st floor: existing proposed 2nd floor: existing roposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuati 6. 6�onstruction Type Lot Size Grandfathered: ❑Yes ❑ No If'yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure .Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other C71Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/do—astove: QY Yes No ` Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑trs' ing ❑ n w Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ L Commercial ❑Yes ❑ No If yes, site plan review# R Current Use Proposed Use APPLICANT INFORMATION _-(BUILDER OR HOMEOWNER) q Narne 2ktt.2a--:57.tJ ax C100Q Telephone Number �� 7� �Z2Z i- Address ��I ���� License # Z.77 O L C�2 :S5 Home Improvement Contractor# Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU ti DATE iZ 3 g 't t FOR OFFICIAL USE ONLY ". APPLICATION# > DATE ISSUED MAP/PARCEL NO. t ADDRESS VILLAGE OWNER DATE OF INSPECTION: i FOUNDATION. t t FRAME INSULATION i - FIREPLACE t ELECTRICAL: ROUGH FINAL ,e PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING `t ' I DATE CLOSED OUT ASSOCIATION PLAN NO. 9 r XThe 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 i Please Print Legibly Name (Business/Organization/Individual): �� ��� I ��rui 0A-,J16`2> Address: ­� C J City/State/Zip: V,� J Phone#: y � 2,ZZ Are you an employer?Check the appropriaebox; Type of project(required): 1.❑ I am a employer with 4. am a general contractor and I 6.?❑New construction employees(full and/or part-time).* have hired the sub-contractors 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, ❑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 10.0 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 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[1 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. *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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 43s6c� Policy#or Self-ins.Lic.#:_ � mil.® G\ y Ll— Expiration Date: 5' t, Job Site Address: 1, PWs Y7 City/State/Zip: d Oq k cj Attach a copy of the workers'compensation policydeclaration page(showingthe policynumb an 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature• Date: Phone#: Official use only. Do not write in this area,to be completed by city or town o�ciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Prnm:N.';P li-,E3LILP71 .1 To* -D e bATE jMM[JbDNYYYj CERTIFICATE OF LIABILITY INSURANCEP.... 'i 01 1 03/13/2013. -I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THI=CERTIFICATE MOLDIER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTCR.THC COVERAGE AFFORDED OY THE POLICIES BELOW. TH!S CERTIFICATE Or'INSURANCE DOES NOT CONSTITUTE AC"ONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED RLPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: Ifthe oartilitmile holder is an ADDITIONAL INSURED,the policy(ies)rnust be endorsed. If SUBROGATION 15 WAIVED,subject to the terms and cond;llons of the pnlicy,ceftin policies rnzy requite an endorstement.A st-atement on thiii certificate does fiat wnfer I ights to the certificate holder in lieu of such 6neforsement(s). CONTACT willia of T*ianessee, Inc. FAx C"b 26 Century DIVE. P.O. Nast 1,05191 E-MAIL 'a 'M=u's—-----3-OXL 1to 11djR jN, 14A C INSURIERA.ZUrik-1 AME-'XiVac- C=PaAY 116535-005 INSURED kINGUIRER 8'C4 UCI=86ti IT mp& Installed vuilding Products 165 sz;ate Md. NSnCR c Liat 4 lity j.3%2­A.Ce P. saganuze Beacb, MA 02562-130 . 2141 SLARER a------- ——------- iNSLIRERM: COVE-RACES CERTIFICATE NUMF2FR:19 S)l a 12 REVISION NUMBIER; THII)IS TD CERTIFY 71H.A�THE PCUCIES OF INSURANCE JSTED BELOW HAVE BESH I,1zI$UF.D`0 THF.INS:.'RED NAMED ABQV E FOR'!HE POLICY PERI-�D INCICXTE-D.NOIIARW3TANPING ANY REOJAEMENT,TERM OR CCIA)ITION OF ANY CONTRACT OP.OTHER DOCUMENT WITH RESPECT TO WHICH THIS Cff.R1 1;:ICATE MAY BE j:i IJE'0 OR MAY FERTAIN- ME INSURANCE APPcADI!b BY THE P0_;C;E3 DESCRIBED HEREIN Is SUBJEC F TO ALL THE TERMS, EXCLLISiC)N'S.kN[)G',1,Nt,'iT!c)r4 OF SU-1-H 90:-.10 ES.LIM iTS 13H OWN MAY HAVE SEEN G(EDL ICED ffY PAT)CLAIM$. INSR; TYPEOPINSURAN Ct POL1,CYINUMBER MLICYF;FF PQLICY etp —4w; (1111dint) .1 1 ta k GENLRA61LIA&W CLO913552706 1� 10/1/2012 1011"')013'"AIOCCLJRRFo.zIca�l%CF nc_e15. 1 000 000 17, 1 aalan !-X 1 aX-(,knvanapew.-.) IS --20 000 Q 0 _9__ GENFRAL AGGRECATE 3 4,000.000 C-SN'LAGGRKA[f LINIT,6�FHFS PER: I I j7i?CDUCYS CONJNOPAGG IS 4,01010,000 PR- OQUCY i X i XI L'-)'; 0 AUTOMOBILE LIA%3iU nl CA)Vi 8 7 e 13 1(NY I ID/1/2012 10!1/2013 COMBINELI SIN-M.E LN'9T 1,000,060 B AgY AUTO CAA512154.5 tC1k/N3/'411) 0/1/2012 10/1/2013 $ B 0 F­IbCH�Gcltji.LD i ly AJ1 I I I CAA3211264(NEI 10/1/20�2 ic/1/2013 PFIKUPERTYLIAMA13- ALI70S 2 0 12 110/1/21 jCJIiA52 231.3 6 10/1/20 12 j10/112013 --4 X UNIIAGLLALIA-2 ;y CC:�'R IATJC931420601 110/1/20b2 EACH OCCURRENCE 1 000 lr--- i -I,-- LXGr;$5 UAL C�VAS-MADE: 7— U E V ' A WORKERS COMPENSAV io 1OW IWC913952606 iAOU) 1011 7 1011/2013 A40EMPLOYERS'L"I'.ITY YeN I I A ANY�IRO'.:RlErcit'FARTM-91.E�.'J-,IVEI tit !WC 913952806[itt) 10/1/2012 110/1/2(713 E.L.EACKACCCINT 1 11000,000 OFF i NI;anljwry�NH� 1,000,000 01. llyttlmm. I El.DISEASE-POLICYLKAIT 1,Oil a.Ovo r 1154651 —T1=0j, 1 of $2,000'.0c0 Otij RJFTII)N OF OPERATIONS!�OCATIONS'VEHICLES t.ATt31:h Atvirki l0I.A4001)ai K3 50-901j:0,f rreOre sp4ve 4 iritqui-d) CERTIFICATE HOLDER CANCELLATION CANCFILLEDBEFORE Ti-E EXPOV1,TION, DATE THCREOI!, NOTtOE VPI,t, BE DELIVERED IN A,C.C I DIRDANCE VVII k THE.POLICY PROIAGIONS. ACINORIZEDREPRESENTATIVE DMJ11TtL CONSTRIA"ILON 776 NAIn ST. OSTERVILLX, MA 02655 Co11:40:34168 Tpl-1515199 ee:L-t 191" hl-' c)1988-2010&ORD CORPORATION,All rights reserved. ACORD 25(2010105) The ACORD narne and logo are registered enairks of ACORD } ® DATE(MM/DD/YYYY)AC� AC� CERTIFICATE OF LIABILITY INSURANCEF2/28/2013 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 NAME: Leonard Insurance Agency, Inc PHONE -6921 CFAX -5406( ) A No: (508)420 683 Main Street AAD RE :tina@leonardagency.com Suite B INSURERS AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURERA:Travelers Ind. Co of IL-ARWC 13579 INSURED INSURER B: Timothy Brennan INSURERC: Blueboard Specialists Plastering Co. INSURERD: 117 South Main St. INSURER E: Centerville MA 02632 INSURERF: COVERAGES CERTIFICATE NUMBER-WC Master 2013 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 SUBRPOLICY EFF POLICY EXP LTR ' POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ AMAG 0 RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ riPOLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE P HIRED AUTOS AUTOS $ er a ccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ RED I I RETENTION$ $ p, WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? NIA 7]?JUB-0194N848 /3/2013 /3/2014 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,ff more space is required) CERTIFICATE HOLDER CANCELLATION (508)420-2791 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Dunhill Group 776 Main St. Osterville, MA 02655 AUTHORIZED REPRESENTATIVE Tina Boulos/LEOTBl �� _ ACORD 25(2010/06) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD f Client#: 15284 2DUNHILLCO ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03113/2013 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 COT C NAME: Dowling&O'Neil '�,"�"N 508 775-1620 F Insurance Agency E-MAIL ac,No: 5087781218 ADDRESS: 973 lyannough Rd., PO Box 1990 INSURERS)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:AmTrust E&S Insurance Service INSURED Dunhill Companies LTD INSURER B:Associated Employers Insurance 776 Main Street wsuRER c Osterville,MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 SUB POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MM/DDNYYY) (MWODNYM LIMITS A GENERAL LIABILITY NES100415800 D812112012 0812112013 EACH OCCURRENCE $1,000,000 PXBI'iPD MERCIAL GENERAL LIABILITY DAM GE TO RENTED PRE ISES EaoccuRence $5O OOO CLAIMS-MADE �OCCUR MED EXP(Any one person) $5 000 Ded:1,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $1,000,000 POLICY JET LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PerOac R I HIRED AUTOS AUTOS DAMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC501088012012 7/15/2012 07/15/201 X WC STATU OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? a N/A —�-- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Charles Crovo is excluded from the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION The Residences at 615 Main SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Street ACCORDANCE WITH THE POLICY PROVISIONS. 615 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S108658/M108657 LS1 DUNHIL March 14, 2013 To Whom It May Concern: Lawrence E Crovo is an employee of Dunhill Companies. Lawrence Crovo is allowed to act on behalf of Dunhill Companies and pull any and all necessary Building Permits for the company. Respectfully submitted: U Charles R. Crovo 11 Dunhill Companies 03/12/2013 15:27 5616551671 PAGE 01/01 Massachusetts.Department of Public safety Board of Building Regulations and Standards Construction Super%lwr License:CS-027018 t".;�.vr.5 LAMRR.NCEExRQVp. 45 HfiATHARpf; OST1E.kVLLT�E M y Expiration Commissioner 09/12/2013 Unrestricted-Buildings of any use group which contain less than 35,000 cubic fact(991fn3)of enclosed space, Failure to possess a current edition of the Massachusetts State Building Code Is cause for revocation of this license. For DP5 Licensing information visk: WWW-MaSS,Gcv/DPS �TME, Tom of Barnstabje Regulatory Services R RNSUB [ ffiA99 8. Thomas F Geiier,Direc#or 16396 �0 rnt�" Building Division Tom Perry,Building Commissioner 200.Main Street,Hyannis,MA 02601 W W WAOwn.barnsta ble.ma.us Office: 508-862-4038 Fax 508-790-6230 Property Qwner Must ' Complete and Sign This Secrioi - If TJsi�tig A Builder.' �DEwr: IR CO&VO M/NI mm f¢SSOC. Et ,as Qweer of the 'abject propertp hereby authorize Y �9 t n to act on inp behalf, in all matters relative to work authorized by this bu0ding permit (Address of Job) Pool.fences 'and alarms are the.res onsibili of 'p tY the plicant.; Pools are not to be filled or utilized before fence is installedand all final inspections are perfoitmecfand accepted. Signature of ;_ e5 .ENT Signature of Applicant' Lb Print Name Print Name :wl3 Date Q:FORMS:OWNBRPERMISSIONPOOLS 62012 t f { 4t Y • AT 615 MA.1N STREET March 10.2013 To whom it may concern, The Residences at 615 Main Street has hired Dunhill Companies for the repair of the.property that was damaged by a water leak on Sunday.January 27, 2013. { Thank you, I Deborah Etzel t President The Residences at 615 Main Street Condominium Association 1.508.224.1667, i I r - e 1S11n10 I S :E W'd h I6 ?I4 f IOZ 9 i V.LSWig jo I'iloi �k 'I �v • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division 17, Date Issued Conservation Division Application Fee S"6 Planning Dept. Permit Fee f (0-0 ; cr Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address /`'t A-/ S 7_ Village -- 4 Y Pr-gy iS Owner Te-j k akh e-N JA Address 5/-YJ1 e- Telephone S-b s Permit Request P4/Lm5e J 1-i VJA1*2 R00A1 Aa D"i e. r-a U f It—re-2 13-1-m 4-y e : sell o c­e­ J 4 ,e e.T/Lic,f -. ... jay /t�k Cr r C�� A LS a T u 11✓.4-�-eri l�/t�-i r e � dam"/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 2 To ah nev= rri Zoning District Flood Plain Groundwater Overlay - o Project Valuation Construction Type zn Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup orting dffume�tation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) a Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other v ;75 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood I stogy,: ❑ ' ❑ No w, CO o Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:':0'existin nevi, size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 4 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ w- 6 Commercial ❑ Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION } (BUILDER OR HOMEOWNER) 2 t CHA�a L AL-tR A Name Telephone Number Address LE-1"r N R License # e.S R p c(,,: LA-IJ' IL4f4-- 0 2 7cj Home Improvement Contractor# 14/ D `7 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CONSTiR.uCT/0A) 7Ju/\-I/DsTe2 0Ail Sr7 SIGNATURE _-' ��� DATE �� -2-g �� FOR OFFICIAL USE ONLY APPLICATION# n, DATE ISSUED `! MAP/PARCEL NO. 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME .M .'a INSULATION { FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL " FINAL BUILDING DATE CLOSED:OUT ASSOCIATION PLAN NO. Dezm. entpflrcdustriall4ccidents -'Oil xe oflmestigatiorrs = - -- - - - "---- - -- - ' 600 Washingtoiz Street Bostor,'A M 02111 _ wivw.mass gov1&a Workers' Compensation Insurance Affidavit: Builders/Co ntractors/l{Jlectriciaris/Pluinbers Applicant Information Please Print Leeibly -Naine(Business%Digmrization&&vidnan: M Q L-n-5 7-7A-►-e R-v- 7-0 icy A- -/v tiJ .Address: . Rp- w ; Cifp/S`tte/ZliJ: ^4 5 Ed /A14 PhnnP# "el6 tf - 5'C-77" Fyou an employer? Check the appropriate bog: Type of project(required); I am a employer with 'j 4 ❑ I am a general contractor and Iemployees(full and/or part-tile),* have hued the sub-contractors 6. ❑New construction . I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling shipand have no to ees These sub-contractors have �P Y 8, Demolition working for me in any capacity. " employees and have workers' [No workers'comp.ins;rr�,nce comp.insurance. 9. ❑Building addition required] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3,❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.E]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 hirr outside contractors must submit a new affidavit indicating such, $Contractors that cb=k.tbh box must attached en 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: T-0 W e2 Policy#or Self-ins.Lic.# CC 0 0`J 0 31 "TV b Expiration Date: `7.-16`13 Job Site Address:_ l S ��N ST City/State/Zip:_ Attach a copy of the workers' compensation poffcy 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 crin al 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. verification I do hereby certify or the p and penalties of perjury hat the information provided above is true.and correct 4 Si afore: Date: a- - %3 Phone#: 7 W a 6 y 5� Official use only. Do not write in this area to be completed by city or fawn official City or Town: PertnitlLicense# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3, City/Town Clerk 4.Electrical.Inspector, 5.'Pluunbing Inspector 6. Other Contact Person Phone#: -..__ .__._..___ ._..__.._- ..-...___ __ -____ -- ----___-_ ___ ._ - __ II '. � \ I � � � � � .. _ _ .. .. . .. � ' . . �' � :. .. � �� - 1y .. � 1 -..� ' I Client#:34309 MULTISTA ACORDTM CERTIFICATE OF LIABILITY INSURANCE UAT/28/2D/Y 01 2812013 3 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 Dawn M.Pare Starkweather&Shepley PHONE FAX ac,No,Ext:401 435-3600 ac,No: 401 431-9397 PO Box 549 E-MAIL dpare@starshep.com Providence,RI 02901-0549 INSURER(S)AFFORDING COVERAGE NAIC# 401 435-3600 INSURER A:American Safety Insurance INSURED INSURER B:Tower Group Multi-State Restoration Cape Cod INSURERC:Hartford Ins Group 19682 Division Inc. 1135 Charles Street INSURER D: North Providence, RI 02904 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 INSR WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A GENERAL LIABILITY ENV0307221302 1/01/2013 01/01/2014 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PREMISES(ERENTED ccr nte) $50,000 CLAIMS-MADE F x1 OCCUR MED EXP(Any one person) $5,000 WXBI)PD Ded:5,000 PERSONAL&ADV INJURY $19000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 - POLICY PRO- I $ JECT C AUTOMOBILE LIABILITY 02MCPHX6227 1/01/2013 01/01/201 C a ac den SINGLE LIMIT $ i 19000,000 Ea accde ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WCCO03031700 7116I2012 07/16/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT s500,000 OFFICERIMEMBER EXCLUDED? F_N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE:615 Main Street,Hyannis,MA CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE _ I © 88-20 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S438668/M438664 DMP !tilassuchu•�cttx_ Uel)�1►-tmen;of pub- Co Board of Buildin. Rc, lic Safety nstrue i .'ulations.Ind Standard.S On tl wo upervisor License and T Family Dwell License: CS ings 51784 RICHARD.D LAURIA 1 LEAH DR ROCKLAND , MA 02370 f�❑�misiuner Expiration: ---_--,—_ 4/1/2013 Tr#: 12672 Office of Consumer Affairs&u mess Regulat►oR License or registration valid for individul use only before the expiration date. If found return to: RACTOR I Office of Consumer Affairs and Business Regulation OME IMPROVEMENT CONT Types 10 Park Plana-Suite 5170 Registration 140427 Supplement a d Boston,MA 02116 Expiration C9f kf2013 MULTI-STATE RES'fORLO fNG.CAPE COD MILE ( s RICHARD LAURI I. 1 ,JI l P. O.Box 2210 �; - _4e�' Not v lid w►thou signature MASP:HEE,MA 02649 Undersecretary I . AT 615 MAIN STREET February 5, 2013 To whom it may concern, The Residences at 615 Main Street has hired Multi-State Restoration for demolition of property that was damaged by a water leak on Sunday January 27, 2013. Thank you, Deborah Etzel President The Residences at 615 Main Street Condominium Association 1.508.224.1667 02/12/2013 15:36 2393540007 UPS STORE 4852 PAGE 01/01 Q . 'own of Barnstable ReguIatorY Services Xa Thomas F.Ge&%r,Director Building.Division Tom.NrM Bnildlag CommWoner 200 Main Street,Hyawis,MA 0201 irww.to�va.'bnrustablc.ma.as Office: 508462-4038 Fax: 508-79M230 Pxopexty Owner Must Complete and Sign This Section T��Jszng.A, �3u.Yld�r A&Ones ofthe subjcct ro P 1}" hesebpaut�orixe�`' �`�1 � '` ��t�'� �cs-Cef•e+�`C�,a,,� to act on my br-half; im su xIM.tten rektive'ta w'vrk 2,athotYzecl by this building pemaitt (Address.of Job) ?k pvol fences and al lr-= are the r sponribi ity of the appli.can.t. Fools are not to be filled Or etffized before fence is installed and all.final inspect3.axns are performed aAd accepted. Sigaatum of ownez Sim atw:r of Pl ppJicant Print Nme Paint N2=e Q:FORMS:CswNWtp W0N?C)01S&203.2 F t o ax 1 NlLeA (,vim-r-e2 P ePe &4 25 7- iv K t rCAe,� 15 , Y. IJe voon Be, P-a®n P �I k t 5 M /97 5 � 30 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION j;�o Map �309 Parcel I -2'D Permit# Health Division _ 3�y u wn H/�� -f 0 WN 0 F 8 AIR IMS FABLE Date Issued 311 Y O s. Conservation Division 70L15 MAR 10 PM 12: 48 Application FeeA�2 dr Tax Collector A Permit Fee Treasurer �qlo6 �jp i31�dSiQ1� V Planning Dept. CONNECTED SEWER ACCOUNT Date Definitive Plan Approved by Planning Board # % Historic-OKH Preservation/Hyannis 'L,F1 I /1 IA�.;,�� ok l-K r�A✓,_, fi 0Lf t' Project Street Address 6 1 Village f4H AV NiS a Owner O t'At SM"-S Address .s/ Telephone `7 Permit Request Square feet: 1st floor: existing proposed>S' 2nd floor: existing �,� ,,, proposed ldT Total new o47 n�cs,J Zoning District a e 1 Flood Plain Groundwater Overlay Project Valuation ?L,G Construction Type "-A^ -e- Lot Size 3 3 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 1,2 .AxA4 ( 3ee�nc, ,�1 Age of Existing Structure 9U�j 44 9­5 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other f? -I fu 61 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 2-H Half: existing new Number of Bedrooms: existing new N Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Yas ❑Oil ❑ Electric ❑Other Central Air: M YeS ❑ No Fireplaces: Existing New I 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: .,SF 2.0a3e /30 /3/, /IV< Zoning Board of Appeals Authorization MrAppeal#14 A.ZO-e y'" 124',i z9 Recorded OK Commercial M*Yes ❑No If yes, site plan review# Current Use eeM&O RA J±1 ']ft4,F,-% Proposed Use BUILDER INFORMATION Name M-oc�6-eif Mouc 1 61 Telephone Number 6/ 7 9Y3-Sz 3-V Address o2 _ Q-r g G ADZ' — License# - C.5- . Ark �7 3 7 A,4. c9?iJ 3 L Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO b� ids SIGNATURE DATE c3 �©� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. f I ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ly 3 0 , INSULATION i ITS 5� g FIREPLACE t - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH e? FINAL GAS: ROUGH ~J i FINAL FINAL BUILDING1 r 1 I� rt f G DATE CLOSED OUT I� t ASSOCIATION PLAN NO. i L. COMMERCIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $150.00 ` Alterations/Renovations $100.00 10 Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS t square feet x$140.00/sq.foot= x.0081= ALTERATIONS%RENOVATIONS OF EXISTING SPACE square feet X$96/sq.foot= X.0081= STORAGE BUILDINGS ONLY square feet X$32.00/sq.foot= 7�r 0 00 X.0081 Commprojcost Rev:063004 Town of Barnstable Regulatory Services Thomas F.Geiler,Director , q4� sip• ��� Building Division TomPerry, Building Commissioner 200 Main Street, $yaanis,MA 02601 �wMiown.barustable;ma.us Fax: 508-790-6230 office: 508-862-4038 Property Owner Must Complete and Sign This Section if Using ABuilder as Owner of the subject property to-act on mybehX, 'hereby authonze:'• in all nzztters relative to work authorized bytl is building permit application for, (1�ddress of job) Signatur of Owne ' Date Prim— i The Commonwealth of Massachusetts Department of Industrial Accidents office olinuesu nt/ons 600 Washington Street, 7`h Floor Boston,Mass. 02111 Workers'Com ensation Insurance Affidavit:Buildin lumbin /Electrical Contractors name: } I,'G �))_G j I'�l. d%( !-�dc�y•S GrtJG'�L`I`� address: J• L'A-�j 2 � -e Ste, city (� Ito V- k U La� state: P''t-4— zip: Rhone# work site location Mill address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction ffRemodell ❑ 1 am a sole proprietor and have no onew' orking in any capacity.— D Building Addition Q I am an emloyerprovidin workers'compensation for my employees working on this job. i;., -i "i. r 't,•ai...........} •Z c'`iJ, ::n st-"„'<' L.'•' ;,y,:-'• '�-`•'• 't... :r::�:�;v'�• •:�f;•a i.; .�." . •�::r`:s:;; i y �.K.G f..;;:•s,:.i;:xS'�''':i' �:::��; .:i�:;,� �t< _ .�` �: t.�•�;<.•xts:':-"r:.f.•nwA ar,�ni. SS ;,.f:,*, .�,..., 3,,. `�'_f;�'' ?d::�.}.,s;3.},..:.s�.i ,ifk. "'•:.:'' .:%,:rf�,s,,.•:�.. :•:..•, ;�:{„`� x m Fr. !a. :a• :,.:'yvr..'.E •.r;T`°ti':y:.6<`;`n•':'<�^�is •';A.Y+:>,'.. ''tist 'm"t: s"'LY.:v: :.i "s •;.:. `�:«.•.-i!s:.n M1l.'i �waT. TA f.... .: yl. .`!i• +F, '{ ':x is };'v •G,u a':t. ( 3:• 1w+f^ �',-+ %t.. Yr 2' �'..n:.i'e!f.T. �, i"`•:r" .,<!: :�`:: £•: }VJT'i :>' 1`tS� .T::.�'fF ""•�A.Y�:'.. .•tA?': }; t. aM ..£%a,. a. °° .RM. Str2;fa`• ::'•:si'';x, r.tlt....+��:`::•..' .t�.-S".`".d'•, :ti +5�,::4- `.��iv-ts�•y y. � Dw ..'rQe�. 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Sa;�t""" ri?•�'%:� .Cy:.:x'•;. ek:c -�`'�°x..�._. �r,c' S' � e'a� .ai� i� '��':'e.-w,•�.� .b�,.r:�i=Aµ�..'.:��'%'v;r� is't`� ✓•}F:': � 'cr.7:'.�[:1:•,. ?!�v:V °' 3"t� W+.t.,�+.'ez2Fl.<;sr�;',-E{�_"4'�: �:�.,_.�.•'}+.,�•.!,r..>s.. 9it,�,`, ,��L'��i'a'a, :ia,�• r.r'• ,��', ����o:'rr:-.,t.N.y�a •rr" <r•4i�44:�,.•�;....< 8'Il�d� ..t,. { � 4�• ",u,�ihe���� c a a�'��.`:s�:a ✓, k,.n.•�c�...t,_:x,�i:._. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices y.r 11!:4't..�'+•t^��„�'..a<:rr- -%3YP:::: :�my •<,Y^ti.:-rr:?::>`'`- :.`-'::`"a. ^,-.:-" - - - - y:^?('r :rS'•' t, �;Y Y't{:' �,' .. � „F ..5.. ?e;gn}+ 3 ?,yrt:,::.,�.:.. . :r. 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I understand that a .copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. r do hereby y cerfi under thepains and penalties ofperjury that the information provided above is true and correct Signature � ` Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# 7HISelectmen's ment' check if immediate response is required d ❑ p g fficementcontact person: phone t1;• (revised Sept 2003) V 4 Information and Instructions vlassachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their :mployees. As quoted from.the"law",an employee is defined as every person in the service of another under any ;ontract of hire,express or implied,oral or written. kn employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of he foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver )r trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a . Swelling 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 Dr building appurtenant thereto shall.not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the permit or license is. being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers'compensation policy,please call the Department at the number listed below. City or Towns , Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail'or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number:. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 B4OgRDxO`F�BUILDING REGULATIONS License CONSTRUCTION SUFERUISOR E Number CS 003737 g r Birthdate 09/24/1945 . ._ Expires ,,09/24/2005 Tr.no: 6877.0 x ReStricte'tl MICHAEL F MOXLEY` 241 LAGRANGE ST° ,« I a WEST ROXBURY, MA 02132 Town of Barnstable �BMW9rABM Planning Division - 200 Main Street, Hyannis,Massachusetts 02601 MMVL �pr16 9. Thomas A.Broadrick,Director- Planning,Zoning&Historic Preservation Phone(508)862-4785 Fax(508)862-4725 r March 22,2004 John D.Roberts Jr.,Attorney 52 West Main Street Hyannis,MA 02601 Reference: Review of Plans for 615 Main Street,Hyannis,Zoning Board of Appeals Hynes Decisions ' � h Dear Mr. Roberts, I am in receipt of revised elevations and unit layouts for 615 Main Street,Hyannis,MA delivered to the Zoning Board and Planning Division Offices on March 16,2004. 1 have reviewed the plans for consistency with the Zoning Board of Appeals Decisions 2003-128, 129, 130, 131, and 145 rendered in January.of this year. The new layout of the apartment units appear to comply with changes requested in those decisions. The elevation plans show continuous shed dormers on the building where prior dog-house type dormers were proposed. I would agree that the shed dormer windows provide considerably more light to the units and the new window pattern offers more interest to the roof plane and overall aesthetics of the building. I would delegate the issue of the dormer style to the Hyannis Main Street Waterfront Historic District Commission and would offer my support for this change in the elevations as I see it enhances the building and is functionally superior for light and air to the units. . I appreciate the opportunity to review the plans to date,however,I will still need to review all of the final plans when you submit them for a Building Permit as required by Condition Number 2 of Special Permit Number 131. espectfully, A r P. Tra zyk,Principal Planner File letters—2004—L-022204-Roberts Hynes.doc C: File—2003-128,129,130,131,and 145 Tom Perry,Building Commissioner Thomas A.Broadrick,Director,Planning,Zoning&Historic Preservation Daniel M.Creedon 111,Chairman,Zoning Board of Appeals George Jessup,Chairman,Hyannis Historic District Commission i u x f G. nP T 40 i e �Wvl f 1 Q 1 r qp ' k vs^ i � r 9r i , r x r Yl t' .i f 4 s.. f 1 ME, i�s:• r�, 'F'•� r� � + % Y� .-.dam` 't $ g r�- �%z�{.r' � �., - y ilk , • X>zv��k'' Y t.�'1 p•"� Ire�'w h��'�" i�Y* r t r 1_ �� �� �,,, w �;a'� � Y° ` ZZ { Skr yr ' k � t A� h� � !#L:� k ♦.� ��Y�. li✓.� s: '�„ 'r"..' � arm � � t .'�� . i �•� {� �, �yj 9 � ;—^. _ar"tf` � � °ray •.i: � � r "�'nkr ^=r ae .�4`. 4'�5�"� � R .M✓ 3� � +�rhi: 'ram `- �� �� °+�� ��� '� �.i� aT..�ti'r _�".� i ���y,�g � �r�umni � � �.� � R�•� uu{{ �32 f} �."'IXtl44 �. >x .. � r, � �'•.z � t ''A� �44P 1 ��+4 �e�, A t 'iu'�-' wm�.Li t �'Er^' n R si �F.9 r ���Am° a=Y' A �� r�!r' , s• €��,.a•''Trt � wJ> �" z`..;,�i' �„y �z^�$k'£r�"''"�'m �+'� ;,'`�t l 1�� xA��;.11'�� yr �'Ji ��,� �6�"��.�. �4ti r tC r�'•• � � y�i � �+h rv� x.A �+ Ara �-TM�.9hi 11 l� �r r 1 ,�, -��.� �d ..-.a i .. , 7 ....- ,Aa t „�� u x - SAµ • � r ��-i r� �' � �� �f 1i � - T in.. cb r ¢:.. � ,,, '°.,"'�=�"x.,,��,�w.....�---' .. �►� �� jam- �,-� ,a'r, . f e E v t py IF law dw � 4 y y 77 �Ewx. cxui kow �I 500.352 US Y r .Yfi� , , • I � 6 --- Not MIR MOM r "r 33 , ^r y Y � A 4 ' � �T •rfr,�� 9' _n x ..: � � , �.�1.9 } � F, � Y w w. . .. u iAAI�RaW�� 7i. w..-. .. - —...,.�.�.�....•.�em.�'�'^' 52 e uk u , 4 Y. 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